Maxacalcitol
drugOn this page
Also known as OCTOxarolPreziosSCH 209579SCH-209579SCH209579SID144206553
Summary
Maxacalcitol (CHEMBL333950) is a phase-3 clinical-stage small molecule targeting VDR; indicated across 1 condition including secondary hyperparathyroidism.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 1 (VDR)
- Indications: 1 condition
- Clinical trials: 52
- Chemistry: 418.6 Da · C26H42O4
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL333950 |
| Name | Maxacalcitol |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 6398761 |
| Molecular formula | C26H42O4 |
| Molecular weight | 418.6 |
| InChIKey | DTXXSJZBSTYZKE-ZDQKKZTESA-N |
SMILES: C[C@@H]([C@H]1CC[C@@H]\2[C@@]1(CCC/C2=C\C=C/3\C[C@H](C[C@@H](C3=C)O)O)C)OCCC(C)(C)O
IUPAC name: trans-(1R,3S,5Z)-5-[(2E)-2-[(1S,3aS,7aS)-1-[(1S)-1-(3-hydroxy-3-methylbutoxy)ethyl]-7a-methyl-2,3,3a,5,6,7-hexahydro-1H-inden-4-ylidene]ethylidene]-4-methylidenecyclohexane-1,3-diol
Also known as: Maxacalcitol, OCT, Oxarol, Prezios, SCH 209579, SCH-209579, SCH209579, maxacalcitol, MAXACALCITOL, SID144206553
Patent coverage: 519 distinct patent families (1,797 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| VDR | Vitamin D receptor | Agonist | 8.21 | 0.2% | P11473 |
Broader ChEMBL bioactivity targets: 1 (assay-derived). Sample: Vitamin D3 receptor.
Bioactivity
ChEMBL activities: 5 potent at pChembl ≥ 5 of 5 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| VDR | 9.07 | EC50 | 0.85 | nM | CHEMBL_ACT_16635831 |
| VDR | 7.42 | EC50 | 37.9 | nM | CHEMBL_ACT_15730667 |
| VDR | 7.39 | EC50 | 40.8 | nM | CHEMBL_ACT_15730691 |
| VDR | 6.84 | EC50 | 144.5 | nM | CHEMBL_ACT_16635836 |
| VDR | 6.8 | EC50 | 159.7 | nM | CHEMBL_ACT_16635841 |
Target pathways
Aggregated over 1 target gene(s): VDR.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Vitamin D (calciferol) metabolism | 1 | VDR |
| Nuclear Receptor transcription pathway | 1 | VDR |
| SUMOylation of intracellular receptors | 1 | VDR |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| negative regulation of transcription by RNA polymerase II | 1 |
| cell morphogenesis | 1 |
| skeletal system development | 1 |
| calcium ion transport | 1 |
| intracellular calcium ion homeostasis | 1 |
| lactation | 1 |
| negative regulation of cell population proliferation | 1 |
| positive regulation of gene expression | 1 |
| negative regulation of keratinocyte proliferation | 1 |
| cell differentiation | 1 |
| positive regulation of bone mineralization | 1 |
| intracellular receptor signaling pathway | 1 |
| phosphate ion transmembrane transport | 1 |
| nuclear receptor-mediated bile acid signaling pathway | 1 |
| mRNA transcription by RNA polymerase II | 1 |
Indications & clinical
Indications
1 indication (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| secondary hyperparathyroidism | 3 | MONDO:0006964 | EFO:1001173 |
Clinical trials
Total trials: 52.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 45 |
| PHASE4 | 3 |
| PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06372925 | PHASE4 | RECRUITING | Intravascular Imaging Study of the Effect of Inclisiran on Plaque in Patients With Acute Myocardial Infarction |
| NCT02868203 | PHASE4 | UNKNOWN | OCT Based Edge and In-stent Vascular Response After Cordimax Stent in patIents With NSTE-ACS |
| NCT05135312 | PHASE4 | UNKNOWN | Etanercept Therapy for Nails Psoriasis Monitoring With Noninvasive Imaging |
| NCT00764738 | PHASE2/PHASE3 | COMPLETED | Study Investigating OCT, Multifocal ERG, and Microperimetry in Monthly Versus PRN Ranibizumab in Neovascular Age-Related Macular Degeneration |
| NCT01341782 | PHASE3 | COMPLETED | Comparison of Efficacy and Safety of Paricalcitol Injection With Maxacalcitol Injection in Adult Japanese Chronic Kidney Disease Subjects Receiving Hemodialysis With Secondary Hyperparathyroidism |
| NCT00667576 | PHASE2 | COMPLETED | Dose-response Study of Paricalcitol Injection in Chronic Kidney Disease Patients Receiving Hemodialysis |
| NCT00990704 | PHASE2 | COMPLETED | Paricalcitol Compared to Maxacalcitol in Chronic Kidney Disease Patients With Secondary Hyperparathyroidism |
| NCT02270359 | Not specified | ACTIVE_NOT_RECRUITING | Research on Infarction With Open Arteries Using OCT and CMR |
| NCT02905357 | Not specified | ACTIVE_NOT_RECRUITING | Heart Attack Research Program- Imaging Study |
| NCT04737616 | Not specified | ACTIVE_NOT_RECRUITING | Continuous Monitoring and Management of Vaginal Health Via Multifunctional OCT/OCTA/OCE Endoscopy |
| NCT05424705 | Not specified | ACTIVE_NOT_RECRUITING | Prediction of Atherosclerotic Plaque Progression |
| NCT06274593 | Not specified | RECRUITING | Study of OCT Peripapillary Angiography in Patients With Advanced Glaucoma |
| NCT06349538 | Not specified | ENROLLING_BY_INVITATION | Identifying Markers of Disease Subtypes and Disease Progression in the Syndrome of Essential Tremor |
| NCT07149740 | Not specified | RECRUITING | Data Gathering for A10900 |
| NCT07171541 | Not specified | NOT_YET_RECRUITING | Correlation Between OCT and Mf-ERG Findings With BCVA in Patients With Macular Dystrophy |
| NCT07241806 | Not specified | NOT_YET_RECRUITING | Measurment of Optic Disc Parameters, RNFL Thickness and Ganglion Cell Complex in Myopic, Hypermetropic and Emmetropic Patients Using OCT and Axial Length Measurments |
| NCT07241845 | Not specified | NOT_YET_RECRUITING | Epiretinal Membrane in Patients With DR. |
| NCT00926861 | Not specified | UNKNOWN | Posterior Macular Adhesion: A Potential Risk Factor for Non-exudative Age Related Macular Degeneration (AMD) to Develop Exudative AMD |
| NCT01080859 | Not specified | COMPLETED | Vessel Wall Response of the Bio-Active-stent and Everolimus-Eluting Stent Assessed By Optical Coherence Tomography |
| NCT01391871 | Not specified | COMPLETED | Vascular Healing of DES at 3 Months |
| NCT01603810 | Not specified | UNKNOWN | Evaluating In Vivo OCT Imaging for Periocular Basal Cell Carcinoma |
| NCT01743274 | Not specified | COMPLETED | Does Optical Coherence Tomography Optimise Results of Stenting |
| NCT02024048 | Not specified | UNKNOWN | Evaluation of Choroidal Thickness During Pregnancy Using Enhanced Depth Imaging Optical Coherence Tomography |
| NCT02077764 | Not specified | COMPLETED | The GRAFT Study: Evaluation of Graft Function, Rejection and Cardiac Allograft Vasculopathy in First Heart Transplant Recipients. |
| NCT02234804 | Not specified | UNKNOWN | The Does Optical Coherence Tomography Optimize Revascularization (DOCTOR) Recross Study |
| NCT02521142 | Not specified | UNKNOWN | Non-invasive Optical Angiography in Age-related Macular Degeneration |
| NCT02638025 | Not specified | COMPLETED | Anterior Segment Spectral-domain Optical Coherence Tomography in Patients With Closed Globe Injury |
| NCT02775097 | Not specified | COMPLETED | Evaluation of the Accuracy of Corneal Epithelial Thickness Mapping With SD-OCT |
| NCT02783963 | Not specified | COMPLETED | Optical Coherence Tomography in Patients With Acute Myocardial Infarction and Nonobstructive Coronary Artery Disease |
| NCT02785029 | Not specified | TERMINATED | Optical Coherence Tomography (OCT) Reference Data Collection Study (S-2015-1) |
| NCT03106961 | Not specified | UNKNOWN | OCT and Scaffold Embedding After NC Balloon |
| NCT03176810 | Not specified | UNKNOWN | Comparison Between Optimal Coherence Tomography Guidance and Angiography Guidance in Percutaneous Coronary Intervention |
| NCT03229993 | Not specified | COMPLETED | OCT in Borderline Coronary Artery Lesions |
| NCT03377075 | Not specified | COMPLETED | Study of the Choroidal and Retinal Thickness in Relation to Axial Length. |
| NCT03489915 | Not specified | UNKNOWN | Correlation Between the Visual Acuity & the OCT Pattern of Macular Edema Secondary to RVO |
| NCT03679156 | Not specified | COMPLETED | Retinal Pigment Epithelial Characteristics in Eyes With Neovascular Age-related Macular Degeneration Following Long-term Treatment With Anti Neovascular Endothelial Growth Factor |
| NCT03680326 | Not specified | COMPLETED | Intravitreal Anti-vascular Endothelial Growth Factor Administration and Its Influence on Vitreomacular Interface- and Retinal Morphology in Eyes With Neovascular Age-related Macular Degeneration |
| NCT03893474 | Not specified | UNKNOWN | Quality-Assured Follow-up of Quiescent Neovascular Age -Related maculaR dEgeneration by Non-medical Practitioners |
| NCT03939299 | Not specified | UNKNOWN | OCT Explores Vascular Response and Healing Profile After Stenting in CTO |
| NCT04047485 | Not specified | UNKNOWN | Evaluation of the Effect of Cataract Surgery on Cognitive Function in Very Elderly Patients |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
9 molecules share ≥1 primary target. Top 9 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| CALCIPOTRIENE | ChEMBL | Phase 4 (approved) | VDR |
| CALCITRIOL | ChEMBL | Phase 4 (approved) | VDR |
| CHOLECALCIFEROL | ChEMBL | Phase 4 (approved) | VDR |
| DOXERCALCIFEROL | ChEMBL | Phase 4 (approved) | VDR |
| TACALCITOL | ChEMBL | Phase 4 (approved) | VDR |
| CURCUMIN | ChEMBL | Phase 3 | VDR |
| SEOCALCITOL | ChEMBL | Phase 3 | VDR |
| TAUROLITHOCHOLIC ACID | ChEMBL | Phase 3 | VDR |
| chenodiol | PubChem | Approved | VDR |
Related Atlas pages
- Genes: VDR
- Diseases: secondary hyperparathyroidism
- Drugs: Calcipotriene, Calcitriol, Cholecalciferol, Doxercalciferol, Tacalcitol, Curcumin, Seocalcitol, Taurolithocholic Acid, chenodiol