Nicardipine
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Also known as Nicardipine (stn)NicardipinoPerpidineSID26755701SID26755702SID90340664SID104171201SID50111158SID50111159SID124880905SID144203762SID170465173Nicardipin
Summary
Nicardipine (CHEMBL1484) is an approved small molecule (ATC C08CA04) targeting ADORA3 and KCNA4; indicated across 9 conditions including cardiovascular disorder and hypertensive disorder.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: C08CA04
- Targets: 2 (ADORA3, KCNA4)
- Indications: 9 conditions
- Clinical trials: 31
- Chemistry: 479.5 Da · C26H29N3O6
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1484 |
| Name | Nicardipine |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 4474 |
| ChEBI | CHEBI:180905 |
| ATC | C08CA04 |
| Molecular formula | C26H29N3O6 |
| Molecular weight | 479.5 |
| InChIKey | ZBBHBTPTTSWHBA-UHFFFAOYSA-N |
SMILES: CC1=C(C(C(=C(N1)C)C(=O)OCCN(C)CC2=CC=CC=C2)C3=CC(=CC=C3)[N+](=O)[O-])C(=O)OC
IUPAC name: 5-O-[2-[benzyl(methyl)amino]ethyl] 3-O-methyl 2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate
ChEBI definition: A dihydropyridine that is 1,4-dihydropyridine substituted by a methyl, {2-[benzyl(methyl)amino]ethoxy}carbonyl, 3-nitrophenyl, methoxycarbonyl and methyl groups at positions 2, 3, 4, 5 and 6, respectively.
Also known as: Nicardipine, Nicardipine (stn), Nicardipino, Perpidine, nicardipine, SID26755701, SID26755702, SID90340664, SID104171201, SID50111158, SID50111159, SID124880905
Parent form; salt/anhydrous children: CHEMBL1200326
Patent coverage: 8,080 distinct patent families (30,866 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 30,763 (100%) of the total. 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 |
|---|---|---|---|---|---|
| ADORA3 | A3 receptor | Antagonist | 5.5 | 0% | P0DMS8 |
| KCNA4 | Kv1.4 | 6.1 | 0.7% | P22459 |
Broader ChEMBL bioactivity targets: 50 (assay-derived). Sample: Tyrosyl-DNA phosphodiesterase 1, Transient receptor potential cation channel subfamily A member 1, Microtubule-associated protein tau, Survival motor neuron protein, Prelamin-A/C, Inositol monophosphatase 1, NPC intracellular cholesterol transporter 1, Ras-related protein Rab-9A, ATP-binding cassette sub-family C member 4, Alpha-2A adrenergic receptor.
Bioactivity
ChEMBL activities: 57 potent at pChembl ≥ 5 of 85 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| P22002 | 9.08 | Ki | 0.84 | nM | CHEMBL_ACT_933287 |
| P22002 | 8.57 | IC50 | 2.66 | nM | CHEMBL_ACT_407463 |
| CACNA1C | 6.6 | IC50 | 250 | nM | CHEMBL_ACT_15373254 |
| CYP2C9 | 6.55 | Ki | 280 | nM | CHEMBL_ACT_389069 |
| CYP2C9 | 6.42 | IC50 | 378 | nM | CHEMBL_ACT_15445914 |
| CYP3A4 | 6.42 | IC50 | 380 | nM | CHEMBL_ACT_15450991 |
| SLC6A2 | 6.4 | AC50 | 397 | nM | CHEMBL_ACT_25146252 |
| CYP3A4 | 6.38 | IC50 | 420 | nM | CHEMBL_ACT_1150428 |
| CHRM2 | 6.37 | AC50 | 424.4 | nM | CHEMBL_ACT_25195988 |
| Q8BLA8 | 6.3 | EC50 | 500 | nM | CHEMBL_ACT_3301113 |
| CYP2C19 | 6.25 | IC50 | 560 | nM | CHEMBL_ACT_15450931 |
| CYP2C9 | 6.18 | IC50 | 660 | nM | CHEMBL_ACT_15450951 |
| ADRA1A | 6.13 | AC50 | 746.9 | nM | CHEMBL_ACT_25219060 |
| ABCB1 | 6.02 | IC50 | 950 | nM | CHEMBL_ACT_1150431 |
| CHRM1 | 5.91 | AC50 | 1241 | nM | CHEMBL_ACT_25210421 |
| P19328 | 5.85 | IC50 | 1400 | nM | CHEMBL_ACT_962939 |
| PGR | 5.82 | AC50 | 1512 | nM | CHEMBL_ACT_25204543 |
| CYP2C8 | 5.81 | IC50 | 1560 | nM | CHEMBL_ACT_15447387 |
| CYP2D6 | 5.8 | IC50 | 1590 | nM | CHEMBL_ACT_15445905 |
| CYP2J2 | 5.77 | IC50 | 1690 | nM | CHEMBL_ACT_15461598 |
| ADORA3 | 5.77 | AC50 | 1696 | nM | CHEMBL_ACT_25198914 |
| CYP2D6 | 5.75 | IC50 | 1780 | nM | CHEMBL_ACT_15450971 |
| DRD1 | 5.72 | AC50 | 1883 | nM | CHEMBL_ACT_25115462 |
| LMNA | 5.7 | Potency | 1995 | nM | CHEMBL_ACT_3653394 |
| HTR1A | 5.66 | AC50 | 2175 | nM | CHEMBL_ACT_25165276 |
| ABCB1 | 5.64 | IC50 | 2300 | nM | CHEMBL_ACT_11001309 |
| ABCB1 | 5.64 | IC50 | 2300 | nM | CHEMBL_ACT_1150434 |
| P21447 | 5.6 | IC50 | 2500 | nM | CHEMBL_ACT_11001319 |
| P21447 | 5.6 | IC50 | 2500 | nM | CHEMBL_ACT_1150432 |
| SLC6A3 | 5.56 | AC50 | 2740 | nM | CHEMBL_ACT_25125211 |
Target pathways
Aggregated over 2 target gene(s): ADORA3, KCNA4.
Top Reactome pathways
11 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Neuronal System | 1 | KCNA4 |
| Potassium Channels | 1 | KCNA4 |
| Voltage gated Potassium channels | 1 | KCNA4 |
| Signal Transduction | 1 | ADORA3 |
| Signaling by GPCR | 1 | ADORA3 |
| Class A/1 (Rhodopsin-like receptors) | 1 | ADORA3 |
| GPCR downstream signalling | 1 | ADORA3 |
| Adenosine P1 receptors | 1 | ADORA3 |
| Nucleotide-like (purinergic) receptors | 1 | ADORA3 |
| G alpha (i) signalling events | 1 | ADORA3 |
| GPCR ligand binding | 1 | ADORA3 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| G protein-coupled adenosine receptor signaling pathway | 1 |
| inflammatory response | 1 |
| signal transduction | 1 |
| activation of adenylate cyclase activity | 1 |
| regulation of heart contraction | 1 |
| negative regulation of cell population proliferation | 1 |
| response to wounding | 1 |
| regulation of norepinephrine secretion | 1 |
| negative regulation of cell migration | 1 |
| obsolete negative regulation of NF-kappaB transcription factor activity | 1 |
| presynaptic modulation of chemical synaptic transmission | 1 |
| G protein-coupled receptor signaling pathway | 1 |
| action potential | 1 |
| potassium ion transport | 1 |
| protein homooligomerization | 1 |
Indications & clinical
Indications
9 indications (1 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 |
|---|---|---|---|
| cardiovascular disorder | 4 | MONDO:0004995 | EFO:0000319 |
| hypertensive disorder | 3 | MONDO:0005044 | EFO:0000537 |
| preeclampsia | 3 | MONDO:0005081 | EFO:0000668 |
| thoracic aortic aneurysm | 2 | MONDO:0005396 | EFO:0004282 |
| stroke disorder | 2 | MONDO:0005098 | EFO:0000712 |
| subarachnoid hemorrhage | 2 | MONDO:0005099 | EFO:0000713 |
| brain neoplasm | 1 | MONDO:0021211 | EFO:0003833 |
| coronary artery disorder | 0 | MONDO:0005010 | EFO:0001645 |
1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 31.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 11 |
| PHASE4 | 9 |
| PHASE3 | 4 |
| PHASE2 | 3 |
| PHASE1 | 2 |
| EARLY_PHASE1 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT07044232 | PHASE4 | NOT_YET_RECRUITING | NICardipine for Fast Achievement of Systolic BP Targets in ICH |
| NCT07246629 | PHASE4 | NOT_YET_RECRUITING | Lumbar Drain With Intrathecal Nicardipine in Aneurysmal Subarachnoid Hemorrhage |
| NCT00325793 | PHASE4 | UNKNOWN | IV Double and Triple Concentrated Nicardipine for Stroke and ICH |
| NCT00765648 | PHASE4 | COMPLETED | Evaluation of Intravenous Cardene(Nicardipine)and Labetalol Use in the Emergency Department |
| NCT01171911 | PHASE4 | UNKNOWN | Comparison of Intravenous Injection of Calcium Antagonist and Beta-blockade on Endothelial Shear Stress of Coronary Artery |
| NCT01996436 | PHASE4 | TERMINATED | The Intra-arterial Vasospasm Trial |
| NCT02271191 | PHASE4 | COMPLETED | Effect of Nicardipine on Renal Function in Deliberate Hypotension |
| NCT06093893 | PHASE4 | COMPLETED | Hypotensive Anesthesia for Orthognathic Surgery |
| NCT07277283 | PHASE4 | COMPLETED | Nicardipine vs. Labetalol |
| NCT00093925 | PHASE3 | COMPLETED | Clevidipine in the Postoperative Treatment of Hypertension (ECLIPSE-NIC) |
| NCT00409253 | PHASE3 | UNKNOWN | Treatment of Severe Hypertension During Pre-Eclampsia: A Preliminary Equivalence Study Between Urapidil and Nicardipine |
| NCT02558023 | PHASE3 | TERMINATED | The Treatment of Hypertension Associated With Severe Preeclampsia (PE). A Trial of Urapidil Versus Nicardipine |
| NCT04538534 | PHASE3 | COMPLETED | Nicardipine to Avoid Spasm in Trans Radial Percutaneous Coronary Intervention |
| NCT00508118 | PHASE2 | TERMINATED | NICardipine Neuroprotection in AortiC Surgery (NICNACS) |
| NCT04116112 | PHASE2 | COMPLETED | Blood Pressure After Endovascular Stroke Therapy-II |
| NCT04269408 | PHASE2 | COMPLETED | A Safety and Efficacy Study of NicaPlant® in Aneurysmal Subarachnoid Haemorrhage Patients Undergoing Aneurysm Clipping |
| NCT00415610 | PHASE1 | COMPLETED | Antihypertensive Treatment in Acute Cerebral Hemorrhage |
| NCT01951950 | PHASE1 | COMPLETED | Nicardipine vs Esmolol Craniotomy Emergence |
| NCT03184155 | EARLY_PHASE1 | WITHDRAWN | Prevention of Coronary Microvascular Dysfunction Post-PCI by Intracoronary Nicardipine |
| NCT05625503 | EARLY_PHASE1 | COMPLETED | Dilution of Verapamil During Intraarterial Administration |
| NCT06329635 | Not specified | RECRUITING | Treatment of Vasospasm of Aneurysmal Subarachnoid Hemorrhage With Intrathecal Nicardipine - FAST-IT Trial |
| NCT07603037 | Not specified | NOT_YET_RECRUITING | EIT Evaluation of Different Antihypertensive Agents on the Ventilation-Perfusion Ratio in Patients With Acute Respiratory Failure |
| NCT00226096 | Not specified | COMPLETED | Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage |
| NCT00490464 | Not specified | COMPLETED | Safety and Efficacy of Nicardipine for the Control of Blood Pressure After SAH |
| NCT01041066 | Not specified | UNKNOWN | Nicardipine Versus Labetalol During Intubation |
| NCT01175746 | Not specified | COMPLETED | The Effect of Nicardipine on Kidney Function During Orthognathic Surgery Under Hypotensive Anesthesia |
| NCT03497351 | Not specified | COMPLETED | Effects of Different Kinds of Hypotensive Drugs on Dynamic Hemodynamic Changing in Patients Under Surgeries |
| NCT05586347 | Not specified | COMPLETED | Relationship Between Perioperative Carotid Blood Flow Monitoring and Cerebral Function Protection in Cardiac Surgery |
| NCT05920538 | Not specified | UNKNOWN | Effects of Subcutaneously Infiltrated Nicardipine on the Success Rate of Radial Artety Cannulation |
| NCT06130527 | Not specified | UNKNOWN | Comparison of the Effects of Nicardipine and Remifentanil on Surgical Visual Field |
| NCT07364201 | Not specified | COMPLETED | A Comparison of Nicardipine and Labetalol for Blood Pressure Control in Intensive Care Patients After Hemorrhagic Stroke Brain Surgery |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 2 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
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.
429 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| FIDAXOMICIN | ChEMBL + PubChem | Phase 4 (approved) | ADORA3 |
| LINAGLIPTIN | ChEMBL + PubChem | Phase 4 (approved) | ADORA3 |
| PYRAZINAMIDE | ChEMBL + PubChem | Phase 4 (approved) | ADORA3 |
| VORAPAXAR | ChEMBL + PubChem | Phase 4 (approved) | ADORA3 |
| ACALABRUTINIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| ADENOSINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| ALECTINIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| ALFACALCIDOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| ALPIDEM | ChEMBL | Phase 4 (approved) | ADORA3 |
| AMIODARONE | ChEMBL | Phase 4 (approved) | ADORA3 |
| AMITRIPTYLINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| AMLODIPINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| AMOROLFINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| AMOXAPINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| ANTAZOLINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| APOMORPHINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| ARIPIPRAZOLE | ChEMBL | Phase 4 (approved) | ADORA3 |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | ADORA3 |
| AURANOFIN | ChEMBL | Phase 4 (approved) | ADORA3 |
| AXITINIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| BACLOFEN | ChEMBL | Phase 4 (approved) | ADORA3 |
| BALSALAZIDE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BAZEDOXIFENE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BECLOMETHASONE DIPROPIONATE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BENFLUOREX | ChEMBL | Phase 4 (approved) | ADORA3 |
| BENZBROMARONE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BEPRIDIL | ChEMBL | Phase 4 (approved) | ADORA3 |
| BETAMETHASONE DIPROPIONATE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BEXAROTENE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| BROMHEXINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BROMOCRIPTINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BUCLIZINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| BUTOCONAZOLE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CABOZANTINIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| CAFFEINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CALCIPOTRIENE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CALCITRIOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CANAGLIFLOZIN | ChEMBL | Phase 4 (approved) | ADORA3 |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CANNABIDIOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CAPSAICIN | ChEMBL | Phase 4 (approved) | ADORA3 |
| CARVEDILOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CASPOFUNGIN | ChEMBL | Phase 4 (approved) | ADORA3 |
| CEFACLOR | ChEMBL | Phase 4 (approved) | ADORA3 |
| CELECOXIB | ChEMBL | Phase 4 (approved) | ADORA3 |
| CEPHRADINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLORDIAZEPOXIDE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLORHEXIDINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLORMADINONE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLOROTRIANISENE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHLORPROTHIXENE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CHOLECALCIFEROL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CIANIDANOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CICLESONIDE | ChEMBL | Phase 4 (approved) | ADORA3 |
| CILOSTAZOL | ChEMBL | Phase 4 (approved) | ADORA3 |
| CINACALCET | ChEMBL | Phase 4 (approved) | ADORA3 |
| CINNARIZINE | ChEMBL | Phase 4 (approved) | ADORA3 |
Related Atlas pages
- Genes: ADORA3, KCNA4
- Diseases: cardiovascular disorder, hypertensive disorder, preeclampsia
- Drugs: Fidaxomicin, Linagliptin, Pyrazinamide, Vorapaxar, Acalabrutinib, Adenosine, Alectinib, Alfacalcidol, Alpidem, Amiodarone, Amitriptyline, Amlodipine, Amorolfine, Amoxapine, Antazoline, Apomorphine, Aripiprazole, Astemizole, Auranofin, Axitinib, Baclofen, Balsalazide, Bazedoxifene, Beclomethasone Dipropionate, Benfluorex, Benzbromarone, Bepridil, Betamethasone Dipropionate, Bexarotene, Bithionol, Bosutinib, Bromhexine, Bromocriptine, Buclizine, Butoconazole, Cabozantinib, Caffeine, Calcipotriene, Calcitriol, Canagliflozin, Candesartan Cilexetil, Cannabidiol, Capsaicin, Carvedilol, Caspofungin, Cefaclor, Celecoxib, Cephradine, Chlordiazepoxide, Chlorhexidine, Chlormadinone, Chlorotrianisene, Chlorpromazine, Chlorprothixene, Cholecalciferol, Cianidanol, Ciclesonide, Cilostazol, Cinacalcet, Cinnarizine