Piclidenoson
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Also known as ALB-7208CF-101Cf101IB-MECA
Summary
Piclidenoson (CHEMBL3989873) is a phase-3 clinical-stage small molecule targeting ADORA1, ADORA2A, and ADORA2B; indicated across 9 conditions including psoriasis and rheumatoid arthritis.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 4 (ADORA1, ADORA2A, ADORA2B…)
- Indications: 9 conditions
- Clinical trials: 15
- Chemistry: 510.3 Da · C18H19IN6O4
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3989873 |
| Name | Piclidenoson |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 6610314 |
| Molecular formula | C18H19IN6O4 |
| Molecular weight | 510.3 |
| InChIKey | JTZRECOPNKCRTE-MOROJQBDSA-N |
SMILES: CNC(=O)[C@@H]1[C@H]([C@H]([C@@H](O1)N2C=NC3=C(N=CN=C32)NCC4=CC=C(C=C4)I)O)O
IUPAC name: (2S,3S,4R,5R)-3,4-dihydroxy-5-[6-[(4-iodophenyl)methylamino]purin-9-yl]-N-methyloxolane-2-carboxamide
Also known as: ALB-7208, CF-101, Cf101, CF101, IB-MECA, Piclidenoson, PICLIDENOSON
Patent coverage: 311 distinct patent families (927 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 |
|---|---|---|---|---|---|
| ADORA1 | A1 receptor | Agonist | 7.29 | 0.3% | P30542 |
| ADORA2A | A2A receptor | Full agonist | 6.3 | 0.4% | P29274 |
| ADORA2B | A2B receptor | Full agonist | 4.9 | 0.5% | P29275 |
| ADORA3 | A3 receptor | Full agonist | 9.2 | 0% | P0DMS8 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 4 target gene(s): ADORA1, ADORA2A, ADORA2B, ADORA3.
Top Reactome pathways
23 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signal Transduction | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Signaling by GPCR | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Class A/1 (Rhodopsin-like receptors) | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| GPCR downstream signalling | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Adenosine P1 receptors | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Nucleotide-like (purinergic) receptors | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| GPCR ligand binding | 4 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Metabolism of proteins | 2 | ADORA2A, ADORA2B |
| G alpha (s) signalling events | 2 | ADORA2A, ADORA2B |
| G alpha (i) signalling events | 2 | ADORA1, ADORA3 |
| Surfactant metabolism | 2 | ADORA2A, ADORA2B |
| Disease | 1 | ADORA2B |
| Signaling by NTRKs | 1 | ADORA2A |
| Activation of TRKA receptors | 1 | ADORA2A |
| NGF-independant TRKA activation | 1 | ADORA2A |
| Signaling by NTRK1 (TRKA) | 1 | ADORA2A |
| Infectious disease | 1 | ADORA2B |
| Signaling by Receptor Tyrosine Kinases | 1 | ADORA2A |
| Leishmania infection | 1 | ADORA2B |
| ADORA2B mediated anti-inflammatory cytokines production | 1 | ADORA2B |
| Anti-inflammatory response favouring Leishmania parasite infection | 1 | ADORA2B |
| Leishmania parasite growth and survival | 1 | ADORA2B |
| Parasitic Infection Pathways | 1 | ADORA2B |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| signal transduction | 4 |
| G protein-coupled receptor signaling pathway | 4 |
| G protein-coupled adenosine receptor signaling pathway | 4 |
| inflammatory response | 3 |
| negative regulation of cell population proliferation | 3 |
| vasodilation | 3 |
| presynaptic modulation of chemical synaptic transmission | 3 |
| phagocytosis | 2 |
| cell-cell signaling | 2 |
| response to purine-containing compound | 2 |
| excitatory postsynaptic potential | 2 |
| apoptotic signaling pathway | 2 |
| negative regulation of inflammatory response | 2 |
| adenylate cyclase-activating G protein-coupled receptor signaling pathway | 2 |
| regulation of norepinephrine secretion | 2 |
Indications & clinical
Indications
9 indications (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 |
|---|---|---|---|
| psoriasis | 3 | MONDO:0005083 | EFO:0000676 |
| rheumatoid arthritis | 3 | MONDO:0008383 | EFO:0000685 |
| dry eye syndrome | 3 | MONDO:0006733 | EFO:1000906 |
| osteoarthritis, knee | 2 | MONDO:0005416 | EFO:0004616 |
| intermediate uveitis | 2 | MONDO:0006806 | EFO:1000986 |
| ocular hypertension | 2 | MONDO:0006875 | EFO:1001069 |
| posterior uveitis | 2 | MONDO:0006918 | EFO:1001119 |
| severe acute respiratory syndrome | 2 | MONDO:0005091 | MONDO:0100096 |
| glaucoma | 2 | MONDO:0005041 | MONDO:0005041 |
Clinical trials
Total trials: 15.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 10 |
| PHASE3 | 4 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06643260 | PHASE3 | NOT_YET_RECRUITING | A Phase 3 Study in Moderate-to-Severe Plaque Psoriasis With Piclidenoson to Study Safety and Efficacy |
| NCT01235234 | PHASE3 | COMPLETED | Trial of CF101 to Treat Patients With Dry Eye Disease |
| NCT01265667 | PHASE2/PHASE3 | COMPLETED | Trial of CF101 to Treat Patients With Psoriasis |
| NCT02647762 | PHASE3 | TERMINATED | CF101 Therapy Compared to Methotrexate Therapy for Active Rheumatoid Arthritis |
| NCT03168256 | PHASE3 | COMPLETED | CF101 Therapy in Patients With Moderate-to-severe Plaque Psoriasis |
| NCT07410455 | PHASE2 | NOT_YET_RECRUITING | An Open-label, Phase 2 Pilot Study on the Efficacy and Safety of Piclidenoson in Patients With Lowe Syndrome |
| NCT00280917 | PHASE2 | COMPLETED | Oral CF101 and Methotrexate Treatment in Rheumatoid Arthritis Patients |
| NCT00349466 | PHASE2 | COMPLETED | Safety and Efficacy Study of CF101 to Treat Keratoconjunctivitis Sicca |
| NCT00428974 | PHASE2 | COMPLETED | Safety and Efficacy Study of CF101 to Treat Psoriasis |
| NCT00556894 | PHASE2 | COMPLETED | Oral CF101 Tablets and Methotrexate Treatment in Rheumatoid Arthritis Patients |
| NCT00837291 | PHASE2 | WITHDRAWN | A Study of the Efficacy and Safety of CF101 to Patients With Osteoarthritis of the Knee |
| NCT01033422 | PHASE2 | COMPLETED | Safety and Efficacy of Daily CF101 Administered Orally in Subjects With Elevated Intraocular Pressure |
| NCT01034306 | PHASE2 | COMPLETED | Oral CF101 Tablets Treatment in Patients With Rheumatoid Arthritis |
| NCT01905124 | PHASE2 | WITHDRAWN | Safety &Efficacy of CF101 to Subjects With Uveitis |
| NCT04333472 | PHASE2 | COMPLETED | Piclidenoson for Treatment of COVID-19 |
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.
477 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ADENOSINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| CAFFEINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| ISTRADEFYLLINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| REGADENOSON | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| THEOPHYLLINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| BINODENOSON | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| ROLOFYLLINE | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| TONAPOFYLLINE | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| TOZADENANT | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| TRABODENOSON | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| CIFORADENANT | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| DERENOFYLLINE | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| ENPROFYLLINE | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| IMARADENANT | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| TECADENOSON | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| VIPADENANT | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B, ADORA3 |
| Fidaxomicin | ChEMBL + PubChem | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| Linagliptin | ChEMBL + PubChem | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| Pyrazinamide | ChEMBL + PubChem | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| CLOFARABINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| DIETHYLSTILBESTROL | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| ECONAZOLE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| EPALRESTAT | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| FEDRATINIB | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| MEFLOQUINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| NEVIRAPINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| NIFEDIPINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| NIMESULIDE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| NISOLDIPINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| NITAZOXANIDE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| PENTOSTATIN | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| PYRVINIUM | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| RIFAMPIN | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| RIFAXIMIN | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| SUNITINIB | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| TAMOXIFEN | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A, ADORA3 |
| APADENOSON | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA3 |
| DIACEREIN | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA3 |
| NAMODENOSON | ChEMBL | Phase 3 | ADORA1, ADORA2A, ADORA3 |
| ETRUMADENANT | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B |
| METRIFUDIL | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA3 |
| SONEDENOSON | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA2B |
| TOFIMILAST | ChEMBL | Phase 2 | ADORA1, ADORA2A, ADORA3 |
| Afatinib | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Apixaban | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Binimetinib | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Bosentan | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| chenodiol | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Dihydroergotamine | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Fulvestrant | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Imipenem | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| Propoxyphene | PubChem | Approved | ADORA1, ADORA2A, ADORA3 |
| ALPIDEM | ChEMBL | Phase 4 (approved) | ADORA1, ADORA3 |
| AMPHETAMINE | ChEMBL | Phase 4 (approved) | ADORA1, ADORA2A |
| BALSALAZIDE | ChEMBL | Phase 4 (approved) | ADORA2A, ADORA3 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | ADORA2A, ADORA3 |
| DAUNORUBICIN | ChEMBL | Phase 4 (approved) | ADORA2A, ADORA3 |
| ENASIDENIB | ChEMBL | Phase 4 (approved) | ADORA1, ADORA3 |
Related Atlas pages
- Genes: ADORA1, ADORA2A, ADORA2B, ADORA3
- Diseases: psoriasis, rheumatoid arthritis, dry eye syndrome
- Drugs: Adenosine, Caffeine, Istradefylline, Regadenoson, Theophylline, Binodenoson, Rolofylline, Tonapofylline, Tozadenant, Trabodenoson, Fidaxomicin, Linagliptin, Pyrazinamide, Clofarabine, Clotrimazole, Diethylstilbestrol, Econazole, Epalrestat, Fedratinib, Mefloquine, Miconazole, Nevirapine, Nifedipine, Nimesulide, Nisoldipine, Nitazoxanide, Pentostatin, Pyrvinium, Rifampin, Rifaximin, Sunitinib, Tamoxifen, Apadenoson, Diacerein, Namodenoson, Afatinib, Apixaban, Binimetinib, Bosentan, chenodiol, Dihydroergotamine, Fulvestrant, Imipenem, Propoxyphene, Alpidem, Amphetamine, Balsalazide, Bithionol, Daunorubicin, Enasidenib