Rebamipide
drugOn this page
Also known as MucostaNSC-758955OPC-12759ProamipideRebamipidaRebatorSID26749027SID144205013SID174006202SID170465891
Summary
Rebamipide (CHEMBL1697771) is a phase-3 clinical-stage small molecule (ATC A02BX14) targeting CCKAR; indicated across 11 conditions including dry eye syndrome and peptic ulcer disease.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- ATC class: A02BX14
- Targets: 1 (CCKAR)
- Indications: 11 conditions
- Clinical trials: 38
- Chemistry: 370.8 Da · C19H15ClN2O4
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1697771 |
| Name | Rebamipide |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 5042 |
| ATC | A02BX14 |
| Molecular formula | C19H15ClN2O4 |
| Molecular weight | 370.8 |
| InChIKey | ALLWOAVDORUJLA-UHFFFAOYSA-N |
SMILES: C1=CC=C2C(=C1)C(=CC(=O)N2)CC(C(=O)O)NC(=O)C3=CC=C(C=C3)Cl
IUPAC name: 2-[(4-chlorobenzoyl)amino]-3-(2-oxo-1H-quinolin-4-yl)propanoic acid
Also known as: Mucosta, NSC-758955, OPC-12759, Proamipide, Rebamipida, Rebamipide, Rebator, SID26749027, REBAMIPIDE, SID144205013, SID174006202, SID170465891
Patent coverage: 1,011 distinct patent families (3,752 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 3,748 (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 |
|---|---|---|---|---|---|
| CCKAR | CCK1 receptor | Full agonist | 4.4 | 0% | P32238 |
Broader ChEMBL bioactivity targets: 1 (assay-derived). Sample: Ubiquitin-associated and SH3 domain-containing protein B.
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 |
|---|---|---|---|---|---|
| UBASH3B | 5.7 | Ki | 2000 | nM | CHEMBL_ACT_25965922 |
| UBASH3B | 5.7 | Ki | 2000 | nM | CHEMBL_ACT_25965923 |
| UBASH3B | 5.52 | IC50 | 3000 | nM | CHEMBL_ACT_25965895 |
| UBASH3B | 5.43 | IC50 | 3700 | nM | CHEMBL_ACT_25965920 |
| UBASH3B | 5.43 | IC50 | 3700 | nM | CHEMBL_ACT_25965921 |
Target pathways
Aggregated over 1 target gene(s): CCKAR.
Top Reactome pathways
7 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signal Transduction | 1 | CCKAR |
| Signaling by GPCR | 1 | CCKAR |
| Class A/1 (Rhodopsin-like receptors) | 1 | CCKAR |
| Peptide ligand-binding receptors | 1 | CCKAR |
| GPCR downstream signalling | 1 | CCKAR |
| G alpha (q) signalling events | 1 | CCKAR |
| GPCR ligand binding | 1 | CCKAR |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| neuron migration | 1 |
| G protein-coupled receptor signaling pathway | 1 |
| phospholipase C-activating G protein-coupled receptor signaling pathway | 1 |
| axonogenesis | 1 |
| forebrain development | 1 |
| cellular response to hormone stimulus | 1 |
| cholecystokinin signaling pathway | 1 |
| regulation of hormone secretion | 1 |
| signal transduction | 1 |
Indications & clinical
Indications
11 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 |
|---|---|---|---|
| dry eye syndrome | 3 | MONDO:0006733 | EFO:1000906 |
| peptic ulcer disease | 3 | MONDO:0004247 | HP:0004398 |
| gastritis | 3 | MONDO:0004966 | EFO:0000217 |
| chronic gastritis | 3 | MONDO:0005001 | EFO:0000337 |
| ankylosing spondylitis | 3 | MONDO:0005306 | EFO:0003898 |
| gastroesophageal reflux disease | 3 | MONDO:0007186 | EFO:0003948 |
| gastric ulcer | 3 | MONDO:0001126 | EFO:0009454 |
| rheumatoid arthritis | 3 | MONDO:0008383 | EFO:0000685 |
| osteoarthritis | 3 | MONDO:0005178 | MONDO:0005178 |
| ulcerative colitis | 2 | MONDO:0005101 | EFO:0000729 |
| head and neck cancer | 2 | MONDO:0005627 | EFO:0006859 |
Clinical trials
Total trials: 38.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 12 |
| PHASE3 | 11 |
| PHASE2 | 6 |
| Not specified | 5 |
| PHASE1/PHASE2 | 2 |
| PHASE1 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT07397949 | PHASE4 | NOT_YET_RECRUITING | Rebamipide Versus Diquafosol for Perioperative Dry Eye in Cataract Surgery |
| NCT00233389 | PHASE4 | COMPLETED | Post-marketing Clinical Study of Rebamipide in Patients With Gastric Ulcer |
| NCT00272467 | PHASE4 | COMPLETED | Healing Effects of Rebamipide and Omeprazole in Helicobacter Pylori-positive Gastric Ulcer After Eradication Therapy |
| NCT00641004 | PHASE4 | COMPLETED | Randomized Double-Blind Clinical Trial of Rebamipide vs Esomeprazole in the Treatment of NSAID-induced Gastropathy |
| NCT01817556 | PHASE4 | COMPLETED | A Study to Evaluate the Efficacy and of Stillen Tab. and to Demonstrate the Non-inferiority of Stillen Tab. |
| NCT02134405 | PHASE4 | UNKNOWN | Rebamipide in Combination With Esomeprazole in the Management of Asian Patients With Functional Dyspepsia |
| NCT02393430 | PHASE4 | COMPLETED | Clinical Effect of Rebamipide on Chronic Gastritis |
| NCT02755753 | PHASE4 | COMPLETED | A Study to Evaluate REbamiPide as an Adjuvant Regimen to Heal erosIve Reflux Esophagitis |
| NCT03608761 | PHASE4 | COMPLETED | Comparison Between Rebamipide 2% Versus Autologous Serum |
| NCT04885751 | PHASE4 | UNKNOWN | Compare the Effect of Eupatilin and Rebamipide on the Prevention of Gastroenteropathy |
| NCT07354230 | PHASE4 | COMPLETED | Gastroprotective Efficacy of Rebamipide in Patients With Atrial Fibrillation Treated With DOACs |
| NCT07397936 | PHASE4 | COMPLETED | Rebamipide Versus Diquafosol and Cyclosporine for Perioperative Dry Eye in Cataract Surgery |
| NCT00201955 | PHASE3 | COMPLETED | Study of Rebamipide Eye Drops to Treat Dry Eye |
| NCT00201981 | PHASE3 | COMPLETED | Study of Rebamipide Eye Drops to Treat Dry Eye |
| NCT00576706 | PHASE3 | COMPLETED | PReventive Efficacy and Safety of rEbamipide on Nsaid Induced Mucosal Toxicity |
| NCT00996788 | PHASE3 | COMPLETED | Anti Free Radical & Anti Inflammatory Effect & Safety of Rebamipide in Chronic Gastritis |
| NCT01150162 | PHASE3 | COMPLETED | Mucosta in Gastric Ulcer Treatment, Effectiveness and Safety Evaluation |
| NCT01632137 | PHASE3 | COMPLETED | Efficacy and Safety of Rebamipide in Subjects With Dry Eye Syndrome |
| NCT01660256 | PHASE3 | COMPLETED | Confirmatory Study of OPC-12759 Ophthalmic Solution |
| NCT01813812 | PHASE3 | UNKNOWN | A Study to Evaluate the Efficacy and Safety of DA-6034 and to Demonstrate the Non-inferiority of DA-6034 |
| NCT04066530 | PHASE3 | COMPLETED | A Study to Evaluate the Efficacy and Safety of AD-203 |
| NCT04189705 | PHASE3 | COMPLETED | A Study to Evaluate the Efficacy and Safety of MCT-SR in Patients With Gastritis |
| NCT04649697 | PHASE3 | UNKNOWN | Rebamipide (Regular & Nanoparticulated) vs. Clobetasol in Management of Methotrexate-Induced Oral Ulceration in Rheumatoid Arthritis Patients |
| NCT00233363 | PHASE2 | COMPLETED | Exploratory Study for Dry Mouth in Patients With Sjögren’s Syndrome |
| NCT00234078 | PHASE2 | COMPLETED | Dose-response Study of OPC-12759 Ophthalmic Suspension |
| NCT00463151 | PHASE2 | COMPLETED | An Exploratory Study of Rebamipide in Patients With Active Ulcerative Colitis |
| NCT01027013 | PHASE2 | COMPLETED | Safety and Efficacy Study of Rebamipide 2% Ophthalmic Suspension in Patients With Dry Eye |
| NCT01057147 | PHASE2 | COMPLETED | Safety and Efficacy Study of Rebamipide 2% Ophthalmic Suspension in Subjects With Dry Eye - Effects on Central Cornea |
| NCT03437785 | PHASE2 | COMPLETED | Clinical Trial to Evaluate the Efficacy and Safety of CKD-495 Tablet |
| NCT05166304 | PHASE1/PHASE2 | COMPLETED | Rebamipide in Patients With Active Rheumatoid Arthritis |
| NCT06084624 | PHASE1/PHASE2 | UNKNOWN | Evaluation of Topical Rebamipide Versus Topical Betamethasone for Management of Oral Ulcers in Behcet’s Disease |
| NCT01549743 | PHASE1 | COMPLETED | The Pharmacokinetic Interaction Between Celecoxib and Rebamipide |
| NCT02106130 | PHASE1 | COMPLETED | A Drug Interaction Study of Mosapride and Rebamipide |
| NCT00862628 | Not specified | UNKNOWN | The Effect of Rebamipide for Non-steroidal Anti-inflammatory Drugs (NSAID) - Induced Small-intestinal Injuries |
| NCT01167101 | Not specified | COMPLETED | Is Rebamipide Effective on the Healing of Iatrogenic Gastric Ulcer After Endoscopic Mucosal Resection? |
| NCT01759108 | Not specified | UNKNOWN | Rebamipide AND Sjögren Syndrome |
| NCT02243618 | Not specified | COMPLETED | The Effect of Proton Pump Inhibitor and Polaprezinc Combination Therapy for Healing of Endoscopic Submucosal Dissection-induced Ulcer |
| NCT04550858 | Not specified | UNKNOWN | h.Pylori Ttt With Rebamipide |
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.
101 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| AFATINIB | ChEMBL + PubChem | Phase 4 (approved) | CCKAR |
| ATAZANAVIR | ChEMBL + PubChem | Phase 4 (approved) | CCKAR |
| RIFAMPIN | ChEMBL + PubChem | Phase 4 (approved) | CCKAR |
| AMSACRINE | ChEMBL | Phase 4 (approved) | CCKAR |
| BEPRIDIL | ChEMBL | Phase 4 (approved) | CCKAR |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | CCKAR |
| CANNABIDIOL | ChEMBL | Phase 4 (approved) | CCKAR |
| CHLORDIAZEPOXIDE | ChEMBL | Phase 4 (approved) | CCKAR |
| CHLORHEXIDINE | ChEMBL | Phase 4 (approved) | CCKAR |
| DASATINIB | ChEMBL | Phase 4 (approved) | CCKAR |
| DAUNORUBICIN | ChEMBL | Phase 4 (approved) | CCKAR |
| DESERPIDINE | ChEMBL | Phase 4 (approved) | CCKAR |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | CCKAR |
| FLUVASTATIN | ChEMBL | Phase 4 (approved) | CCKAR |
| HYDROXOCOBALAMIN | ChEMBL | Phase 4 (approved) | CCKAR |
| INDOCYANINE GREEN ACID FORM | ChEMBL | Phase 4 (approved) | CCKAR |
| LETERMOVIR | ChEMBL | Phase 4 (approved) | CCKAR |
| LURASIDONE | ChEMBL | Phase 4 (approved) | CCKAR |
| NEFAZODONE | ChEMBL | Phase 4 (approved) | CCKAR |
| NIMESULIDE | ChEMBL | Phase 4 (approved) | CCKAR |
| NITAZOXANIDE | ChEMBL | Phase 4 (approved) | CCKAR |
| OSIMERTINIB | ChEMBL | Phase 4 (approved) | CCKAR |
| PACLITAXEL | ChEMBL | Phase 4 (approved) | CCKAR |
| PIMOZIDE | ChEMBL | Phase 4 (approved) | CCKAR |
| RAMATROBAN | ChEMBL | Phase 4 (approved) | CCKAR |
| RIFAXIMIN | ChEMBL | Phase 4 (approved) | CCKAR |
| RIMONABANT | ChEMBL | Phase 4 (approved) | CCKAR |
| RITONAVIR | ChEMBL | Phase 4 (approved) | CCKAR |
| SINCALIDE | ChEMBL | Phase 4 (approved) | CCKAR |
| SUNITINIB | ChEMBL | Phase 4 (approved) | CCKAR |
| TELMISARTAN | ChEMBL | Phase 4 (approved) | CCKAR |
| TELOTRISTAT | ChEMBL | Phase 4 (approved) | CCKAR |
| TELOTRISTAT ETHYL | ChEMBL | Phase 4 (approved) | CCKAR |
| TIPRANAVIR | ChEMBL | Phase 4 (approved) | CCKAR |
| CE-326597 | ChEMBL | Phase 2 | CCKAR |
| DEVAZEPIDE | ChEMBL | Phase 2 | CCKAR |
| DIPERODON | ChEMBL | Phase 2 | CCKAR |
| LINTITRIPT | ChEMBL | Phase 2 | CCKAR |
| LOXIGLUMIDE | ChEMBL | Phase 2 | CCKAR |
| NETAZEPIDE | ChEMBL | Phase 2 | CCKAR |
| PIRENOXINE | ChEMBL | Phase 2 | CCKAR |
| Abiraterone | PubChem | Approved | CCKAR |
| acetylcysteine | PubChem | Approved | CCKAR |
| Aclidinium Bromide | PubChem | Approved | CCKAR |
| Acyclovir | PubChem | Approved | CCKAR |
| Allopurinol | PubChem | Approved | CCKAR |
| Almotriptan | PubChem | Approved | CCKAR |
| Alogliptin | PubChem | Approved | CCKAR |
| aminolevulinic acid | PubChem | Approved | CCKAR |
| Anagrelide | PubChem | Approved | CCKAR |
| Apixaban | PubChem | Approved | CCKAR |
| Apremilast | PubChem | Approved | CCKAR |
| Aprepitant | PubChem | Approved | CCKAR |
| Binimetinib | PubChem | Approved | CCKAR |
| Bosentan | PubChem | Approved | CCKAR |
| Capsaicin | PubChem | Approved | CCKAR |
| chenodiol | PubChem | Approved | CCKAR |
| Cinacalcet | PubChem | Approved | CCKAR |
| Clofarabine | PubChem | Approved | CCKAR |
| Clozapine | PubChem | Approved | CCKAR |
Related Atlas pages
- Genes: CCKAR
- Diseases: dry eye syndrome, peptic ulcer disease, gastritis, chronic gastritis, ankylosing spondylitis, gastroesophageal reflux disease, gastric ulcer, rheumatoid arthritis, osteoarthritis
- Drugs: Afatinib, Atazanavir, Rifampin, Amsacrine, Bepridil, Candesartan Cilexetil, Cannabidiol, Chlordiazepoxide, Chlorhexidine, Dasatinib, Daunorubicin, Deserpidine, Erlotinib, Fluvastatin, Hydroxocobalamin, Indocyanine Green Acid Form, Letermovir, Lurasidone, Nefazodone, Nimesulide, Nitazoxanide, Osimertinib, Paclitaxel, Pimozide, Ramatroban, Rifaximin, Rimonabant, Ritonavir, Sincalide, Sunitinib, Telmisartan, Telotristat, Telotristat Ethyl, Tipranavir, Abiraterone, acetylcysteine, Aclidinium Bromide, Acyclovir, Allopurinol, Almotriptan, Alogliptin, aminolevulinic acid, Anagrelide, Apixaban, Apremilast, Aprepitant, Binimetinib, Bosentan, Capsaicin, chenodiol, Cinacalcet, Clofarabine, Clozapine