Regadenoson Anhydrous
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Also known as SID170465244Regadenoson
Summary
Regadenoson Anhydrous (CHEMBL317052) is an approved small molecule targeting ADORA1, ADORA2A, and ADORA2B; indicated across 4 conditions including coronary artery disorder and retinal artery occlusion.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- Targets: 4 (ADORA1, ADORA2A, ADORA2B…)
- Indications: 4 conditions
- Clinical trials: 54
- Chemistry: 390.35 Da · C15H18N8O5
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL317052 |
| Name | Regadenoson Anhydrous |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 219024 |
| Molecular formula | C15H18N8O5 |
| Molecular weight | 390.35 |
| InChIKey | LZPZPHGJDAGEJZ-AKAIJSEGSA-N |
SMILES: CNC(=O)C1=CN(N=C1)C2=NC(=C3C(=N2)N(C=N3)[C@H]4[C@@H]([C@@H]([C@H](O4)CO)O)O)N
IUPAC name: 1-[6-amino-9-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]purin-2-yl]-N-methylpyrazole-4-carboxamide
Also known as: Regadenoson anhydrous, SID170465244, Regadenoson, REGADENOSON ANHYDROUS, regadenoson, REGADENOSON
Parent form; salt/anhydrous children: CHEMBL3989695
Patent coverage: 70 distinct patent families (186 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 164 (88%) 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 |
|---|---|---|---|---|---|
| ADORA1 | A1 receptor | Agonist | 5 | 0.3% | P30542 |
| ADORA2A | A2A receptor | Agonist | 6.54 | 0.4% | P29274 |
| ADORA2B | A2B receptor | Agonist | 5 | 0.5% | P29275 |
| ADORA3 | A3 receptor | Agonist | 5 | 0% | P0DMS8 |
Broader ChEMBL bioactivity targets: 6 (assay-derived). Sample: Adenosine receptor A1, Alpha-1A adrenergic receptor, Adenosine receptor A2a, Adenosine receptor A2b, Adenosine receptor A3, Adenosine receptor A2a.
Bioactivity
ChEMBL activities: 11 potent at pChembl ≥ 5 of 12 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| P30543 | 6.54 | Ki | 290 | nM | CHEMBL_ACT_1236201 |
| ADORA2A | 6.54 | Ki | 290 | nM | CHEMBL_ACT_14644267 |
| ADORA2A | 6.54 | Ki | 290 | nM | CHEMBL_ACT_15210118 |
| ADORA2A | 6.54 | Ki | 290 | nM | CHEMBL_ACT_8031717 |
| ADORA2A | 6.53 | Ki | 297 | nM | CHEMBL_ACT_1466072 |
| ADORA3 | 6.32 | AC50 | 480.9 | nM | CHEMBL_ACT_25199011 |
| ADORA2A | 5.95 | Ki | 1120 | nM | CHEMBL_ACT_1236202 |
| ADORA3 | 5.43 | AC50 | 3700 | nM | CHEMBL_ACT_25134557 |
| ADORA1 | 5.42 | Ki | 3770 | nM | CHEMBL_ACT_14644294 |
| ADORA2B | 5 | EC50 | 10000 | nM | CHEMBL_ACT_14644283 |
| ADORA3 | 5 | Ki | 10000 | nM | CHEMBL_ACT_14644308 |
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
4 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 |
|---|---|---|---|
| coronary artery disorder | 3 | MONDO:0005010 | EFO:0001645 |
| retinal artery occlusion | 2 | MONDO:0006948 | EFO:1001154 |
| sickle cell disease | 2 | MONDO:0011382 | MONDO:0011382 |
| myocardial ischemia | 1 | MONDO:0024644 | EFO:1001375 |
Clinical trials
Total trials: 54.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 17 |
| PHASE4 | 13 |
| PHASE2 | 7 |
| PHASE1 | 6 |
| EARLY_PHASE1 | 5 |
| PHASE3 | 4 |
| PHASE1/PHASE2 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03102125 | PHASE4 | RECRUITING | Allograft Dysfunction in Heart Transplant |
| NCT00862641 | PHASE4 | COMPLETED | A Study of the Safety and Tolerance of Regadenoson in Subjects With Asthma or Chronic Obstructive Pulmonary Disease |
| NCT00863707 | PHASE4 | COMPLETED | A Study of the Safety and Tolerance of Regadenoson in Subjects With Renal Impairment |
| NCT00871260 | PHASE4 | COMPLETED | Stress Testing and Cardiac Magnetic Resonance |
| NCT01109992 | PHASE4 | COMPLETED | Integrated Dual Exercise and Lexiscan Positron Emission Tomography: IDEALPET |
| NCT01446094 | PHASE4 | UNKNOWN | Diagnostic Study of Rapid Regadenoson Stress Cardiovascular Magnetic Resonance (CMR) to Detect Coronary Artery Disease |
| NCT01779869 | PHASE4 | COMPLETED | Development of a PET-MR Myocardial Perfusion Examination Using Regadenoson |
| NCT01919450 | PHASE4 | COMPLETED | Characterization of Myocardial Blood Flow Measurements Using Lexiscan®™ (Regadenoson) (Lexiscan®™) Rubidium-82 Myocardial Perfusion PET: A Temporal-Dependency Investigation |
| NCT02115308 | PHASE4 | COMPLETED | Characterization of Changes in Ventricular Mechanics in Response to Lexiscan Stress Using Tagged Cine Cardiac Magnetic Resonance Imaging |
| NCT02130453 | PHASE4 | COMPLETED | Accuracy of an Echo-Stress Protocol Using Regadenoson With Speckle Tracking |
| NCT02589977 | PHASE4 | COMPLETED | Myocardial Perfusion, Oxidative Metabolism, and Fibrosis in HFpEF |
| NCT02597543 | PHASE4 | COMPLETED | Stress Cardiac MRI for Evaluation of Nonspecific Allograft Dysfunction |
| NCT03249272 | PHASE4 | TERMINATED | Microvascular Dysfunction in Nonischemic Cardiomyopathy: Insights From CMR Assessment of Coronary Flow Reserve |
| NCT00208299 | PHASE3 | COMPLETED | ADVANCE MPI 1: Study of Regadenoson Versus Adenoscan® in Patients Undergoing Myocardial Perfusion Imaging (MPI) |
| NCT00208312 | PHASE3 | COMPLETED | ADVANCE MPI 2: Study of Regadenoson Versus Adenoscan® in Patients Undergoing Myocardial Perfusion Imaging (MPI) |
| NCT00826280 | PHASE3 | COMPLETED | Caffeine’s Effect on Regadenoson Administration With Single Photon Emission Computed Tomography (SPECT) Myocardial Perfusion Imaging (MPI) |
| NCT01618669 | PHASE3 | COMPLETED | A Study to Assess Regadenoson Administration Following an Inadequate Exercise Stress Test as Compared to Regadenoson Alone for Myocardial Perfusion Imaging (MPI) Using Single Photon Emission Computed Tomography (SPECT) |
| NCT04604782 | PHASE1/PHASE2 | RECRUITING | A Study to Evaluate the Safety and Pharmacokinetics of Regadenoson in Pediatric Patients |
| NCT00907764 | PHASE2 | TERMINATED | Stress Echocardiography Study With Regadenoson |
| NCT01334918 | PHASE2 | COMPLETED | A Study of Regadenoson in Subjects Undergoing Stress Myocardial Perfusion Imaging (MPI) Using Multidetector Computed Tomography (MDCT) Compared to Single Photon Emission Computed Tomography (SPECT) |
| NCT01655043 | PHASE2 | COMPLETED | Absolute Quantification of Coronary Flow Reserve by Stress Perfusion MRI |
| NCT01788631 | PHASE2 | COMPLETED | A Phase II Trial of Regadenoson in Sickle Cell Anemia |
| NCT01840696 | PHASE2 | WITHDRAWN | Phase Analysis and Obstructive CAD on Rubidium PET |
| NCT03090087 | PHASE2 | UNKNOWN | The Effect of A2A Adrenoceptor Stimulation on the Diameter of Retinal Arterioles During Hypoxia in Vivo |
| NCT03236311 | PHASE2 | TERMINATED | A Dose Titration Study to Assess the Effects of SAR407899 in Patients With MVA and/or Persistent Stable Angina Despite Angiographically Successful PCI |
| NCT04606069 | PHASE1/PHASE2 | COMPLETED | Treat COVID-19 Patients With Regadenoson |
| NCT00837369 | PHASE1 | COMPLETED | Regadenoson R-T Perfusion Imaging Trial |
| NCT01161121 | PHASE1 | COMPLETED | Comparison of Intravenous Adenosine Infusion With Regadenoson Bolus for Inducing Maximal Coronary Hyperemia |
| NCT01433705 | PHASE1 | COMPLETED | Distribution of Rubidium-82, Nitrogen-13 Ammonia, and Fluorine-18 Fluorodeoxyglucose in Normal Volunteers |
| NCT01918995 | PHASE1 | COMPLETED | Repeat Dose Tolerance Study of Regadenoson in Healthy Subjects |
| NCT03072589 | PHASE1 | UNKNOWN | Study to Evaluate Adenosine 2A Receptor Agonist (Regadenoson) in Patients Undergoing Lung Transplantation |
| NCT03971734 | PHASE1 | TERMINATED | Determining Dose of Regadenoson Most Likely to Transiently Alter the Integrity of the Blood-Brain Barrier in Patients With High Grade Gliomas |
| NCT00763035 | EARLY_PHASE1 | TERMINATED | Comparison of Dobutamine and Regadenoson Stress Cardiac Magnetic Resonance (MR) |
| NCT00881218 | EARLY_PHASE1 | COMPLETED | Myocardial Perfusion Magnetic Resonance Imaging Using Regadenoson |
| NCT02389738 | EARLY_PHASE1 | COMPLETED | Brain Interstitium Temozolomide Concentration Pre and Post Regadenoson Administration |
| NCT04521569 | EARLY_PHASE1 | COMPLETED | Regadenoson Infusion of Marginalized Donor Lungs in an EVLP System |
| NCT04600115 | EARLY_PHASE1 | UNKNOWN | New MRI Methods Applied to Heart Failure With Preserved Ejection Fraction (HFpEF) |
| NCT00857792 | Not specified | COMPLETED | Multivariable Assessment of Coronary Artery Disease Using Cardiac CT Imaging |
| NCT00859833 | Not specified | COMPLETED | Effects of Body Mass Index on the Hyperemic Response to Regadenoson |
| NCT00894179 | Not specified | TERMINATED | Safety and Accuracy of Regadenoson-Atropine Stress Echocardiography in CAD |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 1 clinical and 7 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.
476 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 |
| 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 |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | ADORA2A, ADORA3 |
Related Atlas pages
- Genes: ADORA1, ADORA2A, ADORA2B, ADORA3
- Diseases: coronary artery disorder
- Drugs: Adenosine, Caffeine, Istradefylline, 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, Erlotinib