Saroglitazar
drugOn this page
Summary
Saroglitazar (CHEMBL4297530) is a phase-3 clinical-stage small-molecule PPARγ agonist targeting PPARA and PPARG; indicated across 8 conditions including fatty liver disease and primary biliary cholangitis.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 2 (PPARA, PPARG)
- Indications: 8 conditions
- Clinical trials: 20
- Chemistry: 439.6 Da · C25H29NO4S
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4297530 |
| Name | Saroglitazar |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 60151560 |
| ChEBI | CHEBI:134708 |
| Molecular formula | C25H29NO4S |
| Molecular weight | 439.6 |
| InChIKey | MRWFZSLZNUJVQW-DEOSSOPVSA-N |
SMILES: CCO[C@@H](CC1=CC=C(C=C1)OCCN2C(=CC=C2C3=CC=C(C=C3)SC)C)C(=O)O
IUPAC name: (2S)-2-ethoxy-3-[4-[2-[2-methyl-5-(4-methylsulfanylphenyl)pyrrol-1-yl]ethoxy]phenyl]propanoic acid
ChEBI definition: A monocarboxylic acid that is (2S)-2-ethoxy-3-(p-ethoxyphenyl)propanoic acid in which one of the methyl hydrogens of the p-ethoxy substituent has been replaced by the nitrogen of 2-methyl-5-[4-(methylthio)phenyl]-1H-pyrrole. An agonist at the subtypes α and γ of the peroxisome proliferator-activated receptor (PPAR) with predominant PPARα activity, it is used in the treatment of type 2 diabetes.
Pharmacological roles (ChEBI): PPARγ agonist, hypoglycemic agent, PPARα agonist.
Also known as: Saroglitazar, SAROGLITAZAR, saroglitazar
Patent coverage: 451 distinct patent families (1,320 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 |
|---|---|---|---|---|---|
| PPARA | Peroxisome proliferator-activated receptor-α | Agonist | 13.19 | 0.7% | Q07869 |
| PPARG | Peroxisome proliferator-activated receptor-γ | Agonist | 8.52 | 2.6% | P37231 |
Broader ChEMBL bioactivity targets: 9 (assay-derived). Sample: Thromboxane A2 receptor, Progesterone receptor, Muscarinic acetylcholine receptor M1, Prostaglandin G/H synthase 1, Sodium-dependent noradrenaline transporter, Alpha-1A adrenergic receptor, D(3) dopamine receptor, 3’,5’-cyclic-AMP phosphodiesterase 4A, Adenosine receptor A3.
Bioactivity
ChEMBL activities: 2 potent at pChembl ≥ 5 of 9 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| PGR | 5.07 | AC50 | 8570 | nM | CHEMBL_ACT_25204917 |
| PTGS1 | 5.02 | AC50 | 9494 | nM | CHEMBL_ACT_25205850 |
Target pathways
Aggregated over 2 target gene(s): PPARA, PPARG.
Top Reactome pathways
16 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| PPARA activates gene expression | 2 | PPARA, PPARG |
| Transcriptional regulation of white adipocyte differentiation | 2 | PPARA, PPARG |
| Nuclear Receptor transcription pathway | 2 | PPARA, PPARG |
| SUMOylation of intracellular receptors | 2 | PPARA, PPARG |
| Transcriptional regulation of brown and beige adipocyte differentiation by EBF2 | 2 | PPARA, PPARG |
| BMAL1:CLOCK,NPAS2 activates circadian expression | 1 | PPARA |
| Transcriptional activation of mitochondrial biogenesis | 1 | PPARA |
| Activation of gene expression by SREBF (SREBP) | 1 | PPARA |
| Regulation of lipid metabolism by PPARalpha | 1 | PPARA |
| Regulation of PTEN gene transcription | 1 | PPARG |
| MECP2 regulates transcription factors | 1 | PPARG |
| Cytoprotection by HMOX1 | 1 | PPARA |
| Heme signaling | 1 | PPARA |
| MLL4 and MLL3 complexes regulate expression of PPARG target genes in adipogenesis and hepatic steatosis | 1 | PPARG |
| Expression of BMAL (ARNTL), CLOCK, and NPAS2 | 1 | PPARA |
| RORA,B,C and NR1D1 (REV-ERBA) regulate gene expression | 1 | PPARA |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| negative regulation of transcription by RNA polymerase II | 2 |
| fatty acid metabolic process | 2 |
| heart development | 2 |
| response to nutrient | 2 |
| hormone-mediated signaling pathway | 2 |
| negative regulation of macrophage derived foam cell differentiation | 2 |
| negative regulation of cholesterol storage | 2 |
| cell differentiation | 2 |
| negative regulation of transforming growth factor beta receptor signaling pathway | 2 |
| intracellular receptor signaling pathway | 2 |
| peroxisome proliferator activated receptor signaling pathway | 2 |
| regulation of circadian rhythm | 2 |
| positive regulation of DNA-templated transcription | 2 |
| positive regulation of fatty acid metabolic process | 2 |
| positive regulation of transcription by RNA polymerase II | 2 |
Indications & clinical
Indications
8 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 |
|---|---|---|---|
| fatty liver disease | 3 | MONDO:0004790 | HP:0001397 |
| primary biliary cholangitis | 3 | MONDO:0005388 | EFO:1001486 |
| metabolic dysfunction-associated steatotic liver disease | 2 | MONDO:0013209 | EFO:0003095 |
| metabolic dysfunction-associated steatohepatitis | 2 | MONDO:0007027 | EFO:1001249 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| kidney disorder | 1 | MONDO:0005240 | EFO:0003086 |
| cirrhosis of liver | 1 | MONDO:0005155 | EFO:0001422 |
1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 20.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 7 |
| PHASE1 | 6 |
| PHASE3 | 5 |
| PHASE4 | 1 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05872269 | PHASE4 | UNKNOWN | A Study to Evaluate the Safety and Effectiveness of Saroglitazar 4 mg in Patients With NAFLD With Comorbidities |
| NCT06427395 | PHASE3 | ACTIVE_NOT_RECRUITING | Open-Label Extension Study of Saroglitazar Magnesium in Participants With Primary Biliary Cholangitis |
| NCT07216235 | PHASE3 | NOT_YET_RECRUITING | Long-Term Study to Evaluate the Safety and Efficacy in Participants With Primary Biliary Cholangitis of Saroglitazar Magnesium-V on Clinical Outcomes |
| NCT07424677 | PHASE3 | NOT_YET_RECRUITING | Study of Saroglitazar Magnesium for PBC Patients With Incomplete Response or Intolerant to UDCA Therapy |
| NCT02265276 | PHASE3 | UNKNOWN | A Prospective, Randomized Trial to Compare saroGLitazar With pioglitAZone in Nonalcoholic Fatty livEr Disease |
| NCT04193982 | PHASE3 | UNKNOWN | An Investigator Initiated Prospective, Four Arms Randomized Comparative Study of Efficacy and Safety of Saroglitazar, Vitamin E and Life Style Modification in Patients With Nonalcoholic Fatty Liver Disease (NAFLD)/ Non-alcoholic Steatohepatitis (NASH) |
| NCT05133336 | PHASE2/PHASE3 | COMPLETED | Saroglitazar Magnesium for Treatment of Primary Biliary Cholangitis |
| NCT03061721 | PHASE2 | COMPLETED | Saroglitazar Magnesium in Patients With Nonalcoholic Fatty Liver Disease and/or Nonalcoholic Steatohepatitis |
| NCT03097107 | PHASE2 | SUSPENDED | Evaluate the Safety and Efficacy of Saroglitazar Mg in Patients With Fasting Triglyceride ≥500 mg/dL and ≤1500 mg/dL |
| NCT03112681 | PHASE2 | COMPLETED | Study to Evaluate Safety, Tolerability and Efficacy of Saroglitazar Mg in Patients With Primary Biliary Cholangitis |
| NCT03639623 | PHASE2 | COMPLETED | Safety, Tolerability, and Efficacy of Saroglitazar Mg 4 mg in Liver Transplant Recipients With Nonalcoholic Fatty Liver Disease (NAFLD) |
| NCT03863574 | PHASE2 | COMPLETED | Saroglitazar Magnesium in the Treatment of Non-Alcoholic Steatohepatitis |
| NCT05011305 | PHASE2 | COMPLETED | Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis With Fibrosis |
| NCT05211284 | PHASE2 | TERMINATED | Saroglitazar Magnesium 4 mg for Nonalcoholic Fatty Liver Disease (NAFLD) in People Living With HIV in the US |
| NCT05045482 | PHASE1 | RECRUITING | Hepatic Impairment With Cirrhosis Due to Cholestatic Liver Disease |
| NCT06825559 | PHASE1 | RECRUITING | Evaluate PK & Safety of Saroglitazar in Subjects With Moderate Hepatic Impairment Due to Cholestatic Liver Disease |
| NCT04045769 | PHASE1 | COMPLETED | A Study to Evaluate the Effect of Saroglitazar Magnesium on the QTc Interval in Healthy Volunteers |
| NCT04112446 | PHASE1 | COMPLETED | Study to Evaluate Absorption, Metabolism and Excretion of Single-dose [14C]-Saroglitazar in Healthy Male Subjects |
| NCT04446507 | PHASE1 | COMPLETED | A Pharmacokinetic Study of Saroglitazar Magnesium in Subjects with Severe Renal Impairment and Normal Renal Function |
| NCT04469920 | PHASE1 | COMPLETED | Hepatic Impairment, Cholestatic Liver Disease, & NASH with Advanced Fibrosis & Normal Hepatic Function |
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.
94 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ELAFIBRANOR | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| FENOFIBRATE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| FENOFIBRIC ACID | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| GEMFIBROZIL | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| PEMAFIBRATE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| PIOGLITAZONE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| ROSIGLITAZONE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| ALEGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| BEZAFIBRATE | ChEMBL | Phase 3 | PPARA, PPARG |
| GAMOLENIC ACID | ChEMBL | Phase 3 | PPARA, PPARG |
| ICOSAPENT | ChEMBL | Phase 3 | PPARA, PPARG |
| IMIGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| LANIFIBRANOR | ChEMBL | Phase 3 | PPARA, PPARG |
| LOBEGLITAZONE | ChEMBL | Phase 3 | PPARA, PPARG |
| MURAGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| TESAGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| DIHOMO-GAMMA-LINOLENIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| FARGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| GW501516 | ChEMBL | Phase 2 | PPARA, PPARG |
| GW590735 | ChEMBL | Phase 2 | PPARA, PPARG |
| INDEGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| LINOLEIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| LY-518674 | ChEMBL | Phase 2 | PPARA, PPARG |
| NAVEGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| OLEIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| PIRINIXIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| RAGAGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| REGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| FULVESTRANT | ChEMBL + PubChem | Phase 4 (approved) | PPARG |
| SELADELPAR | ChEMBL + PubChem | Phase 4 (approved) | PPARA |
| BENZBROMARONE | ChEMBL | Phase 4 (approved) | PPARG |
| BERBERINE | ChEMBL | Phase 4 (approved) | PPARA |
| BEXAROTENE | ChEMBL | Phase 4 (approved) | PPARG |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | PPARG |
| CANNABIDIOL | ChEMBL | Phase 4 (approved) | PPARG |
| CARVEDILOL | ChEMBL | Phase 4 (approved) | PPARG |
| CEFAMANDOLE | ChEMBL | Phase 4 (approved) | PPARG |
| CEFOTAXIME | ChEMBL | Phase 4 (approved) | PPARG |
| CEFOXITIN | ChEMBL | Phase 4 (approved) | PPARG |
| CEFTAZIDIME | ChEMBL | Phase 4 (approved) | PPARG |
| CEFTRIAXONE | ChEMBL | Phase 4 (approved) | PPARG |
| CIPROFIBRATE | ChEMBL | Phase 4 (approved) | PPARA |
| CLOBETASOL PROPIONATE | ChEMBL | Phase 4 (approved) | PPARG |
| CLOFIBRATE | ChEMBL | Phase 4 (approved) | PPARA |
| CYCLOSPORINE | ChEMBL | Phase 4 (approved) | PPARA |
| EFAVIRENZ | ChEMBL | Phase 4 (approved) | PPARG |
| GLYBURIDE | ChEMBL | Phase 4 (approved) | PPARG |
| INDOMETHACIN | ChEMBL | Phase 4 (approved) | PPARG |
| LASOFOXIFENE | ChEMBL | Phase 4 (approved) | PPARG |
| LEVOTHYROXINE | ChEMBL | Phase 4 (approved) | PPARG |
| LIOTHYRONINE | ChEMBL | Phase 4 (approved) | PPARG |
| LUMIRACOXIB | ChEMBL | Phase 4 (approved) | PPARG |
| MASOPROCOL | ChEMBL | Phase 4 (approved) | PPARG |
| METHYLENE BLUE | ChEMBL | Phase 4 (approved) | PPARG |
| MONTELUKAST | ChEMBL | Phase 4 (approved) | PPARG |
| NINTEDANIB | ChEMBL | Phase 4 (approved) | PPARG |
| RACECADOTRIL | ChEMBL | Phase 4 (approved) | PPARA |
| RIMONABANT | ChEMBL | Phase 4 (approved) | PPARG |
| SULINDAC | ChEMBL | Phase 4 (approved) | PPARG |
| TELMISARTAN | ChEMBL | Phase 4 (approved) | PPARG |
Related Atlas pages
- Genes: PPARA, PPARG
- Diseases: fatty liver disease, primary biliary cholangitis
- Drugs: Elafibranor, Fenofibrate, Fenofibric Acid, Gemfibrozil, Pemafibrate, Pioglitazone, Rosiglitazone, Aleglitazar, Bezafibrate, Gamolenic Acid, Icosapent, Imiglitazar, Lanifibranor, Lobeglitazone, Muraglitazar, Tesaglitazar, Fulvestrant, Seladelpar, Benzbromarone, Berberine, Bexarotene, Candesartan Cilexetil, Cannabidiol, Carvedilol, Cefamandole, Cefotaxime, Cefoxitin, Ceftazidime, Ceftriaxone, Ciprofibrate, Clobetasol Propionate, Clofibrate, Cyclosporine, Efavirenz, Glyburide, Indomethacin, Lasofoxifene, Levothyroxine, Liothyronine, Lumiracoxib, Masoprocol, Methylene Blue, Montelukast, Nintedanib, Racecadotril, Rimonabant, Sulindac, Telmisartan