Urea

drug
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Also known as AquadrateAzodicarboxylic acid-diamideBalneum plusCalmuridCarbamideE-927AE927bEucerinFlexifootFlexitolHydromol intensiveINS NO.927AINS-927ANSC-34375NutraplusSential eSt.james balmSterile ureaUrea component of alphaderm

Summary

Urea (CHEMBL985) is an approved small-molecule flour treatment agent (ATC D02AE01) targeting SLC60A2; indicated across 16 conditions including atopic eczema and diabetes mellitus.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: D02AE01 (+2 more)
  • Targets: 1 (SLC60A2)
  • Indications: 16 conditions
  • Clinical trials: 31
  • Chemistry: 60.056 Da · CH4N2O

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL985
NameUrea
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID1176
ChEBICHEBI:16199
ATCD02AE01, B05BC02, D02AE51
Molecular formulaCH4N2O
Molecular weight60.056
InChIKeyXSQUKJJJFZCRTK-UHFFFAOYSA-N

SMILES: C(=O)(N)N

IUPAC name: urea

ChEBI definition: A carbonyl group with two C-bound amine groups. The commercially available fertilizer has an analysis of 46-0-0 (N-P2O5-K2O).

Pharmacological roles (ChEBI): flour treatment agent.

Other ChEBI roles (chemical / environmental): human metabolite, Daphnia magna metabolite, Saccharomyces cerevisiae metabolite, Escherichia coli metabolite, mouse metabolite, fertilizer.

Also known as: Aquadrate, Azodicarboxylic acid-diamide, Balneum plus, Calmurid, Carbamide, E-927A, E927b, Eucerin, Flexifoot, Flexitol, Hydromol intensive, INS NO.927A

Parent form; salt/anhydrous children: CHEMBL2096635, CHEMBL2096648, CHEMBL3184026

Patent coverage: 570,700 distinct patent families (1,354,157 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 1,353,131 (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).

GeneTargetActionpAffinityCancer dependencyUniProt
SLC60A2solute carrier family 60 member 2Inhibition0.2%Q5TF39

Broader ChEMBL bioactivity targets: 5 (assay-derived). Sample: Tyrosyl-DNA phosphodiesterase 1, Prelamin-A/C, Aldehyde dehydrogenase 1A1, Lethal factor, Olfactory receptor 51E2.

Bioactivity

ChEMBL activities: 2 potent at pChembl ≥ 5 of 5 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
OR51E27.64EC5023nMCHEMBL_ACT_19491381
LMNA6.1Potency794.3nMCHEMBL_ACT_3622495

Target pathways

Aggregated over 1 target gene(s): SLC60A2.

Top Reactome pathways

3 total, by targets touching each:

PathwayTargetsGenes
Cellular hexose transport1SLC60A2
Transport of small molecules1SLC60A2
SLC-mediated transmembrane transport1SLC60A2

Dominant GO biological processes

GO termTargets
D-glucose import across plasma membrane1
monoatomic ion transport1
sodium ion transport1
transmembrane transport1

Indications & clinical

Indications

16 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).

IndicationTrial phaseMONDOEFO
atopic eczema3MONDO:0004980EFO:0000274
diabetes mellitus3MONDO:0005015EFO:0000400
radiodermatitis3MONDO:0043771MONDO:0043771
severe cutaneous adverse reaction3MONDO:0005594EFO:0006346
type 2 diabetes mellitus3MONDO:0005148MONDO:0005148
skin disorder2MONDO:0005093EFO:0000701
hepatocellular carcinoma2MONDO:0007256EFO:0000182
head and neck cancer2MONDO:0005627EFO:0006859
psoriasis2MONDO:0005083EFO:1001494
hand-foot syndrome2MONDO:0700048EFO:1001893
metabolic dysfunction-associated steatotic liver disease2MONDO:0013209EFO:0003095
ornithine carbamoyltransferase deficiency1MONDO:0010703EFO:0007409
carbamoyl phosphate synthetase I deficiency disease1MONDO:0009376EFO:0007193
argininosuccinic aciduria1MONDO:0008815MONDO:0008815
citrullinemia1MONDO:0015991MONDO:0015991

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

PhaseTrials
Not specified17
PHASE45
PHASE35
PHASE23
PHASE2/PHASE31

Top trials by phase / activity

NCTPhaseStatusTitle
NCT00576550PHASE4COMPLETEDA Randomised Trial of a Moisturising Cream in Preventing Recurrence of Hand Eczema
NCT00771121PHASE4UNKNOWNEffect of Moisturizing Creams on Skin Barrier Function
NCT01065714PHASE4COMPLETEDA Study to Investigate the Use of Hydrogel Vehicle in Maintaining the Skin Barrier in Persons With Atopic Dermatitis
NCT02601222PHASE4UNKNOWNEfficacy and Safety of Runzao Zhiyang Capsule to Treat Chronic Eczema
NCT02705664PHASE4COMPLETEDTreatment of Onychomycosis With Loceryl (Amorolfine) Nail Lacquer 5% Versus a Two-course Treatment With Urea 40% Ointment and Bifonazole Cream 1%
NCT00296036PHASE3COMPLETEDPyridoxine and Topical Urea/Lactic Acid-Based Cream in Preventing Hand-Foot Syndrome in Patients Receiving Capecitabine for Breast Cancer or Other Cancer
NCT00576238PHASE3COMPLETEDSkin Tolerance Study of Betamethasone Creams in Atopic Eczema and the Preventative Properties of a Moisturiser
NCT01856543PHASE3COMPLETEDMometasone Furoate 0.1% Versus Eucerin on Moderate to Severe Skin Toxicities in Breast Cancer Patients Receiving Postmastectomy Radiation
NCT02247830PHASE3COMPLETEDManagement Radiodermatitis in Patients With Breast or Head and Neck Cancer
NCT04127513PHASE3COMPLETEDComparison of 12% Ammonium Lactate and 10% Urea Cream in Geriatric With Xerosis Cutis
NCT05348278PHASE2/PHASE3UNKNOWNUrea Cream Prevention for Capecitabine Associated Hand Foot Syndrome
NCT00267111PHASE2COMPLETEDTopical Amethocaine Gel for Intramuscular Injection in Term Neonates
NCT00667589PHASE2TERMINATEDSorafenib-induced Hand- Foot Skin Reaction Treatment
NCT04588207PHASE2TERMINATEDUrea for Chronic Hyponatremia
NCT04552873Not specifiedACTIVE_NOT_RECRUITINGUrea Therapy for Hyponatremia in Subarachnoid Hemorrhage
NCT06387667Not specifiedNOT_YET_RECRUITINGCharacterizing Diversity and Antifungal Resistance in Immunocompromised ICU Patients With Respiratory Tract Infections
NCT07012343Not specifiedACTIVE_NOT_RECRUITINGExploring Different Dose-frequency Home Photodynamic Therapy Protocols Using a Novel Home-targeted LED Device for Onychomycosis
NCT07033962Not specifiedNOT_YET_RECRUITINGFractional CO₂ Laser or 40% Urea With Topical Fluconazole Microemulsion in Onychomycosis
NCT07528365Not specifiedRECRUITINGUrea for Treatment of Hyponatremia in Patients With SIAD Unresponsive to Fluid Restriction
NCT00005889Not specifiedUNKNOWNGluconeogenesis in Very Low Birth Weight Infants Who Are Receiving Nutrition By Intravenous Infusion
NCT01927679Not specifiedCOMPLETEDVitamin E Prevention of Visible Light Pigmentation
NCT02111148Not specifiedUNKNOWNVaginal Fluid Wash in Pre-labour Rupture of Membranes
NCT02111655Not specifiedCOMPLETEDImproving Arteriovenous Fistula Patency
NCT04987385Not specifiedCOMPLETEDEffect of Protein Supplementation on Plasma Sodium Levels and Urinary Urea Excretion in Patients With SIAD
NCT05214872Not specifiedCOMPLETEDThe Impact of Selected Factors on the Cardiovascular System in Chronic Kidney Disease
NCT05451472Not specifiedUNKNOWNEvluation of Thyroid Functions in Hemodialysis Childern in Sohag University Hospital
NCT05890690Not specifiedCOMPLETEDPlasma Copeptin in Response to Oral Urea in Healthy Adults and Patients With Polyuria-polydipsia Syndrome
NCT05939726Not specifiedCOMPLETEDEfficacy and Safety of Moisturising Cream With or Without Vitamin E and Urea Cream in Palmar-plantar Erythrodysesthesia
NCT06553417Not specifiedCOMPLETEDEmollient ‘Plus’ vs Urea 10% for Mild-Moderate Atopic Dermatitis
NCT06583369Not specifiedUNKNOWNThe Efficacy and Safety of Liangxue Ointment in the Treatment of Hand-foot Syndrome Caused by VEGFR-TKI Drugs
NCT07162454Not specifiedCOMPLETEDEffectiveness of CBD for Neuropathic Pain in Diabetic Foot Neuropathy

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.

No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).