Repositioning Candidate Details

Candidate ID: R1156
Source ID: DB08814
Source Type: approved; investigational
Compound Type: small molecule
Compound Name: Triflusal
Synonyms: Triflusal
Molecular Formula: C10H7F3O4
SMILES: CC(=O)OC1=C(C=CC(=C1)C(F)(F)F)C(O)=O
Structure:
DrugBank Description: Triflusal is a 2-acetoxy-4-trifluoromethylbenzoic acid and it is an aspirin chemically-related molecule but not a derivative. The benefits of this agent are the lack of action over the arachidonic acid pathway, the driven production of nitric oxide and the increase of cyclic nucleotide concentration on endothelial cells. The latest translates into the expansion of peripheral blood vessels. It is very important as a secondary prevention of ischemic stroke by offering a lower risk of bleeding. It was developed by J. Uriach and Company and even though it is commercialized in different countries it is not approved by the FDA, EMA or HealthCanada.
CAS Number: 322-79-2
Molecular Weight: 248.157
DrugBank Indication: Triflusal is indicated as prophylaxis of thromboembolic disorders. It has been registered in Spain and in other countries of Europe, South America and South Korea for the prevention of Stroke and myocardial infarction.
DrugBank Pharmacology: Triflusal is an antithrombotic anticoagulant. It irreversibly inhibits the production of thromboxane-B2 in platelets by acetylating cycloxygenase-1. Triflusal affects many other targets such as NF kappa B, which is a gene expression regulatory factor for cycloxygenase-a and cytokines. Numerous studies comparing the efficacy and safety profile (i.e. systemic hemorrhage) between triflusal and acetylsalsylic acid has shown either no significant difference or a better effacy and safety profile for triflusal. Triflusal has been shown to protect cerebral tissue due to its inhibition of lipid peroxidation resulting from anoxia-reoxygenation.
DrugBank MoA: Triflusal is chemically related to acetylsalicylic acid (ASA) and irreversibly inhibits cycloxygenase-1 (COX-1) in platelets. Acetylation of the active group of COX-1 prevents the formation of thromboxane-B2 in platelets. However, it is unique because it spares the arachidonic acid metabolic pathway in endothelial cells. In addition, it favors the production of nitric oxide, a vasodilator.
Targets: Prostaglandin G/H synthase 1 antagonist; Nuclear factor NF-kappa-B p105 subunit antagonist; Nitric oxide synthase, inducible agonist; cAMP and cAMP-inhibited cGMP 3',5'-cyclic phosphodiesterase 10A antagonist
Inclusion Criteria: Indication associated