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Rodatristat ethyl (KAR5585)

Alias: KAR5585; KAR-5585; Rodatristat ethyl [USAN]; 507FY6OL37; 2,8-Diazaspiro(4.5)decane-3-carboxylic acid, 8-(2-amino-6-((1R)-1-(5-chloro(1,1'-biphenyl)-2-yl)-2,2,2-trifluoroethoxy)-4-pyrimidinyl)-, ethyl ester, (3S)-; Rodatristat ethyl (USAN);
Cat No.:V71129 Purity: ≥98%
Rodatristat ethyl (KAR5585) is a first-in-class, orally bioactive tryptophan hydroxylase 1 (TPH1) inhibitor (antagonist) with in vitro nanomolar concentrations that reduces 5-hydroxytryptamine (5-HT) levels and significantly reduces pulmonary arterial hypertension (PAH) ),
Rodatristat ethyl (KAR5585)
Rodatristat ethyl (KAR5585) Chemical Structure CAS No.: 1673571-51-1
Product category: 5-HT Receptor
This product is for research use only, not for human use. We do not sell to patients.
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1mg
5mg
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Product Description
Rodatristat ethyl (KAR5585) is a first-in-class, orally bioactive tryptophan hydroxylase 1 (TPH1) inhibitor (antagonist) with in vitro nanomolar concentrations that reduces 5-hydroxytryptamine (5-HT) levels and significantly reduces pulmonary arterial hypertension (PAH) ),
Rodatristat ethyl (KAR5585) is a first-in-class, orally bioactive, and potent inhibitor of tryptophan hydroxylase 1 (TPH1), the rate-limiting enzyme in peripheral serotonin (5-HT) biosynthesis. It is an investigational drug developed for the treatment of pulmonary arterial hypertension (PAH). By selectively inhibiting TPH1, it reduces circulating serotonin levels without affecting brain serotonin, thereby avoiding central nervous system side effects.
Biological Activity I Assay Protocols (From Reference)
Targets
5-HT1 Receptor TPH1
Tryptophan hydroxylase 1 (TPH1) [HSA:7166] [KO:K00502] (inhibitor)
ln Vitro
As a follow-up to the discovery of our spirocyclic proline-based TPH1 inhibitor lead, we describe the optimization of this scaffold. Through a combination of X-ray co-crystal structure guided design and an in vivo screen, new substitutions in the lipophilic region of the inhibitors were identified[1].
Rodatristat ethyl is a first-in-class, orally bioactive tryptophan hydroxylase 1 (TPH1) inhibitor with nanomolar in vitro potency. It selectively targets TPH1, the isoform primarily expressed in the gut, thereby reducing the biosynthesis of serotonin (5-hydroxytryptamine, 5-HT) in peripheral tissues. Unlike non-selective serotonin inhibitors, it has minimal effect on central TPH2.
ln Vivo
Treatment with rodatristat ethyl (100 or 200 mg/kg; oral administration; once daily; 28 days; male Sprague-Dawley rats) significantly lowers pulmonary arterial pressure, pulmonary vessel wall thickness, and occlusion in male rats with monocrotaline (MCT) and decreases erum, gut, and lung 5-HT levels in a dose-dependent manner[1].
Rodatristat ethyl significantly reduces 5-hydroxytryptamine (5-HT) levels and effectively decreases pulmonary arterial hypertension (PAH) at low concentrations. In preclinical models, the reduction in peripheral 5-HT levels leads to a decrease in pulmonary artery pressure and reversal of vascular remodeling, providing a disease-modifying approach to PAH treatment.
Enzyme Assay
For in vitro enzyme inhibition assays, recombinant human TPH1 enzyme is incubated with its substrate tryptophan and cofactors (tetrahydrobiopterin, Fe2+, and DTT) in a reaction buffer. Rodatristat ethyl is added at varying concentrations (ranging from pM to uM). The reaction proceeds for 30-60 minutes at 37degC. The production of 5-hydroxytryptophan (5-HTP) or the oxidized cofactor is measured fluorometrically (excitation ~300 nm, emission ~330 nm) or by HPLC with fluorescence detection. The IC50 (nanomolar range) is determined by plotting inhibitor concentration versus enzyme activity. Non-specific inhibition is assessed by including a TPH2 counter-screen.
Cell Assay
Cellular target engagement assays are performed using EC cells (e.g., RBL-2H3 or P815 cells, which express TPH1) or primary enterochromaffin cells. Cells are seeded in 96-well plates and treated with serial dilutions of Rodatristat ethyl (1 nM to 10 uM) for 4-24 hours. Cell culture supernatants are collected, and 5-HT levels are measured by ELISA or HPLC-ECD. Intracellular 5-HT can also be measured after cell lysis. The EC50 for reducing cellular 5-HT levels is determined. A reduction in serotonin (5-HT) level is the primary pharmacodynamic readout. Standard cytotoxicity assays (e.g., MTT or CellTiter-Glo) are performed in parallel to ensure that the reduction in 5-HT is not due to general cell death.
Animal Protocol
Animal/Disease Models: Male SD (Sprague-Dawley) rats (175-200 g)[1]
Doses: 100 mg/kg or 200 mg/kg
Route of Administration: Oral administration; one time/day; for 28 days
Experimental Results: diminished serum, gut and lung 5-HT levels in a dose-dependent manner and Dramatically decreased pulmonary arterial pressure, and pulmonary vessel wall thickness and occlusion in male rats.
In vivo efficacy studies are typically conducted in the monocrotaline (MCT) rat model or the Sugen 5416/hypoxia mouse model of PAH. Rodatristat ethyl is suspended in 0.5% methylcellulose or similar vehicle and administered once or twice daily by oral gavage at doses ranging from 3 to 100 mg/kg. Treatment begins on day 1 and continues for 2-4 weeks. Endpoints include: (1) Hemodynamic measurements: right ventricular systolic pressure (RVSP) via a pressure catheter; (2) Cardiac remodeling: right ventricular hypertrophy index (ratio of right ventricle to left ventricle plus septum, RV/(LV+S)); (3) Vascular remodeling: assessment of pulmonary artery medial wall thickness and muscularization of distal arterioles (histological analysis of lung sections stained with hematoxylin and eosin and elastic van Gieson); (4) Plasma and lung tissue levels of 5-HT (measured by ELISA or HPLC-ECD). Reduction in pulmonary arterial pressure and reversal of vascular remodeling are the primary efficacy endpoints.
ADME/Pharmacokinetics
Rodatristat ethyl is an oral drug candidate. In preclinical species, it demonstrates good oral bioavailability, with significant exposure in plasma and lung tissue, the target organ for PAH. The compound is metabolized to its active parent form. Detailed clinical PK data (t1/2, Cmax, AUC, CL, Vd) are proprietary and available in clinical trial disclosures (NCT NCT03880357 in PAH patients). The pharmacokinetic profile supports once or twice daily oral dosing.
Toxicity/Toxicokinetics
Standard toxicology studies have been conducted to support clinical trials, including safety pharmacology (hERG, CNS, respiratory), 28-day and 90-day repeat-dose toxicology in rodents and non-rodents (typically rats and dogs), and genetic toxicology (Ames test, chromosome aberration). As a TPH1 inhibitor, non-clinical toxicities are generally mild and may include gastrointestinal effects due to modulation of serotonin in the gut. The selective mechanism avoids central serotonergic toxicity.
References

[1]. Tryptophan hydroxylase 1 Inhibition Impacts Pulmonary Vascular Remodeling in Two Rat Modelsof Pulmonary Hypertension. J Pharmacol Exp Ther. 2017 Feb;360(2):267-279.

[2]. Alice Melão, MSc. Early Results on Rodatristat Ethyl Support Launch of Phase 2 Trial in PAH Patients. FEBRUARY 4, 2019.

Additional Infomation
See also: Rodatristat (note moved to).
Rodatristat ethyl is an investigational drug candidate that has been evaluated in clinical trials (e.g., Phase 2, NCT03880357) for the treatment of pulmonary arterial hypertension (PAH). By inhibiting peripheral serotonin synthesis via TPH1 inhibition, it represents a novel approach distinct from vasodilators. PAH is a progressive disease characterized by elevated pulmonary artery pressure leading to heart failure. As of late 2023/2024, development and regulatory status (e.g., approved or discontinued) are subject to change and are not covered in this summary. This compound is a first-in-class drug, and its development status must be checked on clinicaltrials.gov for the most current information.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C29H31CLF3N5O3
Molecular Weight
590.036356210709
Exact Mass
589.21
Elemental Analysis
C, 59.03; H, 5.30; Cl, 6.01; F, 9.66; N, 11.87; O, 8.13
CAS #
1673571-51-1
PubChem CID
92045025
Appearance
Typically exists as White to off-white solids at room temperature
LogP
6.1
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
11
Rotatable Bond Count
8
Heavy Atom Count
41
Complexity
871
Defined Atom Stereocenter Count
2
SMILES
CCOC(=O)[C@@H]1CC2(CCN(CC2)C3=CC(=NC(=N3)N)O[C@H](C4=C(C=C(C=C4)Cl)C5=CC=CC=C5)C(F)(F)F)CN1
InChi Key
TZSZZENYCISATO-WIOPSUGQSA-N
InChi Code
InChI=1S/C29H31ClF3N5O3/c1-2-40-26(39)22-16-28(17-35-22)10-12-38(13-11-28)23-15-24(37-27(34)36-23)41-25(29(31,32)33)20-9-8-19(30)14-21(20)18-6-4-3-5-7-18/h3-9,14-15,22,25,35H,2,10-13,16-17H2,1H3,(H2,34,36,37)/t22-,25+/m0/s1
Chemical Name
ethyl (3S)-8-[2-amino-6-[(1R)-1-(4-chloro-2-phenylphenyl)-2,2,2-trifluoroethoxy]pyrimidin-4-yl]-2,8-diazaspiro[4.5]decane-3-carboxylate
Synonyms
KAR5585; KAR-5585; Rodatristat ethyl [USAN]; 507FY6OL37; 2,8-Diazaspiro(4.5)decane-3-carboxylic acid, 8-(2-amino-6-((1R)-1-(5-chloro(1,1'-biphenyl)-2-yl)-2,2,2-trifluoroethoxy)-4-pyrimidinyl)-, ethyl ester, (3S)-; Rodatristat ethyl (USAN);
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 100 mg/mL (169.48 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.08 mg/mL (3.53 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.6948 mL 8.4740 mL 16.9480 mL
5 mM 0.3390 mL 1.6948 mL 3.3896 mL
10 mM 0.1695 mL 0.8474 mL 1.6948 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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Clinical Trial Information
Title:Thorough QT Study to Evaluate the Effect of Rodatristat Ethyl, Rodatristat and Its Major Metabolites on the Heart
Status:Completed
updateDate:2023-10-03
Ctid:NCT05933447

Link: https://clinicaltrials.gov/ct2/show/NCT05933447

Conditions:Healthy
Interventions:Placebo for Moxifloxacin
Phase:Phase 1
Title:A Single and Multiple Dose of Rodatristat Ethyl in Healthy Adult Subjects to Evaluate the Effect of Food and Safety
Status:Completed
updateDate:2023-01-27
Ctid:NCT05684640

Link: https://clinicaltrials.gov/ct2/show/NCT05684640

Conditions:Healthy
Interventions:Placebo
Phase:Phase 1
Title:A Study of RVT-1201 in Patients With Pulmonary Arterial Hypertension (ELEVATE 1)
Status:Terminated
updateDate:2020-03-09
Ctid:NCT03924154

Link: https://clinicaltrials.gov/ct2/show/NCT03924154

Conditions:Pulmonary Arterial Hypertension
Interventions:Placebo
Phase:Phase 2
View More

Title:Single and Multiple Ascending Doses Clinical Pharmacology Study With KAR5585
Status:Completed
updateDate:2016-08-30
Ctid:NCT02746237

Link: https://clinicaltrials.gov/ct2/show/NCT02746237

Conditions:Pulmonary Arterial Hypertension
Interventions:Placebo Capsules
Phase:Phase 1

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