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Roxadustat (FG-4592)

Alias: Roxadustat; ASP1517; ASP 1517; Roxadustat (FG-4592); N-[(4-Hydroxy-1-methyl-7-phenoxy-3-isoquinolinyl)carbonyl]glycine; ASP-1517; FG-4592; FG4592; FG-4592;
Cat No.:V0293 Purity: ≥98%
Roxadustat (FG4592, ASP1517) is a novel, potent and orally bioavailable inhibitor of HIF-PH (hypoxia-inducible factor prolyl hydroxylase) with the potential to treat anemia associated with chronic kidney disease (CKD).
Roxadustat (FG-4592)
Roxadustat (FG-4592) Chemical Structure CAS No.: 808118-40-3
Product category: HIF
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Roxadustat (FG-4592):

  • Roxadustat-d5
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Purity & Quality Control Documentation

Purity: ≥98%

Purity: ≥98%

Purity: ≥98%

Product Description

Roxadustat (FG4592, ASP1517) is a novel, potent and orally bioavailable inhibitor of HIF-PH (hypoxia-inducible factor prolyl hydroxylase) with the potential to treat anemia associated with chronic kidney disease (CKD). HIF-PH is an enzyme that can up-regulate the expression of endogenous human erythropoietin (Epo). Roxadustat induces EPO production and stimulates erythropoiesis. It is currently being investigated as an oral treatment for anemia associated with CKD.

Biological Activity I Assay Protocols (From Reference)
Targets
HIF-PHI/hypoxia-inducible factor-prolyl-hydroxylase
ln Vitro
In PC12 cells, roxadustat (5-50 μM; 6 hours) dramatically reduces TBHP-induced apoptosis[2]. In PC12 cells, roxadustat (50 μM; 6 hours) stabilizes HIF-1α protein expression[2]. It was found that the proliferation of L929 cells was inhibited and the production of collagen I, collagen III, prolyl hydroxylase domain protein 2 (PHD2), HIF-1α, α-smooth muscle actin (α-SMA), connective tissue growth factor (CTGF), transforming growth factor-β1 (TGF-β1) and p-Smad3 were reduced relative to that in the CoCl2 or BLM group after roxadustat treatment. [3]
Effects of roxadustat on L929 cell proliferation and protein expression in vitro [3]
L929 cells were stimulated with CoCl2 (50 nM) so as to mimic the pro-fibrotic environment under hypoxia (Pardo et al., 2005). Cells proliferation was analyzed by using the EdU cell proliferation kit with TMB after 72 h of CoCl2 induction of L929 cells. The CoCl2-stimulated group showed significantly higher proliferation rates than the control group. The group of L929 cells treated with varying concentrations of roxadustat (0.3, 1,3, 10 μM) showed significantly inhibited cell proliferation rates than the CoCl2-stimulated group (Fig. 5A). For proteins analysis, the L929 cells were treated as that in the proliferation assay. Briefly, the proteins were extracted and examined, as shown in Fig. 5. As compared to the control cells, the protein expression of collagen I, collagen III, and α-SMA were significantly increased in cells-stimulated with CoCl2 (50 nM). However, the expression of collagen I, collagen III and α-SMA were significantly inhibited with roxadustat treatment than with CoCl2 stimulation (Fig. 5B, E). Relative to that in the control group, the protein expression of TGF-β1, CTGF, and p-Smad3, significantly increased after CoCl2-stimulated pro-fibrosis, but decreased after roxadustat treatment in the CoCl2-stimulated group (Fig. 5D, G). Particularly, CoCl2 or roxadustat treatment showed no effect on the Smad3 expression (Fig. 5D and G). [3]
Under normoxia, increased HIF activity increases the production of endogenous erythropoietin for anemia treatment. Roxadustat prevents HIF breakdown and promotes the HIF activity in normoxia (Malyszko, 2016). The effect of roxadustat on HIF-1α is different under normoxia and hypoxia; therefore, the effect of roxadustat on the expression of HIF-1α and PHD2 in L929 cells during normoxia and hypoxia was investigated. Our results showed that roxadustat increased the HIF-1α activity and reduced PHD2 under normoxia, whereas it decreased the HIF-1α activity under hypoxia in CoCl2-stimulated L929 cells (Fig. 5C, F). [3]
To determine the mechanism underlying TGF-β1 activation, SB525334 was used to inhibit TGF-β1 activation. L929 cell proliferation was analyzed, and the protein expression levels of TGF-β1, CTGF, Smad3, p-Smad3, HIF-1α, PHD2, α-SMA, collagen I, and collagen III were examined after the incubation of the cells with roxadustat (3 μM) without or with 1 μM SB525334 for 72 h (Fig. 6B-G). Our results showed that the Roxadustat-treated group showed decreased expression levels for all proteins, except for Smad3 (Fig. 6D and G), as well as reduced L929 cell proliferation without or with SB525334 than the CoCl2-stimulated group (Fig. 6A). In addition, the SB525334 group showed reduced expression of proteins and cell proliferation; the SB525334+roxadustat group did not show reduction in the protein expression levels or cell proliferation rates any further than the SB525334 group (Fig. 6; P > 0.05). These findings indicate that roxadustat attenuates experimental lung fibrosis by inhibiting TGF-β1 activation. [3]
To determine the mechanism underlying Smad3 activation, SIS3 was used to inhibit Smad3 activation. L929 cell proliferation was analyzed, and the protein expression levels of TGF-β1, CTGF, Smad3, p-Smad3, HIF-1α, PHD2, α-SMA, collagen I, and collagen III were examined after incubating the cells for 72 h with roxadustat (3 μM) without or with 0.5 μM SIS3 (Fig. 7B-7I). These results suggest that the roxadustat-treated group showed reduced expression levels for all proteins, except for TGF-β1 and Smad3 (Fig. 7E and I), as well as reduced L929 cell proliferation without or with SIS3 than the CoCl2–stimulated group (Fig. 7A). Treatment with SIS3 alone reduced the expression of proteins and the extent of cell proliferation. However, treatment with SIS3+Roxadustat did not reduce the protein expression levels or cell proliferation rates any further when compared to that by SIS3 alone (P > 0.05; Fig. 7). These findings indicate that roxadustat attenuates experimental lung fibrosis by inhibiting the p-Smad3 expression [3].
ln Vivo
Improved recovery from spinal cord injury and protection of motor neuron survival are two benefits of roxadustat (50 mg/kg; ip; daily for 7 days)[2].
FG-4592/roxadustat administration also improved recovery and increased the survival of neurons in spinal cord lesions in the mice model. Combination therapy including the specific HIF-1α blocker YC-1 down-regulated the HIF-1α expression and partially abolished the protective effect of FG-4592. Taken together, our results revealed that the role of FG-4592 in SCI recovery is related to the stabilization of HIF-1α and inhibition of apoptosis. Overall, our study suggests that PHDIs may be feasible candidates for therapeutic intervention after SCI and central nervous system disorders in humans[2].
Effects of roxadustat on lung coefficients and histopathological changes in lung tissues [3]
Histopathological changes were assessed by HE staining using the semi-quantitative method. Intact and clear alveoli, normal interstitium, and a few inflammatory cells were noted in the sham mice (Fig. 1A1). Inflammatory and fibrotic changes such as the destruction of lung alveoli and inflammatory cell infiltration were detected in the lung tissues of the BLM-induced mice (Fig. 1A2). However, as compared with the BLM-induced mice, the roxadustat-treated mice showed great improvements in inflammatory cell infiltration and thickening of the lung interstitium as well as a significant decrease in the pathology score (Fig. 1A3). The lung coefficient is the ratio of lung weight to the body weight, and it reflects the degree of pulmonary fibrosis. During the development of pulmonary fibrosis, the increase in lung mass at an early stage can be attributed to factors such as cell swelling and capillary congestion, while, at the later stage, it is mostly caused by collagen fiber formation. In the BLM-induced mice, the body weight increased gradually at the early stage due to the state of the disease, although some mice showed continual decline in the body weight, which directly contributed to increase in lung coefficient. The weight of the mice was recorded before their sacrificed, and the weight of the lung tissues was recorded and the lung coefficient was calculated. As compared to that in BLM-induced mice, the lung coefficient decreased in roxadustat-treated mice.
Effects of roxadustat on the collagen levels in lung tissues [3]
Masson’s trichrome staining and western blotting were employed to examine the amount of collagen deposition. Collagen I and III were quantified by western blotting (Fig. 2A, B), while the histochemical quantification of collagen was performed with Masson’ s trichrome staining (Fig. 2C1–C3; D). A large amount of collagen deposition was observed in the pulmonary interstitium by Masson’s trichrome staining in BLM-induced mice as compared to that in sham-operated mice. However, the collagen content was significantly reduced after 21 consecutive days of roxadustat administration (blue collagen deposition in Fig. 2C1–C3). HYP–a characteristic amino acid that accounts for approximately 13 % of the total amino acids in collagen is an essential marker indicating collagen accumulation. HYP content was significantly decreased in roxadustat-treated mice than in BLM-induced mice (Fig. 2E). The expression of collagen I and III were higher in the BLM group than in the sham group (p < 0.01). Nevertheless, the expression of collagen I and III was lower in the roxadustat-treated group than in the BLM -induced group.
Effects of roxadustat on the in vivo protein expression [3]
The protein expression of HIF-1α, PHD2, α-SMA, TGF-β1, p-Smad3, Smad3, and CTGF in the lung tissues was measured by western blotting. Compared to that in the sham mice, the expression of HIF-1α, PHD2, and α-SMA were higher in the BLM-induced mice, but lower in the roxadustat-treated mice (Fig. 3A, C; p < 0.01). As compared to that in the sham mice, the expression of TGF-β1, p-Smad3 and CTGF were higher in the BLM-induced mice, but lower in the roxadustat-treated mice (Fig. 3B, D; p < 0.01). Notably, the expression of Smad3 remained unchanged in the BLM-induced and roxadustat-treated groups.
Cell Assay
Apoptosis Analysis[2]
Cell Types: PC12 cells
Tested Concentrations: 5, 20, 50 μM
Incubation Duration: 6 hrs (hours)
Experimental Results: Dramatically inhibited TBHP-induced apoptosis.

Western Blot Analysis[2]
Cell Types: PC12 cells
Tested Concentrations: 50 μM
Incubation Duration: 6 hrs (hours)
Experimental Results: stabilized HIF-1α protein expression.
Analysis of L929 proliferation [3]
To assess the cell proliferation of L929 cells, the cells were initially seeded into 96-well plates at a density of 2 × 103 cells/well and then incubated at 37 °Covernight. The medium was removed, followed by the addition of either the medium alone (control) or the medium withvarying concentrations of roxadustat (0.3, 1, 3, or 10 μM) without or with CoCl2 (50 nM) and incubated for 72 h. To further verify the mechanism of cell proliferation, the cells were treated with CoCl2 for 72 h without or with 1 μM SB525334 (a TGF-β1 inhibitor) or 0.5 μM SIS3 (a Smad inhibitor). Cell proliferation was assessed using the BeyoClick™ 5-ethynyl-2′-deoxyuridine (EdU) Cell Proliferation Kit with TMB, which is based on EdU as a novel alternative for 5-bromo-2’-deoxyuridine (BrdU) assay to directly measure active DNA synthesis or S-phase synthesis of a cell cycle via reaction with fluorescent azides in a Cu(I)-catalyzed [3 + 2] cycloaddition. The absorbance was measured at 630 nm and calculated as a ratio against untreated cells.
Evaluation of protein expression in CoCl2-stimulated L929 cells[3]
The mouse lung fibroblasts L929 cells were cultured in MEM supplemented with 10 % (v/v) fetal bovine serum (FBS) under a 5% CO2 and 95 % N2 humidified atmosphere at 37 °C. The cells were grown to approximately 60 % confluency and treated with 3 μM roxadustat without or with CoCl2 (50 nM) for 72 h. Then, the protein expression levels of TGF-β1, CTGF, Smad3, p-Smad3, HIF-1α, PHD2, α-SMA, collagen I, and collagen III were assessed by western blotting. To investigate the possible mechanism of lung fibrosis, the cells were treated with CoCl2 (50 nM) for 72 h without or with 1 μM SB525334 or 0.5 μM SIS3, and the expression of TGF-β1, CTGF, Smad3, p-Smad3, HIF-1α, PHD2, α-SMA and collagen I/III expression were evaluated by western blotting.
Animal Protocol
Animal/Disease Models: 12-week female C57BL/6 mice[2]
Doses: 50 mg/ kg
Route of Administration: intraperitoneal (ip)injection; daily for 7 days
Experimental Results: Protected the survival of motor neurons and improved recovery from spinal cord injury.
Bleomycin (BLM)-induced pulmonary fibrosis model in mice [3]
A total of 40 adult male C57BL/6 mice were housed in a standard animal laboratory at consistent temperature (22 °C ± 2 °C) and humidity (60 ± 10 %) condition, with free access to chow and water. After 7 days of adaptation, an animal model was established. Ten mice were randomly selected to form the control group. Another 30 mice were intraperitioneally injected with BLM (Invitrogen, Carlsbad, CA, USA) in 0.2 mL saline (50 mg/kg) at days 1, 4, 8, 11, 15, 18, 22 and 25 of the experiment. The control mice were intraperitoneally injected with an equal volume of saline, without BLM. The mice were maintained under good conditions for 2 weeks after BLM exposure, and the body weights of the mice were recorded every week. At day 39, 20 mice with better exposure to BLM were selected and randomly grouped in the BLM and the BLM + roxadustat groups. The BLM + group waroxadustats intragastrically with 20 mg/kg/day roxadustat (dose selection based on the daily dosage in anemia and based on the data from a pre-experiment on the anti-BLM-induced fibrosis in mice) (Zhang et al., 2019). The control and BLM mice were intragastrically administered with an equal amount of saline. At day 60, the lung tissues were collected, and the lung coefficients were determined using the following formula: the lung coefficient = Wet lung weight/body weight × 100 %. Next, the tissues were categorized into two portions: the left lungs tissues were fixed in 4% paraformaldehyde for histological examination and the right lungs tissue were stored in liquid nitrogen for western blotting. Before starting the main experiment, an exploratory preliminary expeiment was conducted on 5 groups (sham, BLM, BLM + Roxadustat 10 mg/kg/day, 20 mg/kg/day or 40 mg/kg/day) of mice, with 10 mice in each group. The method and duration of administration were the same as those in the main experiment. Indexes such as lung weight, lung coefficient, and hydroxyproline (HYP) levels of the mice were monitored. As roxadustat at the dosage of 20 mg/kg/day was found to reduce the lung coefficients and HYP levels, this dosage was used in the main experiment.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Roxadustat plasma exposure (AUC and Cmax) increases dose-proportionally within the recommended therapeutic dose range. In a three times per week dosing regimen, steady-state roxadustat plasma concentrations are achieved within one week (three doses) with minimal accumulation. Maximum plasma concentrations (Cmax) are usually achieved at two hours post dose in the fasted state. Administration of roxadustat with food decreased Cmax by 25% but did not alter AUC as compared with the fasted state.
Following oral administration of radiolabelled roxadustat in healthy subjects, the mean recovery of radioactivity was 96% (50% in feces, 46% in urine). In feces, 28% of the dose was excreted as unchanged roxadustat. Less than 2% of the dose was recovered in urine as unchanged roxadustat.
The blood-to-plasma ratio of roxadustat is 0.6. The apparent volume of distribution at steady-state is 24 L.
The apparent total body clearance (CL/F) of roxadustat is 1.1 L/h in patients with CKD not on dialysis and 1.4 L/h in patients with CKD on dialysis.
Metabolism / Metabolites
_In vitro_, roxadustat is a substrate for CYP2C8 and UGT1A9 enzymes. Roxadustat is primarily metabolized to hydroxy-roxadustat and roxadustat O-glucuronide. Unchanged roxadustat was the major circulating component in human plasma and detectable metabolites in human plasma constituted less than 10% of total drug-related material exposure. No human-specific metabolites were observed but roxadustat O-glucuronide was detected in human urine sample.
Biological Half-Life
The mean effective half-life of roxadustat is approximately 15 hours in patients with CKD.
Toxicity/Toxicokinetics
Protein Binding
Roxadustat is highly bound to human plasma proteins (approximately 99%), mainly to albumin.
References

[1]. Roxadustat (FG-4592) Versus Epoetin Alfa for Anemia in Patients Receiving MaintenanceHemodialysis: A Phase 2, Randomized, 6- to 19-Week, Open-Label, Active-Comparator, Dose-Ranging, Safety and Exploratory Efficacy Study. Am J Kidney Dis. 2016 Jun;67(6):912-24.

[2]. Stabilization of HIF-1α by FG-4592 promotes functional recovery and neural protection in experimental spinal cord injury. Brain Res. 2016 Feb 1;1632:19-26.

[3]. Roxadustat attenuates experimental pulmonary fibrosis in vitro and in vivo. Toxicol Lett. 2020 Oct 1;331:112-121.

Additional Infomation
Roxadustat is an N-acylglycine resulting from the formal condensation of the amino group of glycine with the carboxy group of 4-hydroxy-1-methyl-7-phenoxyisoquinoline-3-carboxylic acid. It is an inhibitor of hypoxia inducible factor prolyl hydroxylase (HIF-PH). It has a role as an EC 1.14.11.2 (procollagen-proline dioxygenase) inhibitor and an EC 1.14.11.29 (hypoxia-inducible factor-proline dioxygenase) inhibitor. It is a member of isoquinolines, an aromatic ether and a N-acylglycine.
Roxadustat is a first-in-class hypoxia-inducible factor prolyl hydroxylase inhibitor used to treat anemia associated with chronic kidney disease. It works by reducing the breakdown of the hypoxia-inducible factor (HIF), which is a transcription factor that stimulates red blood cell production in response to low oxygen levels. Roxadustat was first approved by the European Commission in August 2021.
Roxadustat is an orally bioavailable, hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI), with potential anti-anemic activity. Upon administration, roxadustat binds to and inhibits HIF-PHI, an enzyme responsible for the degradation of transcription factors in the HIF family under normal oxygen conditions. This prevents HIF breakdown and promotes HIF activity. Increased HIF activity leads to an increase in endogenous erythropoietin production, thereby enhancing erythropoiesis. It also reduces the expression of the peptide hormone hepcidin, improves iron availability, and boosts hemoglobin (Hb) levels. HIF regulates the expression of genes in response to reduced oxygen levels, including genes required for erythropoiesis and iron metabolism.
Drug Indication
Roxadustat is indicated for the treatment of adult patients with symptomatic anemia associated with chronic kidney disease (CKD).
Evrenzo is indicated for treatment of adult patients with symptomatic anaemia associated with chronic kidney disease (CKD).
Treatment of anaemia due to chronic disorders
Mechanism of Action
Anemia is a common complication of chronic kidney disease that may be caused by reduced production of renal erythropoietin (EPO), functional iron deficiency due to increased levels of hepcidin, blood loss, reduced erythrocyte survival duration, and inflammation. Hypoxia-inducible factor (HIF) is a transcription factor that induces several target oxygen-sensitive genes in response to low oxygen levels in the cellular environment, or hypoxia. Target genes are involved in erythropoiesis, such as those for EPO, EPO receptor, proteins promoting iron absorption, iron transport, and haem synthesis. Activation of the HIF pathway is an important adaptive responsive to hypoxia to increase red blood cell production. HIF is heterodimeric and contains an oxygen-regulated α-subunit. The α-subunit houses an oxygen-dependent degradation (ODD) domain that is regulated and hydroxylated by HIF-prolyl hydroxylase (HIF-PHD) enzymes under normoxic cellular conditions. HIF-PHD enzymes play a crucial role in maintaining a balance between oxygen availability and HIF activity. Roxadustat is a reversible and potent inhibitor of HIF-PHD enzymes: inhibition of HIF-PHD leads to the accumulation of functional HIF, an increase in plasma endogenous EPO production, enhanced erythropoiesis, and indirect suppression of hepcidin, which is an iron regulator protein that is increased during inflammation in chronic kidney disease. Roxadustat can also regulate iron transporter proteins and regulates iron metabolism by increasing serum transferrin, intestinal iron absorption and the release of stored iron in patients with anemia associated with dialysis-dependent or dialysis-independent CKD. Overall, roxadustat improves iron bioavailability, increases Hb production, and increases red cell mass.
Pharmacodynamics
Roxadustat dose-dependently improves iron bioavailability, increases hemoglobin production, and increases red blood cell mass in patients with anemia. In non-dialysis-dependent CKD patients with anemia, roxadustat maintained Hb for up to 2 years. It has a comparable efficacy to erythropoietin-stimulating agents in achieving Hb response. Roxadustat also reduces cholesterol levels from baseline, regardless of the use of statins or other lipid-lowering agents.
Roxadustat is the first orally administered, small-molecule hypoxia-inducible factor (HIF) prolyl hydroxylase inhibitor that has been submitted for FDA regulatory approval to treat anemia secondary to chronic kidney diseases. Its usage has also been suggested for pulmonary fibrosis; however, the corresponding therapeutic effects remain to be investigated. The in vitro effects of roxadustat on cobalt chloride (CoCl2)-stimulated pulmonary fibrosis with L929 mouse fibroblasts as well as on an in vivo pulmonary fibrosismice model induced with bleomycin (BLM; intraperitoneal injection, 50 mg/kg twice a week for 4 continuous weeks) were investigated. It found that the proliferation of L929 cells was inhibited and the production of collagen I, collagen III, prolyl hydroxylase domain protein 2 (PHD2), HIF-1α, α-smooth muscle actin (α-SMA), connective tissue growth factor (CTGF), transforming growth factor-β1 (TGF-β1) and p-Smad3 were reduced relative to that in the CoCl2 or BLM group after roxadustat treatment. Roxadustat ameliorated pulmonary fibrosis by reducing the pathology score and collagen deposition as well as decreasing the expression of collagen I, collagen III, PHD2, HIF-1α, α-SMA, CTGF, TGF-β1 and p-Smad3/Smad3. Our cumulative results demonstrate that roxadustat administration can attenuate experimental pulmonary fibrosis via the inhibition of TGF-β1/Smad activation.[3]
Background: Roxadustat (FG-4592) is an oral hypoxia-inducible factor prolyl-hydroxylase inhibitor that promotes erythropoiesis through increasing endogenous erythropoietin, improving iron regulation, and reducing hepcidin. Study design: Phase 2, randomized (3:1), open-label, active-comparator, safety and efficacy study. Setting & participants: Patients with stable end-stage renal disease treated with hemodialysis who previously had hemoglobin (Hb) levels maintained with epoetin alfa. Intervention: Part 1: 6-week dose-ranging study in 54 individuals of thrice-weekly oral roxadustat doses versus continuation of intravenous epoetin alfa. Part 2: 19-week treatment in 90 individuals in 6 cohorts with various starting doses and adjustment rules (1.0-2.0mg/kg or tiered weight based) in individuals with a range of epoetin alfa responsiveness. Intravenous iron was prohibited. Outcomes: Primary end point was Hb level response, defined as end-of-treatment Hb level change (ΔHb) of -0.5g/dL or greater from baseline (part 1) and as mean Hb level ≥ 11.0g/dL during the last 4 treatment weeks (part 2). Measurements: Hepcidin, iron parameters, cholesterol, and plasma erythropoietin (the latter in a subset). Results: Baseline epoetin alfa doses were 138.3±51.3 (SD) and 136.3±47.7U/kg/wk in part 1 and 152.8±80.6 and 173.4±83.7U/kg/wk in part 2, in individuals randomly assigned to roxadustat and epoetin alfa, respectively. Hb level responder rates in part 1 were 79% in pooled roxadustat 1.5 to 2.0mg/kg compared to 33% in the epoetin alfa control arm (P=0.03). Hepcidin level reduction was greater at roxadustat 2.0mg/kg versus epoetin alfa (P<0.05). In part 2, the average roxadustat dose requirement for Hb level maintenance was ∼1.7mg/kg. The least-squares-mean ΔHb in roxadustat-treated individuals was comparable to that in epoetin alfa-treated individuals (about -0.5g/dL) and the least-squares-mean difference in ΔHb between both treatment arms was -0.03 (95% CI, -0.39 to 0.33) g/dL (mixed effect model-repeated measure). Roxadustat significantly reduced mean total cholesterol levels, not observed with epoetin alfa. No safety concerns were raised. Limitations: Short treatment duration and small sample size. Conclusions: In this phase 2 study of anemia therapy in patients with end-stage renal disease on maintenance hemodialysis therapy, roxadustat was well tolerated and effectively maintained Hb levels.[1]
Previous studies have shown that inhibition of prolyl hydroxylase(PHD) stabilizes Hypoxia-inducible factor 1, alpha subunit(HIF-1α), increases tolerance to hypoxia, and improves the prognosis of many diseases. However, the role of PHD inhibitor (PHDI) in the recovery of spinal cord injury remains controversial. In this study, we investigated the protective role of a novel PHDI FG-4592 both in vivo and in vitro. FG-4592 treatment stabilized HIF1α expression both in PC12 cells and in spinal cord. FG-4592 treatment significantly inhibited tert-Butyl hydroperoxide(TBHP)-induced apoptosis and increases the survival of neuronal PC-12 cells. FG-4592 administration also improved recovery and increased the survival of neurons in spinal cord lesions in the mice model. Combination therapy including the specific HIF-1α blocker YC-1 down-regulated the HIF-1α expression and partially abolished the protective effect of FG-4592. Taken together, our results revealed that the role of FG-4592 in SCI recovery is related to the stabilization of HIF-1α and inhibition of apoptosis. Overall, our study suggests that PHDIs may be feasible candidates for therapeutic intervention after SCI and central nervous system disorders in humans.[2]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C19H16N2O5
Molecular Weight
352.34100
Exact Mass
352.105
Elemental Analysis
C, 64.77; H, 4.58; N, 7.95; O, 22.70
CAS #
808118-40-3
Related CAS #
Roxadustat-d5;2043026-13-5; 1537179-95-5 (potassium); 808118-40-3 (free); 1537180-01-0 (HCl); 1537179-94-4 (sodium); 1537180-03-2 (mesylate)
PubChem CID
11256664
Appearance
Light yellow to green yellow solid powder
Density
1.4±0.1 g/cm3
Boiling Point
684.3±55.0 °C at 760 mmHg
Melting Point
199-215°C
Flash Point
367.6±31.5 °C
Vapour Pressure
0.0±2.2 mmHg at 25°C
Index of Refraction
1.674
LogP
3.9
Hydrogen Bond Donor Count
3
Hydrogen Bond Acceptor Count
6
Rotatable Bond Count
5
Heavy Atom Count
26
Complexity
508
Defined Atom Stereocenter Count
0
SMILES
O=C(O)CNC(C1=C(O)C2=C(C(C)=N1)C=C(OC3=CC=CC=C3)C=C2)=O
InChi Key
YOZBGTLTNGAVFU-UHFFFAOYSA-N
InChi Code
InChI=1S/C19H16N2O5/c1-11-15-9-13(26-12-5-3-2-4-6-12)7-8-14(15)18(24)17(21-11)19(25)20-10-16(22)23/h2-9,24H,10H2,1H3,(H,20,25)(H,22,23)
Chemical Name
(4-hydroxy-1-methyl-7-phenoxyisoquinoline-3-carbonyl)glycine
Synonyms
Roxadustat; ASP1517; ASP 1517; Roxadustat (FG-4592); N-[(4-Hydroxy-1-methyl-7-phenoxy-3-isoquinolinyl)carbonyl]glycine; ASP-1517; FG-4592; FG4592; FG-4592;
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 (~283.82 mM)
H2O : < 0.1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (7.10 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (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 25.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.5 mg/mL (7.10 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 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

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Solubility in Formulation 3: ≥ 2.5 mg/mL (7.10 mM) (saturation unknown) in 5% DMSO + 95% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.


Solubility in Formulation 4: 5 mg/mL (14.19 mM) in 0.5% CMC-Na/saline water (add these co-solvents sequentially from left to right, and one by one), suspension solution; with ultrasonication.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.8382 mL 14.1908 mL 28.3817 mL
5 mM 0.5676 mL 2.8382 mL 5.6763 mL
10 mM 0.2838 mL 1.4191 mL 2.8382 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.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
NCT05970172 Recruiting Drug: Roxadustat Chronic Kidney Disease
Renal Anemia
Astellas Pharma Global
Development, Inc.
January 16, 2024 Phase 3
NCT04076943 Completed
Has Results
Drug: Roxadustat Chemotherapy Induced Anemia FibroGen August 20, 2019 Phase 2
NCT06020833 Not yet recruiting Drug: Roxadustat in combination
with retinoic acid
Myelodysplastic Syndromes Peking Union Medical College Hospital August 2023 Phase 1
Phase 2
NCT04454879 Completed Drug: Roxadustat Renal Anemia Peking University First Hospital July 1, 2020 Phase 4
Biological Data
  • Figure 1Study scheme. Abbreviations: IV, intravenous; pt, patient; TIW, thrice weekly.
  • Figure 2Hemoglobin levels over time (6 weeks) by treatment group. (A) Hb levels over time by dose cohort for participants randomly assigned to 6 weeks of treatment in part 1. Hb level responders are defined as the number (percent) of patients whose Hb levels did not decrease by >0.5 g/dL from their baseline (primary efficacy end point in part 1). (B) Least squares mean Hb levels over time (19 weeks), roxadustat-treated versus epoetin alfa–treated patients. Closed diamonds are roxadustat (n = 61); open circles are epoetin alfa (n = 22). ∗P values are from Fisher exact test (2 sided) comparing roxadustat with epoetin alfa. Error bars signify standard error (SE) of the mean.
  • Figure 3Baseline C-reactive protein (CRP) levels are correlated with (A) pre-enrollment epoetin alfa but not (B) roxadustat maintenance dose requirements. ∗N = 49: all participants randomly assigned to 19 weeks of roxadustat treatment and dosed beyond 12 weeks (maintenance phase) with valid baseline epoetin alfa dose data and valid baseline and average last 7 of 19 weeks of CRP data. Thus, this analysis did not include the 9 patients discontinued from roxadustat treatment for lack of efficacy (see Fig S1). Baseline CRP level was the average of the last 3 values prior to the first dose of study drug. CRP is plotted on the x-axis using a logarithmic scale. Abbreviation: LR, linear regression.
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