Clofibride

Last updated
Clofibride
Clofibride.svg
Clinical data
ATC code
Pharmacokinetic data
Metabolism Hydrolyzed to clofibric acid; hepatic glucuronidation
Elimination half-life 12 hours (clofibric acid)
Excretion Renal (mostly) and fecal
Identifiers
  • 3-(dimethylcarbamoyl)propyl 2-(4-chlorophenoxy)-2-methylpropanoate
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard 100.043.542 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula C16H22ClNO4
Molar mass 327.81 g·mol−1
3D model (JSmol)
  • Clc1ccc(OC(C(=O)OCCCC(=O)N(C)C)(C)C)cc1
  • InChI=1S/C16H22ClNO4/c1-16(2,22-13-9-7-12(17)8-10-13)15(20)21-11-5-6-14(19)18(3)4/h7-10H,5-6,11H2,1-4H3 Yes check.svgY
  • Key:CXQGFLBVUNUQIA-UHFFFAOYSA-N Yes check.svgY
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Clofibride is a fibrate. Clofibride is a derivative of clofibrate. In the body it is converted into 4-chlorophenoxyisobutyric acid (clofibric acid), [1] which is the true hypolipidemic agent. [2] So clofibride, just like clofibrate is a prodrug of clofibric acid.

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<span class="mw-page-title-main">Fibrate</span> Class of chemical compounds

In pharmacology, the fibrates are a class of amphipathic carboxylic acids and esters. They are derivatives of fibric acid. They are used for a range of metabolic disorders, mainly hypercholesterolemia, and are therefore hypolipidemic agents.

ATC code C10Lipid modifying agents is a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organization (WHO) for the classification of drugs and other medical products. Subgroup C10 is part of the anatomical group C Cardiovascular system.

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Substances, mixtures and exposure circumstances in this list have been classified by the International Agency for Research on Cancer (IARC) as group 3: The agent is not classifiable as to its carcinogenicity to humans. This category is used most commonly for agents, mixtures and exposure circumstances for which the evidence of carcinogenicity is inadequate in humans and inadequate or limited in experimental animals. Exceptionally, agents (mixtures) for which the evidence of carcinogenicity is inadequate in humans but sufficient in experimental animals may be placed in this category when there is strong evidence that the mechanism of carcinogenicity in experimental animals does not operate in humans. Agents, mixtures and exposure circumstances that do not fall into any other group are also placed in this category.

<span class="mw-page-title-main">Beta oxidation</span> Process of fatty acid breakdown

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<span class="mw-page-title-main">Fenofibrate</span> Drug of the fibrate class, mainly used to reduce cholesterol levels

Fenofibrate, is an oral medication of the fibrate class used to treat abnormal blood lipid levels. It is less commonly used compared than statins because it treats a different type of cholesterol abnormality to statins. While statins have strong evidence for reducing heart disease and death, there is evidence to suggest that fenofibrate also reduces to the risk of heart disease and death. However, this seems only to apply to specific populations of people with elevated triglyceride levels and reduced high-density lipoprotein (HDL) cholesterol. Its use is recommended together with dietary changes.

<span class="mw-page-title-main">Clofibric acid</span> Chemical compound

Clofibric acid is a biologically active metabolite of the lipid-lowering drugs clofibrate, etofibrate and theofibrate with the molecular formula C10H11ClO3. It has been found in the environment following use of these drugs, for example in Swiss lakes and the North Sea.

Ronifibrate is a fibrate, a hypolipidemic agent. It is a combined ester of clofibric acid and niacin with 1,3-propanediol. In the body, the ester is split to 1,3-propanediol and both acids which work in the same way, lowering lipids in blood.

Simfibrate is a fibrate that has been used for the treatment of hyperlipidemia. The substance is a double ester of clofibric acid with 1,3-propanediol which is cleaved in the body to one molecule of 1,3-propanediol and two molecules of clofibric acid which is the true lipid-lowering agent.

Aluminium clofibrate is a fibrate.

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The molecular formula C10H11ClO3 (molar mass: 214.64 g/mol, exact mass: 214.0397 u) may refer to:

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Acefylline clofibrol is a derivative of acefylline and clofibrate used as a hypolipidemic agent.

<span class="mw-page-title-main">Tibric acid</span> Chemical compound

Tibric acid is a sulfamylbenzoic acid that acts as a hypolipidemic agent. Although it was found to be more powerful than clofibrate in lowering lipid levels, it was found to cause liver cancer in mice and rats, and so was not introduced as a human drug. In rats it causes an increase in peroxisomes, and liver enlargement, and then liver cancer. However the peroxisome changes do not occur in humans, and it is not likely to cause liver cancer in humans.

The Coronary Drug Project (CDP) was a large clinical trial which assessed several different treatments for coronary heart disease in men with previous myocardial infarction. The study was conducted from 1965 to 1985 at 53 clinical centers and randomized 8,341 men age 30 to 64 years to six different treatment groups: low-dose estrogen therapy, high-dose estrogen therapy, clofibrate (1.8 g/day), dextrothyroxine (6 mg/day), niacin (3 g/day), and placebo.

References

  1. "Clofibride".
  2. Entry on Clofibrat . at: Römpp Online . Georg Thieme Verlag, retrieved 06. Mai 2020.