Irodanoprost

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Irodanoprost

CAS 2055490-48-5

MF C34H44F2N2O13P2 MW788.7 g/mol

7-[(2R)-2-[(E,3R)-4,4-difluoro-3-[2-[4-[(4-hydroxy-4,4-diphosphonobutyl)carbamoyl]phenyl]acetyl]oxy-4-phenylbut-1-enyl]-5-oxopyrrolidin-1-yl]heptanoic acid

(2R)-2-[(1E,3R)-4,4-Difluoro-3-[[2-[4-[[(4-hydroxy-4,4-diphosphonobutyl)amino]carbonyl]phenyl]acetyl]oxy]-4-phenyl-1-buten-1-yl]-5-oxo-1-pyrrolidineheptanoic acid

7-[(2R)-2-{(1E,3R)-4,4-difluoro-3-[({4-[(4-hydroxy-4,4-diphosphonobutyl)carbamoyl]phenyl}acetyl)oxy]-4-phenylbut-1-en-1-yl}-5-oxopyrrolidin-1-yl]heptanoic acid
prostaglandin receptor agonist, osteogenesis-related diseases, KP8BK46Z6R, MES 1022

Irodanoprost (also known as MES-1022) is a clinical-stage, bone- and pathology-targeted small molecule prodrug that acts as a potent and selective agonist for the prostaglandin E2 receptor subtype 4 (EP4). Developed by the pharmaceutical company Mesentech Inc., the compound is designed to treat severe musculoskeletal and rare muscle-wasting diseases

Therapeutic Mechanism

Systemic activation of the EP4 receptor has long been known to stimulate bone and muscle regeneration. However, its clinical use was previously restricted due to toxic off-target side effects like severe hypotension and gastrointestinal issues.

Irodanoprost overcomes this barrier through a unique “pathology-targeted” conjugate design:

  • Targeting Mechanism: The EP4 agonist is chemically linked to a moiety that binds selectively to calcium-rich tissues—such as bone matrices or damaged, dystrophic muscle fibers.
  • Local Activation: Once it accumulates at the site of damage, it delivers localized therapeutic signaling while avoiding systemic tissues.

Primary Target Indications

The drug candidate is primarily under investigation for several rare or progressive degenerative diseases:

  • Duchenne Muscular Dystrophy (DMD): Preclinical trials on advanced DMD rat models published in bioRxiv demonstrate that irodanoprost actively blocks the differentiation of fibro-adipogenic progenitors, effectively reversing established muscle fibrosis and restoring muscle mass to wild-type levels.
  • Osteogenesis Imperfecta (Brittle Bone Disease): Utilizing its bone-anabolic pathway to promote bone growth and strength.
  • Facioscapulohumeral Muscular Dystrophy (FSHD)
  • Osteoporosis

PAT

EP-3307747-A1
US-10400000-B2
US-11312737-B2
US-20180170951-A1
US-20190345179-A1
WO-2016199111-A1

PAT

https://patentscope.wipo.int/search/en/detail.jsf?docId=WO2016199111&_cid=P11-MQ7G6Y-06859-1

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////////////irodanoprost, ANAX LABS, prostaglandin receptor agonist, osteogenesis-related diseases, KP8BK46Z6R, MES 1022

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