NOS1 nitric oxide synthase 1
ENSG00000089250 · protein coding · Open Targets profile
Produces nitric oxide (NO) which is a messenger molecule with diverse functions throughout the body. In the brain and peripheral nervous system, NO displays many properties of a neurotransmitter. Probably has nitrosylase activity and mediates cysteine S-nitrosylation of cytoplasmic target proteins such SRR. .
Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.
Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.
Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.
Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.
Tractability
- Small molecule
- Advanced Clinical, Structure with Ligand, High-Quality Ligand, Druggable Family
- Antibody
- GO CC high conf, UniProt loc med conf, Human Protein Atlas loc
- PROTAC
- UniProt Ubiquitination, Half-life Data, Small Molecule Binder
gnomAD loss of function constraint: o/e 0.30998000502586365 (upper bound 0.39142999053001404). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.
Who runs trials of these drugs
Principal investigators and study chairs on 7 registry trials, updated in the last three years, of the most advanced drugs against NOS1 (tilarginine), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.
- Polly A NiravathHouston Methodist Cancer Center · 1 of 1 trials Phase 2+
- Polly NiravathHouston Methodist Cancer Center · 1 of 1 trials Phase 2+
- David W WrayUniversity of Utah · 0 of 1 trials Phase 2+
- Julian M. StewartNew York Medical College · 0 of 1 trials Phase 2+
- Jun ZhangHouston Methodist Cancer Center · 0 of 1 trials Phase 2+
Registry trials of tilarginine updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 7 of 7 have all sites in one country.
Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. Source: ClinicalTrials.gov, fetched live.
10 trials of drugs against NOS1 were stopped early; 5 give no reason
Terminated, withdrawn and suspended interventional trials of tilarginine, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 10 most recent of 10.
- terminated · 2024-03-27 · GlaxoSmithKline · matched by the registry's drug synonyms“The study is terminated due to feasibility in recruitment.”
- terminated · 2022-02-11 · University of Wisconsin, Madison · matched by the registry's drug synonyms“Due to COVID-19, difficulty obtaining study drugs, difficulty recruiting obese subjects, and limited access to on-call physicians.”
- terminated · 2019-12-17 · National Heart, Lung, and Blood Institute (NHLBI) · matched by the registry's drug synonymsNo reason given
- withdrawn · 2019-08-15 · Medical University of Vienna · matched by the registry's drug synonymsNo reason given
- withdrawn · 2019-01-10 · University of Wisconsin, Madison · matched by the registry's drug synonyms“This study was never funded, never fully IRB approved, and thus never enrolled anyone.”
- terminated · 2018-08-15 · Emory University · matched by the registry's drug synonyms“Limited clinical staff”
- terminated · 2018-01-23 · University of Michigan · matched by the registry's drug synonyms“Futility: Impossible to recruit enough hypertensive participants to match Chronic Kidney Disease (CKD) participants on needed parameters.”
- terminated · 2014-11-17 · Medical University of Vienna · matched by the registry's drug synonymsNo reason given
- terminated · 2014-11-14 · Medical University of Vienna · matched by the registry's drug synonymsNo reason given
- terminated · 2006-08-04 · Arginox Pharmaceuticals · Tilarginine Acetate Injection intravenous infusionNo reason given
Paediatric incentives and obligations for NOS1's drugs
For tilarginine: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.
- FDA pediatric target list: no · NOS1 is not on the listRule: Target is on FDA's Pediatric Molecular Target List (relevant targets). Source: FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01)), 2026-11-11
- EU paediatric investigation plan: no · No EMA paediatric investigation plan decision names tilarginineRule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
- EU orphan designation: yes · EU/3/05/330 withdrawn 3 Nov 2005: Treatment of cardiogenic shockRule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA EU/3/05/330, 2026-11-11
- Authorised in the EU: no · EMA lists no centrally authorised medicine of tilarginineRule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
- FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the linkRule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
- FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of tilarginineRule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
- Registered studies open to children: yes · 5 interventional studies of tilarginine include patients under 18; 0 are recruiting, not yet recruiting or activeRule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11
Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs
All 2 drugs and clinical candidates as a table
Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.
| Drug | Type | Highest stage | Indications | Source records |
|---|---|---|---|---|
| TILARGININE ACETATE | Small molecule | phase 3 | myocardial infarction, acute myocardial infarction, angina pectoris | Open Targets · ChEMBL |
| TILARGININE | Small molecule | phase 2 | acute chest syndrome, sickle cell disease, metaplastic breast carcinoma, triple-negative breast carcinoma, breast cancer, cirrhosis of liver, septic shock, pulmonary hypertension, +24 more | Open Targets · ChEMBL |