Compound Monograph
Oroxylin A
Oroxylin A is a mono-methoxy flavone (baicalein 6-methyl ether) from Chinese skullcap root and Oroxylum indicum. Its preclinical profile is pro-apoptotic, anti-inflammatory and neuroprotective, and it is unusual among the skullcap flavones for being a negative GABA-A modulator — pro-cognitive rather than sedative. It has completed a Phase I safety/PK trial as an isolated drug candidate.
Sources · 3
Where Does It Come From?
Oroxylin A is a naturally occurring methoxylated flavone (6-methoxyflavone; baicalein 6-methyl ether), found in Chinese skullcap, American skullcap and Indian trumpet tree. It is well tolerated orally (low toxicity).
Principal source Chinese Skullcap Scutellaria baicalensis Herb monograph →
Photo coming soon
Source American Skullcap Scutellaria lateriflora Herb monograph → Concentration
Content by Source
Concentrations not reported. No percent-dry-weight or mg/g figures have been published for this compound in its source plants.
Oroxylin A at a Glance
Oroxylin A is a naturally occurring methoxylated flavone — 5,7-dihydroxy-6-methoxyflavone, i.e. baicalein with a methyl group added at the 6-position (baicalein 6-methyl ether). It is a characteristic constituent of Chinese skullcap (Huang Qin) root, occurs in American skullcap aerial parts, and is the compound the tree Oroxylum indicum was named after.
Its research profile is that of a pro-apoptotic, anti-inflammatory and neuroprotective flavone: most of the literature is preclinical work on cancer-cell metabolism, inflammatory signalling and brain injury. Two things set it apart from its skullcap siblings. First, unlike the sedative flavone wogonin — a positive modulator at the GABA-A benzodiazepine site — oroxylin A is a negative GABA-A modulator, and in animals it is pro-cognitive rather than calming (its own named section below). Second, it is one of the few skullcap flavones to have crossed from bench pharmacology into formal drug development, completing a Phase I safety and pharmacokinetics trial as an isolated tablet.
As with the rest of the family, the honest headline is that the human evidence so far is a safety/PK study, not an efficacy trial — the therapeutic claims remain preclinical, and almost all of them test the isolated molecule rather than whole skullcap.
Oroxylin A vs. Wogonin: A Negative GABA-A Modulator
This is the most distinctive thing about the molecule and the reason it earns its own page. The Scutellaria flavones are often lumped together as “calming skullcap compounds,” but oroxylin A and wogonin pull the GABA-A receptor in opposite directions.
Wogonin is a positive modulator. It binds the benzodiazepine site of the GABA-A receptor and enhances GABAergic inhibition, producing an anxiolytic effect that is blocked by the benzodiazepine antagonist flumazenil (Ro15-1788) — a classic positive-allosteric-modulator signature 3Reference 3Anxiolytic effect of wogonin, a benzodiazepine receptor ligand isolated from Scutellaria baicalensis GeorgiView study →.
Oroxylin A does the reverse. In mice it reverses scopolamine- and diazepam-induced amnesia, improving performance on passive-avoidance, Y-maze and Morris-water-maze tasks; crucially, its pro-cognitive effect is antagonised by the GABA-A agonists muscimol and diazepam, and at the cellular level oroxylin A inhibits the GABA-induced inward chloride current in single cortical neurons 1Reference 1AnimalThe ameliorating effect of oroxylin A on scopolamine-induced memory impairment in miceView study →. In other words it behaves as a GABA-A antagonist / negative modulator — dialling down inhibitory tone rather than up. A separate study found it also facilitates memory consolidation, raising mature BDNF in the hippocampus after training 2Reference 2AnimalOroxylin A enhances memory consolidation through the brain-derived neurotrophic factor in miceView study →.
The practical upshot: within one plant, wogonin trends sedative/anxiolytic and oroxylin A trends pro-cognitive/anti-amnesic, and a whole-root extract carries both. This is a preclinical, rodent-level distinction — there is no human cognition trial of isolated oroxylin A — but it is a clean mechanistic contrast, and it is why oroxylin A is discussed as a nootropic-leaning flavone while wogonin is discussed as a calming one.
Clinical Development Status
Oroxylin A is unusual among plant flavones in having entered formal clinical development as an isolated drug candidate. A Phase I, double-blind, placebo-controlled trial in Chinese healthy volunteers tested oroxylin A tablets across single ascending doses (400, 800, 1,600 and 2,400 mg), multiple doses (1,600 or 2,400 mg once daily for 10 days) and a food-effect arm 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →.
The trial was a safety and pharmacokinetics study, not an efficacy trial: it reported no dose-limiting toxicities, serious adverse events or deaths, with gastrointestinal adverse events more common on repeat dosing; oroxylin A appeared rapidly in plasma, Cmax rose roughly dose-proportionally while AUC rose less than dose-proportionally (a hint of saturable absorption), a high-fat meal raised Cmax ~1.6-fold, and the profile supported once-daily, after-meals dosing in future studies 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →. It is being developed chiefly on the strength of its antitumor preclinical record.
This matters for reading everything below: the compound has a clean early human safety signal, but its disease claims are still preclinical.
What It's Used For
Oroxylin A’s pharmacology is broad and mechanistically interesting, but the evidence base is preclinical and dominated by the isolated molecule — cell lines and rodent models — with the only human data being the Phase I safety/PK study above 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →.
Support is an experimental score — weighted by study type (human > animal > in vitro) and volume. A beta, not a validated metric. There is a completed human safety/PK trial but no efficacy trial, so every application below rests on preclinical data and scores accordingly.
The deepest part of the file and the basis for the drug-development program. Across multiple tumour types oroxylin A is pro-apoptotic and works substantially by reprogramming cancer-cell metabolism — reversing the glycolysis-dependent Warburg phenotype. A derivative (oroxylin A phosphate diethyl ester) triggers SIRT3 activation, mitochondrial dysfunction and apoptosis in non-small-cell lung cancer cells 6Reference 6SIRT3 activation by oroxylin A phosphate diethyl ester triggers mitochondrial dysfunction and apoptosis in non-small cell lung cancerView study →, and in a hepatocellular-carcinoma model oroxylin A promoted transfer of glycolytic kinases via apoptotic extracellular vesicles, remodelling the tumour immune microenvironment 7Reference 7Oroxylin A promoted apoptotic extracellular vesicles transfer of glycolytic kinases to remodel immune microenvironment in hepatocellular carcinoma modelView study →.
The recurring themes are SIRT3 (a mitochondrial deacetylase) and interference with glycolytic-kinase / HIF-1α signalling 6,
Gap: entirely cell-line and rodent data on the isolate (and in places on a synthetic derivative, not the parent flavone); the completed human trial measured safety and PK, not tumour response 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →, so there is no clinical efficacy evidence yet.
The application that distinguishes oroxylin A from its sedative sibling wogonin (see the dedicated section above). In mice, oroxylin A reverses scopolamine- and diazepam-induced memory impairment across passive-avoidance, Y-maze and water-maze tasks; the effect is blocked by GABA-A agonists (muscimol, diazepam) and it inhibits the GABA-induced chloride current in cortical neurons — i.e. it acts as a negative GABA-A modulator 1Reference 1AnimalThe ameliorating effect of oroxylin A on scopolamine-induced memory impairment in miceView study →.
Separately it facilitates memory consolidation and raises hippocampal mature BDNF 2Reference 2AnimalOroxylin A enhances memory consolidation through the brain-derived neurotrophic factor in miceView study →, and Oroxylum indicum extract (an oroxylin-A source) eased chemotherapy-induced cognitive impairment in a rodent model 11Reference 11Oroxylum indicum ameliorates chemotherapy induced cognitive impairmentView study →.
Gap: rodent isolate only, at defined injected doses; no human cognition trial of isolated oroxylin A, and the negative GABA-A action that helps cognition is also the reason to be cautious about high-dose CNS effects (see Toxicity).
A coherent anti-inflammatory signal centred on the NLRP3 inflammasome. Oroxylin A inhibited experimental colitis by inactivating NLRP3, reducing downstream inflammatory signalling 9Reference 9Oroxylin A inhibits colitis by inactivating NLRP3 inflammasomeView study →, and in a hyperosmotic corneal-epithelial model it alleviated pyroptosis and apoptosis by activating the SIRT3-SOD2 / HIF-1α pathway 8Reference 8Oroxylin A alleviates pyroptosis and apoptosis in human corneal epithelial cells under hyperosmotic stress by activating the SIRT3-SOD2/HIF-1α pathwayView study → — tying its anti-inflammatory and anti-cancer stories to the same SIRT3/mitochondrial node.
Gap: disease models (colitis) and cell systems, all on the isolate; no human anti-inflammatory trial, and the NLRP3 work has not been reproduced clinically 9,
Beyond the pro-cognitive GABA story, oroxylin A shows a brain-energetics neuroprotective signal. In a post-ischaemic-stroke model it promoted neuronal ATP production and improved neuropsychiatric outcomes by suppressing a CDK9/p53/VDAC axis that otherwise starves neurons of energy during reperfusion 10Reference 10Suppression of neuronal CDK9/p53/VDAC signaling provides bioenergetic support and improves post-stroke neuropsychiatric outcomesView study →. This is mechanistically distinct from the receptor-level cognition work — it is about mitochondrial bioenergetic support in injured brain.
Gap: a single rodent stroke model on the isolate; no human neuroprotection data 10Reference 10Suppression of neuronal CDK9/p53/VDAC signaling provides bioenergetic support and improves post-stroke neuropsychiatric outcomesView study →.
A smaller but oroxylin-A-specific literature covers the liver. A dedicated review compiles its role in liver fibrosis, where oroxylin A is reported to act on hepatic myofibroblast activation and the fibrotic extracellular-matrix program 13Reference 13Deciphering the role of oroxylin A in liver fibrosisView study →; this sits alongside the broader anti-inflammatory/SIRT3 theme.
Gap: preclinical, and summarised at review level rather than resting on human outcomes; no clinical anti-fibrotic trial of the isolate 13Reference 13Deciphering the role of oroxylin A in liver fibrosisView study →.
Mechanisms
| Target / pathway | Effect | Relevant to |
|---|---|---|
| GABA-A receptor (benzodiazepine site) | negative modulation — inhibits GABA-induced Cl⁻ current, effect blocked by muscimol/diazepam (opposite of wogonin’s positive modulation) | pro-cognitive / anti-amnesic |
| BDNF (hippocampus) | raises mature BDNF → facilitated memory consolidation | pro-cognitive |
| SIRT3 (mitochondrial deacetylase) | activation → mitochondrial remodelling; apoptosis in cancer cells; SOD2-linked antioxidant protection | anticancer; anti-inflammatory |
| Aerobic glycolysis / glycolytic kinases / HIF-1α | reverses the Warburg phenotype; redistributes glycolytic kinases; remodels tumour immune microenvironment | anticancer |
| NLRP3 inflammasome | inactivation → reduced inflammatory/pyroptotic signalling | anti-inflammatory |
| CDK9 / p53 / VDAC axis | suppression → preserved neuronal ATP after ischaemia | neuroprotective (stroke) |
The load-bearing points are two: the negative GABA-A modulation (the wogonin contrast, and the pro-cognitive signal), and SIRT3 as a shared node linking the anticancer, anti-inflammatory and antioxidant effects.
Pharmacokinetics
The Phase I trial gives the clearest human picture: oral oroxylin A tablets are rapidly absorbed (tmax ≈ 0.17–5.0 h), Cmax rises roughly dose-proportionally while AUC rises less than dose-proportionally — consistent with saturable absorption at higher doses — with moderate accumulation (~1.5–1.7-fold) over 10 days of once-daily dosing and a positive food effect (a high-fat meal raised Cmax ~1.6-fold), hence the recommendation to dose after meals 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →. Like other skullcap flavones, oroxylin A undergoes extensive phase-II metabolism — in-vitro/in-vivo metabolite work identifies glucuronide and other conjugates as major species across test systems 5Reference 5In vitroMetabolites identification and species comparison of oroxylin A, an anti-cancer flavonoid, in vitro and in vivo by HPLC-Q-TOF-MS/MSView study →, and in a whole-extract bioavailability model oroxylin A and its glucuronide were the only skullcap bioactives able to cross the Caco-2 intestinal barrier and an artificial lipid membrane, respectively 12Reference 12In vitroIn vitro assessment of cortisol release inhibition, bioaccessibility and bioavailability of a chemically characterized Scutellaria lateriflora L. hydroethanolic extractView study →. That conjugation-heavy disposition is the usual reason flavone plasma levels stay modest and why in-vitro potencies do not translate one-to-one to systemic exposure.
Clinical Trials
Human evidence is limited to one completed Phase I safety/PK study in healthy volunteers of pharmaceutical-grade oroxylin A tablets 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study → (trial registration ChiCTR2100051434). There are no completed efficacy trials in any indication; the disease rationale (chiefly oncology) rests on preclinical work.
| Completed | Planned | Terminated | Preclinical |
|---|---|---|---|
| Phase I safety/PK in healthy volunteers (isolated tablet) 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study → | Efficacy studies implied by the antitumor development program (not yet reported) | — | Anticancer(SIRT3 / glycolysis), pro-cognitive (GABA-A), anti-inflammatory (NLRP3), neuroprotective, anti-fibrotic |
Last checked: July 2026.
Isolate vs. Plant Studies
Oroxylin A’s evidence is overwhelmingly the isolated molecule — a strength for mechanistic clarity, a limit for whole-herb translation. The cancer-metabolism, GABA-A, NLRP3 and stroke studies all test purified oroxylin A (or, in the lung-cancer work, a synthetic phosphate-ester derivative 6Reference 6SIRT3 activation by oroxylin A phosphate diethyl ester triggers mitochondrial dysfunction and apoptosis in non-small cell lung cancerView study →) in cells or rodents 1,
Its Role in Plants
In Scutellaria and Oroxylum, oroxylin A belongs to the family’s characteristic flavone chemistry. It is biosynthetically a methylated derivative of baicalein — the 6-methyl ether — placing it downstream of the same free-B-ring flavone pathway that yields baicalein, baicalin, scutellarein and wogonin from the root. These flavones function largely as defence and antioxidant compounds for the plant; oroxylin A itself is a minor member of that mixture rather than a dominant one. As always, a molecule’s role in the plant does not predict its pharmacology in people.
Prevalence in Nature
Oroxylin A is not a widespread plant volatile but a taxonomically narrow flavone, concentrated in two lineages:
- Skullcaps (Scutellaria). It is a minor root flavone of Chinese skullcap (S. baicalensis, Huang Qin), where it accompanies the far more abundant baicalin (roughly 8–12% of the dried root), baicalein (~5%) and wogonin (~1.3%) 14Reference 14Systematic reviewA systematic review of evidence-based health benefits of Oroxylum indicum and its functional food potentialView study →. It also occurs in American skullcap (S. lateriflora) aerial parts, notable there as one of the few constituents demonstrably absorbable across the gut barrier 12Reference 12In vitroIn vitro assessment of cortisol release inhibition, bioaccessibility and bioavailability of a chemically characterized Scutellaria lateriflora L. hydroethanolic extractView study →.
- Indian trumpet tree (Oroxylum indicum). The compound is named after this species and appears across its ethnopharmacology and functional-food literature 11,
14Reference 11Oroxylum indicum ameliorates chemotherapy induced cognitive impairmentView study →Reference 14Systematic reviewA systematic review of evidence-based health benefits of Oroxylum indicum and its functional food potentialView study → .
Precise percentage figures for oroxylin A specifically are not well quantified in the sources reviewed here — it is consistently described qualitatively as a minor skullcap flavone rather than given a dry-weight range (logged in this compound’s gaps tracker to chase).
Discovery & Synthesis
Oroxylin A takes its name from Oroxylum indicum, the tree from which flavones of this type were characterised, and it has long been recognised as a constituent of Scutellaria baicalensis root, one of the most-used herbs in traditional Chinese medicine 1,
Patents: not yet researched.
Toxicity & Safety
Oroxylin A carries a low flag: the completed Phase I trial reported no dose-limiting toxicities, serious adverse events or deaths across single doses up to 2,400 mg and 10-day repeat dosing, with the main finding being more frequent gastrointestinal adverse events on multiple dosing 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →. That is a clean early human safety signal for an isolated flavone. The caveats are about context, not acute hazard.
- Clean Phase I safety signal. No dose-limiting toxicities, serious adverse events or deaths in healthy volunteers up to 2,400 mg single and 2,400 mg/day repeat dosing; main effect was mild-to-moderate GI upset on multiple dosing 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →.
- CNS-active in an excitatory direction. As a negative GABA-A modulator it lowers inhibitory tone (that is how it aids cognition in rodents) — so at high isolated doses the theoretical concern is over-excitation, and it should not be assumed to be sedative like the rest of skullcap 1Reference 1AnimalThe ameliorating effect of oroxylin A on scopolamine-induced memory impairment in miceView study →.
- Pro-apoptotic / metabolism-altering by design. Its anticancer mechanisms (SIRT3, glycolysis, mitochondrial) are potent cellular actions; the consequences of chronic high-dose isolated exposure in healthy tissue are not established beyond the short Phase I window 6,
8Reference 6SIRT3 activation by oroxylin A phosphate diethyl ester triggers mitochondrial dysfunction and apoptosis in non-small cell lung cancerView study →Reference 8Oroxylin A alleviates pyroptosis and apoptosis in human corneal epithelial cells under hyperosmotic stress by activating the SIRT3-SOD2/HIF-1α pathwayView study → . - Interaction scope not characterised. Flavones of this family modulate drug-metabolising enzymes and transporters; specific CYP/UGT/transporter interaction data for isolated oroxylin A were not assessed here — absence of data is not evidence of safety.
Pregnancy/lactation is a per-herb / per-supplement decision and is not adjudicated on this molecule page; dedicated human reproductive data for isolated oroxylin A are lacking, and no isolate-specific verdict is issued here.
Dosage
There is no established dietary or supplement dose for isolated oroxylin A. The only human figures are research doses from the Phase I trial of pharmaceutical-grade tablets 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →:
| Setting | Form | Dose studied |
|---|---|---|
| Single ascending dose (Phase I) | Oral tablet | 400, 800, 1,600, 2,400 mg (single) |
| Multiple dose (Phase I) | Oral tablet | 1,600 or 2,400 mg once daily × 10 days |
| Food-effect arm (Phase I) | Oral tablet | 1,600 mg single, fed vs. fasted |
These were administered under medical supervision to characterise safety and pharmacokinetics, and the data supported once-daily, after-meals dosing in future studies 4Reference 4RCTSafety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect studyView study →. Herbal exposure is indirect and much smaller — oroxylin A is a minor flavone within a whole skullcap-root dose, taken alongside larger amounts of baicalin, baicalein and wogonin, not as an isolate. These are research figures, not a personal recommendation.
References
- Kim DH, et al. (2007). The ameliorating effect of oroxylin A on scopolamine-induced memory impairment in mice. Neurobiology of Learning and Memory. https://pubmed.ncbi.nlm.nih.gov/17196405/
- Kim DH, et al. (2014). Oroxylin A enhances memory consolidation through the brain-derived neurotrophic factor in mice. Brain Research Bulletin. https://pubmed.ncbi.nlm.nih.gov/25218897/
- Hui KM, et al. (2002). Anxiolytic effect of wogonin, a benzodiazepine receptor ligand isolated from Scutellaria baicalensis Georgi. Biochemical Pharmacology. https://pubmed.ncbi.nlm.nih.gov/12392823/
- Yang F, et al. (2026). Safety and pharmacokinetics evaluation of oroxylin A in Chinese healthy volunteers: a phase I, double-blind, placebo-controlled, single ascending dose, multiple dose, and food effect study. Clinical & Translational Oncology. https://pubmed.ncbi.nlm.nih.gov/40903694/
- Bian Y, et al. (2022). Metabolites identification and species comparison of oroxylin A, an anti-cancer flavonoid, in vitro and in vivo by HPLC-Q-TOF-MS/MS. Xenobiotica. https://pubmed.ncbi.nlm.nih.gov/35345974/
- Lee CW, et al. (2026). SIRT3 activation by oroxylin A phosphate diethyl ester triggers mitochondrial dysfunction and apoptosis in non-small cell lung cancer. International Journal of Biological Sciences. https://pubmed.ncbi.nlm.nih.gov/42212315/
- Wang P, et al. (2023). Oroxylin A promoted apoptotic extracellular vesicles transfer of glycolytic kinases to remodel immune microenvironment in hepatocellular carcinoma model. European Journal of Pharmacology. https://pubmed.ncbi.nlm.nih.gov/37660969/
- Liu X, et al. (2025). Oroxylin A alleviates pyroptosis and apoptosis in human corneal epithelial cells under hyperosmotic stress by activating the SIRT3-SOD2/HIF-1α pathway. Experimental Eye Research. https://pubmed.ncbi.nlm.nih.gov/40096905/
- Zhou W, et al. (2017). Oroxylin A inhibits colitis by inactivating NLRP3 inflammasome. Oncotarget. https://pubmed.ncbi.nlm.nih.gov/28938606/
- Xia J, et al. (2024). Suppression of neuronal CDK9/p53/VDAC signaling provides bioenergetic support and improves post-stroke neuropsychiatric outcomes. Cellular and Molecular Life Sciences. https://pubmed.ncbi.nlm.nih.gov/39235466/
- Pondugula SR, et al. (2021). Oroxylum indicum ameliorates chemotherapy induced cognitive impairment. PLoS One. https://pubmed.ncbi.nlm.nih.gov/34081735/
- Buccato DG, et al. (2024). In vitro assessment of cortisol release inhibition, bioaccessibility and bioavailability of a chemically characterized Scutellaria lateriflora L. hydroethanolic extract. Molecules. https://pubmed.ncbi.nlm.nih.gov/38338331/
- Wang S, et al. (2025). Deciphering the role of oroxylin A in liver fibrosis. Drug Design, Development and Therapy. https://pubmed.ncbi.nlm.nih.gov/41049034/
- Nguyen HL, et al. (2025). A systematic review of evidence-based health benefits of Oroxylum indicum and its functional food potential. Foods. https://pubmed.ncbi.nlm.nih.gov/41154001/
