Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C17H19F3N6O.C4H6O6 |
Molecular Weight | 530.4544 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 4 / 4 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O[C@H]([C@@H](O)C(O)=O)C(O)=O.CC[C@@H]1CN(C[C@@H]1C2=CN=C3C=NC4=C(C=CN4)N23)C(=O)NCC(F)(F)F
InChI
InChIKey=WQDBPGWQDBPVQZ-NBCXFSEXSA-N
InChI=1S/C17H19F3N6O.C4H6O6/c1-2-10-7-25(16(27)24-9-17(18,19)20)8-11(10)13-5-22-14-6-23-15-12(26(13)14)3-4-21-15;5-1(3(7)8)2(6)4(9)10/h3-6,10-11,21H,2,7-9H2,1H3,(H,24,27);1-2,5-6H,(H,7,8)(H,9,10)/t10-,11+;1-,2-/m11/s1
Upadacitinib (ABT-494) is a Janus kinase 1 (JAK1) inhibitor currently being developed by AbbVie for the treatment of rheumatoid arthritis (RA), Crohn’s disease, ulcerative colitis, atopic dermatitis, and psoriatic arthritis. It is also being investigated as a potential treatment for people with active ankylosing spondylitis (AS). Currently, upadacitinib is being evaluatedin six global phase III studies in RA and twophase III studies in psoriatic arthritis (PsA), inaddition to phase II studies in Crohn’s disease and atopicdermatitis and a combined phase II/III study inulcerative colitis. Upadacitinib is a potent and selective Janus kinase (JAK) 1 inhibitor with an IC50 of 43 nM.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2835 Sources: https://www.ncbi.nlm.nih.gov/pubmed/27577235 |
43.0 nM [IC50] | ||
Target ID: CHEMBL2971 Sources: https://www.ncbi.nlm.nih.gov/pubmed/27577235 |
200.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | RINVOQ Approved UseRINVOQ is a Janus kinase (JAK) inhibitor indicated for the treatment of
adults with moderately to severely active rheumatoid arthritis who have had
an inadequate response or intolerance to methotrexate. Launch Date2019 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
63.7 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29688617 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
UPADACITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
491 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29688617 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
UPADACITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
18.1 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29688617 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
UPADACITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
48% |
UPADACITINIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Other AEs: Anemia, Neutropenia... Other AEs: Anemia (2.4%) Sources: Neutropenia (4.8%) Atopic dermatitis (9.5%) Acne (14%) Headache (9.5%) Nasopharyngitis (7.1%) CPK increased (9.5%) Nausea (7.1%) |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: serious infection Age Group: adult Sources: |
Other AEs: Adverse event... Other AEs: Adverse event (grade 5) Sources: |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Disc. AE: Anemia, Vertigo... AEs leading to discontinuation/dose reduction: Anemia (2 patients) Sources: Page: p. 165Vertigo (2 patients) Bronchitis (2 patients) ALT increased (2 patients) Aspartate aminotransferase increased (3 patients) Increased serum creatinine (2 patients) Headache (2 patients) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Acne | 14% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Anemia | 2.4% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Neutropenia | 4.8% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Nasopharyngitis | 7.1% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Nausea | 7.1% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Atopic dermatitis | 9.5% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
CPK increased | 9.5% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Headache | 9.5% | 30 mg 1 times / day steady, oral Highest studied dose Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, 39.9 years (range: 18-75 years) n = 42 Health Status: unhealthy Condition: Moderate-to-Severe Atopic Dermatitis Age Group: 39.9 years (range: 18-75 years) Sex: M+F Population Size: 42 Sources: |
Adverse event | grade 5 | 15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: serious infection Age Group: adult Sources: |
ALT increased | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Anemia | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Bronchitis | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Headache | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Increased serum creatinine | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Vertigo | 2 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Aspartate aminotransferase increased | 3 patients Disc. AE |
15 mg 1 times / day steady, oral Recommended Dose: 15 mg, 1 times / day Route: oral Route: steady Dose: 15 mg, 1 times / day Sources: Page: p. 165 |
unhealthy, adult n = 1035 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: adult Population Size: 1035 Sources: Page: p. 165 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
no [IC50 181 uM] | weak (co-administration study) Comment: Clinically no meaningful effect on midazolam (sensitive CYP3A4 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) decreased Cmax by 16% and AUCinf by 26%., IC50=181 mcM (midazolam) and 212 mcM (teststerone), Upadacitinib caused no detectable time-dependent inhibition of any isoform tested upto a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
no [IC50 40.3 uM] | no (co-administration study) Comment: Clinically no meaningful effect on S-warffarin (sensitive CYP2C9 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) increased Cmax by 7% and AUCinf by 11%., Upadacitinib caused no detectable time-dependent inhibition of any isoform tested up to a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
no [IC50 >250 uM] | no (co-administration study) Comment: Clinically no meaningful effect on omeprazole (sensitive CYP2C19 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) increased AUCinf Ratio (5-OH OME to OME metabolic ratio) by 9%., Upadacitinib caused no detectable time-dependent inhibition of any isoform tested up to a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
no [IC50 >250 uM] | no (co-administration study) Comment: Clinically no meaningful effect on dextromethorphan (sensitive CYP2D6 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) increased Cmax by 9% and AUCinf by 7%., Upadacitinib caused no detectable time-dependent inhibition of any isoform tested up to a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
no [IC50 >250 uM] | weak (co-administration study) Comment: Clinically no meaningful effect on caffeine (sensitive CYP1A2 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) increased Cmax by 13% and AUCinf by 22%., Upadacitinib caused no detectable time-dependent inhibition of any isoform tested up to a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 77-85 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 87-89 |
no [IC50 >250 uM] | weak (co-administration study) Comment: Clinically no meaningful effect on bupropion (CYP2B6 substrate), Coadministration of Upadacitinib (30 mg QD extended-release) decreased Cmax by 13.2% and AUCinf by 7.6%., Upadacitinib caused no detectable time-dependent inhibition of any isoform tested up to a concentration of 50 µM. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=20 Page: 11, 18, 19, 23, 87-89 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 10 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 10 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
unlikely [IC50 120 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 220 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 35 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
unlikely [IC50 48 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
unlikely [IC50 510 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 >30 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 >30 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 >30 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
unlikely [IC50 >30 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=18 Page: 17, 23 |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=6 Page: 5, 10, 17, 18, 23, 70-72 |
major | yes (co-administration study) Comment: When upadacitinib was co-administered with ketoconazole (a strong CYP3A4 inhibitor, 400 mg QD x 6 days), upadacitinib exposure increased by 75% for AUC0-inf and 70% for Cmax. Upadacitinib should be used with caution if patients receive chronic treatment with strong CYP3A4 inhibitors. When upadacitinib was co-administered with rifampin (a strong CYP3A4 inducer, 600 mg QD x 9 days), upadacitinib exposure decreased by 61% for AUC0-inf and 51% for Cmax. Upadacitinib is not recommended to be co-administered with strong CYP3A4 inducers. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=6 Page: 5, 10, 17, 18, 23, 70-72 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=6 Page: 5, 11, 17 |
minor | |||
minor | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=24 Page: 23.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=12 Page: 11, 18, 23 |
no | no (co-administration study) Comment: OATP1B inhibitor (rifampin, 600 mg SD) do not have clinically meaningful effect on upadacitinib PK (increased Cmax by 14% and AUCinf by 7%). Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=12 Page: 11, 18, 23 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=11 Page: 10, 17, 23 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000ClinPharmR.pdf#page=11 Page: 10, 17, 23 |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/211675Orig1s000PharmR.pdf#page=49 Page: 20.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Efficacy and Safety of ABT-494, a Selective JAK-1 Inhibitor, in a Phase IIb Study in Patients With Rheumatoid Arthritis and an Inadequate Response to Methotrexate. | 2016 Dec |
|
A Phase IIb Study of ABT-494, a Selective JAK-1 Inhibitor, in Patients With Rheumatoid Arthritis and an Inadequate Response to Anti-Tumor Necrosis Factor Therapy. | 2016 Dec |
|
Pharmacokinetics, Safety and Tolerability of ABT-494, a Novel Selective JAK 1 Inhibitor, in Healthy Volunteers and Subjects with Rheumatoid Arthritis. | 2016 Dec |
|
Population Pharmacokinetics of Upadacitinib in Healthy Subjects and Subjects with Rheumatoid Arthritis: Analyses of Phase I and II Clinical Trials. | 2018 Aug |
Patents
Sample Use Guides
The recommended dose of RINVOQ (Upadacitinib) is 15 mg once daily.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27577235
Upadacitinib is a potent and selective Janus kinase (JAK) 1 inhibitor with an IC50 of 43 nM.
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91938019
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100000173006
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2095311-41-2
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NON-SPECIFIC STOICHIOMETRY |
ACTIVE MOIETY
SUBSTANCE RECORD