Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C24H29N3O8.ClH |
Molecular Weight | 523.963 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 4 / 4 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.[H][C@@]12CC3=C(C(O)=CC=C3CN(C)OC)C(=O)C1=C(O)[C@]4(O)C(=O)C(C(N)=O)=C(O)[C@@H](N(C)C)[C@]4([H])C2
InChI
InChIKey=APPRLAGZQKOUFL-FIPJBXKNSA-N
InChI=1S/C24H29N3O8.ClH/c1-26(2)18-13-8-11-7-12-10(9-27(3)35-4)5-6-14(28)16(12)19(29)15(11)21(31)24(13,34)22(32)17(20(18)30)23(25)33;/h5-6,11,13,18,28,30-31,34H,7-9H2,1-4H3,(H2,25,33);1H/t11-,13-,18-,24-;/m0./s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/27139351Curator's Comment: The description was created based on several sources, including
https://clinicaltrials.gov/ct2/show/NCT02413346 | https://clinicaltrials.gov/ct2/show/NCT02651012 | https://clinicaltrials.gov/ct2/show/NCT02320149 | https://clinicaltrials.gov/ct2/show/NCT02322866 | https://www.drugbank.ca/drugs/DB12035 |
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27139351
Curator's Comment: The description was created based on several sources, including
https://clinicaltrials.gov/ct2/show/NCT02413346 | https://clinicaltrials.gov/ct2/show/NCT02651012 | https://clinicaltrials.gov/ct2/show/NCT02320149 | https://clinicaltrials.gov/ct2/show/NCT02322866 | https://www.drugbank.ca/drugs/DB12035 |
Sarecycline (SC1401, WC3035) is a novel, once-daily, tetracycline-derived compound being developed by Paratek Pharmaceuticals and Allergan (previously Actavis) for use in the treatment of acne and rosacea. In preclinical studies, Sarecycline possesses favorable anti-inflammatory activity, plus narrow-spectrum antibacterial activity relative to other tetracycline-derived molecules. Sarecycline has been used in Phase III clinical trials studying the treatment of Acne Vulgaris. The primary objective was to evaluate the efficacy and safety of oral Sarecycline 1.5 mg/kg per day compared to placebo in treating inflammatory acne lesions in subjects with moderate to severe acne. Sarecycline was statistically significantly superior to placebo with respect to primary efficacy endpoints. The most common adverse events (>2%) reported in the sarecycline group were nausea (3.2%), nasopharyngitis (2.8%), and headache (2.8%). The rate of discontinuation due to adverse events among sarecycline-treated patients in the two studies combined was 1.4%.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2363135 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24002361 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | SEYSARA Approved UseSeysara is specifically indicated for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients 9 years of age and older. Launch Date2018 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1210 ng/mL |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
1590 ng/mL |
60 mg 1 times / day steady-state, oral dose: 60 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
1790 ng/mL |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
2570 ng/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
2620 ng/mL |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
1700 ng/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FED |
|
2480 ng/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
|
3820 ng/mL |
150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
14000 ng × h/mL |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
20700 ng × h/mL |
60 mg 1 times / day steady-state, oral dose: 60 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
21800 ng × h/mL |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
32200 ng × h/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
33800 ng × h/mL |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
31800 ng × h/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FED |
|
43200 ng × h/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
|
48200 ng × h/mL |
150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
21.9 h |
60 mg 1 times / day steady-state, oral dose: 60 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
20.7 h |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
20.9 h |
150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
SARECYCLINE plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1.5 mg/kg 1 times / day steady, oral (mean) Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p.93 |
unhealthy, 19.7 years (range: 9 to 45 years) n = 1300 Health Status: unhealthy Condition: acne vulgaris Age Group: 19.7 years (range: 9 to 45 years) Sex: M+F Population Size: 1300 Sources: Page: p.93 |
Disc. AE: Acne, Urticaria... AEs leading to discontinuation/dose reduction: Acne (3 patients) Sources: Page: p.93Urticaria (3 patients) |
150 mg 1 times / day steady, oral Recommended Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, > 9 years Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Sources: |
|
1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: |
Other AEs: Nausea, Vulvovaginal mycotic infection... Other AEs: Nausea (3.1%) Sources: Vulvovaginal mycotic infection (0.8%) Vulvovaginal candidiasis (0.6%) |
1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Other AEs: Headache, Nasopharyngitis... Other AEs: Headache (3.1%) Sources: Page: p. 17Nasopharyngitis (2.8%) Upper respiratory tract infection (1.6%) Blood creatine phosphokinase increased (1.2%) Diarrhea (1%) Oropharyngeal pain (1%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Acne | 3 patients Disc. AE |
1.5 mg/kg 1 times / day steady, oral (mean) Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p.93 |
unhealthy, 19.7 years (range: 9 to 45 years) n = 1300 Health Status: unhealthy Condition: acne vulgaris Age Group: 19.7 years (range: 9 to 45 years) Sex: M+F Population Size: 1300 Sources: Page: p.93 |
Urticaria | 3 patients Disc. AE |
1.5 mg/kg 1 times / day steady, oral (mean) Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p.93 |
unhealthy, 19.7 years (range: 9 to 45 years) n = 1300 Health Status: unhealthy Condition: acne vulgaris Age Group: 19.7 years (range: 9 to 45 years) Sex: M+F Population Size: 1300 Sources: Page: p.93 |
Vulvovaginal candidiasis | 0.6% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: |
Vulvovaginal mycotic infection | 0.8% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: |
Nausea | 3.1% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: |
Diarrhea | 1% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Oropharyngeal pain | 1% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Blood creatine phosphokinase increased | 1.2% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Upper respiratory tract infection | 1.6% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Nasopharyngitis | 2.8% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Headache | 3.1% | 1.5 mg/kg 1 times / day steady, oral (mean) Recommended Dose: 1.5 mg/kg, 1 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 1 times / day Sources: Page: p. 17 |
unhealthy, > 9 years n = 1064 Health Status: unhealthy Condition: acne vulgaris Age Group: > 9 years Population Size: 1064 Sources: Page: p. 17 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [IC50 6.95 uM] | yes (co-administration study) Comment: In a drug interaction study conducted in healthy subjects, co-administration of a single dose of 150 mg sarecycline tablet caused a 26% increase in digoxin Cmax,ss while AUC0-tau,ss did not change compared to that when digoxin was dosed alone. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/209521Orig1s000MultidisciplineR.pdf#page=58 Page: 58.0 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT02651012
1.5 mg/kg/day dose of oral sarecycline for duration of 12 week study
Route of Administration:
Oral
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C1595
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300000022414
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2059038
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36718856JR
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m12090
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ZZ-28
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CHEMBL2364632
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DBSALT002125
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C152300
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36718856JR
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1035979-44-2
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DTXSID701027925
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ACTIVE MOIETY
SUBSTANCE RECORD