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Details

Stereochemistry ABSOLUTE
Molecular Formula 2C28H28F2N6O3.H2O4S
Molecular Weight 1167.193
Optical Activity UNSPECIFIED
Defined Stereocenters 6 / 6
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of RIMEGEPANT SULFATE ANHYDROUS

SMILES

OS(O)(=O)=O.N[C@H]1[C@@H](CC[C@@H](OC(=O)N2CCC(CC2)N3C(=O)NC4=C3C=CC=N4)C5=C1C=CC=N5)C6=CC=CC(F)=C6F.N[C@H]7[C@@H](CC[C@@H](OC(=O)N8CCC(CC8)N9C(=O)NC%10=C9C=CC=N%10)C%11=C7C=CC=N%11)C%12=CC=CC(F)=C%12F

InChI

InChIKey=PQYZLKPVYCNNME-WLKALFMDSA-N
InChI=1S/2C28H28F2N6O3.H2O4S/c2*29-20-6-1-4-17(23(20)30)18-8-9-22(25-19(24(18)31)5-2-12-32-25)39-28(38)35-14-10-16(11-15-35)36-21-7-3-13-33-26(21)34-27(36)37;1-5(2,3)4/h2*1-7,12-13,16,18,22,24H,8-11,14-15,31H2,(H,33,34,37);(H2,1,2,3,4)/t2*18-,22+,24-;/m00./s1

HIDE SMILES / InChI
Bristol-Myers Squibb developed Rimegepant, also known as BMS-927711. Rimegepant is a potent, selective, competitive and orally active calcitonin gene-related peptide (CGRP) antagonist in clinical trials for treating migraine. Rimegepant has shown in vivo efficacy without vasoconstrictor effect; it is superior to placebo at several different doses (75 mg, 150 mg, and 300 mg) and has an excellent tolerability profile.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1045.53 ng/mL
75 mg single, oral
dose: 75 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RIMEGEPANT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
4718.71 ng × h/mL
75 mg single, oral
dose: 75 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RIMEGEPANT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
10.398 h
75 mg single, oral
dose: 75 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RIMEGEPANT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 18-75 years
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: 18-75 years
Sex: M+F
Population Size: 682
Sources:
Other AEs: Nausea, Hypersensitivity...
Other AEs:
Nausea (2%)
Hypersensitivity (<1%)
Dyspnea (<1%)
Rash (grade 3, <1%)
Sources:
2250 mg single, oral
Overdose
Dose: 2250 mg
Route: oral
Route: single
Dose: 2250 mg
Sources:
healthy, adults
n = 1
Health Status: healthy
Age Group: adults
Population Size: 1
Sources:
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 543
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 543
Sources:
Other AEs: Nausea, Urinary tract infection...
Other AEs:
Nausea (1.8%)
Urinary tract infection (1.5%)
Transaminases increased (2.3%)
Back pain (0.2%)
Sources:
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 682
Sources:
Other AEs: Nausea, Urinary tract infection...
Other AEs:
Nausea (2%)
Urinary tract infection (1%)
Dizziness (1%)
Sources:
600 mg single, oral
Highest studied dose
Dose: 600 mg
Route: oral
Route: single
Dose: 600 mg
Sources:
unhealthy
n = 84
Health Status: unhealthy
Condition: migraine
Population Size: 84
Sources:
AEs

AEs

AESignificanceDosePopulation
Nausea 2%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 18-75 years
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: 18-75 years
Sex: M+F
Population Size: 682
Sources:
Dyspnea <1%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 18-75 years
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: 18-75 years
Sex: M+F
Population Size: 682
Sources:
Hypersensitivity <1%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 18-75 years
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: 18-75 years
Sex: M+F
Population Size: 682
Sources:
Rash grade 3, <1%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 18-75 years
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: 18-75 years
Sex: M+F
Population Size: 682
Sources:
Back pain 0.2%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 543
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 543
Sources:
Urinary tract infection 1.5%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 543
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 543
Sources:
Nausea 1.8%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 543
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 543
Sources:
Transaminases increased 2.3%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 543
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 543
Sources:
Dizziness 1%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 682
Sources:
Urinary tract infection 1%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 682
Sources:
Nausea 2%
75 mg 1 times / day single, oral
Recommended
Dose: 75 mg, 1 times / day
Route: oral
Route: single
Dose: 75 mg, 1 times / day
Sources:
unhealthy, adults
n = 682
Health Status: unhealthy
Condition: migraine
Age Group: adults
Sex: M+F
Population Size: 682
Sources:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 6.04 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >100 uM]
no [IC50 >40 uM]
no [IC50 >40 uM]
no [IC50 >40 uM]
no [IC50 >40 uM]
no [IC50 >40 uM]
no [IC50 >50 uM]
no [Inhibition 5 uM]
no [Inhibition 5 uM]
no
no
no
no
weak
yes [IC50 1.08 uM]
yes [IC50 1.18 uM]
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: In a dedicated drug interaction study, concomitant administration of 75 mg rimegepant (single dose) with itraconazole (200 mg once daily; at steady state) resulted in increased exposures of rimegepant (AUC by 4-fold & Cmax by ~1.5-fold). It is recommended to avoid concomitant administration of rimegepant with a strong inhibitor of CYP3A4
Page: 8.0
minor
no (co-administration study)
Comment: In a dedicated drug interaction study, concomitant administration of 75 mg rimegepant (single dose) with fluconazole (400 mg once daily; at steady state) resulted in increased exposures of rimegepant (AUC by 1.8-fold) with no relevant effect on Cmax.
Page: 8.0
no
no
yes
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Patents

Sample Use Guides

10 mg, 25 mg, 75 mg, 150 mg, 300 mg, 600 mg one per day
Route of Administration: Oral
In Vitro Use Guide
Unknown
Name Type Language
RIMEGEPANT SULFATE ANHYDROUS
Common Name English
DI((5S,6S,9R)-5-AMINO-6-(2,3-DIFLUOROPHENYL)-6,7,8,9-TETRAHYDRO-5H-CYCLOHEPTA(B)PYRIDIN-9-YL 4-(2-OXO-2,3-DIHYDRO-1H-IMIDAZO(4,5-B)PYRIDIN-1-YL)PIPERIDINE-1-CARBOXYLATE), MONOSULFATE
Systematic Name English
1-PIPERIDINECARBOXYLIC ACID, 4-(2,3-DIHYDRO-2-OXO-1H-IMIDAZO(4,5-B)PYRIDIN-1-YL)-, (5S,6S,9R)-5-AMINO-6-(2,3-DIFLUOROPHENYL)-6,7,8,9-TETRAHYDRO-5H-CYCLOHEPTA(B)PYRIDIN-9-YL ESTER, SULFATE (2:1)
Systematic Name English
Code System Code Type Description
SMS_ID
300000023333
Created by admin on Fri Dec 15 15:37:38 GMT 2023 , Edited by admin on Fri Dec 15 15:37:38 GMT 2023
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FDA UNII
687X3KJY2O
Created by admin on Fri Dec 15 15:37:38 GMT 2023 , Edited by admin on Fri Dec 15 15:37:38 GMT 2023
PRIMARY
PUBCHEM
76972049
Created by admin on Fri Dec 15 15:37:38 GMT 2023 , Edited by admin on Fri Dec 15 15:37:38 GMT 2023
PRIMARY