Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H25ClN2O3 |
Molecular Weight | 388.888 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)COCCN1CCN(CC1)[C@H](C2=CC=CC=C2)C3=CC=C(Cl)C=C3
InChI
InChIKey=ZKLPARSLTMPFCP-OAQYLSRUSA-N
InChI=1S/C21H25ClN2O3/c22-19-8-6-18(7-9-19)21(17-4-2-1-3-5-17)24-12-10-23(11-13-24)14-15-27-16-20(25)26/h1-9,21H,10-16H2,(H,25,26)/t21-/m1/s1
CNS Activity
Sources: http://www.medscape.com/viewarticle/724851_3https://www.ncbi.nlm.nih.gov/pubmed/18781943
Curator's Comment: Levocetirizine is highly (91–93%) protein bound. It can cross the blood-brain barrier, but typically occupy only 30–50% of the H1 receptors in the cerebral cortex, compared to more than 90% of peripheral H1 receptors
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL231 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18336052 |
3.0 nM [Ki] | ||
Target ID: CHEMBL231 |
6.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Palliative | XYZAL Approved UseLevocetirizine dihydrochloride tablet is a histamine H1-receptor antagonist indicated for: The relief of symptoms associated with seasonal and perennial allergic rhinitis (1.1, 1.2) The treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria (1.3) 1.1 Seasonal Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 6 years of age and older. 1.2 Perennial Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with perennial allergic rhinitis in adults and children 6 years of age and older. 1.3 Chronic Idiopathic Urticaria Levocetirizine dihydrochloride tablets are indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 years of age and older. Launch Date1.18005118E12 |
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Palliative | XYZAL Approved UseLevocetirizine dihydrochloride tablet is a histamine H1-receptor antagonist indicated for: The relief of symptoms associated with seasonal and perennial allergic rhinitis (1.1, 1.2) The treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria (1.3) 1.1 Seasonal Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 6 years of age and older. 1.2 Perennial Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with perennial allergic rhinitis in adults and children 6 years of age and older. 1.3 Chronic Idiopathic Urticaria Levocetirizine dihydrochloride tablets are indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 years of age and older. Launch Date1.18005118E12 |
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Palliative | XYZAL Approved UseLevocetirizine dihydrochloride tablet is a histamine H1-receptor antagonist indicated for: The relief of symptoms associated with seasonal and perennial allergic rhinitis (1.1, 1.2) The treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria (1.3) 1.1 Seasonal Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 6 years of age and older. 1.2 Perennial Allergic Rhinitis Levocetirizine dihydrochloride tablets are indicated for the relief of symptoms associated with perennial allergic rhinitis in adults and children 6 years of age and older. 1.3 Chronic Idiopathic Urticaria Levocetirizine dihydrochloride tablets are indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 years of age and older. Launch Date1.18005118E12 |
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Primary | XYZAL Approved UseFor the temporary relief of nasal decongestiom due to the commomn cold, hay fever or other upper respiratpry allergies. Temporarily relieves nasal stuffiness. Decongests nasal passages: shrinks swollen membranes. Temporarily restores freer breathing through the nose. Helps decongest sinus openings and passages; temporarily relieves sinus congestion and pressure. Promotes nasal and/or sinus drainage. temporarily relieves sinus congestion and pressure. Launch Date1.1799648E12 |
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Primary | XYZAL Approved UseFor the temporary relief of nasal decongestiom due to the commomn cold, hay fever or other upper respiratpry allergies. Temporarily relieves nasal stuffiness. Decongests nasal passages: shrinks swollen membranes. Temporarily restores freer breathing through the nose. Helps decongest sinus openings and passages; temporarily relieves sinus congestion and pressure. Promotes nasal and/or sinus drainage. temporarily relieves sinus congestion and pressure. Launch Date1.18031044E12 |
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Primary | XYZAL Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.17 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
0.27 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
512.25 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11564134 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.97 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
2.31 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4136.4 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11564134 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.83 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
7.05 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
7.76 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11564134 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.5% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11758635 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVOCETIRIZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 18–60 years n = 13 Health Status: unhealthy Condition: severe urticaria Age Group: 18–60 years Population Size: 13 Sources: |
|
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 48-64 years n = 2 Health Status: unhealthy Condition: chronic urticaria Age Group: 48-64 years Sex: M Population Size: 2 Sources: |
Disc. AE: Hepatotoxicity... AEs leading to discontinuation/dose reduction: Hepatotoxicity (2 patients) Sources: |
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, > 12 years n = 428 Health Status: unhealthy Age Group: > 12 years Sex: M+F Population Size: 428 Sources: |
Disc. AE: Somnolence, Fatigue... AEs leading to discontinuation/dose reduction: Somnolence (2.3%) Sources: Fatigue (2.3%) Asthenia (2.3%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hepatotoxicity | 2 patients Disc. AE |
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 48-64 years n = 2 Health Status: unhealthy Condition: chronic urticaria Age Group: 48-64 years Sex: M Population Size: 2 Sources: |
Asthenia | 2.3% Disc. AE |
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, > 12 years n = 428 Health Status: unhealthy Age Group: > 12 years Sex: M+F Population Size: 428 Sources: |
Fatigue | 2.3% Disc. AE |
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, > 12 years n = 428 Health Status: unhealthy Age Group: > 12 years Sex: M+F Population Size: 428 Sources: |
Somnolence | 2.3% Disc. AE |
5 mg 1 times / day steady, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, > 12 years n = 428 Health Status: unhealthy Age Group: > 12 years Sex: M+F Population Size: 428 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=20 Page: 20.0 |
weak | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/022064s000_ClinPharmR.pdf#page=19 Page: 19.0 |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 107.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Blood distribution of levocetirizine, a new non-sedating histamine H1-receptor antagonist, in humans. | 2002 Dec |
|
Comparative pharmacology of H1 antihistamines: clinical relevance. | 2002 Dec 16 |
|
Acute allergy reaction after posterior sub-Tenon's triamcinolone injection in the treatment of intermediate uveitis in the asthmatic patient. | 2003 |
|
Chronic urticaria: a role for newer immunomodulatory drugs? | 2003 |
|
Driving ability after acute and sub-chronic administration of levocetirizine and diphenhydramine: a randomized, double-blind, placebo-controlled trial. | 2003 Aug |
|
Assessing satisfaction with desloratadine and fexofenadine in allergy patients who report dissatisfaction with loratadine. | 2003 Aug 13 |
|
[Safety of new antihistamines]. | 2003 Jun |
|
[Clinical aspects of anti-inflammatory action of antihistamines]. | 2003 Jun |
|
Acute and subchronic effects of levocetirizine and diphenhydramine on memory functioning, psychomotor performance, and mood. | 2003 Mar |
|
Levocetirizine: new preparation. Me-too: simply the active enantiomer of cetirizine. | 2003 Oct |
|
Compared pharmacological characteristics in humans of racemic cetirizine and levocetirizine, two histamine H1-receptor antagonists. | 2003 Oct 1 |
|
Gateways to clinical trials. | 2003 Sep |
|
Chronic urticaria: aetiology, management and current and future treatment options. | 2004 |
|
Levocetirizine better protects than desloratadine in a nasal provocation with allergen. | 2004 Apr |
|
Comparison of pharmacokinetics and metabolism of desloratadine, fexofenadine, levocetirizine and mizolastine in humans. | 2004 Aug |
|
Antihistamines: do they work? Further well-controlled trials involving larger samples are needed. | 2004 Aug |
|
Comparative clinical efficacy, onset and duration of action of levocetirizine and desloratadine for symptoms of seasonal allergic rhinitis in subjects evaluated in the Environmental Exposure Unit (EEU). | 2004 Feb |
|
Levocetirizine: the allergist's arsenal grows larger. | 2004 Jul |
|
Single and short-term dosing effects of levocetirizine on adenosine monophosphate bronchoprovocation in atopic asthma. | 2004 Jul |
|
Large-scale overproduction, functional purification and ligand affinities of the His-tagged human histamine H1 receptor. | 2004 Jul |
|
Levocetirizine improves nasal obstruction and modulates cytokine pattern in patients with seasonal allergic rhinitis: a pilot study. | 2004 Jun |
|
Antihistamines and driving ability: evidence from on-the-road driving studies during normal traffic. | 2004 Mar |
|
Levocetirizine: a new selective H1 receptor antagonist for use in allergic disorders. | 2004 May |
|
Gateways to clinical trials. | 2004 Nov |
|
Chronic urticaria: clinical aspects and focus on a new antihistamine, levocetirizine. | 2004 Nov-Dec |
|
Comparison of the effects in the nose and skin of a single dose of desloratadine and levocetirizine over 24 hours. | 2004 Oct |
|
[Patient report: allergic rhinitis]. | 2005 |
|
Pharmacological management of allergic rhinitis in the elderly: safety issues with oral antihistamines. | 2005 |
|
Efficacy and safety of levocetirizine on symptoms and health-related quality of life of children with perennial allergic rhinitis: a double-blind, placebo-controlled randomized clinical trial. | 2005 Aug |
|
A new antihistamine levocetirizine inhibits eosinophil adhesion to vascular cell adhesion molecule-1 under flow conditions. | 2005 Aug |
|
Levocetirizine: pharmacokinetics and pharmacodynamics in children age 6 to 11 years. | 2005 Aug |
|
Levocetirizine improves nasal symptoms and airflow in patients with persistent allergic rhinitis: a pilot study. | 2005 Jan |
|
Retrospective population pharmacokinetics of levocetirizine in atopic children receiving cetirizine: the ETAC study. | 2005 Jan |
|
Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
|
Potential of levocetirizine in the relief of nasal congestion. | 2005 Jun |
|
Population pharmacokinetics of levocetirizine in very young children: the pediatricians' perspective. | 2005 Mar |
|
Bacillus clausii effects in children with allergic rhinitis. | 2005 May |
|
Histamine H1 receptor occupancy and pharmacodynamics of second generation H1-antihistamines. | 2005 Sep |
|
Fixed drug eruption: a novel side-effect of levocetirizine. | 2005 Sep |
|
Fixed drug eruption due to levocetirizine. | 2005 Sep-Oct |
|
Effect of levocetirizine on the contraction induced by histamine on isolated rabbit bronchioles from precision-cut lung slices. | 2006 |
|
Levocetirizine as treatment for symptoms of seasonal allergic rhinitis. | 2006 |
|
Levocetirizine is an effective treatment in patients suffering from chronic idiopathic urticaria: a randomized, double-blind, placebo-controlled, parallel, multicenter study. | 2006 Apr |
|
A review of the evidence from comparative studies of levocetirizine and desloratadine for the symptoms of allergic rhinitis. | 2006 Jan |
|
Changes in pH differently affect the binding properties of histamine H1 receptor antagonists. | 2006 Jan 20 |
|
Gateways to clinical trials. | 2006 Mar |
|
Levocetirizine in the treatment of chronic idiopathic urticaria: a randomized, double-blind, placebo-controlled study. | 2006 Mar |
|
Gateways to clinical trials. | 2006 May |
|
Effects of levocetirizine as add-on therapy to fluticasone in seasonal allergic rhinitis. | 2006 May |
|
Lichenoid eruption associated with the use of nebivolol. | 2006 Sep |
Patents
Sample Use Guides
Adults and children 12 years of age and older: 5 mg once daily in the evening. Children 6 to 11 years of age: 2.5 mg once daily in the evening. Children 6 months to 5 years of age: 1.25 mg (1/2 teaspoon oral solution)[2.5mL] once daily in the evening.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16120090
Eosinophils isolated from normal subjects were pre-incubated with a concentration range of levocetirizine (10(-6)-10(-10) m) or negative dilution control. Levocetirizine significantly inhibited resting eosinophil adhesion to recombinant human vascular cell adhesion molecule-1 (rhVCAM-1) with maximal effect at 10(-8) M with an EC(50) of 10(-9) m.
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Classification Tree | Code System | Code | ||
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WHO-ATC |
R06AE09
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WHO-VATC |
QR06AE09
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NCI_THESAURUS |
C29578
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NDF-RT |
N0000175587
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NDF-RT |
N0000000190
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LIVERTOX |
551
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100000092505
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Levocetirizine
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356887
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130018-77-8
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7700
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6U5EA9RT2O
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LEVOCETIRIZINE
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C66008
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CHEMBL1201191
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DB06282
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TT-54
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SUB08467MIG
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C472067
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M3291
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1214
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1549000
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DTXSID60156294
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1566
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ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE (PARENT)
METABOLITE (PARENT)
METABOLITE (PARENT)