SODIUM OXYBATE

Details

Stereochemistry	ACHIRAL
Molecular Formula	C4H7O3.Na
Molecular Weight	126.0863
Optical Activity	NONE
Defined Stereocenters	0 / 0
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure Search

SMILES

[Na+].OCCCC([O-])=O

InChI

InChIKey=XYGBKMMCQDZQOZ-UHFFFAOYSA-M

InChI=1S/C4H8O3.Na/c5-3-1-2-4(6)7;/h5H,1-3H2,(H,6,7);/q;+1/p-1

HIDE SMILES / InChI

Description
Sources: http://pp.jazzpharma.com/pi/xyrem.en.USPI.pdf | https://www.ncbi.nlm.nih.gov/pubmed/17140279/

Sodium oxybate is the sodium salt of gamma-hydroxybutyrate (GHB), an endogenous metabolite of gamma-aminobutyric acid (GABA) a major inhibitory neurotransmitter. Evidence suggests a role for GHB as a neuromodulator/neurotransmitter. Under endogenous conditions and concentrations, and depending on the cell group affected, GHB may increase or decrease neuronal activity by inhibiting the release of neurotransmitters that are co-localised with GHB. After exogenous administration, most of the observed behavioural effects appear to be mediated via the activity of GHB at GABA(B) receptors, as long as the concentration is sufficient to elicit binding, which does not happen at endogenous concentrations. Xyrem (sodium oxybate) oral solution is indicated for the treatment of cataplexy in narcolepsy and excessive daytime sleepiness (EDS) in narcolepsy.

CNS Activity

Originator

Approval Year

Targets

Primary Target	Pharmacology	Condition	Potency
GABA-B receptor 32 Target ID: CHEMBL2111463 Sources: http://pp.jazzpharma.com/pi/xyrem.en.USPI.pdf	Agonist 2678		100.0 µM [Ki]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Narcolepsy 20 Sources: http://www.mdedge.com/currentpsychiatry/article/66165/sleep-medicine/sodium-oxybate-new-way-treat-narcolepsy	Primary		Approved 8429	XYREM Approved Use XYREM® (sodium oxybate) oral solution is a central nervous system depressant indicated for the treatment of: • Cataplexy in narcolepsy • Excessive daytime sleepiness (EDS) in narcolepsy Launch Date 2002

C_max

Value	Dose	Analyte	Population
54 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947	25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED
23 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
20 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
23 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED

AUC

Value	Dose	Analyte	Population
3122 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947	25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED
1271 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
1565 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
905 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED

T_1/2

Value	Dose	Analyte	Population
27 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947	25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED
22 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
23 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED
20 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered:	4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED

F_unbound

Value	Dose	Co-administered	Analyte	Population
99% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669	12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered:		4-HYDROXYBUTANOIC ACID plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED

Overview

CYP3A4	CYP2C9	CYP2D6	hERG
	inhibitor 1767	inhibitor 1852

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
CYP1A2 1524 CYP2C19 1478 CYP2E1 882 CYP3A 214

Drug as perpetrator

Target	Modality	Activity
CYP1A2 1692	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]
CYP2C19 1553	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]
CYP2C9 1819	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]
CYP2D6 1891	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]
CYP2E1 970	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]
CYP3A 298	inhibitor 3277 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-196_Xyrem_biopharmr_P1.pdf Page: 29, 35	no [IC50 >300 uM]

Sourcing

Vendor/Aggregator	ID	URL
ABI Chem	AC1L1V58
AN PharmaTech	AN-8743
Alfa Chemistry	240255
Alfa Chemistry	ACM2787099
Alfa Chemistry	ACM82316970
Allbio Pharm Co., Ltd	AB00219	http://www.allbiopharm.com/product/n/AB00219
Ambinter	Amb18640332	http://www.ambinter.com/reference/18640332
Angene	AGN-PC-0S7IT9
Angene	AGN-PC-0ULPJ7
Aurora Fine Chemicals LLC	A07.164.228	http://online.aurorafinechemicals.com/info?ID=A07.164.228
BOC Sciences	52352-27-9	https://www.bocsci.com/polyhydroxybutyric-acid-cas-52352-27-9-item-432937.html
BlocksMatrix Scientific	128021
Cayman Chemical	9002506
ChemMol	99073257	http://www.chemmol.com/chemmol/99073257.html
ChemMol	99110279	http://www.chemmol.com/chemmol/99110279.html
ChemTik	CTK4G5262
Chemhere	Achem206530
Chemieliva Pharmaceutical Co., Ltd	PBCM1350799
Clearsynth	CS-DV-02824	https://www.clearsynth.com/en/CSDV02824.html
Compound Cloud	10413
Compound Cloud	23663870
Debye Scientific	DB-071156
Elsa Biotechnology	ELSA20-9313
Enamine	BBV-75779081
HongKong Chemhere	35054-79-6
HongKong Chemhere	SCA47808
HongKong Chemhere	SCF11184
NCI Plated 2007	84223
NovoSeek	10413
Scientific Exchange	F-434693
Sigma Aldrich	G-001
Smolecule	S528679	http://www.smolecule.com/products/s528679
THE BioTek	bt-268885	https://www.thebiotek.com/product/inhibitors/bt-268885
Tetrahedron	TS01692
Toronto Research Chemicals	A101050
Toronto Research Chemicals	D290415
Toronto Research Chemicals	H833015
Toronto Research Chemicals	KIT4995
Toronto Research Chemicals	P839643
ZINC	ZINC000001532805	http://zinc15.docking.org/substances/ZINC000001532805
eMolecules	300010111
iChemical	EBD72572	http://www.ichemical.com/products/591-81-1.html?utm_source=PubChem&utm_medium=website&utm_campaign=product%20catalogs
mcule	MCULE-7287616371
mcule	MCULE-8739507548

PubMed

Title	Date	PubMed
Diagnosis of unsuspected gamma hydroxy-butyrate poisoning by proton NMR.	2001	11762678
Circuit party attendance, club drug use, and unsafe sex in gay men.	2001	11547613
The effect of gamma hydroxybutyrate on serum osmolality.	2001	11527239
Gamma-hydroxybutyrate, gamma-butyrolactone, and 1,4-butanediol.	2001 Aug	11493842
[The new drugs: ecstasy, GHB. Update for practitioners].	2001 Dec	11803792
[Gamma hydroxy butyrate intoxication].	2001 Dec	11789297
A comprehensive review of MDMA and GHB: two common club drugs.	2001 Dec	11765302
Binding characteristics of the gamma-hydroxybutyric acid receptor antagonist [(3)H](2E)-(5-hydroxy-5,7,8,9-tetrahydro-6H-benzo[a][7]annulen-6-ylidene) ethanoic acid in the rat brain.	2001 Dec	11714906
Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: a venue-based comparison.	2001 Dec 1	11707675
GHB and driving impairment.	2001 Jul	11451079
Drug-facilitated date rape.	2001 Jul 10	11468961
Multivariate curve resolution of wavelet and Fourier compressed spectra.	2001 Jul 15	11476222
Baclofen antagonises intravenous self-administration of gamma-hydroxybutyric acid in mice.	2001 Jul 20	11447342
[Effect of lithium hydroxybutyrate on the circadian dynamics of the urinary excretion of Li(+), Na(+), K(+), and Ca(2+) in rats depending on the circadian phase of the drug administration].	2001 Jul-Aug	11589102
[Electrophoresis of biologically active substances in the treatment of chronic pancreatitis].	2001 Jul-Aug	11561298
Characterization of partially transesterified poly(beta-hydroxyalkanoate)s by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.	2001 Jul-Aug	11501911
Response to the presence of gamma-hydroxybutyric acid (GHB) in postmortem biological fluids.	2001 Jul-Aug	11499892
Improved procedure for the analysis of gamma-hydroxybutyrate and ethylene glycol in whole blood.	2001 Jul-Aug	11499886
[Liquid ecstasy poisoning: study of 22 cases].	2001 Jun 16	11446927
[Biochemical parameters predictive of neuronal damage in childhood].	2001 Jun 16-30	11562846
Drug dependence studies and regulations: an overview of the past and present.	2001 Nov	11797422
The chemical interconversion of GHB and GBL: forensic issues and implications.	2001 Nov	11714141
Traumatic brain injury after a motor vehicle accident: fact or "fantasy"?	2001 Nov	11696495
Effects of endogenous neurotransmitters on the in vivo binding of dopamine and 5-HT radiotracers in mice.	2001 Nov	11682251
Management of gamma-hydroxybutyrate withdrawal.	2001 Nov	11679881
Window of detection of gamma-hydroxybutyrate in blood and saliva.	2001 Nov	11673374
The Na(+)/H(+) exchange inhibitor eniporide as an adjunct to early reperfusion therapy for acute myocardial infarction. Results of the evaluation of the safety and cardioprotective effects of eniporide in acute myocardial infarction (ESCAMI) trial.	2001 Nov 15	11704395
gamma-Hydroxybutyric acid and baclofen decrease extracellular acetylcholine levels in the hippocampus via GABA(B) receptors.	2001 Nov 2	11711039
Characteristics of pregnant women who use ecstasy (3, 4-methylenedioxymethamphetamine).	2001 Nov-Dec	11792525
[Autotrophic synthesis of polyalkanoates by Alcaligenes eutrophus in presence of carbon monoxide].	2001 Nov-Dec	11785130
A contemporaneous finding of fenproporex in a polydrug suicide.	2001 Oct	11599619
Application of a convenient extraction procedure to analyze gamma-hydroxybutyric acid in fatalities involving gamma-hydroxybutyric acid, gamma-butyrolactone, and 1,4-butanediol.	2001 Oct	11599603
Role of GABA(B) receptors in the sedative/hypnotic effect of gamma-hydroxybutyric acid.	2001 Oct 12	11689189
GC-MS determination of gamma-hydroxybutyric acid (GHB) in blood.	2001 Oct 15	11587864
Elevation of AKR7A2 (succinic semialdehyde reductase) in neurodegenerative disease.	2001 Oct 19	11597610
[Well-documented information on GHB].	2001 Oct 3	11685765
Drugs, drink'n and smok'n. Part II.	2001 Sep	11682788
Discrimination of gamma-hydroxybutyrate and ethanol administered separately and as a mixture in rats.	2001 Sep	11566140
GHB. Club drug or confusing artifact?	2001 Sep	11563737
gamma-Hydroxybutyrate modulation of glutamate levels in the hippocampus: an in vivo and in vitro study.	2001 Sep	11553667
The use of physostigmine in the management of gamma-hydroxybutyrate overdose.	2001 Sep	11547795
Use of physostigmine in the management of gamma-hydroxybutyrate overdose.	2001 Sep	11524662
Two cases of withdrawal from 1,4-Butanediol use.	2001 Sep	11524661
[GHB--dangerous, addictive and uncontrollable "party drug"].	2001 Sep 19	11602959
Prolonged withdrawal from extreme gamma-hydroxybutyrate (GHB) abuse.	2001 Sep-Oct	11739915
Gamma-hydroxybutyric acid: patterns of use, effects and withdrawal.	2001 Summer	11579621
Using the overlapping parts of laboratory test panels to evaluate abnormal results.	2001 Summer	11517622
Comonomer unit composition and thermal properties of poly(3-hydroxybutyrate-co-4-hydroxybutyrate)s biosynthesized by Ralstonia eutropha.	2001 Winter	11777405
Purification and characterization of the D-beta-hydroxybutyrate dehydrogenase from dromedary liver mitochondria.	2002 Jan	11742753
Huntingtin is present in the nucleus, interacts with the transcriptional corepressor C-terminal binding protein, and represses transcription.	2002 Mar 1	11739372

Patents

Sample Use Guides

In Vivo Use Guide

Initiate dose at 4.5 grams (g) per night administered orally in two equal, divided doses: 2.25 g at bedtime and 2.25 g taken 2.5 to 4 hours later. Titrate to effect in increments of 1.5 g per night at weekly intervals (0.75 g at bedtime and 0.75 g taken 2.5 to 4 hours later). Recommended dose range: 6 g to 9 g per night orally.

Route of Administration: Oral

In Vitro Use Guide

Unknown

Name

Type

Language

SODIUM OXYBATE

Official Name

English

SODIUM OXYBATE COMPONENT OF XYWAV

Brand Name

English

CATABATE

Brand Name

English

.GAMMA.-HYDROXYBUTYRATE SODIUM SALT [MI]

Common Name

English

WY-3478

Code

English

SODIUM OXYBATE [USAN]

Common Name

English

SODIUM OXYBATE [VANDF]

Common Name

English

SODIUM OXYBATE [HSDB]

Common Name

English

XYWAV COMPONENT SODIUM OXYBATE

Brand Name

English

SODIUM OXYBATE [MART.]

Common Name

English

XYREM

Brand Name

English

Sodium 4-hydroxybutyrate

Systematic Name

English

.GAMMA.-HYDROXYBUTYRATE SODIUM SALT

Common Name

English

SODIUM OXYBATE [ORANGE BOOK]

Common Name

English

SODIUM OXYBAT

Common Name

English

SODIUM SALT OF GAMMA-HYDROXYBUTYRIC ACID

Common Name

English

SODIUM OXYBUTYRATE

Common Name

English

SODIUM OXYBATE [EMA EPAR]

Common Name

English

Oxybate sodium [WHO-DD]

Common Name

English

LUMRYZ

Brand Name

English

OXYBATE SODIUM

Common Name

English

BUTANOIC ACID, 4-HYDROXY-, SODIUM SALT

Common Name

English

NSC-84223

Code

English

Classification Tree Code System Code

EMA ASSESSMENT REPORTS

XYREM (AUTHORIZED: NARCOLEPSY)