Details
Stereochemistry | ACHIRAL |
Molecular Formula | C5H6N2.ClH |
Molecular Weight | 130.575 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.NC1=CC=NC=C1
InChI
InChIKey=CBFZWGRQXZYRRR-UHFFFAOYSA-N
InChI=1S/C5H6N2.ClH/c6-5-1-3-7-4-2-5;/h1-4H,(H2,6,7);1H
DescriptionCurator's Comment: description was created based on several sources, including
https://www.drugs.com/cdi/dalfampridine.html | https://clinicaltrials.gov/ct2/show/NCT01356940 | https://www.ncbi.nlm.nih.gov/pubmed/22497693 | https://www.ncbi.nlm.nih.gov/pubmed/15084131
Curator's Comment: description was created based on several sources, including
https://www.drugs.com/cdi/dalfampridine.html | https://clinicaltrials.gov/ct2/show/NCT01356940 | https://www.ncbi.nlm.nih.gov/pubmed/22497693 | https://www.ncbi.nlm.nih.gov/pubmed/15084131
Dalfampridine is a potassium channel blocker, used as a research tool in characterizing subtypes of the potassium channel. Dalfampridine has also been used as a drug, to manage some of the symptoms of multiple sclerosis, and is indicated for symptomatic improvement of walking in adults with several variations of the disease. The mechanism by which dalfampridine exerts its therapeutic effect has not been fully elucidated. Dalfampridine is a broad spectrum potassium channel blocker. In animal studies, dalfampridine has been shown to increase conduction of action potentials in demyelinated axons through inhibition of potassium channels.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL4633 Sources: https://www.ncbi.nlm.nih.gov/pubmed/15084131 |
195.0 µM [Kd] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | AMPYRA Approved UseAMPYRA (dalfampridine) is indicated as a treatment to improve walking in patients with multiple sclerosis (MS). This was demonstrated by an increase in walking speed [see Clinical Studies (14) Launch Date2010 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.77 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22058101/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DALFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
246.48 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22058101/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DALFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.16 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22058101/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DALFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
97% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22058101/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DALFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.3 |
unhealthy, 52.1 ± 8.8 n = 269 Health Status: unhealthy Condition: Multiple sclerosis Age Group: 52.1 ± 8.8 Sex: M+F Population Size: 269 Sources: Page: p.3 |
Disc. AE: Seizure, Myocardial infarction... AEs leading to discontinuation/dose reduction: Seizure (1.1%) Sources: Page: p.3Myocardial infarction (1.1%) |
300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Disc. AE: Weakness, Consciousness decreased... AEs leading to discontinuation/dose reduction: Weakness Sources: Page: p.3Consciousness decreased Memory loss Hypophonia Structural brain disorders NEC |
40 mg single, oral Overdose Dose: 40 mg Route: oral Route: single Dose: 40 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Sex: F Population Size: 1 Sources: Page: p.3 |
Disc. AE: Complex partial seizures, Confusion... AEs leading to discontinuation/dose reduction: Complex partial seizures Sources: Page: p.3Confusion |
60 mg single, oral Overdose Dose: 60 mg Route: oral Route: single Dose: 60 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Disc. AE: Mental state abnormal... AEs leading to discontinuation/dose reduction: Mental state abnormal Sources: Page: p.3 |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.2 |
unhealthy n = 400 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 400 Sources: Page: p.2 |
Disc. AE: Headache, Balance disorder... AEs leading to discontinuation/dose reduction: Headache (0.5%) Sources: Page: p.2Balance disorder (0.5%) Dizziness (0.5%) Confusional state (0.5%) |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Multiple sclerosis Sources: Page: p.1 |
Disc. AE: Seizures... AEs leading to discontinuation/dose reduction: Seizures Sources: Page: p.1 |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Myocardial infarction | 1.1% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.3 |
unhealthy, 52.1 ± 8.8 n = 269 Health Status: unhealthy Condition: Multiple sclerosis Age Group: 52.1 ± 8.8 Sex: M+F Population Size: 269 Sources: Page: p.3 |
Seizure | 1.1% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.3 |
unhealthy, 52.1 ± 8.8 n = 269 Health Status: unhealthy Condition: Multiple sclerosis Age Group: 52.1 ± 8.8 Sex: M+F Population Size: 269 Sources: Page: p.3 |
Consciousness decreased | Disc. AE | 300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Hypophonia | Disc. AE | 300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Memory loss | Disc. AE | 300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Structural brain disorders NEC | Disc. AE | 300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Weakness | Disc. AE | 300 mg single, oral Overdose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Complex partial seizures | Disc. AE | 40 mg single, oral Overdose Dose: 40 mg Route: oral Route: single Dose: 40 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Sex: F Population Size: 1 Sources: Page: p.3 |
Confusion | Disc. AE | 40 mg single, oral Overdose Dose: 40 mg Route: oral Route: single Dose: 40 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Sex: F Population Size: 1 Sources: Page: p.3 |
Mental state abnormal | Disc. AE | 60 mg single, oral Overdose Dose: 60 mg Route: oral Route: single Dose: 60 mg Sources: Page: p.3 |
unhealthy n = 1 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 1 Sources: Page: p.3 |
Balance disorder | 0.5% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.2 |
unhealthy n = 400 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 400 Sources: Page: p.2 |
Confusional state | 0.5% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.2 |
unhealthy n = 400 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 400 Sources: Page: p.2 |
Dizziness | 0.5% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.2 |
unhealthy n = 400 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 400 Sources: Page: p.2 |
Headache | 0.5% Disc. AE |
10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.2 |
unhealthy n = 400 Health Status: unhealthy Condition: Multiple sclerosis Population Size: 400 Sources: Page: p.2 |
Seizures | Disc. AE | 10 mg 2 times / day multiple, oral Recommended Dose: 10 mg, 2 times / day Route: oral Route: multiple Dose: 10 mg, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Multiple sclerosis Sources: Page: p.1 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
Page: 41, (ClinPharm) 28, 50 |
no | |||
Page: 41, (ClinPharm) 28, 50 |
no | |||
no | ||||
Page: 41, (ClinPharm) 28, 50 |
no | |||
no | ||||
Page: 41, (ClinPharm) 28, 50 |
no | |||
Page: 41, (ClinPharm) 28, 50 |
no | |||
no | ||||
Page: 41, (ClinPharm) 28, 50 |
no | |||
Page: 41, (ClinPharm) 28, 50 |
no | |||
no | ||||
no | ||||
Page: 41, (ClinPharm) 28, 50 |
no | |||
no | ||||
Page: 32; Pharmacological Reviews December 2005, 57 (4) 473-508 |
weak [IC50 195 uM] | |||
Page: 33; Pharmacological Reviews December 2005, 57 (4) 473-508 |
weak [IC50 270 uM] |
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
The expression and regulation of depolarization-activated K+ channels in the insulin-secreting cell line INS-1. | 2001 Apr |
|
Differential expression of KV and KCa channels in vascular smooth muscle cells during 1-day culture. | 2001 Apr |
|
General rules for the packing of hydrogen-bonded crystals as derived from the analysis of squaric acid anions: aminoaromatic nitrogen base co-crystals. | 2001 Aug |
|
Resolving the gating charge movement associated with late transitions in K channel activation. | 2001 Aug |
|
A model for 4-aminopyridine action on K channels: similarities to tetraethylammonium ion action. | 2001 Aug |
|
Fenfluramine-induced pulmonary vasoconstriction: role of serotonin receptors and potassium channels. | 2001 Aug |
|
The relaxation induced by S-nitroso-glutathione and S-nitroso-N-acetylcysteine in rat aorta is not related to nitric oxide production. | 2001 Aug |
|
Chloride distribution in the CA1 region of newborn and adult hippocampus by light microscopic histochemistry. | 2001 Feb |
|
The effect of acidosis on the ECG of the rat heart. | 2001 Jan |
|
Diversity of K+ channels in circular smooth muscle of opossum lower esophageal sphincter. | 2001 Jul |
|
Pharmacological evidence for the activation of potassium channels as the mechanism involved in the hypotensive and vasorelaxant effect of dioclein in rat small resistance arteries. | 2001 Jul |
|
Imaging of 4-AP-induced, GABA(A)-dependent spontaneous synchronized activity mediated by the hippocampal interneuron network. | 2001 Jul |
|
KT3.2 and KT3.3, two novel human two-pore K(+) channels closely related to TASK-1. | 2001 Jul |
|
Long-term recordings of networks of immortalized GnRH neurons reveal episodic patterns of electrical activity. | 2001 Jul |
|
Relaxation to authentic nitric oxide and SIN-1 in rat isolated mesenteric arteries: variable role for smooth muscle hyperpolarization. | 2001 Jul |
|
Bcl-2 decreases voltage-gated K+ channel activity and enhances survival in vascular smooth muscle cells. | 2001 Jul |
|
Gap junctions synchronize the firing of inhibitory interneurons in guinea pig hippocampus. | 2001 Jul 13 |
|
High glucose impairs voltage-gated K(+) channel current in rat small coronary arteries. | 2001 Jul 20 |
|
Lamotrigine inhibition of glutamate release from isolated cerebrocortical nerve terminals (synaptosomes) by suppression of voltage-activated calcium channel activity. | 2001 Jul 20 |
|
A novel mechanical dissociation technique for studying acutely isolated maturing Drosophila central neurons. | 2001 Jul 30 |
|
Role of K+ -channels in homotaurine-induced analgesia. | 2001 Jun |
|
Normal coordinate analysis of 4-aminopyridine. Effect of substituent on pyridine ring in metal complexes of 4-substituted pyridines. | 2001 Jun |
|
Focal cooling rapidly terminates experimental neocortical seizures. | 2001 Jun |
|
Pharmacological modulation of SK3 channels. | 2001 Jun |
|
Tonotopic map of potassium currents in chick auditory hair cells using an intact basilar papilla. | 2001 Jun |
|
Alterations in a redox oxygen sensing mechanism in chronic hypoxia. | 2001 Jun |
|
Superfusion of synaptosomes to study presynaptic mechanisms involved in neurotransmitter release from rat brain. | 2001 Jun |
|
Synchronized Ca2+ signals mediated by Ca2+ action potentials in the hippocampal neuron network in vitro. | 2001 Jun |
|
Potassium channels regulate tone in rat pulmonary veins. | 2001 Jun |
|
Mechanisms underlying presynaptic facilitatory effect of cyclothiazide at the calyx of Held of juvenile rats. | 2001 Jun 1 |
|
Functional and molecular expression of a voltage-dependent K(+) channel (Kv1.1) in interstitial cells of Cajal. | 2001 Jun 1 |
|
Skin surface electric potential induced by ion-flux through epidermal cell layers. | 2001 Jun 1 |
|
Dopamine D4 receptor-deficient mice display cortical hyperexcitability. | 2001 Jun 1 |
|
Membrane resonance and subthreshold membrane oscillations in mesencephalic V neurons: participants in burst generation. | 2001 Jun 1 |
|
Theoretical analysis of the molecular determinants responsible for the K(+) channel blocking by aminopyridines. | 2001 Jun 15 |
|
"Use-dependent" effects of cisapride on postrest action potentials in rabbit ventricular myocardium. | 2001 Jun 22 |
|
Developmental characteristics of epileptiform activity in immature rat neocortex: a comparison of four in vitro seizure models. | 2001 Jun 29 |
|
Potassium channel blocker TEA prevents CA1 hippocampal injury following transient forebrain ischemia in adult rats. | 2001 Jun 8 |
|
The effects of different 4-aminopyridine and morphine combinations on the intensity of morphine abstinence. | 2001 Mar |
|
Modulation of voltage-dependent K+ channel current in vascular smooth muscle cells from rat mesenteric arteries. | 2001 Mar 15 |
|
Capsaicin-induced relaxation in rabbit coronary artery. | 2001 May |
|
Time-dependent distribution and neuronal localization of c-fos protein in the rat hippocampus following 4-aminopyridine seizures. | 2001 May |
|
A redox-based mechanism for the contractile and relaxing effects of NO in the guinea-pig gall bladder. | 2001 May 1 |
|
Targeted replacement of KV1.5 in the mouse leads to loss of the 4-aminopyridine-sensitive component of I(K,slow) and resistance to drug-induced qt prolongation. | 2001 May 11 |
|
Stretch-dependent potassium channels in murine colonic smooth muscle cells. | 2001 May 15 |
|
Oxygen dilation in fetal pulmonary arterioles: role of K(+) channels. | 2001 May 15 |
|
Inhibition of glutamate release by BIA 2-093 and BIA 2-024, two novel derivatives of carbamazepine, due to blockade of sodium but not calcium channels. | 2001 May 15 |
|
minK-related peptide 1 associates with Kv4.2 and modulates its gating function: potential role as beta subunit of cardiac transient outward channel? | 2001 May 25 |
|
Ion channels associated with the ectopic discharges generated after segmental spinal nerve injury in the rat. | 2001 May 4 |
|
BTS 72664-- a novel CNS drug with potential anticonvulsant, neuroprotective, and antimigraine properties. | 2001 Summer |
Patents
Sample Use Guides
The maximum recommended dose of AMPYRA is one 10 mg tablet twice daily, taken with or without food, and should not be exceeded.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26946488
At DIV25, the differentiating cells were re-seeded to Matrigel coated 12-mm glass coverslips in densities of 400,000 cells per well. Media was replaced completely the next day by fresh maturation media. Media containing either 100 mM 4-Aminopyridine diluted in DMSO or the equivalent amount DMSO only was given to the cells 72 hours before the start of week 7 (DIV42) and lasted until the cells were analyzed during week 7. Half the media was replaced every third day. Final electrophysiological recordings of the treated vs. non-treated cells rigorously were taken in pairs of one treated and one nontreated coverslip within a time frame of 48 hours.
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PARENT (SALT/SOLVATE)
SUBSTANCE RECORD