Details
Stereochemistry | ACHIRAL |
Molecular Formula | C21H23N3O2 |
Molecular Weight | 349.4262 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=C(CCNCC2=CC=C(\C=C\C(=O)NO)C=C2)C3=C(N1)C=CC=C3
InChI
InChIKey=FPOHNWQLNRZRFC-ZHACJKMWSA-N
InChI=1S/C21H23N3O2/c1-15-18(19-4-2-3-5-20(19)23-15)12-13-22-14-17-8-6-16(7-9-17)10-11-21(25)24-26/h2-11,22-23,26H,12-14H2,1H3,(H,24,25)/b11-10+
DescriptionCurator's Comment: Description was created based on several sources, including
https://www.drugbank.ca/drugs/DB06603
Curator's Comment: Description was created based on several sources, including
https://www.drugbank.ca/drugs/DB06603
Panobinostat is an oral deacetylace (DAC) inhibitor approved on February 23, 2015 by the FDA for the treatment of multiple myeloma. The approval was accelerated based on progression-free survival, therefore confirmatory trials by the sponsor to demonstrate clinical efficacy in multiple myeloma treatment are in progress of being conducted. Panobinostat is marketed by Novartis under the brand name Farydak. Panobinostat is a deacetylase (DAC) inhibitor. DACs, also known as histone DACs (HDAC), are responsible for regulating the acetylation of about 1750 proteins in the body; their functions are involved in many biological processes including DNA replication and repair, chromatin remodelling, transcription of genes, progression of the cell-cycle, protein degradation and cytoskeletal reorganization. In multiple myeloma, there is an overexpression of DAC proteins. Panobinostat inhibits class I (HDACs 1, 2, 3, 8), class II (HDACs 4, 5, 6, 7, 9, 10) and class IV (HDAC 11) proteins. Panobinostat's antitumor activity is believed to be attributed to epigenetic modulation of gene expression and inhibition of protein metabolism. Panobinostat also exhibits cytotoxic synergy with bortezomib, a proteasome inhibitor concurrently used in treatment of multiple myeloma.
CNS Activity
Originator
Sources: http://adisinsight.springer.com/drugs/800020423
Curator's Comment: # Novartis
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL3192 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
280.0 nM [IC50] | ||
Target ID: CHEMBL1865 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
11.0 nM [IC50] | ||
Target ID: CHEMBL1829 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
2.1 nM [IC50] | ||
Target ID: CHEMBL1937 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
13.0 nM [IC50] | ||
Target ID: CHEMBL325 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
2.5 nM [IC50] | ||
Target ID: CHEMBL3524 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
200.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | FARYDAK Approved UseFARYDAK, a histone deacetylase inhibitor, in combination with bortezomib
and dexamethasone, is indicated for the treatment of patients with multiple
myeloma who have received at least 2 prior regimens, including bortezomib
and an immunomodulatory agent Launch Date2015 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
15.3 ng/mL |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
95.2 ng × h/mL |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
16.7 h |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
10% |
PANOBINOSTAT plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
34 mg/m2 3 times / week multiple, oral Highest studied dose|RP2D Dose: 34 mg/m2, 3 times / week Route: oral Route: multiple Dose: 34 mg/m2, 3 times / week Sources: |
unhealthy, 1-21 years n = 11 Health Status: unhealthy Condition: relapsed and refractory hematologic malignancies Age Group: 1-21 years Sex: M+F Population Size: 11 Sources: |
DLT: Hypertriglyceridemia... Dose limiting toxicities: Hypertriglyceridemia (grade 4, 1 patient) Sources: |
15 mg/m2 1 times / week multiple, intravenous (starting) Dose: 15 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 15 mg/m2, 1 times / week Sources: |
unhealthy, 3-17 years n = 9 Health Status: unhealthy Condition: refractory solid tumors Age Group: 3-17 years Sex: M+F Population Size: 9 Sources: |
DLT: Electrocardiogram T wave abnormal... Dose limiting toxicities: Electrocardiogram T wave abnormal (2 patients) Sources: |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Disc. AE: Diarrhea, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Diarrhea (17 patients) Sources: Page: p. 36, 45Thrombocytopenia (6 patients) Fatigue (11 patient) Asthenia (11 patient) Peripheral neuropathy (14 patients) Thrombocytopenia (28%) |
20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
DLT: Gamma glutamyl transpeptidase increased... Other AEs: Thrombocytopenia, Leukopenia... Dose limiting toxicities: Gamma glutamyl transpeptidase increased (grade 3, 1 patient) Other AEs:Thrombocytopenia (grade 3-4, 2 patients) Sources: Leukopenia (grade 3-4, 2 patients) Neutropenia (grade 3-4, 5 patients) Nausea (grade 1-2, 4 patients) Stomatitis (grade 1-2, 3 patients) Vomiting (grade 1-2, 3 patients) Fatigue (grade 3-4, 1 patient) Fever (grade 1-2, 4 patients) Decreased appetite (grade 1-2, 5 patients) Hypoalbuminemia (grade 1-2, 2 patients) Rash (grade 1-2, 3 patients) |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
Other AEs: Diarrhea, Arrhythmia... Other AEs: Diarrhea (severe|grade 5, 25%) Sources: Arrhythmia (severe) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypertriglyceridemia | grade 4, 1 patient DLT |
34 mg/m2 3 times / week multiple, oral Highest studied dose|RP2D Dose: 34 mg/m2, 3 times / week Route: oral Route: multiple Dose: 34 mg/m2, 3 times / week Sources: |
unhealthy, 1-21 years n = 11 Health Status: unhealthy Condition: relapsed and refractory hematologic malignancies Age Group: 1-21 years Sex: M+F Population Size: 11 Sources: |
Electrocardiogram T wave abnormal | 2 patients DLT |
15 mg/m2 1 times / week multiple, intravenous (starting) Dose: 15 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 15 mg/m2, 1 times / week Sources: |
unhealthy, 3-17 years n = 9 Health Status: unhealthy Condition: refractory solid tumors Age Group: 3-17 years Sex: M+F Population Size: 9 Sources: |
Asthenia | 11 patient Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Fatigue | 11 patient Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Peripheral neuropathy | 14 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Diarrhea | 17 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Thrombocytopenia | 28% Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Thrombocytopenia | 6 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Co-administed with:: bortezomib(1.3 mg/m2) Sources: Page: p. 36, 45dexamethasone |
unhealthy, 60 years (range: 28-79 years) n = 386 Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Population Size: 386 Sources: Page: p. 36, 45 |
Hypoalbuminemia | grade 1-2, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Rash | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Stomatitis | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Vomiting | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Fever | grade 1-2, 4 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Nausea | grade 1-2, 4 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Decreased appetite | grade 1-2, 5 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Gamma glutamyl transpeptidase increased | grade 3, 1 patient DLT |
20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Fatigue | grade 3-4, 1 patient | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Leukopenia | grade 3-4, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Thrombocytopenia | grade 3-4, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Neutropenia | grade 3-4, 5 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) n = 8 Health Status: unhealthy Condition: advanced solid tumors Age Group: 63.0 years (range: 43–75 years) Sex: M+F Population Size: 8 Sources: |
Arrhythmia | severe | 20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
Diarrhea | severe|grade 5, 25% | 20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/205353Orig1s000PharmR.pdf#page=13 Page: 13.0 |
||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/205353Orig1s000PharmR.pdf#page=13 Page: 13.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Targeting tumor angiogenesis with histone deacetylase inhibitors: the hydroxamic acid derivative LBH589. | 2006 Jan 15 |
|
Determination of the class and isoform selectivity of small-molecule histone deacetylase inhibitors. | 2008 Jan 15 |
|
Mitochondrial Bax translocation partially mediates synergistic cytotoxicity between histone deacetylase inhibitors and proteasome inhibitors in glioma cells. | 2008 Jun |
|
Discovery of (2E)-3-{2-butyl-1-[2-(diethylamino)ethyl]-1H-benzimidazol-5-yl}-N-hydroxyacrylamide (SB939), an orally active histone deacetylase inhibitor with a superior preclinical profile. | 2011 Jul 14 |
|
SIRT1 activation enhances HDAC inhibition-mediated upregulation of GADD45G by repressing the binding of NF-κB/STAT3 complex to its promoter in malignant lymphoid cells. | 2013 May 16 |
Sample Use Guides
20 mg, taken orally once every other day for 3 doses per week (on Days 1, 3, 5, 8, 10, and 12) of Weeks 1 and 2 of each 21-day cycle for 8 cycles
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19671764
Besides, Panobinostat inhibits growth of non small cell lung cancer cell lines (such as human H1299, L55 and A549 with IC50 of 5 nM, 11 nM and 30 nM, respectively), mesothelioma (such as human OK-6 and Ok-5 with IC50 of 5 nM and 7 nM, respectively) and small cell lung cancer cell lines (such as human RG-1 and LD-T with IC50 of 4 nM and 5 nM, respectively).
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000175588
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FDA ORPHAN DRUG |
291509
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FDA ORPHAN DRUG |
244407
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WHO-VATC |
QL01XX42
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FDA ORPHAN DRUG |
705919
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FDA ORPHAN DRUG |
376212
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WHO-ATC |
L01XX42
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EU-Orphan Drug |
EU/3/09/721
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NCI_THESAURUS |
C1946
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Code System | Code | Type | Description | ||
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C496932
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PRIMARY | |||
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DTXSID40193506
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PRIMARY | |||
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DB06603
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PRIMARY | |||
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404950-80-7
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PRIMARY | |||
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CHEMBL483254
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PRIMARY | |||
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PANOBINOSTAT
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YY-135
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PRIMARY | |||
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85990
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PRIMARY | |||
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N0000182137
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PRIMARY | Cytochrome P450 2D6 Inhibitors [MoA] | ||
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4682
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6918837
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9647FM7Y3Z
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SUB31049
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m8383
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PRIMARY | Merck Index | ||
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100000115952
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C66948
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9647FM7Y3Z
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8805
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7489
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1603350
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PRIMARY | RxNorm |
ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE (PARENT)
METABOLITE (PARENT)
METABOLITE (PARENT)
METABOLITE INACTIVE (PARENT)
SALT/SOLVATE (PARENT)