Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H32Cl2N4O |
Molecular Weight | 427.411 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CN(C)C(=O)N[C@H]1CC[C@H](CCN2CCN(CC2)C3=C(Cl)C(Cl)=CC=C3)CC1
InChI
InChIKey=KPWSJANDNDDRMB-QAQDUYKDSA-N
InChI=1S/C21H32Cl2N4O/c1-25(2)21(28)24-17-8-6-16(7-9-17)10-11-26-12-14-27(15-13-26)19-5-3-4-18(22)20(19)23/h3-5,16-17H,6-15H2,1-2H3,(H,24,28)/t16-,17-
Cariprazine is an antipsychotic approved by FDA for the treatment of schizophrenia and bipolar I disorder. The drug has a unique clinical action which is explained by its ability to act on dopamine D3 receptors. Pharmacology studies revealed that cariprazine is a dual partial agonist of dopamine D2 and D3 receptors as well as serotonin 5HT1a, 2a and 2b receptors.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL217 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26956157 |
0.49 nM [Ki] | ||
Target ID: CHEMBL234 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26956157 |
0.085 nM [Ki] | ||
Target ID: CHEMBL214 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26956157 |
2.6 nM [Ki] | ||
Target ID: CHEMBL224 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26956157 |
18.8 nM [Ki] | ||
Target ID: CHEMBL1833 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26956157 |
0.58 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | VRAYLAR Approved UseVRAYLAR is indicated for the treatment of schizophrenia and acute treatment of manic or mixed episodes associated with bipolar I disorder. Launch Date2015 |
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Primary | VRAYLAR Approved UseVRAYLAR is indicated for the treatment of schizophrenia and acute treatment of manic or mixed episodes associated with bipolar I disorder. Launch Date2015 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
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10.2 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
3 mg 1 times / day multiple, oral dose: 3 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
22.7 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
6 mg 1 times / day multiple, oral dose: 6 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
28.8 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
9 mg 1 times / day multiple, oral dose: 9 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
156 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
3 mg 1 times / day multiple, oral dose: 3 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
358 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
6 mg 1 times / day multiple, oral dose: 6 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
466 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
9 mg 1 times / day multiple, oral dose: 9 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
68.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
3 mg 1 times / day multiple, oral dose: 3 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
44.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
6 mg 1 times / day multiple, oral dose: 6 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
31.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26834462 |
9 mg 1 times / day multiple, oral dose: 9 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
9% |
unknown, unknown |
CARIPRAZINE HYDROCHLORIDE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Disc. AE: Schizophrenia aggravated, Psychotic disorder... AEs leading to discontinuation/dose reduction: Schizophrenia aggravated (2.7%) Sources: Psychotic disorder (2%) ALT increased (2 patients) AST increased (2 patients) Bilirubin increased (1 patient) Akathisia (0.9%) Extrapyramidal disorder (0.3%) Restlessness (0.2%) Dystonia (0.2%) Parkinsonism (0.2%) Salivary hypersecretion (0.2%) Tremor (0.2%) Musculoskeletal stiffness (0.2%) |
12 mg 1 times / day steady, oral (mean) Highest studied dose Dose: 12 mg, 1 times / day Route: oral Route: steady Dose: 12 mg, 1 times / day Sources: |
unhealthy, 41,2 years (range: 18-65 years) n = 169 Health Status: unhealthy Condition: bipolar I disorder Age Group: 41,2 years (range: 18-65 years) Sex: M+F Population Size: 169 Sources: |
Disc. AE: Akathisia... AEs leading to discontinuation/dose reduction: Akathisia Sources: |
6 mg 1 times / day steady, oral Recommended Dose: 6 mg, 1 times / day Route: oral Route: steady Dose: 6 mg, 1 times / day Sources: |
unhealthy, Elderly n = 17 Health Status: unhealthy Condition: dementia related psychosis Age Group: Elderly Population Size: 17 Sources: |
Other AEs: Adverse event... Other AEs: Adverse event (grade 5) Sources: |
3 mg 1 times / day steady, oral Recommended Dose: 3 mg, 1 times / day Route: oral Route: steady Dose: 3 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: bipolar mania Sources: |
Disc. AE: Akathisia... AEs leading to discontinuation/dose reduction: Akathisia (2%) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dystonia | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Musculoskeletal stiffness | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Parkinsonism | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Restlessness | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Salivary hypersecretion | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Tremor | 0.2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Extrapyramidal disorder | 0.3% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Akathisia | 0.9% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Bilirubin increased | 1 patient Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
ALT increased | 2 patients Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
AST increased | 2 patients Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Psychotic disorder | 2% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Schizophrenia aggravated | 2.7% Disc. AE |
5.7 mg 1 times / day steady, oral (mean) Recommended Dose: 5.7 mg, 1 times / day Route: oral Route: steady Dose: 5.7 mg, 1 times / day Sources: |
unhealthy, 39.1 years n = 586 Health Status: unhealthy Condition: schizophrenia Age Group: 39.1 years Sex: M+F Population Size: 586 Sources: |
Akathisia | Disc. AE | 12 mg 1 times / day steady, oral (mean) Highest studied dose Dose: 12 mg, 1 times / day Route: oral Route: steady Dose: 12 mg, 1 times / day Sources: |
unhealthy, 41,2 years (range: 18-65 years) n = 169 Health Status: unhealthy Condition: bipolar I disorder Age Group: 41,2 years (range: 18-65 years) Sex: M+F Population Size: 169 Sources: |
Adverse event | grade 5 | 6 mg 1 times / day steady, oral Recommended Dose: 6 mg, 1 times / day Route: oral Route: steady Dose: 6 mg, 1 times / day Sources: |
unhealthy, Elderly n = 17 Health Status: unhealthy Condition: dementia related psychosis Age Group: Elderly Population Size: 17 Sources: |
Akathisia | 2% Disc. AE |
3 mg 1 times / day steady, oral Recommended Dose: 3 mg, 1 times / day Route: oral Route: steady Dose: 3 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: bipolar mania 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 |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes | yes (co-administration study) Comment: In vivo data showed that a strong CYP3A4 inhibitor (i.e., ketoconazole) increased the total effective exposure after cariprazine administration by about 100% (study RGH-PK-07). Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/204370Orig1Orig2s000ClinPharmR.pdf#page=29 Page: 29.0 |
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yes | yes (pharmacogenomic study) Comment: Based on a population PK analysis, steady-state AUC0-24 of DDCAR in poor metabolizers of CYP2D6 was about 16% higher than in extensive metabolizers. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/204370Orig1Orig2s000ClinPharmR.pdf#page=29 Page: 29.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/204370Orig1Orig2s000PharmR.pdf#page=473 Page: 473.0 |
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Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/204370Orig1Orig2s000PharmR.pdf#page=473 Page: 473.0 |
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Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/204370Orig1Orig2s000PharmR.pdf#page=473 Page: 473.0 |
Sample Use Guides
The recommended dose is from 1.5 mg to 6 mg/day (schizophrenia) and 3 mg to 6 mg/day (bipolar mania).
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20093397
Rat striatal and hippocampal membrane preparation were treated with a range of cariprazine concentrations from 0.1 nM to 0.1 mM to study [35S]GTPgammaS binding.
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000175430
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WHO-ATC |
N05AX15
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Code System | Code | Type | Description | ||
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Cariprazine
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100000128115
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C533287
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11154555
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DTXSID80232867
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F6RJL8B278
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C169826
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839712-12-8
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SUB34830
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Cariprazine
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F6RJL8B278
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7671
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m11853
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YY-06
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8920
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1667655
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8310
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CHEMBL2028019
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90933
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DB06016
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5037
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ACTIVE MOIETY
METABOLITE ACTIVE (PARENT)
METABOLITE ACTIVE (PARENT)
SALT/SOLVATE (PARENT)