Details
Stereochemistry | ACHIRAL |
Molecular Formula | C16H17N7O2S |
Molecular Weight | 371.417 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCS(=O)(=O)N1CC(CC#N)(C1)N2C=C(C=N2)C3=C4C=CNC4=NC=N3
InChI
InChIKey=XUZMWHLSFXCVMG-UHFFFAOYSA-N
InChI=1S/C16H17N7O2S/c1-2-26(24,25)22-9-16(10-22,4-5-17)23-8-12(7-21-23)14-13-3-6-18-15(13)20-11-19-14/h3,6-8,11H,2,4,9-10H2,1H3,(H,18,19,20)
Baricitinib (trade name Olumiant) is an investigational drug for rheumatoid arthritis (RA), being developed by Incyte and Eli Lilly. Baricitinib is a selective JAK1 and JAK2 inhibitor with IC50 of 5.9 nM and 5.7 nM in cell-free assays. In February 2017 Baricitinib was approved for use in the European Union as a second-line therapy for moderate to severe active rheumatoid arthritis in adults, either alone or in combination with methotrexate. On 31 May 2018 FDA approved Barictinib for the treatment of adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response to one or more TNF antagonist therapies.
CNS Activity
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2148 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26372653 |
180.0 nM [IC50] | ||
Target ID: CHEMBL2835 Sources: https://www.ncbi.nlm.nih.gov/pubmed/20363976 |
5.9 nM [IC50] | ||
Target ID: CHEMBL2971 Sources: https://www.ncbi.nlm.nih.gov/pubmed/20363976 |
5.7 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | OLUMIANT Approved UseOLUMIANT is a Janus kinase (JAK) inhibitor indicated for the treatment of adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response to one or more TNF antagonist therapies. Launch Date2010 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
36.2 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28749581 |
4 mg single, oral dose: 4 mg route of administration: Oral experiment type: SINGLE co-administered: |
BARICITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
47.8 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT03212638 |
4 mg single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: Fasted |
|
32.5 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT03212638 |
4 mg single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: High fat meal |
|
136 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
10 mg 1 times / day multiple, oral dose: 10 mg route of administration: oral experiment type: multiple co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
147 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
29 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02708095 |
2 mg 1 times / day steady, oral dose: 2 mg route of administration: oral experiment type: steady co-administered: |
BARICITINIB plasma | Homo sapiens population: unhealthy age: sex: food status: |
|
47.8 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
4 mg single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
48 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: oral experiment type: multiple co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
59.2 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02708095 |
4 mg 1 times / day steady, oral dose: 4 mg route of administration: oral experiment type: steady co-administered: |
BARICITINIB plasma | Homo sapiens population: unhealthy age: sex: food status: |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
236 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28749581 |
4 mg single, oral dose: 4 mg route of administration: Oral experiment type: SINGLE co-administered: |
BARICITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
265 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
4 mg 1 times / day steady, oral dose: 4 mg route of administration: oral experiment type: steady co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
771 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
10 mg 1 times / day steady, oral dose: 10 mg route of administration: oral experiment type: steady co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
216 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT03212638 |
4 mg single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: Fasted |
|
273 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT03212638 |
4 mg single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: High fat meal |
|
270 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
4 mg 1 times / day single, oral dose: 4 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
|
777 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02758613 |
10 mg 1 times / day single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
BARICITINIB plasma | Homo sapiens population: healthy age: sex: food status: |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7.28 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28749581 |
4 mg single, oral dose: 4 mg route of administration: Oral experiment type: SINGLE co-administered: |
BARICITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
50% EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28749581 |
4 mg single, oral dose: 4 mg route of administration: Oral experiment type: SINGLE co-administered: |
BARICITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / 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: |
healthy, 30.6 years (ramge: 18–55 years) n = 8 Health Status: healthy Age Group: 30.6 years (ramge: 18–55 years) Sex: M+F Population Size: 8 Sources: |
|
40 mg single, oral Highest studied dose Dose: 40 mg Route: oral Route: single Dose: 40 mg Sources: Page: p. 10 |
healthy Health Status: healthy Sources: Page: p. 10 |
|
2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Other AEs: Pneumonia, Systemic herpes zoster infection... Other AEs: Pneumonia (serious|grade 5) Sources: Systemic herpes zoster infection (serious|grade 5) Urinary tract infection (serious|grade 5) Venous thrombosis (serious|grade 5) Pulmonary embolism (serious|grade 5) |
2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 479 Health Status: unhealthy Population Size: 479 Sources: Page: p. 171 |
Disc. AE: Systemic herpes zoster infection, Anemia... AEs leading to discontinuation/dose reduction: Systemic herpes zoster infection (1%) Sources: Page: p. 171Anemia (0.6%) |
4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 997 Health Status: unhealthy Population Size: 997 Sources: Page: p. 171 |
Disc. AE: Systemic herpes zoster infection, Infestation... AEs leading to discontinuation/dose reduction: Systemic herpes zoster infection (1%) Sources: Page: p. 171Infestation (1.6%) Alanine aminotransferase increase (0.2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Pneumonia | serious|grade 5 | 2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Pulmonary embolism | serious|grade 5 | 2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Systemic herpes zoster infection | serious|grade 5 | 2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Urinary tract infection | serious|grade 5 | 2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Venous thrombosis | serious|grade 5 | 2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Anemia | 0.6% Disc. AE |
2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 479 Health Status: unhealthy Population Size: 479 Sources: Page: p. 171 |
Systemic herpes zoster infection | 1% Disc. AE |
2 mg 1 times / day steady, oral Recommended Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 479 Health Status: unhealthy Population Size: 479 Sources: Page: p. 171 |
Alanine aminotransferase increase | 0.2% Disc. AE |
4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 997 Health Status: unhealthy Population Size: 997 Sources: Page: p. 171 |
Systemic herpes zoster infection | 1% Disc. AE |
4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 997 Health Status: unhealthy Population Size: 997 Sources: Page: p. 171 |
Infestation | 1.6% Disc. AE |
4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: Page: p. 171 |
unhealthy n = 997 Health Status: unhealthy Population Size: 997 Sources: Page: p. 171 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
unlikely | |||
Page: 6.0 |
weak [IC50 100 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
weak [IC50 >25 uM] | |||
Page: 59.0 |
yes [IC50 11.6 uM] | |||
Page: 60.0 |
yes [IC50 13.7 uM] | yes (co-administration study) Comment: transport of metformin was inhibited by LY3009104 Page: 60.0 |
||
Page: 59.0 |
yes [IC50 49.4 uM] | |||
Page: 59.0 |
yes [IC50 50 uM] | |||
Page: 59.0 |
yes [IC50 6.9 uM] | |||
Page: 59.0 |
yes [IC50 8.4 uM] | |||
Page: 59.0 |
yes [IC50 >100 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
no | |||
Page: 59.0 |
yes | |||
Page: 60.0 |
yes | |||
Page: 59.0 |
yes | |||
Page: 59.0 |
yes | yes (co-administration study) Comment: the bii-directional transport ratio of LY3009104 reduced in the presence of BCRP inhibitors Kol43, FTC, and GF120918 Page: 59.0 |
||
Page: 41, 59 |
yes | yes (co-administration study) Comment: uptake was inhibited by probenecid; probenecid increased baricitinib AUC by 2-fold Page: 41, 59 |
Sample Use Guides
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20363976
Baricitinib inhibits IL-6–stimulated phosphorylation of the canonical substrate STAT3 (pSTAT3) and subsequent production of the chemokine MCP-1 with IC50 values of 44 nM and 40 nM, respectively, in PBMCs. Baricitinib also inhibits pSTAT3 stimulated by IL-23 with IC50 of 20 nM in isolated naive T-cells
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Classification Tree | Code System | Code | ||
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EMA ASSESSMENT REPORTS |
OLUMIANT (AUTHORIZED: ARTHRITIS, RHEUMATOID)
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NCI_THESAURUS |
C1967
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FDA ORPHAN DRUG |
610017
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NCI_THESAURUS |
C129825
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WHO-ATC |
L04AA37
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NDF-RT |
N0000190858
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ISP4442I3Y
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100000166701
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Baricitinib
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44205240
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ISP4442I3Y
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YY-82
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DB11817
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5202
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C127012
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SUB180983
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CHEMBL2105759
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1187594-09-7
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m12076
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2047232
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Baricitinib
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9570
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DTXSID30152228
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ACTIVE MOIETY
SALT/SOLVATE (PARENT)