U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C22H26N2O2S.BrH
Molecular Weight 463.431
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ELETRIPTAN HYDROBROMIDE

SMILES

Br.CN1CCC[C@@H]1CC2=CNC3=C2C=C(CCS(=O)(=O)C4=CC=CC=C4)C=C3

InChI

InChIKey=UTINOWOSWSPFLJ-FSRHSHDFSA-N
InChI=1S/C22H26N2O2S.BrH/c1-24-12-5-6-19(24)15-18-16-23-22-10-9-17(14-21(18)22)11-13-27(25,26)20-7-3-2-4-8-20;/h2-4,7-10,14,16,19,23H,5-6,11-13,15H2,1H3;1H/t19-;/m1./s1

HIDE SMILES / InChI

Description
Curator's Comment: Description was created using several sources including: https://www.ncbi.nlm.nih.gov/pubmed/10193663 | http://www.migraines.org/treatment/pro_rlpx.htm

Eletriptan (eletriptan hydrobromide, trade name Relpax) is a selective 5-hydroxytryptamine (5-HT1B/1D) serotonin receptor agonist (triptan) indicated for the acute treatment of migraine with or without aura in adults. Eletriptan binds with high affinity to 5-HT1B, 5-HT1D and 5-HT1F receptors, and has modest affinity for 5-HT1A, 5-HT1E, 5-HT2B and 5-HT7 receptors. The therapeutic activity of eletriptan for the treatment of migraine headache is thought to be due to the agonist effects at the 5-HT1B/1D receptors on intracranial blood vessels (including the arterio-venous anastomoses) and sensory nerves of the trigeminal system which result in cranial vessel constriction and inhibition of pro-inflammatory neuropeptide release. Eletriptan (Relpax) has been approved for use in the acute treatment of migraine in 51 countries and has been introduced in 17 countries including Mexico, Italy, France and Japan.

CNS Activity

Curator's Comment: Known to be CNS penetrant in rats. Human data not available. It was concluded that eletriptan, acting on perikarya and both the peripheral and the central axon terminals of primary sensory neurons, exerts its antimigraine effect by an agonist action on 5-HT1B/1D receptors throughout the entire trigeminal system, probably by passing the blood-brain-barrier because of its lipophilic character.

Originator

Curator's Comment: # Pfizer

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P28221
Gene ID: 3352.0
Gene Symbol: HTR1D
Target Organism: Homo sapiens (Human)
0.92 nM [Kd]
Target ID: P28222
Gene ID: 3351.0
Gene Symbol: HTR1B
Target Organism: Homo sapiens (Human)
3.14 nM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
RELPAX

Approved Use

RELPAX is indicated for the acute treatment of migraine with or without aura in adults. RELPAX is not intended for the prophylactic therapy of migraine or for use in the management of hemiplegic or basilar migraine. Safety and effectiveness of RELPAX Tablets have not been established for cluster headache, which is present in an older, predominantly male population.

Launch Date

2002
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
183.6 ng/mL
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
200.1 ng/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
46.5 ng/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
94.72 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1278 ng × h/mL
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
1282 ng × h/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
291.3 ng × h/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
575.6 ng × h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
4.75 h
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.58 h
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.92 h
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.63 h
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
15%
ELETRIPTAN plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Disc. AE: Nausea, Dizziness...
AEs leading to
discontinuation/dose reduction:
Nausea (0.4%)
Dizziness (0.4%)
Asthenia (0.3%)
Chest pain (0.3%)
Headache (0.2%)
Vomiting (0.2%)
Hypertonia (0.2%)
Paresthesia (0.2%)
Somnolence (0.2%)
Sources: Page: Study 102
AEs

AEs

AESignificanceDosePopulation
Headache 0.2%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Hypertonia 0.2%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Paresthesia 0.2%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Somnolence 0.2%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Vomiting 0.2%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Asthenia 0.3%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Chest pain 0.3%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Dizziness 0.4%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Nausea 0.4%
Disc. AE
80 mg 1 times / day single, oral (typical)
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources: Page: Study 102
unhealthy, 41.9
n = 312
Health Status: unhealthy
Condition: migraine
Age Group: 41.9
Sex: M+F
Population Size: 312
Sources: Page: Study 102
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
little
little
no
no
no
no
no
no
no
no
no
yes [IC50 41 uM]
yes
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
inconclusive
major
yes (co-administration study)
Comment: when administered with ketoconazole, Cmax and AUC increased by 2.7-fold and 5.9-fold, respectively; when administered with verapamil, Cmax and AUC increased by 2.2-fold and 2.7-fold, respectively; when administered with fluconazole, Cmax and AUC increased by 1.4-fold and 2-fold, respectively;
Page: 9.0
minor
minor
PubMed

PubMed

TitleDatePubMed
Sumatriptan versus eletriptan: which is best?
2002 Dec
Current perspectives on effective migraine treatments: are small clinical differences important for patients?
2003
Newer formulations of the triptans: advances in migraine management.
2003
[Strong and sustained-acting triptan. Therewith migraine does not return soon].
2003 Aug 7
Comparative efficacy of eletriptan and zolmitriptan in the acute treatment of migraine.
2003 Dec
[Treatment of migraine: an update].
2003 Jan
[Pharmacological, pharmacokinetic and clinical profile of eletriptan (Relpax), a new triptan for migraine].
2003 Jul
Eletriptan issues.
2003 Jul-Aug
A cost-effectiveness analysis of eletriptan 40 and 80 mg versus sumatriptan 50 and 100 mg in the acute treatment of migraine.
2003 Jul-Aug
Cost-effectiveness of migraine treatment: a commentary.
2003 Jul-Aug
The evolving management of migraine.
2003 Jun
Safety profile of the triptans.
2003 Mar
Efficacy, safety, and tolerability of oral eletriptan for treatment of acute migraine: a multicenter, double-blind, placebo-controlled study conducted in the United States.
2003 Mar
[Highly selective beginning. Associated symptoms and side effects in retrospect].
2003 May 26
[Improved pharmacokinetics. Fast tryptan with sustained response].
2003 May 26
Comparative efficacy of eletriptan vs. naratriptan in the acute treatment of migraine.
2003 Nov
Efficacy of eletriptan in migraineurs with persistent poor response to nonsteroidal anti-inflammatory drugs.
2003 Oct
Tolerability and safety of eletriptan in the treatment of migraine: a comprehensive review.
2003 Oct
Musing on Mathew et al.
2003 Sep
Encapsulated sumatriptan is not bioequivalent to commercial sumatriptan.
2003 Sep
Unilateral time-delayed encapsulation does not make for a fair race.
2003 Sep
Migraine: diagnosis and management.
2003 Sep-Oct
Eletriptan for the short-term prophylaxis of cluster headache.
2004 Apr
Meta-analysis of oral triptans.
2004 Aug
New drugs 04, part 1.
2004 Feb
The 40-mg dose of eletriptan: comparative efficacy and tolerability versus sumatriptan 100 mg.
2004 Feb
[Use of triptanes according to indications. Risk of infarct is not increased].
2004 Feb 12
The 5-hydroxytryptamine1B/1D/1F receptor agonists eletriptan and naratriptan inhibit trigeminovascular input to the nucleus tractus solitarius in the cat.
2004 Feb 13
Neuronal expression and regulation of CGRP promoter activity following viral gene transfer into cultured trigeminal ganglia neurons.
2004 Jan 30
Gateways to clinical trials.
2004 Jan-Feb
Effect of high-dose intravenous eletriptan on coronary artery diameter.
2004 Jul
Cardiovascular safety of triptans.
2004 Jul
Involvement of 5-HT1B receptors in triptan-induced contractile responses in guinea-pig isolated iliac artery.
2004 Jul
Nitrergic and glutamatergic neuronal mechanisms at the trigeminovascular first-order synapse.
2004 Jul
Gateways to clinical trials.
2004 Jul-Aug
Triptans and CNS side-effects: pharmacokinetic and metabolic mechanisms.
2004 Jun
Gateways to clinical trials.
2004 Mar
Eletriptan for the acute treatment of migraine: results of bridging a Japanese study to Western clinical trials.
2004 Mar
Cost considerations of acute migraine treatment.
2004 Mar
Cost effectiveness of oral triptan therapy: a trans-national comparison based on a meta-analysis of randomised controlled trials.
2004 May
Double-blind clinical trials of oral triptans vs other classes of acute migraine medication - a review.
2004 May
[A case of the usefulness of MR angiography and diffusion weighted image to evaluate migraine].
2004 Oct
[Spanish contribution to the clinical development of eletriptan: an analysis of controlled studies].
2004 Oct
No effect of eletriptan administration during the aura phase of migraine.
2004 Oct
[Meta-analysis of triptan treatment in migraine].
2004 Sep
[Triptans in migraine: from clinical view].
2004 Sep
[Triptans in migraine: a comparative review of pharmacology, pharmacokinetics].
2004 Sep
Gateways to clinical trials.
2004 Sep
Priorities for triptan treatment attributes and the implications for selecting an oral triptan for acute migraine: a study of US primary care physicians (the TRIPSTAR Project).
2004 Sep
TRIPSTAR: prioritizing oral triptan treatment attributes in migraine management.
2004 Sep
Patents

Sample Use Guides

The maximum recommended single dose of Relpax (eletriptan hydrobromide) is 40 mg. If after the initial dose, headache improves but then returns, a repeat dose may be beneficial. If a second dose is required, it should be taken at least 2 hours after the initial dose. If the initial dose is ineffective, controlled clinical trials have not shown a benefit of a second dose to treat the same attack. The maximum daily dose should not exceed 80 mg.
Route of Administration: Oral
The 5-hydroxytryptamine (5-HT) receptor mediation of the contraction in guinea-pig iliac arteries moderately precontracted by prostaglandin F2alpha (PGF2alpha) was characterized in vitro using eletriptan. Eletriptan contracted guinea-pig iliac arteries and the concentration-response curve for eletriptan was biphasic (first phase: 0.01-3 uM, pD2 approximately 6.6; second phase: greater or equal 10 uM).
Name Type Language
ELETRIPTAN HYDROBROMIDE
JAN   MART.   MI   ORANGE BOOK   USAN   WHO-DD  
USAN  
Official Name English
ELETRIPTAN HYDROBROMIDE [ORANGE BOOK]
Common Name English
RELPAX
Brand Name English
3-[[(R)-1-Methyl-2-pyrrolidinyl]methyl]-5-[2-(phenylsulfonyl)ethyl]indole, monohydrobromide
Common Name English
ELETRIPTAN HYDROBROMIDE [JAN]
Common Name English
ELETRIPTAN HYDROBROMIDE [MART.]
Common Name English
UK-116,044-04
Code English
(R)-3-((1-METHYL-2-PYRROLIDINYL)METHYL)-5-(2-(PHENYLSULFONYL)ETHYL)-1H-INDOLE MONOHYDROBROMIDE
Systematic Name English
ELETRIPTAN HBR
Common Name English
Eletriptan hydrobromide [WHO-DD]
Common Name English
ELETRIPTAN HYDROBROMIDE [USP-RS]
Common Name English
ELETRIPTAN HYDROBROMIDE [MI]
Common Name English
UK-116044-04
Code English
NSC-759258
Code English
ELETRIPTAN HYDROBROMIDE [USAN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C47794
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
Code System Code Type Description
EVMPD
SUB26382
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
RXCUI
360288
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PRIMARY RxNorm
USAN
JJ-101
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PRIMARY
CAS
177834-92-3
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PRIMARY
NSC
759258
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
PUBCHEM
656631
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
ChEMBL
CHEMBL1510
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
RS_ITEM_NUM
1234453
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PRIMARY
SMS_ID
100000091986
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PRIMARY
CHEBI
61176
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
MERCK INDEX
m4867
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY Merck Index
FDA UNII
M41W832TA3
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PRIMARY
NCI_THESAURUS
C47508
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PRIMARY
EPA CompTox
DTXSID001016113
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
DAILYMED
M41W832TA3
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY
DRUG BANK
DBSALT000884
Created by admin on Fri Dec 15 16:35:39 GMT 2023 , Edited by admin on Fri Dec 15 16:35:39 GMT 2023
PRIMARY