Details
Stereochemistry | RACEMIC |
Molecular Formula | C14H18O3 |
Molecular Weight | 234.2909 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(C)(C)C(O)\C=C\C1=CC2=C(OCO2)C=C1
InChI
InChIKey=IBLNKMRFIPWSOY-FNORWQNLSA-N
InChI=1S/C14H18O3/c1-14(2,3)13(15)7-5-10-4-6-11-12(8-10)17-9-16-11/h4-8,13,15H,9H2,1-3H3/b7-5+
DescriptionSources: http://www.ncbi.nlm.nih.gov/pubmed/17199026Curator's Comment: Description was created based on several sources, including:
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/000664/WC500036518.pdf
Sources: http://www.ncbi.nlm.nih.gov/pubmed/17199026
Curator's Comment: Description was created based on several sources, including:
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/000664/WC500036518.pdf
Stiripentol is an anticonvulsant drug used in the treatment of epilepsy. It recently proved to increase the GABAergic transmission in vitro in an experimental model of immature rat. Clinical studies were based on the fact that STP also acts as an inhibitor of CYP3A4, CYP1A2, and CYP2C19 in vivo in epileptic patients. Side effects are largely due to the increase in plasma concentrations of other anticonvulsants and can be reduced by lowering the dose of those drugs. Nausea and vomiting are particularly noted when used in combination with sodium valproate. It appears to increase the potency of phenobarbital, primidone, phenytoin, carbamazepine, clobazam and diazepam.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7067724 | http://www.ncbi.nlm.nih.gov/pubmed/7957040
Curator's Comment: Known to be CNS penetrant in rats. Human data not available.
Originator
Sources: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000664/WC500036521.pdf
Curator's Comment: The product was first identified by BIOCODEX, in 1978 with early clinical development starting in 1980s.
Approval Year
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.5 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
2.1 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
14 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
2000 mg single, oral dose: 2000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
31 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
8.3 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
88 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
2000 mg single, oral dose: 2000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
10 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24725808/ |
2000 mg single, oral dose: 2000 mg route of administration: Oral experiment type: SINGLE co-administered: |
STIRIPENTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
Doses
Dose | Population | Adverse events |
---|---|---|
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 6valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 6 |
Disc. AE: Status epilepticus, Drowsiness... AEs leading to discontinuation/dose reduction: Status epilepticus (< 1%) Sources: Page: 6Drowsiness (< 1%) Balance impaired NOS (< 1%) Sialorrhea (< 1%) |
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Other AEs: Nausea, Vomiting... Other AEs: Nausea (15%) Sources: Page: 7Vomiting (9%) Salivary hypersecretion (6%) Fatigue (9%) Pyrexia (6%) Bronchitis (6%) Nasopharyngitis (6%) Weight decreased (27%) Weight increased (6%) Decreased appetite (46%) Somnolence (67%) Ataxia (27%) Hypotonia (18%) Tremor (15%) Dysarthria (12%) Agitation (27%) Insomnia (12%) Aggression (9%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Balance impaired NOS | < 1% Disc. AE |
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 6valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 6 |
Drowsiness | < 1% Disc. AE |
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 6valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 6 |
Sialorrhea | < 1% Disc. AE |
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 6valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 6 |
Status epilepticus | < 1% Disc. AE |
50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 6valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 6 |
Dysarthria | 12% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Insomnia | 12% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Nausea | 15% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Tremor | 15% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Hypotonia | 18% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Agitation | 27% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Ataxia | 27% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Weight decreased | 27% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Decreased appetite | 46% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Bronchitis | 6% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Nasopharyngitis | 6% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Pyrexia | 6% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Salivary hypersecretion | 6% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Weight increased | 6% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Somnolence | 67% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Aggression | 9% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Fatigue | 9% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Vomiting | 9% | 50 mg/kg 1 times / day steady, oral Recommended Dose: 50 mg/kg, 1 times / day Route: oral Route: steady Dose: 50 mg/kg, 1 times / day Co-administed with:: clobazam Sources: Page: 7valproate |
unhealthy, mean age 9.2 years n = 33 Health Status: unhealthy Condition: Dravet syndrome Age Group: mean age 9.2 years Sex: M+F Population Size: 33 Sources: Page: 7 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 130 uM] | ||||
no | ||||
not significant | ||||
not significant | ||||
not significant | ||||
not significant | ||||
not significant | ||||
yes [IC50 13 uM] | ||||
yes [IC50 14 uM] | ||||
yes [IC50 2.34 uM] | ||||
yes [IC50 6.6 uM] | ||||
yes [IC50 6.8 uM] | ||||
yes [IC50 9.2 uM] | ||||
yes [IC50 92.1 uM] | ||||
yes | ||||
yes | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | yes (co-administration study) Comment: Co-administration of clobazam (CYP3A4 substrate) with stiripentol increased concentrations of clobazam by approximately 2-fold and norclobazam (clobazam active metabolite, CYP2C19 substrate) by 5-fold Page: 14.0 |
|||
yes | yes (co-administration study) Comment: Co-administration of clobazam (CYP3A4 substrate) with stiripentol increased concentrations of clobazam by approximately 2-fold and norclobazam (clobazam active metabolite, CYP2C19 substrate) by 5-fold Page: 14.0 |
Sample Use Guides
Initial dose is 50 mg/kg per day. This may be increased up to 100 mg/kg per day, with a maximum of 4 g/day.
Route of Administration:
Oral
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
800820
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EU-Orphan Drug |
EU/3/01/071
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WHO-VATC |
QN03AX17
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NCI_THESAURUS |
C264
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EMA ASSESSMENT REPORTS |
DIACOMIT (AUTHORIZED: MYOCLONIC EPILEPSY, JUVENILE)
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FDA ORPHAN DRUG |
266108
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WHO-ATC |
N03AX17
Created by
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Code System | Code | Type | Description | ||
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2480
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PRIMARY | |||
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m10218
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PRIMARY | Merck Index | ||
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137767-55-6
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R02XOT8V8I
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2054968
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PRIMARY | |||
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3760
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PRIMARY | |||
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DTXSID6049068
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131206-47-8
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SUPERSEDED | |||
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C021092
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49763-96-4
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NON-SPECIFIC STEREOCHEMISTRY | |||
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Stiripentol
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100000089171
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PRIMARY | |||
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STIRIPENTOL
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5469
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CHEMBL1983350
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R02XOT8V8I
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SUB10654MIG
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DB09118
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PRIMARY | |||
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256-480-9
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PRIMARY | |||
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C152433
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5311454
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ACTIVE MOIETY
METABOLITE INACTIVE (PARENT)
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