Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C22H24N2O7S |
Molecular Weight | 460.5 |
Optical Activity | ( + ) |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCOC1=C(OC)C=CC(=C1)[C@@H](CS(C)(=O)=O)N2C(=O)C3=CC=CC(NC(C)=O)=C3C2=O
InChI
InChIKey=IMOZEMNVLZVGJZ-QGZVFWFLSA-N
InChI=1S/C22H24N2O7S/c1-5-31-19-11-14(9-10-18(19)30-3)17(12-32(4,28)29)24-21(26)15-7-6-8-16(23-13(2)25)20(15)22(24)27/h6-11,17H,5,12H2,1-4H3,(H,23,25)/t17-/m1/s1
DescriptionCurator's Comment: description was created based on several sources, including
http://ir.celgene.com/releasedetail.cfm?releaseid=872240;
http://www.ncbi.nlm.nih.gov/pubmed/26806620; http://www.ncbi.nlm.nih.gov/pubmed/?term=20525198;
http://www.ncbi.nlm.nih.gov/pubmed/20050849
Curator's Comment: description was created based on several sources, including
http://ir.celgene.com/releasedetail.cfm?releaseid=872240;
http://www.ncbi.nlm.nih.gov/pubmed/26806620; http://www.ncbi.nlm.nih.gov/pubmed/?term=20525198;
http://www.ncbi.nlm.nih.gov/pubmed/20050849
Apremilast (brand name Otezla) selective inhibitor of phosphodiesterase 4 is used for the treatment of patients with moderate to severe plaque psoriasis. OTEZLA is the first and only PDE4 inhibitor approved for the treatment of plaque psoriasis, a chronic inflammatory disease of the skin resulting from an uncontrolled immune response. Apremilast also inhibits spontaneous production of TNF-alpha from human rheumatoid synovial cells. It has anti-inflammatory activity. By inhibiting PDE-4, apremilast increases intracellular levels of cAMP and thereby inhibits the production of multiple proinflammatory mediators including PDE-4, TNF-alpha, interleukin-2 (IL-2), interferon-gamma, leukotrienes, and nitric oxide synthase.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL2093863 Sources: http://www.ncbi.nlm.nih.gov/pubmed/19256507 |
74.0 nM [IC50] | ||
Target ID: CHEMBL2093863 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19256507 |
0.074 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | OTEZLA Approved UseFor the treatment of adult patients with active psoriatic arthritis and patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy Launch Date2014 |
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Primary | OTEZLA Approved UseFor the treatment of adult patients with active psoriatic arthritis and patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy Launch Date2014 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
527 ng × eq/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21859393/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
APREMILAST, (+/-)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
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208 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
10 mg 2 times / day multiple, oral dose: 10 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
298 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
20 mg 2 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
637 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
30 mg 2 times / day multiple, oral dose: 30 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6632 ng × eq × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21859393/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
APREMILAST, (+/-)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1008 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
10 mg 2 times / day multiple, oral dose: 10 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1591 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
20 mg 2 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
3467 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22748702/ |
30 mg 2 times / day multiple, oral dose: 30 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
APREMILAST plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
50.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21859393/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
APREMILAST, (+/-)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
50 mg 2 times / day steady, oral Overdose Dose: 50 mg, 2 times / day Route: oral Route: steady Dose: 50 mg, 2 times / day Sources: |
healthy, adult n = 8 Health Status: healthy Age Group: adult Population Size: 8 Sources: |
|
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Disc. AE: Nausea, Diarrhea... AEs leading to discontinuation/dose reduction: Nausea (3%) Sources: Page: p. 61Diarrhea (2%) Headache (2%) Dizziness (1%) Vomiting (1%) Fatigue (1%) Migraine (<1%) Abdominal pain upper (<1%) Decreased appetite (<1%) Depressed mood (<1%) Abdominal distension (<1%) |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Disc. AE: Nausea, Diarrhea... AEs leading to discontinuation/dose reduction: Nausea (1%) Sources: Page: p. 61Diarrhea (1%) Vomiting (<1%) Fatigue (<1%) Migraine (<1%) Abdominal pain upper (<1%) Decreased appetite (<1%) Depressed mood (<1%) Depression (<1%) Abdominal distension (<1%) Dyspepsia (<1%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dizziness | 1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Fatigue | 1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Vomiting | 1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Diarrhea | 2% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Headache | 2% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Nausea | 3% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Abdominal distension | <1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Abdominal pain upper | <1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Decreased appetite | <1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Depressed mood | <1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Migraine | <1% Disc. AE |
30 mg 2 times / day steady, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: steady Dose: 30 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Diarrhea | 1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Nausea | 1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Abdominal distension | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Abdominal pain upper | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Decreased appetite | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Depressed mood | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Depression | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Dyspepsia | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Fatigue | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Migraine | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Vomiting | <1% Disc. AE |
20 mg 2 times / day steady, oral Dose: 20 mg, 2 times / day Route: oral Route: steady Dose: 20 mg, 2 times / day Sources: Page: p. 61 |
unhealthy n = 501 Health Status: unhealthy Sex: M+F Population Size: 501 Sources: Page: p. 61 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000ClinPharmR.pdf#page=37 Page: 37.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000ClinPharmR.pdf#page=37 Page: 37.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000ClinPharmR.pdf#page=37 Page: 37.0 |
no | |||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
weak [IC50 >10 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000ClinPharmR.pdf#page=37 Page: 37.0 |
weak | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000ClinPharmR.pdf#page=37 Page: 37.0 |
weak |
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/205437Orig1s000PharmR.pdf#page=4 Page: 4.0 |
PubMed
Title | Date | PubMed |
---|---|---|
CC-10004 . | 2005 May |
|
Discovery of (S)-N-[2-[1-(3-ethoxy-4-methoxyphenyl)-2-methanesulfonylethyl]-1,3-dioxo-2,3-dihydro-1H-isoindol-4-yl] acetamide (apremilast), a potent and orally active phosphodiesterase 4 and tumor necrosis factor-alpha inhibitor. | 2009 Mar 26 |
|
Novel systemic drugs for psoriasis: mechanism of action for apremilast, a specific inhibitor of PDE4. | 2013 Jun |
Sample Use Guides
The recommended initial dosage titration of OTEZLA (apremilast) from Day 1 to Day 5 is from 10 mg till 30 mg corresponding. Following the 5-day titration, the recommended maintenance dosage is 30 mg twice daily taken orally starting on Day 6. This titration is intended to reduce the gastrointestinal symptoms associated with initial therapy.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=20525198
LPS-stimulated human monocytes were treated with concentrations of apremilast ranging from 6.25 nM to 100 nM.
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000182961
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WHO-ATC |
L04AA32
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EMA ASSESSMENT REPORTS |
OTEZLA (AUTHORIZED: ARTHRITIS, PSORIATIC)
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NCI_THESAURUS |
C744
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EU-Orphan Drug |
EU/3/13/1180
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WHO-VATC |
QL04AA32
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DTXSID30976289
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SS-114
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7372
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N0000182960
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PRIMARY | Phosphodiesterase 4 Inhibitors [MoA] | ||
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8872
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8221
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m2010
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C505730
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11561674
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Apremilast
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SUB130837
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CHEMBL514800
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1492727
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78540
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608141-41-9
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DB05676
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4829
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C147044
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ACTIVE MOIETY
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