Details
Stereochemistry | RACEMIC |
Molecular Formula | C17H14BrN3O2S |
Molecular Weight | 404.281 |
Optical Activity | ( + / - ) |
Additional Stereochemistry | Yes |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
Stereo Comments | AXIAL, RACEMIC |
SHOW SMILES / InChI
SMILES
OC(=O)CSC1=NN=C(Br)N1C2=C3C=CC=CC3=C(C=C2)C4CC4
InChI
InChIKey=FGQFOYHRJSUHMR-UHFFFAOYSA-N
InChI=1S/C17H14BrN3O2S/c18-16-19-20-17(24-9-15(22)23)21(16)14-8-7-11(10-5-6-10)12-3-1-2-4-13(12)14/h1-4,7-8,10H,5-6,9H2,(H,22,23)
Molecular Formula | C17H14BrN3O2S |
Molecular Weight | 404.281 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Lesinurad (brand name Zurampic) is a urate transporter inhibitor for treating hyperuricemia associated with gout in patients who have not achieved target serum uric acid levels with a xanthine oxidase inhibitor alone. In gout patients, Lesinurad lowered serum uric acid levels and increased renal clearance and fractional excretion of uric acid. Following single and multiple oral doses of Lesinurad to gout patients, dose-dependent decreases in serum uric acid levels and increases in urinary uric acid excretion were observed. Lesinurad reduces serum uric acid levels by inhibiting the function of transporter proteins involved in uric acid reabsorption in the kidney. Lesinurad inhibited the function of two apical transporters responsible for uric acid reabsorption, uric acid transporter 1 (URAT1) and organic anion transporter 4 (OAT4), with IC50 values of 7.3 and 3.7 µM, respectively. URAT1 is responsible for the majority of the reabsorption of filtered uric acid from the renal tubular lumen. OAT4 is a uric acid transporter associated with diuretic-induced hyperuricemia. Lesinurad does not interact with the uric acid reabsorption transporter SLC2A9 (Glut9), located on the basolateral membrane of the proximal tubule cell. Based on in vitro studies, lesinurad is an inhibitor of OATP1B1, OCT1, OAT1, and OAT3; however, lesinurad is not an in vivo inhibitor of these transporters. In vivo drug interaction studies indicate that lesinurad does not decrease the renal clearance of furosemide (substrate of OAT1/3), or affect the exposure of atorvastatin (substrate of OATP1B1) or metformin (substrate of OCT1). Based on in vitro studies, lesinurad has no relevant effect on P-glycoprotein.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL6120 |
7.3 µM [IC50] | ||
Target ID: CHEMBL2073677 |
3.7 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | ZURAMPIC Approved UseINDICATIONS AND USAGE. ZURAMPIC is a URAT1 inhibitor indicated in combination with a xanthine oxidase inhibitor for the treatment of hyperuricemia associated with gout in patients who have not achieved target serum uric acid levels with a xanthine oxidase inhibitor alone Launch Date2015 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.303 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
3.21 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
22 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
4.02 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
4.74 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
7.68 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
10.8 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.54 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
6.51 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
11.8 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11.7 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
17.7 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
23.1 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
21.9 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
5.54 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.787 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
10.9 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
106 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
12.1 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
14.2 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
17.5 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
28.7 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
3.12 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
30.3 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
31.9 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
33.1 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
56.4 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
70.5 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
89.8 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
29.8 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.73 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
34.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
8.04 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
10.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
4.23 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
12.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4.72 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
3.99 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
8.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
5.97 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
8.91 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg 1 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
5.19 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
8.91 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
7.48 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
3.77 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26170627/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
LESINURAD plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/207988Orig1s000PharmR.pdf#page=152 Page: 152.0 |
Sample Use Guides
ZURAMPIC (Lesinurad ) is recommended at 200 mg once daily in combination with a xanthine oxidase inhibitor, including allopurinol or febuxostat. The maximum daily dose of ZURAMPIC is 200 mg.
Route of Administration:
Oral
OAT1 was expressed in Flp-In 293 cells. [14C]RDEA594 was incubated with cells for 5 minutes at 37C. The reaction was stopped with ice-cold transport medium and cells were lysed with 0.2 ml of 1 N NAOH and radioactivity was measured using liquid scintillation counting. There was saturable uptake of [14C]RDEA594 into oocytes expressing OAT1. The Km was 0.85 μM and Vmax was 13.0 pmol/min/mg protein
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 19:16:11 GMT 2023
by
admin
on
Fri Dec 15 19:16:11 GMT 2023
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Record UNII |
09ERP08I3W
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Record Status |
Validated (UNII)
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Record Version |
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WHO-ATC |
M04AB05
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NDF-RT |
N0000192341
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C175109
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1731031
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CHEMBL2105720
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m11920
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90929
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Lesinurad
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SUB93370
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N0000190118
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WW-158
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N0000192340
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PRIMARY | Urate Transporter 1 Inhibitors [MoA] | ||
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53465279
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9345
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Related Record | Type | Details | ||
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TRANSPORTER -> INHIBITOR |
Based on in vitro studies, lesinurad is a weak inhibitor of OATP1B1, OCT1, OAT1, and OAT3.
WEAK
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TRANSPORTER -> NON-SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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METABOLIC ENZYME -> INDUCER |
WEAK
|
||
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TRANSPORTER -> INHIBITOR |
Based on in vitro studies, lesinurad is a weak inhibitor of OATP1B1, OCT1, OAT1, and OAT3.
WEAK
|
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
|
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SALT/SOLVATE -> PARENT | |||
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
|
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TRANSPORTER -> SUBSTRATE |
Based on in vitro studies, lesinurad is a substrate of OAT1 and OAT3.
|
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TRANSPORTER -> INHIBITOR |
IC50
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
FECAL
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
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TARGET -> INHIBITOR |
inhibits the transport of [14C]uric acid into human embryonic kidney-293 cells expressing OAT4
IC50
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TRANSPORTER -> INHIBITOR |
Based on in vitro studies, lesinurad is a weak inhibitor of OATP1B1, OCT1, OAT1, and OAT3.
WEAK
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TARGET -> INHIBITOR |
IC50
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||
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TRANSPORTER -> SUBSTRATE |
Based on in vitro studies, lesinurad is a substrate of OAT1 and OAT3.
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ENANTIOMER -> RACEMATE |
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TRANSPORTER -> INHIBITOR |
Based on in vitro studies, lesinurad is a weak inhibitor of OATP1B1, OCT1, OAT1, and OAT3.
WEAK
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
URINE
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BINDER->LIGAND |
BINDING
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ENANTIOMER -> RACEMATE |
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Related Record | Type | Details | ||
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METABOLITE -> PARENT |
AMOUNT EXCRETED
FECAL
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METABOLITE -> PARENT |
AMOUNT EXCRETED
FECAL
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METABOLITE -> PARENT |
AMOUNT EXCRETED
FECAL
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METABOLITE -> PARENT |
AMOUNT EXCRETED
URINE
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METABOLITE -> PARENT |
PLASMA
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METABOLITE -> PARENT |
AMOUNT EXCRETED
URINE
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METABOLITE -> PARENT |
AMOUNT EXCRETED
URINE
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METABOLITE -> PARENT |
PLASMA
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METABOLITE -> PARENT |
AMOUNT EXCRETED
FECAL
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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INTRAVENOUS ADMINISTRATION |
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Tmax | PHARMACOKINETIC |
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FED CONDITION |
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