Details
| Stereochemistry | RACEMIC |
| Molecular Formula | 2C16H14F2N3O4S.Mg |
| Molecular Weight | 789.029 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 2 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
[Mg++].COC1=C(OC)C(C[S+]([O-])C2=NC3=C([N-]2)C=C(OC(F)F)C=C3)=NC=C1.COC4=C(OC)C(C[S+]([O-])C5=NC6=C([N-]5)C=C(OC(F)F)C=C6)=NC=C4
InChI
InChIKey=RDRUTBCDIVCMMX-UHFFFAOYSA-N
InChI=1S/2C16H14F2N3O4S.Mg/c2*1-23-13-5-6-19-12(14(13)24-2)8-26(22)16-20-10-4-3-9(25-15(17)18)7-11(10)21-16;/h2*3-7,15H,8H2,1-2H3;/q2*-1;+2
| Molecular Formula | Mg |
| Molecular Weight | 24.305 |
| Charge | 2 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C16H15F2N3O4S |
| Molecular Weight | 383.37 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/11402494 | https://www.ncbi.nlm.nih.gov/pubmed/24301963
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/11402494 | https://www.ncbi.nlm.nih.gov/pubmed/24301963
Pantoprazole is a proton pump inhibitor that inhibits gastric acid secretion and used for short-term treatment of erosive esophagitis associated with gastroesophageal reflux disease. Pantoprazole suppresses the final step in gastric acid production by covalently binding to the (H+, K+)-ATPase enzyme system at the secretory surface of the gastric parietal cell. This effect leads to inhibition of both basal and stimulated gastric acid secretion, irrespective of the stimulus. The binding to the (H+, K+)-ATPase results in a duration of antisecretory effect that persists longer than 24 hours. Pantoprazole is used for short-term treatment of erosion and ulceration of the esophagus for adults and pediatric patients 5 years of age and older caused by gastroesophageal reflux disease. It can be used as a maintenance therapy for long-term use after initial response is obtained, but there have not been any controlled studies about the use of pantoprazole past a duration of 12 months. Pantoprazole may also be used in combination with antibiotics to treat ulcers caused by Helicobacter pylori. Use of pantoprazole may increase the chance of developing infections such as pneumonia, particularly in hospitalized patients.
CNS Activity
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11402494
Curator's Comment: # Wyeth-Ayerst Pharmaceuticals
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2095173 |
|||
Target ID: CHEMBL2095173 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11402494 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | PROTONIX Approved UseINDICATIONS AND USAGE. PROTONIX is a proton pump inhibitor indicated for the following: Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD). Maintenance of Healing of Erosive Esophagitis. Pathological Hypersecretory Conditions Including ZollingerEllison Syndrome. Launch Date2000 |
|||
| Primary | PROTONIX Approved UseINDICATIONS AND USAGE. PROTONIX is a proton pump inhibitor indicated for the following: Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD). Maintenance of Healing of Erosive Esophagitis. Pathological Hypersecretory Conditions Including ZollingerEllison Syndrome. Launch Date2000 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.4 μg/mL |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PANTOPRAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4.8 μg × h/mL |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PANTOPRAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1 h |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PANTOPRAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| inconclusive [Activation 22.3872 uM] | ||||
| likely | ||||
| no [IC50 >10 uM] | ||||
| no [IC50 >10 uM] | ||||
| no [IC50 >10 uM] | ||||
| no [IC50 >10 uM] | ||||
| no [IC50 >10 uM] | ||||
| no [IC50 >500 uM] | ||||
| no | ||||
| no | ||||
| no | ||||
| weak [IC50 93 uM] | ||||
| yes [IC50 17.9 uM] | ||||
| yes [IC50 2.8 uM] | ||||
| yes [IC50 22.9 uM] | ||||
| yes [IC50 30.8 uM] | ||||
| yes [IC50 4.45 uM] | ||||
| yes [IC50 43.2 uM] | ||||
| yes [IC50 5.5 uM] | ||||
| yes [IC50 63.21 uM] | ||||
| yes [Ki 6.5 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20987_Protonix_pharmr_P7.pdf#page=21 Page: (Pharm_P7) 21 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/11996015/ |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20987_Protonix_pharmr_P7.pdf#page=22 Page: (Pharm_P7) 22 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20987_Protonix_pharmr_P7.pdf#page=22 Page: (Pharm_P7) 22 |
yes | |||
| yes | ||||
| yes | ||||
| yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: (Pharm_P7) 22, (ClinP_P1) 25 |
major | |||
Page: (Pharm_P7) 22, (ClinP_P1) 25 |
major | |||
Page: (Pharm_P7) 22, (ClinP_P1) 25 |
minor | |||
Page: (Pharm_P7) 22, (ClinP_P1) 25 |
minor | |||
| yes | ||||
| yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Randomised controlled trial of pantoprazole versus ranitidine for the treatment of uninvestigated heartburn in primary care. | 2002-10-21 |
|
| Factors associated with treatment failure of Helicobacter pylori infection in a developing country. | 2002-10 |
|
| Short-term therapeutic trial of proton pump inhibitors in suspected extraesophageal reflux. | 2002-09 |
|
| Efficacy of quadruple therapy with pantoprazole, bismuth, tetracycline and metronidazole as rescue treatment for Helicobacter pylori infection. | 2002-08 |
|
| Efficacy and tolerability of ranitidine bismuth citrate plus amoxycillin and clarithromycin as first- or second-line therapy to cure Helicobacter pylori infection. | 2002-07-30 |
|
| Proton pump inhibitors: an update. | 2002-07-15 |
|
| Are proton pump inhibitors the first choice for acute treatment of gastric ulcers? A meta analysis of randomized clinical trials. | 2002-07-15 |
|
| Long-term clinical outcome of elderly patients with reflux esophagitis: a six-month to three-year follow-up study. | 2002-07-13 |
|
| Early relief of upper gastrointestinal dyspeptic symptoms: a survey of empirical therapy with pantoprazole in Canadian clinical practice. | 2002-07 |
|
| Enantioselective disposition of lansoprazole in extensive and poor metabolizers of CYP2C19. | 2002-07 |
|
| Drug points: Severe myalgia from an interaction between treatments with pantoprazole and methotrexate. | 2002-06-22 |
|
| [Intravenous 3-day Helicobacter pylori eradication therapy is highly effective in patients with bleeding peptic ulcer]. | 2002-06-19 |
|
| Persistent eradication of Helicobacter pylori after systemic politherapy associated with periodontal pockets treatment with metronidazole and calcium sulphate. | 2002-06-18 |
|
| [Correlation of Barrett's esophagus and colonic adenomas]. | 2002-06-09 |
|
| Pantoprazole-induced recurrent anaphylactic shock. | 2002-06 |
|
| Intravenous proton pump inhibitors in the critical care setting. | 2002-06 |
|
| Stress-related mucosal disease in the critically ill patient: risk factors and strategies to prevent stress-related bleeding in the intensive care unit. | 2002-06 |
|
| Pharmacology of acid suppression in the hospital setting: focus on proton pump inhibition. | 2002-06 |
|
| A double-blind, randomized comparison of omeprazole Multiple Unit Pellet System (MUPS) 20 mg, lansoprazole 30 mg and pantoprazole 40 mg in symptomatic reflux oesophagitis followed by 3 months of omeprazole MUPS maintenance treatment: a Dutch multicentre trial. | 2002-06 |
|
| Single vs. double dose of a proton pump inhibitor in triple therapy for Helicobacter pylori eradication: a meta-analysis. | 2002-06 |
|
| Stability of pantoprazole in an extemporaneously compounded oral liquid. | 2002-05-15 |
|
| Gateways to clinical trials. | 2002-05-01 |
|
| Proton pump activation in stimulated parietal cells is regulated by gastric acid secretory capacity: a human study. | 2002-05 |
|
| Combination drug therapy for gastroesophageal reflux disease. | 2002-05 |
|
| Pantoprazole IV (Protonix IV). | 2002-04-29 |
|
| Effect of pantoprazole versus other proton pump inhibitors on 24-hour intragastric pH and basal acid output in Zollinger-Ellison syndrome. | 2002-04 |
|
| Selective colonization by Helicobacter pylori of the deep gastric glands and intracellular canaliculi of parietal cells in the setting of chronic proton pump inhibitor use. | 2002-04 |
|
| Dose-dependent control of intragastric pH by pantoprazole, 10, 20 or 40 mg, in healthy volunteers. | 2002-04 |
|
| Different effects of short-term omeprazole, lansoprazole or pantoprazole on the accuracy of the (13)C-urea breath test. | 2002-03 |
|
| Acid suppression in healthy subjects following lansoprazole or pantoprazole. | 2002-03 |
|
| Review article: rabeprazole-based therapy in Helicobacter pylori eradication. | 2002-03 |
|
| [Proton pump inhibitors: Pantoprazole]. | 2002-02 |
|
| Nonallergic anaphylaxis to pantoprazole. | 2002-02 |
|
| Protonix. First i.v. proton pump inhibitor approved. | 2002-02 |
|
| Conformational analysis: a new approach by means of chemometrics. | 2002-01-30 |
|
| Enantiomeric determination of pantoprazole in human plasma by multidimensional high-performance liquid chromatography. | 2002-01-05 |
|
| The novel use of an intravenous proton pump inhibitor in a patient with short bowel syndrome. | 2002-01 |
|
| [Submicroscopic aspects of the mechanism of inhibitors of H+/K+-ATPase in gastric parietal cells]. | 2002 |
|
| Clinical significance of the cytochrome P450 2C19 genetic polymorphism. | 2002 |
|
| Efficacy and tolerability of pantoprazole versus ranitidine in the treatment of reflux esophagitis and the influence of Helicobacter pylori infection on healing rate. | 2002 |
|
| [Microflora of gastric juice in patients after eradication of Helicobacter pylori and treatment with a proton pump inhibitor]. | 2002 |
|
| Amoxycillin, clarithromycin and either sucralfate or pantoprazole for eradication of Helicobacter pylori in duodenal ulcer (a randomized controlled trial). | 2001-12-17 |
|
| Prophylaxis and treatment of non-steroidal anti-inflammatory drug-induced upper gastrointestinal side-effects. | 2001-12 |
|
| Proton pump inhibitors and gastric acid secretion. | 2001-12 |
|
| Replacement of oral proton pump inhibitors with intravenous pantoprazole to effectively control gastric acid hypersecretion in patients with Zollinger-Ellison syndrome. | 2001-12 |
|
| Oral pantoprazole for acid suppression in the treatment of patients with Zollinger-Ellison syndrome. | 2001-12 |
|
| Interaction of omeprazole, lansoprazole and pantoprazole with P-glycoprotein. | 2001-12 |
|
| Cluster headache without autonomic symptoms? | 2001-11 |
|
| Pantoprazole. | 2001-06-01 |
|
| Relative efficacies of gastric proton-pump inhibitors on a milligram basis: desired and undesired SH reactions. Impact of chirality. | 2001 |
Sample Use Guides
Oral use: Short-Term Treatment of Erosive Esophagitis Associated With GERD: 40 mg Once daily for up to 8 weeks; Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome: 40 mg Twice daily
IV: The recommended adult dose is 40 mg pantoprazole given once daily by intravenous infusion for 7 to 10 days
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24301963
To determine "ex vivo" gastric mucosa gastric acid secretion, pantoprazole (as DMSO solution diluted with serosal fluid) was added to membrane mucosa liquid in the bath tube. Pantoprazole final concentration in serosal fluidwas 5 mkM, incubation time -- 2.5h. Pantoprazole mediated gastric acid secretion inhibition is 24.3% at 5mkM.
| Substance Class |
Chemical
Created
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1AL13B11R4
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SOLVATE->ANHYDROUS |
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SOLVATE->ANHYDROUS | |||
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PARENT -> SALT/SOLVATE |
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ACTIVE MOIETY |
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