Details
Stereochemistry | ACHIRAL |
Molecular Formula | C14H15N3O5 |
Molecular Weight | 305.286 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCN(CC)C(=O)C(=C/C1=CC(=C(O)C(O)=C1)[N+]([O-])=O)\C#N
InChI
InChIKey=JRURYQJSLYLRLN-YHYXMXQVSA-N
InChI=1S/C14H15N3O5/c1-3-16(4-2)14(20)10(8-15)5-9-6-11(17(21)22)13(19)12(18)7-9/h5-7,18-19H,3-4H2,1-2H3/b10-5-
Molecular Formula | C14H15N3O5 |
Molecular Weight | 305.286 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB00494Curator's Comment: Description was created based on several sources, including
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000171/WC500033075.pdf
Sources: http://www.drugbank.ca/drugs/DB00494
Curator's Comment: Description was created based on several sources, including
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000171/WC500033075.pdf
Entacapone is a selective, reversible catechol-O-methyl transferase (COMT) inhibitor for the treatment of Parkinson's disease. It is a member of the class of nitrocatechols. When administered concomittantly with levodopa and a decarboxylase inhibitor (e.g., carbidopa), increased and more sustained plasma levodopa concentrations are reached as compared to the administration of levodopa and a decarboxylase inhibitor. The mechanism of action of entacapone is believed to be through its ability to inhibit COMT in peripheral tissues, altering the plasma pharmacokinetics of levodopa. When entacapone is given in conjunction with levodopa and an aromatic amino acid decarboxylase inhibitor, such as carbidopa, plasma levels of levodopa are greater and more sustained than after administration of levodopa and an aromatic amino acid decarboxylase inhibitor alone. It is believed that at a given frequency of levodopa administration, these more sustained plasma levels of levodopa result in more constant dopaminergic stimulation in the brain, leading to a greater reduction in the manifestations of parkinsonian syndrome. Entacapone is used as an adjunct to levodopa / carbidopa in the symptomatic treatment of patients with idiopathic Parkinson's Disease who experience the signs and symptoms of end-of-dose "wearing-off".
CNS Activity
Curator's Comment: In animals, while entacapone enters the central nervous system (CNS) to a minimal extent, it has been
shown to inhibit central COMT activity. In humans penetration of entacapone into the CNS is poor http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000171/WC500033075.pdf
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2023 Sources: https://www.ncbi.nlm.nih.gov/pubmed/9681662 |
151.0 nM [IC50] | ||
Target ID: CHEMBL612255 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24148818 |
76.8 µM [IC50] | ||
Target ID: CHEMBL360 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19578428 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | Comtan Approved UseComtan is indicated as an adjunct to levodopa and carbidopa to treat end-of-dose “wearing-off” in
patients with Parkinson’s disease Launch Date1999 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1095 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 10 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
1325 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 8 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
1.2 μg/mL |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1989 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 10 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
2084 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 8 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 10 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
1.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10492060 |
200 mg 8 times / day multiple, oral dose: 200 mg route of administration: Oral experiment type: MULTIPLE co-administered: LEVODOPA|CARBIDOPA |
ENTACAPONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2% |
ENTACAPONE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
25 mg single, intravenous Dose: 25 mg Route: intravenous Route: single Dose: 25 mg Sources: |
healthy, 24 years (range: 22-28 years) n = 12 Health Status: healthy Age Group: 24 years (range: 22-28 years) Sex: M Population Size: 12 Sources: |
|
2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Sources: |
healthy n = 8 Health Status: healthy Population Size: 8 Sources: |
Other AEs: Abdominal pain, Loose stools... Other AEs: Abdominal pain Sources: Loose stools |
2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Co-administed with:: levodopa/carbidopa(14 days) Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 15 Sources: |
Other AEs: Abdominal pain, Loose stools... Other AEs: Abdominal pain Sources: Loose stools |
800 mg single, oral Highest studied dose Dose: 800 mg Route: oral Route: single Dose: 800 mg Sources: |
unhealthy Health Status: unhealthy Condition: Parkinson’s Disease Sources: |
|
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Disc. AE: Psychiatric symptom, Diarrhea... AEs leading to discontinuation/dose reduction: Psychiatric symptom (2%) Sources: Diarrhea (2%) Dyskinesia (2%) Nausea (2%) Abdominal pain (1%) Hyperkinesia (2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain | 2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Sources: |
healthy n = 8 Health Status: healthy Population Size: 8 Sources: |
|
Loose stools | 2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Sources: |
healthy n = 8 Health Status: healthy Population Size: 8 Sources: |
|
Abdominal pain | 2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Co-administed with:: levodopa/carbidopa(14 days) Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 15 Sources: |
|
Loose stools | 2400 mg 1 times / day steady, oral Highest studied dose Dose: 2400 mg, 1 times / day Route: oral Route: steady Dose: 2400 mg, 1 times / day Co-administed with:: levodopa/carbidopa(14 days) Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 15 Sources: |
|
Abdominal pain | 1% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Diarrhea | 2% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Dyskinesia | 2% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Hyperkinesia | 2% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Nausea | 2% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
Psychiatric symptom | 2% Disc. AE |
200 mg 1 times / day steady, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
unhealthy n = 603 Health Status: unhealthy Condition: Parkinson’s Disease Population Size: 603 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Alterations in preproenkephalin and adenosine-2a receptor mRNA, but not preprotachykinin mRNA correlate with occurrence of dyskinesia in normal monkeys chronically treated with L-DOPA. | 2000 Mar |
|
Entacapone. | 2000 Sep |
|
Efficacy and tolerability of entacapone as adjunctive therapy to levodopa in patients with Parkinson's disease and end-of-dose deterioration in daily medical practice: an open, multicenter study. | 2001 |
|
Pharmacokinetics and pharmacodynamics of entacapone and tolcapone after acute and repeated administration: a comparative study in the rat. | 2003 Feb |
|
An artist's view of drug-induced hallucinosis. | 2003 Jul |
|
Kinetic characterization of the 1A subfamily of recombinant human UDP-glucuronosyltransferases. | 2005 Jul |
|
Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
|
Entacapone potentiates the long-duration response but does not normalize levodopa-induced molecular changes. | 2008 Dec |
|
Mirtazapine-associated urinary retention. | 2010 Summer |
Sample Use Guides
The recommended dose of Comtan (entacapone) is one 200 mg tablet administered concomitantly with each levodopa and carbidopa dose to a maximum of 8 times daily (200 mg x 8 = 1,600 mg per day).
Comtan should always be administered in association with levodopa and carbidopa. Entacapone has no antiparkinsonian effect of its own.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19578428
Kinetic assays indicate that Comtan inhibits InhA activity by 47.0% at an entacapone concentration of approximately 80 uM.
Substance Class |
Chemical
Created
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admin
on
Edited
Fri Dec 15 17:23:57 GMT 2023
by
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on
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Record UNII |
4X96VV9HUQ
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Record Status |
Validated (UNII)
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Record Version |
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