U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of ENTACAPONE, (Z)-

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-

HIDE SMILES / InChI

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

Description
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

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
151.0 nM [IC50]
76.8 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Secondary
Comtan

Approved Use

Comtan is indicated as an adjunct to levodopa and carbidopa to treat end-of-dose “wearing-off” in patients with Parkinson’s disease

Launch Date

1999
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1095 ng/mL
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
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

AUC

ValueDoseCo-administeredAnalytePopulation
1989 ng × h/mL
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
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

T1/2

ValueDoseCo-administeredAnalytePopulation
1.8 h
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
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

Funbound

ValueDoseCo-administeredAnalytePopulation
2%
ENTACAPONE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse 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...
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...
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%)
Diarrhea (2%)
Dyskinesia (2%)
Nausea (2%)
Abdominal pain (1%)
Hyperkinesia (2%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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

PubMed

TitleDatePubMed
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
Patents

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
Kinetic assays indicate that Comtan inhibits InhA activity by 47.0% at an entacapone concentration of approximately 80 uM.
Substance Class Chemical
Created
by admin
on Fri Dec 15 17:23:57 GMT 2023
Edited
by admin
on Fri Dec 15 17:23:57 GMT 2023
Record UNII
4X96VV9HUQ
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ENTACAPONE, (Z)-
Common Name English
(Z)-2-CYANO-3-(3,4-DIHYDROXY-5-NITROPHENYL)-N,N-DIETHYL-2-PROPENAMIDE
Systematic Name English
ENTACAPONE RELATED COMPOUND A
USP   USP-RS  
Common Name English
ENTACAPONE IMPURITY A [EP IMPURITY]
Common Name English
2-PROPENAMIDE, 2-CYANO-3-(3,4-DIHYDROXY-5-NITROPHENYL)-N,N-DIETHYL-, (Z)-
Systematic Name English
ENTACAPONE RELATED COMPOUND A [USP-RS]
Common Name English
(Z)-ENTACAPONE
Common Name English
(2Z)-2-CYANO-3-(3,4-DIHYDROXY-5-NITROPHENYL)-N,N-DIETHYLPROP-2-ENAMIDE
Systematic Name English
ENTACAPONE RELATED COMPOUND A [USP IMPURITY]
Common Name English
Code System Code Type Description
RS_ITEM_NUM
1235944
Created by admin on Fri Dec 15 17:23:57 GMT 2023 , Edited by admin on Fri Dec 15 17:23:57 GMT 2023
PRIMARY
PUBCHEM
21864625
Created by admin on Fri Dec 15 17:23:57 GMT 2023 , Edited by admin on Fri Dec 15 17:23:57 GMT 2023
PRIMARY
FDA UNII
4X96VV9HUQ
Created by admin on Fri Dec 15 17:23:57 GMT 2023 , Edited by admin on Fri Dec 15 17:23:57 GMT 2023
PRIMARY
CAS
145195-63-7
Created by admin on Fri Dec 15 17:23:57 GMT 2023 , Edited by admin on Fri Dec 15 17:23:57 GMT 2023
PRIMARY
Related Record Type Details
PARENT -> METABOLITE
Active in vitro,but contribution should be little due to low plasma level
PLASMA
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PARENT -> IMPURITY
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP