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

Details

Stereochemistry ACHIRAL
Molecular Formula C23H32N6O4S.2ClH
Molecular Weight 561.525
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of VARDENAFIL DIHYDROCHLORIDE

SMILES

Cl.Cl.CCCC1=NC(C)=C2N1N=C(NC2=O)C3=CC(=CC=C3OCC)S(=O)(=O)N4CCN(CC)CC4

InChI

InChIKey=NOIHTGOGFDFCBN-UHFFFAOYSA-N
InChI=1S/C23H32N6O4S.2ClH/c1-5-8-20-24-16(4)21-23(30)25-22(26-29(20)21)18-15-17(9-10-19(18)33-7-3)34(31,32)28-13-11-27(6-2)12-14-28;;/h9-10,15H,5-8,11-14H2,1-4H3,(H,25,26,30);2*1H

HIDE SMILES / InChI

Molecular Formula C23H32N6O4S
Molecular Weight 488.603
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/021400s017lbl.pdf

Vardenafil (Levitra) is an oral therapy for the treatment of erectile dysfunction. It is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Penile erection is a hemodynamic process initiated by the relaxation of smooth muscle in the corpus cavernosum and its associated arterioles. During sexual stimulation, nitric oxide is released from nerve endings and endothelial cells in the corpus cavernosum. Nitric oxide activates the enzyme guanylate cyclase resulting in increased synthesis of cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the corpus cavernosum. The cGMP in turn triggers smooth muscle relaxation, allowing increased blood flow into the penis, resulting in erection. The tissue concentration of cGMP is regulated by both the rates of synthesis and degradation via phosphodiesterases (PDEs). The most abundant PDE in the human corpus cavernosum is the cGMPspecific phosphodiesterase type 5 (PDE5); therefore, the inhibition of PDE5 enhances erectile function by increasing the amount of cGMP.

CNS Activity

Curator's Comment: Vardenafil crossed the BBB

Originator

Curator's Comment: # Bayer

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.0 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Levitra

Approved Use

LEVITRA is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction.

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
30.1 ng/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
22.83 ng × h/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.21 h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
2.4 mg 12 times / day multiple, respiratory (starting)
Highest studied dose
Dose: 2.4 mg, 12 times / day
Route: respiratory
Route: multiple
Dose: 2.4 mg, 12 times / day
Sources:
healthy, 27.5 years (range: 24-31 years)
n = 8
Health Status: healthy
Age Group: 27.5 years (range: 24-31 years)
Sex: M+F
Population Size: 8
Sources:
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Other AEs: Back pain, Myalgia...
Other AEs:
Back pain
Myalgia
Abnormal vision
Sources:
2.4 mg single, respiratory
Highest studied dose
Dose: 2.4 mg
Route: respiratory
Route: single
Dose: 2.4 mg
Sources:
healthy, adult
n = 6
Health Status: healthy
Age Group: adult
Sex: M+F
Population Size: 6
Sources:
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Disc. AE: Headache, Flushing...
AEs leading to
discontinuation/dose reduction:
Headache (19 patients)
Flushing (10 patients)
Rhinitis (5 patients)
Tachycardia (4 patients)
Nausea (5 patients)
Liver function test abnormal (4 patients)
Dizziness (3 patients)
Hypesthesia (3 patients)
Abdominal pain (3 patients)
Palpitations (3 patients)
Sources: Page: p. 34
AEs

AEs

AESignificanceDosePopulation
Abnormal vision
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Back pain
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Myalgia
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Flushing 10 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Headache 19 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Abdominal pain 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Dizziness 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Hypesthesia 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Palpitations 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Liver function test abnormal 4 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Tachycardia 4 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Nausea 5 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Rhinitis 5 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Overview

OverviewOther

Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: label: coadministration with ketoconazole (inhibitor) increased mean AUC and Cmax of vardenafil by 10-fold and 4-fold, respectively; coadministration with erythromycin (CYP3A4 substrate) increased mean AUC and Cmax of vardenafil, respectively; coadministration with indinavir (CYP3A4 inhibitor) increased mean AUC and Cmax of vardenafil by 16 fold and 7 fold, respectively; Ritonavir co-administered with vardenafil resulted in a 49-fold increase in vardenafil AUC and a 13­ fold increase in vardenafil Cmax;
Page: 19.0
minor
minor
minor
minor
yes
yes
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Vardenafil increases penile rigidity and tumescence in men with erectile dysfunction after a single oral dose.
2001 Aug
Study shows patients taking vardenafil consistently completed sexual intercourse.
2001 Dec
Rabbits as models for impotence research.
2001 Jun
Oral drug therapy for erectile dysfunction.
2001 May
PDE-5 inhibition and sexual response: pharmacological mechanisms and clinical outcomes.
2002
The effect of vardenafil, a potent and highly selective phosphodiesterase-5 inhibitor for the treatment of erectile dysfunction, on the cardiovascular response to exercise in patients with coronary artery disease.
2002 Dec 4
Pharmacology of phosphodiesterase-5 inhibitors.
2002 Jul-Aug
[New medications for treatment of erectile dysfunction].
2002 Jun
Coming together.
2002 Mar
Vardenafil for treatment of men with erectile dysfunction: efficacy and safety in a randomized, double-blind, placebo-controlled trial.
2002 Nov-Dec
Vardenafil.
2002 Oct
Erectile dysfunction: comparison of efficacy and side effects of the PDE-5 inhibitors sildenafil, vardenafil and tadalafil--review of the literature.
2002 Oct 29
Gateways to Clinical Trials.
2002 Sep
Erectile dysfunction: oral pharmacotherapy options.
2002 Sep
Phosphodiesterase 5 inhibitors: current status and potential applications.
2002 Sep
Vardenafil enhances clitoral and vaginal blood flow responses to pelvic nerve stimulation in female dogs.
2003 Apr
Hypogonadism and erectile dysfunction: the role for testosterone therapy.
2003 Aug
Erectile dysfunction in the cardiac patient: how common and should we treat?
2003 Aug
US advertising campaign begins for alternative to sildenafil.
2003 Aug 30
Oral drug treatment of erectile dysfunction.
2003 Dec
Sildenafil and vardenafil, types 5 and 6 phosphodiesterase inhibitors, induce caspase-dependent apoptosis of B-chronic lymphocytic leukemia cells.
2003 Jan 1
New phosphodiesterase type 5 inhibitors in the management of erectile dysfunction.
2003 Jun
[New treatment options for erectile dysfunction. Pharmacologic and nonpharmacologic options].
2003 Jun
[Conservative treatment of erectile dysfunction].
2003 Jun 1
Proceedings of the 99th meeting of the Food and Drug Administration Cardiovascular and Renal Drugs Advisory Committee. May 29th and 30th, 2003.
2003 Jun 17
[New PDE-5 inhibitor for treatment of impotence. 9 out of 10 have erections again].
2003 Jun 26
Pharmacological management of erectile dysfunction.
2003 Mar
Gateways to clinical trials.
2003 May
Switching patients with erectile dysfunction from sildenafil citrate to tadalafil: results of a European multicenter, open-label study of patient preference.
2003 Nov
Overview of phosphodiesterase 5 inhibition in erectile dysfunction.
2003 Nov 6
[Drug therapy of erectile dysfunction--the current status].
2003 Oct
Safety and efficacy of vardenafil for the treatment of men with erectile dysfunction after radical retropubic prostatectomy.
2003 Oct
Novel PDE5 inhibitors for the treatment of male erectile dysfunction.
2003 Oct-Nov
[Medication of the month. Vardenafil (Levitra)].
2003 Sep
Efficacy and tolerability of vardenafil for treatment of erectile dysfunction in patient subgroups.
2003 Sep
Phosphodiesterase 5 inhibitors in male sexual dysfunction.
2003 Sep
FDA approves new drug for treatment of erectile dysfunction in men.
2003 Sep-Oct
[Comparison of efficacy and safety of phosphodiesterase type 5 inhibitors in the treatment of erectile dysfunction].
2004 Apr
Tadalafil and vardenafil.
2004 Apr
Role of the cardiologist: clinical aspects of managing erectile dysfunction.
2004 Apr
Pills for erectile dysfunction: now there are three.
2004 Apr
Cardioprotection with phosphodiesterase-5 inhibition--a novel preconditioning strategy.
2004 Feb
Vardenafil treatment for erectile dysfunction.
2004 Jan
Are they better than Viagra? Two new drugs for erectile dysfunction work like Viagra and carry similar risks and benefits. Their subtle differences, however, may make a difference for some men.
2004 Jan
Therapy of ED: PDE-5 Inhibitors.
2004 Mar-Apr
Emerging oral drugs for erectile dysfunction.
2004 May
Patents

Sample Use Guides

For most patients, the starting dose is 10 mg, up to once daily. Increase to 20 mg or decrease to 5 mg based on efficacy/tolerability. A starting dose of 5 mg LEVITRA should be considered in patients ≥ 65 years of age. LEVITRA is taken orally, approximately 60 minutes before sexual activity. The maximum recommended dosing frequency is one tablet per day.
Route of Administration: Oral
Treatment with vardenafil at concentrations of 50, 100, and 250 umol/L increased expression of PlGF in a dose-dependent manner in human umbilical vein endothelial cells.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:51:38 GMT 2023
Edited
by admin
on Fri Dec 15 15:51:38 GMT 2023
Record UNII
5O8R96XMH7
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
VARDENAFIL DIHYDROCHLORIDE
MART.   USAN   WHO-DD  
USAN  
Official Name English
NSC-759103
Code English
Imidazo[5,1-f][1,2,4]triazin-4(1H)-one, 2-[2-ethoxy-5-[(4-ethyl-1-piperazinyl)sulfonyl]phenyl]-5-methyl-7-propyl-, hydrochloride (1:2)
Systematic Name English
VARDENAFIL DIHYDROCHLORIDE [USAN]
Common Name English
Piperazine, 1-[[3-(1,4-dihydro-5-methyl-4-oxo-7-propylimidazo[5,1-f][1,2,4]triazin-2-yl)-4-ethoxyphenyl]sulfonyl]-4-ethyl-, dihydrochloride
Systematic Name English
Vardenafil dihydrochloride [WHO-DD]
Common Name English
VARDENAFIL DIHYDROCHLORIDE [MART.]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C2127
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
Code System Code Type Description
EPA CompTox
DTXSID90945153
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
NCI_THESAURUS
C76892
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
SMS_ID
100000089559
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
EVMPD
SUB20774
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
NSC
759103
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
ChEMBL
CHEMBL1520
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
MESH
C426063
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
FDA UNII
5O8R96XMH7
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
PUBCHEM
135414253
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
CAS
224789-15-5
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
USAN
NN-53
Created by admin on Fri Dec 15 15:51:38 GMT 2023 , Edited by admin on Fri Dec 15 15:51:38 GMT 2023
PRIMARY
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