Details
Stereochemistry | RACEMIC |
Molecular Formula | C19H27NO3.CH4O3S |
Molecular Weight | 413.528 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CS(O)(=O)=O.[H][C@@]12CC(=O)[C@@H](CC(C)C)CN1CCC3=CC(OC)=C(OC)C=C23
InChI
InChIKey=RHDADYXNUCMTQG-DMLYUBSXSA-N
InChI=1S/C19H27NO3.CH4O3S/c1-12(2)7-14-11-20-6-5-13-8-18(22-3)19(23-4)9-15(13)16(20)10-17(14)21;1-5(2,3)4/h8-9,12,14,16H,5-7,10-11H2,1-4H3;1H3,(H,2,3,4)/t14-,16-;/m0./s1
Molecular Formula | C19H27NO3 |
Molecular Weight | 317.4226 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Molecular Formula | CH4O3S |
Molecular Weight | 96.106 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/21396745https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/021894lbl.pdfCurator's Comment: description was created based on several sources, including
http://reference.medscape.com/drug/xenazine-tetrabenazine-343075 | https://www.drugbank.ca/drugs/DB04844 | https://www.drugs.com/cdi/tetrabenazine.html
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21396745https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/021894lbl.pdf
Curator's Comment: description was created based on several sources, including
http://reference.medscape.com/drug/xenazine-tetrabenazine-343075 | https://www.drugbank.ca/drugs/DB04844 | https://www.drugs.com/cdi/tetrabenazine.html
Tetrabenazine (trade name Xenazine) is a monoamine depleter and used as the symptomatic treatment of chorea associated with Huntington's disease. Tetrabenazine is a reversible human vesicular monoamine transporter type 2 inhibitor (Ki = 100 nM). It acts within the basal ganglia and promotes depletion of monoamine neurotransmitters serotonin, norepinephrine, and dopamine from stores. It also decreases uptake into synaptic vesicles. Dopamine is required for fine motor movement, so the inhibition of its transmission is efficacious for hyperkinetic movement. Tetrabenazine exhibits weak in vitro binding affinity at the dopamine D2 receptor. The most common adverse reactions, which have occurred in at least 10% of subjects in studies and at least 5% greater than in subjects who received placebo, have been: sedation or somnolence, fatigue, insomnia, depression, suicidal thoughts, akathisia, anxiety, and nausea.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1893 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21396745 |
36.4 µM [Ki] | ||
Target ID: CHEMBL1893 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21396745 |
54.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | XENAZINE Approved UseTetrabenazine tablets are indicated for the treatment of chorea associated with Huntington's disease. Tetrabenazine tablets are a vesicular monoamine transporter 2 (VMAT) inhibitor indicated for the treatment of chorea associated with Huntington's disease. (1) Launch Date1.21875844E12 |
|||
Primary | XENAZINE Approved UseTetrabenazine tablets are indicated for the treatment of chorea associated with Huntington's disease. Tetrabenazine tablets are a vesicular monoamine transporter 2 (VMAT) inhibitor indicated for the treatment of chorea associated with Huntington's disease. (1) Launch Date1.21875844E12 |
|||
Primary | XENAZINE Approved UseTetrabenazine tablets are indicated for the treatment of chorea associated with Huntington's disease. Tetrabenazine tablets are a vesicular monoamine transporter 2 (VMAT) inhibitor indicated for the treatment of chorea associated with Huntington's disease. (1) Launch Date1.21875844E12 |
|||
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.66 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23339053 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
TETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.45 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23339053 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
TETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.13 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23339053 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
TETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
14% EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23339053 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
TETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
Other AEs: Acute dystonia, Crisis oculogyric... Other AEs: Acute dystonia Sources: Crisis oculogyric Nausea and vomiting Sweating Sedation Hypotension Confusion Diarrhea Hallucinations Redness Tremor |
12.5 mg 1 times / day steady, oral (starting) Recommended Dose: 12.5 mg, 1 times / day Route: oral Route: steady Dose: 12.5 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: Huntington’s disease Age Group: adult Sources: |
Other AEs: Depression, Suicidal tendency... Other AEs: Depression Sources: Suicidal tendency |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Acute dystonia | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Confusion | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Crisis oculogyric | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Diarrhea | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Hallucinations | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Hypotension | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Nausea and vomiting | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Redness | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Sedation | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Sweating | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Tremor | 1 g single, oral Overdose Dose: 1 g Route: oral Route: single Dose: 1 g Sources: |
unknown, adult n = 8 Health Status: unknown Age Group: adult Population Size: 8 Sources: |
|
Depression | 12.5 mg 1 times / day steady, oral (starting) Recommended Dose: 12.5 mg, 1 times / day Route: oral Route: steady Dose: 12.5 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: Huntington’s disease Age Group: adult Sources: |
|
Suicidal tendency | 12.5 mg 1 times / day steady, oral (starting) Recommended Dose: 12.5 mg, 1 times / day Route: oral Route: steady Dose: 12.5 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: Huntington’s disease Age Group: adult Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 67, 79 |
inconclusive | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 66, 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 67, 79 |
no | |||
Page: 80.0 |
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 77.0 |
inconclusive | |||
Page: 76.0 |
inconclusive | |||
Page: 76.0 |
inconclusive | |||
Page: 80.0 |
no | no (co-administration study) Comment: tetrabenazine did not affect bioavailability of digoxin Page: 80.0 |
||
Page: 76.0 |
yes | |||
Page: 14, 65, 76 |
yes |
PubMed
Title | Date | PubMed |
---|---|---|
[Behavior pharmacology of maprotiline, a new antidepressant]. | 1975 Nov |
|
Adenosine release in morphine-induced hypotension in rats. | 1992 Jan |
|
Modulation of gastrin processing by vesicular monoamine transporter type 1 (VMAT1) in rat gastrin cells. | 1999 Jun 1 |
|
Pharmacological options for the treatment of Tourette's disorder. | 2001 |
|
Interactions of 1-methyl-4-phenylpyridinium and other compounds with P-glycoprotein: relevance to toxicity of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine. | 2001 Aug 10 |
|
Hemichorea, moya-moya, and ulcerative colitis. | 2001 May |
|
Structure-activity studies leading to (-)1-(benzofuran-2-yl)-2-propylaminopentane, ((-)BPAP), a highly potent, selective enhancer of the impulse propagation mediated release of catecholamines and serotonin in the brain. | 2001 May |
|
Dyskinesia: L-dopa-induced and tardive dyskinesia. | 2001 Nov-Dec |
|
Assessing the integrity of the dopamine system in Parkinson's disease: how best to do it? | 2001 Sep |
|
Hemiballismus. | 2002 Apr |
|
Increased platelet vesicular monoamine transporter density in adult schizophrenia patients. | 2002 Aug |
|
Evaluation of the central properties of several Hypericum species from the Canary Islands. | 2002 Dec |
|
Human megakaryocytes cultured in vitro accumulate serotonin but not meta-iodobenzylguanidine whereas platelets concentrate both. | 2002 Jun |
|
Chronic clozapine, but not haloperidol, treatment affects rat brain vesicular monoamine transporter 2. | 2002 Jun |
|
Methylenedioxymethamphetamine decreases plasmalemmal and vesicular dopamine transport: mechanisms and implications for neurotoxicity. | 2002 Mar |
|
Elevated platelet vesicular monoamine transporter density in untreated patients diagnosed with major depression. | 2002 Nov 15 |
|
Methylphenidate redistributes vesicular monoamine transporter-2: role of dopamine receptors. | 2002 Oct 1 |
|
Catastrophic reactions induced by tetrabenazine. | 2002 Sep |
|
Lack of effect of testosterone and dihydrotestosterone compared to 17beta-oestradiol in 1-methyl-4-phenyl-1,2,3,6, tetrahydropyridine-mice. | 2002 Sep |
|
1-(Benzofuran-2-yl)-2-(3,3,3-trifluoropropyl)aminopentane HCl, 3-F-BPAP, antagonizes the enhancer effect of (-)-BPAP in the shuttle box and leaves the effect of (-)-deprenyl unchanged. | 2002 Sep 13 |
|
Increased ventral striatal monoaminergic innervation in Tourette syndrome. | 2003 Aug 12 |
|
Self-biting induced by activation of L-type calcium channels in mice: dopaminergic influences. | 2003 Jan-Feb |
|
Obstructive sleep apnea is related to a thalamic cholinergic deficit in MSA. | 2003 Jul 8 |
|
REM sleep behavior disorder is related to striatal monoaminergic deficit in MSA. | 2003 Jul 8 |
|
Gilles de la Tourette's syndrome. | 2003 Mar |
|
Decreased limbic vesicular monoamine transporter 2 in a genetic rat model of depression. | 2003 Mar 7 |
|
Dopamine transmission in DYT1 dystonia. | 2004 |
|
Adrafinil-induced orofacial dyskinesia. | 2004 Aug |
|
[Movement disorders in childhood: therapeutic update]. | 2004 Aug |
|
Electrochemical monitoring of transport by a vesicular monoamine transporter expressed in Xenopus oocytes. | 2004 Feb 15 |
|
Behavioral and neurochemical consequences of long-term intravenous self-administration of MDMA and its enantiomers by rhesus monkeys. | 2004 Jul |
|
Identification of tissue-restricted transcripts in human islets. | 2004 Oct |
|
The influence of measurement uncertainties on the evaluation of the distribution volume ratio and binding potential in rat studies on a microPET R4: a phantom study. | 2005 Jun 21 |
|
Decreased platelet vesicular monoamine transporter density in children and adolescents with attention deficit/hyperactivity disorder. | 2005 Mar |
|
Pharmacological management of Huntington's disease: an evidence-based review. | 2006 |
|
Dose-dependent improvement of myoclonic hyperkinesia due to Valproic acid in eight Huntington's Disease patients: a case series. | 2006 Feb 28 |
|
Tetrabenazine versus placebo for chorea in Huntington's disease. | 2006 Jul |
|
Longitudinal noninvasive PET-based beta cell mass estimates in a spontaneous diabetes rat model. | 2006 Jun |
|
Huntington's Disease. | 2006 May |
|
Preparation and evaluation of tetrabenazine enantiomers and all eight stereoisomers of dihydrotetrabenazine as VMAT2 inhibitors. | 2011 May |
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 17 02:06:18 UTC 2022
by
admin
on
Sat Dec 17 02:06:18 UTC 2022
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Record UNII |
5X57I1N37U
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Record Status |
Validated (UNII)
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Record Version |
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-
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NCI_THESAURUS |
C471
Created by
admin on Sat Dec 17 02:06:18 UTC 2022 , Edited by admin on Sat Dec 17 02:06:18 UTC 2022
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M10596
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PRIMARY | Merck Index | ||
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SUB16464MIG
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PRIMARY | |||
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71586770
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DTXSID20230302
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5X57I1N37U
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804-53-5
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PRIMARY | |||
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C97410
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PRIMARY |
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