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Details

Stereochemistry ABSOLUTE
Molecular Formula C19H27N3O4.2H2O
Molecular Weight 397.4659
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of SEMAGACESTAT DIHYDRATE

SMILES

O.O.CC(C)[C@H](O)C(=O)N[C@@H](C)C(=O)N[C@H]1C2=C(CCN(C)C1=O)C=CC=C2

InChI

InChIKey=MVWVSAKBHYNDEF-ANYPDPQESA-N
InChI=1S/C19H27N3O4.2H2O/c1-11(2)16(23)18(25)20-12(3)17(24)21-15-14-8-6-5-7-13(14)9-10-22(4)19(15)26;;/h5-8,11-12,15-16,23H,9-10H2,1-4H3,(H,20,25)(H,21,24);2*1H2/t12-,15-,16-;;/m0../s1

HIDE SMILES / InChI

Molecular Formula H2O
Molecular Weight 18.0153
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C19H27N3O4
Molecular Weight 361.4354
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/22323718

Semagacestat (LY-450139) was a gamma secretase inhibitor being developed as a treatment for Alzheimer's disease by Eli Lilly. It was hoped that the drug would help to delay the onset of severe Alzheimer's disease, and thereby help preserve cognitive and executive functioning and in turn improve patient quality of life. Semagacestat (LY-450139) is designed to inhibit gamma secretase, an enzyme that is involved in the cleavage of APP to beta-amyloid. By decreasing production of beta-amyloid, it is hoped that gamma secretase inhibitors will exert a disease-modifying effect in Alzheimer's disease and thus slow or halt the destruction of nerve cells – the final stage in the amyloid cascade hypothesis. In March 2008 semagacestat (LY-450139) advanced to Phase III development, where it was evaluated in the IDENTITY (Interrupting Alzheimer's Dementia by EvaluatiNg Treatment of AmyloId PaThologY) trial, the first Phase III trial for this new anti-dementia drug. In August 2010, Eli Lilly announced its decision to halt the development of Semagacestat. The decision was taken after analysing the preliminary results of the second Phase III clinical trial of the drug, which indicated that semagacestat failed to slow disease progression. The drug, in fact, worsened cognition and the ability to perform day-to-day activities.

Originator

Curator's Comment: # Eli Lilly

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
38.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
327 ng/mL
280 mg single, oral
dose: 280 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT cerebrospinal fluid
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status:
2200 ng/mL
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
1860 ng/mL
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
7710 ng × h/mL
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
7850 ng × h/mL
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
3.04 h
280 mg single, oral
dose: 280 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT cerebrospinal fluid
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status:
2.3 h
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
2.3 h
140 mg single, oral
dose: 140 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SEMAGACESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
Doses

Doses

DosePopulationAdverse events​
280 mg single, oral
Highest studied dose
Dose: 280 mg
Route: oral
Route: single
Dose: 280 mg
Sources: Page: p.4
healthy, ADULT
n = 5
Health Status: healthy
Age Group: ADULT
Sex: M
Food Status: UNKNOWN
Population Size: 5
Sources: Page: p.4
100 mg 1 times / day multiple, oral
Studied dose
Dose: 100 mg, 1 times / day
Route: oral
Route: multiple
Dose: 100 mg, 1 times / day
Sources: Page: p.17, 5
unhealthy, ADULT
n = 22
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 22
Sources: Page: p.17, 5
Disc. AE: Intestinal obstruction...
AEs leading to
discontinuation/dose reduction:
Intestinal obstruction (grade 3, 4.5%)
Sources: Page: p.17, 5
140 mg 1 times / day multiple, oral
Studied dose
Dose: 140 mg, 1 times / day
Route: oral
Route: multiple
Dose: 140 mg, 1 times / day
Sources: Page: p.17
unhealthy, ADULT
n = 14
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 14
Sources: Page: p.17
Other AEs: Cardiovascular syncope...
Other AEs:
Cardiovascular syncope (grade 3, 7.14%)
Sources: Page: p.17
140 mg single, oral
Studied dose
Dose: 140 mg
Route: oral
Route: single
Dose: 140 mg
Sources: Page: p.911
healthy, ADULT
n = 27
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 27
Sources: Page: p.911
Disc. AE: neurocardiogenic syncope...
AEs leading to
discontinuation/dose reduction:
neurocardiogenic syncope (3.7%)
Sources: Page: p.911
AEs

AEs

AESignificanceDosePopulation
Intestinal obstruction grade 3, 4.5%
Disc. AE
100 mg 1 times / day multiple, oral
Studied dose
Dose: 100 mg, 1 times / day
Route: oral
Route: multiple
Dose: 100 mg, 1 times / day
Sources: Page: p.17, 5
unhealthy, ADULT
n = 22
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 22
Sources: Page: p.17, 5
Cardiovascular syncope grade 3, 7.14%
140 mg 1 times / day multiple, oral
Studied dose
Dose: 140 mg, 1 times / day
Route: oral
Route: multiple
Dose: 140 mg, 1 times / day
Sources: Page: p.17
unhealthy, ADULT
n = 14
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 14
Sources: Page: p.17
neurocardiogenic syncope 3.7%
Disc. AE
140 mg single, oral
Studied dose
Dose: 140 mg
Route: oral
Route: single
Dose: 140 mg
Sources: Page: p.911
healthy, ADULT
n = 27
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 27
Sources: Page: p.911
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Semagacestat, a gamma-secretase inhibitor for the potential treatment of Alzheimer's disease.
2009 Jul
Development of semagacestat (LY450139), a functional gamma-secretase inhibitor, for the treatment of Alzheimer's disease.
2009 Jul
Are γ-secretase inhibitors detrimental for Alzheimer's disease patients?
2010
Amyloid precursor protein selective gamma-secretase inhibitors for treatment of Alzheimer's disease.
2010 Dec 29
A novel Abeta isoform pattern in CSF reflects gamma-secretase inhibition in Alzheimer disease.
2010 Mar 29
Could lysine supplementation prevent Alzheimer's dementia? A novel hypothesis.
2010 Oct 27
Brain amyloid β protein and memory disruption in Alzheimer's disease.
2010 Sep 7
Patents

Patents

Sample Use Guides

140mg administered orally, once daily for 24 months; dose reduction to 100mg or 60 mg possible due to intolerability
Route of Administration: Oral
Semagacestat reduces the secretion of Aβ42, Aβ40 and Aβ38 from H4 human glioma cells stably overexpressing human wild-type APP into the culture medium, with IC50 of 10.9 nM, 12.1 nM and 12.0 nM, respectively, without affecting cell viability.
Substance Class Chemical
Created
by admin
on Fri Dec 15 17:30:09 UTC 2023
Edited
by admin
on Fri Dec 15 17:30:09 UTC 2023
Record UNII
66YH9K8271
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
SEMAGACESTAT DIHYDRATE
Common Name English
BUTANAMIDE, 2-HYDROXY-3-METHYL-N-((1S)-1-METHYL-2-OXO-2-(((1S)-2,3,4,5-TETRAHYDRO-3-METHYL-2-OXO-1H-3-BENZAZEPIN-1-YL)AMINO)ETHYL)-, DIHYDRATE, (2S)-
Systematic Name English
LY-450139 DIHYDRATE
Code English
Classification Tree Code System Code
NCI_THESAURUS C471
Created by admin on Fri Dec 15 17:30:09 UTC 2023 , Edited by admin on Fri Dec 15 17:30:09 UTC 2023
Code System Code Type Description
PUBCHEM
9843749
Created by admin on Fri Dec 15 17:30:09 UTC 2023 , Edited by admin on Fri Dec 15 17:30:09 UTC 2023
PRIMARY
NCI_THESAURUS
C97363
Created by admin on Fri Dec 15 17:30:09 UTC 2023 , Edited by admin on Fri Dec 15 17:30:09 UTC 2023
PRIMARY
FDA UNII
66YH9K8271
Created by admin on Fri Dec 15 17:30:09 UTC 2023 , Edited by admin on Fri Dec 15 17:30:09 UTC 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
ANHYDROUS->SOLVATE
Related Record Type Details
ACTIVE MOIETY