Details
Stereochemistry | ACHIRAL |
Molecular Formula | C4H7O3.Na |
Molecular Weight | 126.0863 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[Na+].OCCCC([O-])=O
InChI
InChIKey=XYGBKMMCQDZQOZ-UHFFFAOYSA-M
InChI=1S/C4H8O3.Na/c5-3-1-2-4(6)7;/h5H,1-3H2,(H,6,7);/q;+1/p-1
Molecular Formula | C4H7O3 |
Molecular Weight | 103.0966 |
Charge | -1 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | Na |
Molecular Weight | 22.9898 |
Charge | 1 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Sodium oxybate is the sodium salt of gamma-hydroxybutyrate (GHB), an endogenous metabolite of gamma-aminobutyric acid (GABA) a major inhibitory neurotransmitter. Evidence suggests a role for GHB as a neuromodulator/neurotransmitter. Under endogenous conditions and concentrations, and depending on the cell group affected, GHB may increase or decrease neuronal activity by inhibiting the release of neurotransmitters that are co-localised with GHB. After exogenous administration, most of the observed behavioural effects appear to be mediated via the activity of GHB at GABA(B) receptors, as long as the concentration is sufficient to elicit binding, which does not happen at endogenous concentrations. Xyrem (sodium oxybate) oral solution is indicated for the treatment of cataplexy in narcolepsy and excessive daytime sleepiness (EDS) in narcolepsy.
CNS Activity
Originator
Sources: Laborit H. (1964) Sodium 4-hydroxybutyrate. J Neuropharmacol 32: 433–452
Curator's Comment: Sodium oxybate (sodium salt of gamma-hydroxybutyrate (GHB) was first described as a possible precursor of GABA that could cross the blood-brain barrier [Laborit, 1964]. Further elucidation proved it an endogenous metabolite of GABA [Roth and Giarman, 1969] with a turnover of 0.16% of GABA being converted to GHB [Maitre, 1997] reference retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3382678/
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2111463 Sources: http://pp.jazzpharma.com/pi/xyrem.en.USPI.pdf |
100.0 µM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | XYREM Approved UseXYREM® (sodium oxybate) oral solution is a central nervous system depressant indicated for the treatment of:
• Cataplexy in narcolepsy
• Excessive daytime sleepiness (EDS) in narcolepsy Launch Date1.02677761E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
54 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947 |
25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
23 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
20 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
23 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3122 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947 |
25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
1271 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1565 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
905 μg × min/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
27 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1389947 |
25 mg/kg 2 times / day multiple, oral dose: 25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
22 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
25 mg/kg single, oral dose: 25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
23 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
50 mg/kg single, oral dose: 50 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
20 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
99% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8299669 |
12.5 mg/kg single, oral dose: 12.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
4-HYDROXYBUTANOIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 29, 35 |
no [IC50 >300 uM] | |||
Page: 29, 35 |
no [IC50 >300 uM] | |||
Page: 29, 35 |
no [IC50 >300 uM] | |||
Page: 29, 35 |
no [IC50 >300 uM] | |||
Page: 29, 35 |
no [IC50 >300 uM] | |||
Page: 29, 35 |
no [IC50 >300 uM] |
PubMed
Title | Date | PubMed |
---|---|---|
Evidence for a G protein-coupled gamma-hydroxybutyric acid receptor. | 2000 Nov |
|
The many faces of ecstasy. | 2001 Apr |
|
Gamma hydroxybutyrate (GHB) and gamma butyrolactone (GBL) withdrawal: five case studies. | 2001 Apr-Jun |
|
Gamma-hydroxybutyrate, gamma-butyrolactone, and 1,4-butanediol. | 2001 Aug |
|
[The new drugs: ecstasy, GHB. Update for practitioners]. | 2001 Dec |
|
[Gamma hydroxy butyrate intoxication]. | 2001 Dec |
|
Binding characteristics of the gamma-hydroxybutyric acid receptor antagonist [(3)H](2E)-(5-hydroxy-5,7,8,9-tetrahydro-6H-benzo[a][7]annulen-6-ylidene) ethanoic acid in the rat brain. | 2001 Dec |
|
Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: a venue-based comparison. | 2001 Dec 1 |
|
Successful management of prolonged gamma-hydroxybutyrate and alcohol withdrawal. | 2001 Feb |
|
Diazepam in the treatment of GHB dependence. | 2001 Feb |
|
Different control of GH secretion by gamma-amino- and gamma-hydroxy-butyric acid in 4-year abstinent alcoholics. | 2001 Feb 1 |
|
A model of atypical absence seizures: EEG, pharmacology, and developmental characterization. | 2001 Feb 13 |
|
[Drugs and drug abusers]. | 2001 Feb 17 |
|
Dansylation of hydroxyl and carboxylic acid functional groups. | 2001 Feb 26 |
|
Adverse events, including death, associated with the use of 1,4-butanediol. | 2001 Jan 11 |
|
Expression of a glutamate decarboxylase homologue is required for normal oxidative stress tolerance in Saccharomyces cerevisiae. | 2001 Jan 5 |
|
Drug-facilitated date rape. | 2001 Jul 10 |
|
Multivariate curve resolution of wavelet and Fourier compressed spectra. | 2001 Jul 15 |
|
[Effect of lithium hydroxybutyrate on the circadian dynamics of the urinary excretion of Li(+), Na(+), K(+), and Ca(2+) in rats depending on the circadian phase of the drug administration]. | 2001 Jul-Aug |
|
Characterization of partially transesterified poly(beta-hydroxyalkanoate)s by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. | 2001 Jul-Aug |
|
Improved procedure for the analysis of gamma-hydroxybutyrate and ethylene glycol in whole blood. | 2001 Jul-Aug |
|
It's a rave new world: rave culture and illicit drug use in the young. | 2001 Jun |
|
The presence of gamma-hydroxybutyric acid (GHB) in postmortem biological fluids. | 2001 Mar |
|
The urinary excretion of gamma-hydroxybutyric acid in man. | 2001 Mar |
|
[Acute involuntary intoxication with gamma-hydroxybutyric acid]. | 2001 May |
|
Selective breeding of two rat lines differing in sensitivity to GHB and baclofen. | 2001 May 25 |
|
The chemical interconversion of GHB and GBL: forensic issues and implications. | 2001 Nov |
|
Traumatic brain injury after a motor vehicle accident: fact or "fantasy"? | 2001 Nov |
|
Management of gamma-hydroxybutyrate withdrawal. | 2001 Nov |
|
Window of detection of gamma-hydroxybutyrate in blood and saliva. | 2001 Nov |
|
gamma-Hydroxybutyric acid and baclofen decrease extracellular acetylcholine levels in the hippocampus via GABA(B) receptors. | 2001 Nov 2 |
|
A contemporaneous finding of fenproporex in a polydrug suicide. | 2001 Oct |
|
Application of a convenient extraction procedure to analyze gamma-hydroxybutyric acid in fatalities involving gamma-hydroxybutyric acid, gamma-butyrolactone, and 1,4-butanediol. | 2001 Oct |
|
GC-MS determination of gamma-hydroxybutyric acid (GHB) in blood. | 2001 Oct 15 |
|
Elevation of AKR7A2 (succinic semialdehyde reductase) in neurodegenerative disease. | 2001 Oct 19 |
|
[Well-documented information on GHB]. | 2001 Oct 3 |
|
Drugs, drink'n and smok'n. Part II. | 2001 Sep |
|
Discrimination of gamma-hydroxybutyrate and ethanol administered separately and as a mixture in rats. | 2001 Sep |
|
gamma-Hydroxybutyrate modulation of glutamate levels in the hippocampus: an in vivo and in vitro study. | 2001 Sep |
|
The use of physostigmine in the management of gamma-hydroxybutyrate overdose. | 2001 Sep |
|
Use of physostigmine in the management of gamma-hydroxybutyrate overdose. | 2001 Sep |
|
Two cases of withdrawal from 1,4-Butanediol use. | 2001 Sep |
|
[GHB--dangerous, addictive and uncontrollable "party drug"]. | 2001 Sep 19 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: http://pp.jazzpharma.com/pi/xyrem.en.USPI.pdf
Initiate dose at 4.5 grams (g) per night administered orally in two equal, divided doses: 2.25 g at bedtime and 2.25 g taken 2.5 to 4 hours later.
Titrate to effect in increments of 1.5 g per night at weekly intervals (0.75 g at bedtime and 0.75 g taken 2.5 to 4 hours later).
Recommended dose range: 6 g to 9 g per night orally.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11313294
Curator's Comment: gamma-hydroxybutyrate (GHB) activates both pre- and postsynaptic GABA(B)-receptors in neocortical neurons participating in fast synaptic transmission, leading to a powerful depression of neocortical network activity.
Unknown
Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Jul 05 22:53:27 UTC 2023
by
admin
on
Wed Jul 05 22:53:27 UTC 2023
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Record UNII |
7G33012534
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Record Status |
Validated (UNII)
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Record Version |
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-
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Classification Tree | Code System | Code | ||
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EMA ASSESSMENT REPORTS |
XYREM (AUTHORIZED: NARCOLEPSY)
Created by
admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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WHO-VATC |
QN01AX11
Created by
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WHO-VATC |
QN07XX04
Created by
admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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EMA ASSESSMENT REPORTS |
XYREM (AUTHORIZED: CATAPLEXY)
Created by
admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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WHO-ATC |
N01AX11
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admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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WHO-ATC |
N07XX04
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admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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EU-Orphan Drug |
EU/3/02/131
Created by
admin on Wed Jul 05 22:53:27 UTC 2023 , Edited by admin on Wed Jul 05 22:53:27 UTC 2023
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NCI_THESAURUS |
C2199
Created by
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NDF-RT |
N0000175758
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DEA NO. |
2012
Created by
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FDA ORPHAN DRUG |
530216
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Code System | Code | Type | Description | ||
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D012978
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7G33012534
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84223
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7G33012534
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SODIUM OXYBATE
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CHEMBL1342
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90318-49-3
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NON-SPECIFIC STOICHIOMETRY | |||
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9899
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502-85-2
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30830
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Sodium Oxybate
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23663870
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M6124
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DB09072
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207-953-3
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DTXSID3048940
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100000089135
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SUB14731MIG
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4566
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502-85-2
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C61870
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SUB60580
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Related Record | Type | Details | ||
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LABELED -> NON-LABELED |
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PARENT -> SALT/SOLVATE |
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
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