Details
Stereochemistry | ACHIRAL |
Molecular Formula | C39H37F6N3O2 |
Molecular Weight | 693.7204 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
FC(F)(F)CNC(=O)C4(CCCCN1CCC(CC1)NC(=O)C2=CC=CC=C2C3=CC=C(C=C3)C(F)(F)F)C5=C(C=CC=C5)C6=C4C=CC=C6
InChI
InChIKey=MBBCVAKAJPKAKM-UHFFFAOYSA-N
InChI=1S/C39H37F6N3O2/c40-38(41,42)25-46-36(50)37(33-13-5-3-10-30(33)31-11-4-6-14-34(31)37)21-7-8-22-48-23-19-28(20-24-48)47-35(49)32-12-2-1-9-29(32)26-15-17-27(18-16-26)39(43,44)45/h1-6,9-18,28H,7-8,19-25H2,(H,46,50)(H,47,49)
Molecular Formula | C39H37F6N3O2 |
Molecular Weight | 693.7204 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
http://www.everipedia.com/Lomitapide/
Curator's Comment: description was created based on several sources, including
http://www.everipedia.com/Lomitapide/
Lomitapide (INN, marketed as Juxtapid in the US and as Lojuxta in the EU) is a drug for the treatment of familial hypercholesterolemia, developed by Aegerion Pharmaceuticals. It has been tested in clinical trials as single treatment and in combinations with atorvastatin, ezetimibe and fenofibrate. The US Food and Drug Administration (FDA) approved lomitapide on 21 December 2012, as an orphan drug to reduce LDL cholesterol, total cholesterol, apolipoprotein B, and non-high-density lipoprotein (non-HDL) cholesterol in patients with homozygous familial hypercholesterolemia (HoFH). On 31 May 2013 the European Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion with a unanimous vote recommending a marketing authorization for lomitapide. On 31 July 2013 the European Commission approved lomitapide as an adjunct to a low-fat diet and other lipid-lowering medicinal products with or without low density lipoprotein (LDL) apheresis in adult patients with HoFH. UXTAPID directly binds and inhibits microsomal triglyceride transfer protein (MTP), which resides in the lumen of the endoplasmic reticulum, thereby preventing the assembly of apo B containing lipoproteins in enterocytes and hepatocytes. This inhibits the synthesis of chylomicrons and VLDL. The inhibition of the synthesis of VLDL leads to reduced levels of plasma LDL-C.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P55157 Gene ID: 4547.0 Gene Symbol: MTTP Target Organism: Homo sapiens (Human) |
8.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | JUXTAPID Approved UseIndicated as an adjunct to a low-fat diet and other lipid-lowering treatments, including LDL apheresis where available, to reduce low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), apolipoprotein B (apo B), and non-high-density lipoprotein cholesterol (non-HDL-C) in patients with homozygous familial hypercholesterolemia (HoFH). Limitations of use: the safety and effectiveness of JUXTAPID have not been established in patients with hypercholesterolemia who do not have HoFH. The effect of JUXTAPID on cardiovascular morbidity and mortality has not been determined. Launch Date2012 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5.75 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
24.6 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg 1 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
30.2 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
31 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
28.6 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
0.986 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
1.03 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
1.13 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
2.52 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
2.65 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
2.74 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
241 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
403 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg 1 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
443 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
450 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
460 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
38.3 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
40.2 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
43.6 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
70.4 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
72.9 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
75.2 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
51.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
46.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26686567/ |
60 mg 1 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
46 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
45.7 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
44 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M3 plasma | Homo sapiens population: healthy age: sex: food status: |
|
52.4 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
47.7 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
48.8 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE plasma | Homo sapiens population: healthy age: sex: food status: |
|
38.7 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
37 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
|
39.1 h Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02044419 |
20 mg single, oral dose: 20 mg route of administration: oral experiment type: single co-administered: |
LOMITAPIDE METABOLITE M1 plasma | Homo sapiens population: healthy age: sex: food status: |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.2% |
60 mg 1 times / day unknown, oral dose: 60 mg route of administration: Oral experiment type: UNKNOWN co-administered: |
LOMITAPIDE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Disc. AE: Diarrhea, Abdominal pain... Other AEs: Alanine aminotransferase increase, Aspartate aminotransferase increase... AEs leading to discontinuation/dose reduction: Diarrhea (7%) Other AEs:Abdominal pain (3%) Nausea (3%) Gastroenteritis (3%) Weight loss (3%) Headache (3%) Uncontrolled INR (3%) Alanine aminotransferase increase (34%) Sources: Aspartate aminotransferase increase (34%) Fatty liver (6%) |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Disc. AE: Diarrhea, Nausea... AEs leading to discontinuation/dose reduction: Diarrhea (5 patients) Sources: Page: p. 168Nausea (3 patients) Abdominal discomfort (3 patients) Vomiting (1 patient) Diarrhea (5 patients) Vomiting (4 patients) Nausea (3 patients) Gastroenteritis (3 patients) Influenza (2 patients) Chest pain (2 patients) Pyrexia (2 patients) |
200 mg single, oral Highest studied dose Dose: 200 mg Route: oral Route: single Dose: 200 mg Sources: Page: p. 41 |
healthy n = 6 Health Status: healthy Population Size: 6 Sources: Page: p. 41 |
|
100 mg single, oral Dose: 100 mg Route: oral Route: single Dose: 100 mg Sources: Page: p. 41, 166 |
healthy n = 7 Health Status: healthy Population Size: 7 Sources: Page: p. 41, 166 |
Disc. AE: Headache... AEs leading to discontinuation/dose reduction: Headache (1 patient) Sources: Page: p. 41, 166 |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Gastroenteritis | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Headache | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Nausea | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Uncontrolled INR | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Weight loss | 3% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Alanine aminotransferase increase | 34% | 5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Aspartate aminotransferase increase | 34% | 5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Fatty liver | 6% | 5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Diarrhea | 7% Disc. AE |
5 mg 1 times / day steady, oral (starting) Recommended Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: |
Vomiting | 1 patient Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Chest pain | 2 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Influenza | 2 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Pyrexia | 2 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Abdominal discomfort | 3 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Gastroenteritis | 3 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Nausea | 3 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Nausea | 3 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Vomiting | 4 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Diarrhea | 5 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Diarrhea | 5 patients Disc. AE |
60 mg 1 times / day steady, oral Studied dose Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: Page: p. 168 |
unhealthy, 30.7 years (range: 18 - 55 years) n = 29 Health Status: unhealthy Condition: homozygous familial hypercholesterolemia Age Group: 30.7 years (range: 18 - 55 years) Sex: M+F Population Size: 29 Sources: Page: p. 168 |
Headache | 1 patient Disc. AE |
100 mg single, oral Dose: 100 mg Route: oral Route: single Dose: 100 mg Sources: Page: p. 41, 166 |
healthy n = 7 Health Status: healthy Population Size: 7 Sources: Page: p. 41, 166 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 22.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 16.0 |
yes [IC50 0.62 uM] | |||
Page: 22.0 |
yes [IC50 8 uM] | weak (co-administration study) Comment: lomitapide increased simvastatin cmax/auc ~2x Page: 22.0 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 23.0 |
major | yes (co-administration study) Comment: ketoconazole increased lomitapide exposure 27x Page: 23.0 |
||
Page: 22.0 |
no | |||
Page: 21.0 |
weak | |||
Page: 21.0 |
weak | |||
Page: 21.0 |
weak | |||
Page: 21.0 |
weak | |||
Page: 19.0 |
weak |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 49.0 |
PubMed
Title | Date | PubMed |
---|---|---|
A novel series of highly potent benzimidazole-based microsomal triglyceride transfer protein inhibitors. | 2001 Mar 15 |
|
Gateways to clinical trials. | 2009 Jun |
|
Lomitapide, a microsomal triglyceride transfer protein inhibitor for the treatment of hypercholesterolemia. | 2010 Feb |
|
Efficacy and safety of a microsomal triglyceride transfer protein inhibitor in patients with homozygous familial hypercholesterolaemia: a single-arm, open-label, phase 3 study. | 2013 Jan 5 |
Sample Use Guides
Initiate treatment at 5 mg once daily. Titrate dose based on acceptable safety/tolerability: increase to 10 mg daily after at least 2 weeks; and then, at a minimum of 4-week intervals, to 20 mg, 40 mg, and up to the maximum recommended dose of 60 mg daily. Take once daily, whole, with water and without food, at least 2 hours after evening meal.
Route of Administration:
Oral
Substance Class |
Chemical
Created
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admin
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Edited
Fri Dec 15 17:14:35 GMT 2023
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Fri Dec 15 17:14:35 GMT 2023
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Record UNII |
82KUB0583F
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Record Status |
Validated (UNII)
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C29703
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NDF-RT |
N0000186779
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FDA ORPHAN DRUG |
245907
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EU-Orphan Drug |
EU/3/10/823
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WHO-VATC |
QC10AX12
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WHO-ATC |
C10AX12
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FDA ORPHAN DRUG |
332110
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Code System | Code | Type | Description | ||
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LOMITAPIDE
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PRIMARY | |||
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TT-134
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PRIMARY | |||
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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100000128162
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PRIMARY | |||
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9120
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PRIMARY | |||
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82KUB0583F
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PRIMARY | |||
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SUB34920
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PRIMARY | |||
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1364479
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PRIMARY | RxNorm | ||
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7439
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PRIMARY | |||
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72297
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PRIMARY | |||
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72299
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PRIMARY | |||
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m11671
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PRIMARY | |||
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4721
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PRIMARY | |||
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8218
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PRIMARY | |||
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N0000182141
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PRIMARY | Cytochrome P450 3A4 Inhibitors [MoA] | ||
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9853053
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PRIMARY | |||
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CHEMBL354541
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PRIMARY | |||
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DB08827
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PRIMARY | |||
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N0000186778
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PRIMARY | Microsomal Triglyceride Transfer Protein Inhibitors [MoA] | ||
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DTXSID50171294
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PRIMARY | |||
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C83891
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PRIMARY | |||
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82KUB0583F
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PRIMARY | |||
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Lomitapide
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PRIMARY | |||
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182431-12-5
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PRIMARY |
Related Record | Type | Details | ||
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TRANSPORTER -> NON-INHIBITOR | |||
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TARGET -> INHIBITOR |
In the small unilamellar vesicle (SUV) assay, IC50 values for isolated human MTP 5 nM.
IC50
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
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METABOLIC ENZYME -> SUBSTRATE | |||
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METABOLIC ENZYME -> INHIBITOR |
Lomitapide is a weak in vivo CYP3A inhibitor.
WEAK
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BINDER->LIGAND |
BINDING
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TRANSPORTER -> NON-SUBSTRATE | |||
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EXCRETED UNCHANGED |
FECAL
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TRANSPORTER -> INHIBITOR | |||
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
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METABOLIC ENZYME -> SUBSTRATE |
MINOR
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Related Record | Type | Details | ||
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METABOLITE -> PARENT |
In plasma, M1 was the prominent metabolite that accounted for 5.75% of the total radioactivity in 0 – 24 hours plasma samples. In urine, M1 was the prominent metabolite that accounted for 4.69% of the dose in the 0 –96 hours urine samples. In feces, M1 was the minor metabolite that accounted for 0.49%of the dose in the 0 – 96 hours feces.
FECAL; PLASMA; URINE
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METABOLITE -> PARENT |
In plasma, M10+M18 accounted for 9.67% (combined) of the total radioactivity in 0 – 24 hours plasma samples. In urine, M18 was the prominent metabolite, which accounted for 3.77% of the dose in the 0 – 96 hours urine samples.
PLASMA; URINE
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METABOLITE -> PARENT |
MINOR
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METABOLITE -> PARENT |
MINOR
FECAL; URINE
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
MINOR
PLASMA
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METABOLITE -> PARENT |
In plasma, M10+M18 accounted for 9.67% (combined) of the total radioactivity in 0 – 24 hours plasma samples. In urine, M10 was the minor metabolite, which accounted for 0.33% of the dose in the 0 – 96 hours urine samples.
PLASMA; URINE
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METABOLITE -> PARENT |
In plasma, M5 was the prominent metabolite that accounted for 4.26% of the total radioactivity in 0 – 24 hours plasma samples. In urine, M5 was the prominent metabolite that accounted for 3.47% of the dose in the 0 –96 hours urine samples. In feces, M5 was the minor metabolite that accounted for 0.78% of the dose in the 0 – 96 hours feces.
FECAL; PLASMA; URINE
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METABOLITE -> PARENT |
In plasma, M3 was the major metabolite that accounted for 17.3% of the plasma radioactivity. In urine, M3 was the minor metabolite that accounted for 0.34% of the dose in the 0 –96 hours urine samples. In feces, M3 was the minor metabolite that accounted for 1.33 % of the dose in the 0 – 96 hours feces.
FECAL; PLASMA; URINE
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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SINGLE DOSE |
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Tmax | PHARMACOKINETIC |
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ORAL ADMINISTRATION |
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Volume of Distribution | PHARMACOKINETIC |
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SINGLE DOSE |
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