Details
Stereochemistry | ACHIRAL |
Molecular Formula | C5H7N3.H3O4P |
Molecular Weight | 207.1244 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OP(O)(O)=O.NC1=CC=NC=C1N
InChI
InChIKey=KAICRBBQCRKMPO-UHFFFAOYSA-N
InChI=1S/C5H7N3.H3O4P/c6-4-1-2-8-3-5(4)7;1-5(2,3)4/h1-3H,7H2,(H2,6,8);(H3,1,2,3,4)
Molecular Formula | C5H7N3 |
Molecular Weight | 109.1292 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | H3O4P |
Molecular Weight | 97.9952 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Amifampridine (Firdapse), currently approved in the European Union, is the first and only approved drug for the symptomatic treatment of Lambert-Eaton Myasthenic Syndrome (LEMS) in adults, a rare autoimmune disease with the primary symptoms of muscle weakness. In LEMS, the body’s own immune system attacks connections between nerves and muscles and disrupts the ability of nerve cells to send signals to muscle cells. Amifampridine blocks voltage-dependent potassium channels, thereby prolonging pre-synaptic cell
membrane depolarization. Prolonging the action potential enhances the transport of calcium into the nerve
ending. The resulting increase in intracellular calcium concentrations facilitates exocytosis of acetylcholine containing
vesicles, which in turn enhances neuromuscular transmission. Amifampridine phosphate has been granted Orphan Drug Designation and Breakthrough Therapy designation by the FDA for the treatment of Lambert-Eaton Myasthenic Syndrome (LEMS).
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21975066 | https://www.ncbi.nlm.nih.gov/pubmed/6744035
Curator's Comment: Amifampridine (3,4-DAP) displays toxicity largely due to blood-brain-barrier (BBB) penetration.
Originator
Approval Year
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
59.1 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
40.6 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
189 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
268 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
117 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
109 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
1220 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
1444 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2.28 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
4.03 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
4.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26101174/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
3-N-ACETYL-AMIFAMPRIDINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
100 mg 1 times / day multiple, oral Highest studied dose Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
|
10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Other AEs: Paresthesia, Dysesthesia... Other AEs: Paresthesia (69%) Sources: Dysesthesia (69%) Oral dysesthesia (69%) Abdominal pain (25%) Upper abdominal pain (25%) Dyspepsia (17%) Dizziness (12%) Nausea (10%) Back pain (8%) Hypoesthesia (6%) Muscle spasms (6%) |
75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Other AEs: Convulsion, Head titubation... Other AEs: Convulsion (0.6%) Sources: Head titubation (0.6%) Tremor (0.6%) Unresponsive to stimuli (0.6%) Small cell lung cancer (0.6%) Metastases to central nervous system (0.6%) Lung cancer metastatic (0.6%) Pulmonary mass (0.6%) Bradycardia (0.6%) Pneumonia (0.6%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Nausea | 10% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Dizziness | 12% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Dyspepsia | 17% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Abdominal pain | 25% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Upper abdominal pain | 25% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Hypoesthesia | 6% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Muscle spasms | 6% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Dysesthesia | 69% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Oral dysesthesia | 69% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Paresthesia | 69% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Back pain | 8% | 10 mg 3 times / day multiple, oral Recommended Dose: 10 mg, 3 times / day Route: oral Route: multiple Dose: 10 mg, 3 times / day Sources: |
healthy, adult n = 52 Health Status: healthy Age Group: adult Population Size: 52 Sources: |
Bradycardia | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Convulsion | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Head titubation | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Lung cancer metastatic | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Metastases to central nervous system | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Pneumonia | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Pulmonary mass | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Small cell lung cancer | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Tremor | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Unresponsive to stimuli | 0.6% | 75 mg 1 times / day multiple, oral (typical) Studied dose Dose: 75 mg, 1 times / day Route: oral Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, adult n = 162 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 162 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/208078Orig1s000PharmR.pdf#page=27 Page: 27.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/208078Orig1s000PharmR.pdf#page=27 Page: 27.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/208078Orig1s000PharmR.pdf#page=27 Page: 27.0 |
no |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/208078Orig1s000PharmR.pdf#page=26 Page: 26.0 |
||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/208078Orig1s000PharmR.pdf#page=26 Page: 26.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Antagonism of botulinum toxin A-mediated muscle paralysis by 3, 4-diaminopyridine delivered via osmotic minipumps. | 2000 Oct |
|
Electrophysiological analysis of the neurotoxic action of a funnel-web spider toxin, delta-atracotoxin-HV1a, on insect voltage-gated Na+ channels. | 2001 Feb |
|
Neuromuscular monitoring in myasthenic syndrome. | 2001 Jun |
|
Action of Micrurus dumerilii carinicauda coral snake venom on the mammalian neuromuscular junction. | 2002 Feb |
|
Wheel-running exercise alters rat diaphragm action potentials and their regulation by K+ channels. | 2003 Aug |
|
3,4-DAP-evoked transmitter release in hippocampal slices of aged rats with impaired memory. | 2003 Dec 15 |
|
Exacerbation of Lambert-Eaton myasthenic syndrome caused by an L-type Ca2+ channel antagonist. | 2003 Jan |
|
Treatment of downbeat nystagmus with 3,4-diaminopyridine: a placebo-controlled study. | 2003 Jul 22 |
|
[Formulation and stability of hospital preparation of 3,4-diaminopyridine capsules]. | 2003 Nov |
|
Lambert-eaton myasthenic syndrome: diagnosis and treatment. | 2003 Sep |
|
Dual effects of nitric oxide in the mouse forced swimming test: possible contribution of nitric oxide-mediated serotonin release and potassium channel modulation. | 2004 Mar |
|
Treatment for Lambert-Eaton myasthenic syndrome. | 2005 Apr 18 |
|
NCAM 180 acting via a conserved C-terminal domain and MLCK is essential for effective transmission with repetitive stimulation. | 2005 Jun 16 |
|
Cognitive deficits in aged rats correlate with levels of L-arginine, not with nNOS expression or 3,4-DAP-evoked transmitter release in the frontoparietal cortex. | 2005 Mar |
|
Taicatoxin inhibits the calcium-dependent slow motility of mammalian outer hair cells. | 2005 May |
|
Inotropic effects of the K+ channel blocker 3,4-diaminopyridine: differential responses of rat soleus and extensor digitorum longus. | 2006 Dec |
|
Potassium channel blockers in multiple sclerosis: neuronal Kv channels and effects of symptomatic treatment. | 2006 Jul |
|
[Pathophysiology and treatment of fatigue in multiple sclerosis]. | 2006 Mar |
|
Altered diaphragm muscle action potentials in Zucker diabetic fatty (ZDF) rats. | 2006 Sep 28 |
|
Childhood myasthenia: clinical subtypes and practical management. | 2007 Aug |
|
Myasthenia gravis and Lambert-Eaton myasthenic syndrome in the same patient. | 2007 Jul |
|
Onset dynamics of type A botulinum neurotoxin-induced paralysis. | 2008 Jun |
|
[A case of Lambert-Eaton myasthenic syndrome with small cell lung cancer, treated with 3,4-diaminopyridine]. | 2009 Jan |
|
Skeletal muscle contraction-induced vasodilator complement production is dependent on stimulus and contraction frequency. | 2009 Jul |
|
3,4-diaminopyridine safety in clinical practice: an observational, retrospective cohort study. | 2010 Jun |
Sample Use Guides
Amifampridine (Firdapse) should be given in divided doses, three or four times a day. The recommended starting dose is
15 mg a day, which can be increased in 5 mg increments every 4 to 5 days, to a maximum of 60 mg per day.
No single dose should exceed 20 mg.
Tablets are to be taken with food.
For oral use only.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8358554
In nerve terminal regions of axons in rat olfactory cortex in the presence of tetraethylammonium (TEA, 5 mM) and Cd2+ (100 uM), the K(+)-component was depressed by Amifampridine (3,4-DAP; 1 to 20 uM; IC50 2.0 +/- 0.4 uM).
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 02:04:26 GMT 2023
by
admin
on
Sat Dec 16 02:04:26 GMT 2023
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Record UNII |
8HF8FIN815
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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EMA ASSESSMENT REPORTS |
FIRDAPSE (AUTHORIZED: LAMBERT-EATON MYASTHENIC SYNDROME)
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FDA ORPHAN DRUG |
464814
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NCI_THESAURUS |
C93038
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FDA ORPHAN DRUG |
534916
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EU-Orphan Drug |
EU/3/02/124
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FDA ORPHAN DRUG |
295309
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DBSALT002818
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8HF8FIN815
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SUB30951
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2106337
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DTXSID40196254
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100000115908
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C142921
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m1668
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8HF8FIN815
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9920716
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446254-47-3
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BC-58
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CHEMBL354077
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