U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C16H17N3
Molecular Weight 251.3263
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BESIPIRDINE

SMILES

CCCN(N1C=CC2=C1C=CC=C2)C3=CC=NC=C3

InChI

InChIKey=OTPPJICEBWOCKD-UHFFFAOYSA-N
InChI=1S/C16H17N3/c1-2-12-18(15-7-10-17-11-8-15)19-13-9-14-5-3-4-6-16(14)19/h3-11,13H,2,12H2,1H3

HIDE SMILES / InChI

Molecular Formula C16H17N3
Molecular Weight 251.3263
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including: http://www.evaluategroup.com/Universal/View.aspx?type=Story&id=269038 | http://adisinsight.springer.com/drugs/800001339 | https://www.ncbi.nlm.nih.gov/pubmed/9103515 | https://www.ncbi.nlm.nih.gov/pubmed/7674813

Besipirdine is a potential novel first-in-class oral treatment for over active bladder currently in Phase II development, with a mechanism of action clearly different from that of antimuscarinics. It was under evaluation by Aventis up to phase III for Alzheimer’s disease, involving the administration of the compound to over 1500 patients. However, this research has been discontinued. Besipirdine antagonizes alpha-2 and alpha-1 adrenoceptors and inhibits both norepinephrine and serotonin uptake. The most common adverse events were asymptomatic postural hypotension and asymptomatic bradycardia.

Approval Year

Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
72.2 ng/mL
50 mg 2 times / day multiple, oral
dose: 50 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BESIPIRDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
165 ng/mL
60 mg 2 times / day multiple, oral
dose: 60 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BESIPIRDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
60 mg 2 times / day multiple, oral
Highest studied dose
Dose: 60 mg, 2 times / day
Route: oral
Route: multiple
Dose: 60 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Disc. AE: Angina, Coronary vasospasm...
AEs leading to
discontinuation/dose reduction:
Angina (grade 3, 11.1%)
Coronary vasospasm (grade 3, 11.1%)
Sinus arrhythmia (grade 3, 11.1%)
Sources:
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Disc. AE: Postural hypotension, Nausea...
AEs leading to
discontinuation/dose reduction:
Postural hypotension (grade 2, 11.1%)
Nausea (grade 3, 11.1%)
Vomiting (grade 3, 11.1%)
Lightheadedness (11.1%)
Dizziness (11.1%)
Weakness (11.1%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Angina grade 3, 11.1%
Disc. AE
60 mg 2 times / day multiple, oral
Highest studied dose
Dose: 60 mg, 2 times / day
Route: oral
Route: multiple
Dose: 60 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Coronary vasospasm grade 3, 11.1%
Disc. AE
60 mg 2 times / day multiple, oral
Highest studied dose
Dose: 60 mg, 2 times / day
Route: oral
Route: multiple
Dose: 60 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Sinus arrhythmia grade 3, 11.1%
Disc. AE
60 mg 2 times / day multiple, oral
Highest studied dose
Dose: 60 mg, 2 times / day
Route: oral
Route: multiple
Dose: 60 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Dizziness 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Lightheadedness 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Weakness 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Postural hypotension grade 2, 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Nausea grade 3, 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Vomiting grade 3, 11.1%
Disc. AE
50 mg 2 times / day multiple, oral
MTD
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
The pharmacokinetics and cardiovascular pharmacodynamics of HP 749 (besipirdine HCl) and metabolite P86-7480 in the conscious monkey.
1995-07
HP 749 enhances calcium-independent release of [3H]norepinephrine from rat cortical slices and synaptosomes.
1994-10
Determination of HP 749, a potential therapeutic agent for Alzheimer's disease, in plasma by high-performance liquid chromatography.
1991-12-06
Patents

Sample Use Guides

5 and 20 mg b.i.d.
Route of Administration: Oral
In Vitro Use Guide
Besipirdine inhibited [3H]-batrachotoxin binding (IC50 = 5.5 uM) in a rat brain vesicular preparation and concentration-dependently inhibited veratridine (25 uM)-stimulated increases in intracellular free sodium ([Na+]i) and calcium ([Ca2+]i) in primary cultured cortical neurones of rat. Besipirdine (30-100 uM) concentration-dependently inhibited (up to 100%) veratridine-stimulated release of [3H]-noradrenaline (NA) from rat cortical slices.
Substance Class Chemical
Created
by admin
on Mon Mar 31 19:26:57 GMT 2025
Edited
by admin
on Mon Mar 31 19:26:57 GMT 2025
Record UNII
95PY16J933
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
BESIPIRDINE
INN   MI   WHO-DD  
INN  
Official Name English
BESIPIRDINE [MI]
Preferred Name English
Besipirdine [WHO-DD]
Common Name English
1H-INDOL-1-AMINE, N-PROPYL-N-4-PYRIDINYL-
Systematic Name English
1-(PROPYL-4-PYRIDYLAMINO)INDOLE
Systematic Name English
besipirdine [INN]
Common Name English
Code System Code Type Description
NCI_THESAURUS
C171657
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
ChEMBL
CHEMBL29835
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
WIKIPEDIA
BESIPIRDINE
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
FDA UNII
95PY16J933
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
CAS
119257-34-0
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
EVMPD
SUB05788MIG
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
SMS_ID
100000086073
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
INN
7116
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
MESH
C074872
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
PUBCHEM
60691
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
MERCK INDEX
m1024
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY Merck Index
EPA CompTox
DTXSID50152361
Created by admin on Mon Mar 31 19:26:57 GMT 2025 , Edited by admin on Mon Mar 31 19:26:57 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
Related Record Type Details
ACTIVE MOIETY