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Details

Stereochemistry ACHIRAL
Molecular Formula 5C5H7N2O7P2.15Na.2H2O
Molecular Weight 1726.2061
Optical Activity NONE
Defined Stereocenters 0 / 5
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ZOLEDRONATE TRISODIUM

SMILES

O.O.[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].OC(CN1C=CN=C1)(P(O)([O-])=O)P([O-])([O-])=O.OC(CN2C=CN=C2)(P(O)([O-])=O)P([O-])([O-])=O.OC(CN3C=CN=C3)(P(O)([O-])=O)P([O-])([O-])=O.OC(CN4C=CN=C4)(P(O)([O-])=O)P([O-])([O-])=O.OC(CN5C=CN=C5)(P(O)([O-])=O)P([O-])([O-])=O

InChI

InChIKey=HYMYRPXSMHJPGD-UHFFFAOYSA-A
InChI=1S/5C5H10N2O7P2.15Na.2H2O/c5*8-5(15(9,10)11,16(12,13)14)3-7-2-1-6-4-7;;;;;;;;;;;;;;;;;/h5*1-2,4,8H,3H2,(H2,9,10,11)(H2,12,13,14);;;;;;;;;;;;;;;;2*1H2/q;;;;;15*+1;;/p-15

HIDE SMILES / InChI

Molecular Formula HO
Molecular Weight 17.0073
Charge -1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C5H9N2O7P2
Molecular Weight 271.0817
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

Zoledronic acid (Reclast, Aclasta, Zometa) is an intravenous, highly potent amino-bisphosphonate approved worldwide, including in the USA, EU and Japan for use in patients with primary or secondary osteoporosis or low bone mass (approved indications vary between countries). Its high affinity to and long half-life in bone, and long duration of action allow for once-yearly administration, which has the potential to improve adherence to therapy. Zoledronic acid once yearly for up to 3 years improved bone mineral density (BMD) at several skeletal sites, reduced fracture risk and bone turnover, and/or preserved bone structure and mass relative to placebo in clinical studies in patients with primary or secondary osteoporosis. While additional benefits were seen when treatment was continued for up to 6 years, as evidenced by a reduced risk of vertebral fractures and higher BMD relative to 3 years’ therapy, there was the minimal advantage of treatment beyond 6 years. Therefore, in patients with low fracture risk, treatment discontinuation should be considered after approximately 5 years’ therapy. Zoledronic acid administered annually or once in 2 years was also effective in preventing bone loss in patients with low bone mass. Zoledronic acid was generally well tolerated, with the most common adverse events (AEs) being transient, mild-to-moderate post-infusion symptoms, which decreased with subsequent infusions.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
4.1 nM [IC50]
97.0 µM [IC50]
92.0 nM [IC50]
62.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Zometa

Approved Use

INDICATIONS AND USAGE Hypercalcemia of Malignancy. Zometa® (zoledronic acid for injection) is indicated for the treatment of hypercalcemia of malignancy. Vigorous saline hydration, an integral part of hypercalcemia therapy, should be initiated promptly and an attempt should be made to restore the urine output to about 2 L/day throughout treatment. Mild or asymptomatic hypercalcemia may be treated with conservative measures (i.e., saline hydration, with or without loop diuretics). Patients should be hydrated dequately throughout the treatment, but overhydration, especially in those patients who have cardiac failure, must be avoided. Diuretic therapy should not be employed prior to correction of hypovolemia. The safety and efficacy of Zometa in the treatment of hypercalcemia associated with hyperparathyroidism or with other non-tumor-related conditions has not been established. Multiple Myeloma and Bone Metastases of Solid Tumors. Zometa is indicated for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. Prostate cancer should have progressed after treatment with at least one hormonal therapy

Launch Date

9.9817921E11
Primary
Zometa

Approved Use

INDICATIONS AND USAGE Hypercalcemia of Malignancy. Zometa® (zoledronic acid for injection) is indicated for the treatment of hypercalcemia of malignancy. Vigorous saline hydration, an integral part of hypercalcemia therapy, should be initiated promptly and an attempt should be made to restore the urine output to about 2 L/day throughout treatment. Mild or asymptomatic hypercalcemia may be treated with conservative measures (i.e., saline hydration, with or without loop diuretics). Patients should be hydrated dequately throughout the treatment, but overhydration, especially in those patients who have cardiac failure, must be avoided. Diuretic therapy should not be employed prior to correction of hypovolemia. The safety and efficacy of Zometa in the treatment of hypercalcemia associated with hyperparathyroidism or with other non-tumor-related conditions has not been established. Multiple Myeloma and Bone Metastases of Solid Tumors. Zometa is indicated for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. Prostate cancer should have progressed after treatment with at least one hormonal therapy

Launch Date

9.9817921E11
Primary
Zometa

Approved Use

INDICATIONS AND USAGE Hypercalcemia of Malignancy. Zometa® (zoledronic acid for injection) is indicated for the treatment of hypercalcemia of malignancy. Vigorous saline hydration, an integral part of hypercalcemia therapy, should be initiated promptly and an attempt should be made to restore the urine output to about 2 L/day throughout treatment. Mild or asymptomatic hypercalcemia may be treated with conservative measures (i.e., saline hydration, with or without loop diuretics). Patients should be hydrated dequately throughout the treatment, but overhydration, especially in those patients who have cardiac failure, must be avoided. Diuretic therapy should not be employed prior to correction of hypovolemia. The safety and efficacy of Zometa in the treatment of hypercalcemia associated with hyperparathyroidism or with other non-tumor-related conditions has not been established. Multiple Myeloma and Bone Metastases of Solid Tumors. Zometa is indicated for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. Prostate cancer should have progressed after treatment with at least one hormonal therapy

Launch Date

9.9817921E11
Primary
Zometa

Approved Use

INDICATIONS AND USAGE Hypercalcemia of Malignancy. Zometa® (zoledronic acid for injection) is indicated for the treatment of hypercalcemia of malignancy. Vigorous saline hydration, an integral part of hypercalcemia therapy, should be initiated promptly and an attempt should be made to restore the urine output to about 2 L/day throughout treatment. Mild or asymptomatic hypercalcemia may be treated with conservative measures (i.e., saline hydration, with or without loop diuretics). Patients should be hydrated dequately throughout the treatment, but overhydration, especially in those patients who have cardiac failure, must be avoided. Diuretic therapy should not be employed prior to correction of hypovolemia. The safety and efficacy of Zometa in the treatment of hypercalcemia associated with hyperparathyroidism or with other non-tumor-related conditions has not been established. Multiple Myeloma and Bone Metastases of Solid Tumors. Zometa is indicated for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. Prostate cancer should have progressed after treatment with at least one hormonal therapy

Launch Date

9.9817921E11
Primary
Zometa

Approved Use

INDICATIONS AND USAGE Hypercalcemia of Malignancy. Zometa® (zoledronic acid for injection) is indicated for the treatment of hypercalcemia of malignancy. Vigorous saline hydration, an integral part of hypercalcemia therapy, should be initiated promptly and an attempt should be made to restore the urine output to about 2 L/day throughout treatment. Mild or asymptomatic hypercalcemia may be treated with conservative measures (i.e., saline hydration, with or without loop diuretics). Patients should be hydrated dequately throughout the treatment, but overhydration, especially in those patients who have cardiac failure, must be avoided. Diuretic therapy should not be employed prior to correction of hypovolemia. The safety and efficacy of Zometa in the treatment of hypercalcemia associated with hyperparathyroidism or with other non-tumor-related conditions has not been established. Multiple Myeloma and Bone Metastases of Solid Tumors. Zometa is indicated for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. Prostate cancer should have progressed after treatment with at least one hormonal therapy

Launch Date

9.9817921E11
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
264 ng/mL
4 mg single, intravenous
dose: 4 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ZOLEDRONIC ACID plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
420 ng × h/mL
4 mg single, intravenous
dose: 4 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ZOLEDRONIC ACID plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
39 h
4 mg single, intravenous
dose: 4 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ZOLEDRONIC ACID plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
16 mg 1 times / 4 weeks multiple, intravenous
Highest studied dose
Dose: 16 mg, 1 times / 4 weeks
Route: intravenous
Route: multiple
Dose: 16 mg, 1 times / 4 weeks
Sources:
unhealthy, 40-79 years
n = 12
Health Status: unhealthy
Condition: cancer
Age Group: 40-79 years
Sex: M+F
Population Size: 12
Sources:
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Other AEs: Skeletal pain, Fever...
Other AEs:
Skeletal pain (30%)
Fever (20%)
Anorexia (20%)
Diarrhea (20%)
Constipation (10%)
Nausea (20%)
Myalgia (20%)
Arthralgia (10%)
Anemia (30%)
Rigors (20%)
Coughing (20%)
Leg edema (10%)
Urinary tract infection (10%)
Fatigue (40%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Arthralgia 10%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Constipation 10%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Leg edema 10%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Urinary tract infection 10%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Anorexia 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Coughing 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Diarrhea 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Fever 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Myalgia 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Nausea 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Rigors 20%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Anemia 30%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Skeletal pain 30%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Fatigue 40%
16 mg single, intravenous
Highest studied dose
Dose: 16 mg
Route: intravenous
Route: single
Dose: 16 mg
Sources:
unhealthy, 54 years (range: 34–73 years)
n = 10
Health Status: unhealthy
Condition: cancer
Age Group: 54 years (range: 34–73 years)
Sex: M+F
Population Size: 10
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
PubMed

PubMed

TitleDatePubMed
Zoledronic acid: an evolving role in the treatment of cancer patients with bone disease.
2001 Apr
Zoledronic acid in cancer patients with bone metastases: results of Phase I and II trials.
2001 Apr
Zoledronic acid in the treatment of hypercalcemia of malignancy: results of the international clinical development program.
2001 Apr
A Phase I, open label, dose ranging trial of intravenous bolus zoledronic acid, a novel bisphosphonate, in cancer patients with metastatic bone disease.
2001 Jan 1
Zoledronic acid is superior to pamidronate in the treatment of hypercalcemia of malignancy: a pooled analysis of two randomized, controlled clinical trials.
2001 Jan 15
Safety and efficacy of bisphosphonates beyond 24 months in cancer patients.
2001 Jul 15
[Bone metastasis. Can a new bisphosphonate offer control?].
2001 Mar 1
Advances in the biology and treatment of myeloma bone disease.
2001 Nov 15
The use of zoledronic acid, a novel, highly potent bisphosphonate, for the treatment of hypercalcemia of malignancy.
2002
FDA approves ZOMETA for treatment of cancer-related bone complications.
2002 Apr
Myeloma interacts with the bone marrow microenvironment to induce osteoclastogenesis and is dependent on osteoclast activity.
2002 Feb
New drugs 2002, part III.
2002 Jul
Zoledronate once-yearly increases bone mineral density--implications for osteoporosis.
2002 Jul
An investigation of bone resorption and Dictyostelium discoideum growth inhibition by bisphosphonate drugs.
2002 Jul 4
Zoledronic acid. A bisphosphonate for hypercalcemia of malignancy and osteolytic metastases.
2002 Jul-Aug
Bisphosphonates and osteoporosis.
2002 Jun 27
Bisphosphonates inhibit stromelysin-1 (MMP-3), matrix metalloelastase (MMP-12), collagenase-3 (MMP-13) and enamelysin (MMP-20), but not urokinase-type plasminogen activator, and diminish invasion and migration of human malignant and endothelial cell lines.
2002 Mar
The effect of bone remodeling inhibition by zoledronic acid in an animal model of cartilage matrix damage.
2002 Mar
Intravenous zoledronic acid in postmenopausal women with low bone mineral density.
2002 Oct
The IL-6 receptor super-antagonist Sant7 enhances antiproliferative and apoptotic effects induced by dexamethasone and zoledronic acid on multiple myeloma cells.
2002 Oct
Patents

Patents

Sample Use Guides

The maximum recommended dose of Zometa in hypercalcemia of malignancy is 4 mg. The 4 mg dose must be given as a single-dose intravenous infusion over no less than 15 minutes.
Route of Administration: Intravenous
For the transfection of the T24 human bladder cancer cells, pCMV6 empty vector (OriGene, Rockville, MD, USA) and pCMV6 TAp73 vector were transfected into cells using Lipofectamine™ 2000 (Invitrogen Life Technologies). After 6 h, the medium was refreshed and cultured for 48 h. Then the cells were treated with ZA (200 μM).
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:49:36 UTC 2023
Edited
by admin
on Fri Dec 15 15:49:36 UTC 2023
Record UNII
ARL915IH66
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ZOLEDRONATE TRISODIUM
MART.   USAN  
USAN  
Official Name English
ZOLEDRONATE TRISODIUM [MART.]
Common Name English
ZOLEDRONIC ACID TRISODIUM SALT HYDRATE
MI  
Common Name English
ZOLEDRONIC ACID TRISODIUM SALT HYDRATE [MI]
Common Name English
CGP-42446B
Code English
Trisodium hydrogen (1-hydroxy-2-imidazol-1-ylethylidene)diphosphonate, hydrate (5:2)
Common Name English
CGP 42446B
Code English
ZOLEDRONATE TRISODIUM [USAN]
Common Name English
PHOSPHONIC ACID, (1-HYDROXY-2-(1H-IMIDAZOL-1-YL)ETHYLIDENE)BIS-, TRISODIUM SALT HYDRATE (5:2)
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C67439
Created by admin on Fri Dec 15 15:49:37 UTC 2023 , Edited by admin on Fri Dec 15 15:49:37 UTC 2023
NCI_THESAURUS C443
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
Code System Code Type Description
USAN
II-4
Created by admin on Fri Dec 15 15:49:37 UTC 2023 , Edited by admin on Fri Dec 15 15:49:37 UTC 2023
PRIMARY
CAS
165800-08-8
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
PRIMARY
ChEMBL
CHEMBL924
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
PRIMARY
PUBCHEM
23725076
Created by admin on Fri Dec 15 15:49:37 UTC 2023 , Edited by admin on Fri Dec 15 15:49:37 UTC 2023
PRIMARY
DRUG BANK
DBSALT001758
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
PRIMARY
FDA UNII
ARL915IH66
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
PRIMARY
MERCK INDEX
m11658
Created by admin on Fri Dec 15 15:49:36 UTC 2023 , Edited by admin on Fri Dec 15 15:49:36 UTC 2023
PRIMARY Merck Index
NCI_THESAURUS
C80325
Created by admin on Fri Dec 15 15:49:37 UTC 2023 , Edited by admin on Fri Dec 15 15:49:37 UTC 2023
PRIMARY
Related Record Type Details
ANHYDROUS->SOLVATE
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY