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Details

Stereochemistry ABSOLUTE
Molecular Formula C14H23N3OS.C4H6O6
Molecular Weight 431.504
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of XANOMELINE TARTRATE

SMILES

O[C@H]([C@@H](O)C(O)=O)C(O)=O.CCCCCCOC1=NSN=C1C2=CCCN(C)C2

InChI

InChIKey=SJSVWTMVMBGIHQ-LREBCSMRSA-N
InChI=1S/C14H23N3OS.C4H6O6/c1-3-4-5-6-10-18-14-13(15-19-16-14)12-8-7-9-17(2)11-12;5-1(3(7)8)2(6)4(9)10/h8H,3-7,9-11H2,1-2H3;1-2,5-6H,(H,7,8)(H,9,10)/t;1-,2-/m.1/s1

HIDE SMILES / InChI

Molecular Formula C4H6O6
Molecular Weight 150.0868
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C14H23N3OS
Molecular Weight 281.417
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Xanomeline (LY-246,708) is an orthosteric muscarinic acetylcholine receptor (mAChR) agonist, often referred to as M1/M4-preferring. It is also known to act as a M5 receptor antagonist. Xanomeline was studied in clinical trials phase I in schizophrenia. In Phase II clinical trials in Alzheimer’s patients, xanomeline significantly improved several measures of cognitive function, yet produced unwanted side effects that limited patient compliance. The side effects seem to be associated with rapid metabolism of the alkyloxy side chain following oral administration, resulting in a nonselective, yet active compound with limited therapeutic utility. Despite a second Phase II clinical trial with a patch formulation, the liabilities of xanomeline still outweigh its benefits.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P08173
Gene ID: 1132.0
Gene Symbol: CHRM4
Target Organism: Homo sapiens (Human)
Target ID: P11229
Gene ID: 1128.0
Gene Symbol: CHRM1
Target Organism: Homo sapiens (Human)
Target ID: P08912
Gene ID: 1133.0
Gene Symbol: CHRM5
Target Organism: Homo sapiens (Human)
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4.13 ng/mL
75 mg 2 times / day multiple, oral
dose: 75 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
8.95 ng/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
13.81 ng/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
42.8 ng × h/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
65.8 ng × h/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.96 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
4.56 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
XANOMELINE plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Other AEs: Dyspepsia, Chills...
Other AEs:
Dyspepsia (24.1%)
Chills (36.8%)
Chest pain (11.5%)
increased salivation (24.1%)
Nausea (51.7%)
Sweating (75.9%)
Syncope (12.6%)
Fecal incontinence (6.9%)
Vomiting (42.5%)
Nausea and vomiting (8%)
Dysphagia (6.9%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Chest pain 11.5%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Syncope 12.6%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Dyspepsia 24.1%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
increased salivation 24.1%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Chills 36.8%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Vomiting 42.5%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Nausea 51.7%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Dysphagia 6.9%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Fecal incontinence 6.9%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Sweating 75.9%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Nausea and vomiting 8%
225 mg 1 times / day multiple, oral (total daily dose)
Highest studied dose
Dose: 225 mg, 1 times / day
Route: oral
Route: multiple
Dose: 225 mg, 1 times / day
Sources:
unhealthy, ADULT
n = 87
Health Status: unhealthy
Condition: Alzheimer disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 87
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Functional effects of the muscarinic receptor agonist, xanomeline, at 5-HT1 and 5-HT2 receptors.
1998 Dec
On the unique binding and activating properties of xanomeline at the M1 muscarinic acetylcholine receptor.
1998 Jun
Functional comparison of muscarinic partial agonists at muscarinic receptor subtypes hM1, hM2, hM3, hM4 and hM5 using microphysiometry.
1999 Apr
The muscarinic agonist xanomeline increases monoamine release and immediate early gene expression in the rat prefrontal cortex.
2001 Apr 15
The utility of muscarinic agonists in the treatment of Alzheimer's disease.
2002 Aug-Oct
The evaluation of cognitive function in the dementias: methodological and regulatory considerations.
2003 Mar
Role of receptor protein and membrane lipids in xanomeline wash-resistant binding to muscarinic M1 receptors.
2004 Jan
The highly efficacious actions of N-desmethylclozapine at muscarinic receptors are unique and not a common property of either typical or atypical antipsychotic drugs: is M1 agonism a pre-requisite for mimicking clozapine's actions?
2005 Apr
Cholinergic effects on fear conditioning II: nicotinic and muscarinic modulations of atropine-induced disruption of the degraded contingency effect.
2005 Apr
Pharmacologic interactions between the muscarinic cholinergic and dopaminergic systems in the modulation of prepulse inhibition in rats.
2005 Mar
Persistent binding and functional antagonism by xanomeline at the muscarinic M5 receptor.
2005 Oct
Long-term wash-resistant effects of brief interaction of xanomeline at the M1 muscarinic receptor.
2006 Dec 13
Effects of muscarinic agonists in the guinea-pig prostate.
2007 Apr
Long-term changes in the muscarinic M1 receptor induced by instantaneous formation of wash-resistant xanomeline-receptor complex.
2007 Dec
Evaluation of [18F]fluoroxanomeline {5-{4-[(6-[18F]fluorohexyl)oxy]-1,2,5-thiadiazol-3-yl}-1-methyl-1,2,3,6-tetrahydropyridine} in muscarinic knockout mice.
2007 Feb
Wash-resistantly bound xanomeline inhibits acetylcholine release by persistent activation of presynaptic M(2) and M(4) muscarinic receptors in rat brain.
2007 Jul
Importance and prospects for design of selective muscarinic agonists.
2008
A novel derivative of xanomeline improved memory function in aged mice.
2008 Aug
Selective muscarinic receptor agonist xanomeline as a novel treatment approach for schizophrenia.
2008 Aug
Longitudinal multimodal imaging in mild to moderate Alzheimer disease: a pilot study with memantine.
2008 Dec
Synthesis and evaluation of xanomeline analogs--probing the wash-resistant phenomenon at the M1 muscarinic acetylcholine receptor.
2008 Feb 1
Muscarinic acetylcholine receptors: new potential therapeutic targets in antinociception and in cancer therapy.
2008 Jun
Pharmacological assessment of m1 muscarinic acetylcholine receptor-gq/11 protein coupling in membranes prepared from postmortem human brain tissue.
2008 Jun
Effect of muscarinic receptor agonists xanomeline and sabcomeline on acetylcholine and dopamine efflux in the rat brain; comparison with effects of 4-[3-(4-butylpiperidin-1-yl)-propyl]-7-fluoro-4H-benzo[1,4]oxazin-3-one (AC260584) and N-desmethylclozapine.
2008 Oct 31
Mechanisms of M3 muscarinic receptor regulation by wash-resistant xanomeline binding.
2009
Mechanisms of action of antipsychotic drugs of different classes, refractoriness to therapeutic effects of classical neuroleptics, and individual variation in sensitivity to their actions: Part I.
2009 Dec
Differential regulation of muscarinic M1 receptors by orthosteric and allosteric ligands.
2009 Dec 2
Divergence of allosteric effects of rapacuronium on binding and function of muscarinic receptors.
2009 Dec 28
Reduction in muscarinic M1-mediated hypercholinergic state and beneficial cognitive effects of muscarinic agonists in schizophrenia.
2009 Jan
Antipsychotic properties of muscarinic drugs.
2009 Jan
Attenuation of amphetamine-induced activity by the non-selective muscarinic receptor agonist, xanomeline, is absent in muscarinic M4 receptor knockout mice and attenuated in muscarinic M1 receptor knockout mice.
2009 Jan 28
Pharmacological comparison of muscarinic ligands: historical versus more recent muscarinic M1-preferring receptor agonists.
2009 Mar 1
Confocal Analysis of Cholinergic and Dopaminergic Inputs onto Pyramidal Cells in the Prefrontal Cortex of Rodents.
2010
Pharmacological evaluation of the long-term effects of xanomeline on the M(1) muscarinic acetylcholine receptor.
2010 Dec 23
Modulation of prepulse inhibition through both M(1) and M (4) muscarinic receptors in mice.
2010 Feb
Cognitive effects of muscarinic M1 functional agonists in non-human primates and clinical trials.
2010 Jul
Update on the pharmacological treatment of Alzheimer's disease.
2010 Mar
Attenuation of cocaine's reinforcing and discriminative stimulus effects via muscarinic M1 acetylcholine receptor stimulation.
2010 Mar
Validation and pharmacological characterisation of MK-801-induced locomotor hyperactivity in BALB/C mice as an assay for detection of novel antipsychotics.
2010 Oct
M1 muscarinic receptor for the development of auditory cortical function.
2010 Oct 22
Discovery of a selective allosteric M1 receptor modulator with suitable development properties based on a quinolizidinone carboxylic acid scaffold.
2011 Jul 14
The M₁/M₄ preferring agonist xanomeline reverses amphetamine-, MK801- and scopolamine-induced abnormalities of latent inhibition: putative efficacy against positive, negative and cognitive symptoms in schizophrenia.
2011 Oct
Patents

Patents

Sample Use Guides

Xanomeline tartrate 75 mg TID, for 225 mg total daily dose Placebo, TID
Route of Administration: Oral
CHO cells, stably expressing the human M5 muscarinic acetylcholine receptor were incubated for 1 h at 37°C in the absence or presence of xanomeline (1, 10, or 30 μM). Further experiments were designed to assess whether xanomeline, a partial agonist, can act as an antagonist to a full agonist at the M5 receptor. Cells were incubated for 1 h with 3 μM carbachol in the absence or in the presence of increasing concentrations of xanomeline. Xanomeline was able to antagonize the ability of carbachol to stimulate PI production in a concentration-dependent manner down to the level of maximal receptor activation by xanomeline alone.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:53:54 GMT 2023
Edited
by admin
on Fri Dec 15 15:53:54 GMT 2023
Record UNII
B80W7AUT8R
Record Status Validated (UNII)
Record Version
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Name Type Language
XANOMELINE TARTRATE
USAN   WHO-DD  
USAN  
Official Name English
XANOMELINE (+)-L-HYDROGEN TARTRATE
MI  
Common Name English
3-(4-(HEXYLOXY)-1,2,5-THIADIAZOL-3-YL)-1,2,5,6-TETRAHYDRO-1-METHYLPYRIDINE (-)-(+)-TARTRATE (1:1)
Systematic Name English
PYRIDINE, 3-(4-(HEXYLOXY)-1,2,5-THIADIAZOL-3-YL)-1,2,5,6-TETRAHYDRO-1-METHYL-, (R-(R*,R*))-2,3-DIHYDROXYBUTANEDIOATE (1:1)
Systematic Name English
LY-246708 TARTRATE
Code English
Xanomeline tartrate [WHO-DD]
Common Name English
XANOMELINE (+)-L-HYDROGEN TARTRATE [MI]
Common Name English
XANOMELINE TARTRATE [USAN]
Common Name English
LY246708 TARTRATE
Code English
Classification Tree Code System Code
NCI_THESAURUS C47796
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
Code System Code Type Description
USAN
GG-52
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
MESH
C075257
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
EPA CompTox
DTXSID00165143
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
NCI_THESAURUS
C152927
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
CAS
152854-19-8
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
EVMPD
SUB15732MIG
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
MERCK INDEX
m11524
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY Merck Index
PUBCHEM
71456
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
SMS_ID
100000076728
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
FDA UNII
B80W7AUT8R
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
ChEMBL
CHEMBL21536
Created by admin on Fri Dec 15 15:53:54 GMT 2023 , Edited by admin on Fri Dec 15 15:53:54 GMT 2023
PRIMARY
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ACTIVE MOIETY