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Details

Stereochemistry ABSOLUTE
Molecular Formula C19H32N2O5.C4H11N.H2O
Molecular Weight 459.6199
Optical Activity UNSPECIFIED
Defined Stereocenters 5 / 5
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PERINDOPRIL ERBUMINE MONOHYDRATE

SMILES

O.CC(C)(C)N.[H][C@]12C[C@H](N(C(=O)[C@H](C)N[C@@H](CCC)C(=O)OCC)[C@@]1([H])CCCC2)C(O)=O

InChI

InChIKey=AAQKIIDLRYLALW-MXLIJYGISA-N
InChI=1S/C19H32N2O5.C4H11N.H2O/c1-4-8-14(19(25)26-5-2)20-12(3)17(22)21-15-10-7-6-9-13(15)11-16(21)18(23)24;1-4(2,3)5;/h12-16,20H,4-11H2,1-3H3,(H,23,24);5H2,1-3H3;1H2/t12-,13-,14-,15-,16-;;/m0../s1

HIDE SMILES / InChI

Molecular Formula H2O
Molecular Weight 18.0153
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C4H11N
Molecular Weight 73.1368
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C19H32N2O5
Molecular Weight 368.4678
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 5 / 5
E/Z Centers 0
Optical Activity UNSPECIFIED

Description

Perindoprilat is a metabolite of perindopril. Perindopril is a long-acting angiotensin converting enzyme (ACE) inhibitor and it is used to treat high blood pressure, heart failure or stable coronary artery disease. Perindopril is designed to allow oral administration as perindoprilat is poorly absorbed from the gastrointestinal tract.

CNS Activity

Curator's Comment: Known to be CNS active in rats. Human data not available.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.05 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ACEON

Approved Use

Perindopril erbumine tablets are indicated for treatment of patients with stable coronary artery disease to reduce the risk of cardiovascular mortality or nonfatal myocardial infarction. Perindopril erbumine tablets can be used with conventional treatment for management of coronary artery disease, such as antiplatelet, antihypertensive or lipid-lowering therapy.

Launch Date

1993
Primary
ACEON

Approved Use

Perindopril erbumine tablets are indicated for the treatment of patients with essential hypertension. Perindopril erbumine tablets may be used alone or given with other classes of antihypertensives, especially thiazide diuretics.

Launch Date

1993
Palliative
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
83.83 ng/mL
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
3.54 ng/mL
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
130 ng × h/mL
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
170.61 ng × h/mL
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.05 h
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
38.01 h
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
40%
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
80%
4 mg single, oral
dose: 4 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERINDOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
4 mg 1 times / day steady, oral
Recommended
Dose: 4 mg, 1 times / day
Route: oral
Route: steady
Dose: 4 mg, 1 times / day
Sources:
unhealthy, adult
n = 320
Health Status: unhealthy
Condition: hypertension
Age Group: adult
Sex: unknown
Population Size: 320
Sources:
Disc. AE: Cough...
AEs leading to
discontinuation/dose reduction:
Cough (2.8%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Cough 2.8%
Disc. AE
4 mg 1 times / day steady, oral
Recommended
Dose: 4 mg, 1 times / day
Route: oral
Route: steady
Dose: 4 mg, 1 times / day
Sources:
unhealthy, adult
n = 320
Health Status: unhealthy
Condition: hypertension
Age Group: adult
Sex: unknown
Population Size: 320
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer




Drug as perpetrator​

Drug as perpetrator​

Drug as victim
PubMed

PubMed

TitleDatePubMed
Inhibition of angiotensin I-converting enzyme with S 9490: biochemical effects, interspecies differences, and role of sodium diet in hemodynamic effects.
1984 Nov-Dec
Renal effects of perindoprilat, an angiotensin-converting enzyme inhibitor, in the anesthetized dog.
1989 Feb
The initial hemodynamic response to newer antihypertensive agents at rest and during exercise: review of visacor, doxazosin, nisoldipine, tiapamil, perindoprilat, pinacidil, dilevalol, and carvedilol.
1990 Aug
Specific and high affinity binding of perindoprilat, but not of perindopril to blood ACE.
1992 Sep
[The effect of amlodipine, nifedipine and perindopril on insulin sensitivity and blood lipid of patients with essential hypertension].
1998 Mar
Challenges for the prevention of primary and secondary stroke: the importance of lowering blood pressure and total cardiovascular risk.
2001
[Hypotension followed the first dose of angiotensin-converting enzyme inhibitor in patients with heart failure (a multicenter clinical trial)].
2001
Perindopril: an updated review of its use in hypertension.
2001
Hypertension in the Very Elderly Trial (HYVET): protocol for the main trial.
2001
Microthrombosis in sepsis.
2001 Apr
Pulse wave velocity as endpoint in large-scale intervention trial. The Complior study. Scientific, Quality Control, Coordination and Investigation Committees of the Complior Study.
2001 Apr
Effect of angiotensin-converting enzyme inhibition on myocardial vascularization in the adolescent and adult spontaneously hypertensive rat.
2001 Apr
The angiotensin-I-converting enzyme inhibitor perindopril suppresses tumor growth and angiogenesis: possible role of the vascular endothelial growth factor.
2001 Apr
Ongoing trials of angiotensin-converting enzyme inhibition: what they can tell us.
2001 Aug
Comparison of endothelial pleiotropic actions of angiotensin converting enzyme inhibitors and statins.
2001 Dec
The lowering of blood pressure after stroke.
2001 Dec 8
Significance of endothelial prostacyclin and nitric oxide in peripheral and pulmonary circulation.
2001 Jan-Feb
Pharmacokinetic-pharmacodynamic model for perindoprilat regional haemodynamic effects in healthy volunteers and in congestive heart failure patients.
2001 Jul
The quantitative determination of several inhibitors of the angiotensin-converting enzyme by CE.
2001 Jul
Effects of an angiotensin-converting enzyme inhibitor and a beta-blocker on cerebral arteriolar dilatation in hypertensive rats.
2001 Jun
Angiotensin-converting enzyme inhibitor therapy improves respiratory muscle strength in patients with heart failure.
2001 Jun
New benefits of blood pressure lowering treatments for millions of stroke sufferers.
2001 Jun-Jul
The EUROPA trial: design, baseline demography and status of the substudies.
2001 Mar
Pulmonary vascular remodelling in hypoxic rats: effects of amlodipine, alone and with perindopril.
2001 Mar 23
Antihypertensive efficacy and tolerability of low-dose perindopril/indapamide combination compared with losartan in the treatment of essential hypertension.
2001 May
Salt sensitivity in genetically hypertensive rats of the Lyon strain.
2001 May
Clinical benefit of very-low-dose perindopril-indapamide combination in hypertension.
2001 Nov
Amelioration of arterial properties with a perindopril-indapamide very-low-dose combination.
2001 Nov
Effect of angiotensin-converting enzyme inhibition on renal filtration surface area in hypertensive rats.
2001 Nov
Does ACE inhibition slow progression of glomerulopathy in patients with Type 2 diabetes mellitus?
2001 Nov
Increased absorption of zinc from alimentary tract in primary arterial hypertension.
2001 Oct
Perindopril treatment for congestive heart failure.
2001 Oct 4
Dosage considerations with perindopril for systemic hypertension.
2001 Oct 4
Dietary n-3 polyunsaturated fatty acids affect the development of renovascular hypertension in rats.
2001 Sep
Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6,105 individuals with previous stroke or transient ischaemic attack.
2001 Sep 29
Identification and determination of selected medicines reducing hypertension by densitometric and gas chromatographic methods.
2001 Sep-Oct
[Antihypertensive agents after cerebral stroke are more effective than expected].
2001 Sep-Oct
Progress in secondary prevention of stroke with PROGRESS. The perindopril protection against recurrent stroke study.
2002 Feb
Long-term treatment with perindopril ameliorates dobutamine-induced myocardial ischemia in patients with coronary artery disease.
2002 Jan
Attenuation of tubular apoptosis by blockade of the renin-angiotensin system in diabetic Ren-2 rats.
2002 Jan
Comparison of perindopril versus captopril for treatment of acute myocardial infarction.
2002 Jan 15
Effects of low-dose and early versus late perindopril treatment on the progression of severe diabetic nephropathy in (mREN-2)27 rats.
2002 Mar
Patents

Sample Use Guides

In Vivo Use Guide
In patients with essential hypertension, the recommended initial dose is 4 mg once a day. The dose may be titrated, as needed to a maximum of 16 mg per day. The usual maintenance dose range is 4 mg to 8 mg administered as a single daily dose or in two divided doses. In patients with stable coronary artery disease, Perindopril erbumine tablets should be given at an initial dose of 4 mg once daily for 2 weeks, and then increased as tolerated, to a maintenance dose of 8 mg once daily. In elderly patients (greater than 70 years), Perindopril erbumine tablets should be given as a 2 mg dose once daily in the first week, followed by 4 mg once daily in the second week and 8 mg once daily for maintenance dose if tolerated.
Route of Administration: Oral
In Vitro Use Guide
Perindoprilat (S-9780), the major metabolite of perindopril, inhibited guinea pig plasma angiotensin-converting enzyme (ACE) by 50% (IC50) at a concentration of 2.4 +/- 0.1 nM. A Ki of 1.2 nM was obtained for S-9780 (Dixon-Webb plot) with angiotensin I as a substrate.
Substance Class Chemical
Created
by admin
on Fri Dec 15 17:08:44 GMT 2023
Edited
by admin
on Fri Dec 15 17:08:44 GMT 2023
Record UNII
DV54578K4P
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
PERINDOPRIL ERBUMINE MONOHYDRATE
Common Name English
1H-INDOLE-2-CARBOXYLIC ACID, 1-((2S)-2-(((1S)-1-(ETHOXYCARBONYL)BUTYL)AMINO)-1-OXOPROPYL)OCTAHYDRO-, (2S,3AS,7AS)-, COMPD. WITH 2-METHYL-2-PROPANAMINE, HYDRATE (1:1:1)
Systematic Name English
Code System Code Type Description
SMS_ID
100000130680
Created by admin on Fri Dec 15 17:08:44 GMT 2023 , Edited by admin on Fri Dec 15 17:08:44 GMT 2023
PRIMARY
PUBCHEM
9847044
Created by admin on Fri Dec 15 17:08:44 GMT 2023 , Edited by admin on Fri Dec 15 17:08:44 GMT 2023
PRIMARY
CAS
690267-97-1
Created by admin on Fri Dec 15 17:08:44 GMT 2023 , Edited by admin on Fri Dec 15 17:08:44 GMT 2023
PRIMARY
FDA UNII
DV54578K4P
Created by admin on Fri Dec 15 17:08:44 GMT 2023 , Edited by admin on Fri Dec 15 17:08:44 GMT 2023
PRIMARY
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