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Details

Stereochemistry ACHIRAL
Molecular Formula C6H14N2O2.C5H10N2O7P2.H2O
Molecular Weight 436.2925
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ZOLEDRONATE D,L-LYSINE MONOHYDRATE

SMILES

O.NCCCCC(N)C(O)=O.OC(CN1C=CN=C1)(P(O)(O)=O)P(O)(O)=O

InChI

InChIKey=MLPSARXCSRWMAC-UHFFFAOYSA-N
InChI=1S/C6H14N2O2.C5H10N2O7P2.H2O/c7-4-2-1-3-5(8)6(9)10;8-5(15(9,10)11,16(12,13)14)3-7-2-1-6-4-7;/h5H,1-4,7-8H2,(H,9,10);1-2,4,8H,3H2,(H2,9,10,11)(H2,12,13,14);1H2

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 C5H10N2O7P2
Molecular Weight 272.0896
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C6H14N2O2
Molecular Weight 146.1876
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

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

2001
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

2001
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

2001
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

2001
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

2001
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 the treatment of hypercalcemia of malignancy: results of the international clinical development program.
2001 Apr
The role of zoledronic acid in cancer: clinical studies in the treatment and prevention of bone metastases.
2001 Apr
Chemical and biological prerequisites for novel bisphosphonate molecules: results of comparative preclinical studies.
2001 Apr
The bisphosphonate, zoledronic acid, induces apoptosis of breast cancer cells: evidence for synergy with paclitaxel.
2001 Apr 20
[Bisphosphonates in the treatment of breast carcinoma].
2001 Aug
Adjuvant bisphosphonate therapy: the future.
2001 Aug
Dosing regimens and main adverse events of bisphosphonates.
2001 Aug
Should bisphosphonates be the treatment of choice for metastatic bone disease?
2001 Aug
Structure-activity relationships for inhibition of farnesyl diphosphate synthase in vitro and inhibition of bone resorption in vivo by nitrogen-containing bisphosphonates.
2001 Feb
[Tumor-induced hypercalcemia. Review of bisphosphonate treatment].
2001 Jul
Safety and efficacy of bisphosphonates beyond 24 months in cancer patients.
2001 Jul 15
Metastatic bone disease and tumour-induced hypercalcaemia: the role of bisphosphonates.
2001 Jun
A phase I dose-ranging trial of monthly infusions of zoledronic acid for the treatment of osteolytic bone metastases.
2001 Mar
[Bone metastasis. Can a new bisphosphonate offer control?].
2001 Mar 1
Advances in the biology and treatment of myeloma bone disease.
2001 Nov 15
Paget's disease of the spine and its management.
2001 Oct
New bisphosphonic acid approved by FDA.
2001 Oct 1
Bisphosphonates for osteoporosis.
2001 Sep
The new bisphosphonate, Zometa (zoledronic acid), decreases skeletal complications in both osteolytic and osteoblastic lesions: a comparison to pamidronate.
2002
U.S. Food and Drug Administration drug approval summaries: imatinib mesylate, mesna tablets, and zoledronic acid.
2002
Actions of bisphosphonates in animal models of breast cancer.
2002
Development of bisphosphonates.
2002
The present and future role of bisphosphonates in the management of patients with breast cancer.
2002
Direct effects of bisphosphonates on breast cancer cells.
2002
FDA approves ZOMETA for treatment of cancer-related bone complications.
2002 Apr
Is there a dose response relationship for clodronate in the treatment of tumour induced hypercalcaemia?
2002 Apr 22
Bisphosphonates: biological response modifiers in breast cancer.
2002 Aug
Highly potent geminal bisphosphonates. From pamidronate disodium (Aredia) to zoledronic acid (Zometa).
2002 Aug 15
The anti-tumour activity of bisphosphonates.
2002 Dec
The role of osteoclastic activity in prostate cancer skeletal metastases.
2002 Feb
Intravenous zoledronic acid in postmenopausal women with low bone mineral density.
2002 Feb 28
Bisphosphonates and osteoporosis.
2002 Feb 28
Multiple myeloma: present and future.
2002 Jan
Osteoporosis: challenges and new opportunities for therapy.
2002 Jul
Bisphosphonates for cancer patients: why, how, and when?
2002 Jul
Zoledronate once-yearly increases bone mineral density--implications for osteoporosis.
2002 Jul
Electrolyte abnormalities with zoledronic acid therapy.
2002 Jul-Aug
Novel approaches to the management of bone metastases in patients with breast cancer.
2002 Jun
Treatment of malignant hypercalcaemia.
2002 May
Bisphosphonates inhibit angiogenesis in vitro and testosterone-stimulated vascular regrowth in the ventral prostate in castrated rats.
2002 Nov 15
Development and validation of a highly sensitive RIA for zoledronic acid, a new potent heterocyclic bisphosphonate, in human serum, plasma and urine.
2002 Nov 7
Bisphosphonate therapy in multiple myeloma: past, present, future.
2002 Nov-Dec
Gateways to clinical trials.
2002 Oct
Use of zoledronate to treat osteoblastic versus osteolytic lesions in a severe-combined-immunodeficient mouse model.
2002 Oct 1
Novel antiangiogenic effects of the bisphosphonate compound zoledronic acid.
2002 Sep
[Bisphosphonates in bone metastases. Fewer fractures, less pain].
2002 Sep 26
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 Sat Dec 16 14:05:43 GMT 2023
Edited
by admin
on Sat Dec 16 14:05:43 GMT 2023
Record UNII
IL1N7FSO1U
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ZOLEDRONATE D,L-LYSINE MONOHYDRATE
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 461014
Created by admin on Sat Dec 16 14:05:43 GMT 2023 , Edited by admin on Sat Dec 16 14:05:43 GMT 2023
Code System Code Type Description
FDA UNII
IL1N7FSO1U
Created by admin on Sat Dec 16 14:05:43 GMT 2023 , Edited by admin on Sat Dec 16 14:05:43 GMT 2023
PRIMARY
CAS
1323976-37-9
Created by admin on Sat Dec 16 14:05:43 GMT 2023 , Edited by admin on Sat Dec 16 14:05:43 GMT 2023
NON-SPECIFIC STOICHIOMETRY
PUBCHEM
91826755
Created by admin on Sat Dec 16 14:05:43 GMT 2023 , Edited by admin on Sat Dec 16 14:05:43 GMT 2023
PRIMARY