DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/17630726https://www.ncbi.nlm.nih.gov/pubmed/24430917Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/23621668 | https://www.ncbi.nlm.nih.gov/pubmed/22954177 | https://www.ncbi.nlm.nih.gov/pubmed/24525548 | https://www.ncbi.nlm.nih.gov/pubmed/25777582 | https://www.ncbi.nlm.nih.gov/pubmed/23401746
Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726https://www.ncbi.nlm.nih.gov/pubmed/24430917
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/23621668 | https://www.ncbi.nlm.nih.gov/pubmed/22954177 | https://www.ncbi.nlm.nih.gov/pubmed/24525548 | https://www.ncbi.nlm.nih.gov/pubmed/25777582 | https://www.ncbi.nlm.nih.gov/pubmed/23401746
Nabiximols (USAN, trade name Sativex) is a specific extract of Cannabis that was approved as a botanical drug in the United Kingdom in 2010 as a mouth spray to alleviate neuropathic pain, spasticity, overactive bladder, and other symptoms of multiple sclerosis. Nabiximols is an oromucosal spray of a formulated extract of the cannabis sativa plant that contains the principal cannabinoids tetrahydrocannabinol (THC) and cannabidiol (CBD) as well as specific minor cannabinoids and other non-cannabinoid components. THC is a partial agonist and can block activation by other ligands of both cannabinoid receptors (CBR). THC effects include analgesia, short-term memory loss, muscle relaxation, antiemesis, appetite stimulation, and anti-inflammatory activity. CBD acts on CBR and TRPV1, while also inhibiting reuptake and hydrolysis of anandamide N-arachidonylethanolamine (AEA). CBD effects include anticonvulsant, muscle relaxant, anxiolytic, neuroprotective, antioxidant, anti-inflammatory, immunomodulatory and anti-psychotic activity. CBD modulates some of the more undesirable psychological adverse effects of THC through both pharmacokinetic and pharmacodynamic effects. Each 100 μl spray contains: 2.7 mg of THC and 2.5 mg of CBD. Nabiximols was approved in other European countries and Canada.
CNS Activity
Originator
Sources: https://www.google.com/patents/WO2002042248A2https://www.ncbi.nlm.nih.gov/pubmed/1097148
Curator's Comment: # Novartis Ag, Novartis Pharma Gmbh
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL218 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726 |
6.1 nM [EC50] | ||
Target ID: CHEMBL253 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726 |
27.9 nM [EC50] | ||
Target ID: CHEMBL3397 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726 |
80800.0 nM [IC50] | ||
Target ID: CHEMBL218 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22284817 |
10.0 nM [Ki] | ||
Target ID: CHEMBL253 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26000707 |
42.0 nM [Ki] | ||
Target ID: CHEMBL4794 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25029033 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726 |
Primary | Unknown Approved UseUnknown |
||
| Primary | Sativex Approved UseUnknown |
|||
| Primary | Sativex Approved UseUnknown |
|||
| Primary | Sativex Approved UseUnknown |
|||
| Primary | Sativex Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
138.1 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
278.2 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
481.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
80 mg single, oral dose: 80 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1362 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
3128 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4966 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
80 mg single, oral dose: 80 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
21.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
54.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
35.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19144772/ |
80 mg single, oral dose: 80 mg route of administration: Oral experiment type: SINGLE co-administered: |
CB-13 plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no [IC50 >200 uM] | ||||
| no [IC50 >200 uM] | ||||
| no [IC50 >200 uM] | ||||
| no [IC50 >200 uM] | ||||
| no [IC50 >200 uM] | ||||
| no [IC50 >200 uM] | ||||
| weak [IC50 80.8 uM] |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Characterization of the structural determinants required for potent mechanism-based inhibition of human cytochrome P450 1A1 by cannabidiol. | 2014-05-25 |
|
| Naphthalen-1-yl-(4-pentyloxynaphthalen-1-yl)methanone: a potent, orally bioavailable human CB1/CB2 dual agonist with antihyperalgesic properties and restricted central nervous system penetration. | 2007-08-09 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19144772
1 to 80 mg of CRA13
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/17630726
CHO-CB2 cells were plated overnight onto poly-D-lysine pre-coated 24 well plates (Corning - cat no. 3667) at a density of 2 x 10^5 cells per well. For the experiment, cells were washed once with 500 μl stop-medium (DMEM without FBS) and a further 250 μl stop medium containing 3 μCi/ml 2-[3H]adenine added to the cells and incubated for 3 h at 37°C. The media was aspirated and the cells washed 2 x with 500 μl HBS buffer (130 mM NaCl, 0.9 mM NaH2PO4, 0.8 mM MgSO4, 1.8 mM CaCl2, 5.4 mM KCl, 25 mM glucose, 20 mM HEPES, pH 7.4 with phenol red added at 5 mg/l) with a further 500 μl HBS added. Where required IBMX (1 mM final concentration), forskolin (10 μM final concentration) and compound (CB-13, at varying concentrations from 100 x stock solutions in DMSO) were added and the plates incubated for 15 min in a water bath at 37°C. The media was aspirated and 500 μl cold 5% (v/v) TCA added to stop the reaction. A further 500 μl cold 5% (v/v) TCA which contained 1 mM ATP and 1 mM cAMP (to block non-specific binding sites) was added and the plate incubated at 4 °C for 20 min. The resultant extract was loaded directly onto pre-equilibrated dowex columns. A further 2.5 ml H2O was added and ATP drained from the columns. The dowex columns were placed directly above preequilibrated alumina columns and 8 ml H2O added and allowed to flow through both columns. Scintillation vials were placed beneath the alumina columns and 6 ml 0.1 M imidazole added to elute the bound cAMP. 10 ml of scintillation fluid (IREA-Safe, Perkin-Elmer) was added to each vial, lids applied, the vials shaken and counted on a Wallac 1409 Liquid Scintillation Counter for 2 min, with dpm’s reported. Nucleotide binding and cAMP data were analyzed by non-linear regression with the software Origin, version 7.5, from Origin Lab Corporation, MA, US.
| Substance Class |
Mixture
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K4H93P747O
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C29631
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