Details
Stereochemistry | ACHIRAL |
Molecular Formula | C14H11FN2OS |
Molecular Weight | 273.316 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CNC1=CC=C(C=C1[18F])C2=NC3=C(S2)C=C(O)C=C3
InChI
InChIKey=VVECGOCJFKTUAX-HUYCHCPVSA-N
InChI=1S/C14H11FN2OS/c1-16-11-4-2-8(6-10(11)15)14-17-12-5-3-9(18)7-13(12)19-14/h2-7,16,18H,1H3/i15-1
Molecular Formula | C14H11FN2OS |
Molecular Weight | 273.316 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Flutemetamol F 18 is a radioactive molecular agent that is intended for use with PET imaging of the brain in adults being evaluated for Alzheimer's disease (AD) and dementia. Flutemetamol F 18 consists of flutemetamol, a thioflavin derivative of Pittsburgh compound B (PiB) labeled with the radioisotope fluorine F18 and it selectively binds to cerebral fibrillar beta-amyloid, a peptide involved in Alzheimer's disease.
CNS Activity
Curator's Comment: Following intravenous injection, flutemetamol F 18 diffuses across the human blood-brain barrier and produces a radioactivity signal detectable throughout the brain. Subsequently, cerebral perfusion decreases the brain flutemetamol F 18 content, with differential retention of the drug in cortical areas that contain β-amyloid aggregates compared to areas that lack the aggregates. The time-activity curves for flutemetamol F 18 in the brain of subjects with positive scans shows continual signal increases from time zero through 30 minutes post administration, with stable values thereafter up to at least 120 minutes post-injection.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P05067|||Q13764|||Q8WZ99 Gene ID: 351.0 Gene Symbol: APP Target Organism: Homo sapiens (Human) Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=22011144 |
6.7 nM [Kd] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Diagnostic | VIZAMYL Approved UseVizamyl is a radioactive diagnostic agent indicated for Positron Emission
Tomography (PET) imaging of the brain to estimate β-amyloid neuritic
plaque density in adult patients with cognitive impairment who are being
evaluated for Alzheimer’s disease (AD) or other causes of cognitive decline. Launch Date2013 |
Doses
Dose | Population | Adverse events |
---|---|---|
185 MBq 1 times / day single, intravenous Recommended Dose: 185 MBq, 1 times / day Route: intravenous Route: single Dose: 185 MBq, 1 times / day Sources: |
unknown, 62 (18-93) n = 761 Health Status: unknown Age Group: 62 (18-93) Sex: M+F Population Size: 761 Sources: |
Other AEs: Hypersensitivity reaction... Other AEs: Hypersensitivity reaction (grade 3-4, 1%) Sources: |
355.9 MBq 1 times / day single, intravenous Recommended Dose: 355.9 MBq, 1 times / day Route: intravenous Route: single Dose: 355.9 MBq, 1 times / day Sources: |
unhealthy, 72 n = 1 Health Status: unhealthy Condition: Parkinson's disease Age Group: 72 Sex: F Population Size: 1 Sources: |
Disc. AE: Anaemia... AEs leading to discontinuation/dose reduction: Anaemia Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypersensitivity reaction | grade 3-4, 1% | 185 MBq 1 times / day single, intravenous Recommended Dose: 185 MBq, 1 times / day Route: intravenous Route: single Dose: 185 MBq, 1 times / day Sources: |
unknown, 62 (18-93) n = 761 Health Status: unknown Age Group: 62 (18-93) Sex: M+F Population Size: 761 Sources: |
Anaemia | Disc. AE | 355.9 MBq 1 times / day single, intravenous Recommended Dose: 355.9 MBq, 1 times / day Route: intravenous Route: single Dose: 355.9 MBq, 1 times / day Sources: |
unhealthy, 72 n = 1 Health Status: unhealthy Condition: Parkinson's disease Age Group: 72 Sex: F Population Size: 1 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203137Orig1s000PharmR.pdf#page=45 Page: 45.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Multidentate (18)F-polypegylated styrylpyridines as imaging agents for Aβ plaques in cerebral amyloid angiopathy (CAA). | 2011 Dec 8 |
|
Clinical amyloid imaging in Alzheimer's disease. | 2011 Jul |
|
Alzheimer's imaging agents struggle to find a market outside trials. | 2013 Dec |
Patents
Sample Use Guides
The recommended dose for Vizamyl is 185 megabecquerels (MBq) [5 millicuries (mCi)] in a maximum dose volume of 10 mL, administered as a single intravenous bolus within 40 seconds. The maximum mass dose is 20 micrograms. Follow the injection with an intravenous flush of 5 to 15 mL of 0.9% sterile sodium chloride injection.
Route of Administration:
Intravenous
Substance Class |
Chemical
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L49M066S0O
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NDF-RT |
N0000177914
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WHO-VATC |
QV09AX04
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EMA ASSESSMENT REPORTS |
VIZAMYL (AUTHORIZED: ALZHEIMER DISEASE)
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C2124
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V09AX04
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EMA ASSESSMENT REPORTS |
VIZAMYL (AUTHORIZED: RADIONUCLIDE IMAGING)
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Flutemetamol (18F)
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