U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C10H13NO4
Molecular Weight 211.2145
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of MELEVODOPA

SMILES

COC(=O)[C@@H](N)CC1=CC(O)=C(O)C=C1

InChI

InChIKey=XBBDACCLCFWBSI-ZETCQYMHSA-N
InChI=1S/C10H13NO4/c1-15-10(14)7(11)4-6-2-3-8(12)9(13)5-6/h2-3,5,7,12-13H,4,11H2,1H3/t7-/m0/s1

HIDE SMILES / InChI

Molecular Formula C10H13NO4
Molecular Weight 211.2145
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/23948989 http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021485s20lbl.pdf

Levodopa (L-DOPA) was first isolated from seedlings of Vicia faba by Marcus Guggenheim in 1913. Levodopa, a dopamine precursor, is an effective and well-tolerated dopamine replacement agent used to treat Parkinson's disease. Oral levodopa has been widely used for over 40 years, often in combination with a dopa-decarboxylase inhibitor carbidopa, which reduces many treatment complications, extending its half-life and increasing levodopa availability to the brain. Entacapone, a catechol-O-methyltransferase inhibitor, can also be used to improve the bioavailability of levodopa, especially when used in conjunction with a carbidopa.

Originator

Curator's Comment: # Hoffmann-La Roche

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Stalevo

Approved Use

Stalevo® (carbidopa, levodopa and entacapone) is indicated to treat patients with idiopathic Parkinson’s disease.

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
0.946 μg/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered: CARBIDOPA, DL-
LEVODOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
84.8 μg × min/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered: CARBIDOPA, DL-
LEVODOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
78.7 min
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered: CARBIDOPA, DL-
LEVODOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
80%
LEVODOPA plasma
Homo sapiens
Doses

Doses

DosePopulationAdverse events​
3 g 1 times / day multiple, oral
Dose: 3 g, 1 times / day
Route: oral
Route: multiple
Dose: 3 g, 1 times / day
Sources:
unhealthy, 54 years
n = 1
Health Status: unhealthy
Condition: idiopathic Parkinson's disease
Age Group: 54 years
Sex: F
Population Size: 1
Sources:
Disc. AE: Alopecia...
AEs leading to
discontinuation/dose reduction:
Alopecia (1 patient)
Sources:
420 mg 1 times / day multiple, respiratory
Recommended
Dose: 420 mg, 1 times / day
Route: respiratory
Route: multiple
Dose: 420 mg, 1 times / day
Sources:
unhealthy, adult
84 mg 2 times / day multiple, respiratory
Recommended
Dose: 84 mg, 2 times / day
Route: respiratory
Route: multiple
Dose: 84 mg, 2 times / day
Sources:
unhealthy, adult
n = 114
Health Status: unhealthy
Condition: Parkinson’s disease
Age Group: adult
Population Size: 114
Sources:
Disc. AE: Cough...
AEs leading to
discontinuation/dose reduction:
Cough (2%)
Sources:
0.51 mg/kg 3 times / day steady, oral
Dose: 0.51 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.51 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Other AEs: Headache, Nausea...
Other AEs:
Headache (below serious, 2 patients)
Nausea (below serious, 2 patients)
Sources:
0.76 mg/kg 3 times / day steady, oral
Dose: 0.76 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.76 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Other AEs: Headache, Dry mouth...
Other AEs:
Headache (below serious, 1 patient)
Dry mouth (below serious, 2 patients)
Nausea (below serious, 1 patient)
Fatigue (below serious, 2 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Alopecia 1 patient
Disc. AE
3 g 1 times / day multiple, oral
Dose: 3 g, 1 times / day
Route: oral
Route: multiple
Dose: 3 g, 1 times / day
Sources:
unhealthy, 54 years
n = 1
Health Status: unhealthy
Condition: idiopathic Parkinson's disease
Age Group: 54 years
Sex: F
Population Size: 1
Sources:
Cough 2%
Disc. AE
84 mg 2 times / day multiple, respiratory
Recommended
Dose: 84 mg, 2 times / day
Route: respiratory
Route: multiple
Dose: 84 mg, 2 times / day
Sources:
unhealthy, adult
n = 114
Health Status: unhealthy
Condition: Parkinson’s disease
Age Group: adult
Population Size: 114
Sources:
Headache below serious, 2 patients
0.51 mg/kg 3 times / day steady, oral
Dose: 0.51 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.51 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Nausea below serious, 2 patients
0.51 mg/kg 3 times / day steady, oral
Dose: 0.51 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.51 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Headache below serious, 1 patient
0.76 mg/kg 3 times / day steady, oral
Dose: 0.76 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.76 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Nausea below serious, 1 patient
0.76 mg/kg 3 times / day steady, oral
Dose: 0.76 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.76 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Dry mouth below serious, 2 patients
0.76 mg/kg 3 times / day steady, oral
Dose: 0.76 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.76 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Fatigue below serious, 2 patients
0.76 mg/kg 3 times / day steady, oral
Dose: 0.76 mg/kg, 3 times / day
Route: oral
Route: steady
Dose: 0.76 mg/kg, 3 times / day
Sources:
unhealthy, child|adult
n = 15
Health Status: unhealthy
Condition: Vision Impairment
Age Group: child|adult
Population Size: 15
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
The effects of combining carbidopa with levodopa for Parkinson's disease.
1975 Dec
Persistent parkinsonism following neuroleptanalgesia.
1975 May
Levodopa-induced myoclonus.
1975 May
Reduction of dyskinesia and induction of akinesia induced by morphine in two parkinsonian patients with severe sciatica.
1999
The anticataleptic effect of 7-OH-DPAT: are dopamine D3 receptors involved?
1999
A wide variety of mutations in the parkin gene are responsible for autosomal recessive parkinsonism in Europe. French Parkinson's Disease Genetics Study Group and the European Consortium on Genetic Susceptibility in Parkinson's Disease.
1999 Apr
Levodopa-induced dyskinesias treated by pallidotomy.
1999 Aug 1
[Levodopa-induced psychosis in patients with idiopathic Parkinson disease].
1999 Feb 27
Pharmacokinetics and pharmacodynamics of L-Dopa after acute and 6-week tolcapone administration in patients with Parkinson's disease.
1999 Jan-Feb
Selective inhibition of cocaine-seeking behaviour by a partial dopamine D3 receptor agonist.
1999 Jul 22
Modulation of gastrin processing by vesicular monoamine transporter type 1 (VMAT1) in rat gastrin cells.
1999 Jun 1
Worsening of levodopa-induced dyskinesias by motor and mental tasks.
1999 Mar
[Amantadine for the treatment of levodopa dyskinesias in Parkinson's disease].
2000
Effects of oligonucleotide antisense to dopamine D(1A) receptor messenger RNA in a rodent model of levodopa-induced dyskinesia.
2000
Investigating levodopa-induced dyskinesias in the parkinsonian primate.
2000 Apr
Bilateral subthalamic stimulation for Parkinson's disease by using three-dimensional stereotactic magnetic resonance imaging and electrophysiological guidance.
2000 Apr
Combined use of the adenosine A(2A) antagonist KW-6002 with L-DOPA or with selective D1 or D2 dopamine agonists increases antiparkinsonian activity but not dyskinesia in MPTP-treated monkeys.
2000 Apr
L-Dopa uptake and dopamine production in proximal tubular cells are regulated by beta(2)-adrenergic receptors.
2000 Jul
Relationship among nigrostriatal denervation, parkinsonism, and dyskinesias in the MPTP primate model.
2000 May
Centrally initiated postural adjustments in parkinsonian patients on and off levodopa.
2000 Nov
The 4F2hc/LAT1 complex transports L-DOPA across the blood-brain barrier.
2000 Oct 6
Workshop IV: drug treatment guidelines for the long-term management of Parkinson's disease.
2000 Sep
Levodopa-induced drowsiness in healthy volunteers: results of a choice reaction time test combined with a subjective evaluation of sedation.
2001 Mar-Apr
Intravenous amantadine improves levadopa-induced dyskinesias: an acute double-blind placebo-controlled study.
2001 May
Coadministration of (-)-OSU6162 with l-DOPA normalizes preproenkephalin mRNA expression in the sensorimotor striatum of primates with unilateral 6-OHDA lesions.
2001 May
Patents

Sample Use Guides

Maximum dosage in a 24-hour period is eight tablets (Stalevo 50, containing 12.5 mg of carbidopa, 50 mg of levodopa and 200 mg of entacapone; Stalevo 75, containing 18.75 mg of carbidopa, 75 mg of levodopa and 200 mg of entacapone; Stalevo 100, containing 25 mg of carbidopa, 100 mg of levodopa and 200 mg of entacapone; Stalevo 125, containing 31.25 mg of carbidopa, 125 mg of levodopa and 200 mg of entacapone; Stalevo 150, containing 37.5 mg of carbidopa, 150 mg of levodopa and 200 mg of entacapone; Stalevo 200, containing 50 mg of carbidopa, 200 mg of levodopa and 200 mg of entacapone). The optimum daily dosage must be determined by careful titration in each patient.
Route of Administration: Oral
Low dose (<30 uM) Levodopa protects PC12 cells against oxidative stress which might be related to the up-regulation of CD39 and pCREB expression.
Substance Class Chemical
Created
by admin
on Fri Dec 15 16:46:28 GMT 2023
Edited
by admin
on Fri Dec 15 16:46:28 GMT 2023
Record UNII
M30686U4X4
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
MELEVODOPA
INN   WHO-DD  
INN  
Official Name English
CHF-1301
Code English
(-)-3,4-DIHYDROXY-L-PHENYLALANINE, METHYL ESTER
Common Name English
Melevodopa [WHO-DD]
Common Name English
melevodopa [INN]
Common Name English
LEVOMET
Brand Name English
Classification Tree Code System Code
WHO-VATC QN04BA04
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
WHO-VATC QN04BA05
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
NCI_THESAURUS C66884
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
WHO-ATC N04BA05
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
WHO-ATC N04BA04
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
Code System Code Type Description
EPA CompTox
DTXSID9048433
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
DRUG BANK
DB13313
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
EVMPD
SUB32447
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
WIKIPEDIA
Melevodopa
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
FDA UNII
M30686U4X4
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
CAS
7101-51-1
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
NCI_THESAURUS
C83927
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
ChEMBL
CHEMBL1328898
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
DRUG CENTRAL
1673
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
PUBCHEM
23497
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
INN
7973
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
MESH
C035420
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
SMS_ID
100000124311
Created by admin on Fri Dec 15 16:46:28 GMT 2023 , Edited by admin on Fri Dec 15 16:46:28 GMT 2023
PRIMARY
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