Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C25H26F6N2O2 |
Molecular Weight | 500.4766 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@@H](OC[C@]1(CC[C@]2(CCC(=O)N2)CN1)C3=CC=CC=C3)C4=CC(=CC(=C4)C(F)(F)F)C(F)(F)F
InChI
InChIKey=FIVSJYGQAIEMOC-ZGNKEGEESA-N
InChI=1S/C25H26F6N2O2/c1-16(17-11-19(24(26,27)28)13-20(12-17)25(29,30)31)35-15-23(18-5-3-2-4-6-18)10-9-22(14-32-23)8-7-21(34)33-22/h2-6,11-13,16,32H,7-10,14-15H2,1H3,(H,33,34)/t16-,22-,23-/m1/s1
Molecular Formula | C25H26F6N2O2 |
Molecular Weight | 500.4766 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Rolapitant (VARUBI) is neurokinin 1 (NK1) receptor antagonist. Rolapitant does not have significant affinity for the NK2 or NK3 receptors. Drug is indicated in combination with other antiemetic agents in adults for the prevention of delayed nausea and vomiting associated with initial and repeat courses of emetogenic cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy. Most common adverse reactions are: neutropenia and hiccups at Cisplatin Based Highly Emetogenic Chemotherapy; decreased appetite, neutropenia and dizziness at Moderately Emetogenic Chemotherapy and Combinations of Anthracycline and Cyclophosphamide. Inhibition of BCRP and P-gp by rolapitant can increase plasma concentrations of the concomitant drug and potential for adverse reactions. Strong CYP3A4 Inducers (e.g., rifampin) can significantly reduce plasma concentrations of rolapitant and decrease the efficacy of VARUBI.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL249 |
0.42 nM [Ki] | ||
Target ID: CHEMBL2327 |
20.0 µM [IC50] | ||
Target ID: CHEMBL4429 |
4.05 µM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | VARUBI Approved UseVARUBI™ is indicated in combination with other antiemetic agents in adults for the prevention of delayed nausea and vomiting associated with initial and repeat courses of emetogenic cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy. VARUBI is a substance P/neurokinin 1 (NK1) receptor antagonist indicated in combination with other antiemetic agents in adults for the prevention of delayed nausea and vomiting associated with initial and repeat courses of emetogenic cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy. ( 1 ) Launch Date2015 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
967.69 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28906561 |
180 mg single, oral dose: 180 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROLAPITANT plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
968 ng/mL |
180 mg single, oral dose: 180 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROLAPITANT plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
118019.42 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28906561 |
180 mg single, oral dose: 180 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROLAPITANT plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
183 h |
180 mg single, oral dose: 180 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROLAPITANT plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Disc. AE: Nausea, Retching... AEs leading to discontinuation/dose reduction: Nausea (moderate, 1 patient) Sources: Page: p. 30Retching (moderate, 1 patient) Cough (moderate, 1 patient) Hyperhidrosis (moderate, 1 patient) Abdominal pain (mild, 1 patient) Dry mouth (mild, 1 patient) Dyspnea (mild, 1 patient) Visual impairment (mild, 1 patient) Feeling hot (mild, 1 patient) |
300 mg single, intravenous Highest studied dose Dose: 300 mg Route: intravenous Route: single Dose: 300 mg Sources: Page: p. 30 |
healthy, 23 years n = 1 Health Status: healthy Age Group: 23 years Sex: M Population Size: 1 Sources: Page: p. 30 |
Disc. AE: Back pain, Dizziness... AEs leading to discontinuation/dose reduction: Back pain (mild, 1 patient) Sources: Page: p. 30Dizziness (1 patient) |
720 mg single, oral Studied dose |
healthy, 26 years n = 6 Health Status: healthy Age Group: 26 years Sex: M+F Population Size: 6 Sources: |
|
200 mg single, oral |
unhealthy, 47.4 years n = 104 Health Status: unhealthy Age Group: 47.4 years Sex: F Population Size: 104 Sources: |
|
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Disc. AE: Abdominal discomfort, Diarrhea... AEs leading to discontinuation/dose reduction: Abdominal discomfort (mild, 1 patient) Sources: Page: p. 30Diarrhea (mild, 1 patient) Presyncope (mild, 1 patient) Feeling hot (mild, 1 patient) Headache (mild, 1 patient) Dizziness (mild, 1 patient) Dry mouth (mild, 1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain | mild, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Dry mouth | mild, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Dyspnea | mild, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Feeling hot | mild, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Visual impairment | mild, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Cough | moderate, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Hyperhidrosis | moderate, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Nausea | moderate, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Retching | moderate, 1 patient Disc. AE |
20 mg single, intravenous Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: Page: p. 30 |
healthy, 21 yeras n = 1 Health Status: healthy Age Group: 21 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Dizziness | 1 patient Disc. AE |
300 mg single, intravenous Highest studied dose Dose: 300 mg Route: intravenous Route: single Dose: 300 mg Sources: Page: p. 30 |
healthy, 23 years n = 1 Health Status: healthy Age Group: 23 years Sex: M Population Size: 1 Sources: Page: p. 30 |
Back pain | mild, 1 patient Disc. AE |
300 mg single, intravenous Highest studied dose Dose: 300 mg Route: intravenous Route: single Dose: 300 mg Sources: Page: p. 30 |
healthy, 23 years n = 1 Health Status: healthy Age Group: 23 years Sex: M Population Size: 1 Sources: Page: p. 30 |
Abdominal discomfort | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Diarrhea | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Dizziness | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Dry mouth | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Feeling hot | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Headache | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Presyncope | mild, 1 patient Disc. AE |
200 mg single, intravenous Dose: 200 mg Route: intravenous Route: single Dose: 200 mg Sources: Page: p. 30 |
healthy, 54 yeras n = 1 Health Status: healthy Age Group: 54 yeras Sex: M Population Size: 1 Sources: Page: p. 30 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
no [IC50 >100 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
no [IC50 >100 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=33 Page: 33.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=33 Page: 33.0 |
no | |||
yes [IC50 0.172 uM] | yes (co-administration study) Comment: Concomitant rolapitant increased the systemic exposure to sulfasalazine, a substrate of BCRP by 2.3-fold on Day 1 and the inhibitory effect was decreased on Day 7. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=6 Page: 6.0 |
|||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
yes [IC50 13 uM] | no (co-administration study) Comment: No significant effects of rolapitant on PK of efavirenz were observed on Day 1 while a weak inhibition of efavirenz, a CYP2B6 substrate metabolism was noted on Day 7. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
yes [IC50 22 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
yes [IC50 23 uM] | no (co-administration study) Comment: Single-dose rolapitant resulted in a slight increase in Cmax and AUC of repaglinide, a CYP2C8 substrate by 29% and 24%, respectively on 7 days after rolapitant dosing while did not significantly affect the systemic exposure on Day 1. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=32 Page: 32.0 |
yes [IC50 41 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=32 Page: 32.0 |
yes [IC50 49 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=32 Page: 32.0 |
yes [IC50 8.65 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
yes [IC50 8.7 uM] | unlikely (co-administration study) Comment: Single-dose administration of rolapitant with omeprazole resulted in an increase in Cmax and AUCi of omeprazole by 44% and 23%, respectively on Day 1 compared to those after omeprazole alone. On Day 7, Cmax and AUCi of omeprazole was 37% and 15% higher, respectively. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
yes [IC50 9.6 uM] | |||
yes [Ki 3.4 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=46 Page: 46.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=33 Page: 33.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=33 Page: 33.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=33 Page: 33.0 |
yes | |||
yes | yes (co-administration study) Comment: Concomitant rolapitant increased the systemic exposure to sulfasalazine, a substrate of BCRP by 2.3-fold on Day 1 and the inhibitory effect was decreased on Day 7. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=6 Page: 6.0 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=35 Page: 35.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=35 Page: 35.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=35 Page: 35.0 |
yes | |||
yes | yes (co-administration study) Comment: Rolapitant is not recommended in patients who are on a strong CYP3A4 inducer such as rifampin for the potential loss of efficacy due to a significant decrease in systemic exposure i.e. AUC decreased by 87% with concurrent rifampin. Concurrent ketoconazole, a strong CYP3A4 inhibitor did not significantly affect systemic exposure to rolapitant. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000ClinPharmR.pdf#page=6 Page: 6.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206500Orig1s000PharmR.pdf#page=224 Page: 224.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Management of postoperative nausea and vomiting: focus on palonosetron. | 2009 Feb |
|
Rolapitant (SCH 619734): a potent, selective and orally active neurokinin NK1 receptor antagonist with centrally-mediated antiemetic effects in ferrets. | 2012 Jul |
|
Rolapitant: first global approval. | 2015 Nov |
Patents
Sample Use Guides
The recommended dosage is 180 mg rolapitant administered approximately 1 to 2 hours prior to the start of chemotherapy. Administer in combination with dexamethasone and a 5-HT3 receptor.
antagonist
Route of Administration:
Oral
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:34:23 GMT 2023
by
admin
on
Fri Dec 15 15:34:23 GMT 2023
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Record UNII |
NLE429IZUC
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000175786
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WHO-ATC |
A04AD14
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NCI_THESAURUS |
C267
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N0000182137
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PRIMARY | Cytochrome P450 2D6 Inhibitors [MoA] | ||
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m11844
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PRIMARY | |||
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C97952
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CHEMBL3707331
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DTXSID90203740
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DB09291
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NLE429IZUC
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NLE429IZUC
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8882
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10311306
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5027
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1665496
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100000144489
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SUB121121
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CD-170
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552292-08-7
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5749
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N0000190113
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PRIMARY | Breast Cancer Resistance Protein Inhibitors [MoA] | ||
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90908
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Rolapitant
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] |
Related Record | Type | Details | ||
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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TARGET -> INHIBITOR |
ANTAGONIST
Ki
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EXCRETED UNCHANGED->SUBSTANCE |
The total of 46% of the radioactive dose was recovered in urine and feces.In the pooled feces 37.8% of the dose was
recovered. Rolapitant was the most prominent component accounting for 12.7%
of the dose
MAJOR
FECAL
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SALT/SOLVATE -> PARENT | |||
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SALT/SOLVATE -> PARENT | |||
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BINDER->LIGAND |
BINDING
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TRANSPORTER -> NON-SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR |
[I]/IC50 value for p-gp inhibition was estimated to be 0.23. Based on [I]/IC50 > 0.1 a potential in-vivo drug interaction via inhibition of p-gp cannot be ruled out.
INHIBITOR
IC50
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METABOLIC ENZYME -> INHIBITOR |
COMPETITIVE INHIBITOR
Ki
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PARENT |
The metabolite SCH 720881 (M19) which
accounted 25% of the increased exposure to total plasma radioactivity was identified as a major
circulating metabolite of rolapitant.
MAJOR
PLASMA
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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