Details
Stereochemistry | ACHIRAL |
Molecular Formula | C15H22O3 |
Molecular Weight | 250.3334 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CC(OCCCC(C)(C)C(O)=O)=C(C)C=C1
InChI
InChIKey=HEMJJKBWTPKOJG-UHFFFAOYSA-N
InChI=1S/C15H22O3/c1-11-6-7-12(2)13(10-11)18-9-5-8-15(3,4)14(16)17/h6-7,10H,5,8-9H2,1-4H3,(H,16,17)
Molecular Formula | C15H22O3 |
Molecular Weight | 250.3334 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB01241Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/018422s055lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB01241
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/018422s055lbl.pdf
Gemfibrozil, a fibric acid antilipemic agent similar to clofibrate, is used to treat hyperlipoproteinemia and as a second-line therapy for type IIb hypercholesterolemia. It acts to reduce triglyceride levels, reduce VLDL levels, reduce LDL levels (moderately), and increase HDL levels (moderately). Gemfibrozil increases the activity of extrahepatic lipoprotein lipase (LL), thereby increasing lipoprotein triglyceride lipolysis. It does so by activating Peroxisome proliferator-activated receptor-alpha (PPARα) 'transcription factor ligand', a receptor that is involved in metabolism of carbohydrates and fats, as well as adipose tissue differentiation. This increase in the synthesis of lipoprotein lipase thereby increases the clearance of triglycerides. Chylomicrons are degraded, VLDLs are converted to LDLs, and LDLs are converted to HDL. This is accompanied by a slight increase in secretion of lipids into the bile and ultimately the intestine. Gemfibrozil also inhibits the synthesis and increases the clearance of apolipoprotein B, a carrier molecule for VLDL. Gemfibrozil is most commonly sold as the brand name, Lopid. Other brand names include Jezil and Gen-Fibro.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22706077
Curator's Comment: gemfibrozil was shown to cross the blood brain barrier in mice
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1697668 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16316932 |
12.5 µM [Ki] | ||
Target ID: CHEMBL3397 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16299161 |
30.0 µM [IC50] | ||
Target ID: CHEMBL3721 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16176562 |
30.4 µM [Ki] | ||
Target ID: CHEMBL239 Sources: http://www.drugbank.ca/drugs/DB01241 |
59.0 µM [EC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | LOPID Approved UseLOPID (gemfibrozil tablets, USP) is indicated as adjunctive therapy to diet for:
1. Treatment of adult patients with very high elevations of serum triglyceride levels (Types IV and V hyperlipidemia) who present a risk of pancreatitis and who do not respond adequately to a determined dietary effort to control them.
2. Reducing the risk of developing coronary heart disease only in Type IIb patients without history of or symptoms of existing coronary heart disease who have had an inadequate response to weight loss, dietary therapy, exercise, and other pharmacologic agents (such as bile acid sequestrants and nicotinic acid, known to reduce LDL- and raise HDL-cholesterol) and who have the following triad of lipid abnormalities: low HDL-cholesterol levels in addition to elevated LDL-cholesterol
and elevated triglycerides Launch Date1981 |
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Preventing | LOPID Approved UseLOPID (gemfibrozil tablets, USP) is indicated as adjunctive therapy to diet for:
1. Treatment of adult patients with very high elevations of serum triglyceride levels (Types IV and V hyperlipidemia) who present a risk of pancreatitis and who do not respond adequately to a determined dietary effort to control them.
2. Reducing the risk of developing coronary heart disease only in Type IIb patients without history of or symptoms of existing coronary heart disease who have had an inadequate response to weight loss, dietary therapy, exercise, and other pharmacologic agents (such as bile acid sequestrants and nicotinic acid, known to reduce LDL- and raise HDL-cholesterol) and who have the following triad of lipid abnormalities: low HDL-cholesterol levels in addition to elevated LDL-cholesterol
and elevated triglycerides Launch Date1981 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
28 μg/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19648824 |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEMFIBROZIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
17400 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01736254 |
600 mg single, oral dose: 600 mg route of administration: oral experiment type: single co-administered: |
GEMFIBROZIL plasma | Homo sapiens population: healthy age: sex: food status: |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
104 μg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19648824 |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEMFIBROZIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19648824 |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEMFIBROZIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Disc. AE: Depression, Flushing... AEs leading to discontinuation/dose reduction: Depression (1.1%) Sources: Page: p.198Flushing (1.1%) Nausea (2.2%) Vomiting (1.1%) Rash (1.1%) |
9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Disc. AE: Abdominal cramps, Abnormal liver function tests... AEs leading to discontinuation/dose reduction: Abdominal cramps Sources: Page: p.13Abnormal liver function tests Diarrhea CPK increased Joint pain Muscle pain Nausea Vomiting |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Depression | 1.1% Disc. AE |
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Flushing | 1.1% Disc. AE |
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Rash | 1.1% Disc. AE |
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Vomiting | 1.1% Disc. AE |
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Nausea | 2.2% Disc. AE |
600 mg 2 times / day multiple, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: multiple Dose: 600 mg, 2 times / day Sources: Page: p.198 |
unhealthy, 59 n = 87 Health Status: unhealthy Condition: Non-insulin-dependent diabetes mellitus Age Group: 59 Sex: M+F Population Size: 87 Sources: Page: p.198 |
Abdominal cramps | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Abnormal liver function tests | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
CPK increased | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Diarrhea | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Joint pain | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Muscle pain | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Nausea | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Vomiting | Disc. AE | 9 g single, oral Overdose Dose: 9 g Route: oral Route: single Dose: 9 g Sources: Page: p.13 |
healthy, 7 n = 1 Health Status: healthy Age Group: 7 Population Size: 1 Sources: Page: p.13 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [Ki 1.5 uM] | ||||
yes [Ki 14.2 uM] | ||||
yes [Ki 5.8 uM] | yes (co-administration study) Comment: [PMID:11719730]:Gemfibrozil modestly increases the plasma concentrations of glimepiride. This may be caused by inhibition of CYP2C9. |
|||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | yes (co-administration study) Comment: [PMID:22472994]: CYP2C8 inactivation by gemfibrozil caused dose-dependent increases in AUC of repaglinide |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
PubMed
Title | Date | PubMed |
---|---|---|
A risk factor for atherosclerosis: triglyceride-rich lipoproteins. | 2001 |
|
Hypercholesterolemia, lipid-lowering agents, and the risk for brain infarction. | 2001 |
|
Rhabdomyolysis and acute renal failure following a switchover of therapy between two fibric acid derivatives. | 2001 Aug |
|
[Fatal rhabdomyolysis caused by cerivastatin]. | 2001 Aug |
|
Inhibitory action of gemfibrozil on cholesterol absorption in rat intestine. | 2001 Aug |
|
Bayer decides to withdraw cholesterol lowering drug. | 2001 Aug 18 |
|
Baycol withdrawn from market. | 2001 Aug 21 |
|
Altered expression of the carboxylesterases ES-4 and ES-10 by peroxisome proliferator chemicals. | 2001 Aug 28 |
|
[Lipid-lowering drugs]. | 2001 Dec |
|
Massive rhabdomyolysis and life threatening hyperkalaemia in a patient with the combination of cerivastatin and gemfibrozil. | 2001 Dec |
|
Treatment for the procoagulant state in type 2 diabetes. | 2001 Dec |
|
Rhabdomyolysis with HMG CoA reductase inhibitors: a class effect? | 2001 Dec |
|
Determination of drugs in surface water and wastewater samples by liquid chromatography-mass spectrometry: methods and preliminary results including toxicity studies with Vibrio fischeri. | 2001 Dec 14 |
|
Targeting low high-density lipoprotein cholesterol for therapy: lessons from the Veterans Affairs High-density Lipoprotein Intervention Trial. | 2001 Dec 20 |
|
[Fibrates in the secondary prevention of ischemic cardiopathy]. | 2001 Jan-Mar |
|
Gemfibrozil prevents major coronary events by increasing HDL-cholesterol and more. | 2001 Jul |
|
[Peroxisome proliferator-activated receptors (PPARs) in the vessel wall: new regulators of gene expression in vascular cells]. | 2001 Jul |
|
Fenofibrate and warfarin interaction. | 2001 Jul |
|
Postprandial remnant-like lipoproteins in hypertriglyceridemia. | 2001 Jul |
|
Effects of fenofibrate and gemfibrozil on plasma homocysteine. | 2001 Jul 7 |
|
Statin-fibrate combination therapy. | 2001 Jul-Aug |
|
Normocholesterolaemic dysslipidaemia: is there a role for fibrates? | 2001 Jun 4 |
|
Attenuation by fibrates of plasminogen activator inhibitor type-1 expression in human arterial smooth muscle cells. | 2001 Nov |
|
Effect of trans-dehydrocrotonin, a 19-nor-clerodane diterpene from Croton cajucara on experimental hypertriglyceridaemia and hypercholesterolaemia induced by Triton WR 1339 (tyloxapol) in mice. | 2001 Nov |
|
Effect of gemfibrozil on the pharmacokinetics and pharmacodynamics of glimepiride. | 2001 Nov |
|
Ciprofibrate versus gemfibrozil in the treatment of mixed hyperlipidemias: an open-label, multicenter study. | 2001 Nov |
|
PPARS, metabolic disease and atherosclerosis. | 2001 Nov |
|
Niacin, but not gemfibrozil, selectively increases LP-AI, a cardioprotective subfraction of HDL, in patients with low HDL cholesterol. | 2001 Nov |
|
Gemfibrozil increases paraoxonase activity in type 2 diabetic patients. A new hypothesis of the beneficial action of fibrates? | 2001 Nov |
|
Are high density lipoprotein (HDL) and triglyceride levels relevant in stroke prevention? | 2001 Nov |
|
Gemfibrozil is a potent inhibitor of human cytochrome P450 2C9. | 2001 Nov |
|
Effects of fenofibrate and gemfibrozil on plasma homocysteine. | 2001 Nov 24 |
|
Effects of fenofibrate and gemfibrozil on plasma homocysteine. | 2001 Nov 24 |
|
Statin-associated myopathy. | 2001 Nov 5 |
|
Serum magnesium status during lipid-lowering drug treatment in non-insulin-dependent diabetic patients. | 2001 Oct |
|
Cyclic nucleotides in platelets of genetically hypertriglyceridemic and hypertensive rats. Thrombin and nitric oxide responses are unrelated to plasma triglyceride levels. | 2001 Oct 1 |
|
[Cerivastatin and gemfibrozil: a dangerous combination]. | 2001 Oct 15 |
|
Molecular basis for the effect of lipid lowering drugs on growth factors after de-endothelialization. | 2001 Sep |
|
[Cholestatic hepatitis caused by gemfibrozil]. | 2001 Sep |
|
Cerivastatin and gemfibrozil-associated rhabdomyolysis. | 2001 Sep |
|
Smoking diminishes the beneficial effect of statins: observations from the landmark trials. | 2001 Sep |
|
Is the relationship between adipose tissue and waist girth altered by weight loss in obese men? | 2001 Sep |
|
New developments in the prevention of atherosclerosis in patients with low high-density lipoprotein cholesterol. | 2001 Sep |
|
[Severe rhabdomyolysis associated with cerivastatin and gemfibrozil]. | 2001 Sep 15 |
|
Increase in hepatic expression of SREBP-2 by gemfibrozil administration to rats. | 2001 Sep 15 |
|
Bayer pulls cerivastatin (Baycol) from market. | 2001 Sep 4 |
|
[Rhabdomyolysis and anuric kidney failure induced by the treatment with a gemfibrozil-cerivastatin combination]. | 2001 Sep-Oct |
|
Therapy and clinical trials. | 2002 Feb |
|
Sexual dysfunction secondary to gemfibrozil. | 2002 Jan |
|
Cost-effectiveness of gemfibrozil for coronary heart disease patients with low levels of high-density lipoprotein cholesterol: the Department of Veterans Affairs High-Density Lipoprotein Cholesterol Intervention Trial. | 2002 Jan 28 |
Sample Use Guides
The recommended dose for adults is 1200 mg administered in two divided doses 30 minutes before the morning and evening meals
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22285408
Sustained potent reduction of [Ca²⁺]i in cultured rat VSMCs was observed with Gemfibrozil 50mg/L
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:19:58 GMT 2023
by
admin
on
Fri Dec 15 15:19:58 GMT 2023
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Record UNII |
Q8X02027X3
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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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FDA ORPHAN DRUG |
834821
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FDA ORPHAN DRUG |
591917
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EU-Orphan Drug |
EU/3/18/1993
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NCI_THESAURUS |
C98150
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WHO-VATC |
QC10AB04
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FDA ORPHAN DRUG |
591917
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FDA ORPHAN DRUG |
546216
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NDF-RT |
N0000170118
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NDF-RT |
N0000175375
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NDF-RT |
N0000175596
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WHO-ATC |
C10AB04
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NDF-RT |
N0000170118
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LIVERTOX |
NBK547926
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FDA ORPHAN DRUG |
834921
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Code System | Code | Type | Description | ||
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25812-30-0
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7735
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DB01241
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Q8X02027X3
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247-280-2
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3899
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100000092643
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DTXSID0020652
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SUB07894MIG
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Q8X02027X3
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1285
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757024
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3439
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4719
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PRIMARY | RxNorm | ||
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D015248
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1288500
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Gemfibrozil
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C29071
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m5692
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PRIMARY | Merck Index | ||
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CHEMBL457
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GEMFIBROZIL
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5296
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PRIMARY | |||
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3463
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PRIMARY |
Related Record | Type | Details | ||
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METABOLIC ENZYME -> INHIBITOR |
MAJOR
IC50
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EXCRETED UNCHANGED |
URINE
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TARGET -> ACTIVATOR |
with 100% efficacy
EC50
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TRANSPORTER -> INHIBITOR |
SUBSTRATE USED: ESTRONE-3-SULFATE
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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METABOLIC ENZYME -> NON-INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TARGET -> ACTIVATOR |
with 79% efficacy
EC50
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Related Record | Type | Details | ||
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METABOLITE -> PARENT |
IN VITRO
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
IN VITRO
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METABOLITE -> PARENT |
IN VITRO
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Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
|
||
|
IMPURITY -> PARENT |
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
Related Record | Type | Details | ||
---|---|---|---|---|
|
ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
---|---|---|---|---|---|---|
Tmax | PHARMACOKINETIC |
|
ORAL ADMINISTRATION |
|
||