Details
Stereochemistry | RACEMIC |
Molecular Formula | C17H27N3O4S.ClH |
Molecular Weight | 405.94 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CCN1CCCC1CNC(=O)C2=C(OC)C=C(N)C(=C2)S(=O)(=O)CC
InChI
InChIKey=XFOYXFDTUMXXFP-UHFFFAOYSA-N
InChI=1S/C17H27N3O4S.ClH/c1-4-20-8-6-7-12(20)11-19-17(21)13-9-16(25(22,23)5-2)14(18)10-15(13)24-3;/h9-10,12H,4-8,11,18H2,1-3H3,(H,19,21);1H
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C17H27N3O4S |
Molecular Weight | 369.479 |
Charge | 0 |
Count |
|
Stereochemistry | RACEMIC |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Optical Activity | ( + / - ) |
DescriptionSources: http://www.sanofi.com.au/products/aus_pi_solian.pdfCurator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/8996185 | https://www.ncbi.nlm.nih.gov/pubmed/19337725 | https://www.ncbi.nlm.nih.gov/pubmed/11735643
Sources: http://www.sanofi.com.au/products/aus_pi_solian.pdf
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/8996185 | https://www.ncbi.nlm.nih.gov/pubmed/19337725 | https://www.ncbi.nlm.nih.gov/pubmed/11735643
Amisulpride, a benzamide derivative, shows a unique therapeutic profile being atypical antipsychotic. At low doses, it enhances dopaminergic neurotransmission by preferentially blocking presynaptic dopamine D2/D3 autoreceptors. At higher doses, amisupride antagonises postsynaptic dopamine D2 and D3 receptors, preferentially in the limbic system rather than the striatum, thereby reducing dopaminergic transmission. In addition its antagonism at serotonin 5-HT7 receptors likely underlies the antidepressant actions. Amisulpride is approved for clinical use in treating schizophrenia in a number of European countries and also for treating dysthymia, a mild form of depression, in Italy.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL217 |
2.8 nM [Ki] | ||
Target ID: CHEMBL234 |
3.2 nM [Ki] | ||
Target ID: CHEMBL3155 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19337725 |
11.5 nM [Ki] | ||
Target ID: CHEMBL1833 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19337725 |
13.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | SOLIAN Approved UseAmisulpride is indicated for the treatment of acute and chronic schizophrenic disorders, in which positive symptoms (such as delusions, hallucinations, thought disorders) and/or negative symptoms (such as blunted affect, emotional and social withdrawal) are prominent, including patients characterised by predominant negative symptoms. |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
586.3 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28793958 |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMISULPRIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5043.2 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28793958 |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMISULPRIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
11.7 h |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
AMISULPRIDE unknown | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 23 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 23 Sources: |
Other AEs: Bradycardia, Dystonic reaction... Other AEs: Bradycardia (24%) Sources: Dystonic reaction (2 patients) |
6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 49 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 49 Sources: |
Other AEs: QT interval prolonged, Tachycardia... Other AEs: QT interval prolonged (64%) Sources: Tachycardia (23%) |
80 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 49 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 49 Sources: |
Other AEs: Torsades de pointes... |
20 mg single, intravenous Highest studied dose Dose: 20 mg Route: intravenous Route: single Dose: 20 mg Sources: |
unhealthy n = 18 |
|
200 mg single, oral Highest studied dose |
healthy n = 20 |
|
1200 mg single, oral Overdose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
unhealthy Health Status: unhealthy Sources: |
Other AEs: Extrapyramidal disorder... Other AEs: Extrapyramidal disorder Sources: |
3000 mg single, oral Overdose |
unhealthy n = 1 |
Other AEs: Hyperthermia, Mydriasis... Other AEs: Hyperthermia (1 patient) Sources: Mydriasis (1 patient) Coma (1 patient) Seizures (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dystonic reaction | 2 patients | 6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 23 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 23 Sources: |
Bradycardia | 24% | 6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 23 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 23 Sources: |
Tachycardia | 23% | 6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 49 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 49 Sources: |
QT interval prolonged | 64% | 6 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 49 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 49 Sources: |
Torsades de pointes | 7% | 80 g single, oral Overdose |
unhealthy, 29 years (range: 23-40 years) n = 49 Health Status: unhealthy Age Group: 29 years (range: 23-40 years) Sex: M+F Population Size: 49 Sources: |
Extrapyramidal disorder | 1200 mg single, oral Overdose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
unhealthy Health Status: unhealthy Sources: |
|
Coma | 1 patient | 3000 mg single, oral Overdose |
unhealthy n = 1 |
Hyperthermia | 1 patient | 3000 mg single, oral Overdose |
unhealthy n = 1 |
Mydriasis | 1 patient | 3000 mg single, oral Overdose |
unhealthy n = 1 |
Seizures | 1 patient | 3000 mg single, oral Overdose |
unhealthy n = 1 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 46.1 uM] | ||||
no [IC50 >100 uM] | ||||
no [IC50 >100 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2020/209510Orig1s000MultidisciplineR.pdf#page=179 Page: 179.0 |
no | |||
no | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2020/209510Orig1s000MultidisciplineR.pdf#page=179 Page: 179.0 |
no | |||
no | ||||
no | ||||
no | ||||
no | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2020/209510Orig1s000MultidisciplineR.pdf#page=179 Page: 179.0 |
no | |||
no | ||||
no | ||||
no | ||||
no | ||||
weak [Inhibition 100 uM] | ||||
weak [Inhibition 100 uM] | ||||
yes [IC50 10.1 uM] | ||||
yes [IC50 16.1 uM] | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
weak | ||||
yes | ||||
yes | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Pharmacology of human dopamine D3 receptor expressed in a mammalian cell line: comparison with D2 receptor. | 1992 Apr 10 |
|
Amisulpride: is there a treatment for negative symptoms in schizophrenia patients? | 2002 |
|
Amisulpride: progress and outcomes. | 2002 |
|
Long-term effects of the substituted benzamide derivative amisulpride on baseline and stimulated prolactin levels. | 2002 |
|
Amisulpride for schizophrenia. | 2002 |
|
Dopaminergic deficit and the role of amisulpride in the treatment of schizophrenia. | 2002 Dec |
|
Dopaminergic deficit and the role of amisulpride in the treatment of mood disorders. | 2002 Dec |
|
Liver function tests during treatment with antipsychotic drugs: a case series of 23 patients. | 2002 Dec |
|
Effects of amisulpride on consummatory negative contrast. | 2002 Dec |
|
Variations in prescribing atypical antipsychotic drugs in primary care: cross-sectional study. | 2002 Jun |
|
Neuroleptic malignant syndrome due to atypical neuroleptics: three episodes in one patient. | 2002 May |
|
Gateways to clinical trials. | 2002 May |
|
Effect of the amisulpride isomers on rat catalepsy. | 2002 May 24 |
|
Discriminative stimulus properties in rats of the novel antipsychotic quetiapine. | 2002 Nov |
|
New generation antipsychotics for first episode schizophrenia. | 2003 |
|
Benefits and risks of pharmacotherapy for dysthymia: a systematic appraisal of the evidence. | 2003 |
|
Is regionally selective D2/D3 dopamine occupancy sufficient for atypical antipsychotic effect? an in vivo quantitative [123I]epidepride SPET study of amisulpride-treated patients. | 2003 Aug |
|
Analysis of eighteen antidepressants, four atypical antipsychotics and active metabolites in serum by liquid chromatography: a simple tool for therapeutic drug monitoring. | 2003 Aug 25 |
|
Which neuroleptic would psychiatrists take for themselves or their relatives? | 2003 Feb |
|
Respective roles of dopamine D2 and D3 receptors in food-seeking behaviour in rats. | 2003 Feb |
|
Automated determination of amisulpride by liquid chromatography with column switching and spectrophotometric detection. | 2003 Feb 5 |
|
Amisulpride versus risperidone in the treatment of schizophrenic patients: a double-blind pilot study in Taiwan. | 2003 Jan |
|
[Frontal dysfunctions in Huntington's disease -- neuropsychology and therapy]. | 2003 Jan |
|
Quantification of D2-like dopamine receptors in the human brain with 18F-desmethoxyfallypride. | 2003 Jan |
|
Lack of effect of amisulpride on the pharmacokinetics and safety of lithium. | 2003 Jun |
|
A meta-analysis of the efficacy of second-generation antipsychotics. | 2003 Jun |
|
Rapid high-performance liquid chromatographic measurement of amisulpride in human plasma: application to manage acute intoxication. | 2003 Jun 5 |
|
The new and evolving pharmacotherapy of schizophrenia. | 2003 Mar |
|
Screening, library-assisted identification and validated quantification of fifteen neuroleptics and three of their metabolites in plasma by liquid chromatography/mass spectrometry with atmospheric pressure chemical ionization. | 2003 Mar |
|
[Plasma prolactin level and incidence of adverse endocrinologic effects during therapy with atypical neuroleptics]. | 2003 May |
|
New generation antipsychotics versus low-potency conventional antipsychotics: a systematic review and meta-analysis. | 2003 May 10 |
|
How does the benzamide antipsychotic amisulpride get into the brain?--An in vitro approach comparing amisulpride with clozapine. | 2003 Nov |
|
Metabolic drug interactions with new psychotropic agents. | 2003 Oct |
|
Amisulpride: limbic specificity and the mechanism of antipsychotic atypicality. | 2003 Oct |
|
The antinociceptive effect of amisulpride in mice is mediated through opioid mechanisms. | 2003 Oct 8 |
|
Response of catatonic schizophrenia to amisulpride: a case report. | 2003 Sep |
|
Adverse metabolic effects associated with atypical antipsychotics: literature review and clinical implications. | 2004 |
|
Quetiapine. A review of its use in the management of schizophrenia. | 2004 |
|
Amisulpride is an "atypical" antipsychotic associated with low weight gain. | 2004 Apr |
|
Combination of amisulpride and olanzapine in treatment-resistant schizophrenic psychoses. | 2004 Feb |
|
Combination of clozapine and amisulpride in treatment-resistant schizophrenia--case reports and review of the literature. | 2004 Jan |
|
Characterization of the effects of receptor-selective ligands in rats discriminating the novel antipsychotic quetiapine. | 2004 Jan |
|
Evidence-based pharmacotherapy of schizophrenia. | 2004 Jun |
|
Dopaminergic receptors in rat dura mater: pharmacological characteristics. | 2004 Mar |
|
Dosage finding and outcome in the treatment of schizophrenic inpatients with amisulpride. Results of a drug utilization observation study. | 2004 Mar |
|
Lower risk for tardive dyskinesia associated with second-generation antipsychotics: a systematic review of 1-year studies. | 2004 Mar |
|
How do we choose between atypical antipsychotics? The advantages of amisulpride. | 2004 Mar |
|
Amisulpride a selective dopamine antagonist and atypical antipsychotic: results of a meta-analysis of randomized controlled trials. | 2004 Mar |
|
Successful treatment of Tourette's disorder with amisulpride. | 2004 May |
|
Prolactinemia is uncoupled from central D2/D3 dopamine receptor occupancy in amisulpride treated patients. | 2004 Sep |
Patents
Sample Use Guides
For acute psychotic episodes, oral doses between 400 mg/d and 800 mg/d are recommended. In individual cases, the daily dose may be increased up to 1200 mg/d. Doses above 1200 mg/d have not been extensively evaluated for safety and therefore should not be used. Doses above 800 mg/d have not been shown to be superior to lower doses and may increase the incidence of adverse events. No specific titration is required when initiating the treatment with amisulpride. Doses should be adjusted according to individual response.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8996185
In NG108-15 cells stably transfected with the human D3 dopamine receptor amisulpride inhibited quinpirole-elicited mitogenesis with an IC50 value of 22 nM
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 09:03:25 GMT 2023
by
admin
on
Sat Dec 16 09:03:25 GMT 2023
|
Record UNII |
TC6N8QV7QO
|
Record Status |
Validated (UNII)
|
Record Version |
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-
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Common Name | English | ||
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Systematic Name | English |
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TC6N8QV7QO
Created by
admin on Sat Dec 16 09:03:25 GMT 2023 , Edited by admin on Sat Dec 16 09:03:25 GMT 2023
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10046897
Created by
admin on Sat Dec 16 09:03:25 GMT 2023 , Edited by admin on Sat Dec 16 09:03:25 GMT 2023
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81342-13-4
Created by
admin on Sat Dec 16 09:03:25 GMT 2023 , Edited by admin on Sat Dec 16 09:03:25 GMT 2023
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ENANTIOMER -> RACEMATE |
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ACTIVE MOIETY |