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

Details

Stereochemistry ACHIRAL
Molecular Formula C23H32N6O4S
Molecular Weight 488.603
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of VARDENAFIL

SMILES

CCCC1=NC(C)=C2N1NC(=NC2=O)C3=CC(=CC=C3OCC)S(=O)(=O)N4CCN(CC)CC4

InChI

InChIKey=SECKRCOLJRRGGV-UHFFFAOYSA-N
InChI=1S/C23H32N6O4S/c1-5-8-20-24-16(4)21-23(30)25-22(26-29(20)21)18-15-17(9-10-19(18)33-7-3)34(31,32)28-13-11-27(6-2)12-14-28/h9-10,15H,5-8,11-14H2,1-4H3,(H,25,26,30)

HIDE SMILES / InChI

Molecular Formula C23H32N6O4S
Molecular Weight 488.603
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/021400s017lbl.pdf

Vardenafil (Levitra) is an oral therapy for the treatment of erectile dysfunction. It is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Penile erection is a hemodynamic process initiated by the relaxation of smooth muscle in the corpus cavernosum and its associated arterioles. During sexual stimulation, nitric oxide is released from nerve endings and endothelial cells in the corpus cavernosum. Nitric oxide activates the enzyme guanylate cyclase resulting in increased synthesis of cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the corpus cavernosum. The cGMP in turn triggers smooth muscle relaxation, allowing increased blood flow into the penis, resulting in erection. The tissue concentration of cGMP is regulated by both the rates of synthesis and degradation via phosphodiesterases (PDEs). The most abundant PDE in the human corpus cavernosum is the cGMPspecific phosphodiesterase type 5 (PDE5); therefore, the inhibition of PDE5 enhances erectile function by increasing the amount of cGMP.

CNS Activity

Curator's Comment: Vardenafil crossed the BBB

Originator

Curator's Comment: # Bayer

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.0 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Levitra

Approved Use

LEVITRA is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction.

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
30.1 ng/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
22.83 ng × h/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.21 h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
VARDENAFIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
2.4 mg 12 times / day multiple, respiratory (starting)
Highest studied dose
Dose: 2.4 mg, 12 times / day
Route: respiratory
Route: multiple
Dose: 2.4 mg, 12 times / day
Sources:
healthy, 27.5 years (range: 24-31 years)
n = 8
Health Status: healthy
Age Group: 27.5 years (range: 24-31 years)
Sex: M+F
Population Size: 8
Sources:
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Other AEs: Back pain, Myalgia...
Other AEs:
Back pain
Myalgia
Abnormal vision
Sources:
2.4 mg single, respiratory
Highest studied dose
Dose: 2.4 mg
Route: respiratory
Route: single
Dose: 2.4 mg
Sources:
healthy, adult
n = 6
Health Status: healthy
Age Group: adult
Sex: M+F
Population Size: 6
Sources:
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Disc. AE: Headache, Flushing...
AEs leading to
discontinuation/dose reduction:
Headache (19 patients)
Flushing (10 patients)
Rhinitis (5 patients)
Tachycardia (4 patients)
Nausea (5 patients)
Liver function test abnormal (4 patients)
Dizziness (3 patients)
Hypesthesia (3 patients)
Abdominal pain (3 patients)
Palpitations (3 patients)
Sources: Page: p. 34
AEs

AEs

AESignificanceDosePopulation
Abnormal vision
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Back pain
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Myalgia
120 mg single, oral
Highest studied dose
Dose: 120 mg
Route: oral
Route: single
Dose: 120 mg
Sources:
healthy, adult
n = 8
Health Status: healthy
Age Group: adult
Sex: M
Population Size: 8
Sources:
Flushing 10 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Headache 19 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Abdominal pain 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Dizziness 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Hypesthesia 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Palpitations 3 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Liver function test abnormal 4 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Tachycardia 4 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Nausea 5 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Rhinitis 5 patients
Disc. AE
10 mg 1 times / day steady, oral
Recommended
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: p. 34
unhealthy, adult
n = 2203
Health Status: unhealthy
Age Group: adult
Population Size: 2203
Sources: Page: p. 34
Overview

OverviewOther

Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: label: coadministration with ketoconazole (inhibitor) increased mean AUC and Cmax of vardenafil by 10-fold and 4-fold, respectively; coadministration with erythromycin (CYP3A4 substrate) increased mean AUC and Cmax of vardenafil, respectively; coadministration with indinavir (CYP3A4 inhibitor) increased mean AUC and Cmax of vardenafil by 16 fold and 7 fold, respectively; Ritonavir co-administered with vardenafil resulted in a 49-fold increase in vardenafil AUC and a 13­ fold increase in vardenafil Cmax;
Page: 19.0
minor
minor
minor
minor
yes
yes
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
The oral efficacy of vardenafil hydrochloride for inducing penile erection in a conscious rabbit model.
2001 Apr
The efficacy and tolerability of vardenafil, a new, oral, selective phosphodiesterase type 5 inhibitor, in patients with erectile dysfunction: the first at-home clinical trial.
2001 Aug
Vardenafil increases penile rigidity and tumescence in erectile dysfunction patients: a RigiScan and pharmacokinetic study.
2001 Feb
Oral drug therapy for erectile dysfunction.
2001 May
Effects of two selective phosphodiesterase type 5 inhibitors, sildenafil and vardenafil, on object recognition memory and hippocampal cyclic GMP levels in the rat.
2002
[Erectile dysfunction. New therapy options ante portas].
2002 Feb 14
Vardenafil for treatment of men with erectile dysfunction: efficacy and safety in a randomized, double-blind, placebo-controlled trial.
2002 Nov-Dec
Vardenafil: a review of its use in erectile dysfunction.
2003
[How effective are PDE-5 inhibitors?].
2003 Apr
Sustained efficacy and tolerability of vardenafil, a highly potent selective phosphodiesterase type 5 inhibitor, in men with erectile dysfunction: results of a randomized, double-blind, 26-week placebo-controlled pivotal trial.
2003 Apr
The phosphodiesterase inhibitor 'war'.
2003 Apr
US advertising campaign begins for alternative to sildenafil.
2003 Aug 30
Pro-erectile effect of vardenafil: in vitro experiments in rabbits and in vivo comparison with sildenafil in rats.
2003 Dec
Vardenafil: a new approach to the treatment of erectile dysfunction.
2003 Dec
Molecular mechanisms and pharmacokinetics of phosphodiesterase-5 antagonists.
2003 Dec
Sildenafil and vardenafil, types 5 and 6 phosphodiesterase inhibitors, induce caspase-dependent apoptosis of B-chronic lymphocytic leukemia cells.
2003 Jan 1
New phosphodiesterase type 5 inhibitors in the management of erectile dysfunction.
2003 Jun
[Conservative treatment of erectile dysfunction].
2003 Jun 1
Proceedings of the 99th meeting of the Food and Drug Administration Cardiovascular and Renal Drugs Advisory Committee. May 29th and 30th, 2003.
2003 Jun 17
[New PDE-5 inhibitor for treatment of impotence. 9 out of 10 have erections again].
2003 Jun 26
Gateways to clinical trials. March 2003.
2003 Mar
Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose study.
2003 Mar
Gateways to clinical trials.
2003 May
Effects of medical or surgical castration on erectile function in an animal model.
2003 May-Jun
Switching patients with erectile dysfunction from sildenafil citrate to tadalafil: results of a European multicenter, open-label study of patient preference.
2003 Nov
Overview of phosphodiesterase 5 inhibition in erectile dysfunction.
2003 Nov 6
[Drug therapy of erectile dysfunction--the current status].
2003 Oct
Phosphodiesterase type 5 inhibitors: a biochemical and clinical correlation survey.
2003 Oct
New drugs and dosage forms.
2003 Oct 1
Novel PDE5 inhibitors for the treatment of male erectile dysfunction.
2003 Oct-Nov
[Medication of the month. Vardenafil (Levitra)].
2003 Sep
FDA approves new drug for treatment of erectile dysfunction in men.
2003 Sep-Oct
Spotlight on vardenafil in erectile dysfunction.
2004
Tadalafil and vardenafil.
2004 Apr
Role of the cardiologist: clinical aspects of managing erectile dysfunction.
2004 Apr
Drug approval highlights for 2003.
2004 Feb
[Treatment of erectile dysfunction].
2004 Feb 29
The efficacy and safety of flexible-dose vardenafil (levitra) in a broad population of European men.
2004 May
Patents

Sample Use Guides

For most patients, the starting dose is 10 mg, up to once daily. Increase to 20 mg or decrease to 5 mg based on efficacy/tolerability. A starting dose of 5 mg LEVITRA should be considered in patients ≥ 65 years of age. LEVITRA is taken orally, approximately 60 minutes before sexual activity. The maximum recommended dosing frequency is one tablet per day.
Route of Administration: Oral
Treatment with vardenafil at concentrations of 50, 100, and 250 umol/L increased expression of PlGF in a dose-dependent manner in human umbilical vein endothelial cells.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:44:26 GMT 2023
Edited
by admin
on Fri Dec 15 15:44:26 GMT 2023
Record UNII
UCE6F4125H
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
VARDENAFIL
EMA EPAR   HSDB   INN   MART.   MI   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
VARDENAFIL [USAN]
Common Name English
VARDENAFIL [EMA EPAR]
Common Name English
VARDENAFIL [VANDF]
Common Name English
VARDENAFIL [HSDB]
Common Name English
vardenafil [INN]
Common Name English
Vardenafil [WHO-DD]
Common Name English
VARDENAFIL [MART.]
Common Name English
1-((3-(3,4-DIHYDRO-5-METHYL-4-OXO-7-PROPYLIMIDAZO(5,1-F)-AS-TRIAZIN-2-YL)-4-ETHOXYPHENYL)SULFONYL)-4-ETHYLPIPERAZINE
Common Name English
VIVANZA
Brand Name English
BAY-389456
Code English
VARDENAFIL [MI]
Common Name English
BAY38-9456
Code English
Classification Tree Code System Code
EMA ASSESSMENT REPORTS LEVITRA (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
NDF-RT N0000020026
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
FDA ORPHAN DRUG 679319
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
WHO-ATC G04BE09
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
WHO-VATC QG04BE09
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
LIVERTOX NBK548920
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
NCI_THESAURUS C2127
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
NDF-RT N0000175599
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
EMA ASSESSMENT REPORTS VIVANZA (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
Code System Code Type Description
DAILYMED
UCE6F4125H
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
INN
7950
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
MESH
C426063
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
USAN
NN-53
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
WIKIPEDIA
VARDENAFIL
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
SMS_ID
100000089525
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
NCI_THESAURUS
C66650
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
HSDB
7304
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
IUPHAR
7320
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
LACTMED
Vardenafil
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
RXCUI
306674
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY RxNorm
PUBCHEM
135400189
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
EPA CompTox
DTXSID3048318
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
ChEMBL
CHEMBL1520
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
CAS
224785-90-4
Created by admin on Fri Dec 15 15:44:26 GMT 2023 , Edited by admin on Fri Dec 15 15:44:26 GMT 2023
PRIMARY
DRUG BANK
DB00862
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
FDA UNII
UCE6F4125H
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
DRUG CENTRAL
2809
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
MERCK INDEX
m11394
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY Merck Index
EVMPD
SUB20047
Created by admin on Fri Dec 15 15:44:27 GMT 2023 , Edited by admin on Fri Dec 15 15:44:27 GMT 2023
PRIMARY
Related Record Type Details
METABOLIC ENZYME -> SUBSTRATE
BINDER->LIGAND
BINDING
SALT/SOLVATE -> PARENT
SALT/SOLVATE -> PARENT
METABOLIC ENZYME -> SUBSTRATE
MAJOR
TRANSPORTER -> INHIBITOR
SALT/SOLVATE -> PARENT
Related Record Type Details
METABOLITE -> PARENT
FECAL; PLASMA
METABOLITE -> PARENT
CYP2C9 also contributes to the metabolism of vardenafil.
MINOR
FECAL; PLASMA; URINE
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Tmax PHARMACOKINETIC FASTED STATE

Volume of Distribution PHARMACOKINETIC
Biological Half-life PHARMACOKINETIC