Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C15H22N2O |
Molecular Weight | 246.348 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCN(CC)C(=O)[C@]1(C[C@H]1CN)C2=CC=CC=C2
InChI
InChIKey=GJJFMKBJSRMPLA-DZGCQCFKSA-N
InChI=1S/C15H22N2O/c1-3-17(4-2)14(18)15(10-13(15)11-16)12-8-6-5-7-9-12/h5-9,13H,3-4,10-11,16H2,1-2H3/t13-,15+/m0/s1
Molecular Formula | C15H22N2O |
Molecular Weight | 246.348 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/23499664Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/24000002 | https://www.ncbi.nlm.nih.gov/pubmed/27180420
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23499664
Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/24000002 | https://www.ncbi.nlm.nih.gov/pubmed/27180420
Levomilnacipran (1S, 2R/F2695) is an enantiomer of milnacipran, a serotonin/norepinephrine (5-HT/NE) reuptake inhibitor. Levomilnacipran is pharmacologically more active as compared with racemic mixture and dextromilnacipran (1R, 2S/F2696). The safety of the drug is
also higher than the safety of a racemate, resulting in a beneficial impact on the therapeutic effect. Pierre Fabre and Forest Laboratories are developing levomilnacipran extended release (ER) [FETZIMA™], an enantiomer of milnacipran, for the treatment of major depressive disorder (MDD). In addition, Pierre Fabre (the originator of the compound) is developing the drug to improve recovery in patients with ischaemic stroke.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL228 Sources: https://www.ncbi.nlm.nih.gov/pubmed/23499664 |
11.2 nM [Ki] | ||
Target ID: CHEMBL222 Sources: https://www.ncbi.nlm.nih.gov/pubmed/23499664 |
92.2 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | FETZIMA Approved UseFETZIMA (levomilnacipran) extended-release capsules is a serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the treatment of Major Depressive Disorder (MDD) in adults.
FETZIMA is not approved for the management of fibromyalgia, and its efficacy and safety have not been established for that use. Launch Date2013 |
|||
Primary | FETZIMA Approved UseFETZIMA (levomilnacipran) extended-release capsules is a serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the treatment of Major Depressive Disorder (MDD) in adults.
FETZIMA is not approved for the management of fibromyalgia, and its efficacy and safety have not been established for that use. Launch Date2013 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
341 ng/mL |
120 mg 1 times / day steady-state, oral dose: 120 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LEVOMILNACIPRAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5196 ng × h/mL |
120 mg 1 times / day steady-state, oral dose: 120 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LEVOMILNACIPRAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
12 h |
120 mg 1 times / day steady-state, oral dose: 120 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LEVOMILNACIPRAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
78% |
120 mg 1 times / day steady-state, oral dose: 120 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LEVOMILNACIPRAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.766 |
unhealthy, 18-80 n = 825 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 825 Sources: Page: p.766 |
Disc. AE: Angina pectoris, Extrasystoles supraventricular... AEs leading to discontinuation/dose reduction: Angina pectoris (0.12%) Sources: Page: p.766Extrasystoles supraventricular (0.12%) Encephalopathy (0.12%) Mania (0.12%) |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Disc. AE: Tachycardia, Nausea... AEs leading to discontinuation/dose reduction: Tachycardia Sources: Page: p.52Nausea Insomnia Agitation Constipation Hypertension |
120 mg 1 times / day multiple, oral MTD Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.22 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.22 |
|
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.12 |
unhealthy n = 1583 Health Status: unhealthy Condition: Major Depressive Disorder Population Size: 1583 Sources: Page: p.12 |
Disc. AE: Nausea... AEs leading to discontinuation/dose reduction: Nausea (1.5%) Sources: Page: p.12 |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Disc. AE: Suicidal ideation, Serotonin syndrome... AEs leading to discontinuation/dose reduction: Suicidal ideation Sources: Page: p.1Serotonin syndrome Blood pressure increased Heart rate increased Bleeding Angle closure glaucoma Urinary hesitation Urinary retention Mania Hypomania Hyponatremia |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Angina pectoris | 0.12% Disc. AE |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.766 |
unhealthy, 18-80 n = 825 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 825 Sources: Page: p.766 |
Encephalopathy | 0.12% Disc. AE |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.766 |
unhealthy, 18-80 n = 825 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 825 Sources: Page: p.766 |
Extrasystoles supraventricular | 0.12% Disc. AE |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.766 |
unhealthy, 18-80 n = 825 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 825 Sources: Page: p.766 |
Mania | 0.12% Disc. AE |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.766 |
unhealthy, 18-80 n = 825 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 825 Sources: Page: p.766 |
Agitation | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Constipation | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Hypertension | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Insomnia | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Nausea | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Tachycardia | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.52 |
unhealthy, 18-80 n = 217 Health Status: unhealthy Condition: Major Depressive Disorder Age Group: 18-80 Sex: M+F Population Size: 217 Sources: Page: p.52 |
Nausea | 1.5% Disc. AE |
120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.12 |
unhealthy n = 1583 Health Status: unhealthy Condition: Major Depressive Disorder Population Size: 1583 Sources: Page: p.12 |
Angle closure glaucoma | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Bleeding | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Blood pressure increased | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Heart rate increased | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Hypomania | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Hyponatremia | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Mania | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Serotonin syndrome | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Suicidal ideation | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Urinary hesitation | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Urinary retention | Disc. AE | 120 mg 1 times / day multiple, oral (max) Recommended Dose: 120 mg, 1 times / day Route: oral Route: multiple Dose: 120 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major Depressive Disorder Sources: Page: p.1 |
Overview
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204168Orig1s000PharmR.pdf#page=25 Page: 25.0 |
Sample Use Guides
Initial Treatment of Major Depressive Disorder: The recommended dose range for FETZIMA (levomilnacipran extended-release capsules)
is 40 mg to 120 mg once daily. FETZIMA should be initiated at 20 mg once daily for 2 days and
then increased to 40 mg once daily.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23499664
Levomilnacipran inhibits norepinephrine and serotonin reuptake in rat hypothalamic synaptosomes with IC50 values of 15 and 46 nM, respectively
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 18:32:34 GMT 2023
by
admin
on
Fri Dec 15 18:32:34 GMT 2023
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Record UNII |
UGM0326TXX
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Record Status |
Validated (UNII)
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N0000175749
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YY-40
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LEVOMILNACIPRAN
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1433212
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Levomilnacipran
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RACEMATE -> ENANTIOMER |
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METABOLITE -> PARENT |
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ACTIVE MOIETY |
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