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Alcaftadine
Also known as: 147084-10-4, Lastacaft, R89674, R-89674, R 89674, 7z8o94ecsx
Molecular Formula
C19H21N3O
Molecular Weight
307.4  g/mol
InChI Key
MWTBKTRZPHJQLH-UHFFFAOYSA-N
FDA UNII
7Z8O94ECSX

Alcaftadine is a H1 histamine receptor antagonist indicated for the prevention of itching associated with allergic conjunctivitis. This drug was approved in July 2010.
Alcaftadine is a Histamine-1 Receptor Antagonist. The mechanism of action of alcaftadine is as a Histamine H1 Receptor Antagonist.
1 2D Structure

Alcaftadine

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
11-(1-methylpiperidin-4-ylidene)-5,6-dihydroimidazo[2,1-b][3]benzazepine-3-carbaldehyde
2.1.2 InChI
InChI=1S/C19H21N3O/c1-21-9-6-15(7-10-21)18-17-5-3-2-4-14(17)8-11-22-16(13-23)12-20-19(18)22/h2-5,12-13H,6-11H2,1H3
2.1.3 InChI Key
MWTBKTRZPHJQLH-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CN1CCC(=C2C3=CC=CC=C3CCN4C2=NC=C4C=O)CC1
2.2 Other Identifiers
2.2.1 UNII
7Z8O94ECSX
2.3 Synonyms
2.3.1 Depositor-Supplied Synonyms

1. 147084-10-4

2. Lastacaft

3. R89674

4. R-89674

5. R 89674

6. 7z8o94ecsx

7. Chebi:71023

8. 11-(1-methylpiperidin-4-ylidene)-5,6-dihydroimidazo[2,1-b][3]benzazepine-3-carbaldehyde

9. Lastacaft (tn)

10. 11-(1-methylpiperidin-4-ylidene)-6,11-dihydro-5h-imidazo[2,1-b][3]benzazepine-3-carbaldehyde

11. 2-(1-methylpiperidin-4-ylidene)-4,7-diazatricyclo[8.4.0.0(3,7)]tetradeca- 1(14),3,5,10,12-pentaene-6-carbaldehyde

12. Alcaftadine [usan:inn]

13. Unii-7z8o94ecsx

14. Alcaftadina

15. Alcaftadinum

16. 5h-imidazo(2,1-b)(3)benzazepine-3-carboxaldehyde, 6,11-dihydro-11-(1-methyl-4-piperidinylidene)-

17. 5h-imidazo[2,1-b][3]benzazepine-3-carboxaldehyde, 6,11-dihydro-11-(1-methyl-4-piperidinylidene)-

18. Alcaftadine [inn]

19. Alcaftadine [jan]

20. Alcaftadine [usan]

21. Alcaftadine [vandf]

22. Alcaftadine [mart.]

23. Alcaftadine [who-dd]

24. Alcaftadine (jan/usan/inn)

25. Gtpl7587

26. Schembl1602418

27. Chembl1201747

28. Alcaftadine, >=98% (hplc)

29. (unlabelled)alcaftadine-13c-d3

30. Alcaftadine [orange Book]

31. Dtxsid80598455

32. Hms3885b12

33. Bcp04261

34. Mfcd09954106

35. S4625

36. Zinc11726211

37. Akos025402002

38. Am84429

39. Bcp9000269

40. Ccg-267551

41. Db06766

42. Ncgc00390732-04

43. 5h-imidazo[2,1-b][3]benzazepine-3-carboxaldehyde,6,11-dihydro-11-(1-methyl-4-piperidinylidene)-

44. Ac-28019

45. As-56303

46. Hy-17039

47. Bcp0726000082

48. Db-063693

49. Ft-0661472

50. A16393

51. D06552

52. Q4712900

53. 11-(1-methylpiperidin-4-ylidene)-5,6-dihydroimidazo[2,3-b][3]benzazepine-3-carbaldehyde

54. 11-(1-methylpiperidin-4-ylidene)-6,11-dihydro-5h-benzo[d]imidazo[1,2-a]azepine-3-carbaldehyde

55. 11-(1-methylpiperidin-4-ylidene)-6,11-dihydro-5h-imidazolo(2,1-b)(3)benzazepine-3-carbaldehyde

56. 2-(1-methylpiperidin-4-ylidene)-4,7-diazatricyclo[8.4.0.0^{3,7}]tetradeca-1(14),3,5,10,12-pentaene-6-carbaldehyde

57. 4-(1-methyl-piperidin-4-ylidene)-9,10-dihydro-4h-3,10a-diaza-benzo(f)azulene-1-carbaldehyde

58. 5h-imidazo(2,1-b)(3)benzazepine-3-carboxaldehyde, 6,11-dihydro-11-(1-methyl-4- Piperidinylidene)-

2.4 Create Date
2007-12-04
3 Chemical and Physical Properties
Molecular Weight 307.4 g/mol
Molecular Formula C19H21N3O
XLogP31.7
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count3
Rotatable Bond Count1
Exact Mass307.168462302 g/mol
Monoisotopic Mass307.168462302 g/mol
Topological Polar Surface Area38.1 Ų
Heavy Atom Count23
Formal Charge0
Complexity479
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameLastacaft
PubMed HealthAlcaftadine (Into the eye)
Drug ClassesOphthalmologic Agent
Drug LabelLASTACAFT is a sterile, topically administered H1 receptor antagonist containing alcaftadine for ophthalmic use. Alcaftadine is a white to yellow powder with an empirical formula of C19H21N3O and a molecular weight of 307.39. Contains: Active: alca...
Active IngredientAlcaftadine
Dosage FormSolution/drops
RouteOphthalmic
Strength0.25%
Market StatusPrescription
CompanyAllergan

2 of 2  
Drug NameLastacaft
PubMed HealthAlcaftadine (Into the eye)
Drug ClassesOphthalmologic Agent
Drug LabelLASTACAFT is a sterile, topically administered H1 receptor antagonist containing alcaftadine for ophthalmic use. Alcaftadine is a white to yellow powder with an empirical formula of C19H21N3O and a molecular weight of 307.39. Contains: Active: alca...
Active IngredientAlcaftadine
Dosage FormSolution/drops
RouteOphthalmic
Strength0.25%
Market StatusPrescription
CompanyAllergan

4.2 Drug Indication

For the prevention of itching associated with allergic conjunctivitis.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

Following bilateral topical ocular administration of alcaftadine ophthalmic solution, 0.25%, the mean plasma Cmax of alcaftadine was approximately 60 pg/mL and the median Tmax occurred at 15 minutes. Plasma concentrations of alcaftadine were below the lower limit of quantification (10 pg/mL) by 3 hours after dosing. The mean Cmax of the active carboxylic acid metabolite was approximately 3 ng/mL and occurred at 1 hour after dosing. Plasma concentrations of the carboxylic acid metabolite were below the lower limit of quantification (100 pg/mL) by 12 hours after dosing.


5.2 MeSH Pharmacological Classification

Histamine H1 Antagonists

Drugs that selectively bind to but do not activate histamine H1 receptors, thereby blocking the actions of endogenous histamine. Included here are the classical antihistaminics that antagonize or prevent the action of histamine mainly in immediate hypersensitivity. They act in the bronchi, capillaries, and some other smooth muscles, and are used to prevent or allay motion sickness, seasonal rhinitis, and allergic dermatitis and to induce somnolence. The effects of blocking central nervous system H1 receptors are not as well understood. (See all compounds classified as Histamine H1 Antagonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
ALCAFTADINE
5.3.2 FDA UNII
7Z8O94ECSX
5.3.3 Pharmacological Classes
Histamine-1 Receptor Antagonist [EPC]; Histamine H1 Receptor Antagonists [MoA]
5.4 ATC Code

S - Sensory organs

S01 - Ophthalmologicals

S01G - Decongestants and antiallergics

S01GX - Other antiallergics

S01GX11 - Alcaftadine


5.5 Absorption, Distribution and Excretion

Route of Elimination

Based on data following oral administration of alcaftadine, the carboxylic acid metabolite is primarily eliminated unchanged in the urine.


5.6 Metabolism/Metabolites

The metabolism of alcaftadine is mediated by non-CYP450 cytosolic enzymes to the active carboxylic acid metabolite.


5.7 Biological Half-Life

The elimination half-life of the carboxylic acid metabolite is approximately 2 hours following topical ocular administration.


5.8 Mechanism of Action

Alcaftadine is a H1 histamine receptor antagonist and inhibitor of the release of histamine from mast cells. Decreased chemotaxis and inhibition of eosinophil activation has also been demonstrated.


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