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Chemistry

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Also known as: 913611-97-9, Opc-34712, Rexulti, 7-(4-(4-(benzo[b]thiophen-4-yl)piperazin-1-yl)butoxy)quinolin-2(1h)-one, Opc 34712, 2j3ybm1k8c
Molecular Formula
C25H27N3O2S
Molecular Weight
433.6  g/mol
InChI Key
ZKIAIYBUSXZPLP-UHFFFAOYSA-N
FDA UNII
2J3YBM1K8C

Brexpiprazole
Brexpiprazole is a novel D2 dopamine and serotonin 1A partial agonist, called serotonin-dopamine activity modulator (SDAM), and a potent antagonist of serotonin 2A receptors, noradrenergic alpha 1B and 2C receptors. Brexpiprazole is approved for the treatment of schizophrenia, and as an adjunctive treatment for major depressive disorder (MDD). Although it failed Phase II clinical trials for ADHD, it has been designed to provide improved efficacy and tolerability (e.g., less akathisia, restlessness and/or insomnia) over established adjunctive treatments for major depressive disorder (MDD).
Brexpiprazole is an Atypical Antipsychotic.
1 2D Structure

Brexpiprazole

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
7-[4-[4-(1-benzothiophen-4-yl)piperazin-1-yl]butoxy]-1H-quinolin-2-one
2.1.2 InChI
InChI=1S/C25H27N3O2S/c29-25-9-7-19-6-8-20(18-22(19)26-25)30-16-2-1-11-27-12-14-28(15-13-27)23-4-3-5-24-21(23)10-17-31-24/h3-10,17-18H,1-2,11-16H2,(H,26,29)
2.1.3 InChI Key
ZKIAIYBUSXZPLP-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1CN(CCN1CCCCOC2=CC3=C(C=C2)C=CC(=O)N3)C4=C5C=CSC5=CC=C4
2.2 Other Identifiers
2.2.1 UNII
2J3YBM1K8C
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 7-(4-(4-(1-benzothiophen-4-yl)piperazin-1-yl)butoxy)quinolin-2(1h)-one

2. Rexulti

2.3.2 Depositor-Supplied Synonyms

1. 913611-97-9

2. Opc-34712

3. Rexulti

4. 7-(4-(4-(benzo[b]thiophen-4-yl)piperazin-1-yl)butoxy)quinolin-2(1h)-one

5. Opc 34712

6. 2j3ybm1k8c

7. 7-(4-(4-(1-benzothiophen-4-yl)piperazin-1-yl)butoxy)quinolin-2(1h)-one

8. 7-[4-[4-(1-benzothiophen-4-yl)piperazin-1-yl]butoxy]-1h-quinolin-2-one

9. Brexpiprazole [usan]

10. Unii-2j3ybm1k8c

11. Brexpiprazole [usan:inn]

12. Rxulti

13. Rexulti (tn)

14. Brexpiprazole.2h2o

15. Brexpiprazole-[d8]

16. Brexpiprazole [mi]

17. Brexpiprazole [inn]

18. Brexpiprazole [jan]

19. Brexpiprazole(opc34712)

20. Brexpiprazole; Opc-34712

21. Brexpiprazole [who-dd]

22. Gtpl7672

23. Schembl1037592

24. Brexpiprazole (jan/usan/inn)

25. Chembl2105760

26. Schembl14772509

27. Amy6914

28. Dtxsid40238527

29. Chebi:134716

30. Hms3885p12

31. Brexpiprazole [orange Book]

32. Bcp10218

33. Bcp24077

34. Ex-a2639

35. Opc34712

36. Mfcd27987920

37. S4639

38. Zinc84758479

39. Akos025291100

40. Akos037515802

41. Ccg-269055

42. Db09128

43. Sb16735

44. Ncgc00378574-01

45. Ncgc00378574-02

46. Ac-30404

47. As-56467

48. Da-35913

49. Hy-15780

50. Ft-0712292

51. A13527

52. D10309

53. Q2924764

54. 2(1h)-quinolinone, 7-(4-(4-benzo(b)thien-4-yl-1-piperazinyl)butoxy)-

55. 7-[4-(4-benzo[b]thien-4-yl-1-piperazinyl)butoxy]- 2(1h)-quinolinone

56. 7-[4-(4-benzo[b]thiophen-4-yl-piperazin-1-yl)-butoxy]-1h-quinolin-2-one

57. 7-[4-(4-benzo[b]thiophen-4-yl-piperazin-1-yl)butoxy]-1h-quinolin-2-one

58. 7-[4-(4-benzo[b]thiophen-4-ylpiperazin-1-yl)butoxy]-1h-quinolin-2-one

2.4 Create Date
2007-01-03
3 Chemical and Physical Properties
Molecular Weight 433.6 g/mol
Molecular Formula C25H27N3O2S
XLogP34.7
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count5
Rotatable Bond Count7
Exact Mass433.18239829 g/mol
Monoisotopic Mass433.18239829 g/mol
Topological Polar Surface Area73 Ų
Heavy Atom Count31
Formal Charge0
Complexity636
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 Indication

As an adjunctive treatment of major depressive disorder (MDD) and for treatment of schizophrenia.


FDA Label


Treatment of schizophrenia.


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Dopamine Agonists

Drugs that bind to and activate dopamine receptors. (See all compounds classified as Dopamine Agonists.)


Serotonin Agents

Drugs used for their effects on serotonergic systems. Among these are drugs that affect serotonin receptors, the life cycle of serotonin, and the survival of serotonergic neurons. (See all compounds classified as Serotonin Agents.)


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
BREXPIPRAZOLE
5.2.2 FDA UNII
2J3YBM1K8C
5.2.3 Pharmacological Classes
Atypical Antipsychotic [EPC]
5.3 ATC Code

N05AX16


N - Nervous system

N05 - Psycholeptics

N05A - Antipsychotics

N05AX - Other antipsychotics

N05AX16 - Brexpiprazole


5.4 Absorption, Distribution and Excretion

Absorption

Brexpiprazole reaches peak plasma concentration within 4 hours of administration, and steady state occurs within 10-12 days of dosing. Oral bioavailability is 95%, and can be administered with or without food.


Route of Elimination

Approximately 25% urinary and 46% fecal excretion. <1% and ~14% of the unchanged drug was recovered in the urine and feces, respectively.


Volume of Distribution

Intravenous volume of distribution is 1.56L/kg.


Clearance

19.8mL/h/kg


5.5 Metabolism/Metabolites

Metabolized mainly by CYP3A4 and CYP2D6 enzymes into its major metabolite, DM-3411. DM-3411 is not considered to contribute any therapeutic effect.


5.6 Biological Half-Life

Brexpiprazole and its major metabolite, DM-3411 have half lives of 91 and 96 hours respectively.


5.7 Mechanism of Action

Although the mechanism of action of brexpiprazole in the treatment of MDD and schizophrenia is unclear, the efficacy of brexpiprazole may be attributed to partial agonist activity at serotonin 1A and dopamine D2 receptors, and antagonist activity at serotonin 2A receptors.


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19-Jan-2021
20-Aug-2024
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