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Also known as: 935283-04-8, Obe-2109, Obe2109, 7cdw97huex, Klh-2109, Klh2109
Molecular Formula
C22H15F3N2O7S
Molecular Weight
508.4  g/mol
InChI Key
BMAAMIIYNNPHAB-UHFFFAOYSA-N
FDA UNII
7CDW97HUEX

linzagolixum
Linzagolix is an orally bioavailable gonadotropin-releasing hormone (GnRH or LHRH) receptor antagonist, with potential hormone production inhibitory activity. Upon oral administration of linzagolix, this agent competes with GnRH for receptor binding and inhibits GnRH receptor signaling in the anterior pituitary gland, thereby inhibiting the secretion and release of luteinizing hormone (LH) and follicle stimulating hormone (FSH). In males, the inhibition of LH secretion prevents the release of testosterone. As a result, this may relieve symptoms associated with hormonally dependent disease states such as hormone-dependent prostate cancer. In women, this prevents the production of estrogen by the ovaries and may relieve symptoms from sex-hormone dependent diseases, such as pain associated with endometriosis, heavy menstrual bleeding or uterine fibroids.
1 2D Structure

linzagolixum

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
3-[5-[(2,3-difluoro-6-methoxyphenyl)methoxy]-2-fluoro-4-methoxyphenyl]-2,4-dioxo-1H-thieno[3,4-d]pyrimidine-5-carboxylic acid
2.1.2 InChI
InChI=1S/C22H15F3N2O7S/c1-32-14-4-3-10(23)18(25)9(14)7-34-16-6-13(11(24)5-15(16)33-2)27-20(28)17-12(26-22(27)31)8-35-19(17)21(29)30/h3-6,8H,7H2,1-2H3,(H,26,31)(H,29,30)
2.1.3 InChI Key
BMAAMIIYNNPHAB-UHFFFAOYSA-N
2.2 Other Identifiers
2.2.1 UNII
7CDW97HUEX
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 3-(5-((2,3-difluoro-6-methoxyphenyl)methoxy)-2-fluoro-4-methoxyphenyl)-2,4-dioxo-1h-thieno(3,4-d)pyrimidine-5-carboxylic Acid

2. Obe-2109

3. Obe2109

4. Klh2109

5. Klh-2109

2.3.2 Depositor-Supplied Synonyms

1. 935283-04-8

2. Obe-2109

3. Obe2109

4. 7cdw97huex

5. Klh-2109

6. Klh2109

7. Dtxsid801337395

8. 3-[5-[(2,3-difluoro-6-methoxyphenyl)methoxy]-2-fluoro-4-methoxyphenyl]-2,4-dioxo-1h-thieno[3,4-d]pyrimidine-5-carboxylic Acid

9. 3-{5-[(2,3-difluoro-6-methoxyphenyl)methoxy]-2-fluoro-4-methoxyphenyl}-2,4-dioxo-1,2,3,4-tetrahydrothieno[3,4-d]pyrimidine-5-carboxylic Acid

10. Thieno(3,4-d)pyrimidine-5-carboxylic Acid, 3-(5-((2,3-difluoro-6-methoxyphenyl)methoxy)-2-fluoro-4-methoxyphenyl)-1,2,3,4-tetrahydro-2,4-dioxo-

11. Linzagolixum

12. 3-(5-((2,3-difluoro-6-methoxyphenyl)methoxy)-2-fluoro-4-methoxyphenyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno(3,4-d)pyrimidine-5-carboxylic Acid

13. 3-(5-((2,3-difluoro-6-methoxyphenyl)methoxy)-2-fluoro-4-methoxyphenyl)-2,4-dioxo-1h-thieno(3,4-d)pyrimidine-5-carboxylic Acid

14. Refchem:58174

15. Dtxcid101767779

16. Klh 2109

17. Linzagolix [inn]

18. Linzagolix [usan]

19. 3-(5-((2,3-difluoro-6-methoxybenzyl)oxy)-2-fluoro-4-methoxyphenyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[3,4-d]pyrimidine-5-carboxylic Acid

20. Yselty

21. Klh-2109; Obe-2109

22. Linzagolix (usan/inn)

23. Linzagolix [usan:inn]

24. Unii-7cdw97huex

25. Linzagolix [who-dd]

26. Orb1305022

27. Schembl2333748

28. Chembl3668014

29. Schembl29374644

30. Schembl29720096

31. Schembl30002660

32. Gtpl12283

33. Bdbm160329

34. Glxc-24095

35. Who 10711

36. Akos040748752

37. Ac-38209

38. Da-64989

39. Ms-29443

40. Hy-109093

41. D11608

42. G80955

43. Us9040693, 233

2.4 Create Date
2007-08-09
3 Chemical and Physical Properties
Molecular Weight 508.4 g/mol
Molecular Formula C22H15F3N2O7S
XLogP33.4
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count11
Rotatable Bond Count7
Exact Mass Da
Monoisotopic Mass Da
Topological Polar Surface Area143
Heavy Atom Count35
Formal Charge0
Complexity826
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

Linzagolix is indicated for the treatment of moderate to severe symptoms of uterine fibroids in adult women of reproductive age.


5 Pharmacology and Biochemistry
5.1 ATC Code

H - Systemic hormonal preparations, excl. sex hormones and insulins

H01 - Pituitary and hypothalamic hormones and analogues

H01C - Hypothalamic hormones

H01CC - Anti-gonadotropin-releasing hormones

H01CC04 - Linzagolix


ATCvet Code

QH - Systemic hormonal preparations, excl. sex hormones and insulin

QH01 - Pituitary and hypothalamic hormones and analogues

QH01C - Hypothalamic hormones

QH01CC - Anti-gonadrotropin-releasing hormones

QH01CC04 - Linzagolix


5.2 Absorption, Distribution and Excretion

Absorption

Linzagolix is quickly absorbed following oral administration, with Cmax occurring approximately 2 hours following administration.


Route of Elimination

Linzagolix is primarily excreted in the urine, with approximately one-third eliminated via the feces.


Volume of Distribution

After seven days of oral administration of linzagolix 100mg or 200mg, the volume of distribution was 11.067 L and 11.178 L, respectively.


Clearance

The geometric mean apparent clearance following multiple oral doses of linzagolix 100mg or 200mg was 0.522 L/h and 0.499 L/h, respectively.


5.3 Metabolism/Metabolites

Up to seven metabolites of linzagolix have been quantified in patient plasma, urine, and feces, although plasma metabolites represent less than 10% of the total linzagolix-related exposure. Two primary demethylated metabolites - KP017 and KP046 - have been identified, with CYP2C9 primarily responsible for the formation of KP017 and CYP2C8, CYP2C9, and CYP3A4 are primarily responsible for the formation of KP046. Unchanged parent drug is the predominant circulating component in human plasma and in the urine, and one of the major components in the feces.


5.4 Biological Half-Life

The half-life of linzagolix following multiple doses is approximately 15 hours.


5.5 Mechanism of Action

Linzagolix is a selective antagonist of the gonadotropin-releasing hormone (GnRH) receptor. It binds competitively to GnRH receptors in the pituitary gland, thereby inhibiting endogenous signaling and, in turn, the hypothalamic-pituitary-gonadal axis. More specifically, this inhibition of GnRH signaling results in the suppression of both luteinizing hormone and follicle-stimulating hormone signaling, the latter of which is responsible for stimulating the production of estrogen in the ovaries. Linzagolix, therefore, indirectly suppresses estrogen production and signaling, making it useful in the management of estrogen-dependent conditions like uterine fibroids.


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