| MDL | - |
|---|---|
| Molecular Weight | 712.72 |
| Molecular Formula | C31H39F7N4O5S |
| SMILES | O=C(N1[C@@H](C2=CC=C(F)C=C2C)C[C@@H](N3CCN(C(C)=O)CC3)CC1)N([C@@H](C4=CC(C(F)(F)F)=CC(C(F)(F)F)=C4)C)C.CS(=O)(O)=O |
Casopitant mesylate (GW679769B) is a potent, selective, brain permeable and orally active neurokinin 1 (NK1) receptor antagonist. Casopitant mesylate is a second in the class of antiemetics that acts to antagonise the emetogenic effect of substance P. Casopitant mesylate is also a substrate and a weak-to-moderate inhibitor of CYP3A4 . Casopitant mesylate can be used for chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea and vomiting (PONV) [1] [2] .
|
NK1 |
CYP3A4 |
In a ferret-model of Cisplatin- induced emesis, Casopitant (GW679769) inhibits retching and vomiting and reduced nausea-like behaviours in a dose-dependent manner. The pharmacokinetics and brain penetration of casopitant are studied in the ferret-model of cisplatin-induced emesis. Following a single intraperitoneal dose, radioactive labeled Casopitant ([ 14 C]Casopitant) is rapidly absorbed, with plasma and brain concentrations being approximately equal at two hours post-dosing. [ 14 C]Casopitant is found in the brain as the parent compound and two major oxidative metabolites (M1 and M2), accounting for approximately 76%, 19%, and 3% of the radioactivity, respectively; suggesting that the pharmacologic activity of Casopitant in the ferret is largely attributable to the parent compound. Casopitant possesses a high affinity for brain NK1 receptors in the ferret [2] .
MCE has not independently confirmed the accuracy of these methods. They are for reference only.
| NCT Number | Sponsor | Condition | Start Date | Phase |
|---|---|---|---|---|
| NCT00358410 | GlaxoSmithKline |
Nonulcer Dyspepsia
|
January 2006 | Phase 2 |
| NCT00511823 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
July 23, 2007 | Phase 1 |
| NCT00104403 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced|Chemotherapy-Induced Nausea and Vomiting
|
December 2004 | Phase 2 |
| NCT00321477 | GlaxoSmithKline |
Incontinence, Urinary and Urinary Bladder, Overactive|Overactive Bladder
|
December 2005 | Phase 2 |
| NCT00102492 | GlaxoSmithKline |
Depressive Disorder, Major|Major Depressive Disorder (MDD)
|
October 2004 | Phase 2 |
| NCT00332046 | GlaxoSmithKline |
Social Anxiety Disorder
|
January 2006 | Phase 1 |
| NCT00359177 | GlaxoSmithKline |
Vomiting
|
December 1, 2005 | Phase 1 |
| NCT00264628 | GlaxoSmithKline |
Depressive Disorder|Depression|Fibromyalgia
|
October 2005 | |
| NCT00280436 | GlaxoSmithKline |
Sleep Initiation and Maintenance Disorders|Insomnia
|
January 2006 | Phase 2 |
| NCT00366834 | GlaxoSmithKline |
Vomiting|Nausea|Nausea and Vomiting, Chemotherapy-Induced
|
July 2006 | Phase 3 |
| NCT00334152 | GlaxoSmithKline |
Nausea and Vomiting, Postoperative|Postoperative Nausea and Vomiting
|
March 2006 | Phase 3 |
| NCT00280423 | GlaxoSmithKline |
Sleep Initiation and Maintenance Disorders|Insomnia
|
January 2006 | Phase 2 |
| NCT00405080 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
November 11, 2006 | Phase 1 |
| NCT00274690 | GlaxoSmithKline |
Postoperative Nausea and Vomiting|Nausea and Vomiting, Postoperative
|
February 2005 | Phase 2 |
| NCT00354809 | GlaxoSmithKline |
Sleep Initiation and Maintenance Disorders|Insomnia
|
May 2006 | Phase 2 |
| NCT00601172 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
March 10, 2008 | Phase 3 |
| NCT00413023 | GlaxoSmithKline |
Depressive Disorder, Major
|
June 2005 | Phase 2 |
| NCT00431236 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
November 6, 2006 | Phase 3 |
| NCT00437229 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
February 19, 2007 | Phase 1 |
| NCT00650871 | GlaxoSmithKline |
Sleep Initiation and Maintenance Disorders
|
July 30, 2004 | Phase 2 |
| NCT00404274 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
November 1, 2006 | Phase 1 |
| NCT00326248 | GlaxoSmithKline |
Nausea and Vomiting, Postoperative
|
March 2006 | Phase 3 |
| NCT00332319 | GlaxoSmithKline |
Incontinence, Urinary and Urinary Bladder, Overactive|Overactive Bladder
|
January 2006 | Phase 2 |
| NCT00404378 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
October 20, 2006 | Phase 1 |
| NCT00460707 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
April 16, 2007 | Phase 1 |
| NCT00358813 | GlaxoSmithKline |
Vomiting
|
September 8, 2006 | Phase 1 |
| NCT00891761 | GlaxoSmithKline |
Cancer|Chemotherapy-Induced Nausea and Vomiting|Nausea and Vomiting|Solid Tumor Cancer
|
September 2009 | Phase 3 |
| NCT00334646 | GlaxoSmithKline |
Nausea and Vomiting, Chemotherapy-Induced
|
August 10, 2005 | Phase 1 |
| NCT00169572 | GlaxoSmithKline |
Nausea and Vomiting|Chemotherapy-Induced
|
February 2005 | Phase 2 |
Solid
Room temperature in continental US; may vary elsewhere.
4°C, sealed storage, away from moisture
* In solvent : -80°C, 6 months; -20°C, 1 month (sealed storage, away from moisture)