Deflazacort: Difference between revisions
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{{Drugbox | {{Drugbox | ||
| Verifiedfields = changed | |||
| Watchedfields = changed | |||
| verifiedrevid = 447631837 | |||
| IUPAC_name = (11β,16β)-21-(acetyloxy)-11-hydroxy-2′-methyl-5′''H''-pregna-1,4-dieno[17,16-''d'']oxazole-3,20-dione | |||
| image ={{Drugbox | |||
| Verifiedfields = changed | | Verifiedfields = changed | ||
| Watchedfields = changed | | Watchedfields = changed | ||
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| IUPAC_name = (11β,16β)-21-(acetyloxy)-11-hydroxy-2′-methyl-5′''H''-pregna-1,4-dieno[17,16-''d'']oxazole-3,20-dione | | IUPAC_name = (11β,16β)-21-(acetyloxy)-11-hydroxy-2′-methyl-5′''H''-pregna-1,4-dieno[17,16-''d'']oxazole-3,20-dione | ||
| image = Deflazacort structure.png | | image = Deflazacort structure.png | ||
<!--Clinical data--> | |||
| tradename = | |||
| Drugs.com = {{drugs.com|international|deflazacort}} | |||
| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> | |||
| pregnancy_US = <!-- A / B / C / D / X --> | |||
| pregnancy_category = | |||
| legal_AU = <!-- Unscheduled / S2 / S3 / S4 / S8 --> | |||
| legal_UK = <!-- GSL / P / POM / CD --> | |||
| legal_US = <!-- OTC / Rx-only --> | |||
| legal_status = | |||
| routes_of_administration = Oral | |||
<!--Pharmacokinetic data--> | |||
| bioavailability = | |||
| protein_bound = 40% | |||
| metabolism = By plasma [[esterase]]s, to active metabolite | |||
| elimination_half-life = 1.1–1.9 hours (metabolite) | |||
| excretion = [[Kidney|Renal]] (70%) and fecal (30%) | |||
<!--Identifiers--> | |||
| CAS_number_Ref = {{cascite|correct|??}} | |||
| CAS_number = 14484-47-0 | |||
| ATC_prefix = H02 | |||
| ATC_suffix = AB13 | |||
| PubChem = 26709 | |||
| DrugBank_Ref = {{drugbankcite|correct|drugbank}} | |||
| DrugBank = | |||
| ChEMBL_Ref = {{ebicite|changed|EBI}} | |||
| ChEMBL = 1201891 | |||
| UNII_Ref = {{fdacite|correct|FDA}} | |||
| UNII = KR5YZ6AE4B | |||
| KEGG_Ref = {{keggcite|correct|kegg}} | |||
| KEGG = D03671 | |||
| ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}} | |||
| ChemSpiderID = 164861 | |||
| smiles = O=C(OCC(=O)[C@]25/N=C(\O[C@@H]5C[C@H]1[C@H]4[C@H]([C@@H](O)C[C@@]12C)[C@]/3(/C=C\C(=O)\C=C\3CC4)C)C)C | |||
| InChI = 1/C25H31NO6/c1-13-26-25(20(30)12-31-14(2)27)21(32-13)10-18-17-6-5-15-9-16(28)7-8-23(15,3)22(17)19(29)11-24(18,25)4/h7-9,17-19,21-22,29H,5-6,10-12H2,1-4H3/t17-,18-,19-,21+,22+,23-,24-,25+/m0/s1 | |||
| InChIKey = FBHSPRKOSMHSIF-GRMWVWQJBC | |||
| StdInChI_Ref = {{stdinchicite|changed|chemspider}} | |||
| StdInChI = 1S/C25H31NO6/c1-13-26-25(20(30)12-31-14(2)27)21(32-13)10-18-17-6-5-15-9-16(28)7-8-23(15,3)22(17)19(29)11-24(18,25)4/h7-9,17-19,21-22,29H,5-6,10-12H2,1-4H3/t17-,18-,19-,21+,22+,23-,24-,25+/m0/s1 | |||
| StdInChIKey_Ref = {{stdinchicite|changed|chemspider}} | |||
| StdInChIKey = FBHSPRKOSMHSIF-GRMWVWQJSA-N | |||
<!--Chemical data--> | |||
| C=25 | H=31 | N=1 | O=6 | |||
| molecular_weight = 441.517 g/mol | |||
}} | |||
'''Deflazacort''' is a [[glucocorticoid]] used as an [[anti-inflammatory]] and [[immunosuppressant]]. | |||
Deflazacort is an inactive [[prodrug]] which is [[drug metabolism|metabolized]] rapidly to the active drug 21-desacetyldeflazacort.<ref>{{cite journal | pmid = 7494809 | year = 1995 | last1 = Möllmann | first1 = H | last2 = Hochhaus | first2 = G | last3 = Rohatagi | first3 = S | last4 = Barth | first4 = J | last5 = Derendorf | first5 = H | title = Pharmacokinetic/pharmacodynamic evaluation of deflazacort in comparison to methylprednisolone and prednisolone | volume = 12 | issue = 7 | pages = 1096–100 | journal = Pharmaceutical research }}</ref> Its potency is around 70–90% that of [[prednisone]].<ref name="eMC"/> | |||
It is sold in [[Bangladesh]] as Xalcort, marketed by Beacon Pharmaceuticals Limited, in the [[United Kingdom]] by [[Shire plc|Shire]] under the trade name Calcort;<ref name="eMC">{{cite web | url = http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=20915 | title = Calcort | date = June 11, 2008 | publisher = electronic Medicines Compendium}} Retrieved on October 28, 2008.</ref> in [[Brazil]] as Cortax, Decortil, and Deflanil; in India as MOAID, Defolet(Roussette), DFZ, Decotaz, and DefZot; in Panama as Zamen, Spain as Zamene and in Honduras as Flezacor.<ref name=Centralx>{{cite web | url = http://www.bulas.med.br/index.pl?C=A&V=66506F737449443D39333933266163743D73686F7752656164436F6D6D656E7473<!--convenience link--> | title = Substâncias: DEFLAZACORT | year = 2008 | publisher = Centralx|language=pt}} Retrieved on October 28, 2008.</ref> It is not available in the United States. In January 2015, the FDA granted fast track status to Marathon Pharmaceuticals to pursue approval of deflazacort as a potential treatment for Duchenne muscular dystrophy. The company expects to make deflazacort available in the United States in 2016. <ref>http://www.chicagotribune.com/business/ct-marathon-muscular-dystrophy-drug-0119-biz-20150119-story.html#page=1</ref> | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Glucocorticoids]] | |||
[[Category:Prodrugs]] | |||
<!--Clinical data--> | <!--Clinical data--> |
Revision as of 18:43, 8 April 2015
Deflazacort is a glucocorticoid used as an anti-inflammatory and immunosuppressant. Deflazacort is an inactive prodrug which is metabolized rapidly to the active drug 21-desacetyldeflazacort.[1] Its potency is around 70–90% that of prednisone.[2] It is sold in Bangladesh as Xalcort, marketed by Beacon Pharmaceuticals Limited, in the United Kingdom by Shire under the trade name Calcort;[2] in Brazil as Cortax, Decortil, and Deflanil; in India as MOAID, Defolet(Roussette), DFZ, Decotaz, and DefZot; in Panama as Zamen, Spain as Zamene and in Honduras as Flezacor.[3] It is not available in the United States. In January 2015, the FDA granted fast track status to Marathon Pharmaceuticals to pursue approval of deflazacort as a potential treatment for Duchenne muscular dystrophy. The company expects to make deflazacort available in the United States in 2016. [4] References
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AHFS/Drugs.com | International Drug Names | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Routes of administration | Oral | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
ATC code | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Pharmacokinetic data | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Protein binding | 40% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Metabolism | By plasma esterases, to active metabolite | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Elimination half-life | 1.1–1.9 hours (metabolite) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Excretion | Renal (70%) and fecal (30%) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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E number | {{#property:P628}} | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
ECHA InfoCard | {{#property:P2566}}Lua error in Module:EditAtWikidata at line 36: attempt to index field 'wikibase' (a nil value). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Chemical and physical data | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Formula | C25H31NO6 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Molar mass | 441.517 g/mol | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
3D model (JSmol) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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WikiDoc Resources for Deflazacort |
Articles |
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Most recent articles on Deflazacort Most cited articles on Deflazacort |
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Powerpoint slides on Deflazacort |
Evidence Based Medicine |
Clinical Trials |
Ongoing Trials on Deflazacort at Clinical Trials.gov Clinical Trials on Deflazacort at Google
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US National Guidelines Clearinghouse on Deflazacort
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Books |
News |
Commentary |
Definitions |
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Patient resources on Deflazacort Discussion groups on Deflazacort Patient Handouts on Deflazacort Directions to Hospitals Treating Deflazacort Risk calculators and risk factors for Deflazacort
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Causes & Risk Factors for Deflazacort |
Continuing Medical Education (CME) |
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Business |
Experimental / Informatics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Deflazacort is a glucocorticoid used as an anti-inflammatory and immunosuppressant.
Deflazacort is an inactive prodrug which is metabolized rapidly to the active drug 21-desacetyldeflazacort.[1] Its potency is around 70–90% that of prednisone.[2]
It is sold in Bangladesh as Xalcort, marketed by Beacon Pharmaceuticals Limited, in the United Kingdom by Shire under the trade name Calcort;[2] in Brazil as Cortax, Decortil, and Deflanil; in India as MOAID, Defolet(Roussette), DFZ, Decotaz, and DefZot; in Panama as Zamen, Spain as Zamene and in Honduras as Flezacor.[3] It is not available in the United States. In January 2015, the FDA granted fast track status to Marathon Pharmaceuticals to pursue approval of deflazacort as a potential treatment for Duchenne muscular dystrophy. The company expects to make deflazacort available in the United States in 2016. [4]
References
- ↑ Möllmann, H; Hochhaus, G; Rohatagi, S; Barth, J; Derendorf, H (1995). "Pharmacokinetic/pharmacodynamic evaluation of deflazacort in comparison to methylprednisolone and prednisolone". Pharmaceutical research. 12 (7): 1096–100. PMID 7494809.
- ↑ 2.0 2.1 "Calcort". electronic Medicines Compendium. June 11, 2008. Retrieved on October 28, 2008.
- ↑ "Substâncias: DEFLAZACORT" (in português). Centralx. 2008. Retrieved on October 28, 2008.
- ↑ http://www.chicagotribune.com/business/ct-marathon-muscular-dystrophy-drug-0119-biz-20150119-story.html#page=1
- Pages with script errors
- CS1 português-language sources (pt)
- Template:drugs.com link with non-standard subpage
- Articles with changed ChemSpider identifier
- Articles with changed EBI identifier
- E number from Wikidata
- ECHA InfoCard ID from Wikidata
- Articles with changed InChI identifier
- Chemical articles with unknown parameter in Infobox drug
- Chemical pages without DrugBank identifier
- Drugs with no legal status
- Drugboxes which contain changes to verified fields
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- Glucocorticoids
- Prodrugs