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Telotristat ethyl information


Telotristat ethyl
Clinical data
Trade namesXermelo
Other namesLX1032, LX1606
AHFS/Drugs.comMonograph
MedlinePlusa617029
License data
  • US DailyMed: Telotristat_ethyl
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth
ATC code
  • A16AX15 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: ℞-only[1][2]
  • UK: POM (Prescription only)
  • US: ℞-only[3]
  • EU: Rx-only[4]
Pharmacokinetic data
Protein binding>99% (both telotristat ethyl and telotristat)
MetabolismHydrolysis via carboxylesterases
MetabolitesTelotristat
Elimination half-life0.6 hours (telotristat ethyl), 5 hours (telotristat)
ExcretionFeces (92.8%), urine (less than 0.4%)[3]
Identifiers
IUPAC name
  • [(S)-Ethyl 2-amino-3-(4-(2-amino-6-((R)-1-(4-chloro-2-(3-methyl-1H-pyrazol-1-yl)phenyl)-2,2,2-trifluoroethoxy)pyrimidin-4-yl)phenyl)propanoate]
CAS Number
  • 1033805-22-9
PubChem CID
  • 25181577
DrugBank
  • DB12095
ChemSpider
  • 28189674
UNII
  • 8G388563M7
KEGG
  • D09974
  • as etiprate: D09975
ChEMBL
  • ChEMBL2105695
CompTox Dashboard (EPA)
  • DTXSID001102271 Edit this at Wikidata
Chemical and physical data
FormulaC27H26ClF3N6O3
Molar mass574.99 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • CCOC(=O)C(CC1=CC=C(C=C1)C2=CC(=NC(=N2)N)OC(C3=C(C=C(C=C3)Cl)N4C=CC(=N4)C)C(F)(F)F)N
InChI
  • InChI=1S/C27H26ClF3N6O3/c1-3-39-25(38)20(32)12-16-4-6-17(7-5-16)21-14-23(35-26(33)34-21)40-24(27(29,30)31)19-9-8-18(28)13-22(19)37-11-10-15(2)36-37/h4-11,13-14,20,24H,3,12,32H2,1-2H3,(H2,33,34,35)/t20-,24+/m0/s1
  • Key:MDSQOJYHHZBZKA-GBXCKJPGSA-N

Telotristat ethyl (USAN, brand name Xermelo) is a prodrug of telotristat, which is an inhibitor of tryptophan hydroxylase. It is formulated as telotristat etiprate — a hippurate salt of telotristat ethyl.[3]

On February 28, 2017, the U.S. Food and Drug Administration (FDA) approved telotristat ethyl in combination with somatostatin analog (SSA) therapy for the treatment of adults with diarrhea associated with carcinoid syndrome that SSA therapy alone has inadequately controlled.[5][6] Telotristat ethyl was approved for use in the European Union in September 2017.[4]

The U.S. Food and Drug Administration (FDA) considers it to be a first-in-class medication.[7]

  1. ^ "Summary Basis of Decision (SBD) for Xermelo". Health Canada. 23 October 2014. Retrieved 29 May 2022.
  2. ^ "Drug and medical device highlights 2018: Helping you maintain and improve your health". Health Canada. 14 October 2020. Retrieved 17 April 2024.
  3. ^ a b c "Xermelo- telotristat ethyl tablet". DailyMed. 30 October 2020. Retrieved 11 November 2020.
  4. ^ a b "Xermelo EPAR". European Medicines Agency (EMA). Retrieved 17 April 2020.
  5. ^ "FDA Approves Xermelo for Carcinoid Syndrome Diarrhea" (Press release). U.S. Food and Drug Administration (FDA). February 28, 2017. Retrieved 1 March 2017.
  6. ^ "Xermelo (telotristat ethyl) Tablets". U.S. Food and Drug Administration (FDA). 4 April 2017. Retrieved 17 April 2020.
  7. ^ New Drug Therapy Approvals 2017 (PDF). U.S. Food and Drug Administration (FDA) (Report). January 2018. Retrieved 16 September 2020.

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