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144598-75-4

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144598-75-4 Usage

Description

Paliperidone, also known as Invega, is an atypical antipsychotic medication primarily used to treat mental and mood disorders such as schizophrenia and schizoaffective disorder. It is the C-9 hydroxylated active metabolite of the antipsychotic agent risperidone and is chemically described as (±)-3-[2-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl]ethyl]-6,7,8,9-tetrahydro-9-hydroxy-2-methyl-4H-pyrido[1,2-a]pyrimidin-4-one. Paliperidone is an off-white to light orange-colored solid, essentially insoluble in water, and available as extended-release tablets. It is delivered at a constant rate using an osmotic drug release device (Osmotic Release Oral Systems [OROS]). The absolute bioavailability of paliperidone is 28%, and it is 74% bound to plasma proteins. The drug is metabolized through various pathways, with most of it (80%) being excreted by the kidneys. The terminal elimination half-life of paliperidone is 23 hours.

Uses

Used in Pharmaceutical Industry:
Paliperidone is used as an atypical antipsychotic medication for the treatment of schizophrenia and schizoaffective disorder. It helps to decrease hallucinations, improve clarity of thought, reduce agitation, and promote active participation in everyday life. Paliperidone works by restoring the balance of certain natural substances in the brain, acting as a combined serotonin (5-HT2) and dopamine (D2) receptor antagonist.
Used in Mental Health Treatment:
Paliperidone is used as a treatment option for patients aged 12-17 with schizophrenia. Its pharmacological properties, extrapolation from adult studies, and the long track record of its parent drug, risperidone, in the child and adolescent psychiatric (CAP) population contribute to its therapeutic potential in this age group.
Used as a Metabolite of Risperidone:
Paliperidone is used as a metabolite of Risperidone (R525000), which is also a combined serotonin (5-HT2) and dopamine (D2) receptor antagonist. This makes it a valuable component in the development and improvement of antipsychotic medications.

Metabolism

Paliperidone is the primary active metabolite of risperidone. The mechanism of action is unknown but it is likely to act via a similar pathway to risperidone. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006.

Metabolism

Paliperidone is the active metabolite of risperidone. Four metabolic pathways have been identified in vivo, none of which accounted for more than 6.5% of the dose: dealkylation, hydroxylation, dehydrogenation, and benzisoxazole scission. Following administration of [14C]-paliperidone, 59% of the dose was excreted unchanged into urine, indicating that paliperidone is not extensively metabolised in the liver. Approximately 80% of the administered radioactivity was recovered in urine and 11% in the faeces.

Pharmacology

Paliperidone , 9-hydroxyrisperidone, is an atypical antipsychotic, a serotonin (5HT2A) dopamine (D2) antagonist and the active metabolite of the high-potency risperidone. It has also 5HT7 antagonism that might confer some antidepressant actions. It is advantageous given the osmotic-controlled release oral delivery system technique facilitating once-daily dosing, rapid steady-state, and hence better compliance. Moreover, lack of cytochrome CYP-450 enzyme interactions, more alpha-2 affinity, alleged less propensity for extrapyramidal syndromes, and availability of long-acting injection formulation all render paliperidone a very appealing treatment option in psychoses and in hepatic patients too.

Mechanism of Action

Paliperidone is the major active metabolite of risperidone. The mechanism of action of paliperidone, as with other drugs having efficacy in schizophrenia, is unknown, but it has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism.

Originator

Johnson & Johnson (US)

Biochem/physiol Actions

Paliperidone is an atypical antipsychotic; active metabolite of risperidone.

Clinical Use

Atypical antipsychotic for schizophrenia

Side effects

The most common adverse events included tachycardia, QTc prolongation, headache, anxiety, dizziness, tremors, and insomnia along with the dose-related events of somnolence, orthostatic hypotension, salivary hypersecretion, and extrapyrimidal disorder. Weight gain was also observed in 6–9% of patients which may be attributable to paliperidone’s lower affinity for H1-histaminergic and a1- and a2-adrenergic receptors. Patients with renal impairment require dose adjustments since elimination of paliperidone is altered. Paliperidone is contraindicated in patients with a hypersensitivity to risperidone. Concomitant use of class III antiarrhythmic agents should be avoided since this may result in additive QT interval prolongation. Also, loss of levodopa efficacy is expected with this D2 antagonist.

Synthesis

The synthesis of paliperidone involves the reaction of 2-acetyl-g-butyrolactone with 2-amino-3-benzyloxypyridine in the presence of phosphoryl chloride. The benzyl protecting group of the intermediate 9-benzyloxy- 3-(2-chloroethyl)-2-methylpyrido[1,2-a]pyrimidin-4-one is then removed by hydrogenolysis over Pd/C followed by the nucleophilic displacement of the chlorine with 6-fluoro-3-(4-piperidinyl)-1,2-benzisoxazole to provide racemic paliperidone. While paliperidone can be resolved, both enantiomers are equipotent and interconvert in vivo obviating the need for separation.

Drug interactions

Potentially hazardous interactions with other drugs Anaesthetics: enhanced hypotensive effect. Analgesics: increased risk of convulsions with tramadol; enhanced hypotensive and sedative effects with opioids; increased risk of ventricular arrhythmias with methadone. Anti-arrhythmics: increased risk of ventricular arrhythmias when given with anti-arrhythmics that prolong the QT interval. Antidepressants: increases concentration of tricyclics (possibly increased risk of ventricular arrhythmias). Antiepileptics: antagonise anticonvulsant effect (convulsive threshold lowered); concentration reduced by carbamazepine. Antimalarials: avoidance of antipsychotics advised by manufacturer of artemether/lumefantrine. Antipsychotics: possible increased risk of ventricular arrhythmias with risperidone. Antivirals: concentration possibly increased by ritonavir. Atomoxetine: increased risk of ventricular arrhythmias with atomoxetine. Cytotoxics: increased risk of ventricular arrhythmias with arsenic trioxide.

References

1) Beijsterveldt?et al.?(1994),?Regional brain distribution of risperidone and its active metabolite 9-hydroxy-risperidone in the rat; Psychopharmacology,?114?53 2) Leysen?et al. (1994),?Risperidone: a novel antipsychotic with balanced serotonin-dopamine antagonism, receptor occupancy profile, and pharmacologic activity; J. Clin. Psychiatry,?55?suppl: 5 3) Schotte?et al.?(1996),?Risperidone compared with new and reference antipsychotic drugs: in vitro and in vivo receptor binding; Psychopharmacology (Berl.),?124?57

Check Digit Verification of cas no

The CAS Registry Mumber 144598-75-4 includes 9 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 6 digits, 1,4,4,5,9 and 8 respectively; the second part has 2 digits, 7 and 5 respectively.
Calculate Digit Verification of CAS Registry Number 144598-75:
(8*1)+(7*4)+(6*4)+(5*5)+(4*9)+(3*8)+(2*7)+(1*5)=164
164 % 10 = 4
So 144598-75-4 is a valid CAS Registry Number.
InChI:InChI=1/C23H27FN4O3/c1-14-17(23(30)28-9-2-3-19(29)22(28)25-14)8-12-27-10-6-15(7-11-27)21-18-5-4-16(24)13-20(18)31-26-21/h4-5,13,15,19,29H,2-3,6-12H2,1H3/t19-/m1/s1

144598-75-4 Well-known Company Product Price

  • Brand
  • (Code)Product description
  • CAS number
  • Packaging
  • Price
  • Detail
  • TCI America

  • (P1897)  Paliperidone  >97.0%(T)

  • 144598-75-4

  • 200mg

  • 1,880.00CNY

  • Detail
  • TCI America

  • (P1897)  Paliperidone  >97.0%(T)

  • 144598-75-4

  • 1g

  • 6,190.00CNY

  • Detail
  • Sigma

  • (P0099)  Paliperidone  ≥98% (HPLC)

  • 144598-75-4

  • P0099-10MG

  • 1,618.11CNY

  • Detail
  • Sigma

  • (P0099)  Paliperidone  ≥98% (HPLC)

  • 144598-75-4

  • P0099-50MG

  • 6,458.40CNY

  • Detail
  • USP

  • (1491809)  Paliperidone  United States Pharmacopeia (USP) Reference Standard

  • 144598-75-4

  • 1491809-200MG

  • 10,149.75CNY

  • Detail

144598-75-4SDS

SAFETY DATA SHEETS

According to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) - Sixth revised edition

Version: 1.0

Creation Date: Aug 10, 2017

Revision Date: Aug 10, 2017

1.Identification

1.1 GHS Product identifier

Product name Paliperidone

1.2 Other means of identification

Product number -
Other names 3-[2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl]-9-hydroxy-2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one

1.3 Recommended use of the chemical and restrictions on use

Identified uses For industry use only.
Uses advised against no data available

1.4 Supplier's details

1.5 Emergency phone number

Emergency phone number -
Service hours Monday to Friday, 9am-5pm (Standard time zone: UTC/GMT +8 hours).

More Details:144598-75-4 SDS

144598-75-4Relevant articles and documents

METHODS AND COMPOSITIONS FOR TREATMENT OF CANCER

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Paragraph 0135; 0137, (2021/07/30)

In an aspect, the disclosure pertains to inhibitors of ANGPTL4; synthesis methods for making disclosed compounds; pharmaceutical compositions comprising disclosed compounds; methods of treating disorders of uncontrolled cellular proliferation, e.g., a cancer; and methods of treating a disease associated with an ANGPTL4 dysfunction using disclosed compounds and pharmaceutical compositions. This abstract is intended as a scanning tool for purposes of searching in the particular art and is not intended to be limiting of the present disclosure. This abstract is intended as a scanning tool for purposes of searching in the particular art and is not intended to be limiting of the present disclosure.

New synthesis method of paliperidone

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Paragraph 0025; 0026; 0028; 0030; 0032; 0034; 0036; 0038, (2018/07/30)

The invention relates to a new synthesis method of paliperidone. 6-fluoro-3-(4-piperidinyl)-1,2-benzisoxazole hydrochloride and 3-(2-chloroethyl)-6,7,8,9-tetrahydro-9-hydroxy-2-methyl-4H-pyrido[1,2-a]pyrimidin-4-one which are used as starting materials are reacted in the presence of a reducing reagent and an acid binding agent to obtain the paliperidone. The reducing agent is added in the reaction, so side reactions are reduced, the content of every impurity in the obtained finished product is significantly reduced, especially the content of the key impurity A is significantly reduced, the product has a high purity, and the method is simple to operate, and is suitable for industrial production.

A is suitable for industrial production of high-purity 9-hydroxy-risperidone

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Paragraph 0035; 0036; 0037; 0038; 0039, (2017/03/23)

The invention discloses a method suitable for industrial production of high-purity 9-hydroxy-risperidone. According to the method, the 9-hydroxy-risperidone is prepared by carrying out condensation on 6-fluoro-3-(4-piperidinyl)-1,2-benzisoxazole and 3-(2-chloroethyl)-6,7,8,9-tetrahydro-9-hydroxy-2-methyl-4H-pyrido[1,2-a]-pyrimidin-4-one in a polar solvent system; by optimizing post-treatment operation and improving a refining method, the high-yield and high-purity 9-hydroxy-risperidone can be prepared by utilizing the steps of sedimentation, salifying, alkali regulation, crystallization and the like; the post-treatment and the refining method disclosed by the invention has the advantages of simplicity and convenience in operation, low production cost and high product purity and are suitable for use in the industrial production.

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