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Details

Stereochemistry ABSOLUTE
Molecular Formula C22H26N2O2S.C4H6O4
Molecular Weight 500.607
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ELETRIPTAN SUCCINATE

SMILES

OC(=O)CCC(O)=O.CN1CCC[C@@H]1CC2=CNC3=C2C=C(CCS(=O)(=O)C4=CC=CC=C4)C=C3

InChI

InChIKey=SYWHMGMNOKNVGL-FSRHSHDFSA-N
InChI=1S/C22H26N2O2S.C4H6O4/c1-24-12-5-6-19(24)15-18-16-23-22-10-9-17(14-21(18)22)11-13-27(25,26)20-7-3-2-4-8-20;5-3(6)1-2-4(7)8/h2-4,7-10,14,16,19,23H,5-6,11-13,15H2,1H3;1-2H2,(H,5,6)(H,7,8)/t19-;/m1./s1

HIDE SMILES / InChI

Molecular Formula C22H26N2O2S
Molecular Weight 382.519
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C4H6O4
Molecular Weight 118.088
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created using several sources including: https://www.ncbi.nlm.nih.gov/pubmed/10193663 | http://www.migraines.org/treatment/pro_rlpx.htm

Eletriptan (eletriptan hydrobromide, trade name Relpax) is a selective 5-hydroxytryptamine (5-HT1B/1D) serotonin receptor agonist (triptan) indicated for the acute treatment of migraine with or without aura in adults. Eletriptan binds with high affinity to 5-HT1B, 5-HT1D and 5-HT1F receptors, and has modest affinity for 5-HT1A, 5-HT1E, 5-HT2B and 5-HT7 receptors. The therapeutic activity of eletriptan for the treatment of migraine headache is thought to be due to the agonist effects at the 5-HT1B/1D receptors on intracranial blood vessels (including the arterio-venous anastomoses) and sensory nerves of the trigeminal system which result in cranial vessel constriction and inhibition of pro-inflammatory neuropeptide release. Eletriptan (Relpax) has been approved for use in the acute treatment of migraine in 51 countries and has been introduced in 17 countries including Mexico, Italy, France and Japan.

CNS Activity

Curator's Comment: Known to be CNS penetrant in rats. Human data not available. It was concluded that eletriptan, acting on perikarya and both the peripheral and the central axon terminals of primary sensory neurons, exerts its antimigraine effect by an agonist action on 5-HT1B/1D receptors throughout the entire trigeminal system, probably by passing the blood-brain-barrier because of its lipophilic character.

Originator

Curator's Comment: # Pfizer

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P28221
Gene ID: 3352.0
Gene Symbol: HTR1D
Target Organism: Homo sapiens (Human)
0.92 nM [Kd]
Target ID: P28222
Gene ID: 3351.0
Gene Symbol: HTR1B
Target Organism: Homo sapiens (Human)
3.14 nM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
RELPAX

Approved Use

RELPAX is indicated for the acute treatment of migraine with or without aura in adults. RELPAX is not intended for the prophylactic therapy of migraine or for use in the management of hemiplegic or basilar migraine. Safety and effectiveness of RELPAX Tablets have not been established for cluster headache, which is present in an older, predominantly male population.

Launch Date

2002
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
46.5 ng/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
94.72 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
200.1 ng/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
183.6 ng/mL
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
291.3 ng Ă— h/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
575.6 ng Ă— h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
1282 ng Ă— h/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
1278 ng Ă— h/mL
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
4.92 h
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.63 h
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.58 h
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
4.75 h
40 mg 2 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ELETRIPTAN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
15%
ELETRIPTAN plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Disc. AE: Nausea, Dizziness...
AEs leading to
discontinuation/dose reduction:
Nausea (0.4%)
Dizziness (0.4%)
Asthenia (0.3%)
Chest pain (0.3%)
Headache (0.2%)
Vomiting (0.2%)
Hypertonia (0.2%)
Paresthesia (0.2%)
Somnolence (0.2%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Headache 0.2%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Hypertonia 0.2%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Paresthesia 0.2%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Somnolence 0.2%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Vomiting 0.2%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Asthenia 0.3%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Chest pain 0.3%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Dizziness 0.4%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Nausea 0.4%
Disc. AE
80 mg 1 times / day single, oral
Recommended
Dose: 80 mg, 1 times / day
Route: oral
Route: single
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 41.9
Health Status: unhealthy
Age Group: 41.9
Sex: M+F
Sources:
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
little
little
no
no
no
no
no
no
no
no
no
yes [IC50 41 uM]
yes
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
inconclusive
major
yes (co-administration study)
Comment: when administered with ketoconazole, Cmax and AUC increased by 2.7-fold and 5.9-fold, respectively; when administered with verapamil, Cmax and AUC increased by 2.2-fold and 2.7-fold, respectively; when administered with fluconazole, Cmax and AUC increased by 1.4-fold and 2-fold, respectively;
Page: 9.0
minor
minor
PubMed

PubMed

TitleDatePubMed
[A case of the usefulness of MR angiography and diffusion weighted image to evaluate migraine].
2004-10
[Spanish contribution to the clinical development of eletriptan: an analysis of controlled studies].
2004-10
No effect of eletriptan administration during the aura phase of migraine.
2004-10
Gateways to clinical trials.
2004-09-07
[Meta-analysis of triptan treatment in migraine].
2004-09
[Triptans in migraine: from clinical view].
2004-09
[Triptans in migraine: a comparative review of pharmacology, pharmacokinetics].
2004-09
Gateways to clinical trials.
2004-09
Priorities for triptan treatment attributes and the implications for selecting an oral triptan for acute migraine: a study of US primary care physicians (the TRIPSTAR Project).
2004-09
TRIPSTAR: prioritizing oral triptan treatment attributes in migraine management.
2004-09
Meta-analysis of oral triptans.
2004-08
Effect of high-dose intravenous eletriptan on coronary artery diameter.
2004-07
Cardiovascular safety of triptans.
2004-07
Involvement of 5-HT1B receptors in triptan-induced contractile responses in guinea-pig isolated iliac artery.
2004-07
Nitrergic and glutamatergic neuronal mechanisms at the trigeminovascular first-order synapse.
2004-07
Triptans and CNS side-effects: pharmacokinetic and metabolic mechanisms.
2004-06
Cost effectiveness of oral triptan therapy: a trans-national comparison based on a meta-analysis of randomised controlled trials.
2004-05
Double-blind clinical trials of oral triptans vs other classes of acute migraine medication - a review.
2004-05
Eletriptan for the short-term prophylaxis of cluster headache.
2004-04
Gateways to clinical trials.
2004-03
Eletriptan for the acute treatment of migraine: results of bridging a Japanese study to Western clinical trials.
2004-03
Cost considerations of acute migraine treatment.
2004-03
Effectiveness of eletriptan in acute migraine: primary care for Excedrin nonresponders.
2004-03
Gateways to clinical trials.
2004-02-28
The 5-hydroxytryptamine1B/1D/1F receptor agonists eletriptan and naratriptan inhibit trigeminovascular input to the nucleus tractus solitarius in the cat.
2004-02-13
[Use of triptanes according to indications. Risk of infarct is not increased].
2004-02-12
[Recent progress in therapy for migraine headache].
2004-02-10
New drugs 04, part 1.
2004-02
The 40-mg dose of eletriptan: comparative efficacy and tolerability versus sumatriptan 100 mg.
2004-02
Neuronal expression and regulation of CGRP promoter activity following viral gene transfer into cultured trigeminal ganglia neurons.
2004-01-30
Comparative efficacy of eletriptan and zolmitriptan in the acute treatment of migraine.
2003-12
Comparative efficacy of eletriptan vs. naratriptan in the acute treatment of migraine.
2003-11
Efficacy of eletriptan in migraineurs with persistent poor response to nonsteroidal anti-inflammatory drugs.
2003-10
Tolerability and safety of eletriptan in the treatment of migraine: a comprehensive review.
2003-10
Migraine: diagnosis and management.
2003-09-27
Musing on Mathew et al.
2003-09
Encapsulated sumatriptan is not bioequivalent to commercial sumatriptan.
2003-09
Unilateral time-delayed encapsulation does not make for a fair race.
2003-09
Eletriptan issues.
2003-08-30
[Strong and sustained-acting triptan. Therewith migraine does not return soon].
2003-08-07
A cost-effectiveness analysis of eletriptan 40 and 80 mg versus sumatriptan 50 and 100 mg in the acute treatment of migraine.
2003-07-16
Cost-effectiveness of migraine treatment: a commentary.
2003-07-16
The evolving management of migraine.
2003-06
[Highly selective beginning. Associated symptoms and side effects in retrospect].
2003-05-26
[Improved pharmacokinetics. Fast tryptan with sustained response].
2003-05-26
Safety profile of the triptans.
2003-03
[Treatment of migraine: an update].
2003-01
Current perspectives on effective migraine treatments: are small clinical differences important for patients?
2003
Newer formulations of the triptans: advances in migraine management.
2003
Sumatriptan versus eletriptan: which is best?
2002-12
Patents

Sample Use Guides

The maximum recommended single dose of Relpax (eletriptan hydrobromide) is 40 mg. If after the initial dose, headache improves but then returns, a repeat dose may be beneficial. If a second dose is required, it should be taken at least 2 hours after the initial dose. If the initial dose is ineffective, controlled clinical trials have not shown a benefit of a second dose to treat the same attack. The maximum daily dose should not exceed 80 mg.
Route of Administration: Oral
The 5-hydroxytryptamine (5-HT) receptor mediation of the contraction in guinea-pig iliac arteries moderately precontracted by prostaglandin F2alpha (PGF2alpha) was characterized in vitro using eletriptan. Eletriptan contracted guinea-pig iliac arteries and the concentration-response curve for eletriptan was biphasic (first phase: 0.01-3 uM, pD2 approximately 6.6; second phase: greater or equal 10 uM).
Substance Class Chemical
Created
by admin
on Tue Apr 01 18:41:43 GMT 2025
Edited
by admin
on Tue Apr 01 18:41:43 GMT 2025
Record UNII
92AD31CQ59
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ELETRIPTAN SUCCINATE
Common Name English
1H-INDOLE, 3-((1-METHYL-2-PYRROLIDINYL)METHYL)-5-(2-(PHENYLSULFONYL)ETHYL)-, (R)-, BUTANEDIOATE (2:1)
Preferred Name English
BUTANEDIOIC ACID, COMPD. WITH (R)-3-((1-METHYL-2-PYRROLIDINYL)METHYL)-5-(2-(PHENYLSULFONYL)ETHYL)-1H-INDOLE (1:2)
Systematic Name English
BUTANEDIOIC ACID, COMPD. WITH 3-(((2R)-1-METHYL-2-PYRROLIDINYL)METHYL)-5-(2-(PHENYLSULFONYL)ETHYL)-1H-INDOLE (1:2)
Systematic Name English
Code System Code Type Description
PUBCHEM
68966951
Created by admin on Tue Apr 01 18:41:43 GMT 2025 , Edited by admin on Tue Apr 01 18:41:43 GMT 2025
PRIMARY
CAS
143577-61-1
Created by admin on Tue Apr 01 18:41:43 GMT 2025 , Edited by admin on Tue Apr 01 18:41:43 GMT 2025
PRIMARY
FDA UNII
92AD31CQ59
Created by admin on Tue Apr 01 18:41:43 GMT 2025 , Edited by admin on Tue Apr 01 18:41:43 GMT 2025
PRIMARY
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ACTIVE MOIETY