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Details

Stereochemistry ACHIRAL
Molecular Formula C16H18FN3O2.2ClH
Molecular Weight 376.253
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of EZOGABINE DIHYDROCHLORIDE

SMILES

Cl.Cl.CCOC(=O)NC1=CC=C(NCC2=CC=C(F)C=C2)C=C1N

InChI

InChIKey=WSGFOWNASITQHJ-UHFFFAOYSA-N
InChI=1S/C16H18FN3O2.2ClH/c1-2-22-16(21)20-15-8-7-13(9-14(15)18)19-10-11-3-5-12(17)6-4-11;;/h3-9,19H,2,10,18H2,1H3,(H,20,21);2*1H

HIDE SMILES / InChI

Molecular Formula C16H18FN3O2
Molecular Weight 303.3314
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula ClH
Molecular Weight 36.461
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 based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/21686305; https://www.ncbi.nlm.nih.gov/pubmed/?term=22221318

Ezogabine (U.S. adopted name) or retigabine (international nonproprietary name) is one of a family of aminopyrroles with anticonvulsant activity. It is used as an adjunctive treatment for partial epilepsies in treatment-experienced adult patients. The drug was approved by the European Medicines Agency under the trade name Trobalt and by the United States Food and Drug Administration (FDA), under the trade name Potiga. The mechanism by which ezogabine exerts its therapeutic effects has not been fully elucidated. In vitro studies indicate that ezogabine enhances transmembrane potassium currents mediated by the KCNQ (Kv7.2 to 7.5) family of ion channels. By activating KCNQ channels, ezogabine is thought to stabilize the resting membrane potential and reduce brain excitability. This mechanism of action is unique among antiepileptic drugs, and may hold promise for the treatment of other neurologic conditions, including migraine, tinnitus and neuropathic pain. In vitro studies suggest that ezogabine may also exert therapeutic effects through augmentation of GABA-mediated currents.

CNS Activity

Curator's Comment: Ezogabine can cross the blood–brain barrier and is not subject to P-glycoprotein active transport across this barrier, free brain concentrations will closely follow free plasma concentrations.

Originator

Curator's Comment: # Valeant Pharmaceuticals International and GlaxoSmithKline

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.6 µM [EC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Secondary
POTIGA

Approved Use

Indicated as adjunctive treatment of partial-onset seizures in patients aged 18 years and older who have responded inadequately to several alternative treatments and for whom the benefits outweigh the risk of retinal abnormalities and potential decline in visual acuity

Launch Date

2011
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
414 ng/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
498 ng/mL
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
819 ng/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
978 ng/mL
200 mg 2 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
842 ng/mL
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
993 ng/mL
250 mg 2 times / day multiple, oral
dose: 250 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
551.9 ng/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: HIGH-FAT
561 ng/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
938.7 ng/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: HIGH-FAT
728.8 ng/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1831 ng × h/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1914 ng × h/mL
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5134 ng × h/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5279 ng × h/mL
200 mg 2 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5136 ng × h/mL
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5184 ng × h/mL
250 mg 2 times / day multiple, oral
dose: 250 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
3972.5 ng × h/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: HIGH-FAT
4393.8 ng × h/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
7895.9 ng × h/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: HIGH-FAT
7355.9 ng × h/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.4 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.2 h
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.4 h
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7 h
200 mg 2 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.9 h
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.8 h
250 mg 2 times / day multiple, oral
dose: 250 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.28 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: HIGH-FAT
7.57 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EZOGABINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
no
no
no
no
no
no
no
no
no
no
no
no
no
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no evidence
no
no
no
no
no
no
no
yes
yes
yes
yes
no (pharmacogenomic study)
Comment: AUC of the acetylated metabolite was higher in subjects with UGT1A1*28 mutation versus subjects with UGT1A1 wildtype. The differences in PK parameters do not warrant dose change recommendations.
Page: 14.0
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Expression and function of K(v)7 channels in murine myometrium throughout oestrous cycle.
2009-03
Antiepileptogenic and antiictogenic effects of retigabine under conditions of rapid kindling: an ontogenic study.
2008-10
Retigabine, the specific KCNQ channel opener, blocks ectopic discharges in axotomized sensory fibres.
2008-09-15
Bimodal effects of the Kv7 channel activator retigabine on vascular K+ currents.
2008-09
Expression profile and characterisation of a truncated KCNQ5 splice variant.
2008-07-11
Retigabine reduces the excitability of unmyelinated peripheral human axons.
2008-06
Nervous system KV7 disorders: breakdown of a subthreshold brake.
2008-04-01
Gateways to clinical trials.
2008-03
The KCNQ/M-current modulates arterial baroreceptor function at the sensory terminal in rats.
2008-02-01
The mechanisms of neurodegenerative processes and current pharmacotherapy of Alzheimer's disease.
2008-02
Effect of the new antiepileptic drug retigabine in a rodent model of mania.
2008-01
The effectiveness of anticonvulsants in psychiatric disorders.
2008
A tale of switched functions: from cyclooxygenase inhibition to M-channel modulation in new diphenylamine derivatives.
2007-12-26
Retigabine: has the orphan found a home?
2007-12-01
Peripheral nerve hyperexcitability due to dominant-negative KCNQ2 mutations.
2007-11-27
Pharmacological comparison of anticonvulsant drugs in animal models of persistent pain and anxiety.
2007-10
The neuronal KCNQ channel opener retigabine inhibits locomotor activity and reduces forebrain excitatory responses to the psychostimulants cocaine, methylphenidate and phencyclidine.
2007-09-10
Amitriptyline is a potent blocker of human Kv1.1 and Kv7.2/7.3 channels.
2007-05
Phenytoin- and carbamazepine-resistant spontaneous bursting in rat entorhinal cortex is blocked by retigabine in vitro.
2007-05
Recruitment of apical dendritic T-type Ca2+ channels by backpropagating spikes underlies de novo intrinsic bursting in hippocampal epileptogenesis.
2007-04-15
Inactivation as a new regulatory mechanism for neuronal Kv7 channels.
2007-04-15
Randomized, multicenter, dose-ranging trial of retigabine for partial-onset seizures.
2007-04-10
Kv7.2-7.5 voltage-gated potassium channel (KCNQ2-5) opener, retigabine, reduces capsaicin-induced visceral pain in mice.
2007-02-14
Retigabine.
2007-01
Progress report on new antiepileptic drugs: a summary of the Eigth Eilat Conference (EILAT VIII).
2007-01
Somatodendritic Kv7/KCNQ/M channels control interspike interval in hippocampal interneurons.
2006-11-22
Antidystonic effects of Kv7 (KCNQ) channel openers in the dt sz mutant, an animal model of primary paroxysmal dystonia.
2006-11
The acrylamide (S)-1 differentially affects Kv7 (KCNQ) potassium channels.
2006-11
Kv7/KCNQ/M-channels in rat glutamatergic hippocampal axons and their role in regulation of excitability and transmitter release.
2006-10-01
An exploratory open trial on safety and efficacy of the anticonvulsant retigabine in acute manic patients.
2006-10
Retigabine-induced population primary afferent hyperpolarisation in vitro.
2006-09
The KCNQ channel opener retigabine inhibits the activity of mesencephalic dopaminergic systems of the rat.
2006-09
Ionic mechanisms of autorhythmic firing in rat cerebellar Golgi cells.
2006-08-01
Retigabine and flupirtine exert neuroprotective actions in organotypic hippocampal cultures.
2006-08
New antiepileptic drugs that are second generation to existing antiepileptic drugs.
2006-06
N-Glucuronidation of the antiepileptic drug retigabine: results from studies with human volunteers, heterologously expressed human UGTs, human liver, kidney, and liver microsomal membranes of Crigler-Najjar type II.
2006-06
Diverse mechanisms of antiepileptic drugs in the development pipeline.
2006-06
KCNQ channels mediate IKs, a slow K+ current regulating excitability in the rat node of Ranvier.
2006-05-15
KCNQ/Kv7 channel regulation of hippocampal gamma-frequency firing in the absence of synaptic transmission.
2006-05
Gateways to clinical trials.
2006-04
Pulmonary vasoconstrictor action of KCNQ potassium channel blockers.
2006-02-20
A spontaneous mutation involving Kcnq2 (Kv7.2) reduces M-current density and spike frequency adaptation in mouse CA1 neurons.
2006-02-15
The role of Gilbert's syndrome and frequent NAT2 slow acetylation polymorphisms in the pharmacokinetics of retigabine.
2006-01-13
[Voltage-activated potassium channels of the inhibitory interneurons of the hippocampus in culture].
2006
Retigabine: in partial seizures.
2006
Effects of M-current modulators on the excitability of immature rat spinal sensory and motor neurones.
2005-12
Effects of retigabine on the neurodegeneration and extracellular glutamate changes induced by 4-aminopyridine in rat hippocampus in vivo.
2005-12
Retigabine: bending potassium channels to our will.
2005-09-22
Effects of anticonvulsants on soman-induced epileptiform activity in the guinea-pig in vitro hippocampus.
2005-08-22
Ion channel defects in idiopathic epilepsies.
2005
Patents

Sample Use Guides

Potiga should be given orally in 3 equally divided doses daily, with or without food. The initial dosage should be 100 mg 3 times daily (300 mg per day) and should be increased gradually at weekly intervals by no more than 50 mg 3 times daily (increase in the daily dose of no more than 150 mg per day) up to a maintenance dosage of 200 mg to 400 mg 3 times daily (600 mg to 1,200 mg per day), based on individual patient response and tolerability.
Route of Administration: Oral
KCNQ4 channels, stably expressed in HEK293 cells, were activated by retigabine (ezogabine) in a reversible and concentration-dependent manner in the concentration range 0.1-10 uM. Retigabine shifted the KCNQ4 channel activation curves towards more negative potentials by about 10 mV.
Substance Class Chemical
Created
by admin
on Mon Mar 31 23:26:51 GMT 2025
Edited
by admin
on Mon Mar 31 23:26:51 GMT 2025
Record UNII
WV9W9019AP
Record Status Validated (UNII)
Record Version
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Name Type Language
D-20443
Preferred Name English
EZOGABINE DIHYDROCHLORIDE
MI  
Common Name English
EZOGABINE DIHYDROCHLORIDE [MI]
Common Name English
CARBAMIC ACID, N-(2-AMINO-4-(((4-FLUOROPHENYL)METHYL)AMINO)PHENYL)-, ETHYL ESTER, HYDROCHLORIDE (1:2)
Systematic Name English
N-(2-AMINO-4-(((4-FLUOROPHENYL)METHYL)AMINO)PHENYL)CARBAMIC ACID ETHYL ESTER DIHYDROCHLORIDE
Systematic Name English
RETIGABINE DIHYDROCHLORIDE
Common Name English
Code System Code Type Description
FDA UNII
WV9W9019AP
Created by admin on Mon Mar 31 23:26:51 GMT 2025 , Edited by admin on Mon Mar 31 23:26:51 GMT 2025
PRIMARY
PUBCHEM
6918229
Created by admin on Mon Mar 31 23:26:51 GMT 2025 , Edited by admin on Mon Mar 31 23:26:51 GMT 2025
PRIMARY
MERCK INDEX
m5229
Created by admin on Mon Mar 31 23:26:51 GMT 2025 , Edited by admin on Mon Mar 31 23:26:51 GMT 2025
PRIMARY Merck Index
EPA CompTox
DTXSID00164616
Created by admin on Mon Mar 31 23:26:51 GMT 2025 , Edited by admin on Mon Mar 31 23:26:51 GMT 2025
PRIMARY
CAS
150812-13-8
Created by admin on Mon Mar 31 23:26:51 GMT 2025 , Edited by admin on Mon Mar 31 23:26:51 GMT 2025
PRIMARY
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