KEGG   DRUG: Brexpiprazole
Entry
D10309                      Drug                                   
Name
Brexpiprazole (JAN/USAN/INN);
Rexulti (TN)
Product
REXULTI (Otsuka America Pharmaceutical), REXULTI (REMEDYREPACK)
  Generic
BREXPIPRAZOLE (Ajanta Pharma USA), BREXPIPRAZOLE (Amneal Pharmaceuticals NY LLC), BREXPIPRAZOLE (Camber Pharmaceuticals)
Formula
C25H27N3O2S
Exact mass
433.1824
Mol weight
433.5658
Structure
Class
Neuropsychiatric agent
 DG01483  5-HT1A-receptor agonist
Metabolizing enzyme substrate
 DG01644  CYP2D6 substrate
 DG01633  CYP3A/CYP3A4 substrate
  DG02913  CYP3A4 substrate
Remark
Therapeutic category: 1179
ATC code: N05AX16
Product: D10309<JP/US>
Efficacy
Antipsychotic
  Disease
Major depressive disorder [DS:H01646]
Schizophrenia [DS:H01649]
Comment
Serotonin-dopamine activity modulator (SDAM)
Treatment of schizophrenia, psychiatric disorders
Target
DRD2 [HSA:1813] [KO:K04145]
HTR1A [HSA:3350] [KO:K04153]
HTR2A [HSA:3356] [KO:K04157]
  Pathway
hsa04080  Neuroactive ligand-receptor interaction
hsa04726  Serotonergic synapse
hsa04728  Dopaminergic synapse
Metabolism
Enzyme: CYP3A4 [HSA:1576], CYP2D6 [HSA:1565]
Interaction
Brite
Anatomical Therapeutic Chemical (ATC) classification [BR:br08303]
 N NERVOUS SYSTEM
  N05 PSYCHOLEPTICS
   N05A ANTIPSYCHOTICS
    N05AX Other antipsychotics
     N05AX16 Brexpiprazole
      D10309  Brexpiprazole (JAN/USAN/INN) <JP/US>
USP drug classification [BR:br08302]
 Antipsychotics
  2nd Generation/Atypical
   Brexpiprazole
    D10309  Brexpiprazole (JAN/USAN/INN)
Therapeutic category of drugs in Japan [BR:br08301]
 1  Agents affecting nervous system and sensory organs
  11  Agents affecting central nervous system
   117  Psychotropics
    1179  Others
     D10309  Brexpiprazole (JAN/USAN/INN)
Drug groups [BR:br08330]
 Neuropsychiatric agent
  DG01483  5-HT1A-receptor agonist
   D10309  Brexpiprazole
 Metabolizing enzyme substrate
  DG01644  CYP2D6 substrate
   D10309  Brexpiprazole
  DG01633  CYP3A/CYP3A4 substrate
   DG02913  CYP3A4 substrate
    D10309  Brexpiprazole
Target-based classification of drugs [BR:br08310]
 G Protein-coupled receptors
  Rhodopsin family
   Dopamine
    DRD2
     D10309  Brexpiprazole (JAN/USAN/INN) <JP/US>
   Serotonin
    HTR1A
     D10309  Brexpiprazole (JAN/USAN/INN) <JP/US>
    HTR2A
     D10309  Brexpiprazole (JAN/USAN/INN) <JP/US>
New drug approvals in the USA [br08319.html]
 New molecular entities and new therapeutic biological products
  D10309
New drug approvals in Europe [br08329.html]
 European public assessment reports (EPAR) authorised medicine
  D10309
New drug approvals in Japan [br08318.html]
 Drugs with new active ingredients
  D10309
New drug approvals in the USA, Europe and Japan [br08328.html]
 Approval dates by FDA, EMA and PMDA
  D10309
Drug metabolizing enzymes and transporters [br08309.html]
 Drug metabolizing enzymes
  D10309
Pharmacogenomic biomarkers [br08341.html]
 Polymorphisms and mutations affecting drug response
  D10309
Other DBs
CAS: 913611-97-9
PubChem: 172232423
LinkDB
KCF data

ATOM        31
            1   C8y C    16.9400  -18.4800
            2   C8x C    16.9400  -17.0800
            3   C8x C    15.7500  -16.3800
            4   C8x C    15.7500  -19.1800
            5   C8y C    14.4900  -18.4800
            6   C8y C    14.4900  -17.0800
            7   C8x C    12.1100  -17.0100
            8   C8y C    12.1100  -18.4100
            9   N4x N    13.3000  -19.1800
            10  O5x O    10.8500  -19.1100
            11  O2a O    18.1300  -19.1800
            12  C1b C    19.3900  -18.4800
            13  C1b C    20.5800  -19.1800
            14  C1b C    21.7700  -18.4800
            15  C1b C    23.0300  -19.1800
            16  N1y N    24.2200  -18.4800
            17  C1x C    25.4100  -19.1800
            18  C1x C    26.6700  -18.4800
            19  N1y N    26.6700  -17.0800
            20  C1x C    25.4100  -16.3800
            21  C1x C    24.2200  -17.0800
            22  C8y C    27.8600  -16.3800
            23  C8y C    29.0500  -17.0800
            24  C8y C    30.3100  -16.3800
            25  C8x C    30.3100  -14.9800
            26  C8x C    29.0500  -14.2800
            27  C8x C    27.8600  -14.9800
            28  C8x C    13.3000  -16.3800
            29  C8x C    29.3300  -18.4800
            30  C8x C    30.7300  -18.6900
            31  S2x S    31.3600  -17.3600
BOND        35
            1     5   4 2
            2    14  15 1
            3     5   6 1
            4    15  16 1
            5    28   7 2
            6     7   8 1
            7     8   9 1
            8     9   5 1
            9     4   1 1
            10   16  17 1
            11   17  18 1
            12   18  19 1
            13   19  20 1
            14   20  21 1
            15   21  16 1
            16    8  10 2
            17   19  22 1
            18    1  11 1
            19    1   2 2
            20   11  12 1
            21    2   3 1
            22   22  23 2
            23   23  24 1
            24   24  25 2
            25   25  26 1
            26   26  27 2
            27   27  22 1
            28   12  13 1
            29    3   6 2
            30   13  14 1
            31    6  28 1
            32   23  29 1
            33   29  30 2
            34   30  31 1
            35   24  31 1

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