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Chemistry

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Also known as: 38398-32-2, Ccd 1042, Ztalmy, Ccd-1042, 3alpha-hydroxy-3beta-methyl-5alpha-pregnan-20-one, 98wi44ohiq
Molecular Formula
C22H36O2
Molecular Weight
332.5  g/mol
InChI Key
PGTVWKLGGCQMBR-FLBATMFCSA-N
FDA UNII
98WI44OHIQ

Ganaxolone
Ganaxolone is an orally bioavailable synthetic analog of the neuroactive steroid allopregnanolone and positive allosteric modulator of the gamma-aminobutyric acid (GABA)-A receptor, with anxiolytic, sedative, antidepressant and anticonvulsant activities. Upon oral administration, ganaxolone specifically targets and binds to the allosteric sites of the synaptic and extrasynaptic GABA-A receptor-chloride ionophore complex in the central nervous system (CNS). This leads to an increase in the opening of chloride channels, membrane hyperpolarization, increases the inhibitory effect of GABA on the CNS, and inhibits neurotransmission. This blocks seizure propagation and elevates seizure thresholds.
1 2D Structure

Ganaxolone

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
1-[(3R,5S,8R,9S,10S,13S,14S,17S)-3-hydroxy-3,10,13-trimethyl-1,2,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydrocyclopenta[a]phenanthren-17-yl]ethanone
2.1.2 InChI
InChI=1S/C22H36O2/c1-14(23)17-7-8-18-16-6-5-15-13-20(2,24)11-12-21(15,3)19(16)9-10-22(17,18)4/h15-19,24H,5-13H2,1-4H3/t15-,16-,17+,18-,19-,20+,21-,22+/m0/s1
2.1.3 InChI Key
PGTVWKLGGCQMBR-FLBATMFCSA-N
2.1.4 Canonical SMILES
CC(=O)C1CCC2C1(CCC3C2CCC4C3(CCC(C4)(C)O)C)C
2.1.5 Isomeric SMILES
CC(=O)[C@H]1CC[C@@H]2[C@@]1(CC[C@H]3[C@H]2CC[C@@H]4[C@@]3(CC[C@@](C4)(C)O)C)C
2.2 Other Identifiers
2.2.1 UNII
98WI44OHIQ
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 3alpha-hydroxy-3beta-methyl-5alpha-pregnan-20-one

2. Ccd 1042

3. Ccd-1042

4. Ztalmy

2.3.2 Depositor-Supplied Synonyms

1. 38398-32-2

2. Ccd 1042

3. Ztalmy

4. Ccd-1042

5. 3alpha-hydroxy-3beta-methyl-5alpha-pregnan-20-one

6. 98wi44ohiq

7. 1-((3r,5s,8r,9s,10s,13s,14s,17s)-3-hydroxy-3,10,13-trimethylhexadecahydro-1h-cyclopenta[a]phenanthren-17-yl)ethanone

8. 1-[(3r,5s,8r,9s,10s,13s,14s,17s)-3-hydroxy-3,10,13-trimethyl-1,2,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydrocyclopenta[a]phenanthren-17-yl]ethanone

9. Pregnan-20-one, 3-hydroxy-3-methyl-, (3a,5a)-

10. Ncgc00165802-02

11. Dsstox_cid_26503

12. Dsstox_rid_81672

13. Dsstox_gsid_46503

14. 1-((3r,5s,8r,9s,10s,13s,14s,17s)-3-hydroxy-3,10,13-trimethylhexadecahydro-1h-cyclopenta[a]phenanthren-17-yl)ethan-1-one

15. Cas-38398-32-2

16. Ganaxolone [usan]

17. Ganaxolone [usan:inn]

18. Unii-98wi44ohiq

19. Ganaxolone, Solid

20. Ganaxolone [mi]

21. Ganaxolone [inn]

22. Ganaxolone (usan/inn)

23. Ganaxolone [who-dd]

24. Schembl144522

25. (3alpha,5alpha)-3-hydroxy-3-methylpregnan-20-one

26. Chembl1568698

27. Dtxsid6046503

28. Gtpl11942

29. Ccd1042

30. Chebi:177658

31. Dea No. 2401

32. Hms3261k19

33. Amy38916

34. Zinc3824281

35. Tox21_112264

36. Tox21_500379

37. Bdbm50369240

38. Mfcd09971088

39. Akos027327586

40. Tox21_112264_1

41. Ccg-221683

42. Db05087

43. Lp00379

44. Sdccgsbi-0633706.p001

45. Ncgc00165802-03

46. Ncgc00261064-01

47. Ncgc00263545-01

48. As-35253

49. B7092

50. (3?,5?)-3-hydroxy-3-methyl-pregnan-20-one

51. 3alpha-hydroxy-3-methyl-5alpha-pregnan-20-one

52. D04300

53. A901692

54. (3alpha,5alpha)-3-hydroxy-3-methyl-pregnan-20-one

55. Q3758034

56. 3.alpha.-hydroxy-3-methyl-5.alpha.-pregnan-20-one

57. Pregnan-20-one, 3-hydroxy-3-methyl-, (3alpha,5alpha)-

58. Pregnan-20-one, 3-hydroxy-3-methyl-, (3.alpha.,5.alpha.)-

59. 1-[(3r,5s,8r,9s,10s,13s,14s,17s)-3-hydroxy-3,10,13-trimethyl-1,2,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydrocyclopenta[a]phenanthren-17-yl]ethanone.

2.4 Create Date
2006-07-28
3 Chemical and Physical Properties
Molecular Weight 332.5 g/mol
Molecular Formula C22H36O2
XLogP35
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count2
Rotatable Bond Count1
Exact Mass332.271530387 g/mol
Monoisotopic Mass332.271530387 g/mol
Topological Polar Surface Area37.3 Ų
Heavy Atom Count24
Formal Charge0
Complexity542
Isotope Atom Count0
Defined Atom Stereocenter Count8
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Investigated for use/treatment in pediatric indications and seizure disorders.


Treatment of cyclin-dependent kinase-like 5 deficiency disorder


5 Pharmacology and Biochemistry
5.1 Pharmacology

Ganaxolone is a powerful positive allosteric modulator of GABAA receptors with potency and efficacy comparable to its endogenous analog 3a,5a-P (Carter et al., 1997). As with 3a,5a-P, Ganaxolone potentiation of the GABAA receptor occurs at a site distinct from the benzodiazepine site. Ganaxolone has protective activity in diverse rodent seizure models, including clonic seizures induced by pentylenetetrazol (PTZ) and bicuculline (BIC), limbic seizures in the 6 Hz model, and amygdala kindled seizures (Carter et al., 1997; Rogawski and Reddy, 2004; Kaminski et al., 2004).


5.2 MeSH Pharmacological Classification

GABA Modulators

Substances that do not act as agonists or antagonists but do affect the GAMMA-AMINOBUTYRIC ACID receptor-ionophore complex. GABA-A receptors (RECEPTORS, GABA-A) appear to have at least three allosteric sites at which modulators act: a site at which BENZODIAZEPINES act by increasing the opening frequency of GAMMA-AMINOBUTYRIC ACID-activated chloride channels; a site at which BARBITURATES act to prolong the duration of channel opening; and a site at which some steroids may act. GENERAL ANESTHETICS probably act at least partly by potentiating GABAergic responses, but they are not included here. (See all compounds classified as GABA Modulators.)


Neurosteroids

Endogenous compounds or drugs that affect neuronal excitability through modulation of specific ionotropic receptors (e.g., GABA-A RECEPTORS). Endogenous neurosteroids are steroid hormones de novo synthesized by neurons and glial cells from steroid metabolite precursors (e.g., PREGNENOLONE). (See all compounds classified as Neurosteroids.)


5.3 ATC Code

N - Nervous system

N03 - Antiepileptics

N03A - Antiepileptics

N03AX - Other antiepileptics

N03AX27 - Ganaxolone


5.4 Biological Half-Life

1.3-1.9 hours


5.5 Mechanism of Action

Ganaxolone belongs to a novel class of neuroactive steroids called epalons, which specifically modulate the -aminobutyric acid type A (GABAA) receptor in the central nervous system (CNS). Chemically related to progesterone but devoid of any hormonal activity, the epalons have potent antiepileptic, anxiolytic, sedative, and hypnotic activities in animals.


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Curia

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GANAXOLONE

NDC Package Code : 58175-0654

Start Marketing Date : 2023-11-15

End Marketing Date : 2025-12-31

Dosage Form (Strength) : POWDER (1kg/kg)

Marketing Category : BULK INGREDIENT

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GANAXOLONE

NDC Package Code : 65129-3162

Start Marketing Date : 2021-06-01

End Marketing Date : 2025-12-31

Dosage Form (Strength) : POWDER (1kg/kg)

Marketing Category : BULK INGREDIENT

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About the Company : Aspen API is the cooperative entity formed by Aspen Oss in the Netherlands and Fine Chemicals Corporation in South Africa. With quality, compliance, and teamwork at its core, Aspen...

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Established in 2012, Nuray Chemicals Pvt Ltd is an API manufacturer for highly regulated markets. Its manufacturing facility with state-of-the-art R&D is located near Chennai in the Indian state of Tamil Nadu. Nuray’s expertise and experience lie in developing the chemistry requirements of the pharmaceutical industry, including the synthesis of NCEs, impurities, metabolites, method development, advanced intermediates and APIs for commercial launch. With its focus on maintaining the highest levels of quality, reliability and transparency, Nuray has emerged as a trusted partner in the global generic market.
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Seqens

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Curia

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About the Company : Curia is a global contract research, development and manufacturing organization (CDMO), offering products and services across the drug development spectrum to help our partners tur...

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Ganaxolone

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Drugs in Development

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Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is used for the treatment of epileptic seizures associated with CDKL5 deficiency disorder.


Lead Product(s): Ganaxolone

Therapeutic Area: Genetic Disease Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Marinus Pharmaceuticals

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable July 31, 2023

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01

Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is used for the treatment of epileptic seizures associated with CDKL5 deficiency disorder.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

July 31, 2023

Fermion Orion Company Banner

Details:

Ztalmy (ganaxolone) is a neuroactive steroid that targets GABAA receptors via a unique binding site. It is being evaluated for the treatment of TSC-related epilepsy.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: Phase IIIProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable October 24, 2024

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02

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a neuroactive steroid that targets GABAA receptors via a unique binding site. It is being evaluated for the treatment of TSC-related epilepsy.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

October 24, 2024

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Details:

Ztalmy (ganaxolone) is a neuroactive steroid GABAA receptor PAM, indicated for epileptic seizures in patients two years of age and older with CDKL5 deficiency disorder.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Tenacia Biotechnology

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable July 18, 2024

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03

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a neuroactive steroid GABAA receptor PAM, indicated for epileptic seizures in patients two years of age and older with CDKL5 deficiency disorder.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

July 18, 2024

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Details:

Ztalmy (ganaxolone) is a neuroactive steroid that targets GABAA receptors via a unique binding site. It is being evaluated for the treatment of refractory status epilepticus.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: Phase IIIProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable June 17, 2024

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04

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a neuroactive steroid that targets GABAA receptors via a unique binding site. It is being evaluated for the treatment of refractory status epilepticus.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

June 17, 2024

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Details:

Ztalmy (ganaxolone) is a neuroactive steroid modulating both synaptic and extrasynaptic GABAA receptors to treat refractory status epilepticus.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: Phase IIIProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 15, 2024

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05

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a neuroactive steroid modulating both synaptic and extrasynaptic GABAA receptors to treat refractory status epilepticus.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

April 15, 2024

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Details:

Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is investigated for the treatment of Seizures Associated With CDKL5 Deficiency Disorder.


Lead Product(s): Ganaxolone

Therapeutic Area: Genetic Disease Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 26, 2023

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06

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is investigated for the treatment of Seizures Associated With CDKL5 Deficiency Disorder.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

May 26, 2023

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Details:

Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is investigated for the treatment of lennox-gastaut syndrome.


Lead Product(s): Ganaxolone

Therapeutic Area: Genetic Disease Brand Name: Ztalmy

Study Phase: PreclinicalProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable March 22, 2023

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07

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Ztalmy (ganaxolone) is a positive allosteric modulation of the gamma-aminobutyric acid type A (GABAA) receptor in the CNS. It is investigated for the treatment of lennox-gastaut syndrome.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Not Applicable

March 22, 2023

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Details:

Under the terms of the agreement, Tenacia will receive exclusive rights to develop and commercialize certain formulations of Ztalmy (ganaxolone) in Mainland China, Hong Kong, Macau and Taiwan, including the current oral and intravenous (IV) dose formulations.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Tenacia Biotechnology

Deal Size: $266.0 million Upfront Cash: $10.0 million

Deal Type: Collaboration November 17, 2022

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08

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Under the terms of the agreement, Tenacia will receive exclusive rights to develop and commercialize certain formulations of Ztalmy (ganaxolone) in Mainland China, Hong Kong, Macau and Taiwan, including the current oral and intravenous (IV) dose formulat...

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : $10.0 million

November 17, 2022

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Details:

Marinus intends to use the net proceeds of the offering to continue to fund commercialization of ZTALMY® (ganaxolone) oral suspension CV, the development of its product candidates and for general corporate purposes.


Lead Product(s): Ganaxolone

Therapeutic Area: Neurology Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: SVB Securities

Deal Size: $60.0 million Upfront Cash: Undisclosed

Deal Type: Public Offering November 07, 2022

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09

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Marinus intends to use the net proceeds of the offering to continue to fund commercialization of ZTALMY® (ganaxolone) oral suspension CV, the development of its product candidates and for general corporate purposes.

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : Undisclosed

November 07, 2022

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Details:

Under the terms of the revenue interest financing agreement, Sagard will provide Marinus with an upfront cash payment in exchange for tiered payments on annual U.S. net sales of ganaxolone, including ZTALMY (ganaxolone).


Lead Product(s): Ganaxolone

Therapeutic Area: Genetic Disease Brand Name: Ztalmy

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Sagard Healthcare Partners

Deal Size: Undisclosed Upfront Cash: $32.5 million

Deal Type: Financing October 31, 2022

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10

Medlab Asia & Asia Health
Not Confirmed
Medlab Asia & Asia Health
Not Confirmed

Details : Under the terms of the revenue interest financing agreement, Sagard will provide Marinus with an upfront cash payment in exchange for tiered payments on annual U.S. net sales of ganaxolone, including ZTALMY (ganaxolone).

Brand Name : Ztalmy

Molecule Type : Small molecule

Upfront Cash : $32.5 million

October 31, 2022

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