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Chemistry

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Also known as: Amitiza, 333963-40-9, 136790-76-6, Ru-0211, Spi-0211, (2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[b]pyran-5-heptanoic acid
Molecular Formula
C20H32F2O5
Molecular Weight
390.5  g/mol
InChI Key
WGFOBBZOWHGYQH-MXHNKVEKSA-N
FDA UNII
7662KG2R6K

Lubiprostone
Member of a bicyclic fatty acid class of compounds derived from PROSTAGLANDIN E1 involved in chloride channel gating.
Lubiprostone is a Chloride Channel Activator. The mechanism of action of lubiprostone is as a Chloride Channel Activator.
1 2D Structure

Lubiprostone

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
7-[(2R,4aR,5R,7aR)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[b]pyran-5-yl]heptanoic acid
2.1.2 InChI
InChI=1S/C20H32F2O5/c1-2-3-11-19(21,22)20(26)12-10-15-14(16(23)13-17(15)27-20)8-6-4-5-7-9-18(24)25/h14-15,17,26H,2-13H2,1H3,(H,24,25)/t14-,15-,17-,20-/m1/s1
2.1.3 InChI Key
WGFOBBZOWHGYQH-MXHNKVEKSA-N
2.1.4 Canonical SMILES
CCCCC(C1(CCC2C(O1)CC(=O)C2CCCCCCC(=O)O)O)(F)F
2.1.5 Isomeric SMILES
CCCCC([C@]1(CC[C@H]2[C@H](O1)CC(=O)[C@@H]2CCCCCCC(=O)O)O)(F)F
2.2 Other Identifiers
2.2.1 UNII
7662KG2R6K
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 0211, Ru

2. 0211, Spi

3. Amitiza

4. Prostan-1-oic Acid, 16,16-difluoro-11-hydroxy-9,15-dioxo-, (11alpha)-

5. Ru 0211

6. Ru-0211

7. Ru0211

8. Spi 0211

9. Spi-0211

10. Spi0211

2.3.2 Depositor-Supplied Synonyms

1. Amitiza

2. 333963-40-9

3. 136790-76-6

4. Ru-0211

5. Spi-0211

6. (2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[b]pyran-5-heptanoic Acid

7. 7-((2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta[b]pyran-5-yl)heptanoic Acid

8. 333963-40-9 (hemiketal)

9. 7-[(2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[b]pyran-5-yl]heptanoic Acid

10. Lubiprostone [usan]

11. 7-[(2r,4ar,5s,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[b]pyran-5-yl]heptanoic Acid

12. 7-[(1r,3r,6r,7r)-3-(1,1-difluoropentyl)-3-hydroxy-8-oxo-2-oxabicyclo[4.3.0]non-7-yl]heptanoic Acid

13. Amitiza (tn)

14. Bicyclic Lubiprostone

15. Lubiprostone Hemiketal

16. Lubiprostone Powder

17. Ncgc00183105-01

18. Lubiprostone (hemiketal)

19. Lubiprostone [mi]

20. Lubiprostone [inn]

21. Lubiprostone [jan]

22. Dsstox_cid_28565

23. Dsstox_rid_82837

24. Lubiprostone [vandf]

25. Dsstox_gsid_48639

26. Lubiprostone [mart.]

27. (-)-7-((2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta(b)pyran-5-yl)heptanoic Acid

28. Lubiprostone [who-dd]

29. Schembl217184

30. Gtpl4242

31. Lubiprostone (jan/usan/inn)

32. Chembl1201134

33. Dtxsid80861338

34. Lubiprostone [orange Book]

35. Amy30093

36. Ex-a1771

37. Zinc4217732

38. Tox21_112986

39. Mfcd20268389

40. Akos015896639

41. Ac-1863

42. Db01046

43. Ncgc00183105-02

44. As-39360

45. Cas-136790-76-6

46. Cs-0009583

47. Cas# 333963-40-9

48. D04790

49. 963l409

50. A850935

51. A905955

52. J-006909

53. Q6695342

54. Prostan-1-oic Acid, 11,15-epoxy-16,16-difluoro-15-hydroxy-9-oxo-, (11alpha,15r)-

55. Prostan-1-oic Acid, 16,16-difluoro-11-hydroxy-9,15-dioxo-, (11.alpha.)-

56. 7-((2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta[b]pyran-5-yl)heptanoicacid

57. 7-[(2r,4ar,5r,7ar)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxo-3,4,4a,5,7,7a-hexahydrocyclopenta[e]pyran-5-yl]heptanoic Acid

2.4 Create Date
2005-08-08
3 Chemical and Physical Properties
Molecular Weight 390.5 g/mol
Molecular Formula C20H32F2O5
XLogP34
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count7
Rotatable Bond Count11
Exact Mass390.22178044 g/mol
Monoisotopic Mass390.22178044 g/mol
Topological Polar Surface Area83.8 Ų
Heavy Atom Count27
Formal Charge0
Complexity525
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameAmitiza
PubMed HealthLubiprostone (By mouth)
Drug ClassesLaxative
Drug LabelAmitiza (lubiprostone) is a chloride channel activator for oral use.The chemical name for lubiprostone is ()-7-[(2 ,4a ,5 ,7a )-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta[ ]pyran-5-yl]heptanoic acid. The molecular formula of lubipro...
Active IngredientLubiprostone
Dosage FormCapsule
RouteOral
Strength24mcg; 8mcg
Market StatusPrescription
CompanySucampo Pharma

2 of 2  
Drug NameAmitiza
PubMed HealthLubiprostone (By mouth)
Drug ClassesLaxative
Drug LabelAmitiza (lubiprostone) is a chloride channel activator for oral use.The chemical name for lubiprostone is ()-7-[(2 ,4a ,5 ,7a )-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta[ ]pyran-5-yl]heptanoic acid. The molecular formula of lubipro...
Active IngredientLubiprostone
Dosage FormCapsule
RouteOral
Strength24mcg; 8mcg
Market StatusPrescription
CompanySucampo Pharma

4.2 Drug Indication

For the treatment of chronic idiopathic constipation in the adult population. Also used for the treatment of irritable bowel syndrome with constipation in women who are 18 years of age or older.


FDA Label


Treatment of constipation


5 Pharmacology and Biochemistry
5.1 Pharmacology

Chronic idiopathic constipation is generally defined by infrequent or difficult passage of stool. The signs and symptoms associated with chronic idiopathic constipation (i.e., abdominal pain or discomfort, bloating, straining, and hard or lumpy stools) may be the result of abnormal colonic motility that can delay the transit of intestinal contents and impede the evacuation of rectal contents. One approach to the treatment of chronic idiopathic constipation is the secretion of fluid into the abdominal lumen through the activation of chloride channels in the apical membrane of the gastrointestinal epithelium. Lubiprostone is a locally acting chloride channel activator that increases intestinal chloride and fluid secretion without altering sodium and potassium concentrations in the serum.


5.2 MeSH Pharmacological Classification

Chloride Channel Agonists

A class of drugs that stimulate chloride ion influx through cell membrane channels. (See all compounds classified as Chloride Channel Agonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
LUBIPROSTONE
5.3.2 FDA UNII
7662KG2R6K
5.3.3 Pharmacological Classes
Chloride Channel Activators [MoA]; Chloride Channel Activator [EPC]
5.4 ATC Code

A - Alimentary tract and metabolism

A06 - Drugs for constipation

A06A - Drugs for constipation

A06AX - Other drugs for constipation

A06AX03 - Lubiprostone


5.5 Absorption, Distribution and Excretion

Absorption

Lubiprostone has low systemic availability following oral administration and concentrations of lubiprostone in plasma are below the level of quantitation (10 pg/mL).


Route of Elimination

Peak plasma concentration was shown to be around 1.14 hours, with a majority of the drug excreted in the urine within 48 hours. Lubiprostone and M3 are only detected in trace amounts in human feces.


5.6 Metabolism/Metabolites

The results of both human and animal studies indicate that lubiprostone is rapidly and extensively metabolized by 15-position reduction, α-chain β-oxidation, and ω-chain ω-oxidation. These biotransformations are not mediated by the hepatic cytochrome P450 system but rather appear to be mediated by the ubiquitously expressed carbonyl reductase. M3, a metabolite of lubiprostone in both humans and animals is formed by the reduction of the carbonyl group at the 15-hydroxy moiety that consists of both α-hydroxy and β-hydroxy epimers. M3 makes up less than 10% of the dose of radiolabeled lubiprostone.


5.7 Biological Half-Life

0.9 to 1.4 hours


5.8 Mechanism of Action

Lubiprostone acts by specifically activating ClC-2 chloride channels, which is a normal constituent of the apical membrane of the human intestine, in a protein kinase A action independent fashion. Activation of ClC-2 chloride channels causes an efflux of chloride ions into the lumen, which in turn leads to an efflux of sodium ions through a paracellular pathway to maintain isoelectric neutrality. As a result, water follows sodium into the lumen in order to maintain isotonic equilibrium, thereby increasing intestinal fluid secretion. By increasing intestinal fluid secretion, lubiprostone increases motility in the intestine, thereby increasing the passage of stool and alleviating symptoms associated with chronic idiopathic constipation. Activation of ClC-2 chloride channels may also stimulate the recovery of muscosal barrier function by restoring tight junction protein complexes in the intestine. Patch clamp cell studies in human cell lines have indicated that the majority of the beneficial biological activity of lubiprostone and its metabolites is observed only on the apical (luminal) portion of the gastrointestinal epithelium.


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28-Jun-2021
24-Jan-2024
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