pancuronium ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
neuromuscular blocking agents with rigid structure 2052 15500-66-0

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • pancuronium bromide
  • bromurex
  • pancuronium
  • pancuronium dibromide
A bis-quaternary steroid that is a competitive nicotinic antagonist. As a neuromuscular blocking agent it is more potent than CURARE but has less effect on the circulatory system and on histamine release.
  • Molecular weight: 572.87
  • Formula: C35H60N2O4
  • CLOGP: 1.21
  • LIPINSKI: 1
  • HAC: 6
  • HDO: 0
  • TPSA: 52.60
  • ALOGS: -8.32
  • ROTB: 6

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 4 Bocci G, Oprea TI, Benet LZ
EoM (Fraction excreted unchanged in urine) 67 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 0.17 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 0 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 0.20 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 1.50 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.09 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 1.90 hours Lombardo F, Berellini G, Obach RS
S (Water solubility) 0.00 mg/mL Bocci G, Oprea TI, Benet LZ

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
azlogd74 LogD at pH 7.4 -0.097 High 0.83
caco2-efflux Caco-2 efflux ratio (BA/AB) 1.556 High 0.83
caco2-intrinsic-papp Caco-2 intrinsic apparent permeability 2.234 10^-6 cm/s High 0.83
dh-clint Dog hepatocyte intrinsic clearance 3.639 uL/min/10^6 cells High 0.83
dppb Dog plasma protein binding (% unbound) 62.830 % High 0.83
fcs-ppb Fetal calf serum protein binding (% unbound) 42.680 % High 0.83
herg hERG pIC50 4.283 pIC50 High 0.83
hh-clint Human hepatocyte intrinsic clearance 1.702 uL/min/10^6 cells High 0.83
hlm-clint Human liver microsomal intrinsic clearance 6.546 uL/min/mg protein High 0.83
hppb Human plasma protein binding (% unbound) 54.480 % High 0.83
kinase-safety-class ACVR2B,AXL,BRAF,BTK,CAMK2D,CDK5,CDK9,EIF2AK3,EPHB4,ERBB2,GRK2,ITK,MAPK10,MAPK7,NTRK2,PDK2,PDK4,PRKDC,TEK,TGFBR1 20
kinase-selectivity-class EIF2AK3,GRK2,ZAP70 3
mdck-mdr1-efflux MDCK-MDR1 efflux ratio 1.054 High 0.83
mh-clint Mouse hepatocyte intrinsic clearance 21.135 High 0.83
mppb Mouse plasma protein binding (% unbound) 49.830 High 0.83
nih-mdck-mdr1-efflux NIH MDCK-MDR1 efflux ratio 0.887 High 0.83
pfas-class PFAS structural alert (1 = True, 0 = False) 0
pppb Pig plasma protein binding (% unbound) 51.840 % High 0.83
rh-clint Rat hepatocyte intrinsic clearance 47.534 uL/min/10^6 cells High 0.83
rh-fuinc Rat hepatocyte fraction unbound in incubation 86.050 % High 0.83
rppb Rat plasma protein binding (% unbound) 48.560 % High 0.83
solubility-dd Solubility at pH 7.4 in DMSO 883.080 uM High 0.83

Approvals:

DateAgencyCompanyOrphan
Oct. 24, 1972 FDA

FDA Adverse Event Reporting System (Female)

None

FDA Adverse Event Reporting System (Male)

None

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Labile blood pressure 242.45 104.45 36 687 2435 110586141
Hepatic ischaemia 144.18 104.45 21 702 1230 110587346
Haematemesis 123.94 104.45 35 688 59073 110529503
Hepatorenal syndrome 116.87 104.45 21 702 4576 110584000
Renal failure 104.54 104.45 43 680 226531 110362045

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC M03AC01 MUSCULO-SKELETAL SYSTEM
MUSCLE RELAXANTS
MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS
Other quaternary ammonium compounds
MeSH PA D003473 Neuromuscular Nondepolarizing Agents
MeSH PA D009465 Neuromuscular Agents
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D018678 Cholinergic Agents
MeSH PA D018680 Cholinergic Antagonists
MeSH PA D018733 Nicotinic Antagonists
FDA EPC N0000175720 Nondepolarizing Neuromuscular Blocker
FDA PE N0000175732 Neuromuscular Nondepolarizing Blockade
CHEBI has role CHEBI:48873 cholinergic antagonist
CHEBI has role CHEBI:48878 nicotinic antagonist
CHEBI has role CHEBI:51371 muscle relaxant

Related Drugs by ATC class:

M03AC Other quaternary ammonium compounds 10 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Muscle relaxation, function indication 11977004
General anesthesia indication 50697003
Skeletal Muscle Relaxation for Endotracheal Intubation indication
Asthenia contraindication 13791008
Disorder of lung contraindication 19829001 DOID:850
Renal failure syndrome contraindication 42399005 DOID:1074
Body fluid retention contraindication 43498006
Decreased cardiac function contraindication 43650005
Acidosis contraindication 51387008
Kidney disease contraindication 90708001 DOID:557
Myasthenia gravis contraindication 91637004 DOID:437
Disease of liver contraindication 235856003 DOID:409
Disorder of electrolytes contraindication 237840007
Carcinomatosis contraindication 307593001
Hypoxia contraindication 389086002
Obesity contraindication 414916001 DOID:9970
Complete Biliary Obstruction contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Acetylcholine receptor Ion channel ANTAGONIST IC50 8.20 WOMBAT-PK CHEMBL
Neuronal acetylcholine receptor; alpha4/beta2 Ion channel IC50 8.26 WOMBAT-PK
Acetylcholine receptor; alpha1/beta1/delta/gamma Ion channel IC50 7.09 CHEMBL

External reference:

IDSource
4018513 VUID
N0000178946 NUI
D00492 KEGG_DRUG
16974-53-1 SECONDARY_CAS_RN
4018513 VANDF
4019874 VANDF
C0030310 UMLSCUI
CHEBI:7907 CHEBI
CHEMBL185073 ChEMBL_ID
CHEMBL1200757 ChEMBL_ID
DB01337 DRUGBANK_ID
4001 IUPHAR_LIGAND_ID
J76UF062FS UNII
441289 PUBCHEM_CID
7883 RXNORM
4541 MMSL
5228 MMSL
d00330 MMSL
002405 NDDF
013421 NDDF
350064000 SNOMEDCT_US
373738000 SNOMEDCT_US
373764006 SNOMEDCT_US
D010197 MESH_DESCRIPTOR_UI
2489 INN_ID

Pharmaceutical products:

None