paricalcitol ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
Vitamin D analogues/derivatives 2066 131918-61-1

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • zemplar
  • paricalcitol-d6
  • paricalcitol
suppressed immunoglobulin production & thymic lymphocyte proliferation in vivo
  • Molecular weight: 416.65
  • Formula: C27H44O3
  • CLOGP: 5.69
  • LIPINSKI: 1
  • HAC: 3
  • HDO: 3
  • TPSA: 60.69
  • ALOGS: -4.79
  • ROTB: 5

  • Status: OFP

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

Drug dosage:

DoseUnitRoute
2 mcg O
2 mcg P

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 0 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 0.00 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 72 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 0.41 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 0.89 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.00 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 5.30 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
April 17, 1998 FDA ABBVIE

FDA Adverse Event Reporting System (Female)

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
Death 3102.63 25.89 1256 5638 324123 50274107
Cardiac disorder 451.61 25.89 182 6712 42797 50555433
Infarction 324.74 25.89 73 6821 2255 50595975
Sepsis 223.74 25.89 167 6727 132758 50465472
Adverse event 163.51 25.89 91 6803 43672 50554558
Myocardial infarction 154.32 25.89 114 6780 88913 50509317
Cardiac failure 153.88 25.89 107 6787 75933 50522297
Calciphylaxis 144.26 25.89 39 6855 2599 50595631
Cardiovascular disorder 143.94 25.89 54 6840 10400 50587830
Cardio-respiratory arrest 138.39 25.89 88 6806 53804 50544426
Respiratory arrest 121.95 25.89 66 6828 29943 50568287
Nephrogenic systemic fibrosis 108.65 25.89 35 6859 4287 50593943
Cerebrovascular disorder 82.03 25.89 25 6869 2553 50595677
Blood parathyroid hormone increased 75.38 25.89 24 6870 2830 50595400
Skin induration 74.91 25.89 24 6870 2887 50595343
Renal transplant 71.25 25.89 19 6875 1200 50597030
Acute myocardial infarction 68.16 25.89 45 6849 29228 50569002
Skin hypertrophy 61.52 25.89 21 6873 3074 50595156
Skin tightness 61.25 25.89 22 6872 3741 50594489
Chronic kidney disease 55.79 25.89 45 6849 39726 50558504
Drug ineffective 52.87 25.89 23 6871 819310 49778920
Cerebrovascular accident 50.00 25.89 63 6831 94617 50503613
Peritonitis bacterial 46.23 25.89 19 6875 4642 50593588
Skin fibrosis 39.10 25.89 11 6883 848 50597382
Hyperphosphataemia 38.38 25.89 13 6881 1858 50596372
Transplant 37.36 25.89 10 6884 640 50597590
Blood parathyroid hormone abnormal 36.91 25.89 8 6886 207 50598023
Parathyroidectomy 35.81 25.89 8 6886 239 50597991
Shunt occlusion 34.75 25.89 9 6885 507 50597723
Cardiac arrest 33.97 25.89 49 6845 83602 50514628
Arteriovenous fistula thrombosis 31.87 25.89 7 6887 193 50598037
Peritoneal dialysis complication 31.46 25.89 10 6884 1171 50597059
Haemorrhagic stroke 31.44 25.89 15 6879 5213 50593017
Device related sepsis 30.55 25.89 13 6881 3462 50594768
Device related infection 30.21 25.89 24 6870 20711 50577519
Fibrosis 29.61 25.89 13 6881 3734 50594496
Acute pulmonary oedema 29.53 25.89 16 6878 7251 50590979
Off label use 29.40 25.89 14 6880 474412 50123818
Azotaemia 28.77 25.89 13 6881 3995 50594235
Joint contracture 27.98 25.89 10 6884 1674 50596556
Pulmonary sepsis 26.41 25.89 9 6885 1310 50596920

FDA Adverse Event Reporting System (Male)

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
Death 3883.41 26.58 1851 6624 340233 29225819
Cardiac disorder 699.54 26.58 295 8180 36968 29529084
Infarction 484.21 26.58 117 8358 2309 29563743
Myocardial infarction 295.21 26.58 247 8228 110049 29456003
Cardiovascular disorder 233.38 26.58 90 8385 8845 29557207
Adverse event 217.69 26.58 100 8375 15191 29550861
Sepsis 176.21 26.58 210 8265 142472 29423580
Cardiac failure 160.61 26.58 152 8323 79135 29486917
Respiratory arrest 142.62 26.58 90 8385 25743 29540309
Cardio-respiratory arrest 134.09 26.58 113 8362 50488 29515564
Transplant 130.71 26.58 32 8443 665 29565387
Renal transplant 121.22 26.58 36 8439 1582 29564470
Cerebrovascular accident 94.23 26.58 113 8362 76798 29489254
Calciphylaxis 91.22 26.58 26 8449 986 29565066
Cerebrovascular disorder 89.20 26.58 29 8446 1722 29564330
Infection 76.86 26.58 102 8373 76649 29489403
Shunt thrombosis 69.79 26.58 13 8462 65 29565987
Parathyroidectomy 67.51 26.58 13 8462 80 29565972
Nephrogenic systemic fibrosis 66.29 26.58 29 8446 3913 29562139
Cardiac arrest 63.99 26.58 99 8376 85492 29480560
Skin induration 54.68 26.58 21 8454 2033 29564019
Shunt occlusion 53.49 26.58 16 8459 720 29565332
Blood parathyroid hormone increased 51.46 26.58 18 8457 1337 29564715
Unevaluable event 50.52 26.58 52 8423 29799 29536253
Drug ineffective 45.25 26.58 24 8451 363146 29202906
Acute myocardial infarction 44.81 26.58 62 8413 48376 29517676
Off label use 40.28 26.58 18 8457 300782 29265270
Skin hypertrophy 38.21 26.58 17 8458 2386 29563666
Chronic kidney disease 35.77 26.58 48 8427 36368 29529684
Skin tightness 31.57 26.58 14 8461 1950 29564102
Peritoneal dialysis complication 30.97 26.58 13 8462 1584 29564468
Toxicity to various agents 27.25 26.58 8 8467 173653 29392399

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
Myocardial infarction 340.83 22.25 229 7977 165592 64324934
Death 323.92 22.25 349 7857 482356 64008170
Cardio-respiratory arrest 266.68 22.25 162 8044 98231 64392295
Cardiac disorder 244.34 22.25 126 8080 55690 64434836
Calciphylaxis 213.54 22.25 55 8151 3257 64487269
Infarction 203.79 22.25 55 8151 3905 64486621
Sepsis 190.41 22.25 187 8019 230154 64260372
Cardiac failure 157.44 22.25 132 8074 132241 64358285
Respiratory arrest 150.41 22.25 90 8116 52895 64437631
Nephrogenic systemic fibrosis 148.38 22.25 47 8159 5845 64484681
Skin induration 120.63 22.25 37 8169 4138 64486388
Renal transplant 96.11 22.25 27 8179 2221 64488305
Acute myocardial infarction 94.25 22.25 75 8131 69643 64420883
Skin hypertrophy 93.18 22.25 31 8175 4498 64486028
Skin tightness 82.68 22.25 29 8177 4932 64485594
Blood parathyroid hormone increased 74.77 22.25 24 8182 3110 64487416
Parathyroidectomy 74.38 22.25 14 8192 186 64490340
Peritonitis bacterial 72.31 22.25 31 8175 9012 64481514
Peritoneal dialysis complication 65.44 22.25 20 8186 2208 64488318
Chronic kidney disease 65.09 22.25 56 8150 57863 64432663
Cerebrovascular disorder 56.48 22.25 20 8186 3495 64487031
Skin fibrosis 55.51 22.25 16 8190 1443 64489083
Cardiac arrest 55.19 22.25 82 8124 153982 64336544
Shunt thrombosis 54.46 22.25 10 8196 115 64490411
Shunt occlusion 53.65 22.25 15 8191 1212 64489314
Cardiovascular disorder 53.00 22.25 30 8176 15851 64474675
Joint range of motion decreased 45.04 22.25 29 8177 19314 64471212
Joint contracture 44.24 22.25 15 8191 2304 64488222
Fibrosis 40.42 22.25 17 8189 4711 64485815
Transplant 39.61 22.25 11 8195 867 64489659
Scar 38.58 22.25 23 8183 13375 64477151
Drug ineffective 37.88 22.25 31 8175 840216 63650310
Azotaemia 35.84 22.25 18 8188 7484 64483042
Device related sepsis 35.78 22.25 16 8190 5139 64485387
Arteriovenous fistula thrombosis 35.13 22.25 9 8197 520 64490006
Cerebrovascular accident 34.04 22.25 62 8144 137521 64353005
Blood parathyroid hormone abnormal 33.22 22.25 8 8198 358 64490168
Device related infection 33.14 22.25 29 8177 30597 64459929
Peritonitis 31.82 22.25 26 8180 24997 64465529
Hypercalcaemia 30.54 22.25 28 8178 31388 64459138
Cardiopulmonary failure 30.05 22.25 15 8191 6155 64484371
Skin hyperpigmentation 29.20 22.25 15 8191 6536 64483990
Sudden death 27.93 22.25 22 8184 20074 64470452
Hyperphosphataemia 26.50 22.25 12 8194 3969 64486557
General physical health deterioration 26.44 22.25 71 8135 204354 64286172
Shunt malfunction 25.87 22.25 6 8200 228 64490298
Haemorrhagic stroke 25.87 22.25 16 8190 9935 64480591
Nephropathy 25.73 22.25 15 8191 8371 64482155
Hypocalcaemia 25.57 22.25 29 8177 41724 64448802
Hypertensive crisis 25.41 22.25 20 8186 18228 64472298
Arrhythmia 24.64 22.25 32 8174 52912 64437614
Toxicity to various agents 24.30 22.25 8 8198 363505 64127021
Off label use 23.11 22.25 28 8178 632778 63857748

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC H05BX02 SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS
CALCIUM HOMEOSTASIS
ANTI-PARATHYROID AGENTS
Other anti-parathyroid agents
FDA CS M0007651 Ergocalciferols
CHEBI has role CHEBI:50827 antiparathyroid drugs
FDA EPC N0000175907 Vitamin D2 Analog

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

DiseaseRelationSNOMED_IDDOID
Hyperparathyroidism Secondary to Chronic Renal Failure indication
Poisoning by digitalis glycoside contraindication 12876009
Hyperphosphatemia contraindication 20165001 DOID:0050459
Hypervitaminosis D contraindication 27712000 DOID:9971
Hypercalcemia contraindication 66931009 DOID:12678




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)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
0.002MG/ML (0.002MG/ML) ZEMPLAR ABBVIE N020819 Feb. 1, 2000 RX SOLUTION INTRAVENOUS Oct. 18, 2023 FDA HAS NOT RECOGNIZED ORPHAN-DRUG EXCLUSIVITY (ODE) FOR THIS DRUG, BUT IT CONTAINS THE SAME ACTIVE MOIETY OR MOIETIES AS ANOTHER DRUG(S) THAT WAS ELIGIBLE FOR ODE, AND ALSO SHARES ODE-PROTECTED USE(S) OR INDICATION(S) WITH THAT DRUG(S). AN APPLICATION SEEKING APPROVAL FOR THE SAME ACTIVE MOIETY OR MOIETIES, INCLUDING AN ANDA THAT CITES THIS NDA AS ITS BASIS OF SUBMISSION, MAY NOT BE APPROVED FOR SUCH ODE-PROTECTED USE(S) AND INDICATION(S)
0.005MG/ML (0.005MG/ML) ZEMPLAR ABBVIE N020819 April 17, 1998 RX SOLUTION INTRAVENOUS Oct. 18, 2023 FDA HAS NOT RECOGNIZED ORPHAN-DRUG EXCLUSIVITY (ODE) FOR THIS DRUG, BUT IT CONTAINS THE SAME ACTIVE MOIETY OR MOIETIES AS ANOTHER DRUG(S) THAT WAS ELIGIBLE FOR ODE, AND ALSO SHARES ODE-PROTECTED USE(S) OR INDICATION(S) WITH THAT DRUG(S). AN APPLICATION SEEKING APPROVAL FOR THE SAME ACTIVE MOIETY OR MOIETIES, INCLUDING AN ANDA THAT CITES THIS NDA AS ITS BASIS OF SUBMISSION, MAY NOT BE APPROVED FOR SUCH ODE-PROTECTED USE(S) AND INDICATION(S)
0.01MG/2ML (0.005MG/ML) ZEMPLAR ABBVIE N020819 Feb. 1, 2000 RX SOLUTION INTRAVENOUS Oct. 18, 2023 FDA HAS NOT RECOGNIZED ORPHAN-DRUG EXCLUSIVITY (ODE) FOR THIS DRUG, BUT IT CONTAINS THE SAME ACTIVE MOIETY OR MOIETIES AS ANOTHER DRUG(S) THAT WAS ELIGIBLE FOR ODE, AND ALSO SHARES ODE-PROTECTED USE(S) OR INDICATION(S) WITH THAT DRUG(S). AN APPLICATION SEEKING APPROVAL FOR THE SAME ACTIVE MOIETY OR MOIETIES, INCLUDING AN ANDA THAT CITES THIS NDA AS ITS BASIS OF SUBMISSION, MAY NOT BE APPROVED FOR SUCH ODE-PROTECTED USE(S) AND INDICATION(S)
1MCG ZEMPLAR ABBVIE N021606 May 26, 2005 RX CAPSULE ORAL Oct. 18, 2023 INDICATED IN PEDIATRIC PATIENTS 10 YEARS AND OLDER FOR THE PREVENTION AND TREATMENT OF SECONDARY HYPERPARATHYROIDISM ASSOCIATED WITH CHRONIC KIDNEY DISEASE (CKD) STAGES 3 AND 4 AND CKD STAGE 5 IN PATIENTS ON HEMODIALYSIS OR PERITONEAL DIALYSIS
2MCG ZEMPLAR ABBVIE N021606 May 26, 2005 RX CAPSULE ORAL Oct. 18, 2023 INDICATED IN PEDIATRIC PATIENTS 10 YEARS AND OLDER FOR THE PREVENTION AND TREATMENT OF SECONDARY HYPERPARATHYROIDISM ASSOCIATED WITH CHRONIC KIDNEY DISEASE (CKD) STAGES 3 AND 4 AND CKD STAGE 5 IN PATIENTS ON HEMODIALYSIS OR PERITONEAL DIALYSIS
4MCG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons** ZEMPLAR ABBVIE N021606 May 26, 2005 DISCN CAPSULE ORAL Oct. 18, 2023 INDICATED IN PEDIATRIC PATIENTS 10 YEARS AND OLDER FOR THE PREVENTION AND TREATMENT OF SECONDARY HYPERPARATHYROIDISM ASSOCIATED WITH CHRONIC KIDNEY DISEASE (CKD) STAGES 3 AND 4 AND CKD STAGE 5 IN PATIENTS ON HEMODIALYSIS OR PERITONEAL DIALYSIS

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Vitamin D3 receptor Nuclear hormone receptor AGONIST EC50 8.70 WOMBAT-PK CHEMBL

External reference:

IDSource
4021107 VUID
N0000148562 NUI
D00930 KEGG_DRUG
4021107 VANDF
C0249582 UMLSCUI
CHEBI:7931 CHEBI
CHEMBL1200622 ChEMBL_ID
DB00910 DRUGBANK_ID
C084656 MESH_SUPPLEMENTAL_RECORD_UI
5281104 PUBCHEM_CID
2791 IUPHAR_LIGAND_ID
7688 INN_ID
6702D36OG5 UNII
221005 RXNORM
11702 MMSL
206206 MMSL
5234 MMSL
d04312 MMSL
007498 NDDF
108946001 SNOMEDCT_US
126233000 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-1658 INJECTION, SOLUTION 5 ug INTRAVENOUS NDA 26 sections
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-4314 CAPSULE, LIQUID FILLED 2 ug ORAL NDA 28 sections
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-4317 CAPSULE, LIQUID FILLED 1 ug ORAL NDA 28 sections
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-4637 INJECTION, SOLUTION 2 ug INTRAVENOUS NDA 26 sections
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-9036 CAPSULE, LIQUID FILLED 1 ug ORAL NDA 28 sections
Zemplar HUMAN PRESCRIPTION DRUG LABEL 1 0074-9037 CAPSULE, LIQUID FILLED 2 ug ORAL NDA 28 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 0143-9596 INJECTION 5 ug INTRAVENOUS NDA 24 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 0143-9624 INJECTION 5 ug INTRAVENOUS NDA 24 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 0143-9625 INJECTION 2 ug INTRAVENOUS NDA 24 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 0409-1007 INJECTION, SOLUTION 2 ug INTRAVENOUS NDA 29 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 0409-1008 INJECTION, SOLUTION 5 ug INTRAVENOUS NDA 29 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 10888-5001 CAPSULE, LIQUID FILLED 1 ug ORAL ANDA 26 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 10888-5002 CAPSULE, LIQUID FILLED 2 ug ORAL ANDA 26 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 10888-5003 CAPSULE, LIQUID FILLED 4 ug ORAL ANDA 26 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 16729-310 INJECTION, SOLUTION 2 ug INTRAVENOUS NDA 24 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 16729-311 INJECTION, SOLUTION 5 ug INTRAVENOUS NDA 24 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 17478-033 INJECTION, SOLUTION 5 ug INTRAVENOUS ANDA 26 sections
Paricalcitol Human Prescription Drug Label 1 25000-012 CAPSULE, LIQUID FILLED 1 ug ORAL ANDA 24 sections
Paricalcitol Human Prescription Drug Label 1 25000-014 CAPSULE, LIQUID FILLED 2 ug ORAL ANDA 24 sections
Paricalcitol Human Prescription Drug Label 1 25000-017 CAPSULE, LIQUID FILLED 4 ug ORAL ANDA 24 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 40051-612 CAPSULE 1 ug ORAL ANDA 18 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 40051-613 CAPSULE 2 ug ORAL ANDA 18 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 40051-614 CAPSULE 4 ug ORAL ANDA 18 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 43598-562 INJECTION, SOLUTION 5 ug INTRAVENOUS ANDA 21 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 43598-563 INJECTION, SOLUTION 2 ug INTRAVENOUS ANDA 21 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 43598-564 INJECTION, SOLUTION 5 ug INTRAVENOUS ANDA 21 sections
Paricalcitol HUMAN PRESCRIPTION DRUG LABEL 1 43598-565 INJECTION, SOLUTION 5 ug INTRAVENOUS ANDA 21 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 47781-476 CAPSULE 1 ug ORAL ANDA 17 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 47781-477 CAPSULE 2 ug ORAL ANDA 17 sections
PARICALCITOL HUMAN PRESCRIPTION DRUG LABEL 1 47781-478 CAPSULE 4 ug ORAL ANDA 17 sections