pimavanserin 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
serotonin receptor antagonists (mostly 5-HT2) 5142 706779-91-1

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • pimavanserin
  • pimavanserin tartrate
  • ACP-103
  • nuplazid
an atypical antipsychotic, mechanism of action of pimavanserin in the treatment of hallucinations and delusions associated with Parkinson's disease psychosis is unknown. however, the effect of pimavanserin could be mediated through a combination of inverse agonist and antagonist activity at serotonin 5-HT2A receptors and to a lesser extent at serotonin 5-HT2C receptors
  • Molecular weight: 427.56
  • Formula: C25H34FN3O2
  • CLOGP: 4.11
  • LIPINSKI: 0
  • HAC: 5
  • HDO: 1
  • TPSA: 44.81
  • ALOGS: -4.76
  • ROTB: 8

  • Status: ONP

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

Drug dosage:

None

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
April 29, 2016 FDA ACADIA PHARMACEUTICALS INC

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
Hallucination 3963.90 44.07 1119 12502 45538 50545965
Death 1511.83 44.07 983 12638 324396 50267107
Underdose 830.80 44.07 280 13341 19998 50571505
Prescribed underdose 691.83 44.07 230 13391 15719 50575784
Hallucination, visual 524.69 44.07 189 13432 16393 50575110
Nonspecific reaction 510.83 44.07 114 13507 1665 50589838
Product dose omission issue 496.35 44.07 403 13218 183435 50408068
Drug ineffective 435.10 44.07 778 12843 818555 49772948
Confusional state 407.96 44.07 362 13259 185566 50405937
Abnormal behaviour 367.85 44.07 153 13468 19505 50571998
Delusion 234.45 44.07 93 13528 10476 50581027
Adverse drug reaction 231.08 44.07 158 13463 55064 50536439
Fall 224.33 44.07 355 13266 334577 50256926
Aggression 198.54 44.07 102 13519 21014 50570489
Dementia 188.16 44.07 90 13531 15907 50575596
Dementia with Lewy bodies 172.96 44.07 34 13587 254 50591249
Somnolence 154.55 44.07 199 13422 154786 50436717
Peripheral swelling 141.10 44.07 221 13400 205715 50385788
Paranoia 130.19 44.07 61 13560 10287 50581216
Therapeutic response unexpected 130 44.07 70 13551 15845 50575658
Gait disturbance 115.38 44.07 170 13451 149835 50441668
Nightmare 112.84 44.07 64 13557 16022 50575481
Inappropriate schedule of product administration 106.16 44.07 113 13508 71718 50519785
Urinary tract infection 100.82 44.07 200 13421 223820 50367683
Metabolic function test abnormal 95.94 44.07 19 13602 148 50591355
Abnormal dreams 93.04 44.07 47 13574 9330 50582173
Hypersomnia 81.49 44.07 51 13570 15263 50576240
Psychotic disorder 78.53 44.07 57 13564 21755 50569748
Hip fracture 78.33 44.07 61 13560 25870 50565633
Hospitalisation 70.31 44.07 89 13532 67848 50523655
Pyrexia 69.39 44.07 10 13611 380193 50211310
Arthralgia 66.59 44.07 18 13603 438684 50152819
Screaming 65.29 44.07 26 13595 2952 50588551
Agitation 65.10 44.07 76 13545 53308 50538195
Tremor 60.73 44.07 110 13511 114793 50476710
Pain 57.93 44.07 43 13578 578860 50012643
Insomnia 57.82 44.07 138 13483 174727 50416776
Freezing phenomenon 57.67 44.07 18 13603 997 50590506
Dysphagia 56.82 44.07 86 13535 77432 50514071
Balance disorder 52.71 44.07 79 13542 70511 50520992
Cognitive disorder 50.78 44.07 61 13560 44062 50547441
Drug hypersensitivity 47.17 44.07 6 13615 251004 50340499
Sleep terror 46.06 44.07 14 13607 709 50590794
Diarrhoea 45.62 44.07 55 13566 588421 50003082
Hallucination, auditory 45.50 44.07 31 13590 10697 50580806
Dysstasia 45.49 44.07 38 13583 17781 50573722
Anaemia 45.18 44.07 7 13614 252449 50339054

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
Hallucination 5992.18 52.11 1936 20713 42776 29509102
Death 2270.74 52.11 1940 20709 340144 29211734
Prescribed underdose 1195.33 52.11 377 22272 7409 29544469
Underdose 1164.36 52.11 410 22239 11459 29540419
Confusional state 1038.62 52.11 823 21826 127054 29424824
Nonspecific reaction 854.15 52.11 194 22455 957 29550921
Abnormal behaviour 699.51 52.11 345 22304 22782 29529096
Product dose omission issue 657.97 52.11 562 22087 95821 29456057
Hallucination, visual 588.82 52.11 268 22381 14747 29537131
Drug ineffective 529.40 52.11 969 21680 362201 29189677
Adverse drug reaction 429.80 52.11 253 22396 23767 29528111
Fall 410.04 52.11 585 22064 176593 29375285
Peripheral swelling 372.57 52.11 341 22308 63398 29488480
Gait disturbance 366.99 52.11 360 22289 72989 29478889
Dementia 361.24 52.11 177 22472 11481 29540397
Aggression 352.92 52.11 259 22390 35282 29516596
Therapeutic response unexpected 291.27 52.11 139 22510 8499 29543379
Delusion 285.18 52.11 149 22500 11067 29540811
Somnolence 272.57 52.11 347 22302 93608 29458270
Gait inability 217.08 52.11 149 22500 18226 29533652
Hypersomnia 207.31 52.11 119 22530 10635 29541243
Agitation 199.00 52.11 220 22429 51084 29500794
Nightmare 198.09 52.11 118 22531 11299 29540579
Dysstasia 183.66 52.11 109 22540 10365 29541513
Acute kidney injury 163.86 52.11 10 22639 265257 29286621
Dementia with Lewy bodies 163.60 52.11 46 22603 592 29551286
Paranoia 160.78 52.11 98 22551 9779 29542099
Inappropriate schedule of product administration 157.57 52.11 182 22467 44290 29507588
Pyrexia 139.55 52.11 26 22623 287596 29264282
Posture abnormal 137.80 52.11 53 22596 1894 29549984
Metabolic function test abnormal 134.26 52.11 25 22624 31 29551847
Hospitalisation 131.66 52.11 169 22480 45819 29506059
Anaemia 125.74 52.11 7 22642 200944 29350934
Drooling 124.83 52.11 56 22593 2965 29548913
Insomnia 123.85 52.11 234 22415 88527 29463351
Balance disorder 118.07 52.11 142 22507 36028 29515850
Abnormal dreams 116.05 52.11 70 22579 6850 29545028
Cognitive disorder 112.80 52.11 113 22536 23386 29528492
Psychotic disorder 109.14 52.11 104 22545 20250 29531628
Feeling abnormal 93.15 52.11 157 22492 54288 29497590
Dysphagia 92.13 52.11 157 22492 54769 29497109
Neutropenia 87.53 52.11 3 22646 131708 29420170
Anger 85.22 52.11 69 22580 10821 29541057
Dyspnoea 79.64 52.11 80 22569 326652 29225226
Hip fracture 78.99 52.11 65 22584 10427 29541451
Urinary tract infection 76.28 52.11 170 22479 72184 29479694
Tremor 75.53 52.11 171 22478 73367 29478511
Intentional underdose 74.46 52.11 25 22624 598 29551280
Disorientation 71.44 52.11 100 22549 29415 29522463
Constipation 68.99 52.11 218 22431 113942 29437936
Arthralgia 68.88 52.11 12 22637 139605 29412273
Speech disorder 68.14 52.11 87 22562 23429 29528449
Freezing phenomenon 63.87 52.11 27 22622 1236 29550642
Abdominal pain 63.85 52.11 13 22636 135344 29416534
Diarrhoea 62.74 52.11 99 22550 332599 29219279
Restlessness 61.14 52.11 80 22569 22065 29529813
Drug interaction 58.26 52.11 40 22609 197345 29354533
Screaming 57.15 52.11 25 22624 1245 29550633
Memory impairment 56.88 52.11 101 22548 36369 29515509
Completed suicide 53.81 52.11 4 22645 90242 29461636

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
Hallucination 5253.47 43.14 1654 22026 71134 64403918
Death 4018.55 43.14 2355 21325 480350 63994702
Underdose 1501.15 43.14 501 23179 25328 64449724
Prescribed underdose 1259.05 43.14 402 23278 17613 64457439
Confusional state 954.59 43.14 777 22903 260367 64214685
Product dose omission issue 768.90 43.14 607 23073 194140 64280912
Abnormal behaviour 742.55 43.14 322 23358 33300 64441752
Nonspecific reaction 686.34 43.14 157 23523 1846 64473206
Hallucination, visual 612.57 43.14 266 23414 27568 64447484
Fall 493.16 43.14 680 23000 416146 64058906
Aggression 465.04 43.14 259 23421 45973 64429079
Dementia 362.84 43.14 169 23511 20597 64454455
Delusion 347.33 43.14 157 23523 17857 64457195
Somnolence 314.56 43.14 380 23300 203265 64271787
Gait disturbance 310.56 43.14 348 23332 171807 64303245
Therapeutic response unexpected 265.21 43.14 128 23552 16873 64458179
Hypersomnia 253.01 43.14 130 23550 19587 64455465
Metabolic function test abnormal 240.95 43.14 44 23636 141 64474911
Adverse drug reaction 234.79 43.14 167 23513 45297 64429755
Agitation 213.44 43.14 209 23471 88158 64386894
Peripheral swelling 209.05 43.14 316 23364 208837 64266215
Drug ineffective 194.65 43.14 711 22969 839536 63635516
Paranoia 184.66 43.14 99 23581 16253 64458799
Inappropriate schedule of product administration 180.71 43.14 195 23485 92091 64382961
Gait inability 170.42 43.14 134 23546 42234 64432818
Dysstasia 169.91 43.14 106 23574 23109 64451943
Abnormal dreams 164.60 43.14 79 23601 10277 64464775
Psychotic disorder 162.49 43.14 120 23560 34458 64440594
Dementia with Lewy bodies 161.80 43.14 40 23640 667 64474385
Nightmare 148.97 43.14 94 23586 20899 64454153
Acute kidney injury 133.25 43.14 8 23672 449232 64025820
Cognitive disorder 132.36 43.14 130 23550 54957 64420095
Hip fracture 124.96 43.14 93 23587 27006 64448046
Posture abnormal 124.75 43.14 47 23633 3359 64471693
Drooling 120.67 43.14 52 23628 5267 64469785
Pyrexia 120.03 43.14 29 23651 558615 63916437
Balance disorder 113.79 43.14 147 23533 83779 64391273
Insomnia 111.77 43.14 233 23447 197603 64277449
Anger 110.46 43.14 70 23610 15671 64459381
Anaemia 105.75 43.14 9 23671 378671 64096381
Urinary tract infection 101.99 43.14 247 23433 231349 64243703
Dysphagia 96.15 43.14 154 23526 106658 64368394
Sedation 90.67 43.14 93 23587 41369 64433683
Tremor 90.07 43.14 180 23500 148050 64327002
Arthralgia 89.14 43.14 26 23654 442234 64032818
Freezing phenomenon 81.74 43.14 28 23652 1518 64473534
Motor dysfunction 80.85 43.14 51 23629 11322 64463730
Orthostatic hypotension 78.09 43.14 91 23589 46647 64428405
Disorientation 77.54 43.14 99 23581 55729 64419323
Speech disorder 77.10 43.14 92 23588 48349 64426703
Hospitalisation 76.84 43.14 115 23565 75092 64399960
Neutropenia 74.99 43.14 3 23677 239621 64235431
Feeling abnormal 73.79 43.14 156 23524 133446 64341606
Pain 72.94 43.14 58 23622 553453 63921599
Intentional underdose 70.33 43.14 27 23653 2031 64473021
Completed suicide 69.59 43.14 3 23677 224411 64250641
Screaming 68.74 43.14 31 23649 3498 64471554
Dyspnoea 63.57 43.14 104 23576 718570 63756482
Abdominal pain 63.55 43.14 18 23662 312357 64162695
Patient elopement 59.61 43.14 9 23671 3 64475049
Incoherent 58.45 43.14 35 23645 7083 64467969
Diarrhoea 57.24 43.14 112 23568 722592 63752460
Restlessness 55.94 43.14 71 23609 39714 64435338
Constipation 55.78 43.14 198 23482 229139 64245913
Drug hypersensitivity 55.77 43.14 10 23670 237805 64237247
Haemoglobin decreased 53.40 43.14 5 23675 195058 64279994
Drug interaction 50.11 43.14 36 23644 362047 64113005
Memory impairment 49.55 43.14 102 23578 85580 64389472
Rapid eye movement sleep behaviour disorder 47.49 43.14 13 23667 328 64474724
Pruritus 47.37 43.14 28 23652 312372 64162680
White blood cell count decreased 46.13 43.14 3 23677 157834 64317218
Sleep terror 45.59 43.14 17 23663 1180 64473872
Hypokinesia 45.20 43.14 42 23638 16554 64458498
Vomiting 44.79 43.14 84 23596 551033 63924019
Unresponsive to stimuli 44.40 43.14 72 23608 50321 64424731
Belligerence 44.01 43.14 12 23668 298 64474754
Refusal of treatment by patient 43.85 43.14 31 23649 8308 64466744

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC N05AX17 NERVOUS SYSTEM
PSYCHOLEPTICS
ANTIPSYCHOTICS
Other antipsychotics
FDA EPC N0000175430 Atypical Antipsychotic
MeSH PA D018726 Anti-Dyskinesia Agents
MeSH PA D000978 Antiparkinson Agents
MeSH PA D014150 Antipsychotic Agents
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D011619 Psychotropic Drugs
MeSH PA D058830 Serotonin 5-HT2 Receptor Antagonists
MeSH PA D018490 Serotonin Agents
MeSH PA D012702 Serotonin Antagonists
MeSH PA D014149 Tranquilizing Agents
CHEBI has role CHEBI:35476 neuroleptics
CHEBI has role CHEBI:48279 serotonin antagonists
CHEBI has role CHEBI:133016 5-hydroxytryptamine (2A) receptor inverse agonist

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

DiseaseRelationSNOMED_IDDOID
Parkinson's disease indication 49049000 DOID:14330




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 8.42 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 9765053 July 27, 2022 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 9765053 July 27, 2022 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 9765053 July 27, 2022 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 10028944 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 8618130 Jan. 15, 2024 TREATMENT OF PSYCHOSIS OR A SYMPTOM THEREOF
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 8921393 Jan. 15, 2024 TREATMENT OF A NEURODEGENERATIVE DISEASE OR A SYMPTOM THEREOF
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 9566271 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 10028944 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 8618130 Jan. 15, 2024 TREATMENT OF PSYCHOSIS OR A SYMPTOM THEREOF
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 8921393 Jan. 15, 2024 TREATMENT OF A NEURODEGENERATIVE DISEASE OR A SYMPTOM THEREOF
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 9566271 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 10028944 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 8618130 Jan. 15, 2024 TREATMENT OF PSYCHOSIS OR A SYMPTOM THEREOF
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 8921393 Jan. 15, 2024 TREATMENT OF A NEURODEGENERATIVE DISEASE OR A SYMPTOM THEREOF
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 9566271 Jan. 15, 2024 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 7659285 Aug. 24, 2026 TREATMENT OF PARKINSONS DISEASE PSYCHOSIS
EQ 17MG BASE NUPLAZID ACADIA PHARMS INC N207318 April 29, 2016 DISCN TABLET ORAL 7659285 Aug. 24, 2026 TREATMENT OF PARKINSONS DISEASE PSYCHOSIS
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 7659285 Aug. 24, 2026 TREATMENT OF PARKINSONS DISEASE PSYCHOSIS
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 10517860 March 23, 2037 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 10MG BASE NUPLAZID ACADIA PHARMS INC N207318 June 28, 2018 RX TABLET ORAL 10953000 March 23, 2037 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS
EQ 34MG BASE NUPLAZID ACADIA PHARMS INC N210793 June 28, 2018 RX CAPSULE ORAL 10849891 Aug. 27, 2038 TREATMENT OF HALLUCINATIONS AND DELUSIONS ASSOCIATED WITH PARKINSONS DISEASE PSYCHOSIS

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
5-hydroxytryptamine receptor 2A GPCR INVERSE AGONIST Ki 9.30 SCIENTIFIC LITERATURE DRUG LABEL
5-hydroxytryptamine receptor 2C GPCR INVERSE AGONIST Ki 8.80 SCIENTIFIC LITERATURE

External reference:

IDSource
JZ963P0DIK UNII
4035717 VANDF
C1722267 UMLSCUI
CHEBI:133017 CHEBI
CHEMBL2111101 ChEMBL_ID
D08969 KEGG_DRUG
10071196 PUBCHEM_CID
DB05316 DRUGBANK_ID
CHEMBL2448613 ChEMBL_ID
8877 INN_ID
8423 IUPHAR_LIGAND_ID
1791685 RXNORM
240624 MMSL
31639 MMSL
d08433 MMSL
721997002 SNOMEDCT_US
763543000 SNOMEDCT_US
016844 NDDF
016845 NDDF
C510793 MESH_SUPPLEMENTAL_RECORD_UI
706782-28-7 SECONDARY_CAS_RN

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
NUPLAZID HUMAN PRESCRIPTION DRUG LABEL 1 63090-100 TABLET, COATED 10 mg ORAL NDA 32 sections
NUPLAZID HUMAN PRESCRIPTION DRUG LABEL 1 63090-170 TABLET, COATED 17 mg ORAL NDA 32 sections
NUPLAZID HUMAN PRESCRIPTION DRUG LABEL 1 63090-340 CAPSULE 34 mg ORAL NDA 32 sections