Drug intelligence / Profile preview

DM-3411

Development stage
Unknown
Lead developer
Otsuka Pharmaceutical Development & Commercialization
Modality
Small Molecules
Administration
Not Administered Directly (metabolite Formed In Vivo From Oral Brexpiprazole)
01

Overview

DM-3411 is the major active metabolite of brexpiprazole, formed via cytochrome enzymes CYP2D6 and CYP3A4. It exhibits a pharmacodynamic profile similar to brexpiprazole but is less potent and has lower penetration to the central nervous system, resulting in negligible contribution to brexpiprazole’s clinical therapeutic effects[1][3]. Both brexpiprazole and DM-3411 bind extensively to serum proteins (99%), potentially affecting the free levels of concomitant serum protein-bound drugs[1]. DM-3411 represents 23.1%-47.7% of brexpiprazole exposure (AUC) in plasma, but its brain exposures are typically below clinically relevant detection limits[3].

Brand names
DM-3411DM3411DM 3411
Other names
DM-3411DM3411DM 3411
02

Targets

CYP3A4 (Cytochrome P450 3A4)SLC47A1 (Multidrug and toxin extrusion transporter 1)MATE2-K (Multidrug and toxin extrusion protein 2)OATP1B1 (Organic anion transporting polypeptide 1B1)OCT2 (Organic cation transporter 2)ADRA1A (α1A)DRD2 (Dopamine D2 Receptor)HTR1A (Serotonin receptor 1A (5-hydroxytryptamine receptor 1A))HTR2A (Serotonin receptor 5-HT2A)

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