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Aprepitant Neurokinin Receptor antagonist

Cat.No.S1189

Aprepitant is a potent and selective neurokinin-1 receptor antagonist with IC50 of 0.1 nM. This compound reduces levels of pro-inflammatory cytokines including G-CSF, IL-6, IL-8 and TNFα. It inhibits HIV infection of human macrophages.
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Quality Control

Batch: Purity: 99.91%
99.91

Cell Culture, Treatment & Working Concentration

Cell Lines Assay Type Concentration Incubation Time Formulation Activity Description PMID
CHO cells Function assay Displacement of [125I]SP from human NK1 receptor expressed in CHO cells, IC50=9e-05 μM
HEK293 cell Function assay Displacement of [125I]-substance P from gerbil NK1 receptor expressed in HEK293 cell membranes incubated for 30 mins by liquid scintillation counting method, IC50=9e-05 μM
HEK293 cell Function assay Noncompetitive inhibition of wild type human NK1 receptor expressed in HEK293 cells assessed as decrease in SP1-induced [3H]IP accumulation after 20 mins
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Solubility

In vitro
Batch:

DMSO : 107 mg/mL (200.21 mM)
(Moisture-contaminated DMSO may reduce solubility. Use fresh, anhydrous DMSO.)

Ethanol : 15 mg/mL

Water : Insoluble

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In vivo
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Chemical Information, Storage & Stability

Molecular Weight 534.43 Formula

C23H21F7N4O3

Storage (From the date of receipt)
CAS No. 170729-80-3 Download SDF Storage of Stock Solutions

Synonyms MK-0869, L-754030 SMILES CC(C1=CC(=CC(=C1)C(F)(F)F)C(F)(F)F)OC2C(N(CCO2)CC3=NNC(=O)N3)C4=CC=C(C=C4)F

Read more about storage stability stock solution CAS number SMILES

Mechanism of Action

Targets/IC50/Ki
G-CSF
IL-6
IL-8
TNFα
Neurokinin-1 receptor
(Cell-free assay)
0.1 nM
In vitro

Aprepitant antagonizes the effects of substance P by binding to NK-1 receptors primarily in the CNS, but also in the periphery. This compound, at concentrations of 0.1 nM displaces 50% of substance P from hNK1 receptors transfected in CHO or COS cells. In radioligand binding assays, it is 3000-fold selective for the human cloned NK1 receptor versus the human cloned NK3 receptor and >50,000-fold selective over the human cloned NK2 receptor. In a range of assays at other human cloned G–protein coupled receptors, this chemical retains >50,000-fold selectivity for the human cloned NK1 receptor. It is inactive in human monoamine oxidase A and B assays and at human serotonin 5–HT1A, 5–HT2A, 5–HT2c, 5–HT3, 5–HT5, 5–HT6, and 5–HT7 receptors (IC50>3 μM). In the PANLABS panel of radioligand binding screens using native animal tissues, this compound inhibits [3H]substance P binding to native NK1 receptors in rat submaxillary gland; there are no significant interactions of it with any other native animal G–protein coupled receptors or ion channels examined in the PANLABS screen. It is inactive in monoamine uptake site (NE, 5–HT, DA) counterscreens using human and animal tissues (IC50> 3 μM)

In vivo

Aprepitant crosses the blood–brain barrier and occupied NK-1 receptors in the brain. This compound has been shown to inhibit both acute and delayed emesis induced by cytotoxic chemotherapeutic such as cisplatin by blocking substance P. It (3 mg/kg i.v. or p.o.) inhibits the emetic response to cisplatin (10 mg/kg i.v.). The anti-emetic protection afforded by this chemical (0.1 mg/kg i.v.) is enhanced by combined treatment with either dexamethasone (20 mg/kg i.v.) or the 5–HT3 receptor antagonist ondansetron (0.1 mg/kg i.v.). In a model of acute and delayed emesis, ferrets are dosed with cisplatin (5 mg/kg i.p.) and the retching and vomiting response recorded for 72 h. Pretreatment with it (4–16 mg/kg p.o.) dose-dependently inhibits the emetic response to cisplatin. Once daily treatment with this compound (2 and 4 mg/kg p.o.) completely prevents retching and vomiting in all ferrets tested. Further when daily dosing began at 24 h after cisplatin injection, when the acute phase of emesis had already become established, it (4 mg/kg p.o. at 24 and 48 h after cisplatin) prevents retching and vomiting in three out of four ferrets.

This chemical also plays a key part in transmission of pain impulses from the peripheral receptors to the CNS and is involved in various behavioural, neurochemical and cardiovascular responses to stress.

References

Clinical Trial Information

(data from https://clinicaltrials.gov, updated on 2023-05-03)

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05841849 NOT_YET_RECRUITING
Breast Cancer; Chemotherapy-induced Nausea and Vomiting
Second Affiliated Hospital, Zhejiang University, School of Medicine
2023-07 PHASE4
NCT06740812 NOT_YET_RECRUITING
Nausea and Vomiting; Nausea; Vomiting
Montefiore Medical Center
2026-12 PHASE4
NCT07662200 NOT_YET_RECRUITING
Germ Cell Cancer
Ottawa Hospital Research Institute
2026-08 EARLY_PHASE1
NCT07639723 NOT_YET_RECRUITING
PONV
Endeavor Health
2026-07 PHASE4
NCT06462287 RECRUITING
Apnea, Obstructive
University Hospital, Rouen
2024-03-05 PHASE2
NCT07371728 NOT_YET_RECRUITING
Otologic Disease
Sir Mortimer B. Davis - Jewish General Hospital
2026-06-01 PHASE4

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