Gefapixant citrateProduct ingredient for Gefapixant

Name
Gefapixant citrate
Drug Entry
Gefapixant

It has been estimated that 5-10% of adults globally suffer from chronic cough, which is defined as a cough lasting longer than eight weeks.4 A subset of these patients remain symptomatic despite thorough investigation and treatment, termed refractory chronic cough (RCC) if they have a cough that does not respond to conventional treatment or unexplained chronic cough (UCC) when no diagnosable cause for the cough can be determined.3 Existing treatments for chronic cough have been associated with considerable side effects, in particular opioids such as codeine or dextromethorphan.3

Gefapixant is a novel antagonist of the P2X3 receptor that works to reduce the cough reflex in patients with chronic cough. It received approval in both Japan and Switzerland in 2022 for the treatment of adult patients with RCC and UCC, and received subsequent approval in the EU in September 2023 for the same indications.3,2 It is the first therapy to be approved for the treatment of RCC or UCC in the EU.4

Accession Number
DBSALT003486
Structure
Synonyms
Not Available
External IDs
AF-219 citrate / MK-7264 / MK7264
UNII
DFK0FC2VVV
CAS Number
2310299-91-1
Weight
Average: 545.52
Monoisotopic: 545.142777883
Chemical Formula
C20H27N5O11S
InChI Key
AIJVJYUOMCRFOE-UHFFFAOYSA-N
InChI
InChI=1S/C14H19N5O4S.C6H8O7/c1-7(2)8-4-10(22-3)12(24(17,20)21)5-9(8)23-11-6-18-14(16)19-13(11)15;7-3(8)1-6(13,5(11)12)2-4(9)10/h4-7H,1-3H3,(H2,17,20,21)(H4,15,16,18,19);13H,1-2H2,(H,7,8)(H,9,10)(H,11,12)
IUPAC Name
2-hydroxypropane-1,2,3-tricarboxylic acid; 5-[(2,4-diimino-1,2,3,4-tetrahydropyrimidin-5-yl)oxy]-2-methoxy-4-(propan-2-yl)benzene-1-sulfonamide
SMILES
OC(=O)CC(O)(CC(O)=O)C(O)=O.COC1=C(C=C(OC2=CNC(=N)NC2=N)C(=C1)C(C)C)S(N)(=O)=O
ChemSpider
81367260
ChEMBL
CHEMBL4594278
Predicted Properties
PropertyValueSource
logP0.17Chemaxon
pKa (Strongest Acidic)1.66Chemaxon
pKa (Strongest Basic)22.64Chemaxon
Physiological Charge2Chemaxon
Hydrogen Acceptor Count8Chemaxon
Hydrogen Donor Count5Chemaxon
Polar Surface Area150.38 Å2Chemaxon
Rotatable Bond Count10Chemaxon
Refractivity109.95 m3·mol-1Chemaxon
Polarizability34.65 Å3Chemaxon
Number of Rings2Chemaxon
Bioavailability1Chemaxon
Rule of FiveNoChemaxon
Ghose FilterNoChemaxon
Veber's RuleNoChemaxon
MDDR-like RuleNoChemaxon