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Revision as of 12:19, 17 November 2011 editBeetstra (talk | contribs)Edit filter managers, Administrators172,031 edits Saving copy of the {{drugbox}} taken from revid 456785316 of page Fesoterodine for the Chem/Drugbox validation project (updated: 'ChEMBL', 'CAS_number').  Latest revision as of 06:51, 26 October 2024 edit 76.174.0.57 (talk) Cats. 
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{{Short description|Chemical compound}}
{{ambox | text = This page contains a copy of the infobox ({{tl|drugbox}}) taken from revid of page ] with values updated to verified values.}}
{{Drugbox {{Drugbox
| Verifiedfields = changed | Verifiedfields = changed
| verifiedrevid = 399951746 | verifiedrevid = 461100276
| image = Fesoterodine.svg
| IUPAC_name = -4-(hydroxymethyl)phenyl] 2-methylpropanoate
| width = 250
| image = Fesoterodine.png
| alt =
| image2 = Fesoterodine 3D spacefill.png
| width2 = 220
| alt2 = Space-filling model of the fesoterodine molecule
| caption =


<!--Clinical data--> <!-- Clinical data -->
| tradename = | pronounce =
| tradename = Fesobig , Toviaz
| Drugs.com = {{drugs.com|monograph|fesoterodine-fumarate}} | Drugs.com = {{drugs.com|monograph|fesoterodine-fumarate}}
| MedlinePlus = a609021 | MedlinePlus = a609021
| DailyMedID = Fesoterodine
| licence_EU = Toviaz
| routes_of_administration = ]
| licence_US = Fesoterodine
| pregnancy_US = C | class =
| legal_status = Rx-only | ATC_prefix = G04
| ATC_suffix = BD11
| routes_of_administration = Oral
| ATC_supplemental =

<!-- Legal status -->
| legal_AU = <!-- S2, S3, S4, S5, S6, S7, S8, S9 or Unscheduled -->
| legal_AU_comment =
| legal_BR = <!-- OTC, A1, A2, A3, B1, B2, C1, C2, C3, C4, C5, D1, D2, E, F -->
| legal_BR_comment =
| legal_CA = Rx-only
| legal_CA_comment = <ref>{{cite web | title=Product monograph brand safety updates | website=] | date=6 June 2024 | url=https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database/label-safety-assessment-update/product-monograph-brand-safety-updates.html | access-date=8 June 2024}}</ref>
| legal_DE = <!-- Anlage I, II, III or Unscheduled -->
| legal_DE_comment =
| legal_NZ = <!-- Class A, B, C -->
| legal_NZ_comment =
| legal_UK = <!-- GSL, P, POM, CD, CD Lic, CD POM, CD No Reg POM, CD (Benz) POM, CD (Anab) POM or CD Inv POM / Class A, B, C -->
| legal_UK_comment =
| legal_US = Rx-only
| legal_US_comment =
| legal_EU = Rx-only
| legal_EU_comment =
| legal_UN = <!-- N I, II, III, IV / P I, II, III, IV -->
| legal_UN_comment =
| legal_status = <!-- For countries not listed above -->


<!--Pharmacokinetic data--> <!-- Pharmacokinetic data -->
| bioavailability = 52% (active metabolite) | bioavailability = 52% (active metabolite)
| protein_bound = 50% (active metabolite) | protein_bound = 50% (active metabolite)
| metabolism = ] (]- and ]-mediated) | metabolism = ] (]- and ]-mediated)
| elimination_half-life = 7–8 hours (active metabolite) | elimination_half-life = 7–8 hours (active metabolite)
| excretion = ] (70%) and fecal (7%) | excretion = ] (70%) and fecal (7%)


<!--Identifiers--> <!-- Identifiers -->
| CAS_number_Ref = {{cascite|correct|??}} | CAS_number_Ref = {{cascite|changed|CAS}}
| CAS_number = <!-- blanked - oldvalue: 286930-03-8 --> | CAS_number = 286930-02-7
| CAS_supplemental = | CAS_supplemental =
| ATC_prefix = G04
| ATC_suffix = BD11
| ATC_supplemental =
| PubChem = 6918558 | PubChem = 6918558
| IUPHAR_ligand = 7473
| DrugBank_Ref = {{drugbankcite|changed|drugbank}}
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB06702 | DrugBank = DB06702
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 5293755 | ChemSpiderID = 5293755
| UNII_Ref = {{fdacite|changed|FDA}} | UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 621G617227 | UNII = 621G617227
| KEGG_Ref = {{keggcite|changed|kegg}} | KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D07226 | KEGG = D07226
| ChEBI_Ref =
| ChEBI =
| ChEMBL_Ref = {{ebicite|changed|EBI}} | ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = <!-- blanked - oldvalue: 1201764 --> | ChEMBL = 1201764
| NIAID_ChemDB =
| PDB_ligand =
| synonyms =

<!--Chemical data-->
| IUPAC_name = -4-(hydroxymethyl)phenyl] 2-methylpropanoate
| C=26 | H=37 | N=1 | O=3 | C=26 | H=37 | N=1 | O=3
| SMILES = O=C(Oc1ccc(cc1(c2ccccc2)CCN(C(C)C)C(C)C)CO)C(C)C
| molecular_weight = 411.278 g/mol
| smiles = O=C(Oc1ccc(cc1(c2ccccc2)CCN(C(C)C)C(C)C)CO)C(C)C
| InChI = 1/C26H37NO3/c1-18(2)26(29)30-25-13-12-21(17-28)16-24(25)23(22-10-8-7-9-11-22)14-15-27(19(3)4)20(5)6/h7-13,16,18-20,23,28H,14-15,17H2,1-6H3/t23-/m1/s1
| InChIKey = DCCSDBARQIPTGU-HSZRJFAPBK
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} | StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C26H37NO3/c1-18(2)26(29)30-25-13-12-21(17-28)16-24(25)23(22-10-8-7-9-11-22)14-15-27(19(3)4)20(5)6/h7-13,16,18-20,23,28H,14-15,17H2,1-6H3/t23-/m1/s1 | StdInChI = 1S/C26H37NO3/c1-18(2)26(29)30-25-13-12-21(17-28)16-24(25)23(22-10-8-7-9-11-22)14-15-27(19(3)4)20(5)6/h7-13,16,18-20,23,28H,14-15,17H2,1-6H3/t23-/m1/s1
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} | StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = DCCSDBARQIPTGU-HSZRJFAPSA-N | StdInChIKey = DCCSDBARQIPTGU-HSZRJFAPSA-N
| density =
| density_notes =
| melting_point =
| melting_high =
| melting_notes =
| boiling_point =
| boiling_notes =
| solubility =
| sol_units =
| specific_rotation =
}} }}

'''Fesoterodine''' (], used as the ] under the brand name '''Toviaz''') is an ] drug developed by ] to treat ] (OAB).<ref>{{cite web| url=http://www.medicalnewstoday.com/articles/41688.php| title=Fesoterodine, New Drug Candidate For Treatment For Overactive Bladder&nbsp;– Pfizer To Acquire Exclusive Worldwide Rights| date=17 April 2006| publisher=]| access-date=2 November 2007| archive-date=16 May 2011| archive-url=https://web.archive.org/web/20110516020517/http://www.medicalnewstoday.com/articles/41688.php| url-status=dead}}</ref> It was approved by the ] in April 2007,<ref>{{cite web |url= http://www.emea.europa.eu/humandocs/Humans/EPAR/toviaz/toviaz.htm |title=Toviaz: European Public Assessment Report, Revision 3 - Published 02/06/08 |date=2 June 2008 |publisher=] |url-status=dead |archive-url=https://web.archive.org/web/20080401005811/http://www.emea.europa.eu/humandocs/Humans/EPAR/toviaz/toviaz.htm |archive-date=2008-04-01 }}</ref> the US ] on October 31, 2008 <ref>{{cite press release
| title = Pfizer's Toviaz (fesoterodine fumarate) Receives FDA Approval for the Treatment of Overactive Bladder
| publisher = Pfizer Inc.
| date = 2008-10-31
| url = https://www.drugs.com/newdrugs/pfizer-s-toviaz-fesoterodine-fumarate-receives-fda-approval-overactive-bladder-1167.html
| access-date = 2008-11-06
| archive-date = 2018-09-20
| archive-url = https://web.archive.org/web/20180920075736/https://www.drugs.com/newdrugs/pfizer-s-toviaz-fesoterodine-fumarate-receives-fda-approval-overactive-bladder-1167.html
| url-status = live
}}</ref> and ] on February 9, 2012.<ref>{{Cite web |url=http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/nd_ad_2012_toviaz_142326-eng.php |title=Notice of Decision for TOVIAZ |access-date=2012-04-20 |archive-url=https://web.archive.org/web/20120423124138/http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/nd_ad_2012_toviaz_142326-eng.php |archive-date=2012-04-23 |url-status=dead }}</ref>

Fesoterodine is a ]. It is broken down into its active metabolite, ], by plasma ]s.

==Efficacy==
Fesoterodine has the advantage of allowing more flexible dosage than other ].<ref name="Vella2011">{{cite journal | vauthors = Vella M, Cardozo L | title = Review of fesoterodine | journal = Expert Opinion on Drug Safety | volume = 10 | issue = 5 | pages = 805–8 | date = September 2011 | pmid = 21639817 | doi = 10.1517/14740338.2011.591377 | s2cid = 9653506 }}</ref> Its tolerability and side effects are similar to other muscarinic antagonists and as a new drug seems unlikely to make great changes in practices of treatment for overactive bladder.<ref name="Vella2011"/>

A Japanese study from 2017, showed that urgency and urge incontinence are improved after 3 days administration of the drug, with full efficacy able to be judged after 7 days administration. Overactive bladder was found to be resolved in 88% of patients after seven days usage. <ref> "{{cite journal | vauthors = Sato N, Fuji K, Ogawa Y | doi = 10.15369/sujms.29.201| title = Transactions of The Showa University Society: The 335th Meeting| journal = The Showa University Journal of Medical Sciences| volume = 29| issue = 2| pages = 201–217
| year = 2017 |issn=2185-0968| doi-access = free}}</ref>

== References ==
{{Reflist}}

{{Urologicals}}
{{Muscarinic acetylcholine receptor modulators}}
{{Portal bar | Medicine}}

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