5α-pregnan-3α-ol-20-one   Click here for help

GtoPdb Ligand ID: 4108

Synonyms: 3α,5α-tetrahydroprogesterone | 3α,5α-THP | allopregnanolone | SAGE-547 | SAGE547 | Zulresso®
Approved drug PDB Ligand
5α-pregnan-3α-ol-20-one is an approved drug (FDA (2019))
Comment: This steroidal compound behaves as a neuroactive agent with anti-depressant activity in mood disorders [2-3]. Pharmacologically it is a positive allosteric modulator of GABAA receptors.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 2
Hydrogen bond donors 1
Rotatable bonds 1
Topological polar surface area 37.3
Molecular weight 318.26
XLogP 6.1
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES OC1CCC2(C(C1)CCC1C2CCC2(C1CCC2C(=O)C)C)C
Isomeric SMILES O[C@@H]1CC[C@]2([C@H](C1)CC[C@@H]1[C@@H]2CC[C@]2([C@H]1CC[C@@H]2C(=O)C)C)C
InChI InChI=1S/C21H34O2/c1-13(22)17-6-7-18-16-5-4-14-12-15(23)8-10-20(14,2)19(16)9-11-21(17,18)3/h14-19,23H,4-12H2,1-3H3/t14-,15+,16-,17+,18-,19-,20-,21+/m0/s1
InChI Key AURFZBICLPNKBZ-SYBPFIFISA-N
No information available.
Summary of Clinical Use Click here for help
As the INN brexanolone (research code SAGE-547), this drug was approved by the FDA in March 2019, indicated for the treatment of moderate to severe postpartum depression [1]. Brexanolone has to be delivered as a continuous i.v. infusion (over a period of 60 hours), and this must only be carried out by a health care provider in a certified health care facility. In the US brexanolone is only available through a restricted distribution program called the Zulresso REMS Program.