amifampridine   Click here for help

GtoPdb Ligand ID: 8032

Synonyms: 3,4-DAP | 3,4-diaminopyridine | Firdapse® | Ruzurgi® | Zenas®
Approved drug PDB Ligand
amifampridine is an approved drug (EMA (2009), FDA (2018))
Compound class: Synthetic organic
Comment: Amifampridine is a potassium channel blocker.
2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 3
Hydrogen bond donors 2
Rotatable bonds 0
Topological polar surface area 64.93
Molecular weight 109.06
XLogP -0.86
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES Nc1cnccc1N
Isomeric SMILES Nc1cnccc1N
InChI InChI=1S/C5H7N3/c6-4-1-2-8-3-5(4)7/h1-3H,7H2,(H2,6,8)
InChI Key OYTKINVCDFNREN-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Amifampridine was approved in the EU as a treatment for the orphan disease, Lambert-Eaton myasthenic syndrome (LEMS) in 2009. FDA approval for this indication was granted in November 2018. It may be useful for treatment other congenital myasthenic syndromes. The FDA authorised use in paediatric LEMS patients of 6-17 years of age in May 2019.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Lambert-Eaton myasthenic syndrome (LEMS) arises from the autogenic destruction of pre-synaptic proteins, in particular P/Q‐type voltage-gated calcium channels, at the neuromuscular junction. The damage results in reduced release of acetylcholine into the synaptic cleft, impairing muscle contraction which would be the normal response to activation of post-synpatic acetylcholine receptors. Amifampridine acts to block pre-synaptic potassium channels, thereby extending the duration of the action potential, and increasing acetylcholine release. The subsequent increase in acetylcholine receptor activation improves muscle tone.
LEMS often occurs as a paraneoplastic condition [1] in cancer patients or in patients with other autoimmune diseases [2,4].