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Methylnaltrexone bromide

Alias: MOA-728; MOA728; Methylnaltrexone bromide; Naltrexone methobromide; Relistor; N-Methylnaltrexone Bromide; MRZ-2663BR; bromuro de metilnaltrexona; ...; 73232-52-7; MOA 728
Cat No.:V6289 Purity: ≥98%
Methylnaltrexone bromide is a novel and potent μ-opioid antagonist.
Methylnaltrexone bromide
Methylnaltrexone bromide Chemical Structure CAS No.: 73232-52-7
Product category: Opioid Receptor
This product is for research use only, not for human use. We do not sell to patients.
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Product Description

Methylnaltrexone bromide is a novel and potent μ-opioid antagonist.

Biological Activity I Assay Protocols (From Reference)
Targets
μ-opioid receptor (μOR) with antagonist activity (IC₅₀ = 0.8 nM in radioligand binding assay)
ln Vitro
1. Receptor Binding Assay: - Methylnaltrexone bromide demonstrated high affinity for μOR in CHO cell membranes expressing human μOR, with Kᵢ = 0.7 nM. Selectivity over δ- and κ-opioid receptors was >100-fold
2. GTPγS Binding Assay: - Inhibited μOR-mediated G protein activation with IC₅₀ = 1.2 nM, confirming antagonist activity
ln Vivo
1. Opioid-Induced Constipation Model: - In rats with morphine-induced constipation, subcutaneous Methylnaltrexone bromide (0.3 mg/kg) reversed gastrointestinal transit delay without affecting analgesia. The effect persisted for 6-8 hours, with peak activity at 2 hours post-dose
2. Neuroprotection Study: - In a mouse model of ischemic stroke, intraperitoneal Methylnaltrexone bromide (1 mg/kg) reduced infarct volume by 35% and improved neurological scores. This effect was attributed to peripheral μOR antagonism reducing neuroinflammation
Enzyme Assay
1. Radioligand Binding Assay: - Membranes from CHO cells expressing human μOR were incubated with [³H]-dihydromorphine (0.5 nM) and increasing concentrations of Methylnaltrexone bromide (0.01 nM–10 μM) in Tris-HCl buffer (pH 7.4) at 25°C for 60 minutes. Nonspecific binding was determined using 1 μM naloxone. IC₅₀ values were calculated by nonlinear regression
Cell Assay
- cAMP Inhibition Assay: - SH-SY5Y cells stably expressing μOR were treated with Methylnaltrexone bromide (0.1 nM–10 μM) followed by stimulation with DAMGO (100 nM). Intracellular cAMP levels were quantified using an enzyme immunoassay. The compound reversed DAMGO-induced cAMP suppression with IC₅₀ = 1.5 nM
Animal Protocol
1. Subcutaneous Administration in Rats: - Methylnaltrexone bromide was formulated in saline and administered subcutaneously at 0.3 mg/kg to rats with morphine-induced constipation. Gastrointestinal transit was measured by charcoal meal assay. Plasma samples were collected at 0, 0.5, 1, 2, 4, 6, and 8 hours post-dose
2. Intraperitoneal Administration in Mice: - For stroke model, Methylnaltrexone bromide (1 mg/kg) was dissolved in sterile saline and administered intraperitoneally 30 minutes after middle cerebral artery occlusion. Neurological deficits were evaluated using a 5-point scale at 24 hours post-ischemia
ADME/Pharmacokinetics
Absorption: - Oral bioavailability in rats is 12%, with a peak plasma concentration (Cₘₐₓ) of 25 ng/mL 1 hour after administration. Subcutaneous bioavailability is 85%.
- Metabolism: - Primarily metabolized by hepatic CYP3A4 to inactive conjugates. Less than 5% of the dose is excreted unchanged in the urine.
- Half-life: - The plasma half-life in rats is 3.5 hours, with prolonged receptor occupancy due to slow dissociation from the μ-opioid receptor (μOR).
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Overview of Use During Lactation
There is currently no information regarding the use of methylnaltrexone during lactation. The manufacturer recommends that mothers taking methylnaltrexone avoid breastfeeding. Based on pharmacokinetic data, the oral absorption rate of methylnaltrexone appears to be low. Breastfed infants who have been exposed to opioids during pregnancy or postpartum should be closely monitored for opioid withdrawal symptoms, especially diarrhea.
◉ Effects on Breastfed Infants
No published information found as of the revision date.
◉ Effects on Lactation and Breast Milk
No published information found as of the revision date.
- Acute Toxicity: - Oral LD₅₀ in mice exceeds 2000 mg/kg; histopathological analysis showed no signs of organ toxicity.
- Plasma Protein Binding: - 92% binds to plasma proteins in human serum, which may affect its distribution and clearance.
References
[1]. J Cell Physiol. 2021 Nov;236(11):7698-7710. Hyperlink: https://pubmed.ncbi.nlm.nih.gov/34038587/
[2]. Neuropharmacology. 2021 Mar 1;185:108437. Hyperlink: https://pubmed.ncbi.nlm.nih.gov/33316279/
Additional Infomation
Background: - Methylnaltrexone bromide is a quaternary ammonium derivative of naltrexone designed to minimize its ability to cross the blood-brain barrier. It has been clinically approved for the treatment of opioid-induced constipation in patients with advanced disease. - Mechanism of Action: - As a competitive antagonist of peripheral μ-opioid receptors, it blocks the gastrointestinal effects of opioids without reversing the analgesic effect. Its long duration of action is attributed to its slow dissociation from the receptor. - Clinical Potential: - Phase III clinical trials have demonstrated that this drug is safe and effective in reducing opioid-induced constipation with minimal systemic side effects. However, there have been reported of gastrointestinal perforation in patients with advanced disease.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C21H26NO4BR
Molecular Weight
436.33944
Exact Mass
435.105
Elemental Analysis
C, 57.81; H, 6.01; Br, 18.31; N, 3.21; O, 14.67
CAS #
73232-52-7
PubChem CID
5361917
Appearance
Typically exists as solid at room temperature
Melting Point
237-239ºC
LogP
3.025
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
2
Heavy Atom Count
27
Complexity
664
Defined Atom Stereocenter Count
4
SMILES
C[N+]1(CC[C@@]23C4=C5C=CC(=C4O[C@H]3C(=O)CC[C@]2([C@H]1C5)O)[O-])CC6CC6.Br
InChi Key
IFGIYSGOEZJNBE-KNLJMPJLSA-N
InChi Code
InChI=1S/C21H25NO4.BrH/c1-22(11-12-2-3-12)9-8-20-17-13-4-5-14(23)18(17)26-19(20)15(24)6-7-21(20,25)16(22)10-13;/h4-5,12,16,19,25H,2-3,6-11H2,1H3;1H/t16-,19+,20+,21-,22?;/m1./s1
Chemical Name
(4R,4aS,7aR,12bS)-3-(cyclopropylmethyl)-4a,9-dihydroxy-3-methyl-2,4,5,6,7a,13-hexahydro-1H-4,12-methanobenzofuro[3,2-e]isoquinolin-3-ium-7-one;bromide
Synonyms
MOA-728; MOA728; Methylnaltrexone bromide; Naltrexone methobromide; Relistor; N-Methylnaltrexone Bromide; MRZ-2663BR; bromuro de metilnaltrexona; ...; 73232-52-7; MOA 728
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.2918 mL 11.4590 mL 22.9179 mL
5 mM 0.4584 mL 2.2918 mL 4.5836 mL
10 mM 0.2292 mL 1.1459 mL 2.2918 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
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  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
NCT04083651 WITHDRAWN Drug: Methylnaltrexone bromide
Drug: Placebo
Pancreatic Cancer Bausch Health Americas, Inc 2020-01-06 Phase 2
Phase 3
NCT01004393 COMPLETEDWITH RESULTS Drug: Methylnaltrexone bromide Constipation
Neoplasms
Opioid-Related Disorders
University of Vermont 2009-10 Phase 2
NCT00672139 COMPLETEDWITH RESULTS Drug: Methylnaltrexone bromide Opioid-Induced Constipation Bausch Health Americas, Inc 2008-07 Phase 4
NCT04787848 RECRUITING Drug: Relistor Injectable Product Chronic Widespread Pain University of Alabama at Birmingham 2021-11-15 Not Applicable
NCT04151719 WITHDRAWN Drug: Methylnaltrexone bromide (MNTX) Pancreatic Cancer Bausch Health Americas, Inc. 2020-02-03 Phase 3
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