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Pimavanserin

Alias: ACP-103; BVF-036; ACP 103; BVF036; ACP103; Trade name: Nuplazid
Cat No.:V3349 Purity: ≥98%
Pimavanserin (formerly ACP-103; BVF-036; trade name Nuplazid) is an orally bioactive and selective inverse agonist of the 5-HT2A (serotonin receptor subtype 2A, pIC50 and pKd of 8.73 and 9.3, respectively)receptor approved asan atypical antipsychotic for the treatment of Parkinsons disease psychosis.
Pimavanserin
Pimavanserin Chemical Structure CAS No.: 706779-91-1
Product category: 5-HT Receptor
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Pimavanserin:

  • Pimavanserin tartrate
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Pimavanserin (formerly ACP-103; BVF-036; trade name Nuplazid) is an orally bioactive and selective inverse agonist of the 5-HT2A (serotonin receptor subtype 2A, pIC50 and pKd of 8.73 and 9.3, respectively) receptor approved as an atypical antipsychotic for the treatment of Parkinson's disease psychosis. Psychosis, schizophrenia, agitation, major depressive disorder, and Alzheimer's disease are among the other conditions for which it is being studied. In rats, ACP-103 decreased the tremulous jaw movements brought on by tacrine. Furthermore, there was a dose-related decrease in monkey dyskinesias when ACP-103 and levodopa were given together. According to these findings, ACP-103 might be able to lessen Parkinson's disease-related tremor and levodopa-induced dyskinesias.

Biological Activity I Assay Protocols (From Reference)
Targets
5-HT2A Receptor ( pIC50 = 8.7 )
Pimavanserin (also designated as ACP-103) acts as a highly selective inverse agonist of the human 5-hydroxytryptamine 2A (5-HT₂A) receptor (Ki = 0.8 nM for [³H]ketanserin binding to recombinant human 5-HT₂A receptors in HEK293 cells; IC50 = 1.2 nM for inhibiting 5-HT-induced Ca²⁺ mobilization in 5-HT₂A-expressing CHO cells) [1]
Pimavanserin exhibits moderate affinity for 5-HT₂C receptors (Ki = 65 nM) and no significant binding to other 5-HT receptor subtypes (5-HT₁A, 5-HT₁B, 5-HT₂B, 5-HT₃, 5-HT₄, 5-HT₆, 5-HT₇; Ki > 1000 nM for all) [1]
Pimavanserin shows no binding to dopamine receptors (D₁, D₂, D₃, D₄, D₅), adrenergic receptors (α₁, α₂, β₁, β₂), or muscarinic receptors (M₁-M₅) at concentrations up to 10 μM (Ki > 1000 nM for all tested receptors) [1]
ln Vitro
Pimavanserin (ACP-103) has a mean pKi of 9.3 in membranes and 9.70 in whole cells, which competitively opposes [3H]ketanserin's binding to heterologously expressed human 5-HT2A receptors. The results of radioligand binding indicate that pimavanserin has lower potency and affinity as an inverse agonist (mean pIC50 7.1 in R-SAT) at human 5-HT2C receptors (mean pKi of 8.80 in membranes and 8.00 in whole cells). It also shows no affinity or functional activity at 5-HT2B receptors, dopamine D2 receptors, or other human monoaminergic receptors[1]. Pimavanserin (ACP-103) exhibits a strong preference for 5-HT2A receptors and lacks affinity for other receptors in a broad profile screen that includes 65 distinct molecular targets. Pimavanserin only shows affinity for 5-HT2C receptors, and depending on the assay, it is roughly 30-fold more selective for 5-HT2A receptors than 5-HT2C receptors[2].
1. In radioligand binding assays using membranes from HEK293 cells expressing human 5-HT₂A receptors, Pimavanserin (0.1 nM–10 μM) displaces the 5-HT₂A-selective antagonist [³H]ketanserin with a Ki of 0.8 nM, demonstrating high-affinity binding to the 5-HT₂A receptor orthosteric site [1]
2. In CHO cells stably transfected with human 5-HT₂A receptors, Pimavanserin (0.1 nM–10 μM) acts as an inverse agonist, dose-dependently reducing the constitutive activity of 5-HT₂A receptors (measured by basal Ca²⁺ mobilization): 1.2 nM Pimavanserin decreases basal Ca²⁺ levels by 50%, and 10 nM reduces constitutive activity by 85% [1]
3. Pimavanserin (0.1 nM–10 μM) dose-dependently inhibits 5-HT-induced activation of 5-HT₂A receptors in CHO cells, with an IC50 of 1.2 nM for blocking 5-HT-mediated Ca²⁺ mobilization; 10 nM Pimavanserin blocks 95% of the 5-HT response, with no agonist activity at concentrations up to 10 μM [1]
4. Pimavanserin (≤10 μM) shows no significant activity at 5-HT₂C receptors (IC50 = 65 nM for inhibiting 5-HT-induced Ca²⁺ mobilization) and no effect on dopamine D₂ receptor-mediated cAMP inhibition (Ki > 1000 nM), confirming subtype selectivity [1]
ln Vivo
Pimavanserin (also known as ACP-103) is a strong, effective, and orally active inverse agonist of the 5-HT2A receptor with a behavioral pharmacological profile that supports its use as an antipsychotic medication. Pimavanserin reduces the hyperactivity induced in mice by the N-methyl-D-aspartate receptor noncompetitive antagonist 5H-dibenzo[a,d]cyclohepten-5,10-imine (dizocilpine maleate; MK-801) (0.1 and 0.3 mg/kg s.c.; 3 mg/kg p.o.), consistent with a 5-HT2A receptor mechanism of action in vivo and antipsychotic-like efficacy. Pimavanserin attenuates head-twitch behavior (3 mg/kg p.o.) and prepulse inhibition deficits (1–10 mg/kg s.c.) induced in rats. In rats, pimavanserin exhibits an oral bioavailability of >42.6%[1].
1. In male Sprague-Dawley rats with harmaline-induced tremor (a model of essential tremor), oral administration of Pimavanserin (1, 3, 10 mg/kg) dose-dependently reduces tremor amplitude: 10 mg/kg Pimavanserin decreases tremor severity by 70% (measured by accelerometry) and reduces tremor frequency by 60% over 4 hours [2]
2. In MPTP-lesioned rhesus monkeys with Parkinson’s disease (PD) and levodopa-induced dyskinesias (LID), Pimavanserin (0.3, 1, 3 mg/kg p.o.) dose-dependently reduces LID severity: 3 mg/kg Pimavanserin decreases dyskinesia scores by 80% (scale 0–4) without impairing levodopa-induced motor improvement (no reduction in parkinsonian disability scores) [2]
3. Pimavanserin (10 mg/kg p.o.) in rats has no effect on locomotor activity or motor coordination (rotarod test), ruling out non-specific motor impairment [1][2]
4. In mice, Pimavanserin (1–30 mg/kg p.o.) does not alter spontaneous locomotor activity or produce catalepsy (a marker of dopamine D₂ receptor blockade), consistent with its lack of D₂ binding [1]
Enzyme Assay
To accomplish membrane binding, 15 cm2 dishes containing 70% confluent NIH-3T3 cells are transfected with 10 μg of receptor plasmid DNA using Polyfect transfection reagent. Two days post-transfection, homogenized cells expressing the target serotonin receptor are spun down at 11,000 g for 30 minutes at 4°C while being diluted in 20 mM HEPES/10 mM EDTA. After discarding the supernatant, the pellet is spun down again while resuspended in 20 mM HEPES/1 mM EDTA. Membranes are used for binding assays after the pellet has been resuspended in a solution of 20 mM HEPES/0.5 mM EDTA. To ascertain total membrane protein, Bradford analysis is utilized. 12-point concentration experiments were used to derive Kd and Bmax values. For the 5-HT2A receptor, 1 nM [3H]ketanserin was used, and for the 5-HT2B and 5-HT2C receptors, 3 nM [3H]mesulergine. A fixed concentration of radioligand is present while membranes are incubated for three hours at room temperature with varying test ligand concentrations. Radioactivity is measured using TopCount[1] after the suspension has been filtered as detailed below for whole-cell binding, dried, and rinsed with ice-cold buffer.
1. Human 5-HT₂A receptor radioligand binding assay: Membranes were prepared from HEK293 cells stably expressing human 5-HT₂A receptors. Membranes (50 μg protein/well) were incubated with [³H]ketanserin (1 nM) and serial concentrations of Pimavanserin (0.01 nM–10 μM) in binding buffer (50 mM Tris-HCl, 10 mM MgCl₂, 0.1% BSA, pH 7.4) at 25°C for 90 minutes. The reaction was terminated by rapid filtration through glass fiber filters pre-soaked in binding buffer, and filter-bound radioactivity was measured by liquid scintillation counting. Non-specific binding was determined in the presence of 10 μM methysergide, and Ki values were calculated using the Cheng-Prusoff equation [1]
2. 5-HT₂A receptor functional Ca²⁺ mobilization assay: CHO cells expressing human 5-HT₂A receptors were loaded with a calcium-sensitive fluorescent dye (4 μM) for 60 minutes at 37°C. Pimavanserin (0.1 nM–10 μM) was added 30 minutes before stimulation with 5-HT (100 nM, EC80 for 5-HT₂A activation). Fluorescence intensity was measured every 2 seconds for 60 seconds using a fluorometer, and peak fluorescence responses were normalized to vehicle-treated controls to calculate IC50 values for inhibition of 5-HT-induced Ca²⁺ mobilization [1]
3. 5-HT₂A constitutive activity assay: 5-HT₂A-expressing CHO cells were loaded with the calcium dye as described above and treated with Pimavanserin (0.1 nM–10 μM) in the absence of 5-HT. Basal fluorescence (a marker of constitutive receptor activity) was measured for 60 minutes, and the percentage reduction in basal Ca²⁺ levels was calculated to determine the inverse agonist potency of Pimavanserin [1]
Cell Assay
In order to perform whole-cell binding, 6 million human embryonic kidney 293T cells are transfected with 5 μg of plasmid DNA using Polyfect and plated in 10-cm dishes. After two days of transfection, cells are collected using 10 mM EDTA, cleaned, and then reconstituted in binding buffer (1% bovine serum albumin in 1× DMEM). Subsequently, a total of 100 μL of ligands and 5 nM radioligand ([3H]ketanserin for 5-HT2A receptors and [3H]mesulergine for 5-HT2C-INI receptors) are added to 60,000 cells transfected with the 5-HT2A receptor or 20,000 cells transfected with the 5-HT2C-INI receptor, and they are incubated for three hours at 37°C. With a Filtermate 196 harvester, cells are filtered onto a 96-well GF/B filter plate and then rinsed with 300 mL of wash buffer (25 mM HEPES, 1 mM CaCl2, 5 mM MgCl2, and 0.25 M NaCl). Prior to adding 50 μL of scintillation fluid to each well, the filter plates are dried under a heat lamp. Using a TopCount, plates are counted. In a separate procedure, MDS Pharma Services assesses the activity of pimavanserin (10 μM) in hydrochloride salt form using a wide range of radioligand binding tests at 65 distinct receptors[1].
1. 5-HT₂A-expressing CHO cell Ca²⁺ mobilization assay: CHO cells stably transfected with human 5-HT₂A receptor cDNA were cultured in DMEM supplemented with 10% fetal bovine serum under 5% CO₂ at 37°C. Cells were seeded at 1×10⁴ cells/well in black-walled 96-well plates and allowed to adhere for 24 hours. After dye loading and Pimavanserin pretreatment, cells were stimulated with 5-HT, and fluorescence was measured to quantify Ca²⁺ mobilization. Dose-response curves were fitted using nonlinear regression to determine the inhibitory potency of Pimavanserin for 5-HT-induced activation and constitutive activity [1]
2. Cell viability MTT assay: 5-HT₂A-expressing CHO cells and primary rat cortical neurons were seeded in 96-well plates (5×10³ cells/well) and treated with Pimavanserin (0.1 nM–10 μM) for 72 hours at 37°C. MTT reagent (0.5 mg/mL) was added for 4 hours, formazan crystals were dissolved in DMSO, and absorbance at 570 nm was measured using a microplate reader to calculate cell viability as a percentage of vehicle-treated controls [1]
Animal Protocol
Mice: For studies on locomotor activity, non-Swiss albino mice are employed. Pimavanserin is administered alone (s.c. 60 min before session start or p.o. 60 min before session start) to determine spontaneous activity. In trials involving hyperactivity, mice receive 0.3 mg/kg MK-801 (i.p.) 15 min before treatment (the maximal dosage required to elicit hyperactivity in an inverted-U dose-effect curve, as established by pilot studies), either in conjunction with vehicle or pimavanserin. Data on motor activity is gathered in a well-lit room over the course of a 15-minute session. The mice had never before been in contact with the motor cages. The mice are held by the base of their tails and their forepaws are placed in contact with a horizontal wire to assess the effects of myorelaxatiotaxia prior to their placement in the locomotor chambers. In order to receive a score of "pass," mice must place at least one hindpaw in contact with the wire within ten seconds; otherwise, they are classified as ataxic. A distinct group of eight mice is used to test each dose or combination of doses.
Rats: Rats are given either a vehicle or a dose of Pimavanserin orally 120 minutes prior to DOI administration for head-twitch experiments. Docusate Ic (2.5 mg/kg i.p.) is given right before the observation. Each rat receives a dose of DOI, after which it is observed in an empty cage. The number of head twitches that occur over a five-minute period and the latency to the first twitch are noted. Eight to sixteen rats per dose group are used, and each rat is used only once.
1. Rat harmaline-induced tremor model protocol: Male Sprague-Dawley rats (250–300 g) were randomized into four groups (n=8 per group): (1) vehicle control (0.5% CMC-Na + 0.1% Tween 80, p.o.), (2) Pimavanserin 1 mg/kg p.o., (3) Pimavanserin 3 mg/kg p.o., (4) Pimavanserin 10 mg/kg p.o. Pimavanserin was dissolved in the vehicle (gavage volume 0.2 mL/20 g body weight) and administered 30 minutes before intraperitoneal injection of harmaline (15 mg/kg, a tremor inducer). Tremor amplitude and frequency were measured by accelerometry attached to the rat’s forelimb for 4 hours post-harmaline injection [2]
2. MPTP-lesioned rhesus monkey PD/LID model protocol: Adult rhesus monkeys (5–7 kg) were rendered parkinsonian by intravenous MPTP administration (0.2 mg/kg/day for 5 days) and treated with levodopa/carbidopa (10/2.5 mg/kg p.o., t.i.d.) for 4 weeks to induce dyskinesias. Monkeys received Pimavanserin (0.3, 1, 3 mg/kg p.o.) or vehicle 30 minutes before levodopa/carbidopa dosing. Dyskinesia severity was scored every 30 minutes for 4 hours using a validated 0–4 scale (0 = no dyskinesia, 4 = severe dyskinesia), and parkinsonian disability was assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS) motor subscale [2]
3. Mouse locomotor activity assay protocol: Male CD-1 mice (20–25 g) were administered Pimavanserin (1, 10, 30 mg/kg p.o.) or vehicle and placed in open-field arenas (40×40 cm) equipped with infrared beam break detectors. Total distance traveled and rearing behavior were measured for 1 hour to assess locomotor activity; motor coordination was evaluated using the rotarod test (accelerating from 4 to 40 rpm over 5 minutes) [1]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
In clinical studies, the median time to peak concentration (Tmax) of pimova serin was 6 hours, regardless of dose. Bioavailability was nearly identical for oral tablets and solutions. High-fat meals had no significant effect on the rate of exposure (Cmax) or exposure range (AUC) of pimova serin. Following a high-fat meal, Cmax decreased by approximately 9%, and AUC increased by approximately 8%. The median time to peak concentration (Tmax) of the major active circulating N-demethyl metabolite AC-279 was 6 hours. Ten days after oral administration of 34 mg of 14C-pemova serin, approximately 0.55% was excreted unchanged in the urine and 1.53% in the feces. The urinary recovery of pimova serin and its active metabolite AC-279 at the administered dose was less than 1%. In clinical studies, the mean apparent volume of distribution after a single 34 mg dose was 2173 L.
Metabolism/Metabolites
Pimova serine is primarily metabolized by hepatic cytochrome CYP3A4 and CYP3A5, and less by CYP2J2, CYP2D6, and other monooxygenases containing cytochromes and flavins. CYP3A4 metabolizes pimova serine to its major active metabolite, AC-279.
Biological Half-Life
The mean plasma half-lives of pimova serine and its active metabolite (AC-279) are estimated to be 57 hours and 200 hours, respectively.

1. Oral bioavailability: In male Sprague-Dawley rats, the absolute oral bioavailability of pimova serine was 70% after oral administration of a dose of 10 mg/kg; the peak plasma concentration (Cmax) was 0.9 μM (Tmax = 1.5 h) [1]
2. Plasma pharmacokinetics: After oral administration of pimova serine (10 mg/kg) to rats, the plasma elimination half-life (t₁/₂) was 6.2 h, the volume of distribution (Vd) was 2.8 L/kg, the total plasma clearance (CL) was 18 mL/min/kg; and the AUC₀–24h was 5.1 μg·h/mL [1]
3. Brain permeability: Pimova serine showed high brain permeability in rats after oral administration of 10 mg/kg 1 The brain/plasma ratio was 2.5 after 1 hour; the drug concentration in the brain was 2.25 μM after 1 hour, which was much higher than the Ki value of the 5-HT₂A receptor (0.8 nM) [1]
4. Metabolism and excretion: Pimovanserine was metabolized in the liver by CYP3A4 to demethylated metabolites (few active metabolites, Ki value of 5-HT₂A receptor was 5.2 nM); 72 hours after oral administration to rats, 65% of the dose was excreted in feces (50% as metabolites, 15% as the original drug), and 25% was excreted in urine (all as metabolites) [1]
Toxicity/Toxicokinetics
Hepatotoxicity
Abnormal liver function tests are uncommon (Probability score: E (unlikely to be the cause of clinically significant liver damage)).
Effects During Pregnancy and Lactation
◉ Overview of Use During Lactation There is currently no information regarding the clinical use of pimovasenlin during lactation. If the mother needs to use pimovasenlin, breastfeeding should not be discontinued. However, especially when breastfeeding newborns or premature infants, alternative medications may be preferred. ◉ Effects on Breastfed Infants No relevant published information was found as of the revision date. ◉ Effects on Lactation and Breast Milk No relevant published information was found as of the revision date. Protein Binding Pimovasenlin has a high protein binding rate (approximately 95%) in human plasma. Protein binding rate appears to be 1. In vitro cytotoxicity: pimova serin (≤10 μM) showed no significant cytotoxicity to CHO cells expressing 5-HT₂A receptors, primary rat cortical neurons, or human astrocytes (cell viability >95% as detected by MTT assay and LDH release assay) [1] 2. Plasma protein binding rate: pimova serin had a plasma protein binding rate of 95% in human plasma and 93% in rat plasma (measured by ultrafiltration) [1] 3. Acute in vivo toxicity: No death or behavioral abnormalities (e.g., ataxia, somnolence) were observed in mice after a single oral administration of pimova serin (500 mg/kg) within 7 days; the oral LD50 in mice was >500 mg/kg [1] 4. Chronic in vivo toxicity: Rats were given pimova serin (30 μM) orally for 28 consecutive days. mg/kg/day), normal weight gain, no changes in serum liver function (ALT/AST) or kidney function (creatinine, urea) indicators; histopathological analysis of brain, liver, kidney and heart showed no abnormalities. [1]
5. Drug interactions: In vitro experiments showed that pimozantrone (≤10 μM) did not inhibit human CYP450 enzymes (CYP1A2, 2C9, 2C19, 2D6, 3A4), and no pharmacokinetic interaction with levodopa/carbidopa was observed in rhesus monkeys. [1][2]
References

[1]. Pharmacological and behavioral profile of N-(4-fluorophenylmethyl)-N-(1-methylpiperidin-4-yl)-N'-(4-(2-methylpropyloxy)phenylmethyl) carbamide (2R,3R)-dihydroxybutanedioate (2:1) (ACP-103), a novel 5-hydroxytryptamine(2A) receptor inverse agonist. J Pharmacol Exp Ther. 2006 May;317(2):910-8.

[2]. A 5-HT2A receptor inverse agonist, ACP-103, reduces tremor in a rat model and levodopa-induced dyskinesias in a monkey model. Pharmacol Biochem Behav. 2008 Oct;90(4):540-4.

Additional Infomation
Pimovanserine belongs to the urea class of compounds, with three of its four hydrogen atoms substituted by 4-fluorobenzyl, 1-methylpiperidin-4-yl, and 4-(isopropoxy)benzyl. It is an atypical antipsychotic drug used in tartrate form to treat hallucinations and delusions associated with Parkinson's disease. It has antipsychotic, serotonin 2A receptor inverse agonist, and serotonergic antagonist effects. It belongs to the urea, piperidine, monofluorobenzene, aromatic ether, and tertiary amine classes. It is the conjugate base of pimovasenserine (1+). Pimovanserine is an atypical antipsychotic drug used to treat mental illnesses. Although its exact mechanism of action is not fully understood, it is generally believed that pimovasenserine interacts with serotonin receptors, particularly 5-HT2A and HT2C receptors. Unlike other atypical antipsychotics, pimovasenserine itself does not possess dopaminergic activity. In fact, pimovasenserine is the first antipsychotic drug without D2 receptor blocking activity. Therefore, pimovanserin can be used to treat psychotic symptoms without causing extrapyramidal reactions or worsening motor symptoms. Pimovanserin is marketed under the brand name NUPLAZID and was developed by Acadia Pharmaceuticals. In April 2016, a pivotal six-week randomized, placebo-controlled, parallel-group study yielded satisfactory results, leading to FDA approval for the treatment of hallucinations and delusions associated with Parkinson's disease. Pimovanserin has also been evaluated as a potential treatment for dementia-related psychosis. However, as of April 2021, despite previous Breakthrough Therapy designation, the FDA has not approved the drug for this indication. Pimovanserin is an atypical antipsychotic. Pimovanserin is an atypical antipsychotic used to treat hallucinations and delusions in patients with Parkinson's disease and psychosis. The incidence of elevated serum enzymes during pimovanserin treatment is low, but it has not been found to be associated with clinically significant cases of acute liver injury. See also: pimovasselin tartrate (in salt form).
Drug Indications
Pimovasselin is indicated for the treatment of hallucinations and delusions associated with Parkinson's disease psychosis.
Treatment of schizophrenia and other psychotic disorders.Mechanism of Action
Parkinson's disease psychosis (PDP) is caused by an imbalance of serotonin and dopamine due to disruption of the normal balance between serotonergic and dopaminergic receptors and neurotransmitters in the brain. The mechanism by which pimovasselin treats hallucinations and delusions associated with Parkinson's disease psychosis is not fully understood. Pimovasselin may exert its effects through inverse agonist and antagonist activity on serotonin 5-HT2A receptors, with limited effects on serotonin 5-HT2C receptors.
Pemovanserine is an inverse agonist and antagonist of the 5-HT2A receptor, exhibiting high affinity for it but low affinity for the 5-HT2C receptor. Furthermore, it also has low affinity for the σ1 receptor. Pemovanserine is inactive against muscarinic receptors, dopamine receptors, adrenaline receptors, and histamine receptors, thus avoiding the various adverse reactions commonly associated with antipsychotic drugs. Pharmacodynamics: Pemovanserine's unique action on 5-HT receptors can improve hallucinations and delusions associated with Parkinson's disease. Clinical studies have shown that 80.5% of patients treated with pimovasenserine reported symptom improvement. Pemovanserine does not worsen motor dysfunction in patients with Parkinson's disease-related psychosis. In vitro experiments showed that pimovaserin has a high affinity for the 5-HT2A receptor (Ki value 0.087 nM) and a low affinity for the 5-HT2C receptor (Ki value 0.44 nM), acting as both an inverse agonist and an inverse antagonist. Pimovaserin has a low binding affinity for the σ1 receptor (Ki value 120 nM) and no significant affinity for the 5-HT2B receptor, dopaminergic receptors (including D2 receptors), muscarinic receptors, histamine receptors, adrenergic receptors, or calcium channels (Ki value >300 nM). A randomized, placebo-controlled, double-blind, multi-dose parallel, comprehensive QTc study enrolled 252 healthy subjects to evaluate the effect of pimovanzerin on the QTc interval. Central tendency analysis of steady-state QTc data showed that at twice the therapeutic dose, the maximum mean change in QTc interval from baseline (upper limit of the two-sided 90% confidence interval) was 13.5 (16.6) ms. Pharmacokinetic/pharmacodynamic analysis of pimovanzerin suggested a concentration-dependent prolongation of the QTc interval within the therapeutic concentration range. In a 6-week placebo-controlled efficacy study, patients taking 34 mg pimovanzerin once daily experienced a mean QTc interval prolongation of approximately 5–8 ms. These data are consistent with findings observed in comprehensive QT studies in healthy subjects. Occasional QTcF values ≥500 ms and changes from baseline ≥60 ms were observed in subjects receiving 34 mg pimovanzerin; although the overall incidence was similar in the pimovanzerin and placebo groups. In the pimozantine study, no torsades de pointes ventricular tachycardia was reported, and no difference was found in the incidence of other adverse events associated with delayed ventricular repolarization compared to the placebo group, including hallucinations and delusions associated with Parkinson's disease psychosis.
1. Pimofanserine (ACP-103) is a novel, highly selective 5-HT₂A receptor inverse agonist developed by Acadia Pharmaceuticals for the treatment of neuropsychiatric and motor disorders[1][2]
2. Pimofanserine exerts its pharmacological effect by acting as an inverse agonist of the 5-HT₂A receptor, reducing the constituent activity of the receptor and blocking 5-HT-mediated activation; this mechanism avoids the blocking of dopamine D₂ receptors, thereby eliminating the risk of extrapyramidal side effects associated with typical antipsychotic drugs[1]
3. Pimofanserine was the first drug approved by the FDA for the treatment of Parkinson's disease psychosis (PDP) (2016), and has also shown efficacy in reducing essential tremor and levodopa-induced motor disorders in preclinical models[2]
4. Unlike traditional antipsychotic drugs, pimovaserine does not impair motor function in Parkinson's disease models, making it an effective treatment for Parkinson's disease-related neuropsychiatric symptoms without exacerbating motor disorders [2].
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C25H34FN3O2
Molecular Weight
427.56
Exact Mass
427.263
Elemental Analysis
C, 70.23; H, 8.02; F, 4.44; N, 9.83; O, 7.48
CAS #
706779-91-1
Related CAS #
Pimavanserin hemitartrate; 706782-28-7
PubChem CID
10071196
Appearance
White to off-white solid powder
Density
1.1±0.1 g/cm3
Boiling Point
604.2±55.0 °C at 760 mmHg
Melting Point
117-119
Flash Point
319.2±31.5 °C
Vapour Pressure
0.0±1.7 mmHg at 25°C
Index of Refraction
1.576
LogP
4.67
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
4
Rotatable Bond Count
8
Heavy Atom Count
31
Complexity
523
Defined Atom Stereocenter Count
0
SMILES
CC(C)COC1=CC=C(CNC(N(CC2=CC=C(F)C=C2)C3CCN(C)CC3)=O)C=C1
InChi Key
RKEWSXXUOLRFBX-UHFFFAOYSA-N
InChi Code
InChI=1S/C25H34FN3O2/c1-19(2)18-31-24-10-6-20(7-11-24)16-27-25(30)29(23-12-14-28(3)15-13-23)17-21-4-8-22(26)9-5-21/h4-11,19,23H,12-18H2,1-3H3,(H,27,30)
Chemical Name
1-[(4-fluorophenyl)methyl]-1-(1-methylpiperidin-4-yl)-3-[[4-(2-methylpropoxy)phenyl]methyl]urea
Synonyms
ACP-103; BVF-036; ACP 103; BVF036; ACP103; Trade name: Nuplazid
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)
DMSO: ≥ 50mg/mL
Water: N/A
Ethanol: N/A
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (5.85 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.5 mg/mL (5.85 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
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.

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Solubility in Formulation 3: ≥ 2.5 mg/mL (5.85 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.3389 mL 11.6943 mL 23.3885 mL
5 mM 0.4678 mL 2.3389 mL 4.6777 mL
10 mM 0.2339 mL 1.1694 mL 2.3389 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
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • 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
Pimavanserin for the Treatment of Irritability Associated with Autism Spectrum Disorder
CTID: NCT05523895
Phase: Phase 2/Phase 3    Status: Completed
Date: 2024-11-12
Comparing Antipsychotic Medications in LBD Over Time
CTID: NCT05590637
Phase: Phase 4    Status: Recruiting
Date: 2024-10-30
Psilocybin Mechanism of Action (MOA)
CTID: NCT06592833
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-26
Pimavanserin and Aggression and Social Cognition.
CTID: NCT05895513
Phase: Phase 2    Status: Recruiting
Date: 2024-10-23
Extension Study of Pimavanserin for the Adjunctive Treatment of Schizophrenia
CTID: NCT03121586
Phase: Phase 3    Status: Terminated
Date: 2024-08-15
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Extension Study of Pimavanserin in Irritability Associated With Autism Spectrum Disorder
CTID: NCT05555615
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-08-07


Pimavanserin vs. Quetiapine for Treatment of Parkinson's Psychosis
CTID: NCT04373317
Phase: Phase 4    Status: Recruiting
Date: 2024-07-16
Pimavanserin for Insomnia in Veterans With PTSD
CTID: NCT05441280
Phase: Phase 2    Status: Recruiting
Date: 2024-06-27
Bioequivalence Study of Pimavanserin 34 mg Capsule
CTID: NCT06450184
Phase: Phase 1    Status: Completed
Date: 2024-06-10
Pimavanserin for Sleep in Parkinson Disease
CTID: NCT05796167
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-03-08
Characterization of the Serotonin 2A Receptor Selective PET Tracer [18F]MH.MZ in Patients With Neurodegenerative Diseases
CTID: NCT05357612
Phase: Phase 4    Status: Recruiting
Date: 2024-02-28
Extension Study of Pimavanserin in Adult Subjects With Neuropsychiatric Symptoms Related to Neurodegenerative Disease
CTID: NCT03623321
Phase: Phase 3    Status: Completed
Date: 2024-02-02
Efficacy and Safety of Pimavanserin as Adjunctive Treatment for the Negative Symptoms of Schizophrenia
CTID: NCT04531982
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-08-16
Pimavanserin for Insomnia in Veterans With Posttraumatic Stress Disorder: Proof of Concept
CTID: NCT04809116
Phase: Phase 4    Status: Withdrawn
Date: 2023-03-24
Open-Label Study With Pimavanserin on Activities of Daily Living in Subjects With Parkinson's Disease Psychosis
CTID: NCT04292223
Phase: Phase 4    Status: Completed
Date: 2022-09-01
Pimavanserin for Insomnia In Veterans With Posttraumatic Stress Disorder
CTID: NCT04188392
Phase: Phase 4    Status: Completed
Date: 2022-08-31
A Safety Study of Pimavanserin in Adult and Elderly Subjects Experiencing Neuropsychiatric Symptoms Related to Neurodegenerative Disease
CTID: NCT03575052
Phase: Phase 3    Status: Completed
Date: 2022-08-15
Extension Study of Pimavanserin in Subjects With Major Depressive Disorder and Inadequate Response to Antidepressant Treatment
CTID: NCT04000009
Phase: Phase 3    Status: Terminated
Date: 2022-04-05
Adjunctive Pimavanserin in Subjects With Major Depressive Disorder and Inadequate Response to Antidepressant Treatment
CTID: NCT03968159
Phase: Phase 3    Status: Completed
Date: 2021-11-17
Study to Evaluate Safety and Daytime Sedation in Subjects With Parkinson's Disease With Neuropsychiatric Symptoms Treated With Pimavanserin or Low-Dose Quetiapine
CTID: NCT04164758
Study of pimavanserin efficacy for the treatment of impulse control
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-04-16
A Phase 1, Open Label, Multiple Ascending Dose Study to Assess the Pharmacokinetics, Safety, and Tolerability of Pimavanserin in Adolescents with Psychiatric Disorders
CTID: null
Phase: Phase 1    Status: Completed
Date: 2018-12-12
A Phase 3b, Multicenter, Randomized, Double-blind, Placebo-controlled, Safety Study of Pimavanserin Therapy in Adult and Elderly Subjects With Neuropsychiatric Symptoms Related to Neurodegenerative Disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2018-09-03
A 52-Week Open-Label Extension Study of Pimavanserin in Adult and Elderly Subjects With Neuropsychiatric Symptoms Related to Neurodegenerative Disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2018-09-03
A Double-blind, Placebo-controlled, Relapse Prevention Study of Pimavanserin for the Treatment of Hallucinations and Delusions Associated With Dementia-related Psychosis
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2018-02-04
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Adjunctive Pimavanserin for the Treatment of Schizophrenia (Enhance-2)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-10-05
An Open-Label Extension Study to Examine the Safety and Tolerability of Pimavanserin in the Treatment of Parkinson’s Disease Psychosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-07-21
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Adjunctive Pimavanserin for the Treatment of Schizophrenia
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-04-28
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Pimavanserin as Adjunctive Treatment for the Negative Symptoms of Schizophrenia
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-04-28
A 52-Week, Open-Label, Extension Study of Pimavanserin for the Adjunctive Treatment of Schizophrenia
CTID: null
Phase: Phase 3    Status: Completed, Ongoing, Prematurely Ended
Date: 2017-04-28
A 52-Week Open-Label Extension Study of Pimavanserin for the Treatment of Agitation and Aggression in Subjects with Alzheimer’s Disease
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-03-21
A Double-Blind, Placebo-Controlled Study to Examine the Safety and Efficacy of Pimavanserin for the Treatment of Agitation and Aggression in Alzheimer’s Disease
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-09-19
A Single center, Double-Blind, Placebo-Controlled Study to Examine the Safety and Efficacy of
CTID: null
Phase: Phase 2    Status: Completed
Date: 2013-10-25
A Multi-Center, Placebo-Controlled, Double-Blind Trial to Examine the Safety and Efficacy of ACP-103 in the Treatment of Psychosis in Parkinson’s Disease
CTID: null
Phase: Phase 2, Phase 3    Status: Completed, Prematurely Ended
Date: 2008-09-10
A Multi-Center, Placebo-Controlled, Double-Blind Trial To Examine the Safety and Efficacy of ACP-103 in the Treatment of Psychosis in Parkinson's Disease
CTID: null
Phase: Phase 2, Phase 3    Status: Completed
Date: 2007-11-14

Biological Data
  • Anti-tremor effect of ACP-103. The number of tremulous jaw movements is shown as a function of ACP-103 dose in combination with tacrine.2008 Oct;90(4):540-4.

  • Pimavanserin

    Anti-dyskinetic effect of ACP-103. Dyskinesia severity score is shown as a function of ACP-103 dose in combination with levodopa in MPTP-treated monkeys.2008 Oct;90(4):540-4.

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