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Piribedil

Alias: Piribedil; EU 4200; EU-4200; ET-495 ET 495; ET495; ET495; EU4200
Cat No.:V6372 Purity: ≥98%
Piribedil is a potent and orally bioactive dopamine D2 and dopamine D3 agonist.
Piribedil
Piribedil Chemical Structure CAS No.: 3605-01-4
Product category: New1
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
50mg
100mg
250mg
500mg
1g

Other Forms of Piribedil:

  • Piribedil D8
  • Piribedil 2HCl
  • Piribedil HCl
Official Supplier of:
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Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Product Description
Piribedil is a potent and orally bioactive dopamine D2 and dopamine D3 agonist. Piribedil is also an α2-adrenoceptors antagonist. Piribedil inhibits the activity of MLL1 methyltransferase (EC50= 0.18 μM). Piribedil is used to study Parkinson's disease (PD), circulatory diseases, and cancer.
Biological Activity I Assay Protocols (From Reference)
Targets
D2/D3 Receptor
Dopamine receptor stimulator/agonist. It is thought to act directly on postsynaptic dopamine receptors. [1]
ln Vitro
Piribedil (0-160 μM, 7 days) inhibits MLL1 methyltransferase activity in a particular manner and inhibits MLL-r cell growth in a targeted manner [4]. Piribedil (0-160 μM, 4 days) specifically inhibits the MLL1-WDR5 interaction, hence reducing H3K4 methylation in MLL-r cells (THP-1 and MV4; 11). MLL-r cells (THP-1 and MV4; 11) undergo cell cycle arrest, apoptosis, and differentiation when exposed to piribedil (0-160 μM) for four days [4].
No direct in vitro experiments on human cells or tissues were described in this clinical study. The paper references animal studies showing that piribedil decreases dopamine turnover and, in rats with caudate lesions, causes rotation toward the intact side of the brain in a dose-dependent manner. It also notes that the dopamine agonist effect of piribedil lasts two to three times longer than that of apomorphine in animal models. [1]
ln Vivo
Piribedil (intraperitoneal injection, 5, 15, 40 mg/kg) reduces levodopa-induced dyskinesia in a rat model of Parkinson's disease [2]. Pirbedil (oral gavage, 4-5 mg/kg daily for 2 weeks) increases locomotor activity and reverses motor deficits in adult common marmosets [3]. Piribedil (150 mg/kg orally, daily for 21 days) inhibits MLL-r tumor growth and reduces MLL1 target gene expression in MV4;11 tumor xenografts [4].
In an initial nonblind study of 12 Parkinson's disease patients, oral administration of piribedil improved symptoms in 6 patients, with 4 patients showing improvement of 33% or more based on the Cornell Weighted Scale. The average improvement for all patients was 26%. [1]
In a subsequent double-blind, placebo-controlled trial with 20 Parkinson's disease patients, 7 out of 18 patients who completed the study improved more than 25%, and 3 of these improved close to or more than 50% (49%, 64%, and 90%). The mean difference between placebo and piribedil scores was 44%, which was statistically significant at the 1% level. [1]
Tremor was noted to improve more dramatically than other major symptoms of parkinsonism. Four of 6 patients with tremor as their major sign had a score change of more than 50% between placebo and piribedil trials, with an average change of 59% for these 6 patients. [1]
Improvement with piribedil appeared to be related to the stage of Parkinson's disease. Both patients with stage I disease improved more than 50%, while 4 of 10 patients in stages II or III and none of 5 patients in stage IV showed similar improvement. [1]
Eighteen patients completed the double-blind trial, and 8 of them continued taking piribedil with satisfactory results long-term. Three others stopped due to agitation or loss of therapeutic effect. [1]
Piribedil was also given to 5 patients with essential tremor. Two had notable improvement in writing and hand use, but the other 3 were unchanged. It was not effective in one patient with progressive supranuclear palsy and another with Gilles de la Tourette's syndrome. [1]
Enzyme Assay
Targeting WT MLL for the treatment of MLL-r leukemia, which is highly aggressive and resistant to chemotherapy, has been shown to be a promising strategy. However, drug treatments targeting WT MLL are lacking. We used an in vitro histone methyltransferase assay to screen a library consists of 592 FDA-approved drugs for MLL1 inhibitors by measuring alterations in HTRF signal and found that Piribedil represented a potent activity. Piribedil specifically inhibited the proliferation of MLL-r cells by inducing cell-cycle arrest, apoptosis and myeloid differentiation with little toxicity to the non-MLL cells. Mechanism study showed Piribedil blocked the MLL1-WDR5 interaction and thus selectively reduced MLL1-dependent H3K4 methylation. Importantly, MLL1 depletion induced gene expression that was similar to that induced by Piribedil and rendered the MLL-r cells resistant to Piribedil-induced toxicity, revealing Piribedil exerted anti-leukemia effects by targeting MLL1. Furthermore, both the Piribedil treatment and MLL1 depletion sensitized the MLL-r cells to doxorubicin-induced apoptosis. Our study support the hypothesis that Piribedil could serve as a new drug for the treatment of MLL-r AML and provide new insight for further optimization of targeting MLL1 HMT activity.[4]
Cell Assay
Cell proliferation assay[4]
Cell Types: MLL-r AML cells (THP-1 and MV4;11), non-MLL leukemia cell line (K562)
Tested Concentrations: 0, 20, 40, 80 and 160 μM
Incubation Duration: 0- 7
Experimental Results: Inhibited the growth rate of THP-1 and MV4;11 cells in a time-dependent manner.

Western Blot Analysis[4]
Cell Types: THP-1 and MV4; 11 cells
Tested Concentrations: 0, 20, 40, 80 and 160 μM
Incubation Duration: 4 days
Experimental Results: H3K4me2 and H3K4me3 levels were diminished, but did not affect other histones Methylation, such as H3K79, H3K36 and H3K27.
Animal Protocol
Animal/Disease Models: Parkinson's disease rat model [2]
Doses: 5, 15, 40 mg/kg
Route of Administration: intraperitoneal (ip) injection, 5 minutes before levodopa administration.
Experimental Results: Rotational behavior as well as AD (axial dystonia), OD (oral dyskinesia) and FD (forelimb dyskinesia) were diminished at doses of 5 and 40 mg/kg. LD (dyskinesia) increased at 40 mg/kg.

Animal/Disease Models: Adult common marmoset [3]
Doses: 4-5 mg/kg
Route of Administration: po (oral gavage), one time/day for 2 weeks
Experimental Results: Improved alertness and vigilance, reversed MPTP in rostral and caudal stripes Down-regulation of protachykinin mRNA induced in the cyst.
The paper mentions animal studies (rats with caudate lesions, monkeys with tegmental lesions) conducted by other researchers (Corrodi et al., Goldstein et al.) that demonstrated piribedil's dopamine agonist effects, but no specific experimental protocols from these referenced studies are detailed in this paper. [1]

The paper mentions animal studies (rats with caudate lesions, monkeys with tegmental lesions) conducted by other researchers (Corrodi et al., Goldstein et al.) that demonstrated piribedil's dopamine agonist effects, but no specific experimental protocols from these referenced studies are detailed in this paper. [1]
ADME/Pharmacokinetics
The paper references work by Campbell, Jenner, and Taylor showing that piribedil is rapidly metabolized to an active metabolite, 1-(3,4-methylene dioxybenzyl)-4-(5-hydroxy-2-pyrimidinyl) piperazine (S 584), which is active on dopamine systems in animal models. [1]
Toxicity/Toxicokinetics
Adverse effects of piribedil were similar to those of levodopa and included:
- Nausea (reported in 10 patients, limiting dose in 2) [1]
- Dyskinesia (reported in 9 patients; all were taking levodopa with piribedil) [1]
- Confusion or agitation (reported in 8 patients) [1]
- Drowsiness (reported in 9 patients, more common with piribedil than levodopa) [1]

- One patient experienced drug-related fever [1]

- One patient with chronic pedal edema developed congestive heart failure with fluid retention and dyspnea, which resolved after stopping piribedil and initiating diuretic and cardiac therapy [1]
- One 67-year-old woman became delirious and was found to have a malignant glioma (not attributed to drug) [1]
- Laboratory tests remained normal except for a transient rise in alkaline phosphatase in one patient [1]
A more gradual dosage schedule was suggested as a possible way to reduce adverse effects. [1]
References

[1]. Piribedil, a dopamine agonist, in Parkinson's disease. Clin Pharmacol Ther. 1974 Dec;16(6):1077-82.

[2]. The effect of piribedil on L-DOPA-induced dyskinesias in a rat model of Parkinson's disease: differential role of α(2) adrenergic mechanisms. J Neural Transm (Vienna). 2013 Jan;120(1):31-6.

[3]. Repeated administration of piribedil induces less dyskinesia than L-dopa in MPTP-treated common marmosets: a behavioural and biochemical investigation. Mov Disord. 2002 Sep;17(5):887-901.

[4]. Piribedil disrupts the MLL1-WDR5 interaction and sensitizes MLL-rearranged acute myeloid leukemia (AML) to doxorubicin-induced apoptosis. Cancer Lett. 2018 Sep 1;431:150-160.

Additional Infomation
2-[4-(1,3-benzodioxane-5-ylmethyl)-1-piperazinyl]pyrimidine is an N-arylpiperazine compound. Piribedil has been studied for Parkinson's disease. It is a dopamine D2 receptor agonist. It is used to treat Parkinson's disease, particularly to relieve tremors. It has also been used to treat circulatory disorders and other conditions, acting as a D2 receptor agonist.
Piribedil is a dopamine agonist that was investigated as a potential treatment for Parkinson's disease following the success of levodopa and the recognition that apomorphine (another dopamine agonist) had antiparkinsonian effects but was limited by side effects and azotemia with chronic oral use. [1]
The study design included both nonblind and double-blind, placebo-controlled trials. Patients received oral coated 20-mg tablets of piribedil starting at 40 mg/day, increased by 20 mg every other day to a maximum of 300 mg/day, given in four divided doses after meals and at bedtime. In the double-blind study, patients received either drug or placebo for 4 weeks before crossing over. [1]
Parkinsonian disability was scored using the Cornell Weighted Scale. Hematologic, renal, and hepatic function tests plus electrocardiograms were monitored in each patient. [1]
The authors concluded that despite a high incidence of adverse effects making the drug difficult to use, piribedil's benefit in some patients demonstrates that dopamine receptor stimulators are potentially very helpful in treating Parkinson's disease. They suggested that the active metabolite (S 584) might be more effective clinically. [1]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Exact Mass
298.142
Elemental Analysis
C, 64.41; H, 6.08; N, 18.78; O, 10.73
CAS #
3605-01-4
Related CAS #
Piribedil-d8;1398044-45-5;Piribedil dihydrochloride;1451048-94-4;Piribedil hydrochloride;78213-63-5
PubChem CID
4850
Appearance
White to off-white solid powder
Density
1.3±0.1 g/cm3
Boiling Point
469.4±55.0 °C at 760 mmHg
Melting Point
98 °C
Flash Point
237.7±31.5 °C
Vapour Pressure
0.0±1.2 mmHg at 25°C
Index of Refraction
1.632
LogP
2.36
Hydrogen Bond Donor Count
0
Hydrogen Bond Acceptor Count
6
Rotatable Bond Count
3
Heavy Atom Count
22
Complexity
356
Defined Atom Stereocenter Count
0
SMILES
C1CN(CCN1CC2=CC3=C(C=C2)OCO3)C4=NC=CC=N4
InChi Key
OQDPVLVUJFGPGQ-UHFFFAOYSA-N
InChi Code
InChI=1S/C16H18N4O2/c1-4-17-16(18-5-1)20-8-6-19(7-9-20)11-13-2-3-14-15(10-13)22-12-21-14/h1-5,10H,6-9,11-12H2
Chemical Name
2-(4-Piperonyl-1-piperazinyl)pyrimidine
Synonyms
Piribedil; EU 4200; EU-4200; ET-495 ET 495; ET495; ET495; EU4200
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 : ~33.33 mg/mL (~111.72 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (8.38 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 (8.38 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 (8.38 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.)
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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.
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Clinical Trial Information
Title:PIRLONG-PD Safety and Efficacy of Piribedil in Parkinson's Disease During Long Term Therapy
Status:Completed
updateDate:2016-01-29
Ctid:NCT01519856

Link: https://clinicaltrials.gov/ct2/show/NCT01519856

Conditions:Parkinson's Disease
Interventions:piribedil (Clarium)
Phase:
Title:Influence of Piribedil (Clarium®) on Vigilance and Cognitive Function in Patients With Parkinson's Disease Compared to Other Non-Ergot Dopamine Agonists
Status:Completed
updateDate:2012-05-24
Ctid:NCT01007864

Link: https://clinicaltrials.gov/ct2/show/NCT01007864

Conditions:Idiopathic Parkinson's Disease
Interventions:pramipexole or ropinirole
Phase:Phase 3
Title:SEDPARK1: Safety and Efficacy Study With the Non-ergot Dopamine-agonist Piribedil in Parkinson's Disease
Status:Completed
updateDate:2010-03-31
Ctid:NCT00725478

Link: https://clinicaltrials.gov/ct2/show/NCT00725478

Conditions:Parkinson's Disease
Interventions:Piribedil
Phase:
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Title:SEDPARK2: Post Marketing Surveillance to Observe Safety and Efficacy of Piribedil in Parkinson's Disease (PIR-002/K)
Status:Completed
updateDate:2009-02-25
Ctid:NCT00727727

Link: https://clinicaltrials.gov/ct2/show/NCT00727727

Conditions:Parkinson's Disease
Interventions:Piribedil
Phase:
Title:Tinnitus Treatment With Piribedil Guided by Acoustic Otoemissions and Electrocochleography
Status:Completed
updateDate:2008-03-07
Ctid:NCT00591994

Link: https://clinicaltrials.gov/ct2/show/NCT00591994

Conditions:Tinnitus
Interventions:piribedil
Phase:N/A

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