Acotiamide

Acotiamide

Clinical data
Trade names	Acofide, others
Other names	YM-443, Z-338
Routes of administration	By mouth
ATC code	A03FA10 ( WHO ) QA03FA10 ( WHO )
Legal status
Legal status	JP: Rx-only
Pharmacokinetic data
Protein binding	84.21–85.95%
Metabolism	UGT1A8 and 1A9 (major)
Elimination half-life	10.9–21.7 hours
Excretion	Feces (92.7%), urine (5.3%) [1]
Identifiers
IUPAC name N-{2-[bis(1-Methylethyl)amino]ethyl}-2-{[(2-hydroxy-4,5-dimethoxyphenyl)carbonyl]amino}-1,3-thiazole-4-carboxamide
CAS Number	185106-16-5  N
PubChem CID	5282338
ChemSpider	4445505  Y
UNII	D42OWK5383
KEGG	D08838  N
ChEMBL	ChEMBL2107723  N
CompTox Dashboard (EPA)	DTXSID40870163
Chemical and physical data
Formula	C21H30N4O5S
Molar mass	450.55 g·mol−1
3D model (JSmol)	Interactive image
SMILES O=C(Nc1nc(C(=O)NCCN(C(C)C)C(C)C)cs1)c2cc(OC)c(OC)cc2O
InChI InChI=1S/C21H30N4O5S/c1-12(2)25(13(3)4)8-7-22-20(28)15-11-31-21(23-15)24-19(27)14-9-17(29-5)18(30-6)10-16(14)26/h9-13,26H,7-8H2,1-6H3,(H,22,28)(H,23,24,27) Y Key:TWHZNAUBXFZMCA-UHFFFAOYSA-N Y
NY  (what is this?)    (verify)

Acotiamide, sold under the brand names Acofide, ^{[2] [3]} and Dyspevict is a medication manufactured and approved in Japan and Russia ^[4] for the treatment of postprandial fullness, upper abdominal bloating, and early satiation due to functional dyspepsia. ^[5] It acts as an acetylcholinesterase inhibitor.

References

1. "Acofide (acotiamide hydrochloride hydrate) Tablets Review Report" (PDF). Retrieved 29 December 2016.
2. Nowlan ML, Scott LJ (August 2013). "Acotiamide: first global approval". Drugs. 73 (12): 1377–83. doi:10.1007/s40265-013-0100-9. PMID   23881665. S2CID   20383853.
3. Matsunaga Y, Tanaka T, Saito Y, Kato H, Takei M (February 2014). "[Pharmacological and clinical profile of acotiamide hydrochloride hydrate (Acofide(®) Tablets 100 mg), a novel therapeutic agent for functional dyspepsia (FD)]". Nihon Yakurigaku Zasshi. Folia Pharmacologica Japonica (in Japanese). 143 (2): 84–94. doi: 10.1254/fpj.143.84 . PMID   24531902.
4. "Dyspevict (acotiamide) Film-Coated Tablets. Full Prescribing Information". Russian State Register of Medicines (in Russian). Dr. Reddy's Laboratories. Retrieved 4 April 2025.
5. Matsueda K, Hongo M, Tack J, Aoki H, Saito Y, Kato H (June 2010). "Clinical trial: dose-dependent therapeutic efficacy of acotiamide hydrochloride (Z-338) in patients with functional dyspepsia - 100 mg t.i.d. is an optimal dosage". Neurogastroenterology and Motility. 22 (6): 618–e173. doi:10.1111/j.1365-2982.2009.01449.x. PMID   20059698. S2CID   41298446.