General
                        Preferred name
                            NABUMETONE
                        Synonyms
                            
                                                BRL14777 ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                BRL-14777 ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                Relafen ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                Relifex ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                NSC-758623 ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                Nabumetona ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                BRL 14777 ()
                                            
                                            
                                                
                                            
                                                                                
                                    
                                        
                                            
                                                Nabumetone-d3 ()
                                            
                                            
                                                                                
                                    
                                
                            P&D ID
                            
                                PD000963
                            
                        CAS
                                
                                            42924-53-8
                                        
                                            
                                        
                                            
                                        
                                    
                                        
                                        
                                            1216770-08-9
                                        
                                            
                                        
                                    
                                Tags
                            
                                            available
                                        
                                        
                                        
                                    
                                    
                                        
                                    
                                
                                    
                                    
                                        
                                            prodrug
                                        
                                        
                                        
                                            
                                        
                                    
                                        
                                            drug
                                        
                                        
                                        
                                    
                                    
                                
                            Approved by
                                
                                            FDA
                                        
                                        
                                        
                                    
                                First approval
                                
                                            1991
                                        
                                        
                                        
                                    
                                Drug indication
                                
                                            Pain
                                        
                                        
                                        
                                            
                                        
                                    
                                        
                                            rheumatic disease
                                        
                                        
                                        
                                    
                                Drug Status
                                
                                            approved
                                        
                                        
                                        
                                    
                                Max Phase
                                
                                            4.0
                                        
                                        
                                        
                                    
                                Probe control
                                
                             Probe control not defined
                            
                        Orthogonal probes
                                
                            0
                             No orthogonal probes found
                            
                        Similar probes
                                
                            0
                             No structurally similar probes found
                        Structure formats
                    [[ format ]]
                        [[ compound[format === 'MOL' ? 'molblock' : format.toLowerCase()] ]]
                            
                        Description
                            (extracted from source data)
                        
                                ROE
                                Most drug is eliminated via hepatic metabolism with minimal to no parent drug detectable in the plasma.[label,A178903] 80% of the dose is then excreted by the kidneys and 10% in the feces. It does not appear to undergo enterohepatic recirculation.
                                
                            
                        
                            
                                INDICATION
                                **Indicated** for:[label]; ; 1) Symptomatic relief in rheumatoid arthritis.; ; 2) Symptomatic relief in osteoarthritis.
                                
                            
                        
                            
                                HALF-LIFE
                                6-MNA has a mean half-life of 24 hours with a range of 19-36 hours.[label]
                                
                            
                        
                            
                                METABOLISM
                                Nabumetone is reduced to 3-hydroxy nabumetone by the aldo-keto reductase-1C family and by corticosteroid 11-beta-dehydrogenase[A178897,A178900]. It then undergoes oxidative cleavage by CYP1A2 to 6-MNA, the active metabolite.[A17750,A178900] 6-MNA is eliminated by O-demethylation by CYP2C9 to 6-hydroxy-2-naphthylacetic acid (6-HNA).[A178897,A178900] Both 6-MNA and 6-HNA are further converted to conjugates.[A178900] Other metabolites are generated through a mix of ketone reduction and O-demethylation along with subsequent conjugation. Glucuronide conjugates of several metabolites have been found to become further conjugated to glycine residues.[A178972]
                                
                            
                        
                            
                                ABSORPTION
                                Nabumetone is well-absorbed from the GI tract and undergoes significant first pass metabolism resulting in approximately 35% being converted to the active metabolite, 6-MNA.[label,A178903] Tmax for 6-MNA varies widely with a mean values of 3 and 11 hours reported in official product monographs, and described as 9-12 hours in published literature [label,L6466,A178903] Administration with food increases Cmax by 33% and increases absorption rate.[label,A178903] If formulated as a suspension the Cmax increases and the Tmax is reduced by 0.8 hours while the all other pharmacokinetic parameters remain unchanged.[A178903]
                                
                            
                        
                            
                                DESCRIPTION
                                Nabumetone is a non-steroidal anti-inflammatory drug (NSAID). Nabumetone is a prodrug metabilosed to the active component, 6-methoxy-2-naphthylacetic acid (6MNA; CHEMBL1105)
                                
                                    (GtoPdb)
                                
                            
                        
                            
                                TOXICITY
                                **LD50 Values**; ; Mouse: 4290 mg/kg (Oral), 2380 mg/kg (IP)[L6565]; ; Rat: 3880 mg/kg (Oral), 1520 mg/kg (IP), >10 g/kg (SC)[L6565]; ; Monkey: 3200 mg/kg (Oral)[L6565]; ; **Overdose**; ; Signs and symptoms of nabumetone overdose include lethargy, drowsiness, nausea, vomiting, and epigastric pain.[label] These are considered reversible with supportive care. GI bleeding, hypertension, acute kidney injury, respiratory depression, and coma are rare but can occur. No antidote exists for nabumetone overdose although administration of activated charcoal and/or induction of emesis can reduce absorption if the nabumetone dose was taken less than 4 hours prior.[label,L6466] 6-MNA is cannot be cleared by dialysis.; ; **Carcinogenicity & Mutagenicity**; ; Nabumetone was not significantly carcinogenic in rats or mice studied over 2 years.[label] Neither the Ames test nor mouse micronucleus test showed nabumetone or it's active metabolite, 6-MNA, to be mutagenic. Chromosomal abberation has been observed in cultured lymphocytes exposed to concentrations of 80 mcg/mL and higher of nabumetone or 6-MNA equivalent to the maximum recommended human dose.; ; **Reproductive Toxicity**; ; No adverse effects on fertility have been observed in male and female rats at doses of 320 mg/kg/day.[label,L6466]] No teratogenicity has been observed in pregnant rabbits or rats. Dystocia and delayed parturition have been noted in rats resulting in reduced survival of offspring. This has been attributed to the role of prostaglandins in uterine contraction. NSAIDs can also cause premature closure of the ductus ateriosus.; ; **Lactation**; ; 6-MNA has been detected in the milk of lactating rats.[label,L6466] While no data is available in humans, 6-MNA is both highly protein bound and exists in its anionic form in circulation. For these reasons partitioning into breast milk is expected to be limited.
                                
                            
                        
                            
                                DESCRIPTION
                                Nabumetone is an orally active non-acidic anti-inflammatory agent, acts as a potent and selective COX-2 inhibitor, and is the proagent of the active metabolite 6MNA.
                                
                            
                        
                            
                                PRICE
                                29
                                
                            
                        
                            
                                DESCRIPTION
                                Nabumetone (BRL14777)(BRL14777) is a non-steroidal anti-inflammatory drug and its active metabolite 6MNA inhibits the enzymes cyclo-oxygenase I and II.
                                
                                    (TargetMol Bioactive Compound Library)
                                
                            
                        
                    [[ p.pathway_name ]]
                                        
                                    [[ compound.targets[tid].gene_name ]]
                                    Cell lines
                                0
                                Organisms
                                1
                                Compound Sets
                            23
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                                [[ a.name ]]
                                    
                                    
                                        
                                            
                                                [[ ligand_id ]]
                                                
                                            
                                            
                                 free of charge
                                            
                                        
                                    External IDs
                            48
                            Molecular Weight
                                    228.12
                                Hydrogen Bond Acceptors
                                    2
                                Hydrogen Bond Donors
                                    0
                                Rotatable Bonds
                                    4
                                Ring Count
                                    2
                                Aromatic Ring Count
                                    2
                                cLogP
                                    3.37
                                TPSA
                                    26.3
                                Fraction CSP3
                                    0.27
                                Chiral centers
                                    0.0
                                Largest ring
                                    6.0
                                QED
                                    0.8
                                Structural alerts
                            
                        0
                         No structural alerts detected
                        
                    Custom attributes
                            (extracted from source data)
                        Target
                            
                                
                                    COX
            
                                    
                                        
                                    
                                
                                    COX-1
            
                                    
                                        
                                    
                                
                                    COX-2
            
                                    
                                        
                                    
                                
                                    MPO
            
                                    
                                        
                                    
                                
                                    PTGS1, PTGS2
            
                                    
                                
                            
                        Indication
                            
                                
                                    rheumatoid arthritis, osteoarthritis
            
                                    
                                
                            
                        MOA
                            
                                
                                    cyclooxygenase inhibitor
            
                                    
                                
                            
                        Pathway
                            
                                
                                    Immunology/Inflammation
            
                                    
                                        
                                    
                                
                                    Metabolism
            
                                    
                                        
                                    
                                
                                    Neuroscience
            
                                    
                                
                            
                        Source data
                        
