| Record Information |
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| Version | 5.0 |
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| Status | Expected but not Quantified |
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| Creation Date | 2012-09-06 15:16:52 UTC |
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| Update Date | 2022-03-07 02:51:58 UTC |
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| HMDB ID | HMDB0015417 |
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| Secondary Accession Numbers | |
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| Metabolite Identification |
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| Common Name | Fosphenytoin |
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| Description | Fosphenytoin, also known as cerebyx or HMPDP, belongs to the class of organic compounds known as diphenylmethanes. Diphenylmethanes are compounds containing a diphenylmethane moiety, which consists of a methane wherein two hydrogen atoms are replaced by two phenyl groups. Fosphenytoin is a drug which is used for the control of generalized convulsive status epilepticus and prevention and treatment of seizures occurring during neurosurgery. it can also be substituted, short-term, for oral phenytoin. Fosphenytoin can cause hyperphosphatemia in end-stage renal failure patients. Fosphenytoin is an extremely weak basic (essentially neutral) compound (based on its pKa). In humans, fosphenytoin is involved in the metabolic disorder called the fosphenytoin (antiarrhythmic) metabolism pathway. Fosphenytoin is a potentially toxic compound. Fosphenytoin is approved in the United States for the short term (five days or fewer) treatment of epilepsy when more widely used means of phenytoin administration are not possible or are ill-advised, such as endotracheal intubation, status epilepticus or some other type of repeated seizures; vomiting, and/or the patient is unalert or not awake or both. One solution was to develop a prodrug that did not have these drawbacks. Fosphenytoin (fosphenytoin sodium, trade names Cerebyx, Parke-Davis; Prodilantin, Pfizer Holding France) is a water-soluble phenytoin prodrug that is administered intravenously to deliver phenytoin, potentially more safely than intravenous phenytoin. Side effects are similar to intravenous phenytoin and include hypotension, cardiac arrhythmias, CNS adverse events (nystagmus, dizziness, sedation/somnolence, ataxia and stupor), and local dermatological reactions. Purple glove syndrome probably occurs with fosphenytoin but possibly at lower frequency than with intravenous phenytoin. It is most commonly used in the acute treatment of convulsive status epilepticus. On 18 November 2004, Sicor (a subsidiary of Teva) received a tentative approval letter from the United States Food and Drug Administration for a generic version of fosphenytoin. One millimole of phenytoin is produced for every millimole of fosphenytoin administered; the hydrolysis of fosphenytoin also yields phosphate and formaldehyde, the latter of which is subsequently metabolized to formate, which is in turn metabolized by a folate dependent mechanism. Fosphenytoin was approved by the Food and Drug Administration (FDA) on August 5, 1996 for use in epilepsy. Simply putting patients on other drugs is not always an option; this was especially true before 1993, when the number of anticonvulsants available was much more limited. In 2003, it was reported that even though anticonvulsants are often very effective in mania, and acute mania requires rapid treatment, fosphenytoin had no antimanic effect. |
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| Structure | OP(O)(=O)OCN1C(=O)NC(C1=O)(C1=CC=CC=C1)C1=CC=CC=C1 InChI=1S/C16H15N2O6P/c19-14-16(12-7-3-1-4-8-12,13-9-5-2-6-10-13)17-15(20)18(14)11-24-25(21,22)23/h1-10H,11H2,(H,17,20)(H2,21,22,23) |
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| Synonyms | | Value | Source |
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| (3-Phosphoryloxymethyl)phenytoin | HMDB | | Cerebyx | HMDB | | HMPDP | HMDB | | 3-(Hydroxymethyl)phenytoin disodium phosphate | HMDB | | Fosphenytoin, disodium salt | HMDB | | Prodilantin | HMDB | | Fosphenytoin sodium | HMDB | | 3-(Hydroxymethyl)phenytoin phosphate ester | HMDB |
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| Chemical Formula | C16H15N2O6P |
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| Average Molecular Weight | 362.2739 |
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| Monoisotopic Molecular Weight | 362.066772734 |
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| IUPAC Name | [(2,5-dioxo-4,4-diphenylimidazolidin-1-yl)methoxy]phosphonic acid |
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| Traditional Name | fosphenytoin |
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| CAS Registry Number | 93390-81-9 |
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| SMILES | OP(O)(=O)OCN1C(=O)NC(C1=O)(C1=CC=CC=C1)C1=CC=CC=C1 |
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| InChI Identifier | InChI=1S/C16H15N2O6P/c19-14-16(12-7-3-1-4-8-12,13-9-5-2-6-10-13)17-15(20)18(14)11-24-25(21,22)23/h1-10H,11H2,(H,17,20)(H2,21,22,23) |
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| InChI Key | XWLUWCNOOVRFPX-UHFFFAOYSA-N |
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| Chemical Taxonomy |
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| Description | Belongs to the class of organic compounds known as diphenylmethanes. Diphenylmethanes are compounds containing a diphenylmethane moiety, which consists of a methane wherein two hydrogen atoms are replaced by two phenyl groups. |
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| Kingdom | Organic compounds |
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| Super Class | Benzenoids |
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| Class | Benzene and substituted derivatives |
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| Sub Class | Diphenylmethanes |
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| Direct Parent | Diphenylmethanes |
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| Alternative Parents | |
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| Substituents | - Diphenylmethane
- Alpha-amino acid or derivatives
- N-acyl urea
- Ureide
- Monoalkyl phosphate
- Imidazolinone
- Organic phosphoric acid derivative
- Phosphoric acid ester
- Alkyl phosphate
- 2-imidazoline
- Isourea
- Azacycle
- Carboxylic acid derivative
- Carboximidamide
- Organoheterocyclic compound
- Organic 1,3-dipolar compound
- Propargyl-type 1,3-dipolar organic compound
- Hydrocarbon derivative
- Organopnictogen compound
- Organic nitrogen compound
- Organonitrogen compound
- Organic oxygen compound
- Organooxygen compound
- Carbonyl group
- Organic oxide
- Aromatic heteromonocyclic compound
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| Molecular Framework | Aromatic heteromonocyclic compounds |
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| External Descriptors | |
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| Ontology |
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| Physiological effect | Not Available |
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| Disposition | |
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| Process | |
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| Role | Not Available |
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| Physical Properties |
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| State | Solid |
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| Experimental Molecular Properties | | Property | Value | Reference |
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| Melting Point | Not Available | Not Available | | Boiling Point | Not Available | Not Available | | Water Solubility | 0.14 g/L | Not Available | | LogP | Not Available | Not Available |
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| Experimental Chromatographic Properties | Not Available |
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| Predicted Molecular Properties | |
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| Predicted Chromatographic Properties | Predicted Collision Cross SectionsPredicted Retention Times Underivatized| Chromatographic Method | Retention Time | Reference |
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| Measured using a Waters Acquity ultraperformance liquid chromatography (UPLC) ethylene-bridged hybrid (BEH) C18 column (100 mm × 2.1 mm; 1.7 μmparticle diameter). Predicted by Afia on May 17, 2022. Predicted by Afia on May 17, 2022. | 6.98 minutes | 32390414 | | Predicted by Siyang on May 30, 2022 | 10.4139 minutes | 33406817 | | Predicted by Siyang using ReTip algorithm on June 8, 2022 | 3.67 minutes | 32390414 | | AjsUoB = Accucore 150 Amide HILIC with 10mM Ammonium Formate, 0.1% Formic Acid | 122.2 seconds | 40023050 | | Fem_Long = Waters ACQUITY UPLC HSS T3 C18 with Water:MeOH and 0.1% Formic Acid | 1547.5 seconds | 40023050 | | Fem_Lipids = Ascentis Express C18 with (60:40 water:ACN):(90:10 IPA:ACN) and 10mM NH4COOH + 0.1% Formic Acid | 230.3 seconds | 40023050 | | Life_Old = Waters ACQUITY UPLC BEH C18 with Water:(20:80 acetone:ACN) and 0.1% Formic Acid | 137.1 seconds | 40023050 | | Life_New = RP Waters ACQUITY UPLC HSS T3 C18 with Water:(30:70 MeOH:ACN) and 0.1% Formic Acid | 174.9 seconds | 40023050 | | RIKEN = Waters ACQUITY UPLC BEH C18 with Water:ACN and 0.1% Formic Acid | 93.3 seconds | 40023050 | | Eawag_XBridgeC18 = XBridge C18 3.5u 2.1x50 mm with Water:MeOH and 0.1% Formic Acid | 354.7 seconds | 40023050 | | BfG_NTS_RP1 =Agilent Zorbax Eclipse Plus C18 (2.1 mm x 150 mm, 3.5 um) with Water:ACN and 0.1% Formic Acid | 478.8 seconds | 40023050 | | HILIC_BDD_2 = Merck SeQuant ZIC-HILIC with ACN(0.1% formic acid):water(16 mM ammonium formate) | 179.9 seconds | 40023050 | | UniToyama_Atlantis = RP Waters Atlantis T3 (2.1 x 150 mm, 5 um) with ACN:Water and 0.1% Formic Acid | 767.7 seconds | 40023050 | | BDD_C18 = Hypersil Gold 1.9µm C18 with Water:ACN and 0.1% Formic Acid | 395.6 seconds | 40023050 | | UFZ_Phenomenex = Kinetex Core-Shell C18 2.6 um, 3.0 x 100 mm, Phenomenex with Water:MeOH and 0.1% Formic Acid | 965.7 seconds | 40023050 | | SNU_RIKEN_POS = Waters ACQUITY UPLC BEH C18 with Water:ACN and 0.1% Formic Acid | 246.1 seconds | 40023050 | | RPMMFDA = Waters ACQUITY UPLC BEH C18 with Water:ACN and 0.1% Formic Acid | 278.4 seconds | 40023050 | | MTBLS87 = Merck SeQuant ZIC-pHILIC column with ACN:Water and :ammonium carbonate | 295.1 seconds | 40023050 | | KI_GIAR_zic_HILIC_pH2_7 = Merck SeQuant ZIC-HILIC with ACN:Water and 0.1% FA | 167.5 seconds | 40023050 | | Meister zic-pHILIC pH9.3 = Merck SeQuant ZIC-pHILIC column with ACN:Water 5mM NH4Ac pH9.3 and 5mM ammonium acetate in water | 128.8 seconds | 40023050 |
Predicted Kovats Retention IndicesUnderivatizedDerivatized| Derivative Name / Structure | SMILES | Kovats RI Value | Column Type | Reference |
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| Fosphenytoin,1TMS,isomer #1 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3127.2 | Semi standard non polar | 33892256 | | Fosphenytoin,1TMS,isomer #1 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 2915.8 | Standard non polar | 33892256 | | Fosphenytoin,1TMS,isomer #1 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 4296.1 | Standard polar | 33892256 | | Fosphenytoin,1TMS,isomer #2 | C[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 2854.8 | Semi standard non polar | 33892256 | | Fosphenytoin,1TMS,isomer #2 | C[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 2870.8 | Standard non polar | 33892256 | | Fosphenytoin,1TMS,isomer #2 | C[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 4455.3 | Standard polar | 33892256 | | Fosphenytoin,2TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 3107.1 | Semi standard non polar | 33892256 | | Fosphenytoin,2TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 2979.5 | Standard non polar | 33892256 | | Fosphenytoin,2TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 3836.6 | Standard polar | 33892256 | | Fosphenytoin,2TMS,isomer #2 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 2891.7 | Semi standard non polar | 33892256 | | Fosphenytoin,2TMS,isomer #2 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 2872.9 | Standard non polar | 33892256 | | Fosphenytoin,2TMS,isomer #2 | C[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3866.7 | Standard polar | 33892256 | | Fosphenytoin,3TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 2943.0 | Semi standard non polar | 33892256 | | Fosphenytoin,3TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 2931.6 | Standard non polar | 33892256 | | Fosphenytoin,3TMS,isomer #1 | C[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C | 3469.6 | Standard polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3360.9 | Semi standard non polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3129.5 | Standard non polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 4404.6 | Standard polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 3163.9 | Semi standard non polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 3090.9 | Standard non polar | 33892256 | | Fosphenytoin,1TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)N1C(=O)N(COP(=O)(O)O)C(=O)C1(C1=CC=CC=C1)C1=CC=CC=C1 | 4395.0 | Standard polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 3536.9 | Semi standard non polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 3342.6 | Standard non polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)NC(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 4070.1 | Standard polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3365.3 | Semi standard non polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3268.9 | Standard non polar | 33892256 | | Fosphenytoin,2TBDMS,isomer #2 | CC(C)(C)[Si](C)(C)OP(=O)(O)OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O | 3917.3 | Standard polar | 33892256 | | Fosphenytoin,3TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 3514.4 | Semi standard non polar | 33892256 | | Fosphenytoin,3TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 3480.2 | Standard non polar | 33892256 | | Fosphenytoin,3TBDMS,isomer #1 | CC(C)(C)[Si](C)(C)OP(=O)(OCN1C(=O)N([Si](C)(C)C(C)(C)C)C(C2=CC=CC=C2)(C2=CC=CC=C2)C1=O)O[Si](C)(C)C(C)(C)C | 3653.0 | Standard polar | 33892256 |
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