ziconotide

Trade name: prialt

Peptideapproved

Approved

Dec 28, 2004

Ziconotide (PRIALT; SNX-111) is a neuroactive peptide, which was approved by FDA in 2004 for the management of severe chronic pain in adult patients for whom intrathecal therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies, or intrathecal morphine. Ziconotide acts as a selective N-type voltage-gated calcium channel blocker, which leads to a blockade of excitatory neurotransmitter release from the primary afferent nerve terminals. — NCATS

Clinical trial activity

7 trials · 6 clinical orgs · 2 marketing orgs

Phase 1
0
Phase 2
4
Phase 3
2
Phase 4
3

Earliest trial started Nov 2, 1999 (NCT00002160)

Timeline

1990s

  1. Jan 1, 1999

    Earliest Phase 2 Sponsor(trial)

2000s

  1. Jan 1, 2002

    Elan Pharmaceuticals — Earliest Phase 3 Sponsor(trial)

  2. Dec 28, 2004

    Elan Pharmaceuticals — Earliest FDA Approval

  3. Dec 28, 2004

    Tersera Theraps Llc — Marketing Organization

  4. Dec 28, 2004

    Tersera Theraps Llc — NDA Secondary Org

  5. Dec 28, 2004

    Elan Pharmaceuticals — NDA Organization

Indications

Mechanism of action

Approval history

  • approvedPriority reviewDec 28, 2004

Chemistry & pharmacology

Loading structure…

SMILES

CSCC[C@@H]1NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCCNC(=N)N)NC(=O)[C@H](CO)NC(=O)[C@@H]2CSSC[C@@H]3NC(=O)[C@H](CO)NC(=O)CNC(=O)[C@@H](NC(=O)[C@H](CSSC[C@H](N)C(=O)N[C@@H](CCCCN)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)NCC(=O)N[C@@H](C)C(=O)N[C@@H](CCCCN)C(=O)N2)NC(=O)[C@H](CSSC[C@H](NC(=O)[C@H](CCCCN)NC(=O)CNC(=O)[C@H](CO)NC(=O)[C@H](CCCNC(=N)N)NC3=O)C(=O)N)NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](Cc4ccc(O)cc4)NC1=O)[C@@H](C)O
Mol. weight
2639.19 g/mol
Chirality
Single Stereoisomer
Inorganic
No
Polymer
No
Delivery
Parenteral
Availability
Prescription Only
Multi-specific
No

Oral

No

Parenteral

Yes

Topical

No

Black box warning

Sources

Also known as

  • cys-lys-gly-lys-gly-ala-lys-cys-ser-arg-leu-met-tyr-asp-cys-cys-thr-gly-ser-cys-arg-ser-gly-lys-cys-nh2
  • omega-conopeptide mviia
  • omega-conopeptide mviia (conus)
  • omega-conotoxin mviia
  • omega-conotoxin m viia
  • omega-conotoxin mviia, conus magus
  • prialt
  • prialt
  • prialt
  • prialt
  • prialt
  • snx 111
  • snx-111
  • snx-111
  • snx-111
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide
  • ziconotide acetate
  • ziconotide acetate
  • ziconotide acetate
  • ziconotide acetate

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT03321955Phase 4Nov 3, 2016Albany Medical College
NCT01992562Phase 4Oct 1, 2013Ohio State University
NCT01373983Phase 4Aug 1, 2011Linkoping University
NCT00996983Phase 2Sep 1, 2009Fondazione Giovanni Pascale
NCT00076544Phase 3Feb 1, 2004Elan Pharmaceuticals
NCT00047749Phase 3Aug 1, 2002Elan Pharmaceuticals
NCT00002160Phase 2Nov 2, 1999Neurex
Showing 7 of 7 trials
Page 1 / 1

Organizations

Research & Development (6)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
Elan PharmaceuticalsFor profit2212002
Albany Medical CollegeAcademic/Hospital1112016
Fondazione Giovanni PascaleAcademic/Hospital1112009
Linkoping UniversityAcademic/Hospital1112011
NeurexFor profit1111999
Ohio State UniversityAcademic/Hospital1112013
6 organizations
Page 1 / 1

Marketing (3)

OrganizationOrg typeRelationshipDate
Elan PharmaceuticalsFor profitNDADec 28, 2004
Tersera Theraps LlcFor profitMKTGDec 28, 2004
Tersera Theraps LlcFor profitNDA2Dec 28, 2004