butalbital
Trade name: fiornal
Approved
May 4, 1976
Butalbital, 5-allyl-5-isobutylbarbituric acid, is a barbiturate with an intermediate duration of action. The different combinations with butalbital is approved. One of them is fioricet with codeine (butalbital, ccetaminophen, caffeine, and codeine phosphate) which is indicated for the relief of the symptom complex of tension (or muscle contraction) headache. Evidence supporting the efficacy and safety of fioricet with codeine in the treatment of multiple recurrent headaches is unavailable. Butalbital is well absorbed from the gastrointestinal tract and is expected to distribute to most tissues in the body. This compound in general may appear in breast milk and readily cross the placental barrier. Monoamine oxidase (MAO) inhibitors may enhance the CNS effects. The mechanism of action for butalbital is proposed the following: this compound binds at a distinct binding site associated with a Cl- ionopore at the GABAA receptor, increasing the duration of time for which the Cl- ionopore is open. The post-synaptic inhibitory effect of GABA in the thalamus is, therefore, prolonged. — NCATS
Clinical trial activity
2 trials · 3 clinical orgs · 55 marketing orgs
Earliest trial started Feb 1, 2008 (NCT00573170)
Timeline
1970s
1980s
- Apr 30, 1980
Puracap Pharmaceutical — Marketing Organization
- Jul 30, 1980
Fosun — Marketing Organization
- Dec 28, 1981
Lannett Company, Inc. — Marketing Organization
- Nov 9, 1984
Actavis — NDA Secondary Org
- Jan 24, 1985
Specgx Llc — Marketing Organization
- Mar 27, 1985
Graham Dm — Marketing Organization
- Mar 27, 1985
Mallinckrodt — Marketing Organization
- Mar 27, 1985
Avon Products — Marketing Organization
- Jun 19, 1985
Bausch Health Companies — Marketing Organization
- Oct 17, 1985
Mayrand — Marketing Organization
- Mar 17, 1986
Mayne Pharma — Marketing Organization
- Mar 17, 1986
Dr. Reddy's Laboratories — Marketing Organization
- Oct 1, 1986
Shire — Marketing Organization
- Jan 21, 1987
Mikart — Marketing Organization
- Jul 2, 1987
Dunhall Pharmaceuticals — Marketing Organization
1990s
- May 15, 1990
International Minerals and Chemical Corporation — Marketing Organization
- Oct 26, 1990
SmithKline Beecham — NDA Secondary Org
- Aug 31, 1998
Jerome Stevens Pharmaceuticals — Marketing Organization
2000s
- Jul 23, 2001
Able Laboratories — Marketing Organization
- Nov 30, 2001
LGM Pharma — Marketing Organization
- Apr 22, 2002
Vintage — Marketing Organization
- Jul 29, 2005
Sun Pharmaceuticals — Marketing Organization
- Jun 13, 2007
Nostrum Laboratories — Marketing Organization
- Jan 1, 2008
Earliest Phase 3 Sponsor(trial)
- Dec 1, 2008
Novast Labs — Marketing Organization
- Dec 23, 2008
Mirror Pharms — Marketing Organization
- Nov 16, 2009
Nexgen Pharma, Inc — Marketing Organization
2010s
- Oct 30, 2015
County Line — Marketing Organization
- Oct 30, 2015
Alvogen — Marketing Organization
- Dec 4, 2015
Larken Labs Inc — Marketing Organization
- Sep 22, 2016
Pharmaceutics International, Inc. — Marketing Organization
- Sep 22, 2016
Esteve Labs — Marketing Organization
- Sep 22, 2016
Strides Pharma Science — Marketing Organization
- Oct 28, 2016
Nuvo Research Inc. — Marketing Organization
- Aug 4, 2017
Xspire Pharma — Marketing Organization
- Aug 4, 2017
Wraser Pharmaceuticals — Marketing Organization
- Sep 26, 2018
Abhai LLC — Marketing Organization
- Sep 26, 2018
Aurobindo Pharma — Marketing Organization
- Nov 22, 2019
Granules India — Marketing Organization
2020s
- Jul 1, 2020
Taro Pharmaceuticals — Marketing Organization
- Jul 17, 2020
Nesher Pharms — Marketing Organization
- Jul 17, 2020
Zydus Discovery DMCC — Marketing Organization
- Aug 13, 2021
Senores Pharms — Marketing Organization
- Nov 17, 2021
RiconPharma — Marketing Organization
- Aug 16, 2022
AACE PHARMS — Marketing Organization
Indications
Studied for
Mechanism of action
- GABA-A receptor; anion channelPOSITIVE ALLOSTERIC MODULATOR
GABA-A receptor; anion channel positive allosteric modulator
Barbiturate site
- Gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1) ↗
- Gamma-aminobutyric acid receptor subunit beta-2 (GABRB2) ↗
- Gamma-aminobutyric acid receptor subunit gamma-2 (GABRG2) ↗
- Gamma-aminobutyric acid receptor subunit beta-3 (GABRB3) ↗
- Gamma-aminobutyric acid receptor subunit alpha-4 (GABRA4) ↗
- Gamma-aminobutyric acid receptor subunit gamma-3 (GABRG3) ↗
- Gamma-aminobutyric acid receptor subunit theta (GABRQ) ↗
- Gamma-aminobutyric acid receptor subunit alpha-3 (GABRA3) ↗
- Gamma-aminobutyric acid receptor subunit pi (GABRP) ↗
- Gamma-aminobutyric acid receptor subunit delta (GABRD) ↗
- Gamma-aminobutyric acid receptor subunit gamma-1 (GABRG1) ↗
- Gamma-aminobutyric acid receptor subunit beta-1 (GABRB1) ↗
- Gamma-aminobutyric acid receptor subunit epsilon (GABRE) ↗
- Gamma-aminobutyric acid receptor subunit alpha-2 (GABRA2) ↗
- Gamma-aminobutyric acid receptor subunit alpha-5 (GABRA5) ↗
- Gamma-aminobutyric acid receptor subunit alpha-6 (GABRA6) ↗
- GABA receptor alpha-1 subunit
- GABA receptor beta-2 subunit
- GABA receptor alpha-4 subunit
- GABA receptor delta subunit
- GABA receptor alpha-5 subunit
- GABA receptor alpha-6 subunit
- GABA receptor beta-3 subunit
- GABA receptor alpha-3 subunit
- GABA receptor alpha-2 subunit
- GABA-A receptor; GABA-A site (alpha1/beta2 interface)
- GABA-A receptor; alpha-3/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-3/gamma-2
- GABA-A receptor; alpha-5/beta-3/gamma-2
- GABA-A receptor; alpha-2/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-2/gamma-2
- GABA-A receptor; alpha-6/beta-3/gamma-2
- GABA-A receptor; benzodiazepine site
- GABA-A receptor; agonist GABA site
- GABA A receptor alpha-2/beta-2/gamma-2
- GABA A receptor alpha-3/beta-2/gamma-2
- GABA A receptor alpha-6/beta-2/gamma-2
- GABA A receptor alpha-1/beta-1/gamma-2
- GABA A receptor alpha-4/beta-3/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta3/delta
- Gamma-aminobutyric acid receptor subunit alpha-1/ beta-1
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3/theta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-6/beta-3
- GABA-A receptor alpha-1/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/beta-2/delta
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/delta
- Gamma-aminobutyric acid receptor subunit beta-1/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/alpha-2/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-1/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-1/delta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2/gamma-2
- GABA receptor beta-1 subunit
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-1/gamma-2
Combination products
anoquan
with acetaminophen, caffeine
Also known as esgic-plus
axotal
with acetylsalicylic acid
fioricet w/ codeine
with acetaminophen, caffeine, codeine
Also known as butalbital; acetaminophen; caffeine; codeine, phrenilin with caffeine and codeine
fiorinal
with caffeine, acetylsalicylic acid
Also known as lanorinal
fiorinal w/codeine
with caffeine, acetylsalicylic acid, codeine
phrenilin
with acetaminophen
Also known as allzital, bucet, butapap, phrenilin forte, sedapap, tencon, triaprin
Approval history
- approvedMay 4, 1976
Chemistry & pharmacology
SMILES
CC(C)CC1(CC=C)C(=O)NC(=O)NC1=O- Mol. weight
- 224.2563 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaButalbital ↗
- NCATSKHS0AZ4JVK ↗
- ChEMBLCHEMBL454 ↗
Also known as
- 5-(2-methylpropyl)-5-prop-2-enyl-1,3-diazinane-2,4,6-trione
- 5-(2-methylpropyl)-5-prop-2-enyl-1,3-diazinane-2,4,6-trione
- 5-allyl-5-(2'-methyl-n-propyl) barbituric acid
- 5-allyl-5-(2'-methyl-n-propyl) barbituric acid
- 5-allyl-5-(2-methylpropyl)barbituric acid
- 5-allyl-5-(2-methylpropyl)barbituric acid
- 5-allyl-5-isobutyl-2,4,6(1h,3h,5h)-pyrimidinetrione
- 5-allyl-5-isobutyl-2,4,6(1h,3h,5h)-pyrimidinetrione
- 5-allyl-5-isobutylbarbituric acid
- 5-allyl-5-isobutylbarbituric acid
- 5-allyl-5-isobutylbarbituric acid
- 5-allyl-5-isobutyl-pyrimidine-2,4,6-trione
- 5-allyl-5-isobutyl-pyrimidine-2,4,6-trione
- alisobumal
- alisobumal
- alisobumal
- alisobumal
- alisobumal
- allylbarbital
- allylbarbital
- allylbarbital
- allylbarbital
- allylbarbitone
- allylbarbitone
- allylbarbitone
- allylbarbituric acid
- allylbarbituric acid
- allylbarbituric acid
- allylisobutylbarbital
- allylisobutylbarbituric acid
- butalbarbital
- butalbarbital
- butalbarbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital
- butalbital, monosodium salt
- butalbitalum
- butalbitalum
- iso-butylallylbarbituric acid
- iso-butylallylbarbituric acid
- isobutylallylbarbituric acid
- itobarbital
- itobarbital
- itobarbital
- itobarbital
- sandoptal
- sandoptal
- tetrallobarbital
- tetrallobarbital
- tetrallobarbital
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07093697 | Phase 3 | Mar 28, 2024 | Daewon Pharmaceutical Co., Ltd., Korea University |
| NCT00573170 | Phase 3 | Feb 1, 2008 | GlaxoSmithKline |
Organizations
Research & Development (3)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Daewon Pharmaceutical Co., Ltd. | For profit | 1 | 1 | 1 | 2024 |
| GlaxoSmithKline | For profit | 1 | 1 | 1 | 2008 |
| Korea University | Academic/Hospital | 1 | 0 | 1 | 2024 |
Marketing (63)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AACE PHARMS | For profit | MKTG | Aug 16, 2022 |
| Abhai LLC | For profit | MKTG | Sep 26, 2018 |
| Able Laboratories | For profit | MKTG | Jul 23, 2001 |
| Actavis | For profit | NDA2 | Nov 9, 1984 |
| Actavis | For profit | MKTG | Jul 25, 1979 |
| Allergan | For profit | NDA2 | May 4, 1976 |
| Alvogen | For profit | MKTG | Oct 30, 2015 |
| Aurobindo Pharma | For profit | MKTG | Sep 26, 2018 |
| Avon Products | For profit | MKTG | Mar 27, 1985 |
| Bausch Health Companies | For profit | MKTG | Jun 19, 1985 |
| County Line | For profit | MKTG | Oct 30, 2015 |
| Dr. Reddy's Laboratories | For profit | MKTG | Mar 17, 1986 |
| Dunhall Pharmaceuticals | For profit | MKTG | Jul 2, 1987 |
| Esteve Labs | For profit | MKTG | Sep 22, 2016 |
| Forest Laboratories | For profit | MKTG | — |
| Fosun | For profit | MKTG | Jul 30, 1980 |
| Graham Dm | For profit | MKTG | Mar 27, 1985 |
| Granules India | For profit | SYN | Dec 1, 2008 |
| Granules India | For profit | MKTG | Nov 22, 2019 |
| Halsey | For profit | MKTG | — |
| Hikma | For profit | SYN | Oct 28, 1998 |
| Hikma | For profit | MKTG | Jun 5, 1979 |
| Hikma | For profit | SYN | Jun 12, 1995 |
| International Minerals and Chemical Corporation | For profit | MKTG | May 15, 1990 |
| Ivax | For profit | MKTG | — |
| Jerome Stevens Pharmaceuticals | For profit | MKTG | Aug 31, 1998 |
| LGM Pharma | For profit | MKTG | Nov 30, 2001 |
| Laboratoires Gilbert | For profit | MKTG | — |
| Lannett Company, Inc. | For profit | MKTG | Dec 28, 1981 |
| Lannett Company, Inc. | For profit | SYN | Sep 13, 2012 |
| Larken Labs Inc | For profit | MKTG | Dec 4, 2015 |
| Mallinckrodt | For profit | MKTG | Mar 27, 1985 |
| Mayne Pharma | For profit | MKTG | Mar 17, 1986 |
| Mayrand | For profit | MKTG | Oct 17, 1985 |
| Mikart | For profit | MKTG | Jan 21, 1987 |
| Mirror Pharms | For profit | MKTG | Dec 23, 2008 |
| Nesher Pharms | For profit | MKTG | Jul 17, 2020 |
| Nexgen Pharma, Inc | For profit | MKTG | Nov 16, 2009 |
| Nexgen Pharma, Inc | For profit | SYN | Nov 30, 2001 |
| Nostrum Laboratories | For profit | MKTG | Jun 13, 2007 |
| Novast Labs | For profit | MKTG | Dec 1, 2008 |
| Nuvo Research Inc. | For profit | MKTG | Oct 28, 2016 |
| Pharmaceutics International, Inc. | For profit | MKTG | Sep 22, 2016 |
| Puracap Pharmaceutical | For profit | MKTG | Apr 30, 1980 |
| Quantum Pharmaceutical | For profit | MKTG | — |
| RiconPharma | For profit | MKTG | Nov 17, 2021 |
| Sandoz | For profit | NDA | May 4, 1976 |
| Savage Labs | For profit | MKTG | — |
| Senores Pharms | For profit | MKTG | Aug 13, 2021 |
| Shire | For profit | MKTG | Oct 1, 1986 |
| SmithKline Beecham | For profit | NDA2 | Oct 26, 1990 |
| Specgx Llc | For profit | MKTG | Jan 24, 1985 |
| Strides Pharma Science | For profit | MKTG | Sep 22, 2016 |
| Sun Pharmaceuticals | For profit | MKTG | Jul 29, 2005 |
| Taro Pharmaceuticals | For profit | MKTG | Jul 1, 2020 |
| Taro Pharmaceuticals | For profit | SYN | Jul 1, 2020 |
| US CHEM | For profit | MKTG | — |
| Vintage | For profit | MKTG | Apr 22, 2002 |
| Vintage | For profit | SYN | Mar 5, 1999 |
| Watson Pharmaceuticals | For profit | MKTG | Feb 21, 1979 |
| Wraser Pharmaceuticals | For profit | MKTG | Aug 4, 2017 |
| Xspire Pharma | For profit | MKTG | Aug 4, 2017 |
| Zydus Discovery DMCC | For profit | MKTG | Jul 17, 2020 |