Approved Deuterated Drugs

What are Deuterated Compounds?

Deuterated compounds refer to new compounds obtained by replacing one or more C-H bonds in a molecule with D atoms.

Deuterated reagents are an important class of high-value-added chemicals. In addition to being widely used as solvents (such as CD3OD, d-DMSO, and CDCl3) in the field of nuclear magnetic resonance (NMR), they have also become a hot topic in new drug research and development in recent years. Replacing hydrogen atoms with deuterium atoms alters the structure and properties of the compound, thereby optimizing the pharmacokinetics of drug molecules and reducing toxicity.

Advantages of Deuterated Compounds

Due to the higher stability of carbon-deuterium bonds compared to carbon-hydrogen bonds, deuteration can be used in drug development to improve pharmacokinetic characteristics. Based on their unique properties, deuterium modifications are considered one of the methods to enhance drug properties. By substituting active sites of drug molecules with deuterium, the following benefits can be achieved:

Improved pharmacokinetic properties: Deuteration can slow down the metabolism rate of drugs, increase drug exposure and half-life in the body, potentially reducing dosing frequency and dosage.

Enhanced drug selectivity: Deuteration helps reduce the formation of non-selective metabolites, thereby improving the target selectivity of drugs.

Reduced toxicity: By altering drug metabolism pathways, deuteration can decrease the formation of toxic metabolites, improving drug safety.

Increased oral bioavailability: In some cases, deuteration can enhance the oral absorption of drugs, enabling more efficient absorption into the bloodstream from the gastrointestinal tract.

Stabilization of chemically unstable stereoisomers: Deuteration can stabilize chiral centers prone to racemization or epimerization, thereby enhancing drug efficacy and reducing side effects.

Exploration of new mechanisms: In certain situations, deuteration may affect the interaction between the drug and its target, offering new mechanisms for drug discovery.

Moreover, deuterated compounds have demonstrated promising applications in biological metabolism analysis, NMR, optoelectronic materials, scientific research detection, intermediate labeling, drug development, pollution source tracing, and other fields.

Global pharmaceutical research institutions are making every effort to employ deuteration strategies to develop superior drug molecules to address unmet clinical needs. Fortunately, several deuterated drugs have been approved for market release so far, and their safety has been well-validated. Below, we summarize and analyze the deuterated drugs that have been approved and their preparation strategies for reference and inspiration for professionals.

Deutetrabenazine (Austedo)

In April 2017, the FDA approved Deutetrabenazine (Austedo) for the treatment of Huntington’s disease, making it the first deuterated drug developed and approved for market release.

Tetrabenazine and its primary metabolites, α-dihydrotetrabenazine (α-HTBZ) and β-dihydrotetrabenazine (β-HTBZ), are selective and potent inhibitors of VMAT2 (vesicular monoamine transporter 2).

The purpose of d6-tetrabenazine is to improve the pharmacokinetic properties of the active metabolites α-HTBZ and β-HTBZ. The trideuteromethyl group (CD3) in d6-tetrabenazine exhibits slower CYP-mediated carbon-deuterium bond cleavage compared to the carbon-hydrogen bond cleavage in the methyl group (CH3) of tetrabenazine. In vitro studies have demonstrated that this selective attenuation effect reduces the O-demethylation of α-HTBZ and β-HTBZ.

The increased stability of deuterated α-HTBZ and β-HTBZ, as well as the corresponding reduction in O-demethylated metabolites, has been confirmed through in vitro metabolism assays.

Tetrabenazine chemicals at BOC Sciences

CatalogProduct NameCAS NumberCategory
B2693-451175Tetrabenazine58-46-8Impurities
 Tetrabenazine-[d7] Stable Isotope Labelled Compounds
 rac-(2,3)-Dihydro Tetrabenazine [Cis/Trans Mixture] Impurities
 Tetrabenazine N-Oxide Impurities
 Tetrabenazine Related Impurity 18 (2R,3S,11bS, D-Val) Impurities
 Tetrabenazine Related Impurity 29 Impurities
 Tetrabenazine Related Impurity 4 Impurities
10111-00-92-Hydroxy Tetrabenazine10111-00-9Impurities
1026016-83-0(3R,11bR)-Tetrabenazine1026016-83-0Impurities
1026016-84-1(-)-Tetrabenazine1026016-84-1Impurities
1065193-41-0ent-9-Desmethyl-alpha-Dihydro-Tetrabenazine1065193-41-0Impurities
1214267-68-19-Desmethyl-beta-Dihydro Tetrabenazine1214267-68-1Impurities
1217719-21-5beta-Hydroxy Tetrabenazine-[d7]1217719-21-5Stable Isotope Labelled Compounds
1217744-19-8alpha-Hydroxy Tetrabenazine-[d7]1217744-19-8Stable Isotope Labelled Compounds
1223399-57-2(3R,11bR)-Tetrabenazine (1S)-(+)-10-Camphorsulfonate1223399-57-2Impurities
1381929-92-5Tetrabenazine Related Impurity 21381929-92-5Impurities
149183-89-19-Desmethyl Tetrabenazine149183-89-1Impurities
171598-74-6alpha-Hydroxy Tetrabenazine171598-74-6Impurities
19328-35-9Tetrabenazine Related Impurity 319328-35-9Impurities
3466-75-9Hydroxy Tetrabenazine3466-75-9Impurities
99672-64-7Tetrabenazine Related Impurity 199672-64-7Impurities
B1929-482407Tetrabenazine-[d6]1392826-25-3Stable Isotope Labelled Compounds
B2694-3426529-Desmethyl-alpha-Dihydro-Tetrabenazine1065193-59-0Impurities
 cis-Dihydrotetrabenazine Glucuronide Impurities
 trans-Dihydrotetrabenazine Glucuronide Impurities
164104-49-8(2S,3S,11bS)-Dihydrotetrabenazine164104-49-8Impurities
20232-39-73,4-Dihydro-6,7-dimethoxyisoquinoline Hydrochloride20232-39-7Impurities
2714430-89-2cis-Dihydrotetrabenazine Glucuronide-[d6]2714430-89-2Stable Isotope Labelled Compounds
2983160-14-9trans-Dihydrotetrabenazine Glucuronide-[d6]2983160-14-9Stable Isotope Labelled Compounds
5220-98-4(±)-9-deMe-DTBZ5220-98-4Impurities
862377-27-3(2S,3S,11bR)-Dihydrotetrabenazine862377-27-3Impurities
862377-29-5(2R,3R,11bS)-Dihydrotetrabenazine862377-29-5Impurities
862377-31-9(2R,3S,11bR)-Dihydrotetrabenazine862377-31-9Impurities
862377-33-1(2S,3R,11bS)-Dihydrotetrabenazine862377-33-1Impurities
924854-62-6(2R,3S,11bS)-Dihydrotetrabenazine924854-62-6Impurities
B0084-474971Valbenazine1025504-45-3Impurities
B1370-0396151,11b-Dedihydrotetrabenazine100322-43-8Impurities
B2693-342948(+)-beta-Dihydrotetrabenazine924854-60-4Impurities
B2694-099293(+)-alfa-Dihydrotetrabenazine85081-18-1Impurities

Donafenib (Sorafenib-d3)

Donafenib is a novel oral small-molecule, multi-targeted, multi-kinase inhibitor anti-tumor drug. It achieves dual effects of inhibiting tumor cell proliferation and tumor angiogenesis by suppressing the activity of multiple receptor tyrosine kinases, including VEGFR and RAF.

On June 9, 2021, Donafenib tablets were approved for marketing by the National Medical Products Administration (NMPA) through priority review.

Donafenib is used to treat various cancers. It is a deuterated multi-kinase inhibitor formed by replacing the key metabolic site of sorafenib (pyridylmethylamide) with pyridyl trideuteromethylamide.

In head-to-head clinical trials with sorafenib, Donafenib demonstrated superior metabolic characteristics, efficacy, and safety compared to sorafenib.

Sorafenib chemicals at BOC Sciences

CatalogProduct NameCAS NumberCategory
B0084-065081Sorafenib284461-73-0Impurities
 Sorafenib related compound 5 Impurities
 Sorafenib Impurity C Impurities
 Sorafenib Impurity 1 Impurities
 Sorafenib Impurity 10 Impurities
 Sorafenib Impurity 4 Impurities
 Sorafenib Impurity 5 Impurities
 Sorafenib Impurity 8 Impurities
 Sorafenib Related Compound 21 Impurities
 Sorafenib Related Compound 24 Impurities
 Sorafenib Related Compound 26 HCl Impurities
1129683-88-0Sorafenib related compound 81129683-88-0Impurities
1130164-93-0Sorafenib-beta-D-Glucuronide1130164-93-0Impurities
1207560-07-3Sorafenib-[d4]1207560-07-3Stable Isotope Labelled Compounds
1256817-30-7Sorafenib Related Compound 161256817-30-7Impurities
1261456-08-9Sorafenib Related Compound 251261456-08-9Impurities
1285533-84-7Sorafenib related compound 31285533-84-7Impurities
1431697-81-2Sorafenib 2-Chloro Isomer1431697-81-2Impurities
2004659-83-8Sorafenib related compound 112004659-83-8Impurities
2004659-84-9Sorafenib Related Compound 122004659-84-9Impurities
2004659-85-0Sorafenib Related Compound2004659-85-0Impurities
2056030-06-7Sorafenib Hemitosylate2056030-06-7Impurities
220000-87-3Sorafenib Impurity 2220000-87-3Impurities
2204442-52-2Des-(4-chloro-3-trifluoromethyl)-4-(methyl-4-hydroxypicolinate) Sorafenib2204442-52-2Impurities
2206827-14-5Sorafenib EP Impurity D2206827-14-5Impurities
284461-74-1Sorafenib Related Compound 14284461-74-1Impurities
284462-89-1Sorafenib Related Compound 22284462-89-1Impurities
3505-87-1Sorafenib Impurity 73505-87-1Impurities
370-50-3Sorafenib Impurity I370-50-3Impurities
573673-43-5Sorafenib Carboxylic Acid Methyl Ester573673-43-5Impurities
583840-03-3Sorafenib-N-oxide583840-03-3Impurities
583840-04-4N-Desmethyl Sorafenib (Pyridine)-N-oxide583840-04-4Impurities
845306-04-9Sorafenib Related Compound 13845306-04-9Impurities
862875-16-9Sorafenib Impurity 9862875-16-9Impurities
88330-63-6Sorafenib Related Compound 1788330-63-6Impurities
B0046-464111Sorafenib tosylate475207-59-1Impurities
B1630-479761Sorafenib related compound 101012058-78-4Impurities
B2694-233982Sorafenib related compound 218585-06-3Impurities
B2694-479766Sorafenib Related Compound 15284670-98-0Impurities
B2702-263928Sorafenib-[d3]1130115-44-4Stable Isotope Labelled Compounds

Mintegravir (VV116, Deuterium Remdesivir Hydrobromide Tablets)

VV116 is a novel oral nucleoside antiviral drug that acts by non-covalently binding, in its triphosphate form, to the active center of SARS-CoV-2 RNA polymerase. This directly inhibits the activity of viral RNA polymerase, thereby blocking the replication of progeny viruses and achieving an antiviral effect.

The development strategy for VV116 was based on modifying the structure of GS-441524 to enhance oral bioavailability (through ester substitution and deuteration) and improve safety. The mechanism of action for VV116 in the body is consistent with that of remdesivir, but VV116 offers the advantage of high oral bioavailability, enabling oral administration.

On January 29, 2023, VV116 was conditionally approved for the treatment of COVID-19 by the National Medical Products Administration (NMPA). It was also approved for marketing in Uzbekistan in the same year.

Remdesivir chemicals at BOC Sciences

CatalogProduct NameCAS NumberCategory
B2692-291708Remdesivir1809249-37-3Impurities
 Remdesivir metabolite GS-441524 O-beta-D-glucuronide Impurities
1911578-74-9Remdesivir nucleoside monophosphate1911578-74-9Impurities
1911578-76-1Remdesivir monophosphate1911578-76-1Impurities
1355050-21-3GS-443902 trisodium1355050-21-3Impurities
1355149-45-9GS-4439021355149-45-9Impurities
B2693-012542GS-4415241191237-69-0Impurities

Deucracitinib (BMS-986165)

In September 2022, the FDA approved Bristol-Myers Squibb’s deucracitinib (BMS-986165), a potent and selective tyrosine kinase 2 (Tyk2) inhibitor, for the treatment of psoriasis.

Deucracitinib represents a novel approach in psoriasis treatment by specifically targeting the Tyk2 pathway, which plays a key role in modulating immune responses. This approval marked a significant advancement in the management of immune-mediated diseases, offering patients a new, effective therapeutic option.

Deuruxolitinib (D8-Ruxolitinib)

Deuruxolitinib is an oral selective inhibitor of JAK1 and JAK2. It received Fast Track designation from the U.S. FDA in January 2018.

In July 2020, the FDA granted Breakthrough Therapy Designation to deuruxolitinib for the treatment of adults with moderate-to-severe alopecia areata.

In October 2023, the FDA accepted Sun Pharmaceutical’s New Drug Application (NDA) for deuruxolitinib, a potential “best-in-class” oral JAK inhibitor, for the treatment of moderate-to-severe alopecia areata. This highlights its promise as a novel therapeutic option for patients suffering from this autoimmune condition.

Remdesivir chemicals at BOC Sciences

CatalogProduct NameCAS NumberCategory
B0084-156872Ruxolitinib941678-49-5Inhibitor
1092939-16-6Ruxolitinib sulfate1092939-16-6Inhibitor
1513883-31-2Ruxolitinib-[d4]1513883-31-2Stable Isotope Labelled Compounds
941685-37-6(S)-Ruxolitinib941685-37-6Inhibitor
B0084-321795Ruxolitinib phosphate1092939-17-7Inhibitor