Umeclidinium bromide explained

Width2:175
Tradename:Incruse Ellipta
Dailymedid:Umeclidinium bromide
Routes Of Administration:Inhalation (DPI)
Atc Prefix:R03
Atc Suffix:BB07
Atc Supplemental:
(+vilanterol)
Legal Au:S4
Legal Au Comment:[1]
Legal Ca:Rx-only
Legal Ca Comment:[2]
Legal Uk:POM
Legal Us:Rx-only
Legal Status:Rx-only
Protein Bound:~89%[3]
Metabolism:Liver (CYP2D6)
Elimination Half-Life:11 hours
Excretion:Feces (58%) and urine (22%)
Cas Number:869113-09-7
Pubchem:11519069
Chemspiderid:9693857
Unii:7AN603V4JV
Kegg:D10181
Chebi:79040
Synonyms:GSK573719A
Iupac Name:Diphenyl-[1-(2-phenylmethoxyethyl)-1-azoniabicyclo[2.2.2]octan-4-yl]methanol bromide
C:29
H:34
Br:1
N:1
O:2
Stdinchi:1S/C29H34NO2.BrH/c31-29(26-12-6-2-7-13-26,27-14-8-3-9-15-27)28-16-19-30(20-17-28,21-18-28)22-23-32-24-25-10-4-1-5-11-25;/h1-15,31H,16-24H2;1H/q+1;/p-1
Stdinchikey:PEJHHXHHNGORMP-UHFFFAOYSA-M
Smiles:OC(c1ccccc1)(c1ccccc1)C12CC[N+](CCOCc3ccccc3)(CC1)CC2.[Br-]

Umeclidinium bromide, sold under the brand name Incruse Ellipta, is a long-acting muscarinic antagonist approved for the maintenance treatment of chronic obstructive pulmonary disease (COPD). It is also approved for this indication in combination with vilanterol (as umeclidinium bromide/vilanterol)[4] [5] and also as a triple-therapy combination as fluticasone furoate/umeclidinium bromide/vilanterol.[6]

It is on the World Health Organization's List of Essential Medicines.[7] In 2020, it was the 245th most commonly prescribed medication in the United States, with more than 1million prescriptions.[8] [9]

Notes and References

  1. Web site: Prescription medicines: registration of new chemical entities in Australia, 2014 . Therapeutic Goods Administration (TGA) . 21 June 2022 . 10 April 2023.
  2. Web site: Product monograph brand safety updates . . 7 July 2016 . 3 April 2024.
  3. Web site: Incruse Ellipta (umeclidinium inhalation powder) for Oral Inhalation Use. Full Prescribing Information. GlaxoSmithKline, Research Triangle Park, NC 27709. 22 February 2016. 10 July 2018. https://web.archive.org/web/20180710050003/https://www.gsksource.com/pharma/content/dam/GlaxoSmithKline/US/en/Prescribing_Information/Incruse_Ellipta/pdf/INCRUSE-ELLIPTA-PI-PIL.PDF. dead.
  4. Feldman GJ, Edin A . The combination of umeclidinium bromide and vilanterol in the management of chronic obstructive pulmonary disease: current evidence and future prospects . Therapeutic Advances in Respiratory Disease . 7 . 6 . 311–9 . December 2013 . 24004659 . 10.1177/1753465813499789 . 5744282 .
  5. News: FDA Approves Umeclidinium and Vilanterol Combo for COPD . December 18, 2013 . Medscape.
  6. Web site: TRELEGY ELLIPTA Package Insert . GlaxoSmithKline . 11 July 2020 . September 2017.
  7. Book: ((World Health Organization)) . World Health Organization model list of essential medicines: 22nd list (2021) . 2021 . 10665/345533 . World Health Organization . World Health Organization . Geneva . WHO/MHP/HPS/EML/2021.02 . free .
  8. Web site: The Top 300 of 2020 . ClinCalc . 7 October 2022.
  9. Web site: Umeclidinium - Drug Usage Statistics . ClinCalc . 7 October 2022.