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Zonisamide

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Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 138))

Abstract

Zonisamide is a synthetic 1,2-benzisoxazole derivative (1,2-benzisoxazole-3-methanesulphonamide). The anticonvulsant properties of zonisamide were not predicted from its chemistry; rather they were discovered by routine screening of various 1,2-benzisoxazole derivatives. Its formula is C8H8N2O3S, and its molecular weight is 212. It has a pK a of 9.66, so that its water solubility is dependent on the pH. Below a pH of 8, it has a solubility of only 0.8mg/ml, but it has a marked increase in solubility as the pH increases into the alkaline range. Although zonisamide is quite soluble in acetone it is much less soluble in methanol, ethanol, ether and chloroform. Its synthesis was first accomplished in 1972 by Uno et al. (1976).

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References

  • Berent S, Sackellares JC, Giordani B, Wagner JG, Donofrio PD, Abou-Khalil B (1987) Zonisamide (CI-912) and cognition: results from preliminary study. Epilepsia 28:61–67

    Article  PubMed  CAS  Google Scholar 

  • Browne TR, Leppik IE, Penry JK, Dean C, Buchanan RA (1998) Zonisamide efficacy in long term studies. Epilepsia (in press)

    Google Scholar 

  • Buchanan RA, Bockbrader HN, Chang T, Sedman AJ (1996) Single-and multiple-dose pharmacokinetics of zonisamide. Epilepsia 37 [Suppl 5]: 172

    Google Scholar 

  • Charles CL, Stoesz L, Tollefson G (1990) Zonisamide-induced mania. Psychosomatics 31:214–217

    PubMed  CAS  Google Scholar 

  • Fromm GH, Shibuya T, Terrence CF (1987) Effect of zonisamide (CI-912) on a synaptic system model. Epilepsia 28:673–679

    Article  PubMed  CAS  Google Scholar 

  • Furuno K, Oishi R, Gomita Y, Eto K (1994) Simple and sensitive assay of zonisamide in human serum by high-performance liquid chromatography using a solid-phase extraction technique. J Chromatogr B Biomed Appl 656:456–459

    Article  PubMed  CAS  Google Scholar 

  • Hashimoto Y, Odani A, Tanigawara Y, Yasuhara M, Okuno T, Hori R (1994) Population analysis of the dose-dependent pharmacokinetics of zonisamide in epileptic patients. Biol Pharm Bull 17:323–326

    Article  PubMed  CAS  Google Scholar 

  • Henry T, Leppik IE, Gumnit RJ, Jacobs M (1988) Progressive myoclonus epilepsy treated with zonisamide. Neurology 38:928–931

    PubMed  CAS  Google Scholar 

  • Hori M, Ito T, Yoshida K, Shimizu M (1979) Effect of anticonvulsants on spiking activity induced by cortical freezing in cats. Epilepsia 20:25–36

    Article  PubMed  CAS  Google Scholar 

  • Ito T, Hori M, Yoshida K, Shimizu M (1979) Effect of anticonvulsants on experimental cortical epilepsy induced by tungstic acid gel in rats. Arch Int Pharmacodyn 241:287–299

    PubMed  CAS  Google Scholar 

  • Ito T, Hori M, Masuda Y, Yoshida K, Shimizu M (1980) 3-Sulfamoylmethyl-1,2-benzisoxazole, a new type of anticonvulsant drug. Electroencephalograpnic profile. Arzneimittelforsch 30:603–609

    PubMed  CAS  Google Scholar 

  • Ito T, Yamaguchi T, Miyazaki H et al. (1982) Pharmacokinetic studies of AD-810, a new antiepileptic compound, Phase I trials. Arzneimittelforsch 32:1581–1586

    PubMed  CAS  Google Scholar 

  • Ito T, Hori M, Kadokawa T (1986) Effects of zonisamide (AD-810) on tungstic acid gel-induced thalamic generalized seizures and conjugated estrogen-induced cortical spike-wave discharges in cats. Epilepsia 27:367–374

    Article  PubMed  CAS  Google Scholar 

  • Juergens U (1987) Simultaneous determination of zonisamide and nine other antiepileptic drugs and metabolites in serum. A comparison of microbore and conventional high-performance liquid chromatography. J Chromatogr 385:233–240

    Article  PubMed  CAS  Google Scholar 

  • Kaibe K, Nishimura S, Ishii H, Sunahara N, Naruto S, Kurooka S (1990) Competitive binding enzyme immunoassay for zonisamide, a new antiepileptic drug, with selected paired-enzyme labeled antigen and antibody. Clin Chem 36:24–27

    CAS  Google Scholar 

  • Kaneko S, Hayashimoto A, Niwayama H, Fukushima Y (1993) Effects of zonisamide on serum levels of phenytoin and carbamazepine. Jpn J Epilepsy Soc 11:31–35 (in Japanese)

    Google Scholar 

  • Kimura S (1994) Zonisamide-induced behavior disorder in two children. Epilepsia 35:403–405

    Article  PubMed  CAS  Google Scholar 

  • Kimura M, Tanaka N, Kimura Y, Miyake K, Kitaura T, Fukuchi H (1992) Pharmacokinetic interaction of zonisamide in rats; effect of other antiepileptics on zonisamide. J Pharmacobio Dyn 15:631–639

    PubMed  CAS  Google Scholar 

  • Kimura M, Tanaka N, Kimura Y, Miyake K, Kitaura T, Fukuchi H (1993) Pharmacokinetic interaction of zonisamide in rats. Effect of zonisamide on other antiepileptics. Biol Pharm Bull 16:722–725

    Article  PubMed  CAS  Google Scholar 

  • Kondo T, Kaneko S, Amano Y, Egawa I (1996) Preliminary report on teratogenic effects of zonisamide in the offspring of treated women with epilepsy. Epilepsia 37:1242–1244

    Article  PubMed  CAS  Google Scholar 

  • Kumagai N, Seki T, Yamawaki H et al. (1991) Monotherapy for childhood epilepsies with zonisamide. Jpn J Psychiatr Neurol 45:357–359

    CAS  Google Scholar 

  • Kyllerman M, Ben-Menachem E (1996) Long-term treatment of progressive myoclonic epilepsy syndromes with zonisamide and n-acetylcysteine. Epilepsia 37 [Suppl 5]:172

    Google Scholar 

  • Leppik IE, Willmore LJ, Homan RW et al. (1993) Efficacy and safety of znoisamide: results of a multicenter study. Epilepsy Res 14:165–173

    Article  PubMed  CAS  Google Scholar 

  • Masuda Y, Karasawa T, Shiraishi Y, Hori M, Yoshida K, Shimizu M (1980) 3-Sulfamoylmethyl-1,2-benzisoxazole, a new type of anticonvulsant drug. Pharmacological profile. Arzneimittelforsch 30:477–483

    PubMed  CAS  Google Scholar 

  • Matsumoto K, Miyazaki H, Fujii T, Kagemoto A, Maeda T, Hashimoto M (1983) Absorption, distribution and excretion of 3-(sulfamoyl[14C]-methyl)-1,2-benzisoxazole (AD-810) in rats, dogs and monkeys and of AD-810 in man. Arzneimittelforsch 33:961–968

    PubMed  CAS  Google Scholar 

  • Matsumoto K, Miyazaki H, Fujii T, Miyazaki H, Hashimoto M (1989) Binding of sulfonamides to erythrocyte proteins and possible drug-drug interaction. Chem Pharm Bull 37:2807–2810

    PubMed  CAS  Google Scholar 

  • McJilton J, DeToledo J, DeCerce J, Huda S, Abubakr A, Ramsay RE (1996) Cotherapy of lamotrigine/zonisamide results in significant elevation of zonisamide levels. Epilepsia 37 [Suppl 5]:173

    Google Scholar 

  • Mimaki T, Tanoue H, Matsunaga Y, Miyazaki H, Mino M (1994) Regional distribution of [14C]zonisamide in rat brain. Epilepsy Res 17:223–236

    Article  Google Scholar 

  • Naito H, Itoh N, Matsui N, Eguchi T (1988) Monitoring plasma concentrations of zonisamide and clnazepam in an epileptic attempting suicide by an overdose of the drugs. Curr Ther Res 43:463–467

    Google Scholar 

  • Nakasa H, Komiya M, Ohmori S, Kitada M, Rikihisa T, Kanakubo Y (1992) Formation of reductive metabolite, 2-sulfamoylacetylphenol, from zonisamide in rat liver microsomes. Res Commun Chem Pathol Pharmacol 77:31–41

    PubMed  CAS  Google Scholar 

  • Nakasa H, Komiya M, Ohmori S, Rikihisa T, Kitada M (1993a) Rat liver microsomal cytochrome P-450 responsible for reductive metabolism of zonisamide. Drug Metab Dispos 21:777–781

    PubMed  CAS  Google Scholar 

  • Nakasa H, Komiya M, Ohmori S, Rikihisa T, Kiuchi M, Kitada M (1993b) Characterization of human liver microsomal cytochrome P450 involved in the reductive metabolism of zonisamide. Mol Pharmacol 44:216–221

    PubMed  CAS  Google Scholar 

  • Nakasa H, Ohmori S, Kitada M (1996) Formation of 2-sulphamoylacetylphenol from zonisamide under aerobic conditions in rat liver microsomes. Xenobiotica 26:495–501

    Article  PubMed  CAS  Google Scholar 

  • Ojemann LM, Shastri RA, Wilensky AJ, Friel PN, Levy RH, McLean JR, Buchanan RA (1986) Comparative pharmacokinetics of zonisamide (CI-912) in epileptic patents on carbamazepine or phenytoin monotherapy. Ther Drug Monit 8:293–296

    Article  PubMed  CAS  Google Scholar 

  • Padgett CS, Bergen DC, French JA, Buchanan RA (1997) Renal calculi associated with zonisamide. Epilepsia 37 [Suppl 5]:173

    Google Scholar 

  • Page JG, Kochak GM, Polvino WJ, Buchanan RA (1996) Multiple dose zonisamide metabolism. Epilepsia 37 [Suppl 5]:172

    Google Scholar 

  • Rock DM, Macdonald RL, Taylor CP (1989) Blockade of sustained repetitive action potentials in cultured spinal cord neurons by zonisamide (AD 810, CI 912), a novel anticonvulsant. Epilepsy Res 3:138–143

    Article  PubMed  CAS  Google Scholar 

  • Sackellares JC, Donofrio PD, Wagner JG, Abou-Khalil B, Berent S, AAsved-Hoyt K (1985) Pilot study of zonisamide (1,2-benzisoxazole-3-methanesulfonamide) in patients with refractory partial seizures. Epilepsia 26:206–211

    Article  PubMed  CAS  Google Scholar 

  • Schmidt D, Jacob R, Loiseau P et al. (1993) Zonisamide for add-on treatment of refractory partial epielpsy: a European double blind trial. Epilepsy Res 15:67–73

    Article  PubMed  CAS  Google Scholar 

  • Seino M, Miyazaki H, Ito T (1991) Zonisamide. In: Pisani F, Perucca E, Avanzini G, Richens A (eds) New antiepileptic drugs (Epilepsy Res Suppl 3). Elsevier, New York, p. 169

    Google Scholar 

  • Seino M, Naruto S, Ito T, Miyazaki H (1995) Other antiepileptic drugs. In: Levy RH, Mattson RH, Meldrum BS (eds) Antiepileptic drugs, 4th edn. Raven Press, New York, p. 1011

    Google Scholar 

  • Shinoda M, Akita M, Hasegawa M, Hasegawa T, Nabeshima T (1996) The necessity of adjusting the dosage of zonisamide when coadministered with other antiepileptic drugs. Biol Pharm Bull 19:1090–1092

    Article  PubMed  CAS  Google Scholar 

  • Stiff DD, Zemaitis MA (1990) Metabolism of the anticonvulsant agent zonisamide in the rat. Drug Metab Dispos 18:888–894

    PubMed  CAS  Google Scholar 

  • Stiff DD, Robicheau JT, Zemaitis MA (1992) Reductive metabolism of the anticonvulsant agent zonisamide, a 1,2-benzisoxazole derivative. Xenobiotica 22:1–11

    Article  PubMed  CAS  Google Scholar 

  • Sugihara K, Kitamura S, Tatsumi K (1996) Involvement of mammalian liver cytosols and aldehyde oxidase in reductive metabolism of zonisamide. Drug Metab Dispos 24:199–202

    PubMed  CAS  Google Scholar 

  • Suzuki S, Kawakami K, Nishimura S et al. (1992) Zonisamide blocks T-type calcium channel in cultured neurons of rat cerebral cortex. Epilepsy Res 12:21–27

    Article  PubMed  CAS  Google Scholar 

  • Tasaki K, Minami T, Ieiri I, Ohtsubo K, Hirakawa Y, Ueda K, Higuchi S (1995) Drug interactions of zonisamide with phenytoin and sodum valproate: serum concentrations and protein binding. Brain Develop 17:182–185

    Article  CAS  Google Scholar 

  • Taylor CP, McLean JR, Bockbraer HN et al. (1986) Zonisamide (AD-810, CI-912). In: Meldrum BS, Porter RJ (eds) New anticonvulsant drugs. John Libbey, London, pp. 277–294

    Google Scholar 

  • Uno H, Kurokawa M, Natsuka K, Yamato Y, Nishimura H (1976) Studies on 3-substituted 1,2-benzisoxazole derivatives. Chem Pharm Bull 24:632–643

    CAS  Google Scholar 

  • Wada Y, Hasegawa H, Okuda H, Yamaguchi N (1990) Anticonvulsant effects of zonisamide and phenytoin on seizure activity of the feline visual cortex. Brain Dev 12:206–210

    PubMed  CAS  Google Scholar 

  • Wagner JG, Sackellares JC, Donofrio PD, Berent S, Sakmer E (1984) Nonlinear pharmacokinetics of CI-912 in adult epileptic patients. Ther Drug Monit 6:277–283

    Article  PubMed  CAS  Google Scholar 

  • Wilder BJ, Ramsay RE, Guterman A et al. (1986) A double-blind multicenter placebo-controlled study of the efficacy and safety of zonisamide in the treatment of complex partial seizures in medically refractory patients. Internal report of Dainippon Pharmaceutical Co, Ltd

    Google Scholar 

  • Wilensky AJ, Friel PN, Ojemann LM, Dodrill CB, McCormick KB, Levy RH (1985) Zonisamide in epilepsy: a pilot study. Epilepsia 26:212–220

    Article  PubMed  CAS  Google Scholar 

  • Yagi K, Seino M (1992) Open clinical trial of new antiepileptic drug, zonisamide (ZNA) on 49 patients with refractory epileptic seizures. Clin Psychiat 29:111–119 (in Japanese)

    Google Scholar 

  • Yamatogi Y, Ohtahara S (1991) Current topics of treatment. In: Ohtahara S, Roger J (eds). Proceedings of the international symposium, new trends in pediatric epileptology. Okayama University Medical School, pp. 136–148

    Google Scholar 

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© 1999 Springer-Verlag Berlin Heidelberg

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Leppik, I.E. (1999). Zonisamide. In: Eadie, M.J., Vajda, F.J.E. (eds) Antiepileptic Drugs. Handbook of Experimental Pharmacology, vol 138. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60072-2_19

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  • DOI: https://doi.org/10.1007/978-3-642-60072-2_19

  • Publisher Name: Springer, Berlin, Heidelberg

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