Foslevodopa is a drug which acts as a prodrug for levodopa, originally invented in the 1980s but not developed for medical use at that time.[1] It has more recently attracted renewed interest due to its improved pharmacokinetics compared to levodopa itself, and is now approved for use in a subcutaneous infusion as a fixed-dose combination with foscarbidopa for the treatment of Parkinson's disease, under the trade name Vyalev.[2][3]

Foslevodopa
Identifiers
  • (2S)-2-amino-3-(3-hydroxy-4-phosphonooxyphenyl)propanoic acid
CAS Number
PubChem CID
Chemical and physical data
FormulaC9H12NO7P
Molar mass277.169 g·mol−1
3D model (JSmol)
  • C1=CC(=C(C=C1C[C@@H](C(=O)O)N)O)OP(=O)(O)O
  • InChI=1S/C9H12NO7P/c10-6(9(12)13)3-5-1-2-8(7(11)4-5)17-18(14,15)16/h1-2,4,6,11H,3,10H2,(H,12,13)(H2,14,15,16)/t6-/m0/s1
  • Key:YNDMEEULGSTYJT-LURJTMIESA-N


References

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  1. ^ Agin PP, Sayre RM, Pawelek JM. Phosphorylated mixed isomers of L-dopa increase melanin content in skins of Skh-2 pigmented hairless mice. Pigment Cell Res. 1987;1(3):137-42. doi:10.1111/j.1600-0749.1987.tb00404.x PMID 3149738
  2. ^ Poplawska-Domaszewicz K, Batzu L, Falup-Pecurariu C, Chaudhuri KR. Subcutaneous Levodopa: A New Engine for the Vintage Molecule. Neurol Ther. 2024 Aug;13(4):1055-1068. doi:10.1007/s40120-024-00635-4 PMID 38874708
  3. ^ Fung VSC, Aldred J, Arroyo MP, Bergquist F, Boon AJW, Bouchard M, Bray S, Dhanani S, Facheris MF, Fisseha N, Freire-Alvarez E, Hauser RA, Jeong A, Jia J, Kukreja P, Soileau MJ, Spiegel AM, Talapala S, Tarakad A, Urrea-Mendoza E, Zamudio J, Pahwa R. Continuous subcutaneous foslevodopa/foscarbidopa infusion for the treatment of motor fluctuations in Parkinson's disease: Considerations for initiation and maintenance. Clin Park Relat Disord. 2024 Feb 10;10:100239. doi:10.1016/j.prdoa.2024.100239 PMID 38419617