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. Author manuscript; available in PMC: 2021 Mar 15.
Published in final edited form as: Science. 2020 Jul 24;369(6502):403–413. doi: 10.1126/science.aaz9906

Table 2. Excipient-target activities determined in vitro.

The targets are drawn from safety profiling assays generally used for determining off-target effects of drug candidates and marketed drugs. Functions are drawn from the Handbook of Pharmaceutical Excipients (64) except as noted. Examples of marketed drugs containing the excipient, and maximal excipient dosages occurring in any single formulation, are shown. Biochemical and radioligand binding data (IC50) are unformatted; functional data (antagonism/inhibition, IC50; agonism, half maximal effective concentration EC50) are in bold in the Target column. Activity values are accurate to ±20%.

Excipient Function Structure Example marketed drug Highest excipient amount/dose Target Ki/IC50 Or EC50 (μM)
Aspartame Sweetener graphic file with name nihms-1674523-t0013.jpg Purixan 450 mg NR1I2 13
Benzethonium chloride Antimicrobial preservative; antiseptic; disinfectant graphic file with name nihms-1674523-t0014.jpg Ketalar/ketamine hydrochloride§ 0.1% ADORA3
ADRA1A
DRD1
DRD3
ESR1
HRH3
PRG
OPRM
PDE4D
PTGS2
ABCB11
SLC18A2
KCNH2
5.3
4.7
3.8
1.6
11
27
6.2
6.0
14
24
29
0.18
1.9
Benzoic acid Antimicrobial preservative; therapeutic agent graphic file with name nihms-1674523-t0015.jpg Excedrin Migraine 25 mg/5 ml ABCB11
SLC18A2
260
18
Butylparaben Antimicrobial preservative graphic file with name nihms-1674523-t0016.jpg Fexofenadine (children’s allergy) 8 mg/5 ml SLCO2B1
ADRA1A
SLC6A2
SLC6A3
TBXA2R
SLC18A2
SCN5A
39
16
20
18
19
6.6
33
Cetylpyridinium chloride Antimicrobial preservative; antiseptic; surfactant; disinfectant; solubilizer; wetting agent graphic file with name nihms-1674523-t0017.jpg Dyazide 1.5 mg ADRA1A
DRD1
DRD3
ESR1
HRH3
PRG
OPRM1
PDE4D
PTGS1
PTGS2
TBXA2R
SLC18A2
KCNH2
SCN5A
6.4
4.8
0.55
18
13
4.5
5.1
13
7.5
2.5
3.4
0.73
1.3
34
Chloroxylenol Antimicrobial preservative; antiseptic; disinfectant graphic file with name nihms-1674523-t0018.jpg Miconazole nitrate 0.1% CHRM1
ADRA1A
SLC18A2
9.9
14
0.79
Cysteine Antioxidant* graphic file with name nihms-1674523-t0019.jpg Zyban 16.2 mg PTGS2 4.7
D&C Red No. 28 Colorant graphic file with name nihms-1674523-t0020.jpg Nexium 24HR 2.5 mg/5 ml SLCO2B1
ADRA1A
DRD1
ADORA3
CHRM2
OPRM1
PDE3A
PDE4D
0.60
0.48
0.59
0.48
0.68
0.82
0.13
0.94
Ethylparaben Antimicrobial preservative graphic file with name nihms-1674523-t0021.jpg Clindamycin (pediatric) 2 mg/5 ml SLC18A2 22
FD&C Red No. 3 Colorant graphic file with name nihms-1674523-t0022.jpg Esomeprazole 2 mg/5 ml ACHE
PDE3A
PDE4D
0.42
0.092
0.32
FD&C Yellow No. 5 (Tartrazine) Colorant graphic file with name nihms-1674523-t0023.jpg Pepcid Complete (tropical flavor) 652 mg DRD1
OPRM1
GABRA1
23
16
13
Methylene Blue Colorant graphic file with name nihms-1674523-t0024.jpg Diurex Water Pills 1%§ ACHE
CHRM2
HRH3
KCNH2
0.090
0.19
0.88
27.5
Oleic acid Emulsifying agent; skin penetrant graphic file with name nihms-1674523-t0025.jpg Verapamil 598.6 mg PTGS1
PTGS2
SLC18A2
6.7
3.5
4.7
Palmitic acid Emulsifying agent; skin penetrant; tablet and capsule lubricant graphic file with name nihms-1674523-t0026.jpg Captopril 6 mg PDE3A
PDE4D
SLC18A2
4.1
6.6
4.4
Phenylmercuric acetate Antimicrobial preservative; antiseptic graphic file with name nihms-1674523-t0027.jpg - 0.01% DRD1
DRD3
SLC6A2
SLC6A3
CHRM1**
SLC18A2
KCNH2
2.2
0.024
1.7
1.8
8.1
0.36
6.2
Propyl gallate Antioxidant graphic file with name nihms-1674523-t0028.jpg Janumet XR 2 mg ALOX5
PTGS2
TY3H
KDM4C
FTO
0.43
7.2
1.9
39
3.0
Propylparaben Antimicrobial preservative graphic file with name nihms-1674523-t0029.jpg Keppra 200 mg/5 ml SLC6A2
KDR
LTA4H
30
24
260
Sodium lauryl sulfate Anionic surfactant; detergent; emulsifying agent; skin penetrant; lubricant; wetting agent graphic file with name nihms-1674523-t0030.jpg Cetirizine 96 mg HTR1A
ADORA3
CHRM1
ADRA1A
DRD3
PRG
PDE4D
15
15
29
15
18
15
23
Stearic acid Emulsifying agent; solubilizing agent; tablet and capsule lubricant graphic file with name nihms-1674523-t0031.jpg Kariva 1203 mg/5 ml PDE3A
PDE4D
3.1
6.7
Thimerosal Antimicrobial preservative; antiseptic graphic file with name nihms-1674523-t0032.jpg Influenza vaccines multidose packaging 0.03%§ ADORA3
ADRA2A
SLC18A2
DRD1
DRD3
5HT2b**
1.6
3.8
0.97
2.4
0.32
15
Ethyl mercury Thimerosal major metabolite graphic file with name nihms-1674523-t0033.jpg NA NA DRD3
DRD5
0.21
0.15
Thymol Antioxidant; antiseptic; cooling agent; disinfectant; flavoring agent; skin penetrant graphic file with name nihms-1674523-t0034.jpg Listerine 0.01%# CHRM1
ADRA1A
SLC6A2
SLC18A2
14
26
28
25
*

From (65).

Oral.

Auricular.

§

Intravenous.

Topical.

#

Inhalation.

**

An agonist effect was observed.