Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C41H67NO15 |
Molecular Weight | 813.9684 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 18 / 18 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@]2(O[C@@H]1O[C@H](C)C[C@@H]([C@H]1OC(C)=O)N(C)C)[C@@H](C)C[C@@]3(CO3)C(=O)[C@H](C)[C@@H](OC(C)=O)[C@@H](C)[C@@H](C)OC(=O)[C@H](C)[C@@]([H])(O[C@H]4C[C@H](OC)[C@@H](OC(C)=O)[C@H](C)O4)[C@@H]2C
InChI
InChIKey=LQCLVBQBTUVCEQ-QTFUVMRISA-N
InChI=1S/C41H67NO15/c1-19-17-41(18-49-41)38(46)23(5)34(53-27(9)43)21(3)25(7)52-39(47)24(6)35(56-32-16-31(48-14)36(26(8)51-32)54-28(10)44)22(4)33(19)57-40-37(55-29(11)45)30(42(12)13)15-20(2)50-40/h19-26,30-37,40H,15-18H2,1-14H3/t19-,20+,21-,22+,23+,24+,25+,26-,30-,31-,32-,33-,34-,35-,36-,37+,40-,41+/m0/s1
Troleandomycin (also known Triacetyl-oleandomycin and having brand name Tao) is a macrolide antibiotic which used to for the treat of infections of the upper and lower respiratory tract: such as tonsillitis, bronchitis, sinusitis, and pneumonia. However, the brand name Tao was discontinued. Troleandomycin acts by penetrating the bacterial cell membrane and reversibly binding to the 50 S subunit of bacterial ribosomes or near the "P" or donor site so that binding of tRNA (transfer RNA) to the donor site is blocked. Translocation of peptides from the "A" or acceptor site to the "P" or donor site is prevented, and subsequent protein synthesis is inhibited.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2363853 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6972981 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | TAO Approved UseUnknown Launch Date1969 |
Doses
Dose | Population | Adverse events |
---|---|---|
2 g multiple, oral Recommended Dose: 2 g Route: oral Route: multiple Dose: 2 g Sources: Page: p.327 |
unhealthy, 62 n = 1 Health Status: unhealthy Condition: bronchitis Age Group: 62 Sex: F Population Size: 1 Sources: Page: p.327 |
Disc. AE: Hepatitis, Anicteric cholestasis... AEs leading to discontinuation/dose reduction: Hepatitis Sources: Page: p.327Anicteric cholestasis |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Anicteric cholestasis | Disc. AE | 2 g multiple, oral Recommended Dose: 2 g Route: oral Route: multiple Dose: 2 g Sources: Page: p.327 |
unhealthy, 62 n = 1 Health Status: unhealthy Condition: bronchitis Age Group: 62 Sex: F Population Size: 1 Sources: Page: p.327 |
Hepatitis | Disc. AE | 2 g multiple, oral Recommended Dose: 2 g Route: oral Route: multiple Dose: 2 g Sources: Page: p.327 |
unhealthy, 62 n = 1 Health Status: unhealthy Condition: bronchitis Age Group: 62 Sex: F Population Size: 1 Sources: Page: p.327 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
negligible [IC50 >1000 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/15557344/ Page: 4.0 |
yes [IC50 0.28 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/15557344/ Page: 4.0 |
yes [IC50 0.62 uM] | |||
yes [IC50 517.6 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/11716514/ Page: 4.0 |
yes [IC50 68.3 uM] | |||
yes [IC50 953 uM] |
PubMed
Title | Date | PubMed |
---|---|---|
Identification of the human liver microsomal cytochrome P450s involved in the metabolism of N-nitrosodi-n-propylamine. | 2000 Aug |
|
Troleandomycin as an oral corticosteroid steroid sparing agent in stable asthma. | 2001 |
|
Liquid chromatography of troleandomycin. | 2001 Apr 20 |
|
Halothane-dependent lipid peroxidation in human liver microsomes is catalyzed by cytochrome P4502A6 (CYP2A6). | 2001 Aug |
|
Species difference in stereoselective involvement of CYP3A in the mono-N-dealkylation of disopyramide. | 2001 Feb |
|
Troglitazone quinone formation catalyzed by human and rat CYP3A: an atypical CYP oxidation reaction. | 2001 Jul 15 |
|
Metabolism of sulfinpyrazone sulfide and sulfinpyrazone by human liver microsomes and cDNA-expressed cytochrome P450s. | 2001 May |
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Identification of human drug-metabolizing enzymes involved in the metabolism of SNI-2011. | 2001 Nov |
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Diazinon is activated by CYP2C19 in human liver. | 2001 Nov 15 |
|
Comparative analysis of in vitro and in vivo pharmacokinetic parameters related to individual variability of GTS-21 in canine. | 2002 |
|
Factors contributing to carbamazepine-macrolide interactions. | 2002 Apr |
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CYP3A4 active site volume modification by mutagenesis of leucine 211. | 2002 Apr |
|
Effects of olopatadine, a new antiallergic agent, on human liver microsomal cytochrome P450 activities. | 2002 Dec |
|
Involvement of cytochrome P450 in the metabolism of rebamipide by the human liver. | 2002 Jul |
|
CYP3A4 induction by drugs: correlation between a pregnane X receptor reporter gene assay and CYP3A4 expression in human hepatocytes. | 2002 Jul |
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Paraquat detoxicative system in the mouse liver postmitochondrial fraction. | 2002 Jun 1 |
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The gastroprokinetic and antiemetic drug metoclopramide is a substrate and inhibitor of cytochrome P450 2D6. | 2002 Mar |
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Differential metabolism of midazolam in mouse liver and intestine microsomes: a comparison of cytochrome P450 activity and expression. | 2003 Apr |
|
Alternate treatments in asthma. | 2003 Apr |
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Atorvastatin reduces the ability of clopidogrel to inhibit platelet aggregation: a new drug-drug interaction. | 2003 Jan 7 |
|
Eletriptan metabolism by human hepatic CYP450 enzymes and transport by human P-glycoprotein. | 2003 Jul |
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Upregulation of cytochromes P450 2B in rat liver by orphenadrine. | 2003 Jun |
|
In vitro metabolism of chloroquine: identification of CYP2C8, CYP3A4, and CYP2D6 as the main isoforms catalyzing N-desethylchloroquine formation. | 2003 Jun |
|
Apparent mechanism-based inhibition of human CYP3A in-vitro by lopinavir. | 2003 Mar |
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Disposition of tacrolimus in isolated perfused rat liver: influence of troleandomycin, cyclosporine, and gg918. | 2003 Nov |
|
Evaluation of hepatotoxic potential of drugs by inhibition of bile-acid transport in cultured primary human hepatocytes and intact rats. | 2003 Nov |
|
Effects of imatinib mesylate (STI571, Glivec) on the pharmacokinetics of simvastatin, a cytochrome p450 3A4 substrate, in patients with chronic myeloid leukaemia. | 2003 Nov 17 |
|
Role of individual human cytochrome P450 enzymes in the in vitro metabolism of hydromorphone. | 2004 Apr |
|
Immunomodulatory activity and effectiveness of macrolides in chronic airway disease. | 2004 Feb |
|
Studies on the metabolism of the novel, selective cyclooxygenase-2 inhibitor indomethacin phenethylamide in rat, mouse, and human liver microsomes: identification of active metabolites. | 2004 Jan |
|
Relationship between content and activity of cytochrome P450 and induction of heterocyclic amine DNA adducts in human liver samples in vivo and in vitro. | 2004 Jun |
|
Different in vitro metabolism of paclitaxel and docetaxel in humans, rats, pigs, and minipigs. | 2004 Jun |
|
Regulation of CYP2B6 in primary human hepatocytes by prototypical inducers. | 2004 Mar |
|
Influence of hepatic and intestinal cytochrome P4503A activity on the acute disposition and effects of oral transmucosal fentanyl citrate. | 2004 Sep |
|
CYP3A induction aggravates endotoxemic liver injury via reactive oxygen species in male rats. | 2004 Sep 1 |
|
CYP3A4 is a vitamin D-24- and 25-hydroxylase: analysis of structure function by site-directed mutagenesis. | 2005 Feb |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/mtm/troleandomycin.html
Usual Adult Dose for Pneumonia: 250 to 500 mg orally 4 times a day.
Usual Adult Dose for Streptococcal Infection: 250 to 500 mg orally 4 times a day.
Usual Pediatric Dose for Pneumonia: The safety and efficacy of troleandomycin in children < 1 year have not been established. >= 1 year: 125 to 250 mg every 6 hours. When used in streptococcal infections, therapy should be continued for 10 days.
Usual Pediatric Dose for Streptococcal Infection: The safety and efficacy of troleandomycin in children < 1 year have not been established. >= 1 year: 125 to 250 mg every 6 hours. When used in streptococcal infections, therapy should be continued for 10 days.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8948090
Curator's Comment: Recombinant 3A4 catalysed very efficiently the N-demethylation of roxithromycin, erythromycin and troleandomycin in reconstituted monooxygenase systems, troleandomycin was able to induce CYP3A1 in rat liver microsomes, and N-demethylation of troleandomycin was catalysed mainly by 3A1 (and partly by 2B1) in rat and by 3A4 in man.
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FDA ORPHAN DRUG |
39089
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ACTIVE MOIETY