Details
Stereochemistry | ACHIRAL |
Molecular Formula | C18H18O8P2.4Na |
Molecular Weight | 516.2373 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[Na+].[Na+].[Na+].[Na+].CC\C(C1=CC=C(OP([O-])([O-])=O)C=C1)=C(\CC)C2=CC=C(OP([O-])([O-])=O)C=C2
InChI
InChIKey=XGZAXRQNRRXUMY-MJCKVQKWSA-J
InChI=1S/C18H22O8P2.4Na/c1-3-17(13-5-9-15(10-6-13)25-27(19,20)21)18(4-2)14-7-11-16(12-8-14)26-28(22,23)24;;;;/h5-12H,3-4H2,1-2H3,(H2,19,20,21)(H2,22,23,24);;;;/q;4*+1/p-4/b18-17+;;;;
DescriptionSources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.htmlCurator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Sources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.html
Curator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Diethylstilbestrol is a synthetic non-steroidal estrogen. It is used in the treatment of menopausal and postmenopausal disorders, prostate cancer and in the prevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Diethylstilbestrol is a very potent full agonist of the estrogen receptors. At the cellular level, estrogens increase the synthesis of DNA, RNA, and various proteins in target tissues. Pituitary mass is also increased. Estrogens reduce the release of gonadotropin-releasing hormone from the hypothalamus, leading to a reduction in release of follicle-stimulating hormone and luteinizing hormone from the pituitary. Adverse effects are: breast pain or tenderness, enlargement of breasts, gynecomastia, peripheral edema and others. Estrogens may interfere with the effects of bromocriptine. Dosage adjustment may be needed. Concurrent use with estrogens may alter the metabolism and protein binding of the glucocorticoids, leading to decreased clearance, increased elimination half-life, and increased therapeutic and toxic effects of the glucocorticoids.
Originator
Sources: DOI: 10.1016/0305-7372(84)90049-5https://www.nature.com/articles/141247b0
Curator's Comment: Fosfestrol was developed in the research laboratories of Asta-Werke and introduced in 1952 for the therapy of metastasizing prostatic carcinoma under the name of Honvan.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL206 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.18 nM [EC50] | ||
Target ID: CHEMBL242 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.06 nM [EC50] | ||
Target ID: CHEMBL3429 |
10.0 µM [EC50] | ||
Target ID: CHEMBL3751 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: CHEMBL4245 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: P11474 Gene Symbol: ESRRA Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: O95718 Gene Symbol: ESRRB Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: P62508 Gene Symbol: ESRRG Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Stilphostrol Approved UseUnknown Launch Date1981 |
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Primary | STILBESTROL Approved UseUsed in the treatment of prostate cancer. Launch Date1973 |
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Preventing | STILBESTROL Approved UsePrevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Launch Date1973 |
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Primary | STILBESTROL Approved UseIt is used for the treatment of senile (atrophic) vaginitis. Launch Date1973 |
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Primary | STILBESTROL Approved UseIt is used for the treatment of vulvar dystrophy. Launch Date1973 |
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Primary | STILBESTROL Approved UseOther therapeutic use of diethylstilbestrol was post menopause syndrome. Launch Date1973 |
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Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with amenorrhea. Launch Date1973 |
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Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with female hypogonadism. Launch Date1973 |
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Preventing | STILBESTROL Approved UseDrug is indicated for the prevention of osteoporosis. Launch Date1973 |
Doses
Dose | Population | Adverse events |
---|---|---|
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Disc. AE: Vomiting... AEs leading to discontinuation/dose reduction: Vomiting (1 patient) Sources: |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Disc. AE: Secondary adrenocortical insufficiency... AEs leading to discontinuation/dose reduction: Secondary adrenocortical insufficiency Sources: |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Disc. AE: Toxic reaction (NOS), Toxic reaction (NOS)... AEs leading to discontinuation/dose reduction: Toxic reaction (NOS) (grade 2, 3 patients) Sources: Toxic reaction (NOS) (grade 3, 2 patients) |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
DLT: Nausea and vomiting, Nausea and vomiting... Dose limiting toxicities: Nausea and vomiting (grade 1, 13 patients) Sources: Nausea and vomiting (grade 2, 4 patients) Weight gain (2 patients) Edema (2 patients) |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Other AEs: Hypertension, Gynecomastia... Other AEs: Hypertension (5%) Sources: Gynecomastia (38%) Peripheral edema (32%) Gastrointestinal discomfort (19%) Deep vein thrombosis (8%) Skin rash (5%) Transaminases increased (2%) |
1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Other AEs: Nausea, Bone pain... Other AEs: Nausea (17 patients) Sources: Bone pain (17 patients) Perineal pain (1 patient) Deep vein thrombosis (4 patients) |
4 g 1 times / day multiple, intravenous RP2D Dose: 4 g, 1 times / day Route: intravenous Route: multiple Dose: 4 g, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: prostate cancer Sex: M Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Vomiting | 1 patient Disc. AE |
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Secondary adrenocortical insufficiency | Disc. AE | 600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Toxic reaction (NOS) | grade 2, 3 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Toxic reaction (NOS) | grade 3, 2 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Edema | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Weight gain | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 1, 13 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 2, 4 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Gastrointestinal discomfort | 19% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Transaminases increased | 2% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Peripheral edema | 32% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Gynecomastia | 38% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Hypertension | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Skin rash | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Deep vein thrombosis | 8% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Perineal pain | 1 patient | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Bone pain | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Nausea | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Deep vein thrombosis | 4 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Late effects in the vaginal and cervical epithelia after injections of diethylstilbestrol into neonatal mice. | 1975 Jan 1 |
|
Follow-up study of male and female offspring of DES-treated mothers a preliminary report. | 1975 Jul |
|
Endometrial carcinoma after cyclical oestrogen-progestogen therapy for Turner's syndrome. | 1975 May |
|
The choice of estrogen preparations in the treatment of prostatic cancer. | 1975 Nov 8 |
|
Induction of urogenital anomalies and some tumors in the progeny of mice receiving diethylstilbestrol during pregnancy. | 1977 Apr |
|
Effects of estrogenic agents on chitobiase activity in the epidermis and hepatopancreas of the fiddler crab, Uca pugilator. | 1999 Feb |
|
Rapid inhibition of rat brain mitochondrial proton F0F1-ATPase activity by estrogens: comparison with Na+, K+ -ATPase of porcine cortex. | 1999 Feb 26 |
|
Sexual dimorphism in diethylstilbestrol-induced prolactin pituitary tumors in F344 rats. | 2000 Aug |
|
Differential estrogen receptor binding of estrogenic substances: a species comparison. | 2000 Nov 15 |
|
Activation of a uterine insulin-like growth factor I signaling pathway by clinical and environmental estrogens: requirement of estrogen receptor-alpha. | 2000 Sep |
|
Relationship between expression of sex steroid receptors and structure of the seminal vesicles after neonatal treatment of rats with potent or weak estrogens. | 2001 Dec |
|
Increased exocytosis of secretory granules in contrast to reduced serum hormone levels in pituitary adenomas of humans and rats treated with dopamine agonist. | 2001 Jun |
|
Uterine adenocarcinoma in mice treated neonatally with genistein. | 2001 Jun 1 |
|
Assessment of oestrogenic potency of chemicals used as growth promoter by in-vitro methods. | 2001 May |
|
Cell response endpoints enhance sensitivity of the immature mouse uterotropic assay. | 2001 May-Jun |
|
Modulation by estrogens and xenoestrogens of recombinant human neuronal nicotinic receptors. | 2001 Nov 2 |
|
Transcriptional regulation of the estrogen-inducible pS2 breast cancer marker gene by the ERR family of orphan nuclear receptors. | 2001 Sep 15 |
|
Improvement of a sensitive enzyme-linked immunosorbent assay for screening estrogen receptor binding activity. | 2002 Dec |
|
Increases in mouse uterine heat shock protein levels are a sensitive and specific response to uterotrophic agents. | 2002 Dec |
|
Induction of reproductive tract developmental abnormalities in the male rat by lowering androgen production or action in combination with a low dose of diethylstilbestrol: evidence for importance of the androgen-estrogen balance. | 2002 Dec |
|
Findings in female offspring of women exposed in utero to diethylstilbestrol. | 2002 Feb |
|
Estrogen mimics bind with similar affinity and specificity to the hepatic estrogen receptor in Atlantic salmon (Salmo salar) and rainbow trout (Oncorhynchus mykiss). | 2002 Mar |
|
Oxidative DNA damage induced by toluene is involved in its male reproductive toxicity. | 2003 Jan |
|
Endocrine disrupting chemicals: interference of thyroid hormone binding to transthyretins and to thyroid hormone receptors. | 2003 Jan 31 |
|
In vitro modulation of prolactin mRNA by toxaphene and 3,3',4,4'-tetrachlorobiphenyl. | 2003 Jul |
|
Effects of endocrine disrupting compounds on the pathology and oestrogen receptor alpha and beta distribution in the uterus and cervix of ewe lambs. | 2003 Nov |
|
Study of 202 natural, synthetic, and environmental chemicals for binding to the androgen receptor. | 2003 Oct |
|
Autocrine/paracrine action of pituitary vasoactive intestinal peptide on lactotroph hyperplasia induced by estrogen. | 2003 Oct |
|
Combined effects of tumor promoters and serum on proliferin mRNA induction: a biomarker sensitive to saccharin, 2,3,7,8-TCDD, and other compounds at minimal concentrations promoting C3H/10T1/2 cell transformation. | 2003 Oct 24 |
|
Induction of vitellogenin synthesis in an Atlantic salmon (Salmo salar) hepatocyte culture: a sensitive in vitro bioassay for the oestrogenic and anti-oestrogenic activity of chemicals. | 2003 Sep-Oct |
|
Neonatal estrogenization leads to increased expression of cellular retinol binding protein 2 in the mouse reproductive tract. | 2004 Apr |
|
Diethylstilbestrol induces fish oocyte maturation. | 2004 Mar 9 |
Patents
Sample Use Guides
In Vivo Use Guide
Curator's Comment: Intravenous: Initial: 600-1,200 mg/day via slow injection for 5-10 days, then 300 mg/day for 10-20 days.
360-480 mg 3 times/day. Maintenance: 120-240 mg 3 times/day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.karger.com/Article/Abstract/281424
Curator's Comment: There was exposed three prostatic carcinoma cell lines (LNCaP, DU 145, and PC-3), three non-prostatic neoplastic cell lines (KB: epidermoid carcinoma, EJ: Bladder carcinoma, Daudi: Burkitt lymphoma), and one non-transformed embryonic fibroblast line (MRC-5) to diethylstilbestrol (DES), DES monophosphate, and DES diphosphate (DESDP), at levels comparable to those occurring in patients’ sera during DESDP infusions. At concentrations of 1–20 µg/ml the drugs showed marked, dose-dependent cytotoxicity towards all cell lines under study.
1–20 µg/ml
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281876
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m5550
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23519-26-8
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4719-75-9
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22032-58-2
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DTXSID00963762
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225-209-6
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SUB02259MIG
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100000087018
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3034148
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G9I1882VSD
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ACTIVE MOIETY
SUBSTANCE RECORD