U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
Lanreotide is a medication used in the management of acromegaly and symptoms caused by neuroendocrine tumors, most notably carcinoid syndrome. It is a long-acting analog of somatostatin. It is available in several countries, including the United Kingdom, Australia and Canada, and was approved for sale in the United States by the Food and Drug Administration on August 30, 2007. Lanreotide was developed in the lab of Dr. David H. Coy, School of Medicine. Dr. Coy serves as Director of the Peptide Laboratory. Lanreotide (as lanreotide acetate) is manufactured by Ipsen, and marketed under the trade name Somatuline. The mechanism of action of lanreotide is believed to be similar to that of natural somatostatin. Lanreotide has a high affinity for human somatostatin receptors (SSTR) 2 and 5 and a reduced binding affinity for human SSTR1, 3, and 4. Activity at human SSTR 2 and 5 is the primary mechanism believed responsible for GH inhibition. Like somatostatin, lanreotide is an inhibitor of various endocrine, neuroendocrine, exocrine and paracrine functions. Lanreotide inhibits the basal secretion of motilin, gastric inhibitory peptide and pancreatic polypeptide, but has no significant effect on the secretion of secretin. Lanreotide inhibits postprandial secretion of pancreatic polypeptide, gastrin and cholecystokinin (CCK). In healthy subjects, lanreotide produces a reduction and a delay in post-prandial insulin secretion, resulting in transient, mild glucose intolerance.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
SOMATULINE DEPOT

Approved Use

Somatuline Depot (lanreotide) Injection 60 mg, 90 mg and 120 mg is indicated for the long-term treatment of acromegalic patients who have had an inadequate response to surgery and/or radiotherapy, or for whom surgery and/or radiotherapy is not an option. The goal of treatment in acromegaly is to reduce growth hormone (GH) and insulin growth factor-1 (IGF-1) levels to normal. Somatuline Depot (lanreotide) Injection is a somatostatin analog indicated for: the long-term treatment of acromegalic patients who have had an inadequate response to or cannot be treated with surgery and/or radiotherapy (1)

Launch Date

2007
PubMed

PubMed

TitleDatePubMed
Effectiveness of long-acting octreotide in suppressing hormonogenesis and tumor growth in thyrotropin-secreting pituitary adenomas: report of two cases.
2001 Aug
[Estimation of efficacy of the octreotide LAR administration in the patients with somatotropinoma].
2001 Aug
Serum levels of tumor necrosis factor-alpha, soluble intercellular adhesion molecule-1, soluble vascular cell adhesion molecule-1, and soluble interleukin-1 receptor antagonist in patients with thyroid eye disease undergoing treatment with somatostatin analogues.
2001 Dec
[Lanreotide acetate may cure cystic dystrophy in heterotopic pancreas of the duodenal wall].
2001 Dec
Somatostatin analogs and radiopeptides in cancer therapy.
2002
Carcinoid tumors--somatostatine in the diagnosis and therapy.
2002
Experience with indium-111 and yttrium-90-labeled somatostatin analogs.
2002
Carcinoid of the pancreas.
2002
Treatment of malignant endocrine pancreatic tumors with a combination of alpha-interferon and somatostatin analogs.
2002
Effect of the somatostatin analogue lanreotide on meal-stimulated portal blood flow in patients with liver cirrhosis.
2002
[Somatuline(R) Autogel(R), a new formulation of lanreotide for the treatment of acromegalic patients].
2002 Apr
[Regulation of cell proliferation by somatostatin].
2002 Apr
Somatostatins and their role in thyroid cancer.
2002 Apr
In- and Y-DOTA-lanreotide: results and implications of the MAURITIUS trial.
2002 Apr
Radiolabeled peptides in diagnosis and tumor imaging: clinical overview.
2002 Apr
Human somatostatin receptor specificity of backbone-cyclic analogues containing novel sulfur building units.
2002 Apr 11
Varying additive effects of bromocriptine with two somatostatin analogs in cultures of GH-secreting adenomas.
2002 Aug
Management of thyroid eye disease.
2002 Aug
Carcinoid tumors.
2002 Aug
New approaches in targeting intracerebral tumours with 90Y-labelled radiopeptides.
2002 Dec
Improvement of left ventricular hypertrophy and arrhythmias after lanreotide-induced GH and IGF-I decrease in acromegaly. A prospective multi-center study.
2002 Dec
Evaluation of lanreotide effects on human exocrine pancreatic secretion after a single dose: preliminary study.
2002 Feb
Drug design at peptide receptors: somatostatin receptor ligands.
2002 Feb-Apr
Somatostatin analogs in acromegaly.
2002 Jul
Ectopic growth hormone-releasing hormone secretion by thymic carcinoid tumour.
2002 Jul
Lanreotide labeled with 99mTc: preparation, preclinical testing and comparison with (111)In-DTPA-octreotide.
2002 Jul-Aug
Effects of two different somatostatin analogs on glucose tolerance in acromegaly.
2002 Jun
Somatuline Autogel: an extended release lanreotide formulation.
2002 Mar
Effect of a six-month treatment with lanreotide on cardiovascular risk factors and arterial intima-media thickness in patients with acromegaly.
2002 Mar
Partial tachyphylaxis to somatostatin (SST) analogues in a patient with acromegaly: the role of SST receptor desensitisation and circulating antibodies to SST analogues.
2002 Mar
Somatostatin analogs and prednisone in advanced refractory thymic tumors.
2002 Mar 1
The clinical role of somatostatin analogues as antineoplastic agents: much ado about nothing?
2002 May
Somatostatin, but not somatostatin receptor subtypes 2 and 5 selective agonists, inhibits calcitonin secretion and gene expression in the human medullary thyroid carcinoma cell line, TT.
2002 May
[Diurnal rhythm of endogenous somatostatin in patients with carcinoid].
2002 May
Elimination of vascular fibrointimal hyperplasia by somatostatin receptor 1,4-selective agonist.
2002 May
[Novel pharmacologic therapies in acromegaly].
2002 May 12
Carcinoid tumors and syndrome.
2002 May-Jun
Labeling and quality control of 188Re-lanreotide.
2002 Nov
Somatostatin receptor genes are expressed in lymphocytes from retroorbital tissues in Graves' disease.
2002 Nov
Somatostatin analogs in the treatment of medullary thyroid carcinoma.
2002 Oct
Serum leptin levels in acromegaly--a significant role for adipose tissue and fasting insulin/glucose ratio.
2002 Oct
[Current treatment of carcinoid tumor].
2002 Oct
Use of octreotide and lanreotide in the treatment of symptomatic non-resectable carcinoid tumours.
2002 Sep
Short-term suppression of GH and IGF-I levels improves gonadal function and sperm parameters in men with acromegaly.
2002 Sep
Long-term safety and efficacy of depot long-acting somatostatin analogs for the treatment of acromegaly.
2002 Sep
Glucagonoma syndrome: diagnosis and treatment.
2003 Feb
Somatostatin receptors (sst2) are coupled to Go and modulate GTPase activity in the rabbit retina.
2003 Feb
Sandostatin LAR (long-acting octreotide acetate) for malignant carcinoid syndrome: a 3-year experience.
2003 Feb
The effect of the somatostatin analogue lanreotide on the prevention of urethral strictures in a rabbit model.
2003 Mar
[The role of somatostatin analogues in the treatment of hypophyseal adenomas].
2003 Mar
Patents

Patents

Sample Use Guides

Patients should begin treatment with Somatuline Depot (lanreotide) 90 mg given via the deep subcutaneous route, at 4 week intervals for 3 months. After 3 months dosage may be adjusted as follows: • GH >1 to ≤ 2.5 ng/mL, IGF-1 normal and clinical symptoms controlled: maintain. Somatuline Depot dose at 90 mg every 4 weeks. • GH > 2.5 ng/mL, IGF-1 elevated and/or clinical symptoms uncontrolled, increase Somatuline Depot dose to 120 mg every 4 weeks. • GH ≤ 1 ng/mL, IGF-1 normal and clinical symptoms controlled: reduce Somatuline Depot dose to 60 mg every 4 weeks.
Route of Administration: Other
Treatment with lanreotide alone at doses of either 100 or 1000 nM for 48 h reduced clonogenic survival by 5–10%. Radiation alone produced a dose-dependent survival curve with a SF2 of 48–55%, and lanreotide had no effect on this curve. The addition of lanreotide resulted in a 23% increase in the proportion of apoptotic sub-G1 cells following irradiation.
Name Type Language
LANREOTIDE ACETATE
JAN   MART.   MI   ORANGE BOOK   USAN   WHO-DD  
USAN  
Official Name English
L-THREONINAMIDE, 3-(2-NAPHTHALENYL)-D-ALANYL-L-CYSTEINYL-L-TYROSYL-D-TRYPTOPHYL-L-LYSYL-L-VALYL-L-CYSTEINYL-, CYCLIC (2->7)-DISULFIDE, ACETATE (SALT)
Common Name English
3-(2-NAPHTHYL)-D-ALANYL-L-CYSTEINYL-L-TYROSYL-D-TRYPTOPHYL-L-LYSYL-L-VALYL-L-CYSTEINYL-L-THREONINAMIDE, CYCLIC (2->7)-DISULFIDE, ACETATE (SALT)
Common Name English
SOMATULINE
Brand Name English
LANREOTIDE ACETATE [USAN]
Common Name English
L-THREONINAMIDE, 3-(2-NAPHTHALENYL)-D-ALANYL-L-CYSTEINYL-L-TYROSYL-D-TRYPTOPHYL-L-LYSYL-L-VALYL-L-CYSTEINYL-, CYCLIC (2->7)-DISULFIDE, ACETATE (1:2)
Systematic Name English
LANREOTIDE ACETATE [ORANGE BOOK]
Common Name English
L-THREONINAMIDE, 3-(2-NAPHTHALENYL)-D-ALANYL-L-CYSTEINYL-L-TYROSYL-D-TRYPTOPHYL-L-LYSYL-L-VALYL-L-CYSTEINYL-, CYCLIC (2->7)-DISULPHIDE, ACETATE (SALT)
Common Name English
SOMATULINE LP
Brand Name English
Lanreotide acetate [WHO-DD]
Common Name English
LANREOTIDE ACETATE [JAN]
Common Name English
SOMATULINE DEPOT
Brand Name English
LANREOTIDE ACETATE [MART.]
Common Name English
LANREOTIDE ACETATE [MI]
Common Name English
SOMATULINE AUTOGEL
Brand Name English
3-(2-NAPHTHYL)-D-ALANYL-L-CYSTEINYL-L-TYROSYL-D-TRYPTOPHYL-L-LYSYL-L-VALYL-L-CYSTEINYL-L-THREONINAMIDE, CYCLIC (2->7)-DISULPHIDE, ACETATE (SALT)
Common Name English
BIM-23014C
Code English
Classification Tree Code System Code
NCI_THESAURUS C62799
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
FDA ORPHAN DRUG 347111
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
EU-Orphan Drug EU/3/15/1514
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
FDA ORPHAN DRUG 347811
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
Code System Code Type Description
MERCK INDEX
m6682
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
PRIMARY Merck Index
CAS
127984-74-1
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
PRIMARY
EVMPD
SUB14326MIG
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PRIMARY
DRUG BANK
DBSALT001238
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PRIMARY
DAILYMED
IEU56G3J9C
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PRIMARY
NCI_THESAURUS
C74584
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PRIMARY
PUBCHEM
91668159
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PRIMARY
RXCUI
236167
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PRIMARY RxNorm
ChEMBL
CHEMBL1201185
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PRIMARY
MESH
C056058
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PRIMARY
EPA CompTox
DTXSID101027965
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PRIMARY
SMS_ID
100000091586
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PRIMARY
FDA UNII
IEU56G3J9C
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PRIMARY
CAS
1024499-84-0
Created by admin on Sat Dec 16 00:14:48 GMT 2023 , Edited by admin on Sat Dec 16 00:14:48 GMT 2023
ALTERNATIVE