TESTOSTERONE DECANOATE

First marketed in 1937

Details

Stereochemistry	ABSOLUTE
Molecular Formula	C29H46O3
Molecular Weight	442.6737
Optical Activity	UNSPECIFIED
Defined Stereocenters	6 / 6
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure Search

SMILES

[H][C@@]12CC[C@H](OC(=O)CCCCCCCCC)[C@@]1(C)CC[C@@]3([H])[C@@]2([H])CCC4=CC(=O)CC[C@]34C

InChI

InChIKey=LBERVHLCXUMDOT-MPZZESAYSA-N

InChI=1S/C29H46O3/c1-4-5-6-7-8-9-10-11-27(31)32-26-15-14-24-23-13-12-21-20-22(30)16-18-28(21,2)25(23)17-19-29(24,26)3/h20,23-26H,4-19H2,1-3H3/t23-,24-,25-,26-,28-,29-/m0/s1

HIDE SMILES / InChI

Description
Sources: http://www.drugbank.ca/drugs/DB00624
Curator's Comment: Description was created based on several sources, including

Testosterone is a steroid sex hormone found in both men and women. In men, testosterone is produced primarily by the Leydig (interstitial) cells of the testes when stimulated by luteinizing hormone (LH). It functions to stimulate spermatogenesis, promote physical and functional maturation of spermatozoa, maintain accessory organs of the male reproductive tract, support development of secondary sexual characteristics, stimulate growth and metabolism throughout the body and influence brain development by stimulating sexual behaviors and sexual drive. In women, testosterone is produced by the ovaries (25%), adrenals (25%) and via peripheral conversion from androstenedione (50%). Testerone in women functions to maintain libido and general wellbeing. Testosterone exerts a negative feedback mechanism on pituitary release of LH and follicle-stimulating hormone (FSH). Testosterone may be further converted to dihydrotestosterone or estradiol depending on the tissue. The effects of testosterone in humans and other vertebrates occur by way of two main mechanisms: by activation of the androgen receptor (directly or as DHT), and by conversion to estradiol and activation of certain estrogen receptors. Free testosterone (T) is transported into the cytoplasm of target tissue cells, where it can bind to the androgen receptor, or can be reduced to 5α-dihydrotestosterone (DHT) by the cytoplasmic enzyme 5α-reductase. DHT binds to the same androgen receptor even more strongly than T, so that its androgenic potency is about 2.5 times that of T. The T-receptor or DHT-receptor complex undergoes a structural change that allows it to move into the cell nucleus and bind directly to specific nucleotide sequences of the chromosomal DNA. The areas of binding are called hormone response elements (HREs), and influence transcriptional activity of certain genes, producing the androgen effects. Testosterone is used as hormone replacement or substitution of diminished or absent endogenous testosterone. Use in males: For management of congenital or acquired hypogonadism, hypogonadism associated with HIV infection, and male climacteric (andopause). Use in females: For palliative treatment of androgen-responsive, advanced, inoperable, metastatis (skeletal) carcinoma of the breast in women who are 1-5 years postmenopausal; testosterone esters may be used in combination with estrogens in the management of moderate to severe vasomotor symptoms associated with menopause in women who do not respond to adequately to estrogen therapy alone.

CNS Activity

Originator

Approval Year

Targets

Primary Target	Pharmacology	Condition	Potency
Androgen receptor 42 Target ID: P10275 Gene ID: 367.0 Gene Symbol: AR Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/17635942	Agonist 2678
Androgen Receptor 167 Target ID: CHEMBL1871 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19856921	Agonist 2678		3.16 nM [EC50]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Hypogonadism 28 Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/203098s006lbl.pdf	Primary		Approved 8429	TESTOSTERONE Approved Use Testosterone is an androgen indicated for replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone: • Primary Hypogonadism (Congenital or Acquired) (1) • Hypogonadotropic Hypogonadism (Congenital or Acquired) Launch Date 2013

C_max

Value	Dose	Analyte	Population
13.1 pg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10902784/	8.2 mg single, topical dose: 8.2 mg route of administration: Topical experiment type: SINGLE co-administered:	TESTOSTERONE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN
214 ng/dL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01725451	30 mg single, topical dose: 30 mg route of administration: topical experiment type: single co-administered:	TESTOSTERONE unknown	Homo sapiens population: healthy age: sex: food status:
231 ng/dL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01725451	30 mg single, topical dose: 30 mg route of administration: topical experiment type: single co-administered:	TESTOSTERONE unknown	Homo sapiens population: healthy age: sex: food status:
930.1 ng/dL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01386606	5 g 1 times / day multiple, topical dose: 5 g route of administration: topical experiment type: multiple co-administered:	TESTOSTERONE unknown	Homo sapiens

AUC

Value	Dose	Analyte	Population
948 pg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10902784/	8.2 mg single, topical dose: 8.2 mg route of administration: Topical experiment type: SINGLE co-administered:	TESTOSTERONE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN
2120 ng*h/dL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01725451	30 mg single, topical dose: 30 mg route of administration: topical experiment type: single co-administered:	TESTOSTERONE unknown	Homo sapiens population: healthy age: sex: food status:
3110 ng*h/dL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01725451	30 mg single, topical dose: 30 mg route of administration: topical experiment type: single co-administered:	TESTOSTERONE unknown	Homo sapiens population: healthy age: sex: food status:

T_1/2

Value	Dose	Co-administered	Analyte	Population
7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10902784/	8.2 mg single, topical dose: 8.2 mg route of administration: Topical experiment type: SINGLE co-administered:		TESTOSTERONE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN

F_unbound

Value	Dose	Co-administered	Analyte	Population
13% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10902784/	8.2 mg single, topical dose: 8.2 mg route of administration: Topical experiment type: SINGLE co-administered:		TESTOSTERONE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN

Doses

Dose	Population	Adverse events
75 mg 1 times / day steady, subcutaneous (median) Recommended Dose: 75 mg, 1 times / day Route: subcutaneous Route: steady Dose: 75 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/30296416/	unhealthy, adult n = 150 Health Status: unhealthy Condition: hypogonadism Age Group: adult Sex: M Population Size: 150 Sources: https://pubmed.ncbi.nlm.nih.gov/30296416/	Disc. AE: Hypertension... AEs leading to discontinuation/dose reduction: Hypertension (5.6%) Sources: https://pubmed.ncbi.nlm.nih.gov/30296416/
100 mg 1 times / day steady, topical Recommended Dose: 100 mg, 1 times / day Route: topical Route: steady Dose: 100 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/	unhealthy, mean 74 years n = 106 Health Status: unhealthy Condition: with limitations in mobility Age Group: mean 74 years Sex: M Population Size: 106 Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/	Other AEs: Cardiac disorders, Atherosclerosis... Other AEs: Cardiac disorders (6.5%) Atherosclerosis (6.4%) Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/

AEs

AE	Significance	Dose	Population
Hypertension	5.6% Disc. AE	75 mg 1 times / day steady, subcutaneous (median) Recommended Dose: 75 mg, 1 times / day Route: subcutaneous Route: steady Dose: 75 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/30296416/	unhealthy, adult n = 150 Health Status: unhealthy Condition: hypogonadism Age Group: adult Sex: M Population Size: 150 Sources: https://pubmed.ncbi.nlm.nih.gov/30296416/
Atherosclerosis	6.4%	100 mg 1 times / day steady, topical Recommended Dose: 100 mg, 1 times / day Route: topical Route: steady Dose: 100 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/	unhealthy, mean 74 years n = 106 Health Status: unhealthy Condition: with limitations in mobility Age Group: mean 74 years Sex: M Population Size: 106 Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/
Cardiac disorders	6.5%	100 mg 1 times / day steady, topical Recommended Dose: 100 mg, 1 times / day Route: topical Route: steady Dose: 100 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/	unhealthy, mean 74 years n = 106 Health Status: unhealthy Condition: with limitations in mobility Age Group: mean 74 years Sex: M Population Size: 106 Sources: https://pubmed.ncbi.nlm.nih.gov/20592293/

Overview

CYP3A4	CYP2C9	CYP2D6	hERG
substrate 1737

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
BCRP 699 P-gp 1461 MRP2 383	UGT1A1 418 UGT1A3 422 UGT1A4 347 UGT1A5 55 UGT1A6 307 UGT1A7 236 UGT1A8 283 UGT1A9 380 UGT1A10 291 UGT2A1 32 UGT2A2 48 UGT2A3 48 UGT2B4 249 UGT2B7 389 UGT2B10 127 UGT2B15 203 UGT2B17 213 UGT2B28 63 CYP3A5 395 CYP3A7 110 P-gp 1537	MCT4 19 P-gp 257

Drug as perpetrator

Target	Modality	Activity
BCRP 773	inhibitor 3277 Sources: https://link.springer.com/article/10.1007/s11095-009-9896-0 Page: -	no
MRP2 475	inhibitor 3277 Sources: https://link.springer.com/article/10.1007/s11095-009-9896-0 Page: -	no
P-gp 1650	inhibitor 3277 Sources: https://link.springer.com/article/10.1007/s11095-009-9896-0 Page: -	no
MCT4 28	inducer 1573 Sources: https://physoc.onlinelibrary.wiley.com/doi/full/10.1113/jphysiol.2006.115436 Page: -	yes
P-gp 1650	inducer 1573 Sources: https://www.sciencedirect.com/science/article/pii/S0024320506000786 Page: -	yes

Drug as victim

Target	Modality	Activity
UGT2B17 213	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	major [Km 10 uM]
UGT2A1 32	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	major [Km 38.7 uM]
UGT1A10 291	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT1A3 422	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT1A4 347	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT1A8 283	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT1A9 380	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT2A2 48	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT2B15 203	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT2B7 389	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	minor
UGT1A1 418	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT1A5 55	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT1A6 307	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT1A7 236	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT2A3 48	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT2B10 127	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT2B28 63	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
UGT2B4 249	substrate 3367 Sources: https://dmd.aspetjournals.org/content/37/2/417.short Page: -	no
CYP3A4 1737	substrate 3367 Sources: https://jpet.aspetjournals.org/content/299/3/825.short Page: -	yes
CYP3A5 395	substrate 3367 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697443/ Page: -	yes
CYP3A7 110	substrate 3367 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697443/ Page: -	yes
P-gp 1537	substrate 3367 Sources: https://www.sciencedirect.com/science/article/pii/S0006291X19317887 Page: -	yes

Sourcing

Vendor/Aggregator	ID	URL
ChEBI	CHEBI:17347	https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:17347
ChemicalBook	CB5380541	https://www.chemicalbook.com/ChemicalProductProperty_EN_CB5380541
ZINC	ZINC000118912393	http://zinc15.docking.org/substances/ZINC000118912393
eMolecules	511977	https://www.emolecules.com/cgi-bin/more?vid=511977

PubMed

Title	Date	PubMed
Leydig cells.	1975 May	1095296
Acute anti-ischemic effect of testosterone in men with coronary artery disease.	1999 Apr 6	10190874
Suppression of growth hormone does not affect ongoing spermatogenesis in rats.	1999 Jan-Feb	10100480
Cross-talk between 2,3,7,8-tetrachlorodibenzo-p-dioxin and testosterone signal transduction pathways in LNCaP prostate cancer cells.	1999 Mar 24	10080920
Steroid feedback on gonadotropin release and pituitary gonadotropin subunit mRNA in mice lacking a functional estrogen receptor alpha.	1999 Oct	10709760
Circadian expression of the steroid 15 alpha-hydroxylase (Cyp2a4) and coumarin 7-hydroxylase (Cyp2a5) genes in mouse liver is regulated by the PAR leucine zipper transcription factor DBP.	1999 Oct	10490589
Changes in serum and tissue zinc levels in sex hormone-induced prostatic carcinogenesis in the noble rat.	2000 Nov-Dec	11006573
Low-dose transdermal testosterone therapy improves angina threshold in men with chronic stable angina: A randomized, double-blind, placebo-controlled study.	2000 Oct 17	11034937
Ornithine metabolism along the female mouse nephron: localization of ornithine decarboxylase and ornithine aminotransferase.	2000 Sep	11007319
Psychophysiological responses to the Stroop Task after a maximal cycle ergometry in elite sportsmen and physically active subjects.	2001 Feb	11166107
Spz1, a novel bHLH-Zip protein, is specifically expressed in testis.	2001 Feb	11165476
Interactions among paternal behavior, steroid hormones, and parental experience in male marmosets (Callithrix kuhlii).	2001 Feb	11161885
Modulation of P450 CYP3A4-dependent metabolism by P-glycoprotein: implications for P450 phenotyping.	2001 Feb	11160617
Muting of androgen negative feedback unveils impoverished gonadotropin-releasing hormone/luteinizing hormone secretory reactivity in healthy older men.	2001 Feb	11158004
Use of salivary biomarkers in biobehavioral research: cotton-based sample collection methods can interfere with salivary immunoassay results.	2001 Feb	11087962
Neuronal size in the spinal nucleus of the bulbocavernosus: direct modulation by androgen in rats with mosaic androgen insensitivity.	2001 Feb 1	11157092
Luteinizing hormone-dependent activity and luteinizing hormone-independent differentiation of rat fetal Leydig cells.	2001 Feb 14	11165053
Changes in androgenic steroid profile due to urine contamination by microorganisms: a prospective study in the context of doping control.	2001 Feb 15	11161304
Progressive decrease in bone density over 10 years of androgen deprivation therapy in patients with prostate cancer.	2001 Jan	11164157
Long-term remission of ovarian hyperandrogenism after short-term treatment with a gonadotropin-releasing hormone agonist.	2001 Jan	11163817
Prevalence of polycystic ovary syndrome (PCOS) in first-degree relatives of patients with PCOS.	2001 Jan	11163816
Concentrations of steroid hormones in layers and biopsies of chelonian egg yolks.	2001 Jan	11161774
Insulin action and insulin secretion in polycystic ovary syndrome treated with ethinyl oestradiol/cyproterone acetate.	2001 Jan	11161134
Targeted disruption of luteinizing hormone/human chorionic gonadotropin receptor gene.	2001 Jan	11145749
Glucocorticoids regulate plasma membrane potential during rat thymocyte apoptosis in vivo and in vitro.	2001 Jan	11145606
Testosterone-induced inhibition of spermatogenesis is more closely related to suppression of FSH than to testicular androgen levels in the cynomolgus monkey model (Macaca fascicularis).	2001 Jan	11139767
Effects of testosterone on production of perivitelline membrane glycoprotein ZPC by granulosa cells of Japanese quail (Coturnix japonica).	2001 Jan	11133688
Lysyl oxidase and MMP-2 expression in dehydroepiandrosterone-induced polycystic ovary in rats.	2001 Jan	11133670
Androgen-dependent regulation of human angiotensinogen expression in KAP-hAGT transgenic mice.	2001 Jan	11133514
Comparison of histological compositions and apoptosis in canine spontaneous benign prostatic hyperplasia treated with androgen suppressive agents chlormadinone acetate and finasteride.	2001 Jan	11125427
Rapid and reversible inhibition of brain aromatase activity.	2001 Jan	11123516
Influence of gender and sex hormones on nicotine acute pharmacological effects in mice.	2001 Jan	11123373
Heat-shock factor-1, steroid hormones, and regulation of heat-shock protein expression in the heart.	2001 Jan	11123263
Anorexia, body composition, and ageing.	2001 Jan	11122553
Novel approaches to female sexual dysfunction.	2001 Jan	11116282
Signs of sexual behaviour are not increased after subchronic treatment with LHRH in young men.	2001 Jan	11070330
Expression of the 17beta-hydroxysteroid dehydrogenase type 5 mRNA in the human brain.	2001 Jan 22	11165025
Regulation of the steroid-inducible 3alpha-hydroxysteroid dehydrogenase/carbonyl reductase gene in Comamonas testosteroni.	2001 Mar 30	11139589

Patents

Sample Use Guides

In Vivo Use Guide

Starting dose of testosterone gel is 50 mg of testosterone (4 pump actuations, two 25 mg packets, or one 50 mg packet), applied once daily in the morning.

Route of Administration: Topical

In Vitro Use Guide

10 nM Testosterone significantly reduced secretion of BDNF in in human airway smooth muscle

Name

Type

Language

TESTOSTERONE DECANOATE

Common Name

English

NSC-26642

Code

English

3-OXOANDROST-4-EN-17.BETA.-YL DECANOATE

Systematic Name

English

TESTOSTERONE DECANOATE [EP MONOGRAPH]

Common Name

English

17.BETA.-HYDROXYANDROST-4-EN-3-ONE DECANOATE

Common Name

English

TESTOSTERONE DECANOATE [MART.]

Common Name

English

TESTOSTERONE CAPRATE

Common Name

English

Testosterone decanoate [WHO-DD]

Common Name

English

TESTOSTERONE CAPRINATE

Common Name

English

Code System Code Type Description

MESH

C041677