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Details

Stereochemistry ABSOLUTE
Molecular Formula C49H66N10O10S2.C23H16O6
Molecular Weight 1407.609
Optical Activity UNSPECIFIED
Defined Stereocenters 10 / 10
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of OCTREOTIDE PAMOATE

SMILES

OC(=O)C1=CC2=CC=CC=C2C(CC3=C(O)C(=CC4=CC=CC=C34)C(O)=O)=C1O.[H][C@]5(NC(=O)[C@H](CCCCN)NC(=O)[C@@H](CC6=CNC7=CC=CC=C67)NC(=O)[C@H](CC8=CC=CC=C8)NC(=O)[C@H](CSSC[C@H](NC5=O)C(=O)N[C@H](CO)[C@@H](C)O)NC(=O)[C@H](N)CC9=CC=CC=C9)[C@@H](C)O

InChI

InChIKey=KFWJVABDRRDUHY-XJQYZYIXSA-N
InChI=1S/C49H66N10O10S2.C23H16O6/c1-28(61)39(25-60)56-48(68)41-27-71-70-26-40(57-43(63)34(51)21-30-13-5-3-6-14-30)47(67)54-37(22-31-15-7-4-8-16-31)45(65)55-38(23-32-24-52-35-18-10-9-17-33(32)35)46(66)53-36(19-11-12-20-50)44(64)59-42(29(2)62)49(69)58-41;24-20-16(14-7-3-1-5-12(14)9-18(20)22(26)27)11-17-15-8-4-2-6-13(15)10-19(21(17)25)23(28)29/h3-10,13-18,24,28-29,34,36-42,52,60-62H,11-12,19-23,25-27,50-51H2,1-2H3,(H,53,66)(H,54,67)(H,55,65)(H,56,68)(H,57,63)(H,58,69)(H,59,64);1-10,24-25H,11H2,(H,26,27)(H,28,29)/t28-,29-,34-,36+,37+,38-,39-,40+,41+,42+;/m1./s1

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/2876507 https://www.ncbi.nlm.nih.gov/pubmed/6128648

Octreotide (SMS 201-995, Sandostatin) is an octapeptide that exerts pharmacologic actions similar to the natural hormone, somatostatin. It was developed by Bauer and co-authors at Sandoz. It is an even more potent inhibitor of growth hormone, glucagon, and insulin than somatostatin. Like somatostatin, it also suppresses LH response to GnRH, decreases splanchnic blood flow, and inhibits release of serotonin, gastrin, vasoactive intestinal peptide, secretin, motilin, and pancreatic polypeptide. By virtue of these pharmacological actions, Sandostatin has been used to treat the symptoms associated with metastatic carcinoid tumors (flushing and diarrhea), and Vasoactive Intestinal Peptide (VIP) secreting adenomas (watery diarrhea). Sandostatin substantially reduces growth hormone and/or IGF-I (somatomedin C) levels in patients with acromegaly. A radioactively labelled analogue has been used to visualize somatostatin receptors in a GRF-secreting human tumour.

CNS Activity

Curator's Comment: Octreotide (SMS 201-995, Sandostatin) passes blood-brain barrier in vitro https://www.ncbi.nlm.nih.gov/pubmed/8008714

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.7 nM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
SANDOSTATIN

Approved Use

Acromegaly Sandostatin® (octreotide acetate) is indicated to reduce blood levels of growth hormone and IGF-I (somatomedin C) in acromegaly patients who have had inadequate response to or cannot be treated with surgical resection, pituitary irradiation, and bromocriptine mesylate at maximally tolerated doses.

Launch Date

1988
Primary
SANDOSTATIN

Approved Use

Carcinoid Tumors Sandostatin is indicated for the symptomatic treatment of patients with metastatic carcinoid tumors where it suppresses or inhibits the severe diarrhea and flushing episodes associated with the disease.

Launch Date

1988
Primary
SANDOSTATIN

Approved Use

Vasoactive Intestinal Peptide Tumors (VIPomas) Sandostatin is indicated for the treatment of the profuse watery diarrhea associated with VIP-secreting tumors.

Launch Date

1988
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
5.2 ng/mL
100 μg single, subcutaneous
dose: 100 μg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
OCTREOTIDE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
19 ng × h/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OCTREOTIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.2 h
100 μg single, subcutaneous
dose: 100 μg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
OCTREOTIDE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
35%
100 μg single, subcutaneous
dose: 100 μg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
OCTREOTIDE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer





Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
weak [IC50 116.6 uM]
weak [IC50 68 uM]
yes [IC50 23 uM]
Drug as victim
Sourcing

Sourcing

Vendor/AggregatorIDURL

Sample Use Guides

In Vivo Use Guide
Curator's Comment: Sandostatin® (octreotide acetate) may be administered subcutaneously or intravenously. Subcutaneous injection is the usual route of administration of Sandostatin for control of symptoms.
Acromegaly: Dosage may be initiated at 50 mcg t.i.d. Beginning with this low dose may permit adaptation to adverse gastrointestinal effects for patients who will require higher doses. IGF-I (somatomedin C) levels every 2 weeks can be used to guide titration. Alternatively, multiple growth hormone levels at 0-8 hours after Sandostatin® (octreotide acetate) administration permit more rapid titration of dose. The goal is to achieve growth hormone levels less than 5 ng/mL or IGF-I (somatomedin C) levels less than 1.9 U/mL in males and less than 2.2 U/mL in females. The dose most commonly found to be effective is 100 mcg t.i.d., but some patients require up to 500 mcg t.i.d. for maximum effectiveness. Doses greater than 300 mcg/day seldom result in additional biochemical benefit, and if an increase in dose fails to provide additional benefit, the dose should be reduced. IGF-I (somatomedin C) or growth hormone levels should be re-evaluated at 6-month intervals. Carcinoid Tumors: The suggested daily dosage of Sandostatin during the first 2 weeks of therapy ranges from 100-600 mcg/day in 2-4 divided doses (mean daily dosage is 300 mcg). VIPomas: Daily dosages of 200-300 mcg in 2-4 divided doses are recommended during the initial 2 weeks of therapy (range 150-750 mcg) to control symptoms of the disease.
Route of Administration: Other
In Vitro Use Guide
Curator's Comment: The proliferation of A2780/Taxol cells was gradually inhibited with increasing octreotide concentration in a concentration-dependent and time-dependent manner.
1.25-20.0 nmol/ml (A2780/Taxol ovarian cancer cells)
Name Type Language
OCTREOTIDE PAMOATE
USAN  
USAN  
Official Name English
L-CYSTEINAMIDE, D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-N-(2-HYDROXY-1-(HYDROXYMETHYL)PROPYL)-, CYCLIC (2->7)-DISULPHIDE (R-(R*,R*))-, 4,4'-METHYLENEBIS(3-HYDROXY-2-NAPHTHALENECARBOXYLATE) (1:1) (SALT)
Common Name English
D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-L-CYSTEINYL-L-THREONINOL CYCLIC (2->7)-DISULFIDE PAMOATE (1:1) (SALT)
Common Name English
OCTREOTIDE EMBONATE
WHO-DD  
Common Name English
D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-L-CYSTEINYL-L-THREONINOL CYCLIC (2->7)-DISULFIDE EMBONATE (1:1) (SALT)
Common Name English
D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-L-CYSTEINYL-L-THREONINOL CYCLIC (2->7)-DISULPHIDE PAMOATE (1:1) (SALT)
Common Name English
SMS-201-995 PA
Code English
OCTREOTIDE PAMOATE [USAN]
Common Name English
SMS 201-995 PA
Code English
Octreotide embonate [WHO-DD]
Common Name English
D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-N-((1R,2R)-2-HYDROXY-1-(HYDROXYMETHYL)PROPYL)-L-CYSTEINAMIDE CYCLIC (2->7)-DISULFIDE 4,4'-METHYLENEBIS(3-HYDROXY-2-NAPHTHOATE) (1:1) (SALT)
Common Name English
D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-N-((1R,2R)-2-HYDROXY-1-(HYDROXYMETHYL)PROPYL)-L-CYSTEINAMIDE CYCLIC (2->7)-DISULPHIDE 4,4'-METHYLENEBIS(3-HYDROXY-2-NAPHTHOATE) (1:1) (SALT)
Common Name English
SMS PA
Code English
L-CYSTEINAMIDE, D-PHENYLALANYL-L-CYSTEINYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-N-(2-HYDROXY-1-(HYDROXYMETHYL)PROPYL)-, CYCLIC (2->7)-DISULFIDE (R-(R*,R*))-, 4,4'-METHYLENEBIS(3-HYDROXY-2-NAPHTHALENECARBOXYLATE) (1:1) (SALT)
Common Name English
SMS-PA
Code English
Classification Tree Code System Code
NCI_THESAURUS C62799
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
Code System Code Type Description
PUBCHEM
44194024
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
CAS
834894-42-7
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
ALTERNATIVE
USAN
JJ-36
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
DRUG BANK
DBSALT002951
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
FDA UNII
MWH8YQ1AIO
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
NCI_THESAURUS
C2402
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
ChEMBL
CHEMBL1680
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
CAS
135467-16-2
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY
EVMPD
SUB33274
Created by admin on Fri Dec 15 18:36:43 GMT 2023 , Edited by admin on Fri Dec 15 18:36:43 GMT 2023
PRIMARY