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
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
DescriptionCurator'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
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
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2876510
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
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2111436 Sources: http://www.kegg.jp/entry/D00442 |
1.7 nM [Kd] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | SANDOSTATIN Approved UseAcromegaly
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 Date1988 |
|||
Primary | SANDOSTATIN Approved UseCarcinoid 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 Date1988 |
|||
Primary | SANDOSTATIN Approved UseVasoactive Intestinal Peptide Tumors (VIPomas)
Sandostatin is indicated for the treatment of the profuse watery diarrhea associated with VIP-secreting tumors. Launch Date1988 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
19 ng × h/mL DRUG LABEL https://pubmed.ncbi.nlm.nih.gov/22539587 |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
weak [IC50 116.6 uM] | ||||
weak [IC50 68 uM] | ||||
yes [IC50 23 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes | ||||
yes | ||||
yes |
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
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27461627
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)
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C62799
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44194024
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834894-42-7
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JJ-36
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DBSALT002951
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MWH8YQ1AIO
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C2402
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CHEMBL1680
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135467-16-2
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SUB33274
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ACTIVE MOIETY
PARENT (SALT/SOLVATE)
SUBSTANCE RECORD