Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C27H44O2.H2O |
Molecular Weight | 418.6523 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 2 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O.[H][C@@]1(CC[C@@]2([H])\C(CCC[C@]12C)=C\C=C3\C[C@@H](O)CCC3=C)[C@H](C)CCCC(C)(C)O
InChI
InChIKey=WRLFSJXJGJBFJQ-WPUCQFJDSA-N
InChI=1S/C27H44O2.H2O/c1-19-10-13-23(28)18-22(19)12-11-21-9-7-17-27(5)24(14-15-25(21)27)20(2)8-6-16-26(3,4)29;/h11-12,20,23-25,28-29H,1,6-10,13-18H2,2-5H3;1H2/b21-11+,22-12-;/t20-,23+,24-,25+,27-;/m1./s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/4310770
Sources: https://www.ncbi.nlm.nih.gov/pubmed/4310770
Calcifediol (25-Hydroxyvitamin D3 or 25-hydroxycholecalciferol) is a biologically active vitamin D3 metabolite. It is concluded that the liver is the major if not the only physiologic site of hydroxylation of vitamin D3 into calcifediol. Calcifediol is a prohormone of the active form of vitamin D3, calcitriol (1,25-dihydroxyvitamin D3). Calcifediol is converted to calcitriol by cytochrome P450 27B1 (CYP27B1), also called 1-alpha hydroxylase, primarily in the kidney. Calcitriol binds to the vitamin D receptor in target tissues and activates vitamin D responsive pathways that result in increased intestinal absorption of calcium and phosphorus and reduced parathyroid hormone synthesis. RAYALDEE (calcifediol) extended-release capsules is indicated for the treatment of secondary hyperparathyroidism in adult patients with stage 3 or 4 chronic kidney disease.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/4300699
Curator's Comment: 1968
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL1977 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19944755 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | RAYALDEE Approved UseCalcifediol indicated for the treatment of secondary hyperparathyroidism in adults with stage 3 or 4 chronic kidney disease and serum total 25-hydroxyvitamin D levels less than 30 ng/mL Launch Date2016 |
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Primary | CALDEROL Approved UseUnknown Launch Date1980 |
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Primary | CALDEROL Approved UseUnknown Launch Date1980 |
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Primary | CALDEROL Approved UseUnknown Launch Date1980 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
73.2 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24516879/ |
20 mg 1 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CALCIFEDIOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1704.4 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24516879/ |
20 mg 1 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CALCIFEDIOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
11 day EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24516879/ |
20 mg 1 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CALCIFEDIOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24516879/ |
20 mg 1 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CALCIFEDIOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FED |
Doses
Dose | Population | Adverse events |
---|---|---|
30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Other AEs: Anemia, Nasopharyngitis... Other AEs: Anemia (4.9%) Sources: Nasopharyngitis (4.9%) Blood creatinine increased (4.9%) Dyspnea (4.2%) Cough (3.5%) Cardiac failure congestive (3.5%) Constipation (3.2%) Bronchitis (2.8%) Hyperkalemia (2.5%) Osteoarthritis (2.1%) Hyperuricemia (1.8%) Contusion (1.8%) Pneumonia (1.4%) Chronic obstructive pulmonary disease (1.4%) Calcium increased serum (4.2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Chronic obstructive pulmonary disease | 1.4% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Pneumonia | 1.4% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Contusion | 1.8% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Hyperuricemia | 1.8% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Osteoarthritis | 2.1% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Hyperkalemia | 2.5% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Bronchitis | 2.8% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Constipation | 3.2% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Cardiac failure congestive | 3.5% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Cough | 3.5% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Calcium increased serum | 4.2% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Dyspnea | 4.2% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Anemia | 4.9% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Blood creatinine increased | 4.9% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
Nasopharyngitis | 4.9% | 30 ug 1 times / day multiple, oral (starting) Dose: 30 ug, 1 times / day Route: oral Route: multiple Dose: 30 ug, 1 times / day Sources: |
unhealthy, 66 years (range: 25-85 years) n = 285 Health Status: unhealthy Condition: secondary hyperparathyroidism Age Group: 66 years (range: 25-85 years) Sex: M+F Population Size: 285 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Determination of vitamin D and its metabolites in plasma from normal and anephric man. | 1979 Jul 15 |
|
Interrelationship of serum 25-hydroxyvitamin D3 and 1,25-dihydroxyvitamin D in juvenile renal osteodystrophy after therapy with 25-hydroxyvitamin D3. | 1982 |
|
Tubular aggregates in a case of osteomalacic myopathy due to anticonvulsant drugs. | 1984 Jan-Feb |
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Hypercalcemia in 25 OH D3 treated patients receiving a calcium exchange resin. | 1985 Jun |
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The effect of vitamin D status on cutaneous sterologenesis in vivo and in vitro. | 1987 Sep 14 |
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Inhibition of tubercle bacilli in cultured human macrophages by chloroquine used alone and in combination with streptomycin, isoniazid, pyrazinamide, and two metabolites of vitamin D3. | 1990 Nov |
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Vitamin D3 compounds regulate human immunodeficiency virus type 1 replication in U937 monoblastoid cells and in monocyte-derived macrophages. | 1993 Feb |
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Proteins in the heat shock-70 family specifically bind 25-hydroxyvitamin D3 and 17beta-estradiol. | 1998 Apr |
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Calcidiol and PTH levels in women attending an osteoporosis program. | 1999 Apr |
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A pilot study to assess the safety and efficacy of topical calcipotriol treatment in childhood psoriasis. | 1999 Jul-Aug |
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Kidney microsomal 25- and 1alpha-hydroxylase in vitamin D metabolism: catalytic properties, molecular cloning, cellular localization and expression during development. | 2002 Feb 28 |
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Overview of general physiologic features and functions of vitamin D. | 2004 Dec |
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Vitamin D(3) metabolism in human glioblastoma multiforme: functionality of CYP27B1 splice variants, metabolism of calcidiol, and effect of calcitriol. | 2005 Aug 1 |
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Retinoic acid via RARalpha inhibits the expression of 24-hydroxylase in human prostate stromal cells. | 2005 Dec 30 |
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Vitamin D metabolism in human prostate cells: implications for prostate cancer chemoprevention by vitamin D. | 2006 Jul-Aug |
|
Functional evolution of the vitamin D and pregnane X receptors. | 2007 Nov 12 |
|
Enhanced steatosis by nuclear receptor ligands: a study in cultured human hepatocytes and hepatoma cells with a characterized nuclear receptor expression profile. | 2010 Mar 30 |
|
The evolution of farnesoid X, vitamin D, and pregnane X receptors: insights from the green-spotted pufferfish (Tetraodon nigriviridis) and other non-mammalian species. | 2011 Feb 3 |
Patents
Sample Use Guides
The initial dose of RAYALDEE (calcifediol) extended-release capsules is 30 mcg administered orally once daily at bedtime. Serum calcium should be below 9.8 mg/dL before initiating treatment.
Monitor serum calcium, phosphorus, 25-hydroxyvitamin D and intact parathyroid hormone (PTH) 3 months after starting therapy or changing dose.
Increase the dose to 60 mcg once daily after 3 months if intact PTH is above the treatment goal. Ensure serum calcium is below 9.8 mg/dL, phosphorus is below 5.5 mg/dL and 25-hydroxyvitamin D is below 100 ng/mL before increasing the dose.
Suspend dosing if intact PTH is persistently abnormally low, serum calcium is consistently above the normal range or serum 25 hydroxyvitamin D is consistently above 100 ng/mL
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26178144
Vitamin D metabolites down-regulated stimulated IL-8 only in those hyperinflammatory monocyte-derived macrophages, and only when used at high doses (>100 nM for Calcifediol).
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Classification Tree | Code System | Code | ||
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LIVERTOX |
138
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NCI_THESAURUS |
C39713
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WHO-ATC |
A11CC06
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WHO-VATC |
QA11CC06
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P6YZ13C99Q
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DBSALT002443
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P6YZ13C99Q
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6441383
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300000038170
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1889
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CHEMBL1040
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464
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CALCIFEDIOL
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63283-36-3
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C65278
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17933
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D002112
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1086108
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ACTIVE MOIETY
SUBSTANCE RECORD