U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C19H28O5S
Molecular Weight 368.4894
Optical Activity UNSPECIFIED
Defined Stereocenters 6 / 6
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PRASTERONE SULFATE

SMILES

C[C@@]12CC[C@@]([H])(CC2=CC[C@@]3([H])[C@]4([H])CCC(=O)[C@@]4(C)CC[C@@]31[H])OS(=O)(=O)O

InChI

InChIKey=CZWCKYRVOZZJNM-USOAJAOKSA-N
InChI=1S/C19H28O5S/c1-18-9-7-13(24-25(21,22)23)11-12(18)3-4-14-15-5-6-17(20)19(15,2)10-8-16(14)18/h3,13-16H,4-11H2,1-2H3,(H,21,22,23)/t13-,14-,15-,16-,18-,19-/m0/s1

HIDE SMILES / InChI

Molecular Formula C19H28O5S
Molecular Weight 368.4894
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 6 / 6
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment:: http://www.hmdb.ca/metabolites/HMDB00077

Dehydroepiandrosterone (INTRAROSA™, prasterone) is a major C19 steroid produced from cholesterol by the adrenal cortex. It is also produced in small quantities in the testis and the ovary. Dehydroepiandrosterone (INTRAROSA, prasterone) is structurally similar to, and is a precursor of, androstenedione, testosterone, estradiol, estrone and estrogen. It indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause. The mechanism of action of dehydroepiandrosterone (INTRAROSA, prasterone) in postmenopausal women with vulvar and vaginal atrophy is not fully established.

Originator

Curator's Comment:: Primary source: Butenandt A, Dannenbaum H. Isolierung eines neuen, physiologisch unwirksamen Sterinderivates aus Mannerharn, seine Verknupfung mit Dehydro-androsteron und Androsteron. Z Physiol Chem. 1934; 229:192–195.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
514.549999999999955 nM [Ki]
1053.17000000000007 nM [Ki]
1177.01999999999998 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
INTRAROSA

Approved Use

INTRAROSA™ is a steroid indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause.

Launch Date

1479254400000
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
36.7 nM
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PRASTERONE serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
176.1 nM × h
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PRASTERONE serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
5.35 h
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PRASTERONE serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
1600 mg 1 times / day multiple, oral
Highest studied dose
Dose: 1600 mg, 1 times / day
Route: oral
Route: multiple
Dose: 1600 mg, 1 times / day
Sources:
healthy, 22-25 years
Health Status: healthy
Age Group: 22-25 years
Sex: M
Sources:
400 mg 1 times / day multiple, oral
Dose: 400 mg, 1 times / day
Route: oral
Route: multiple
Dose: 400 mg, 1 times / day
Sources:
unhealthy, 44.9 years
Health Status: unhealthy
Age Group: 44.9 years
Sex: M
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
PubMed

PubMed

TitleDatePubMed
The effect of ultraviolet radiation and pretreatment of dehydroepiandrosterone on RMK cells in culture.
2001
The use of estrogen, DHEA, and diosgenin in a sustained delivery setting as a novel treatment approach for osteoporosis in the ovariectomized adult rat model.
2001
The prevention of osteoporotic progression by means of steroid loaded TCPL drug delivery systems.
2001
Intraadrenal mechanisms of DHEA regulation: a hypothesis for adrenopause.
2001
GG-genotype in the promotor region of uncoupling-protein-1 gene is associated with lower level of dehydroepiandrosterone in type 2 diabetes.
2001
Increased serum cortisol levels are associated with high tumour grade in patients with renal cell carcinoma.
2001
Effects of transdermal application of 7-oxo-DHEA on the levels of steroid hormones, gonadotropins and lipids in healthy men.
2001
Hyposecretion of the adrenal androgen dehydroepiandrosterone sulfate and its relation to clinical variables in inflammatory arthritis.
2001
Therapeutic strategies in adrenal insufficiency.
2001 Apr
Sex hormones and their impact on dementia and depression: a clinical perspective.
2001 Apr
[Correlations between acne and polycystic ovary. A study of 60 cases].
2001 Apr
Unsulfated and sulfated neurosteroids differentially modulate the binding characteristics of various radioligands of GABA(A) receptors following chronic ethanol administration.
2001 Apr
High-grade prostate cancer is associated with low serum testosterone levels.
2001 Apr
Up-regulation of cyclooxygenase-1 in neuroblastoma cell lines by retinoic acid and corticosteroids.
2001 Apr
Novel assay for determination of androgen bioactivity in human serum.
2001 Apr
Effect of estrogen on serum DHEA in younger and older women and the relationship of DHEA to adiposity and gender.
2001 Apr
Sarcopenia.
2001 Apr
The adrenal and the metabolic syndrome.
2001 Apr
Biochemical screening for subclinical cortisol-secreting adenomas amongst adrenal incidentalomas.
2001 Apr
Leuprolide acetate treatment of adrenocortical disease in ferrets.
2001 Apr 15
cyp7b1 catalyses the 7alpha-hydroxylation of dehydroepiandrosterone and 25-hydroxycholesterol in rat prostate.
2001 Apr 15
Solvent and solid-phase extraction of natural and synthetic anabolic steroids in human urine.
2001 Apr 25
Expression and localization of cytochrome P450 17 alpha-hydroxylase/c17,20-lyase in the avian brain.
2001 Apr 27
DHEA: a novel adjunct for the treatment of male trauma patients.
2001 Feb
Effect of tauroursodeoxycholate and S-adenosyl-L-methionine on 17beta-estradiol glucuronide-induced cholestasis.
2001 Feb
Non-aqueous emulsions: hydrocarbon-formamide systems.
2001 Feb 19
Characteristics of cystic breast disease with special regard to breast cancer development.
2001 Jan-Feb
Ergosteroids IV: synthesis and biological activity of steroid glucuronosides, ethers, and alkylcarbonates.
2001 Jul
Neurosteroid hydroxylase CYP7B: vivid reporter activity in dentate gyrus of gene-targeted mice and abolition of a widespread pathway of steroid and oxysterol hydroxylation.
2001 Jun 29
Circulating plasma leptin and IGF-1 levels in girls with premature adrenarche: potential implications of a preliminary study.
2001 Mar
Exploratory biochemical data analysis: a comparison of two sample means and diagnostic displays.
2001 Mar
Assessment of endocrine status in patients undergoing in-vitro fertilization treatment. Is it necessary?
2001 Mar
Sex hormone-binding globulin as a marker of the effect of hormonal treatment in Turner's syndrome.
2001 Mar
Peroxisomal proliferator-activated ligand therapy for HIV lipodystrophy.
2001 Mar
Memory-enhancing effects of DHEAS in aged mice on a win-shift water escape task.
2001 Mar
Ontogeny of the neurosteroid enzyme Cyp7b in the mouse.
2001 Mar 28
Effect of beta-estradiol on voltage-gated Ca(2+) channels in rat hippocampal neurons: a comparison with dehydroepiandrosterone.
2001 Mar 30
Hormones as antiaging remedies.
2001 Mar-Apr
Adrenal steroids in human prostatic cancer cell lines.
2001 Mar-Apr
Sebocytes are the key regulators of androgen homeostasis in human skin.
2001 May
Regulation of glucocorticoid receptor alpha and beta isoforms and type I 11beta-hydroxysteroid dehydrogenase expression in human skeletal muscle cells: a key role in the pathogenesis of insulin resistance?
2001 May
Identification of extracellular matrix components and their integrin receptors in the human fetal adrenal gland.
2001 May
Dehydroepiandrosterone replacement in women with adrenal insufficiency: effects on body composition, serum leptin, bone turnover, and exercise capacity.
2001 May
Dehydroepiandrosterone inhibits lipopolysaccharide-induced nitric oxide production in BV-2 microglia.
2001 May
Identification and characterization of human organic anion transporter 3 expressing predominantly in the kidney.
2001 May
Dehydroepiandrosterone restores hepatocellular function and prevents liver damage in estrogen-deficient females following trauma and hemorrhage.
2001 May 15
Metabolism of DHEA by cytochromes P450 in rat and human liver microsomal fractions.
2001 May 15
Human oestrogenic 17beta-hydroxysteroid dehydrogenase specificity: enzyme regulation through an NADPH-dependent substrate inhibition towards the highly specific oestrone reduction.
2001 May 15
Serum hormones and the alcohol-breast cancer association in postmenopausal women.
2001 May 2
Anorectic effect of dehydroepiandrosterone combined with dexfenfluramine or thionisoxetine.
2001 May 4
Patents

Sample Use Guides

Administer one INTRAROSA vaginal insert once daily at bedtime, using the provided applicator.
Route of Administration: Vaginal
Dehydroepiandrosterone (DHEA) bound to AR with a Ki of 1 microM, which was associated with AR transcriptional antagonism on both the mouse mammary tumor virus and prostate-specific antigen promoters. DHEA bound to ERalpha and ERbeta, with Ki values of 1.1 and 0.5 microM, respectively. Despite the similar binding affinities, DHEA showed preferential agonism of ERbeta with an EC50 of approximately 200 nm and maximal activation at 1 microM. With ERalpha 30-70% agonism at 5 microM was found.
Substance Class Chemical
Created
by admin
on Sat Jun 26 14:31:36 UTC 2021
Edited
by admin
on Sat Jun 26 14:31:36 UTC 2021
Record UNII
57B09Q7FJR
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
PRASTERONE SULFATE
MART.   WHO-DD  
Common Name English
PRASTERONE SULFATE [WHO-DD]
Common Name English
ANDROST-5-EN-17-ONE, 3-(SULFOOXY)-, (3.BETA.)-
Systematic Name English
PRASTERONE SULPHATE
Common Name English
DEHYDROEPIANDROSTERONE SULFATE
MI  
Common Name English
GENAFLOW
Brand Name English
PRASTERONE SULFATE [MART.]
Common Name English
ANDROST-5-EN-17-ONE, 3.BETA.-HYDROXY-, HYDROGEN SULFATE
Systematic Name English
DEHYDROANDROSTERONE SULFATE
Common Name English
DEHYDROEPIANDROSTERONE SULFATE [MI]
Common Name English
DHEA SULFATE
Common Name English
Classification Tree Code System Code
CFR 21 CFR 862.1245
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 16721-3
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 34282-4
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 76347-4
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 15053-2
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 34280-8
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 2192-3
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 2191-5
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 34281-6
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 2190-7
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 14688-6
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
LOINC 35205-4
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
Code System Code Type Description
DRUG BANK
DB05804
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
PUBCHEM
12594
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
DRUG CENTRAL
4049
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
CAS
651-48-9
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
MERCK INDEX
M4145
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY Merck Index
EPA CompTox
651-48-9
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
EVMPD
SUB34548
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
WIKIPEDIA
DEHYDROEPIANDROSTERONE SULFATE
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
FDA UNII
57B09Q7FJR
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
MESH
D019314
Created by admin on Sat Jun 26 14:31:36 UTC 2021 , Edited by admin on Sat Jun 26 14:31:36 UTC 2021
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
TRANSPORTER -> SUBSTRATE
TRANSPORTER -> INHIBITOR
SALT/SOLVATE -> PARENT
TRANSPORTER -> SUBSTRATE
TRANSPORTER -> SUBSTRATE
Related Record Type Details
PARENT -> METABOLITE
Oral prasterone is sulfated to 5-DHEAS ester in the intestine and liver by sulfotransferases
Related Record Type Details
ACTIVE MOIETY