Details
Stereochemistry | ACHIRAL |
Molecular Formula | C18H20O2 |
Molecular Weight | 268.3502 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC\C(C1=CC=C(O)C=C1)=C(\CC)C2=CC=C(O)C=C2
InChI
InChIKey=RGLYKWWBQGJZGM-ISLYRVAYSA-N
InChI=1S/C18H20O2/c1-3-17(13-5-9-15(19)10-6-13)18(4-2)14-7-11-16(20)12-8-14/h5-12,19-20H,3-4H2,1-2H3/b18-17+
Molecular Formula | C18H20O2 |
Molecular Weight | 268.3502 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Optical Activity | NONE |
DescriptionSources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.htmlCurator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Sources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.html
Curator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Diethylstilbestrol is a synthetic non-steroidal estrogen. It is used in the treatment of menopausal and postmenopausal disorders, prostate cancer and in the prevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Diethylstilbestrol is a very potent full agonist of the estrogen receptors. At the cellular level, estrogens increase the synthesis of DNA, RNA, and various proteins in target tissues. Pituitary mass is also increased. Estrogens reduce the release of gonadotropin-releasing hormone from the hypothalamus, leading to a reduction in release of follicle-stimulating hormone and luteinizing hormone from the pituitary. Adverse effects are: breast pain or tenderness, enlargement of breasts, gynecomastia, peripheral edema and others. Estrogens may interfere with the effects of bromocriptine. Dosage adjustment may be needed. Concurrent use with estrogens may alter the metabolism and protein binding of the glucocorticoids, leading to decreased clearance, increased elimination half-life, and increased therapeutic and toxic effects of the glucocorticoids.
Originator
Sources: DOI: 10.1016/0305-7372(84)90049-5https://www.nature.com/articles/141247b0
Curator's Comment: Fosfestrol was developed in the research laboratories of Asta-Werke and introduced in 1952 for the therapy of metastasizing prostatic carcinoma under the name of Honvan.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL206 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.18 nM [EC50] | ||
Target ID: CHEMBL242 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.06 nM [EC50] | ||
Target ID: CHEMBL3429 |
10.0 µM [EC50] | ||
Target ID: CHEMBL3751 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: CHEMBL4245 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: P11474 Gene Symbol: ESRRA Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: O95718 Gene Symbol: ESRRB Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: P62508 Gene Symbol: ESRRG Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Stilphostrol Approved UseUnknown Launch Date1981 |
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Primary | STILBESTROL Approved UseUsed in the treatment of prostate cancer. Launch Date1973 |
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Preventing | STILBESTROL Approved UsePrevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Launch Date1973 |
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Primary | STILBESTROL Approved UseIt is used for the treatment of senile (atrophic) vaginitis. Launch Date1973 |
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Primary | STILBESTROL Approved UseIt is used for the treatment of vulvar dystrophy. Launch Date1973 |
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Primary | STILBESTROL Approved UseOther therapeutic use of diethylstilbestrol was post menopause syndrome. Launch Date1973 |
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Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with amenorrhea. Launch Date1973 |
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Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with female hypogonadism. Launch Date1973 |
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Preventing | STILBESTROL Approved UseDrug is indicated for the prevention of osteoporosis. Launch Date1973 |
Doses
Dose | Population | Adverse events |
---|---|---|
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Disc. AE: Vomiting... AEs leading to discontinuation/dose reduction: Vomiting (1 patient) Sources: |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Disc. AE: Secondary adrenocortical insufficiency... AEs leading to discontinuation/dose reduction: Secondary adrenocortical insufficiency Sources: |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Disc. AE: Toxic reaction (NOS), Toxic reaction (NOS)... AEs leading to discontinuation/dose reduction: Toxic reaction (NOS) (grade 2, 3 patients) Sources: Toxic reaction (NOS) (grade 3, 2 patients) |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
DLT: Nausea and vomiting, Nausea and vomiting... Dose limiting toxicities: Nausea and vomiting (grade 1, 13 patients) Sources: Nausea and vomiting (grade 2, 4 patients) Weight gain (2 patients) Edema (2 patients) |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Other AEs: Hypertension, Gynecomastia... Other AEs: Hypertension (5%) Sources: Gynecomastia (38%) Peripheral edema (32%) Gastrointestinal discomfort (19%) Deep vein thrombosis (8%) Skin rash (5%) Transaminases increased (2%) |
1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Other AEs: Nausea, Bone pain... Other AEs: Nausea (17 patients) Sources: Bone pain (17 patients) Perineal pain (1 patient) Deep vein thrombosis (4 patients) |
4 g 1 times / day multiple, intravenous RP2D Dose: 4 g, 1 times / day Route: intravenous Route: multiple Dose: 4 g, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: prostate cancer Sex: M Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Vomiting | 1 patient Disc. AE |
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Secondary adrenocortical insufficiency | Disc. AE | 600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Toxic reaction (NOS) | grade 2, 3 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Toxic reaction (NOS) | grade 3, 2 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Edema | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Weight gain | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 1, 13 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 2, 4 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Gastrointestinal discomfort | 19% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Transaminases increased | 2% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Peripheral edema | 32% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Gynecomastia | 38% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Hypertension | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Skin rash | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Deep vein thrombosis | 8% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Perineal pain | 1 patient | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Bone pain | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Nausea | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Deep vein thrombosis | 4 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Late effects in the vaginal and cervical epithelia after injections of diethylstilbestrol into neonatal mice. | 1975 Jan 1 |
|
Follow-up study of male and female offspring of DES-treated mothers a preliminary report. | 1975 Jul |
|
Squamous neoplasia of vagina related to DES syndrome. | 1975 May |
|
Induction of urogenital anomalies and some tumors in the progeny of mice receiving diethylstilbestrol during pregnancy. | 1977 Apr |
|
Effects of estrogenic agents on chitobiase activity in the epidermis and hepatopancreas of the fiddler crab, Uca pugilator. | 1999 Feb |
|
Sexual dimorphism in diethylstilbestrol-induced prolactin pituitary tumors in F344 rats. | 2000 Aug |
|
Assaying estrogenicity by quantitating the expression levels of endogenous estrogen-regulated genes. | 2000 May |
|
Estrogen inhibition of cystic fibrosis transmembrane conductance regulator-mediated chloride secretion. | 2000 Oct |
|
Activation of a uterine insulin-like growth factor I signaling pathway by clinical and environmental estrogens: requirement of estrogen receptor-alpha. | 2000 Sep |
|
Cell-transforming activity and estrogenicity of bisphenol-A and 4 of its analogs in mammalian cells. | 2001 Jul 1 |
|
4-Hydroxytamoxifen binds to and deactivates the estrogen-related receptor gamma. | 2001 Jul 17 |
|
Estrogen and xenoestrogens upregulate the brain aromatase isoform (P450aromB) and perturb markers of early development in zebrafish (Danio rerio). | 2001 Jun |
|
Uterine adenocarcinoma in mice treated neonatally with genistein. | 2001 Jun 1 |
|
Oestrogenic potencies of Zeranol, oestradiol, diethylstilboestrol, Bisphenol-A and genistein: implications for exposure assessment of potential endocrine disrupters. | 2001 May |
|
Assessment of oestrogenic potency of chemicals used as growth promoter by in-vitro methods. | 2001 May |
|
Concurrent primaries of vaginal clear cell adenocarcinoma and endometrial adenocarcinoma in a 39-year old woman with in utero diethylstilbestrol exposure. | 2001 May-Jun |
|
Cell response endpoints enhance sensitivity of the immature mouse uterotropic assay. | 2001 May-Jun |
|
Effects of prenatal exposure to low doses of diethylstilbestrol, o,p'DDT, and methoxychlor on postnatal growth and neurobehavioral development in male and female mice. | 2001 Sep |
|
Transcriptional regulation of the estrogen-inducible pS2 breast cancer marker gene by the ERR family of orphan nuclear receptors. | 2001 Sep 15 |
|
Interaction of estrogen mimics, singly and in combination, with plasma sex steroid-binding proteins in rainbow trout (Oncorhynchus mykiss). | 2002 Feb |
|
Characterization of diethylstilbestrol-induced hypospadias in female mice. | 2002 Jan 1 |
|
Relationship between estrogen receptor-binding and estrogenic activities of environmental estrogens and suppression by flavonoids. | 2002 Jul |
|
Cirrhosis with steatohepatitis following longterm stilboestrol treatment. | 2003 Aug |
|
Similarities and differences in uterine gene expression patterns caused by treatment with physiological and non-physiological estrogens. | 2003 Dec |
|
Estrogenic endocrine disruptive components interfere with calcium handling and differentiation of human trophoblast cells. | 2003 Jul 1 |
|
Cytotoxic and xenoestrogenic effects via biotransformation of trans-anethole on isolated rat hepatocytes and cultured MCF-7 human breast cancer cells. | 2003 Jul 1 |
|
Update on cryptorchidism: endocrine, environmental and therapeutic aspects. | 2003 Jun |
|
Differential expression of c-fos and c-myc protooncogenes by estrogens, xenobiotics and other growth-stimulatory agents in primary rat hepatocytes. | 2003 Mar |
|
Prenatal exposure to estrogenic compounds alters the expression pattern of platelet-derived growth factor receptors alpha and beta in neonatal rat testis: identification of gonocytes as targets of estrogen exposure. | 2003 Mar |
|
Quantitative structure-activity relationships for estrogen receptor binding affinity of phenolic chemicals. | 2003 Mar |
|
Autocrine/paracrine action of pituitary vasoactive intestinal peptide on lactotroph hyperplasia induced by estrogen. | 2003 Oct |
|
Combined effects of tumor promoters and serum on proliferin mRNA induction: a biomarker sensitive to saccharin, 2,3,7,8-TCDD, and other compounds at minimal concentrations promoting C3H/10T1/2 cell transformation. | 2003 Oct 24 |
|
Sulfonation of environmental estrogens by zebrafish cytosolic sulfotransferases. | 2003 Sep 12 |
|
Neonatal estrogenization leads to increased expression of cellular retinol binding protein 2 in the mouse reproductive tract. | 2004 Apr |
|
Identification of estrogen-responsive genes by complementary deoxyribonucleic acid microarray and characterization of a novel early estrogen-induced gene: EEIG1. | 2004 Feb |
|
Long-term alteration of gene expression without morphological change in testis after neonatal exposure to genistein in mice: toxicogenomic analysis using cDNA microarray. | 2004 Mar |
|
Diethylstilbestrol induces fish oocyte maturation. | 2004 Mar 9 |
Patents
Sample Use Guides
In Vivo Use Guide
Curator's Comment: Intravenous: Initial: 600-1,200 mg/day via slow injection for 5-10 days, then 300 mg/day for 10-20 days.
360-480 mg 3 times/day. Maintenance: 120-240 mg 3 times/day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.karger.com/Article/Abstract/281424
Curator's Comment: There was exposed three prostatic carcinoma cell lines (LNCaP, DU 145, and PC-3), three non-prostatic neoplastic cell lines (KB: epidermoid carcinoma, EJ: Bladder carcinoma, Daudi: Burkitt lymphoma), and one non-transformed embryonic fibroblast line (MRC-5) to diethylstilbestrol (DES), DES monophosphate, and DES diphosphate (DESDP), at levels comparable to those occurring in patients’ sera during DESDP infusions. At concentrations of 1–20 µg/ml the drugs showed marked, dose-dependent cytotoxicity towards all cell lines under study.
1–20 µg/ml
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 16:35:47 GMT 2023
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Record UNII |
731DCA35BT
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Record Status |
Validated (UNII)
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Record Version |
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WHO-VATC |
QG03CC05
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WHO-VATC |
QL02AA01
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CFR |
21 CFR 530.41
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NCI_THESAURUS |
C2182
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IARC | Diethylstilbestrol | ||
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WHO-ATC |
L02AA01
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WHO-ATC |
G03CB02
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WHO-VATC |
QG03CB02
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WHO-ATC |
G03CC05
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100000085041
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3070
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CHEMBL411
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388
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m4418
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DIETHYLSTILBESTROL
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C433
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D004054
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3390
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DB00255
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