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Details

Stereochemistry ABSOLUTE
Molecular Formula C49H66N10O10S2.2C2H4O2
Molecular Weight 1139.343
Optical Activity UNSPECIFIED
Defined Stereocenters 10 / 10
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of OCTREOTIDE ACETATE

SMILES

CC(O)=O.CC(O)=O.[H][C@]1(NC(=O)[C@H](CCCCN)NC(=O)[C@@H](CC2=CNC3=C2C=CC=C3)NC(=O)[C@H](CC4=CC=CC=C4)NC(=O)[C@H](CSSC[C@H](NC1=O)C(=O)N[C@H](CO)[C@@H](C)O)NC(=O)[C@H](N)CC5=CC=CC=C5)[C@@H](C)O

InChI

InChIKey=QWFYIFWTVZFPRY-LODIGNQBSA-N
InChI=1S/C49H66N10O10S2.2C2H4O2/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;2*1-2(3)4/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);2*1H3,(H,3,4)/t28-,29-,34-,36+,37+,38-,39-,40+,41+,42+;;/m1../s1

HIDE SMILES / InChI

Molecular Formula C49H66N10O10S2
Molecular Weight 1019.239
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 10 / 10
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C2H4O2
Molecular Weight 60.052
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

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

5.9339519E11
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

5.9339519E11
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

5.9339519E11
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
PubMed

PubMed

TitleDatePubMed
Review article: the relative effectiveness of somatostatin and octreotide therapy in pancreatic disease.
1995 Aug
Octreotide long-acting release (LAR). A review of its pharmacological properties and therapeutic use in the management of acromegaly.
1997 Apr
In vivo and in vitro efficacy of octreotide for treatment of enteric cryptosporidiosis.
1998 Feb
Systematic review: the use of somatostatin or octreotide in refractory diarrhoea.
2001 Dec
From somatostatin to octreotide LAR: evolution of a somatostatin analogue.
2009 Dec
Octreotide in chemotherapy induced diarrhoea in colorectal cancer: a review article.
2009 Jul-Sep
Patents

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)
Substance Class Chemical
Created
by admin
on Sat Dec 16 18:23:04 UTC 2023
Edited
by admin
on Sat Dec 16 18:23:04 UTC 2023
Record UNII
75R0U2568I
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
OCTREOTIDE ACETATE
JAN   MART.   MI   ORANGE BOOK   USAN   USP-RS   VANDF   WHO-DD  
USAN  
Official 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 ACETATE (SALT)
Common Name English
OCTREOTIDE ACETATE [USAN]
Common Name English
OCTREOTIDE ACETATE [USP MONOGRAPH]
Common Name English
MYCAPSSA
Brand Name English
SMS-201995-AC
Code English
D-PHENYLALANYL-L-HEMICYSTYL-L-PHENYLALANYL-D-TRYPTOPHYL-L-LYSYL-L-THREONYL-L-HEMICYSTYL-L-THREONINOL CYCLIC (2->7)-DISULFIDE ACETATE (SALT)
Common Name English
SMS 201-995 AC
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*))-, ACETATE (SALT)
Common Name English
D-PHE-CYS-PHE-D-TRP-LYS-THR-CYS-THROL ACETATE (2-7)DISULFIDE
Common Name English
OCTREOTIDE ACETATE [JAN]
Common Name English
OCTREOTIDE (AS ACETATE)
Common Name English
OCTREOTIDE ACETATE [ORANGE BOOK]
Common Name English
D-PHE-CYS-PHE-D-TRP-LYS-THR-CYS-THROL ACETATE (2-7)DISULPHIDE
Common Name English
BYNFEZIA PEN
Brand Name English
OCTREOTIDE ACETATE [MART.]
Common Name English
SANDOSTATIN
Brand Name English
SMS-201-995 AC
Code English
OCTREOLIN
Brand Name English
OCTREOTIDE ACETATE [VANDF]
Common Name English
Octreotide acetate [WHO-DD]
Common Name English
OCTREOTIDE ACETATE [USP-RS]
Common Name English
OCTREOTIDE ACETATE [MI]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C62799
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
FDA ORPHAN DRUG 826221
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
EU-Orphan Drug EU/3/13/1170
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
FDA ORPHAN DRUG 606217
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
FDA ORPHAN DRUG 886622
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
FDA ORPHAN DRUG 286509
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
Code System Code Type Description
DAILYMED
75R0U2568I
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
EPA CompTox
DTXSID601027489
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
CAS
79517-01-4
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
SMS_ID
100000091587
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
CAS
622838-44-2
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
MAJOR COMPONENT STRUCTURE/SEQUENCE
RS_ITEM_NUM
1477604
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
MERCK INDEX
m8121
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY Merck Index
USAN
BB-25
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
CAS
760176-26-9
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
MAJOR COMPONENT STRUCTURE/SEQUENCE
PUBCHEM
155804637
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
ChEMBL
CHEMBL1680
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
NCI_THESAURUS
C53447
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
EVMPD
SUB03490MIG
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
DRUG BANK
DBSALT000130
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
RXCUI
221130
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY RxNorm
FDA UNII
75R0U2568I
Created by admin on Sat Dec 16 18:23:04 UTC 2023 , Edited by admin on Sat Dec 16 18:23:04 UTC 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY