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Details

Stereochemistry ABSOLUTE
Molecular Formula C27H44O3.H2O
Molecular Weight 434.6517
Optical Activity UNSPECIFIED
Defined Stereocenters 6 / 6
E/Z Centers 2
Charge 0

SHOW SMILES / InChI
Structure of CALCITRIOL MONOHYDRATE

SMILES

O.[H][C@@]1(CC[C@@]2([H])\C(CCC[C@]12C)=C\C=C3\C[C@@H](O)C[C@H](O)C3=C)[C@H](C)CCCC(C)(C)O

InChI

InChIKey=VMBWEMQRTFKRSU-RFHBVEJWSA-N
InChI=1S/C27H44O3.H2O/c1-18(8-6-14-26(3,4)30)23-12-13-24-20(9-7-15-27(23,24)5)10-11-21-16-22(28)17-25(29)19(21)2;/h10-11,18,22-25,28-30H,2,6-9,12-17H2,1,3-5H3;1H2/b20-10+,21-11-;/t18-,22-,23-,24+,25+,27-;/m1./s1

HIDE SMILES / InChI

Molecular Formula C27H44O3
Molecular Weight 416.6365
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 6 / 6
E/Z Centers 2
Optical Activity UNSPECIFIED

Molecular Formula H2O
Molecular Weight 18.0153
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.drugs.com/cdi/calcitriol.html http://www.wikidoc.org/index.php/Calcitriol_(oral)

Trans-calcitriol or Calcitriol Impurity A, is the impurity of Calcitriol. Calcitriol is the hormonally active form of vitamin D, Calcitriol is the active metabolite of vitamin D3 that activates the vitamin D receptor (VDR). Calcitriol Impurity A is the physiologically active form of vitamin D. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (CALCIFEDIOL). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption.

CNS Activity

Curator's Comment: Circulating calcitriol can cross the blood brain barrier to a limited extent, and the brain itself may be able to synthesize calcitriol.

Originator

Curator's Comment: First obtained from chick intestine and designated as metabolite 4B

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ROCALTROL

Approved Use

Predialysis Patients Calcitriol Capsules are indicated in the management of secondary hyperparathyroidism and resultant metabolic bone disease in patients with moderate to severe chronic renal failure (Ccr 15 to 55 mL/min) not yet on dialysis. In children, the creatinine clearance value must be corrected for a surface area of 1.73 square meters. A serum iPTH level of ≥100 pg/mL is strongly suggestive of secondary hyperparathyroidism. Dialysis Patients Calcitriol Capsules are indicated in the management of hypocalcemia and the resultant metabolic bone disease in patients undergoing chronic renal dialysis. In these patients, calcitriol administration enhances calcium absorption, reduces serum alkaline phosphatase levels, and may reduce elevated parathyroid hormone levels and the histological manifestations of osteitis fibrosa cystica and defective mineralization. Hypoparathyroidism Patients Calcitriol Capsules are also indicated in the management of hypocalcemia and its clinical manifestations in patients with postsurgical hypoparathyroidism, idiopathic hypoparathyroidism, and pseudohypoparathyroidism.

Launch Date

2.72159998E11
Preventing
ROCALTROL

Approved Use

Predialysis Patients Calcitriol Capsules are indicated in the management of secondary hyperparathyroidism and resultant metabolic bone disease in patients with moderate to severe chronic renal failure (Ccr 15 to 55 mL/min) not yet on dialysis. In children, the creatinine clearance value must be corrected for a surface area of 1.73 square meters. A serum iPTH level of ≥100 pg/mL is strongly suggestive of secondary hyperparathyroidism. Dialysis Patients Calcitriol Capsules are indicated in the management of hypocalcemia and the resultant metabolic bone disease in patients undergoing chronic renal dialysis. In these patients, calcitriol administration enhances calcium absorption, reduces serum alkaline phosphatase levels, and may reduce elevated parathyroid hormone levels and the histological manifestations of osteitis fibrosa cystica and defective mineralization. Hypoparathyroidism Patients Calcitriol Capsules are also indicated in the management of hypocalcemia and its clinical manifestations in patients with postsurgical hypoparathyroidism, idiopathic hypoparathyroidism, and pseudohypoparathyroidism.

Launch Date

2.72159998E11
Primary
VECTICAL

Approved Use

VECTICAL Ointment is indicated for the topical treatment of mild to moderate plaque psoriasis in adults 18 years and older.

Launch Date

2.72159998E11
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1100 pg/mL
38 μg 3 times / week multiple, oral
dose: 38 μg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PACLITAXEL
CALCITRIOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
73.1799999999999 pg/mL
3 ug/g 2 times / day multiple, topical
dose: 3 ug/g
route of administration: topical
experiment type: multiple
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
75.74 pg/mL
3 ug/g single, topical
dose: 3 ug/g
route of administration: topical
experiment type: single
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
8100 pg × h/mL
38 μg 3 times / week multiple, oral
dose: 38 μg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PACLITAXEL
CALCITRIOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
737.74 pg*h/mL
3 ug/g 2 times / day multiple, topical
dose: 3 ug/g
route of administration: topical
experiment type: multiple
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
764.74 pg*h/mL
3 ug/g single, topical
dose: 3 ug/g
route of administration: topical
experiment type: single
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
549.29 pg*h/mL
3 ug/g 2 times / day multiple, topical
dose: 3 ug/g
route of administration: topical
experiment type: multiple
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
575.12 pg*h/mL
3 ug/g single, topical
dose: 3 ug/g
route of administration: topical
experiment type: single
co-administered:
CALCITRIOL plasma
Homo sapiens
population: unhealthy
age: Adolescents
sex: F+M
food status:
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
25 h
38 μg 3 times / week multiple, oral
dose: 38 μg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PACLITAXEL
CALCITRIOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Calcitriol-mediated hypercalcaemia and increased interleukins in a patient with sarcoid myopathy.
1999
Hypercalcemia-induced renal insufficiency during therapy with dihydrotachysterol.
1999
Hypercalcaemia and hypercalciuria after topical treatment of psoriasis with excessive amounts of calcipotriol.
1999 Jan
Physician-induced hypocalcaemia, nephrocalcinosis, and incomplete distal renal tubular acidosis.
2000 Aug
Calcitriol-induced apoptosis in LNCaP cells is blocked by overexpression of Bcl-2.
2000 Jan
Association of transforming growth factor beta1 genotype with therapeutic response to active vitamin D for postmenopausal osteoporosis.
2000 Mar
1 Alpha,25-dihydroxyvitamin D3 inhibits differentiation, maturation, activation, and survival of dendritic cells leading to impaired alloreactive T cell activation.
2000 Mar 1
The anti-proliferative effect of calcitriol on HL-60 cells is neutralized by uraemic biological fluids.
2001 Feb
Failure of high doses of calcitriol and hypercalcaemia to induce apoptosis in hyperplastic parathyroid glands of azotaemic rats.
2001 Mar
Amphiregulin is a vitamin D3 target gene in squamous cell and breast carcinoma.
2001 Mar 9
1,25-dihydroxyvitamin D3 and retonic acid analogues induce differentiation in breast cancer cells with function- and cell-specific additive effects.
2001 May
Stabilization of hypoxia-inducible factor-1alpha is involved in the hypoxic stimuli-induced expression of vascular endothelial growth factor in osteoblastic cells.
2002 Jan 7
Deletion of deoxyribonucleic acid binding domain of the vitamin D receptor abrogates genomic and nongenomic functions of vitamin D.
2002 Jul
HL60 cells halted in G1 or S phase differentiate normally.
2002 Nov 15
Differentiation of murine melanocyte precursors induced by 1,25-dihydroxyvitamin D3 is associated with the stimulation of endothelin B receptor expression.
2002 Sep
Vitamin D inhibits G1 to S progression in LNCaP prostate cancer cells through p27Kip1 stabilization and Cdk2 mislocalization to the cytoplasm.
2003 Nov 21
DNA microarray analysis of vitamin D-induced gene expression in a human colon carcinoma cell line.
2004 Apr 13
Unique regulation of SOST, the sclerosteosis gene, by BMPs and steroid hormones in human osteoblasts.
2004 Aug
Calcitriol-induced prostate-derived factor: autocrine control of prostate cancer cell growth.
2004 Dec 20
Structural determinants for vitamin D receptor response to endocrine and xenobiotic signals.
2004 Jan
FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis.
2004 Mar
1,25(OH)2D3 inhibits bone marrow adipogenesis in senescence accelerated mice (SAM-P/6) by decreasing the expression of peroxisome proliferator-activated receptor gamma 2 (PPARgamma2).
2004 Mar
Leptin corrects increased gene expression of renal 25-hydroxyvitamin D3-1 alpha-hydroxylase and -24-hydroxylase in leptin-deficient, ob/ob mice.
2004 Mar
Modulation of CYP27B1 and CYP24 mRNA expression in bone is independent of circulating 1,25(OH)2D3 levels.
2005 Apr
Daily or intermittent calcitriol administration during growth hormone therapy in rats with renal failure and advanced secondary hyperparathyroidism.
2005 Apr
Amphiregulin is a novel growth factor involved in normal bone development and in the cellular response to parathyroid hormone stimulation.
2005 Feb 4
Selective activation of vitamin D receptor by lithocholic acid acetate, a bile acid derivative.
2005 Jan
Type 2 iodothyronine selenodeiodinase is expressed throughout the mouse skeleton and in the MC3T3-E1 mouse osteoblastic cell line during differentiation.
2005 Jan
Regulation of renal calcium receptor gene expression by 1,25-dihydroxyvitamin D3 in genetic hypercalciuric stone-forming rats.
2005 May
Androgen receptor signaling and vitamin D receptor action in prostate cancer cells.
2005 Sep 1
Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: The recommended initial dose of Calcitriol Injection, depending on the severity of the hypocalcemia and/or secondary hyperparathyroidism, is 1 mcg (0.02 mcg/kg) to 2 mcg administered intravenously three times weekly, approximately every other day. Doses as small as 0.5 mcg and as large as 4 mcg three times weekly have been used as an initial dose. Apply Calcitriol Ointment to affected areas twice daily, morning and evening. The maximum weekly dose should not exceed 200 grams. Calcitriol Ointment is not for oral, ophthalmic or intravaginal use.
Calcitriol can be administered orally either as a capsule (0.25 mcg or 0.50 mcg) or as an oral solution (1 mcg/mL).
Route of Administration: Other
CYP3A4 mRNA expression in LS180 cells treated with 100 nM of Calcitriol for 6 and 24 h was approximately 80- and 500-fold higher than the control.
Substance Class Chemical
Created
by admin
on Fri Dec 15 18:54:30 UTC 2023
Edited
by admin
on Fri Dec 15 18:54:30 UTC 2023
Record UNII
97SK7L66LH
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CALCITRIOL MONOHYDRATE
Common Name English
(5Z,7E)-9,10-SECOCHOLESTA-5,7,10(19)-TRIENE-1.ALPHA.,3.BETA.,25-TRIOL MONOHYDRATE
Common Name English
Code System Code Type Description
PUBCHEM
71587284
Created by admin on Fri Dec 15 18:54:30 UTC 2023 , Edited by admin on Fri Dec 15 18:54:30 UTC 2023
PRIMARY
CAS
77326-95-5
Created by admin on Fri Dec 15 18:54:30 UTC 2023 , Edited by admin on Fri Dec 15 18:54:30 UTC 2023
PRIMARY
FDA UNII
97SK7L66LH
Created by admin on Fri Dec 15 18:54:30 UTC 2023 , Edited by admin on Fri Dec 15 18:54:30 UTC 2023
PRIMARY
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ANHYDROUS->SOLVATE
PARENT -> SALT/SOLVATE
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ACTIVE MOIETY