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Details

Stereochemistry ABSOLUTE
Molecular Formula C33H36N2O12
Molecular Weight 652.6451
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CROMOGLICATE LISETIL

SMILES

CCOC(=O)C1=CC(=O)C2=C(O1)C=CC=C2OCC(COC3=CC=CC4=C3C(=O)C=C(O4)C(=O)OCC)OC(=O)[C@@H](N)CCCCN

InChI

InChIKey=NGJJDHCBOKNREV-FQEVSTJZSA-N
InChI=1S/C33H36N2O12/c1-3-41-32(39)27-15-21(36)29-23(10-7-12-25(29)46-27)43-17-19(45-31(38)20(35)9-5-6-14-34)18-44-24-11-8-13-26-30(24)22(37)16-28(47-26)33(40)42-4-2/h7-8,10-13,15-16,19-20H,3-6,9,14,17-18,34-35H2,1-2H3/t20-/m0/s1

HIDE SMILES / InChI

Molecular Formula C33H36N2O12
Molecular Weight 652.6451
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including: https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/090954s000lbl.pdf |http://www.rxlist.com/crolom-drug.htm | https://www.ncbi.nlm.nih.gov/pubmed/8809432

Cromolyn is a mast cell stabilizer. In vitro and in vivo animal studies have shown that cromolyn sodium inhibits the degranulation of sensitized mast cells, which occurs after exposure to specific antigens. Cromolyn sodium acts by inhibiting the release of histamine and SRS-A (slow-reacting substance of anaphylaxis) from the mast cell. Cromolyn is indicated in the management of patients with mastocytosis, prophylaxis (long-term control) of bronchial asthma, prevention of exercise-induced bronchospasm, prevention and treatment of seasonal and perennial allergic rhinitis The most frequently reported adverse reactions attributed to cromolyn sodium treatment were: throat irritation or dryness, bad taste, cough, wheeze, nausea.

CNS Activity

Sources: www.ncbi.nlm.nih.gov/pubmed/19004805https://www.ncbi.nlm.nih.gov/pubmed/8809432

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
CROMOLYN SODIUM

Approved Use

GASTROCROM is indicated in the management of patients with mastocytosis. Use of this product has been associated with improvement in diarrhea, flushing, headaches, vomiting, urticaria, abdominal pain, nausea, and itching in some patients.

Launch Date

1994
Preventing
CROMOLYN SODIUM

Approved Use

Cromolyn sodium is a prophylactic agent indicated in the management of patients with bronchial asthma.

Launch Date

1994
Palliative
CROMOLYN SODIUM

Approved Use

Cromolyn sodium is used to prevent and relieve nasal symptoms of hay fever and other nasal allergies.

Launch Date

1994
Primary
CROMOLYN SODIUM

Approved Use

Cromolyn sodium ophthalmic solution is indicated in the treatment of vernal keratoconjunctivitis, vernal conjunctivitis, and vernal keratitis.

Launch Date

1994
Preventing
CROMOLYN SODIUM

Approved Use

To help prevent asthma attacks.

Launch Date

1994
Preventing
NASALCROM

Approved Use

To prevent and relieve nasal symptoms of hay fever and other nasal allergies

Launch Date

1997
Palliative
OPTREX

Approved Use

Optrex is used for the prevention and treatment of eye allergies.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
46.69 ng/mL
17.1 mg single, respiratory
dose: 17.1 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
96.75 ng/mL
34.2 mg single, respiratory
dose: 34.2 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
0.24 ng/mL
17.1 mg single, respiratory
dose: 17.1 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN cerebrospinal fluid
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
0.34 ng/mL
34.2 mg single, respiratory
dose: 34.2 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN cerebrospinal fluid
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
156 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
236 ng/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
338 ng × h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
526 ng × h/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.8 h
17.1 mg single, respiratory
dose: 17.1 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
1.8 h
34.2 mg single, respiratory
dose: 34.2 mg
route of administration: Respiratory
experiment type: SINGLE
co-administered: IBUPROFEN
CROMOLYN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
62.4 mg 1 times / day multiple, intranasal
Dose: 62.4 mg, 1 times / day
Route: intranasal
Route: multiple
Dose: 62.4 mg, 1 times / day
Sources:
unhealthy, 25 years (range: 5-51 years)
Health Status: unhealthy
Age Group: 25 years (range: 5-51 years)
Sex: M+F
Sources:
200 mg 4 times / day multiple, oral
Recommended
Dose: 200 mg, 4 times / day
Route: oral
Route: multiple
Dose: 200 mg, 4 times / day
Sources:
unhealthy, adult
2 % multiple, ophthalmic
Dose: 2 %
Route: ophthalmic
Route: multiple
Dose: 2 %
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Pro-drugs for the oral delivery of disodium cromoglycate.
1988 Jan
[Effects of orally available prodrug of cromoglycic acid on collagen-induced arthritis mice].
1999 Oct
[A sniffing child].
2001
Ultrasonic nebulization system for respiratory drug delivery.
2001
The major role of peripheral release of histamine and 5-hydroxytryptamine in formalin-induced nociception.
2001
Comparative functional characterization of mouse bone marrow-derived mast cells and peritoneal mast cells in response to non-immunological stimuli.
2001 Apr
Mechanism of airway hyperresponsiveness to adenosine induced by allergen challenge in actively sensitized Brown Norway rats.
2001 Apr
Management of asthma in children.
2001 Apr 1
Asthma symptoms, morbidity, and antiinflammatory use in inner-city children.
2001 Aug
Reasons for and costs of hospitalization for pediatric asthma: a prospective 1-year follow-up in a population-based setting.
2001 Dec
[Antioxidant effects of mast cell inhibitors in a human conjunctival cell line].
2001 Feb
Role of mast cells in zymosan-induced peritoneal inflammation in Balb/c and mast cell-deficient WBB6F1 mice.
2001 Jan
A novel pharmacologic action of glucocorticosteroids on leukotriene C4 catabolism.
2001 Jul
Asthma in the hospitalized obstetrical patient.
2001 Jun
Role of mast cells in antigen-induced airway inflammation and bronchial hyperresponsiveness in rats.
2001 Mar
Tear tryptase in vernal keratoconjunctivitis.
2001 Mar
Comparison of the cost-effectiveness of budesonide and sodium cromoglycate in the management of childhood asthma in everyday clinical practice.
2001 May
Therapy choices beyond antihistamines. Vasomotor rhinitis.
2001 Nov
[Sodium cromoglycate in the treatment of food hypersensitivity in children under 3 years of age].
2001 Sep
Inhaled sodium cromoglycate in the management of asthma: should it be consigned to history?
2001 Sep
The importance of control in asthma management: do leukotriene receptor antagonists meet patient and physician needs?
2001 Sep-Oct
Topical treatment of pyoderma gangraenosum.
2002
Efficacy and safety of inhaled steroid and cromone treatment in school-age children: a randomized pragmatic pilot study.
2002 Feb
Medical management of Cronkhite-Canada syndrome.
2002 Feb
From khellin to sodium cromoglycate--a tribute to the work of Dr. R. E. C. Altounyan (1922-1987).
2002 Jan
Assessment of the relationship between hyperalgesia and peripheral inflammation in magnesium-deficient rats.
2002 Jan 18
Single dose of ketotifen fumarate .025% vs 2 weeks of cromolyn sodium 4% for allergic conjunctivitis.
2002 Jul-Aug
Improved strategies and new treatment options for allergic rhinitis.
2002 Jun
Allergic rhinitis remains an important disease.
2002 Jun
One-year trial on safety and normal linear growth with flunisolide HFA in children with asthma.
2002 Jun
Effects of budesonide inhalation suspension on hypothalamic-pituitary-adrenal-axis function in infants and young children with persistent asthma.
2002 Mar
Inhaled sodium cromoglycate in children with asthma.
2002 Mar
The effect of disodium cromoglycate, budesonide, and cyclosporin A on interleukin-4, interleukin-5, and interleukin-13 secretions in Der p I-stimulated T cells from house dust mite-sensitive atopic and nonatopic individuals.
2002 Mar-Apr
Floating a metered-dose inhaler is not an accurate measure of remaining medicine.
2002 May
Relative lung and systemic bioavailability of sodium cromoglycate inhaled products using urinary drug excretion post inhalation.
2002 May
Nebulized budesonide inhalation suspension compared with cromolyn sodium nebulizer solution for asthma in young children: results of a randomized outcomes trial.
2002 May
Airway hyperresponsiveness to adenosine induced by lipopolysaccharide in Brown Norway rats.
2002 May
Long-term management of asthma in children: effectiveness of inhaled corticosteroids compared to other medications.
2002 Nov
A comparison of the efficacy and tolerability of olopatadine hydrochloride 0.1% ophthalmic solution and cromolyn sodium 2% ophthalmic solution in seasonal allergic conjunctivitis.
2002 Oct
Sodium cromoglycate and doxantrazole are oxygen radical scavengers.
2002 Oct
Mast cells as a target of rheumatoid arthritis treatment.
2002 Sep
Patents

Sample Use Guides

Two metered inhalations four times daily at regular intervals (asthma).
Route of Administration: Respiratory
In Vitro Use Guide
Cromoglycate (the active component of cromoglicate lisetil) significantly inhibits histamine release from lung and tonsillar mast cells at 1000 uM.
Substance Class Chemical
Created
by admin
on Wed Apr 02 06:53:37 GMT 2025
Edited
by admin
on Wed Apr 02 06:53:37 GMT 2025
Record UNII
VOZ07VZP8G
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
Cromoglicate lisetil [WHO-DD]
Preferred Name English
CROMOGLICATE LISETIL
INN   WHO-DD  
INN  
Official Name English
cromoglicate lisetil [INN]
Common Name English
DIETHYL 5,5'-((2-HYDROXYTRIMETHYLENE)DIOXY)BIS(4-OXO-4H-1-BENZOPYRAN-2-CARBOXYLATE), ESTER WITH L-LYSINE
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29714
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
Code System Code Type Description
PUBCHEM
196639
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
ChEMBL
CHEMBL2105843
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
EPA CompTox
DTXSID5057620
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
INN
7281
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
FDA UNII
VOZ07VZP8G
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
EVMPD
SUB06824MIG
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
NCI_THESAURUS
C77516
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
CAS
110816-79-0
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
SMS_ID
100000083720
Created by admin on Wed Apr 02 06:53:37 GMT 2025 , Edited by admin on Wed Apr 02 06:53:37 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
Related Record Type Details
METABOLITE ACTIVE -> PRODRUG
Related Record Type Details
ACTIVE MOIETY