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

Details

Stereochemistry ABSOLUTE
Molecular Formula C33H36N2O12.2ClH
Molecular Weight 725.567
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CROMOGLICATE LISETIL HYDROCHLORIDE

SMILES

Cl.Cl.CCOC(=O)C1=CC(=O)C2=C(OCC(COC3=C4C(=O)C=C(OC4=CC=C3)C(=O)OCC)OC(=O)[C@@H](N)CCCCN)C=CC=C2O1

InChI

InChIKey=VZZTWOVKCVPTSM-FJSYBICCSA-N
InChI=1S/C33H36N2O12.2ClH/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;2*1H/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

Molecular Formula ClH
Molecular Weight 36.461
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.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
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
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
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)
n = 45
Health Status: unhealthy
Age Group: 25 years (range: 5-51 years)
Sex: M+F
Population Size: 45
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
Health Status: unhealthy
Condition: mastocytosis
Age Group: adult
Sources:
2 % multiple, ophthalmic
Dose: 2 %
Route: ophthalmic
Route: multiple
Dose: 2 %
Sources:
unhealthy, adult
n = 37
Health Status: unhealthy
Condition: allergic conjunctivitis
Age Group: adult
Population Size: 37
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
Cromolyn sodium suppresses eosinophilic inflammation in patients with aspirin-intolerant asthma.
2001 Aug
Antibacterial activity of apical surface fluid from the human airway cell line Calu-3: pharmacologic alteration by corticosteroids and beta(2)-agonists.
2001 Aug
Asthma symptoms, morbidity, and antiinflammatory use in inner-city children.
2001 Aug
Determination of sodium cromoglycate in human plasma by liquid chromatography-mass spectrometry in the turbo ion spray mode.
2001 Dec 25
[Exercise-induced asthma. The spray belongs in the "athletic shoe"].
2001 Jul 19
Therapy choices beyond antihistamines. Vasomotor rhinitis.
2001 Nov
Effect of specific immunotherapy versus loratadine on serum adhesion molecules.
2001 Oct
Antiallergic/antiasthmatic effect of novel antiallergic hexapeptide-95/220 in various experimental models.
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
In vitro deposition of the respirable fraction of dry powder inhalations determined by laser diffractometry and inertial impaction.
2002 Aug
Inhaled sodium cromoglycate in children with asthma.
2002 Aug
Cause and effect relationship between myocardial mast cell number and matrix metalloproteinase activity.
2002 Aug
24-hour efficacy of once-daily desloratadine therapy in patients with seasonal allergic rhinitis [ISRCTN32042139].
2002 Aug 5
Efficacy and safety of inhaled steroid and cromone treatment in school-age children: a randomized pragmatic pilot study.
2002 Feb
Using case management to increase antiinflammatory medication use among a managed care population with asthma.
2002 Feb
Effects of topical anti-inflammatory and antiallergic eyedrops on prostaglandin E2-induced aqueous flare elevation in pigmented rabbits.
2002 Jul
Water dynamics in channel hydrates investigated using H/D exchange.
2002 Jul 25
Single dose of ketotifen fumarate .025% vs 2 weeks of cromolyn sodium 4% for allergic conjunctivitis.
2002 Jul-Aug
The combination of nebulized sodium cromoglycate and salbutamol in the treatment of moderate-to-severe asthma in children.
2002 Jun
Efficacy and patient satisfaction with cromolyn sodium nasal solution in the treatment of seasonal allergic rhinitis: a placebo-controlled study.
2002 Jun
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
(S)nifty treatment for pollen allergies.
2002 Jun
Balancing safety and efficacy in the treatment of pediatric asthma.
2002 Jun
Generalized bullae in an infant.
2002 Jun
Management of suspected acute viral upper respiratory tract infection in children with intranasal sodium cromoglicate: a randomised controlled trial.
2002 Jun 22
[Exercise-induced asthma. Not a reason to be benched].
2002 Jun 27
Fluticasone for the treatment of symptomatic bronchial asthma in children treated with sodium cromogylate--a prospective, randomised trial.
2002 Jun 28
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
Perinatal immunomodulation.
2002 May
Management of allergic and nonallergic rhinitis.
2002 May
Effect of interventions during acute respiratory syncytial virus bronchiolitis on subsequent long term respiratory morbidity.
2002 May
Ischaemic preconditioning and mast cell histamine release: microdialysis of isolated rat hearts.
2002 May
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
Inhalation and deposition of nebulized sodium cromoglycate in two different particle size distributions in children with asthma.
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
[Enhancing effects of ion-pair complexes on skin permeation of cromolyn in vitro].
2002 Sep
The role of sodium cromolyn in treatment of paraquat-induced pulmonary fibrosis in rat.
2002 Sep
Mast cells mediate the microvascular inflammatory response to systemic hypoxia.
2003 Jan
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 Sat Dec 16 05:27:09 GMT 2023
Edited
by admin
on Sat Dec 16 05:27:09 GMT 2023
Record UNII
W7074H45IM
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CROMOGLICATE LISETIL HYDROCHLORIDE
JAN  
Common Name English
KY556
Code English
N-556
Code English
N556
Code English
KY-556
Code English
CROMOGLICATE LISETIL HYDROCHLORIDE [JAN]
Common Name English
L-LYSINE, 2-((2-(ETHOXYCARBONYL)-4-OXO-4H-1-BENZOPYRAN-5-YL)OXY)-1-(((2-(ETHOXYCARBONYL)-4-OXO-4H-1-BENZOPYRAN-5-YL)OXY)METHYL)ETHYL ESTER, DIHYDROCHLORIDE
Common Name English
Code System Code Type Description
EPA CompTox
DTXSID70149394
Created by admin on Sat Dec 16 05:27:09 GMT 2023 , Edited by admin on Sat Dec 16 05:27:09 GMT 2023
PRIMARY
FDA UNII
W7074H45IM
Created by admin on Sat Dec 16 05:27:09 GMT 2023 , Edited by admin on Sat Dec 16 05:27:09 GMT 2023
PRIMARY
CAS
110816-78-9
Created by admin on Sat Dec 16 05:27:09 GMT 2023 , Edited by admin on Sat Dec 16 05:27:09 GMT 2023
PRIMARY
PUBCHEM
196638
Created by admin on Sat Dec 16 05:27:09 GMT 2023 , Edited by admin on Sat Dec 16 05:27:09 GMT 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE