Details
Stereochemistry | ACHIRAL |
Molecular Formula | C18H24N4O |
Molecular Weight | 312.4094 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CN1N=C(C(=O)N[C@@H]2C[C@@H]3CCC[C@H](C2)N3C)C4=CC=CC=C14
InChI
InChIKey=MFWNKCLOYSRHCJ-BTTYYORXSA-N
InChI=1S/C18H24N4O/c1-21-13-6-5-7-14(21)11-12(10-13)19-18(23)17-15-8-3-4-9-16(15)22(2)20-17/h3-4,8-9,12-14H,5-7,10-11H2,1-2H3,(H,19,23)/t12-,13+,14-
Molecular Formula | C18H24N4O |
Molecular Weight | 312.4094 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.drugbank.ca/drugs/DB00889Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022445s000lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00889
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022445s000lbl.pdf
Granisetron is a selective inhibitor of type 3 serotonergic (5-HT3) receptors. The drug is structurally and pharmacologically related to ondansetron, another selective inhibitor of 5-HT3 receptors. The serontonin 5-HT3 receptors are located on the nerve terminals of the vagus in the periphery, and centrally in the chemoreceptor trigger zone of the area postrema. The temporal relationship between the emetogenic action of emetogenic drugs and the release of serotonin, as well as the efficacy of antiemetic agents suggest that chemotherapeutic agents release serotonin from the enterochromaffin cells of the small intestine by causing degenerative changes in the GI tract. The serotonin then stimulates the vagal and splanchnic nerve receptors that project to the medullary vomiting center, as well as the 5-HT3 receptors in the area postrema, thus initiating the vomiting reflex, causing nausea and vomiting. Granisetron is a potent, selective antagonist of 5-HT3 receptors. The antiemetic activity of the drug is brought about through the inhibition of 5-HT3 receptors present both centrally (medullary chemoreceptor zone) and peripherally (GI tract). This inhibition of 5-HT3 receptors in turn inhibits the visceral afferent stimulation of the vomiting center, likely indirectly at the level of the area postrema, as well as through direct inhibition of serotonin activity within the area postrema and the chemoreceptor trigger zone. Granisetron is used for the prevention of nausea and vomiting associated with initial and repeat courses of emetogenic cancer therapy (including high dose cisplatin), postoperation, and radiation (including total body irradiation and daily fractionated abdominal radiation).
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/9824238
Curator's Comment: The increasing brain/blood concentration ratio of granisetron suggests that granisetron penetrates the blood-brain barrier in rats.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1899 Sources: http://www.drugbank.ca/drugs/DB00889 |
1.45 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | SUSTOL Approved UseSUSTOL is a serotonin-3 (5-HT3) receptor antagonist indicated in combination with other antiemetics in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy (MEC) or anthracycline and cyclophosphamide (AC) combination chemotherapy regimens. Launch Date7.2576002E11 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.948 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22452942 |
10 μg/kg bw single, intravenous dose: 10 μg/kg bw route of administration: Intravenous experiment type: SINGLE co-administered: |
GRANISETRON plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
36.87 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22452942 |
10 μg/kg bw single, intravenous dose: 10 μg/kg bw route of administration: Intravenous experiment type: SINGLE co-administered: |
GRANISETRON plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22452942 |
10 μg/kg bw single, intravenous dose: 10 μg/kg bw route of administration: Intravenous experiment type: SINGLE co-administered: |
GRANISETRON plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Other AEs: Constipation, Headache... Other AEs: Constipation (27.5%) Sources: Headache (17.6%) Leukopenia (15%) Asthenia (6.9%) Abdominal pain (9%) Decreased appetite (5.6%) Anemia (1.3%) Diarrhea (4.3%) Abnormal liver function tests (2.6%) Alopecia (3%) Pain (0.4%) |
160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Other AEs: Headache, Constipation... Other AEs: Headache (13.9%) Sources: Constipation (4.2%) Somnolence (2.4%) Dizziness (1.2%) Dyspepsia (1.8%) Back pain (3%) |
15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Other AEs: Constipation, Diarrhea... Other AEs: Constipation (23.1%) Sources: Diarrhea (15.4%) Headache (30.8%) Fatigue (15.4%) Anorexia (15.4%) Weight loss (7.7%) Dizziness (7.7%) Neutropenia (15.4%) Mucosal inflammation (15.4%) Dyspnea (7.7%) Insomnia (7.7%) Thrombocytopenia (7.7%) Injection site bruising (7.7%) Pain injection site (2.2%) |
1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Other AEs: Pain, Constipation... Other AEs: Pain (10.1%) Sources: Constipation (9.4%) Anemia (9.4%) Headache (8.6%) Fever (7.9%) Abdominal pain (6%) Hepatic enzymes increased (5.6%) Insomnia (4.9%) Bradycardia (4.5%) Dizziness (4.1%) Leukocytosis (3.7%) Anxiety (3.4%) Hypotension (3.4%) Diarrhea (3.4%) Flatulence (3%) Infection (3%) Dyspepsia (3%) Hypertension (2.6%) Urinary tract infection (2.6%) Oliguria (2.2%) Coughing (2.2%) |
40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Other AEs: Headache, Asthenia... Other AEs: Headache (14%) Sources: Asthenia (5%) Somnolence (4%) Diarrhea (4%) Constipation (3%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Pain | 0.4% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Anemia | 1.3% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Leukopenia | 15% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Headache | 17.6% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Abnormal liver function tests | 2.6% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Constipation | 27.5% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Alopecia | 3% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Diarrhea | 4.3% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Decreased appetite | 5.6% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Asthenia | 6.9% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Abdominal pain | 9% | 2 mg 2 times / day multiple, oral Highest studied dose Dose: 2 mg, 2 times / day Route: oral Route: multiple Dose: 2 mg, 2 times / day Sources: |
unhealthy, 50.6 years (range: 23-76 years) n = 233 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 50.6 years (range: 23-76 years) Sex: M+F Population Size: 233 Sources: |
Dizziness | 1.2% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Dyspepsia | 1.8% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Headache | 13.9% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Somnolence | 2.4% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Back pain | 3% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Constipation | 4.2% | 160 ug/kg single, intravenous Highest studied dose Dose: 160 ug/kg Route: intravenous Route: single Dose: 160 ug/kg Co-administed with:: cisplatin(>50 mg/m^2) Sources: |
unhealthy, 54 n = 165 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 54 Sex: M+F Population Size: 165 Sources: |
Anorexia | 15.4% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Diarrhea | 15.4% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Fatigue | 15.4% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Mucosal inflammation | 15.4% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Neutropenia | 15.4% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Pain injection site | 2.2% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Constipation | 23.1% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Headache | 30.8% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Dizziness | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Dyspnea | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Injection site bruising | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Insomnia | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Thrombocytopenia | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Weight loss | 7.7% | 15 mg single, subcutaneous Highest studied dose Dose: 15 mg Route: subcutaneous Route: single Dose: 15 mg Sources: |
unhealthy, 64.3 n = 13 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Age Group: 64.3 Sex: M+F Population Size: 13 Sources: |
Pain | 10.1% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Coughing | 2.2% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Oliguria | 2.2% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Hypertension | 2.6% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Urinary tract infection | 2.6% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Dyspepsia | 3% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Flatulence | 3% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Infection | 3% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Anxiety | 3.4% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Diarrhea | 3.4% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Hypotension | 3.4% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Leukocytosis | 3.7% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Dizziness | 4.1% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Bradycardia | 4.5% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Insomnia | 4.9% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Hepatic enzymes increased | 5.6% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Abdominal pain | 6% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Fever | 7.9% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Headache | 8.6% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Anemia | 9.4% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Constipation | 9.4% | 1 mg single, intravenous Recommended Dose: 1 mg Route: intravenous Route: single Dose: 1 mg Sources: |
unhealthy n = 267 Health Status: unhealthy Condition: nausea and vomiting, postoperative Population Size: 267 Sources: |
Headache | 14% | 40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Constipation | 3% | 40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Diarrhea | 4% | 40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Somnolence | 4% | 40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Asthenia | 5% | 40 ug/kg single, intravenous Recommended Dose: 40 ug/kg Route: intravenous Route: single Dose: 40 ug/kg Sources: |
unhealthy n = 1268 Health Status: unhealthy Condition: nausea and vomiting, chemotherapy-Induced Population Size: 1268 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
The development of a protocol for the use of 5-HT3 antagonists in chemotherapy-induced nausea and vomiting. | 2001 |
|
The efficacy and safety of once-daily Kytril (granisetron hydrochloride) tablets in the prophylaxis of nausea and emesis following fractionated upper abdominal radiotherapy. | 2001 |
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Double-blind comparative trial of oral ondansetron versus oral granisetron versus IV ondansetron in the prevention of nausea and vomiting associated with highly emetogenic preparative regimens prior to stem cell transplantation. | 2001 |
|
[The clinical effect of Tropisetron in the prevention of nausea and vomiting induced by anti-cancer drugs]. | 2001 May |
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Implementing evidence based antiemetic guidelines in the oncology setting: results of a 4-month prospective intervention study. | 2001 Nov |
|
Barostat examination of proximal site of the anastomosis in patients with rectal cancer after low anterior resection. | 2001 Nov |
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[5-HT3 receptors in amygdala mediate neuroimmunomodulation in rats]. | 2001 Oct |
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Effects of lerisetron, a new 5-HT3 receptor antagonist, on ipecacuanha-induced emesis in healthy volunteers. | 2002 |
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Effects of ondansetron, granisetron, ramosetron, and azasetron on human neutrophil functions. | 2002 |
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The cardiotoxic potential of the 5-HT(3) receptor antagonist antiemetics: is there cause for concern? | 2002 |
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Sensitization of enteric reflexes in the rat colon in vitro. | 2002 Apr 18 |
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5-Hydroxytryptamine receptors, especially the 5-HT4 receptor, in guinea pig urinary bladder. | 2002 Aug |
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A 'modified de Gramont' regimen of fluorouracil, alone and with oxaliplatin, for advanced colorectal cancer. | 2002 Aug 12 |
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Ramosetron, a 5-HT3 receptor antagonist for the control of nausea and vomiting. | 2002 Feb |
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Effect of paroxetine on extracellular serotonin and dopamine levels in the prefrontal cortex. | 2002 Feb |
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Phase II multicentre study of docetaxel plus cisplatin in patients with advanced urothelial cancer. | 2002 Feb 1 |
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Preoperative induction chemotherapy with cisplatin and irinotecan for pathological N(2) non-small cell lung cancer. | 2002 Feb 12 |
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Emerging treatments for irritable bowel syndrome. | 2002 Jan |
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Antiemetic effects of granisetron, droperidol and dexamethasone in otologic surgery. | 2002 Jul |
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Irinotecan pharmacokinetics-pharmacodynamics: the clinical relevance of prolonged exposure to SN-38. | 2002 Jul 15 |
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Laxative and anti-diarrheal activity of polycarbophil in mice and rats. | 2002 Jun |
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Involvement of serotonin and nitric oxide in endotoxin-induced gastric motility changes in conscious rats. | 2002 Jun |
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ATP and 5-HT are the principal neurotransmitters in the descending excitatory reflex pathway of the guinea-pig ileum. | 2002 Jun |
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Effectiveness of serotonin-receptor antagonist antiemetic therapy over successive courses of carboplatin-based chemotherapy. | 2002 Jun |
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Preoperative oral granisetron for the prevention of vomiting following paediatric surgery. | 2002 Mar |
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Effect of granisetron on radiation-induced alterations of colonic motility and fluid absorption in rats. | 2002 Mar |
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Novel potent 5-HT(3) receptor ligands based on the pyrrolidone structure: synthesis, biological evaluation, and computational rationalization of the ligand-receptor interaction modalities. | 2002 Mar |
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Clinical evaluation of granisetron as an inhibitor of nausea and vomiting induced by oral anticancer drugs. | 2002 Mar-Apr |
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Gateways to clinical trials. | 2002 May |
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Comparison of granisetron and ramosetron for the prevention of nausea and vomiting after thyroidectomy. | 2002 May |
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Granisetron vs ondansetron: is it a question of duration of 5-HT3 receptor blockade? | 2002 May 20 |
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A dose-finding study of carboplatin-epirubicin-docetaxel in advanced epithelial ovarian cancer. | 2002 May 6 |
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Ramosetron for the prevention of cisplatin-induced acute emesis: a prospective randomized comparison with granisetron. | 2002 May-Jun |
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Comparative study of low-dose oral granisetron plus dexamethasone and high-dose metoclopramide plus dexamethasone in prevention of nausea and vomiting induced by CHOP-therapy in young patients with non-Hodgkin's lymphoma. | 2002 Nov |
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Oral granisetron revisited. | 2002 Nov |
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Motilin regulates interdigestive gastric blood flow in dogs. | 2002 Nov |
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The effect of serotonin and serotonin receptor antagonists on motion sickness in Suncus murinus. | 2002 Nov |
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Phase I study of docetaxel in combination with cyclophosphamide as first-line chemotherapy for metastatic breast cancer. | 2002 Nov 4 |
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Prophylactic antiemetic efficacy of granisetron or ramosetron in patients undergoing thyroidectomy. | 2002 Oct |
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Irinotecan, cisplatin and mitomycin in inoperable gastro-oesophageal and pancreatic cancers - a new active regimen. | 2002 Oct 7 |
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In vivo assessment of acceleration of motor activity associated with acetylcholine release via 5-hydroxytryptamine4 receptor in dog intestine. | 2002 Sep |
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5-HT3-receptor antagonists and the cytochrome P450 system: clinical implications. | 2002 Sep-Oct |
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Combination therapy with granisetron, methylprednisolone and droperidol as an antiemetic prophylaxis in CDDP-induced delayed emesis for gynecologic cancer. | 2003 |
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Severe pruritus in a haemodialysed patient: dramatic improvement with granisetron. | 2003 Feb |
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Effects on muscle pain by intramuscular injection of granisetron in patients with fibromyalgia. | 2003 Feb |
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A randomized double-blind trial to compare the clinical efficacy of granisetron with metoclopramide, both combined with dexamethasone in the prophylaxis of chemotherapy-induced delayed emesis. | 2003 Feb |
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Survival with dacarbazine and fotemustine in newly diagnosed glioblastoma multiforme. | 2003 Feb 24 |
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Granisetron plus dexamethasone versus granisetron alone in the prevention of vomiting induced by conditioning for stem cell transplantation: a prospective randomized study. | 2003 Jan |
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Feasibility of combination chemotherapy with cisplatin and etoposide for haemodialysis patients with lung cancer. | 2003 Jan 13 |
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Pharmacological characterization of the 5-HT1A, 5-HT2 and 5-HT3 receptors in the bovine ciliary muscle. | 2003 Mar 7 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/granisetron.html
IV: 10 mcg/kg over 5 minutes, beginning 30 minutes before initiation of chemotherapy.
Orally: 2 mg, given up to 1 hour before chemotherapy, or 1 mg twice a day (the first dose is given up to 1 hour before chemotherapy, and the second dose is given 12 hours later).
Granisetron transdermal system: Apply a single patch to the upper outer arm a minimum of 24 hours before chemotherapy. The patch may be applied up to a maximum of 48 hours before chemotherapy as appropriate. Remove the patch a minimum of 24 hours after completion of chemotherapy. The patch can be worn for up to 7 days depending on the duration of the chemotherapy regimen. Granisetron transdermal system is a 52 cm2 patch containing 34.3 mg of granisetron. The patch releases 3.1 mg of granisetron per 24 hours for up to 7 days.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/9401783
Granisetron (1 uM) shifted the response curves to mucosally applied 5-HT to the right in a parallel and surmountable manner in the guinea pig isolated ileum.
Substance Class |
Chemical
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LIVERTOX |
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EMA ASSESSMENT REPORTS |
SANCUSO (AUTHORIZED: VOMITTING)
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PRIMARY | RxNorm |
Related Record | Type | Details | ||
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SALT/SOLVATE -> PARENT | |||
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BINDER->LIGAND |
BINDING
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EXCRETED UNCHANGED |
Based on a study with intravenous injection, approximately 12% of the dose is excreted unchanged in the urine of healthy subjects in 48 hours.
AMOUNT EXCRETED
URINE
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TARGET -> INHIBITOR |
IC50
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PARENT |
After both oral and intravenous administration, the metabolite is present at about 10% of that of the parent (Clarke et al., 1994; Boppana, 1995). Assuming similar free fractions, it can be estimated that the metabolite would contribute about 20% of the activity of the parent.
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Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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following patch application |
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