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Chemistry

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Also known as: Velcalcetide, Parsabiv, 1262780-97-1, Kai-4169, Amg-416, Telcalcetide
Molecular Formula
C38H73N21O10S2
Molecular Weight
1048.3  g/mol
InChI Key
ANIAZGVDEUQPRI-ZJQCGQFWSA-N
FDA UNII
60ME133FJB

Etelcalcetide
Etelcalcetide is a calcimimetic and calcium-sensing receptor (CaSR) agonist composed of a synthetic peptide comprised of seven D-amino acids that can be used to treat secondary hyperparathyroidism (sHPT) in hemodialysis patients with chronic kidney disease (CKD). Upon intravenous administration, etelcalcetide mimics calcium and allosterically binds to and activates the CaSR expressed by the parathyroid gland. This suppresses the synthesis and secretion of parathyroid hormone (PTH), thereby reducing PTH levels and lowering serum calcium and phosphorus levels. Elevated PTH is often observed in patients with CKD and is associated with dysregulated calcium-phosphate homeostasis.
Etelcalcetide is a Calcium-sensing Receptor Agonist. The mechanism of action of etelcalcetide is as an Increased Calcium-sensing Receptor Sensitivity.
1 2D Structure

Etelcalcetide

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(2R)-3-[[(2S)-2-acetamido-3-[[(2R)-1-[[(2R)-1-[[(2R)-1-[[(2R)-1-[[(2R)-1-[[(2R)-1-amino-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-1-oxopropan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-1-oxopropan-2-yl]amino]-3-oxopropyl]disulfanyl]-2-aminopropanoic acid
2.1.2 InChI
InChI=1S/C38H73N21O10S2/c1-18(28(62)56-22(27(40)61)8-4-12-49-35(41)42)53-30(64)23(9-5-13-50-36(43)44)58-32(66)25(11-7-15-52-38(47)48)59-31(65)24(10-6-14-51-37(45)46)57-29(63)19(2)54-33(67)26(55-20(3)60)17-71-70-16-21(39)34(68)69/h18-19,21-26H,4-17,39H2,1-3H3,(H2,40,61)(H,53,64)(H,54,67)(H,55,60)(H,56,62)(H,57,63)(H,58,66)(H,59,65)(H,68,69)(H4,41,42,49)(H4,43,44,50)(H4,45,46,51)(H4,47,48,52)/t18-,19-,21+,22-,23-,24-,25-,26-/m1/s1
2.1.3 InChI Key
ANIAZGVDEUQPRI-ZJQCGQFWSA-N
2.1.4 Canonical SMILES
CC(C(=O)NC(CCCN=C(N)N)C(=O)N)NC(=O)C(CCCN=C(N)N)NC(=O)C(CCCN=C(N)N)NC(=O)C(CCCN=C(N)N)NC(=O)C(C)NC(=O)C(CSSCC(C(=O)O)N)NC(=O)C
2.1.5 Isomeric SMILES
C[C@H](C(=O)N[C@H](CCCN=C(N)N)C(=O)N)NC(=O)[C@@H](CCCN=C(N)N)NC(=O)[C@@H](CCCN=C(N)N)NC(=O)[C@@H](CCCN=C(N)N)NC(=O)[C@@H](C)NC(=O)[C@@H](CSSC[C@@H](C(=O)O)N)NC(=O)C
2.2 Other Identifiers
2.2.1 UNII
60ME133FJB
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Amg 416

2. Amg-416

3. Etelcalcetide Hydrochloride

4. Kai-4169

5. Parsabiv

6. Velcalcetide

2.3.2 Depositor-Supplied Synonyms

1. Velcalcetide

2. Parsabiv

3. 1262780-97-1

4. Kai-4169

5. Amg-416

6. Telcalcetide

7. 60me133fjb

8. Ono-5163

9. D-argininamide, N-acetyl-d-cysteinyl-d-alanyl-d-arginyl-d-arginyl-d-arginyl-d-alanyl-, Disulfide With L-cysteine

10. Etelcalcetide [usan:inn]

11. Unii-60me133fjb

12. Kai 4169

13. Amg416

14. Etelcalcetide [mi]

15. Etelcalcetide [inn]

16. Etelcalcetide (usan/inn)

17. Etelcalcetide [usan]

18. Etelcalcetide [who-dd]

19. Gtpl8375

20. Chembl3545184

21. Schembl21982605

22. Dtxsid70155132

23. Chebi:134700

24. Etelcalcetide [orange Book]

25. Hy-p1955

26. Akos037648615

27. Etelcalcetide Hydrochloride(amg-416)

28. Db12865

29. Bs-14875

30. Cs-0030931

31. J3.559.823e

32. D10676

33. D71178

34. Q21098973

35. N-acetyl-d-cysteinyl-d-alanyl-d-arginyl-d-arginyl-d-arginyl-d-alanyl-d-argininamide Disulfide With L-cysteine

36. S-(((s)-2-acetamido-3-(((r)-1-(((r)-1-(((r)-1-(((r)-1-(((r)-1-(((r)-1-amino-5-guanidino-1-oxopentan-2-yl)amino)-1-oxopropan-2-yl)amino)-5-guanidino-1-oxopentan-2-yl)amino)-5-guanidino-1-oxopentan-2-yl)amino)-5-guanidino-1-oxopentan-2-yl)amino)-1-oxopropan-2-yl)amino)-3-oxopropyl)thio)-l-cysteine

2.4 Create Date
2013-06-10
3 Chemical and Physical Properties
Molecular Weight 1048.3 g/mol
Molecular Formula C38H73N21O10S2
XLogP3-10.7
Hydrogen Bond Donor Count18
Hydrogen Bond Acceptor Count17
Rotatable Bond Count36
Exact Mass1047.52906996 g/mol
Monoisotopic Mass1047.52906996 g/mol
Topological Polar Surface Area618 Ų
Heavy Atom Count71
Formal Charge0
Complexity1910
Isotope Atom Count0
Defined Atom Stereocenter Count8
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 1  
Drug NamePARSABIV
Active IngredientETELCALCETIDE
CompanyKAI PHARMS INC (Application Number: N208325. Patents: 8377880, 8999932, 9278995, 9701712, 9820938)

4.2 Drug Indication

Etelcalcetide is a calcium-sensing receptor agonist indicated for: Secondary hyperparathyroidism (HPT) in adult patients with chronic kidney disease (CKD) on hemodialysis.


Parsabiv is indicated for the treatment of secondary hyperparathyroidism (SHPT) in adult patients with chronic kidney disease (CKD) on haemodialysis therapy.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Following a single intravenous bolus administration of etelcalcetide, PTH levels decreased within 30 minutes post dose. In the single-dose study, the extent and duration of the reduction in PTH increased with increasing dose. Reduction in PTH levels correlated with plasma etelcalcetide concentrations in hemodialysis patients. The reduction in PTH resulted in reductions in calcium and attenuation of post-dialytic phosphate elevation. The effect of reducing PTH levels was maintained throughout the 6-month dosing period when etelcalcetide was administered by intravenous bolus three times a week.


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
ETELCALCETIDE
5.2.2 FDA UNII
60ME133FJB
5.2.3 Pharmacological Classes
Increased Calcium-sensing Receptor Sensitivity [MoA]; Calcium-sensing Receptor Agonist [EPC]
5.3 ATC Code

H05BX04


H05BX04

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


H - Systemic hormonal preparations, excl. sex hormones and insulins

H05 - Calcium homeostasis

H05B - Anti-parathyroid agents

H05BX - Other anti-parathyroid agents

H05BX04 - Etelcalcetide


5.4 Absorption, Distribution and Excretion

Absorption

The pharmacokinetics of etelcalcetide is linear and does not change over time following single (5 to 60 mg) and multiple intravenous doses (2.5 to 20 mg) in chronic kidney disease patients with secondary hyperparathyroidism requiring hemodialysis. Etelcalcetide exhibited tri-exponential decay following intravenous administration. Based on population pharmacokinetic analysis, following three times a week intravenous dosing at the end of each 3- to 6-hour hemodialysis session in chronic kidney disease patients, etelcalcetide plasma levels reached steady state in 7-8 weeks after dosing with a predicted accumulation ratio of 3- to 4-fold


Route of Elimination

Etelcalcetide is cleared by renal excretion


Volume of Distribution

796 L


Clearance

7.66 L/hr


5.5 Metabolism/Metabolites

Etelcalcetide is not metabolized by CYP450 enzymes. Etelcalcetide is biotransformed in blood by reversible disulfide exchange with endogenous thiols to predominantly form conjugates with serum albumin. Following a single radiolabeled dose of etelcalcetide in chronic kidney disease patients with secondary hyperparathyroidism requiring hemodialysis, the plasma exposure of biotransformation products is approximately 5-fold higher than that of etelcalcetide and their concentration-time course parallels that of etelcalcetide.


5.6 Biological Half-Life

3 to 4 days


5.7 Mechanism of Action

Etelcalcetide is a calcimimetic agent that allosterically modulates the calcium-sensing receptor (CaSR). Etelcalcetide binds to the CaSR and enhances activation of the receptor by extracellular calcium. Activation of the CaSR on parathyroid chief cells decreases PTH secretion.


API Reference Price

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29-Jan-2022
17-Oct-2023
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ABOUT THIS PAGE

Etelcalcetide Manufacturers

A Etelcalcetide manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Etelcalcetide, including repackagers and relabelers. The FDA regulates Etelcalcetide manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Etelcalcetide API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Etelcalcetide manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Etelcalcetide Suppliers

A Etelcalcetide supplier is an individual or a company that provides Etelcalcetide active pharmaceutical ingredient (API) or Etelcalcetide finished formulations upon request. The Etelcalcetide suppliers may include Etelcalcetide API manufacturers, exporters, distributors and traders.

click here to find a list of Etelcalcetide suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Etelcalcetide USDMF

A Etelcalcetide DMF (Drug Master File) is a document detailing the whole manufacturing process of Etelcalcetide active pharmaceutical ingredient (API) in detail. Different forms of Etelcalcetide DMFs exist exist since differing nations have different regulations, such as Etelcalcetide USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Etelcalcetide DMF submitted to regulatory agencies in the US is known as a USDMF. Etelcalcetide USDMF includes data on Etelcalcetide's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Etelcalcetide USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Etelcalcetide suppliers with USDMF on PharmaCompass.

Etelcalcetide NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Etelcalcetide as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Etelcalcetide API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Etelcalcetide as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Etelcalcetide and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Etelcalcetide NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Etelcalcetide suppliers with NDC on PharmaCompass.

Etelcalcetide GMP

Etelcalcetide Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Etelcalcetide GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Etelcalcetide GMP manufacturer or Etelcalcetide GMP API supplier for your needs.

Etelcalcetide CoA

A Etelcalcetide CoA (Certificate of Analysis) is a formal document that attests to Etelcalcetide's compliance with Etelcalcetide specifications and serves as a tool for batch-level quality control.

Etelcalcetide CoA mostly includes findings from lab analyses of a specific batch. For each Etelcalcetide CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Etelcalcetide may be tested according to a variety of international standards, such as European Pharmacopoeia (Etelcalcetide EP), Etelcalcetide JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Etelcalcetide USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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