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Chemistry

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Also known as: Som 230, Som-230, Som230, 396091-73-9, Pasireotide free base, Chebi:72312
Molecular Formula
C58H66N10O9
Molecular Weight
1047.2  g/mol
InChI Key
VMZMNAABQBOLAK-DBILLSOUSA-N
FDA UNII
98H1T17066

Pasireotide
Pasireotide is a synthetic long-acting cyclic peptide with somatostatin-like activity. Pasireotide activates a broad spectrum of somatostatin receptors, exhibiting a much higher binding affinity for somatostatin receptors 1, 3, and 5 than octreotide in vitro, as well as a comparable binding affinity for somatostatin receptor 2. This agent is more potent than somatostatin in inhibiting the release of human growth hormone (HGH), glucagon, and insulin.
Pasireotide is a Somatostatin Analog. The mechanism of action of pasireotide is as a Somatostatin Receptor Agonist.
1 2D Structure

Pasireotide

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
[(3S,6S,9S,12R,15S,18S,20R)-9-(4-aminobutyl)-3-benzyl-12-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-15-phenyl-6-[(4-phenylmethoxyphenyl)methyl]-1,4,7,10,13,16-hexazabicyclo[16.3.0]henicosan-20-yl] N-(2-aminoethyl)carbamate
2.1.2 InChI
InChI=1S/C58H66N10O9/c59-27-13-12-22-46-52(69)64-47(30-38-23-25-42(26-24-38)76-36-39-16-6-2-7-17-39)53(70)66-49(31-37-14-4-1-5-15-37)57(74)68-35-43(77-58(75)61-29-28-60)33-50(68)55(72)67-51(40-18-8-3-9-19-40)56(73)65-48(54(71)63-46)32-41-34-62-45-21-11-10-20-44(41)45/h1-11,14-21,23-26,34,43,46-51,62H,12-13,22,27-33,35-36,59-60H2,(H,61,75)(H,63,71)(H,64,69)(H,65,73)(H,66,70)(H,67,72)/t43-,46+,47+,48-,49+,50+,51+/m1/s1
2.1.3 InChI Key
VMZMNAABQBOLAK-DBILLSOUSA-N
2.1.4 Canonical SMILES
C1C(CN2C1C(=O)NC(C(=O)NC(C(=O)NC(C(=O)NC(C(=O)NC(C2=O)CC3=CC=CC=C3)CC4=CC=C(C=C4)OCC5=CC=CC=C5)CCCCN)CC6=CNC7=CC=CC=C76)C8=CC=CC=C8)OC(=O)NCCN
2.1.5 Isomeric SMILES
C1[C@H](CN2[C@@H]1C(=O)N[C@H](C(=O)N[C@@H](C(=O)N[C@H](C(=O)N[C@H](C(=O)N[C@H](C2=O)CC3=CC=CC=C3)CC4=CC=C(C=C4)OCC5=CC=CC=C5)CCCCN)CC6=CNC7=CC=CC=C76)C8=CC=CC=C8)OC(=O)NCCN
2.2 Other Identifiers
2.2.1 UNII
98H1T17066
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Cyclo((4r)-4-(2-aminoethylcarbamoyloxy)-l-prolyl-l-phenylglycyl-d-tryptophyl-l-lysyl-4-o-benzyl-l-tyrosyl-l-phenylalanyl-)

2. Som 230

3. Som-230

4. Som230

2.3.2 Depositor-Supplied Synonyms

1. Som 230

2. Som-230

3. Som230

4. 396091-73-9

5. Pasireotide Free Base

6. Chebi:72312

7. Signifor Lar

8. Chembl3349607

9. 396091-73-9 (free Base)

10. 98h1t17066

11. Pasireotide Diaspartate

12. Cyclo((4r)-4-(2-aminoethylcarbamoyloxy)-l-prolyl-l-phenylglycyl-d-tryptophyl-l-lysyl-4-o-benzyl-l-tyrosyl-l- Phenylalanyl-)

13. Cyclo((4r)-4-(2-aminoethylcarbamoyloxy)-l-prolyl-l-phenylglycyl-d-tryptophyl-l-lysyl-4-o-benzyl-l-tyrosyl-l-phenylalanyl-)

14. (3s,6r,9s,12s,15s,19r,20as)-6-((1h-indol-3-yl)methyl)-9-(4-aminobutyl)-15-benzyl-12-(4-(benzyloxy)benzyl)-1,4,7,10,13,16-hexaoxo-3-phenylicosahydropyrrolo[1,2-a][1,4,7,10,13,16]hexaazacyclooctadecin-19-yl (2-aminoethyl)carbamate

15. Cyclo[(2s)-2-phenylglycyl-d-tryptophyl-l-lysyl-o-benzyl-l-tyrosyl-l-phenylalanyl-(4r)-4-{[(2-aminoethyl)carbamoyl]oxy}-l-prolyl]

16. Pasireotide [inn]

17. Pasireotide [usan]

18. Pasireotide [usan:inn]

19. Pasireotida

20. Pasireotidum

21. Unii-98h1t17066

22. Pasireotide [mi]

23. Pasireotide [vandf]

24. Pasireotide [mart.]

25. Pasireotide [who-dd]

26. Gtpl2018

27. Schembl12462108

28. Som 320

29. Bdbm50474236

30. Db06663

31. Ncgc00378682-03

32. Hy-16381

33. Q3896970

34. [(3s,6s,9s,12r,15s,18s,20r)-9-(4-aminobutyl)-12-(1h-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-15-phenyl-6-[[4-(phenylmethoxy)phenyl]methyl]-3-(phenylmethyl)-1,4,7,10,13,16-hexazabicyclo[16.3.0]henicosan-20-yl] N-(2-aminoethyl)carbamate

35. [(3s,6s,9s,12r,15s,18s,20r)-9-(4-aminobutyl)-3-benzyl-12-(1h-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-15-phenyl-6-[(4-phenylmethoxyphenyl)methyl]-1,4,7,10,13,16-hexazabicyclo[16.3.0]henicosan-20-yl] N-(2-aminoethyl)carbamate

2.4 Create Date
2006-10-25
3 Chemical and Physical Properties
Molecular Weight 1047.2 g/mol
Molecular Formula C58H66N10O9
XLogP34.7
Hydrogen Bond Donor Count9
Hydrogen Bond Acceptor Count11
Rotatable Bond Count18
Exact Mass1046.50142372 g/mol
Monoisotopic Mass1046.50142372 g/mol
Topological Polar Surface Area281 Ų
Heavy Atom Count77
Formal Charge0
Complexity1940
Isotope Atom Count0
Defined Atom Stereocenter Count7
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

For the treatment of Cushings disease, specifically for those patients whom pituitary surgery has not been curative or is not an option.


FDA Label


Signifor is indicated for the treatment of adult patients with Cushings disease for whom surgery is not an option or for whom surgery has failed.

Signifor is indicated for the treatment of adult patients with acromegaly for whom surgery is not an option or has not been curative and who are inadequately controlled on treatment with another somatostatin analogue.


Treatment of acromegaly and pituitary gigantism


Overproduction of pituitary ACTH, Pituitary dependant Cushing's disease, Pituitary dependant hyperadrenocorticism


5 Pharmacology and Biochemistry
5.1 Pharmacology

Signifor is an analogue of somatostatin that promotes reduced levels of cortisol secretion in Cushing's disease patients.


5.2 MeSH Pharmacological Classification

Hormones

Chemical substances having a specific regulatory effect on the activity of a certain organ or organs. The term was originally applied to substances secreted by various ENDOCRINE GLANDS and transported in the bloodstream to the target organs. It is sometimes extended to include those substances that are not produced by the endocrine glands but that have similar effects. (See all compounds classified as Hormones.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
PASIREOTIDE
5.3.2 FDA UNII
98H1T17066
5.3.3 Pharmacological Classes
Somatostatin Receptor Agonists [MoA]; Somatostatin Analog [EPC]
5.4 ATC Code

H01CB05


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

H01 - Pituitary and hypothalamic hormones and analogues

H01C - Hypothalamic hormones

H01CB - Somatostatin and analogues

H01CB05 - Pasireotide


5.5 Absorption, Distribution and Excretion

Absorption

The peak plasma concentration of pasireotide occurs in 0.25-0.5 hours. After administration of single and multiple doses, there is dose-proportionoal increases in Cmax and AUC.


Route of Elimination

Pasireotide is eliminated mostly by hepatic clearance (biliary excretion)(about 48%) with some minor renal clearance (about 7.63%).


Volume of Distribution

Pasireotide is widely distributed and has a volume of distribution of >100L.


Clearance

The clearance in healthy patient is ~7.6 L/h and in Cushings disease patients is ~3.8 L/h.


5.6 Metabolism/Metabolites

Metabolism is minimal.


5.7 Biological Half-Life

The half-life is 12 hours.


5.8 Mechanism of Action

Pasireotide activates a broad spectrum of somatostatin receptors, exhbiting a much higher binding affinity for somatostatin receptors 1, 3, and 5 than octreotide in vitro, as well as a comparable binding affinity for somatostatin receptor 2. The binding and activation of the somatostatin receptors causes inhibition of ACTH secretion and results in reduced cortisol secretion in Cushing's disease patients. Also this agent is more potent than somatostatin in inhibiting the release of human growth hormone (HGH), glucagon, and insulin.


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