アバレリックス
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2012/11/27 18:24:57」(JST)
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Abarelix
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Systematic (IUPAC) name |
acetyl-D-β-naphthylalanyl- D-4-chlorophenylalanyl-D-3-pyridylalanyl-L-seryl-L- N-methyl- tyrosyl-D-asparagyl-L-leucyl-L-N(e )-isopropyl-lysyl-L-prolyl-D-alanyl-amide |
Clinical data |
Trade names |
Plenaxis |
AHFS/Drugs.com |
monograph |
Pregnancy cat. |
X (US) |
Legal status |
? |
Routes |
Intramuscular injection |
Pharmacokinetic data |
Protein binding |
96–99% |
Identifiers |
CAS number |
183552-38-7 N |
ATC code |
L02BX01 |
PubChem |
CID 16131215 |
IUPHAR ligand |
1188 |
DrugBank |
DB00106 |
ChemSpider |
10482301 Y |
UNII |
W486SJ5824 Y |
KEGG |
D02738 Y |
ChEBI |
CHEBI:337298 Y |
ChEMBL |
CHEMBL1252 Y |
Chemical data |
Formula |
C72H95ClN14O14 |
Mol. mass |
1416.06 g/mol |
SMILES
- O=C(N[C@H](C)C(N)=O)[C@@H]6CCCN6C(=O)[C@H](CCCCNC(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(N)=O)NC(=O)[C@H](Cc1ccc(O)cc1)N(C)C(=O)[C@H](CO)NC(=O)[C@@H](Cc2cccnc2)NC(=O)[C@@H](Cc3ccc(Cl)cc3)NC(=O)[C@@H](\nCc4ccc5ccccc5c4)NC(=O)C
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InChI
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InChI=1S/C72H95ClN14O14/c1-41(2)32-54(64(93)80-53(17-10-11-30-77-42(3)4)72(101)87-31-13-18-60(87)69(98)78-43(5)63(75)92)81-68(97)58(38-62(74)91)84-70(99)61(37-46-22-27-52(90)28-23-46)86(7)71(100)59(40-88)85-67(96)57(36-48-14-12-29-76-39-48)83-66(95)56(34-45-20-25-51(73)26-21-45)82-65(94)55(79-44(6)89)35-47-19-24-49-15-8-9-16-50(49)33-47/h8-9,12,14-16,19-29,33,39,41-43,53-61,77,88,90H,10-11,13,17-18,30-32,34-38,40H2,1-7H3,(H2,74,91)(H2,75,92)(H,78,98)(H,79,89)(H,80,93)(H,81,97)(H,82,94)(H,83,95)(H,84,99)(H,85,96)/t43-,53+,54+,55-,56-,57-,58-,59+,60+,61+/m1/s1 Y
Key:AIWRTTMUVOZGPW-HSPKUQOVSA-N Y
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N (what is this?) (verify)
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Abarelix (trade name Plenaxis) is an injectable gonadotropin-releasing hormone antagonist (GnRH antagonist). It is primarily used in oncology to reduce the amount of testosterone made in patients with advanced symptomatic prostate cancer for which no other treatment options are available.[1][2]
It was originally marketed by Praecis Pharmaceuticals as Plenaxis,[1] and is now marketed by Speciality European Pharma in Germany[3] after receiving a marketing authorisation in 2005.
References
- ^ a b Drugs.com: Abarelix
- ^ Boccon-Gibod, L.; Van Der Meulen, E.; Persson, B. -E. (2011). "An update on the use of gonadotropin-releasing hormone antagonists in prostate cancer". Therapeutic Advances in Urology 3 (3): 127–140. doi:10.1177/1756287211414457. PMC 3159401. PMID 21904569. //www.ncbi.nlm.nih.gov/pmc/articles/PMC3159401/. edit
- ^ Pharmazeutische Zeitung online: Abarelix (German)
Gonadotropins and GnRH (G03G)
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Gonadotropin
preparations |
Agonists
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- Menotropin
- Urofollitropin
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Antigonadotropins
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- Sex steroids (via negative feedback): Androgens (e.g., testosterone, oxandrolone, etc)
- Estrogens (e.g., estradiol, ethinyl estradiol, etc)
- Progestogens (e.g., progesterone, medroxyprogesterone acetate, etc)
- Steroid synthesis inhibitors: Danazol
- Gestrinone
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GnRH analogues |
Agonists
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- Avorelin
- Buserelin
- Deslorelin
- Gonadorelin
- Goserelin
- Histrelin
- Leuprorelin
- Lutrelin
- Nafarelin
- Peforelin
- Triptorelin
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Antagonists
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- Abarelix
- Cetrorelix
- Degarelix
- Detirelix
- Ganirelix
- Iturelix
- Ozarelix
- Prazarelix
- Ramorelix
- Teverelix
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- #WHO-EM
- ‡Withdrawn from market
- Clinical trials:
- †Phase III
- §Never to phase III
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UpToDate Contents
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English Journal
- Utility of LHRH antagonists for advanced prostate cancer.
- Moul JW1.
- The Canadian journal of urology.Can J Urol.2014 Apr;21(2 Supp 1):22-7.
- INTRODUCTION: Androgen deprivation therapy (ADT) is the lynchpin of treatment for advanced prostate cancer. Prescribing physicians and patients have a choice between orchiectomy, luteinizing hormone releasing hormone (LHRH) agonists, combined androgen deprivation (CAD) or LHRH antagonists.MATERIALS
- PMID 24775720
- Effects of GnRH antagonists vs agonists in domestic carnivores, a review.
- Gobello C1.
- Reproduction in domestic animals = Zuchthygiene.Reprod Domest Anim.2012 Dec;47 Suppl 6:373-6. doi: 10.1111/rda.12025.
- Gonadotrophin-releasing hormone (GnRH) stimulates the pituitary secretion of both luteinizing and follicle-stimulating hormones, and thus controls the hormonal and reproductive functions of the gonads. GnRH analogs, which include agonists and antagonists, have been produced by amino acid substitutio
- PMID 23279542
- New treatment paradigm for prostate cancer: abarelix initiation therapy for immediate testosterone suppression followed by a luteinizing hormone-releasing hormone agonist.
- Garnick MB1, Mottet N.
- BJU international.BJU Int.2012 Aug;110(4):499-504. doi: 10.1111/j.1464-410X.2011.10708.x. Epub 2011 Nov 16.
- Study Type - Therapy (prospective cohort). Level of Evidence 2a. What's known on the subject and What does the study add The sequential administration of a GnRH antagonist followed by an LHRH agonist in the management of prostate cancer patients has not been studied, but such a program would provi
- PMID 22093775
Japanese Journal
- Abarelix Study Group. An open-label study of abarelix in men with symptomatic prostate cancer at risk of treatment with LHRH agonists
Related Links
- InChI=1S/C72H95ClN14O14/c1-41(2)32-54(64(93)80-53(17-10-11-30-77-42(3) 4)72(101)87-31-13-18-60(87)69(98)78-43(5)63(75)92)81-68(97)58(38-62(74)91 )84-70(99)61(37-46-22-27-52(90)28-23-46)86(7)71(100)59(40-88)85-67(96)57 ...
- 2003年11月25日 ... ・FDA は進行性前立腺癌に対する新薬[Plenaxis](abarelix)を承認 〔米 FDA〕・・・・・・・ ・・・・・・・・p.1. ・FDA は Cordis 社 ... FDA は,代替治療のない進行性前立腺癌患者 に対する医薬品,[Plenaxis](abarelix)の販売を許. 可する NDA(新薬 ...
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