Paltusotine (CRN00808)

别名: Paltusotine; 2172870-89-0; CRN00808; Paltusotine [INN]; CRN-00808; 帕托司汀 (CRN-00808)
目录号: V70051 纯度: ≥98%
Paltusotine (CRN00808) 是一种口服生物活性、非肽选择性生长抑素 2 型 (SST2) 受体激动剂。
Paltusotine (CRN00808) CAS号: 2172870-89-0
产品类别: Somatostatin Receptor
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
1mg
5mg
10mg
Other Sizes

Other Forms of Paltusotine (CRN00808):

  • Paltusotine hydrochloride
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InvivoChem产品被CNS等顶刊论文引用
产品描述
Paltusotine (CRN00808) 是一种口服生物活性、非肽选择性生长抑素 2 型 (SST2) 受体激动剂。帕图索汀可用于在长效生长抑素受体配体作用后维持 GH 和 IGF-1 水平。
2025年9月25日 —— Crinetics Pharmaceuticals, Inc.(纳斯达克股票代码:CRNX)宣布,美国食品药品监督管理局(FDA)已批准PALSONIFY™(paltusotine)用于一线治疗对手术反应不足和/或不适合手术的成人肢端肥大症患者。PALSONIFY是一种选择性靶向生长抑素2型受体的非肽类药物,现已成为首个获批用于成人肢端肥大症的每日一次口服疗法。 Crinetics公司创始人兼首席执行官Scott Struthers博士表示:“随着我们的领先疗法Palsonify获得FDA批准,今天对于肢端肥大症患者以及Crinetics公司而言,都标志着一个新时代的开启。我们非常荣幸能够履行改善患者生活的承诺。此次批准是我们丰富的一流小分子药物管线的首个成果。这离不开肢端肥大症患者及其照料者、公司员工,以及参与Palsonify成功研发项目的临床研究人员和医疗专业人士的帮助与合作。感谢所有参与其中的各位。”
生物活性&实验参考方法
靶点
Somatostatin type 2 (SST2) receptor
体外研究 (In Vitro)
肢端肥大症是一种与生长激素分泌过多及随后胰岛素样生长因子I生成增加相关的激素紊乱疾病。与天然生长抑素类似,帕妥索汀能够抑制GH和IGF-I的分泌。该药物通过选择性激动生长抑素2型受体发挥药理活性(选择性超过4000倍),对其他生长抑素受体亚型几乎没有亲和力。帕妥索汀通过激活人源SSTR2抑制环磷酸腺苷积累,其半数有效浓度(EC50)为0.25 nM。
体内研究 (In Vivo)
帕妥索汀作为一种生长抑素受体激动剂,在20至60毫克治疗剂量范围内,能以剂量依赖的方式降低肢端肥大症患者的胰岛素样生长因子-1水平。该药物可能抑制胆囊收缩功能并减少胆汁分泌,进而增加胆囊结石或胆汁淤积的风险。帕妥索汀还可能引起葡萄糖代谢异常,可能导致高血糖,少数情况下也可能引发低血糖。包括帕妥索汀在内的生长抑素类似物可能抑制促甲状腺激素分泌,从而引起甲状腺功能减退。此外,这类药物还会抑制胰腺酶和胆汁酸分泌,可能导致膳食脂肪吸收不良和脂肪泻。维生素B12水平下降的现象也有报道。
药代性质 (ADME/PK)
Absorption
Paltusotine exhibited dose-proportional increases in exposures for doses ranging from 20 mg (lowest approved recommended dosage) to 120 mg (2 times the highest approved recommended dosage) in healthy participants. Apparent dose proportional increase was observed for mean steady-state trough concentrations up to 60 mg once daily in participants with acromegaly. Following once daily administration, paltusotine reaches steady-state exposure within one week. When administered as an oral solution, 20 mg of paltusotine had geometric mean absolute bioavailability of 69%, with low interindividual variability. Following oral administration of paltusotine, the median time to maximum plasma concentration (Tmax) is one to four hours regardless of post-dose fasting duration. Food was shown to reduce drug AUC and Cmax.

Route of Elimination
Following oral administration of radiolabeled paltusotine, fecal excretion was the predominant route of elimination with observed mean recovery of total administered radioactivity being 90% in feces and 3.9% in urine. Unchanged paltusotine was a major component in excreta.

Volume of Distribution
The volume of distribution (Vz) of paltusotine is 220 L.

Clearance After a single oral dose of 20 mg paltusotine, the geometric mean (geometric %CV) apparent oral clearance (CL/F) was 8.4 (27.1) L/h.

Protein Binding
Paltusotine is highly plasma protein bound (99%).

Metabolism / Metabolites
Paltusotine is mainly metabolized in the liver. The primary metabolic pathway is glucuronidation, which is mainly facilitated by the enzymes UGT1A1 and UGT1A9. A secondary pathway is oxidation, which is primarily catalyzed by CYP3A4/5 and, to a lesser extent, CYP2D6. Four metabolites have been identified (M632/1, M472/1, M648/1 and M676/1), with the main pathways being glucuronidation, mono-oxidation, and N-carbamoyl glucuronidation.

Biological Half-Life
After maximal concentrations were attained, paltusotine concentration declined with apparent terminal half-life of 28 hours.
毒性/毒理 (Toxicokinetics/TK)
Safety Information
Palsonify increases the risk of cholelithiasis (gallstones); hyperglycemia (high blood sugar); hypoglycemia (low blood sugar); bradycardia (low heart rate); thyroid function abnormalities; steatorrhea (excessive fat in the stool) and malabsorption of dietary fats; and changes in vitamin B12 levels. The most common side effects are diarrhea, abdominal pain, nausea, decreased appetite, bradycardia, hyperglycemia, and gastroenteritis (stomach inflammation).

Dosing and Administration
The recommended initial dosage is 40 mg taken orally once daily with water on an empty stomach, at least 6 hours after a meal (i.e., after overnight fasting) and at least 1 hour before the next meal. During the initiation period, Palsonify may be temporarily reduced to 20 mg once daily if needed, based on tolerability. Once adverse reactions have resolved, patients should resume Palsonify 40 mg once daily. After 2 to 4 weeks on Palsonify 40 mg once daily and based on their IGF-1 levels, patients may be advised to increase the dosage to 60 mg once daily.
参考文献

[1]. Identification of a dose range for once daily oral paltusotine in patients with acromegaly that maintains IGF-1 levels when switching from long-acting somatostatin receptor ligand therapy. Endocrine Abstracts (2021) 73 OC15.4.

[2]. Pharmacokinetics and Safety of an Improved Oral Formulation of Paltusotine, a Selective, Non-Peptide Somatostatin Receptor 2 (SST2) Agonist for the Treatment of Acromegaly. Journal of the Endocrine Society, Volume 5, Issue Supplement_1, April-May 2021.

[3]. Discovery of Paltusotine (CRN00808), a Potent, Selective, and Orally Bioavailable Non-peptide SST2 Agonist. ACS Med Chem Lett. 2022 Dec 10;14(1):66-74.

其他信息
Paltusotine is under investigation in clinical trial NCT04261712 (A Study to Evaluate the Long-term Safety and Efficacy of Paltusotine for the Treatment of Acromegaly (ACROBAT Advance)).
Paltusotine is an orally bioavailable, nonpeptide somatostatin receptor type 2 (SST2; SSTR2) agonist, with potential growth hormone (GH) secretion-inhibiting and antineoplastic activities. Upon oral administration, paltusotine targets, binds to and activates SSTR2, which leads to an inhibition in the secretion of human growth hormone (hGH) in the pituitary gland and results in decreased production of insulin-like growth factor (IGF-1). This may inhibit IGF-1-mediated cell signaling pathways, and lead to apoptosis. SSTR2 is overexpressed by some neuroendocrine tumor cells, and GH is over-produced in the pituitary gland in acromegaly.
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C27H22F2N4O
分子量
456.4866
精确质量
456.176
元素分析
C, 71.04; H, 4.86; F, 8.32; N, 12.27; O, 3.50
CAS号
2172870-89-0
相关CAS号
2172870-89-0; 2361216-83-1 (HCl); 2172875-40-8 (2HCl)
PubChem CID
134168328
外观&性状
White to yellow solid powder
LogP
5.3
tPSA
86.2
氢键供体(HBD)数目
2
氢键受体(HBA)数目
7
可旋转键数目(RBC)
3
重原子数目
34
分子复杂度/Complexity
727
定义原子立体中心数目
0
SMILES
FC1C([H])=C(C([H])=C(C=1[H])C1=C([H])N=C2C([H])=C([H])C(C3=C([H])C([H])=C([H])C(C#N)=C3O[H])=C([H])C2=C1N1C([H])([H])C([H])([H])C([H])(C([H])([H])C1([H])[H])N([H])[H])F
InChi Key
GHILNKWBALQPDP-UHFFFAOYSA-N
InChi Code
InChI=1S/C27H22F2N4O/c28-19-10-18(11-20(29)13-19)24-15-32-25-5-4-16(22-3-1-2-17(14-30)27(22)34)12-23(25)26(24)33-8-6-21(31)7-9-33/h1-5,10-13,15,21,34H,6-9,31H2
化学名
3-[4-(4-aminopiperidin-1-yl)-3-(3,5-difluorophenyl)quinolin-6-yl]-2-hydroxybenzonitrile
别名
Paltusotine; 2172870-89-0; CRN00808; Paltusotine [INN]; CRN-00808;
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 20 mg/mL (43.81 mM)
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (5.48 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2 mg/mL (4.38 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 20.0 mg/mL 澄清的 DMSO 储备液加入到400 μL PEG300中,混匀;再向上述溶液中加入50 μL Tween-80,混匀;然后加入450 μL 生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.1906 mL 10.9531 mL 21.9063 mL
5 mM 0.4381 mL 2.1906 mL 4.3813 mL
10 mM 0.2191 mL 1.0953 mL 2.1906 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
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+
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计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
A Study to Evaluate the Safety and Efficacy of Paltusotine for the Treatment of Acromegaly (ACROBAT Evolve)
CTID: NCT03792555
Phase: Phase 2
Status: Completed
Date: 2025-03-17
A Study to Evaluate the Long-Term Safety and Efficacy of Paltusotine for the Treatment of Acromegaly (ACROBAT Advance)
CTID: NCT04261712
Phase: Phase 2
Status: Active, not recruiting
Date: 2025-12-22
Single and Multiple-Ascending Dose Study of CRN00808 in Healthy Volunteers
CTID: NCT03276858
Phase: Phase 1
Status: Completed
Date: 2018-08-29
Mass Balance and Pharmacokinetics of [14C]-CRN00808 in Healthy Volunteers
CTID: NCT04246749
Phase: Phase 1
Status: Completed
Date: 2020-01-29
A Study to Evaluate the Safety and Efficacy of Paltusotine for the Treatment of Acromegaly
CTID: NCT04837040
Phase: Phase 3
Status: Active, not recruiting
Date: 2025-06-12
An open label exploratory study to evaluate the safety, pharmacokinetics and efficacy of CRN00808 in patients with
EudraCT: 2018-002230-20
Phase: Phase 2
Status: Completed
Date: 2018-11-13
A Randomized, Controlled, Multi-Center Study to Evaluate the Safety and Efficacy of Paltusotine in Subjects with Acromegaly Treated with Long-acting Somatostatin Receptor Ligands
EudraCT: 2020-005431-70
Phase: Phase 3
Status: Completed, Trial now transitioned
Date: 2022-03-04
A double-blind, placebo-controlled, randomized withdrawal study to evaluate the safety, pharmacokinetics and efficacy of CRN00808 in patients with acromegaly that are responders to octreotide LAR or lanreotide depot (ACROBAT EVOLVE)
EudraCT: 2018-001833-42
Phase: Phase 2
Status: Completed
Date: 2018-11-13
A Randomized, Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Paltusotine in Subjects with Non-pharmacologically Treated Acromegaly
EudraCT: 2021-001703-32
Phase: Phase 3
Status: Ongoing, Trial now transitioned
Date: 2022-03-29
A Randomized, Parallel Group Study to Evaluate the Safety, Pharmacokinetics, and Dose Response of Paltusotine Treatment in Subjects with Carcinoid Syndrome.
EudraCT: 2022-000762-18
Phase: Phase 2
Status: Trial now transitioned
Date: 2023-01-24
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