Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Histrelin
Drug ID BADD_D01073
Description Histrelin is a gonadotropin releasing hormone (GnRH) agonist that acts as a potent inhibitor of gonadotropin when administered as an implant that delivers continuous therapeutic doses. Following an initial stimulatory phase with increased circulating levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to a transient increase in concentration of gonadal steroids (testosterone and dihydrotestosterone in males), continuous administration of histrelin acetate results in decreased levels of LH and FSH due to a reversible down-regulation of the GnRH receptors in the pituitary gland and desensitization of the pituitary gonadotropes. As the product Supprelin LA (FDA), histrelin is indicated for the treatment of children with central precocious puberty (CPP). As the product Vantas (FDA), histrelin is indicated for the palliative treatment of advanced prostate cancer.
Indications and Usage As the product Supprelin LA (FDA), histrelin is indicated for the treatment of children with central precocious puberty (CPP). As the product Vantas (FDA), histrelin is indicated for the palliative treatment of advanced prostate cancer.
Marketing Status Discontinued
ATC Code L02AE05
DrugBank ID DB06788
KEGG ID D02369
MeSH ID C029256
PubChem ID 25077993
TTD Drug ID D0O7DG
NDC Product Code Not Available
Synonyms histrelin | 6-His(imBzl)-9-N-Et-ProNH2-10-des-GlyNH2-LHRH | GnRH, His(imBzl)(6)-N-Et-ProNH2(9)- | LHRH, His(imBzl)(6)-N-Et-ProNH2(9)- | LHRH, histidyl(imBzl)(6)-N-ethylprolinamide(9)-des-glycinamide(10)- | imbzl-His(6), Pro(9)-NET-GNRH | ((im bzl)-D-His(6), Pro(9)-NEt)LHRH | IBHPE-LHRH | Supprelin
Chemical Information
Molecular Formula C66H86N18O12
CAS Registry Number 76712-82-8
SMILES CCNC(=O)C1CCCN1C(=O)C(CCCN=C(N)N)NC(=O)C(CC(C)C)NC(=O)C(CC2=CN(C=N2)CC3=CC=CC=C3 )NC(=O)C(CC4=CC=C(C=C4)O)NC(=O)C(CO)NC(=O)C(CC5=CNC6=CC=CC=C65)NC(=O)C(CC7=CN=CN 7)NC(=O)C8CCC(=O)N8
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.0010.001471%
Abscess11.01.08.0010.002206%Not Available
Aggression19.05.01.0010.001471%Not Available
Alopecia23.02.02.0010.001471%
Amblyopia06.02.01.001--Not Available
Anaemia01.03.02.001--
Anxiety19.06.02.0020.001471%
Application site pain12.07.01.004; 08.02.01.004--Not Available
Arthralgia15.01.02.001--
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Back pain15.03.04.005--
Blindness06.02.02.001; 17.17.01.0030.001471%Not Available
Blood glucose increased13.02.02.002--Not Available
Blood lactate dehydrogenase increased13.04.02.002--
Blood pressure increased13.14.03.0050.001471%Not Available
Blood testosterone increased13.10.05.0020.002206%Not Available
Bone pain15.02.01.001--
Breast enlargement21.05.04.0010.008090%Not Available
Breast pain21.05.05.003--
Breast tenderness21.05.05.004--Not Available
Constipation07.02.02.001--
Creatinine renal clearance decreased13.13.01.013--Not Available
Death08.04.01.001--
Delayed puberty21.03.02.014; 05.05.03.0030.005148%
Depression19.15.01.0010.001471%
Dermatitis23.03.04.0020.001471%Not Available
Dermatitis contact23.03.04.004; 12.03.01.040; 10.01.01.0030.004413%Not Available
Device breakage27.01.03.001--Not Available
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