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)
Pain in extremity15.03.04.0100.001471%
Palpitations02.01.02.003--
Paraesthesia17.02.06.0050.002206%
Pituitary infarction24.04.06.016; 18.02.02.004; 17.08.01.027; 05.03.04.006--Not Available
Pollakiuria20.02.02.007--
Prostatic acid phosphatase increased13.04.02.011--Not Available
Prostatic specific antigen increased13.22.01.0010.002942%Not Available
Pruritus23.03.12.0010.002942%
Pruritus genital23.03.12.008; 21.10.01.002--Not Available
Rash23.03.13.0010.013974%Not Available
Rash erythematous23.03.06.0030.003677%Not Available
Rash generalised23.03.13.0020.005884%Not Available
Rash papular23.03.13.0170.001471%Not Available
Rash pruritic23.03.12.0020.005884%Not Available
Renal failure20.01.03.005--Not Available
Scar23.03.11.008; 12.01.06.0080.001471%Not Available
Seizure17.12.03.0010.004413%
Sexual dysfunction21.03.02.003; 19.08.05.002--Not Available
Shock24.06.02.002--Not Available
Skin disorder23.03.03.007--Not Available
Skin irritation23.03.04.0090.001471%Not Available
Swelling08.01.03.015--Not Available
Swelling face23.04.01.018; 10.01.05.0180.002206%Not Available
Tenderness08.01.08.005--Not Available
Testicular atrophy21.13.01.001; 05.05.02.004--Not Available
Tremor17.01.06.002--
Urethral disorder20.07.01.002--Not Available
Urinary retention20.02.02.011--
Urinary tract disorder20.08.01.001--Not Available
Urticaria23.04.02.001; 10.01.06.0010.003677%
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