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 approved
ATC Code L02AE05
DrugBank ID DB06788
KEGG ID D02369
MeSH ID C029256
PubChem ID 25077993
TTD Drug ID D0O7DG
NDC Product Code Not Available
UNII H50H3S3W74
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
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Liver injury12.01.17.012; 09.01.07.022--Not Available
Traumatic liver injury12.01.17.027; 09.01.08.010--Not Available
Drug-induced liver injury09.01.07.023; 12.03.01.044--Not Available
Premature menarche21.01.01.012; 05.05.03.0060.002836%Not Available
Complication of device removal08.07.01.0130.001301%Not Available
Delayed menarche21.01.01.014; 05.05.03.0070.001135%Not Available
Heavy menstrual bleeding21.01.03.005--Not Available
Implant site bruising08.02.02.032; 24.07.06.029; 23.03.11.032; 12.07.02.0320.002035%Not Available
Implant site dermatitis23.03.04.045; 12.07.02.036; 08.02.02.0360.000734%Not Available
Implant site discharge12.07.02.037; 08.02.02.0370.001301%Not Available
Implant site erythema23.03.06.024; 12.07.02.040; 08.02.02.0400.002369%Not Available
Implant site induration08.02.02.049; 12.07.02.0490.000334%Not Available
Implant site irritation12.07.02.052; 08.02.02.0520.001869%Not Available
Implant site pruritus23.03.12.013; 12.07.02.060; 08.02.02.0600.001869%Not Available
Implant site rash23.03.13.026; 12.07.02.061; 08.02.02.0610.009743%Not Available
Implant site scar23.03.11.033; 12.07.02.062; 08.02.02.0620.001301%Not Available
Implant site swelling12.07.02.063; 08.02.02.0630.002035%Not Available
Implant site urticaria12.07.02.066; 10.01.06.016; 08.02.02.066; 23.04.02.0160.002269%Not Available
Implant site vesicles23.03.01.035; 12.07.02.067; 08.02.02.0670.000734%Not Available
Intermenstrual bleeding21.01.01.0150.001135%Not Available
Therapeutic product effect decreased08.06.01.0500.002269%Not Available
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