Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Histrelin acetate
Drug ID BADD_D01074
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 D02116
MeSH ID C029256
PubChem ID 25084151
TTD Drug ID D0O7DG
NDC Product Code 71052-142; 73309-097; 67979-002; 55463-0008
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 C68H90N18O14
CAS Registry Number 220810-26-4
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.CC(=O)O
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)
Application site pain12.07.01.004; 08.02.01.004--Not Available
Blood gonadotrophin increased13.10.03.008--Not Available
Breast tenderness21.05.05.004--Not Available
Dysmenorrhoea21.01.01.002--
Epistaxis24.07.01.005; 22.04.03.001--
Erythema23.03.06.001--Not Available
Feeling cold08.01.09.008--Not Available
Gynaecomastia21.05.04.003; 05.05.02.003--
Headache17.14.01.001--
Implant site reaction12.07.02.009; 08.02.02.009--Not Available
Influenza like illness08.01.03.010--
Keloid scar23.01.03.002--Not Available
Menorrhagia21.01.03.002--
Migraine24.03.05.003; 17.14.02.001--Not Available
Mood swings19.04.03.001--Not Available
Myalgia15.05.02.001--
Pain08.01.08.004--
Pruritus23.03.12.001--
Scar23.03.11.008; 12.01.06.008--Not Available
Swelling08.01.03.015--Not Available
Weight increased13.15.01.006--
Wound infection12.01.08.012; 11.01.08.010--
Contusion12.01.06.001; 24.07.06.001; 23.03.11.002; 15.03.01.008--
Steroid activity13.10.09.008--Not Available
Suture related complication12.02.05.025--Not Available
Pituitary tumour benign16.37.02.001; 05.03.05.003--Not Available
Disease progression08.01.03.038--
Procedural pain12.02.05.007; 08.01.08.009--Not Available
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