Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Leuprolide monoacetate
Drug ID BADD_D01261
Description Leuprolide is a synthetic 9-residue peptide analogue of gonadotropin-releasing hormone (GnRH). Unlike the endogenous decapeptide GnRH, leuprolide contains a single D-amino acid (D-leucyl) residue, which helps to increase its circulating half-life from three to four minutes to approximately three hours.[A203222] As a GnRH mimic, leuprolide is capable of binding to the GnRH receptor (GnRHR) and inducing downstream modulation of both gonadotropin hormone and sex steroid levels. Prolonged activation of GnRHR results in significant downregulation of sex steroid levels, which is primarily responsible for the clinical efficacy of leuprolide in diverse conditions, including advanced prostate cancer, endometriosis, and central precocious puberty.[A203126, A203132] Leuprolide was first approved in 1985 as a daily subcutaneous injection under the tradename Lupron™ by Abbvie Endocrine Inc.[L13850] Since this initial approval, various long-acting intramuscular and subcutaneous products have been developed such that patients can be dosed once every six months.[L13781, L13790] Leuprolide remains frontline therapy in all conditions for which it is indicated for use.
Indications and Usage For treatment of prostate cancer, endometriosis, uterine fibroids and premature puberty
Marketing Status Prescription; Discontinued
ATC Code L02AE02
DrugBank ID DB00007
KEGG ID D08113
MeSH ID D016729
PubChem ID 657180
TTD Drug ID D0U5FF
NDC Product Code 69448-014; 35207-0007; 60870-0471; 60870-0472; 41524-0006
Synonyms Leuprolide | Leuprorelin | Enantone | Leuprolide Acetate | Acetate, Leuprolide | Leuprolide Monoacetate | Monoacetate, Leuprolide | Leuprolide, (L-Leu)-Isomer | Lupron | TAP-144 | TAP 144 | TAP144 | A-43818 | A 43818 | A43818 | Leuprolide, (DL-Leu)-Isomer
Chemical Information
Molecular Formula C61H88N16O14
CAS Registry Number 74381-53-6
SMILES CCNC(=O)C1CCCN1C(=O)C(CCCN=C(N)N)NC(=O)C(CC(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC2=CC=C( C=C2)O)NC(=O)C(CO)NC(=O)C(CC3=CNC4=CC=CC=C43)NC(=O)C(CC5=CN=CN5)NC(=O)C6CCC(=O)N 6.CC(=O)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Thyroid disorderProtein bric-a-brac 2Q9W0K4Not AvailableNot Available
Thyroid disorderAnti-thyroglobulin heavy chain variable regionQ8IZD7Not AvailableNot Available
Thyroid disorderThyroid peroxidaseP07202T51120Not Available
Thyroid hyperfunction disordersThyroxine-binding globulinP05543Not AvailableNot Available
Thyroid hypofunction disordersThyroxine-binding globulinP05543Not AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Bladder spasm20.02.02.013--
Red blood cell sedimentation rate increased13.01.03.001--Not Available
Feminisation acquired21.10.04.004; 05.05.02.007--
Sudden cardiac death08.04.01.008; 02.03.04.016--Not Available
Bone density decreased13.16.01.001--Not Available
Pituitary haemorrhage24.07.04.009; 17.08.01.019; 05.03.04.005--Not Available
Contusion23.03.11.002; 15.03.01.008; 12.01.06.001; 24.07.06.001--
Deep vein thrombosis24.01.02.003--Not Available
Hyperuricosuria20.02.01.019--Not Available
Acute coronary syndrome24.04.04.011; 02.02.02.015--Not Available
Sticky skin23.03.03.019--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Growth retardation15.03.01.006--
Nodule08.03.05.002--Not Available
Affect lability19.04.01.001--Not Available
Precocious puberty21.03.02.009; 05.05.03.001--
Hypogonadism21.03.02.010; 05.05.04.002--Not Available
Disturbance in sexual arousal19.08.04.003--Not Available
Angiopathy24.03.02.007--Not Available
Antinuclear antibody positive13.06.01.003--Not Available
Induration08.01.03.020--Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.027--
Breast disorder21.05.04.004--Not Available
Inflammation08.01.05.007--Not Available
Ischaemia24.04.02.004--Not Available
Malnutrition14.03.02.004--Not Available
Mental disorder19.07.01.002--Not Available
Decreased appetite08.01.09.028; 14.03.01.005--
Erectile dysfunction21.03.01.007; 19.08.04.001--
Ill-defined disorder08.01.03.049--Not Available
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