Pasireotide

Pasireotide, sold under the brand name Signifor, is an orphan drug approved in the United States[1] and the European Union[2][3] for the treatment of Cushing's disease in patients who fail or are ineligible for surgical therapy.[4][5][6] It was developed by Novartis. Pasireotide is a somatostatin analog with a 40-fold increased affinity to somatostatin receptor 5 compared to other somatostatin analogs.

Pasireotide
Clinical data
Trade namesSignifor, Signifor LAR
Other namesSOM230
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: B3
  • US: N (Not classified yet)
    Routes of
    administration    		Subcutaneous injection, intramuscular injection
    ATC code
    Legal status
    Legal status
    • UK: POM (Prescription only)
    • US: ℞-only
    • In general: ℞ (Prescription only)
    Identifiers
    CAS Number
    PubChem CID
    IUPHAR/BPS
    DrugBank
    ChemSpider
    UNII
    KEGG
    ChEBI
    ECHA InfoCard100.211.883
    Chemical and physical data
    FormulaC58H66N10O9
    Molar mass1047.227 g·mol−1
    3D model (JSmol)
     NY (what is this?)  (verify)

    The most common side effects include hyperglycaemia (high blood sugar levels), diabetes, diarrhoea, abdominal pain (stomach ache), nausea (feeling sick), cholelithiasis (gallstones), injection site reactions, and tiredness.[2][7][8]

    Pasireotide was approved for Cushing's disease by the European Medicines Agency (EMA) in April 2012[2][9] and by the U.S. Food and Drug Administration (FDA) in December 2012.[1][10]

    Pasireotide LAR was approved by the FDA for treatment of acromegaly in December 2014,[11] and had been approved for this indication by the EMA in September 2014.[2][12]

    References
    1. "Drug Approval Package: Signifor (pasireotide) Injection NDA #200677". U.S. Food and Drug Administration (FDA). 24 December 1999. Retrieved 13 May 2020.
    2. "Signifor EPAR". European Medicines Agency (EMA). Retrieved 13 May 2020. This article incorporates text from this source, which is in the public domain.
    3. "Summary of Product Characteristics: Signifor" (PDF). European Medicines Agency.
    4. "Pasireotide Orphan Drug Designation and Approval". U.S. Food and Drug Administration (FDA). 24 December 1999. Retrieved 13 May 2020.
    5. "EU/3/09/671". European Medicines Agency. 17 September 2018. Retrieved 13 May 2020. This article incorporates text from this source, which is in the public domain.
    6. Mancini T, Porcelli T, Giustina A (October 2010). "Treatment of Cushing disease: overview and recent findings". Therapeutics and Clinical Risk Management. 6: 505–16. doi:10.2147/TCRM.S12952. PMC 2963160. PMID 21063461.
    7. "Signifor- pasireotide injection". DailyMed. 15 January 2020. Retrieved 13 May 2020.
    8. "Signifor LAR- pasireotide kit". DailyMed. 17 December 2019. Retrieved 13 May 2020.
    9. EMEA Approval for Pasireotide
    10. "FDA Approves Pasireotide for Cushing's Disease".
    11. "Signifor LAR (pasireotide) for injectable suspension". U.S. Food and Drug Administration (FDA). 1 March 2016. Retrieved 13 May 2020.
    12. Tucker ME (17 December 2014). "FDA Approves Pasireotide for Treating Acromegaly". Medscape. Retrieved 2 August 2015.
    • "Pasireotide". Drug Information Portal. U.S. National Library of Medicine.
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