yingweiwo

Pasireotide pamoate

Alias: Pasireotide pamoate; SOM 230; Pasireotide pamoate; Pasireotide embonate; SOM230 pamoate; SOM-230 pamoate; 396091-79-5; UNII-04F55A7UZ3; 04F55A7UZ3; Cyclo((2S)-2-phenylglycyl-D-tryptophyl-L-lysyl-O-(phenylmethyl)-L-tyrosyl-L-phenylalanyl-(4R)-4-((((2-aminoethyl)amino)carbonyl)oxy)-L-prolyl), 4,4'-methylenebis(3-hydroxy-2-naphthalenecarboxylate) (1:1); SOM230; SOM-230; trade name: Signifor; Signifor LAR.
Cat No.:V11677 Purity: ≥98%
Pasireotide pamoate (formerly SOM-230; SOM230) isthe pamoate salt of Pasireotide, which is a cyclohexapeptide somatostatin mimic and an orphan drug approved for the treatment of Cushing's disease in patients who fail or are ineligible for surgical therapy.
Pasireotide pamoate
Pasireotide pamoate Chemical Structure CAS No.: 396091-79-5
Product category: New1
This product is for research use only, not for human use. We do not sell to patients.
Size Price
500mg
1g
Other Sizes

Other Forms of Pasireotide pamoate:

  • Pasireotide acetate (SOM-230)
  • Pasireotide ditrifluoroacetate (Pasireotide ditrifluoroacetate; SOM230 ditrifluoroacetate; Pasireotide TFA salt)
  • Pasireotide L-aspartate salt
  • Pasireotide-d7 TFA
  • Pasireotide diaspartate (SOM-230)
  • Pasireotide (SOM-230)
  • Pasireotide
Official Supplier of:
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Pasireotide pamoate (formerly SOM-230; SOM230) is the pamoate salt of Pasireotide, which is a cyclohexapeptide somatostatin mimic and an orphan drug approved for the treatment of Cushing's disease in patients who fail or are ineligible for surgical therapy. It was developed by Novartis. Pasireotide is a somatostatin analogue with a 40-fold increased affinity to somatostatin receptor 5 compared to other somatostatin analogues.

Biological Activity I Assay Protocols (From Reference)
Targets
sst1 ( pKi = 8.2 ); sst2 ( pKi = 9.0 ); sst3 ( pKi = 9.1 ); sst4 ( pKi < 7.0 ); sst5 ( pKi = 9.9 )
ln Vitro
The human somatostatin receptor (subtypes sst1/2/3/4/5, pKi 8.2/9.0/9.1/<7.0/9.9, respectively) reacts uniquely and highly favorably to pasireotide pamoate[1]. With an effective inhibitory concentration (IC50 of 0.4 nM), pasireotide pamoate suppresses growth hormone-releasing hormone (GHRH)-induced growth hormone (GH) release in primary cultures of rat pituitary cells.
The strategy pursued in this research has been rewarded with the demonstrated superiority of Pasireotide/25 compared to 2. Pharmacological studies in vitro have clearly shown that Pasireotide/25 effectively inhibited the growth hormone releasing hormone (GHRH) induced growth hormone (GH) release in primary cultures of rat pituitary cells with an IC50 of 0.4 ± 0.1 nmol/L (n = 5) [1].
Pasireotide is a somatostatin analogue with high binding affinity to somatostatin receptor subtypes sst1,2,3 and sst5, as shown in competitive binding studies using CHO-K1 cells expressing human recombinant somatostatin receptors (Table 2) (Bruns et al., 2002, Schmid and Schoeffter, 2004). In CCL39 cells expressing human recombinant sst receptors, pasireotide and somatostatin (SRIF-14) inhibited forskolin-stimulated cAMP accumulation with approximately the same efficacy and potency. Compared with octreotide, the functional activity (based on EC50 values) of pasireotide on sst1, sst3 and sst5 was >30-, 11- and 158-fold higher, respectively, but 7-fold lower on sst2 (Schmid and Schoeffter, 2004).
Based on the differences in binding affinity and functional activity of Pasireotide and octreotide, it can be speculated that in cells and tissues that express sst receptors other than the sst2 receptor subtype, pasireotide will have a stronger inhibitory effect on hormone secretion than octreotide [3].
ln Vivo
Pasireotide pamoate (160 mg/kg/oral; subcutaneous injection for 4 months) dramatically lowered serum insulin, raised blood glucose, reduced tumor growth, and enhanced apoptosis in Pdx1-Cre [2]. Pasireotide pamoate (2-50 μg/kg; subcutaneously administered twice daily for 42 days) produces analgesic and anti-inflammatory effects through the SSTR2 receptor in a mouse model of immune-mediated arthritis [3 ].
In vivo, Pasireotide/25 also potently suppressed GH secretion in rats. The ED50 values determined at 1 and 6 h after injection of 25 indicated its very long duration of action in vivo. In the rat, 25 strongly decreases IGF-1 plasma levels, with the efficacy being markedly enhanced compared with the effects elicited by 2 after 7 days of treatment. Furthermore, in rats, dogs, and rhesus monkeys, 25 potently and dose-dependently decreased IGF-1 levels for prolonged periods of time without desensitization as observed with SMS 201-995 (2).[1]
Background: Pasireotide (SOM230), a long-acting somatostatin analogue (LAR), has improved agonist activity at somatostatin receptors. We tested the effect of SOM230 on insulin secretion, serum glucose concentrations, tumor growth, and survival using an MEN1 transgenic mouse model.
Methods: Eight 12-month-old conditional Men1 knockout mice with insulinoma were assessed. The treatment (n = 4) and control groups (n = 4) received monthly subcutaneous injections of SOM230 or PBS. Serum insulin and glucose levels were determined by enzyme-linked immunosorbent assay and enzymatic colorimetric assay, respectively. Tumor activity, growth, and apoptosis were determined by microPET/CT scan and histologic analysis.
Results: On day 7, there was a decrease in serum insulin levels from 1.06 ± 0.28 μg/L to 0.37 ± 0.17 μg/L (P = .0128) and a significant increase in serum glucose from 4.2 ± 0.45 mmol/L to 7.12 ± 1.06 mmol/L (P = .0075) in the treatment group but no change in the control group. Tumor size was less in the treatment group (2,098 ± 388 μm(2)) compared with the control group (7,067 ± 955 μm(2); P = .0024). Furthermore, apoptosis was increased in the treatment group (6.9 ± 1.23%) compared with the control group (0.29 ± 0.103%; P = .002).
Conclusion: SOM230 demonstrates antisecretory, antiproliferative, and proapoptotic activity in our MEN1 model of insulinoma. Further studies of the effects of SOM230 in PNET patients with MEN1 mutations are warranted.[2]
Objective: Clinical and preclinical evidence suggests that somatostatin exhibits potent antiinflammatory and antinociceptive properties. However, it is not known which of the 5 somatostatin receptor subtypes (SSTRs 1-5) is involved in these actions. The purpose of this study was to assess the effects of the stable somatostatin analogs octreotide and Pasireotide (SOM230) in a mouse model of antigen-induced arthritis (AIA).
Methods: Studies were performed in SSTR2-deficient mice (SSTR2(-/-)) and their wild-type littermates (SSTR2(+/+)). The expression of SSTR1, SSTR2A, SSTR3, and SSTR5 in dorsal root ganglia was examined by immunohistochemistry.
Results: Untreated SSTR2(-/-) mice with AIA displayed joint swelling and mechanical hyperalgesia similar to that seen in SSTR2(+/+) mice. In wild-type mice, both octreotide and Pasireotide significantly attenuated knee joint swelling and histopathologic manifestations of arthritis to an extent comparable to that of dexamethasone. In SSTR2(-/-) mice, the antiinflammatory effects of both octreotide and pasireotide were completely abrogated. Prolonged administration of Pasireotide also inhibited joint swelling and protected against joint destruction during AIA flare reactions. In addition, both octreotide and pasireotide reduced inflammatory hyperalgesia. The antinociceptive actions of octreotide were abolished in SSTR2(-/-) mice, but those of pasireotide were retained. In dorsal root ganglia of naive wild-type mice, only SSTR1 and SSTR2A, but not SSTR3 or SSTR5, were detected in a subset of small- and medium-diameter neurons.
Conclusion: Our findings indicate that the antinociceptive and antiinflammatory actions of octreotide and Pasireotide are largely mediated via the SSTR2 receptor. In addition, we identified the SSTR1 receptor as a novel pharmacologic target for somatostatin-mediated peripheral analgesia in inflammatory pain [4].
Enzyme Assay
Pharmacological Characterization. Radioligand Binding Assays. [1]
Radioligand binding assays were performed as described previously. Briefly, membranes from CHO and COS cells expressing the respective human SRIF receptor subtype were incubated with the SRIF receptor ligand Tyr11[125I]-SRIF in the presence or absence of various concentrations of SRIF receptor ligands. The incubation was stopped after 1 h by rapid filtration through Whatman GF/C filters. Inhibition curves were analyzed, and IC50 values were calculated.
Cell Assay
Apoptosis analysis [2]
Apoptotic status in endocrine tumor tissues was measured in control and treated mice by Terminal deoxynucleotidyl transferase dUTP Nick End-Labeling (TUNEL) assay. For quantification of apoptosis, the TUNEL assay was performed according to the manufacturer on paraffin-embedded sections with an In Situ Cell Death Detection Kit. The tissue sections were deparaffinized and treated with proteinase K (10 μg/ml) for 20 min. The sections were then washed twice with PBS, labeled and stained with the TUNEL reaction mixture (label plus enzyme solutions) for 60 min at 37°C, and washed twice with PBS in the dark. The slides were mounted in Vectashield mounting medium with DAPI. The apoptotic fluorescent cells were counted under a fluorescent microscope and the numbers were expressed as the percentage of total cells ± standard deviation (SD). A negative control without enzyme treatment and a positive control with DNase I treatment were also performed.
SSTR detection [2]
The detection of sstr1-5 in pancreatic endocrine tumor tissue was measured in our mouse model. Immunofluorescent (IF) staining for sstr1-5 on sections was performed using rabbit or goat anti-sstr1, sstr2, sstr3, sstr4, and sstr5 antibodies (Abs) and were incubated at a 1:50 dilution overnight at 4° C, respectively. Pig anti-insulin Ab was also used for identification of β-cells. Sections were then washed with PBS and were incubated with a 1:200 dilution of anti-rabbit or anti-goat Alexa Fluor 488 and anti-pig Alexa Fluor 647 secondary antibodies for 45 min in the dark, respectively. A negative control without primary antibody was also performed.
Animal Protocol
Animal/Disease Models: 12-month-old conditional Men1 gene knockout insulinoma mice [2]
Doses: 160 mg/kg/oral
Route of Administration: monthly subcutaneous injection for 4 months
Experimental Results: Serum insulin diminished from 1.060 μg/L to 0.3653 μg/L, and increased blood sugar from 4.246 mM to 7.122 mM. Dramatically diminished tumor size and increased apoptosis.
SOM230/Pasireotide and PBS Administration [2]
Mice were anesthetized using halothane and then shaved on their flank for subcutaneous injection of either phosphate buffered saline (PBS) buffer or Pasireotide/SOM230 at a concentration of 160mg/Kg/month (64mg/ml) every month for 4 months.
Treatment protocol and drugs. [4]
Mice were randomly allocated to the following groups (8–10 animals per experimental condition): 0.9% saline; 2, 20, or 50 μg/kg of octreotide; or 2, 20, or 50 μg/kg of Pasireotide. These doses have been shown to elicit long-lasting therapeutic effects on pituitary hormone secretion in rodents and humans. Octreotide and Pasireotide were a kind gift from Novartis and were administered subcutaneously in a volume of 0.1 ml/kg of body weight. Treatment was started 12 hours before the induction of AIA and was continued for 3, 21, or 42 days, with administration every 12 hours for the indicated time periods. Flare reactions were provoked by injecting the right knee joint cavity with 100 μg of mBSA dissolved in 20 μl of PBS on days 21 and 35 of AIA. An additional group received 0.6 mg/kg of dexamethasone palmitate by intraperitoneal injection. Dexamethasone treatment was carried out for 5 days, followed by a 2-day pause starting 12 hours before AIA induction.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
The peak plasma concentration of pasireotide occurs in 0.25-0.5 hours. After administration of single and multiple doses, there is dose-proportionoal increases in Cmax and AUC.
Pasireotide is eliminated mostly by hepatic clearance (biliary excretion)(about 48%) with some minor renal clearance (about 7.63%).
Pasireotide is widely distributed and has a volume of distribution of >100L.
The clearance in healthy patient is ~7.6 L/h and in Cushing’s disease patients is ~3.8 L/h.
Metabolism / Metabolites
Metabolism is minimal.
Biological Half-Life
The half-life is 12 hours.
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
The excretion of pasireotide into breastmilk has not been studied. However, because it has a high molecular weight of 1047 daltons it is likely to be poorly excreted into breastmilk and it is a peptide that is likely digested in the infant's gastrointestinal tract. It is unlikely to reach the clinically important levels in infant serum. However, the manufacturer states that nursing mothers should not use pasireotide. An alternate drug is preferred.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
References

[1]. A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential. J Med Chem. 2003 Jun 5;46(12):2334-44.

[2]. Pasireotide (SOM230) is effective for the treatment of pancreatic neuroendocrine tumors (PNETs) in a multiple endocrine neoplasia type 1 (MEN1) conditional knockout mouse model. Surgery. 2012 Dec;152(6):1068-77.

[3]. Pasireotide (SOM230): development, mechanism of action and potential applications. Mol Cell Endocrinol. 2008 May 14;286(1-2):69-74.

[4]. Differential antiinflammatory and antinociceptive effects of the somatostatin analogs octreotide and pasireotide in a mouse model of immune-mediated arthritis. Arthritis Rheum. 2011 Aug;63(8):2352-62.

Additional Infomation
Pasireotide is a six-membered homodetic cyclic peptide composed from L-phenylglycyl, D-tryptophyl, L-lysyl, O-benzyl-L-tyrosyl, L-phenylalanyl and modified L-hydroxyproline residues joined in sequence. A somatostatin analogue with pharmacologic properties mimicking those of the natural hormone somatostatin; used (as its diaspartate salt) for treatment of Cushing's disease. It has a role as an antineoplastic agent. It is a homodetic cyclic peptide and a peptide hormone. It is a conjugate base of a pasireotide(2+).
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Pasireotide is a Somatostatin Analog. The mechanism of action of pasireotide is as a Somatostatin Receptor Agonist.
Pasireotide is a synthetic polypeptide analogue of somatostatin that resembles the native hormone in its ability to suppress levels and activity of growth hormone, insulin, glucagon and many other gastrointestinal peptides. Because its half-life is longer than somatostatin, pasireotide can be used clinically to treat neuroendocrine pituitary tumors that secrete excessive amounts of growth hormone causing acromegaly, or adrenocorticotropic hormone (ACTH) causing Cushing disease. Pasireotide has many side effects including suppression of gall bladder contractility and bile production, and maintenance therapy can cause cholelithiasis and accompanying elevations in serum enzymes and bilirubin.
Pasireotide is a synthetic long-acting cyclic peptide with somatostatin-like activity. Pasireotide activates a broad spectrum of somatostatin receptors, exhibiting a much higher binding affinity for somatostatin receptors 1, 3, and 5 than octreotide in vitro, as well as a comparable binding affinity for somatostatin receptor 2. This agent is more potent than somatostatin in inhibiting the release of human growth hormone (HGH), glucagon, and insulin.
See also: Pasireotide Diaspartate (is active moiety of); Pasireotide Pamoate (is active moiety of).
Drug Indication
For the treatment of Cushing’s disease, specifically for those patients whom pituitary surgery has not been curative or is not an option.
FDA Label
Signifor is indicated for the treatment of adult patients with Cushing's disease for whom surgery is not an option or for whom surgery has failed. Signifor is indicated for the treatment of adult patients with acromegaly for whom surgery is not an option or has not been curative and who are inadequately controlled on treatment with another somatostatin analogue.
Treatment of acromegaly and pituitary gigantism
Overproduction of pituitary ACTH, Pituitary dependant Cushing's disease, Pituitary dependant hyperadrenocorticism
Mechanism of Action
Pasireotide activates a broad spectrum of somatostatin receptors, exhbiting a much higher binding affinity for somatostatin receptors 1, 3, and 5 than octreotide in vitro, as well as a comparable binding affinity for somatostatin receptor 2. The binding and activation of the somatostatin receptors causes inhibition of ACTH secretion and results in reduced cortisol secretion in Cushing's disease patients. Also this agent is more potent than somatostatin in inhibiting the release of human growth hormone (HGH), glucagon, and insulin.
Pharmacodynamics
Signifor® is an analogue of somatostatin that promotes reduced levels of cortisol secretion in Cushing's disease patients.
A rational drug design approach, capitalizing on structure-activity relationships and involving transposition of functional groups from somatotropin release inhibitory factor (SRIF) into a reduced size cyclohexapeptide template, has led to the discovery of SOM230 (25), a novel, stable cyclohexapeptide somatostatin mimic that exhibits unique high-affinity binding to human somatostatin receptors (subtypes sst1-sst5). SOM230 has potent, long-lasting inhibitory effects on growth hormone and insulin-like growth factor-1 release and is a promising development candidate currently under evaluation in phase I clinical trials. [1]
Pasireotide (SOM230) is a multi-receptor ligand somatostatin analogue with high binding affinity for somatostatin receptor subtypes sst(1,2,3) and sst(5). Pasireotide potently suppresses GH, IGF-I and ACTH secretion, indicating potential efficacy in acromegaly and Cushing's disease. The prolonged inhibition of hormone secretion by pasireotide in animal models and expression of multiple sst receptors in carcinoid tumors suggests that pasireotide may have clinical advantages over octreotide in patients with carcinoid tumors. Direct and indirect antitumor activity has been observed in vitro with pasireotide, including sst receptor-mediated apoptosis and antiangiogenesis, suggesting a possible role for pasireotide in antineoplastic therapy. In summary, preclinical evidence, as well as preliminary results from clinical studies suggests that pasireotide is a promising new treatment for patients with symptoms of metastatic carcinoid tumors refractory or resistant to octreotide, de novo or persistent acromegaly, and that pasireotide has the potential to be the first directed medical therapy for Cushing's disease.[3]
In summary, this study is the first of its kind to demonstrate the antisecretory, antiproliferative and proapoptotic actions of the novel long acting release somatostatin analogue SOM230 in a mouse model of insulinomas with improved overall survival. The enhanced spectrum of activity of SOM230 is a result of its enhanced activity at 4 of the 5 sstr subtypes: sstr5, sstr2, sstr3, and sstr1. This is of particular clinical importance in unresectable or metastatic insulinomas that are relatively unresponsive to traditional therapy with octreotide and/or diazoxide. Treatment with SOM230 may facilitate symptomatic relief and result in tumor regression. We believe that this novel strategy of targeted therapy with SOM230 will be of benefit to patients with PNETs. While these data strongly support the effects of pasireotide in this model, we acknowledge that further studies with larger sample sizes are warranted to advance this novel approach toward clinical trials. [2]
We also studied the progression of histopathologic changes of chronic inflammation after prolonged administration of pasireotide. These changes become particularly evident upon repeated injections of the antigen into the joint. The present data clearly show that in this model of immune-mediated arthritis, not only the acute inflammatory reaction, but also the chronic inflammatory/destructive process, can be dampened by SSTR agonists. Due to their antiinflammatory actions (equivalent to dexamethasone) and their antinociceptive actions, SSTR agonists are of interest for clinical therapy. In fact, in a pilot study in RA patients, significant clinical improvement was noted after treatment with octreotide. The present observations suggest that pasireotide and octreotide would exhibit similar antiinflammatory effects; however, pasireotide would be expected to provide better pain control than octreotide in RA. As an important aspect, treatment with somatostatin analogs is considered to be relatively safe and well tolerated. Moreover, for prolonged use, long-acting versions of both octreotide and pasireotide are available; these need to be administered only once a month, thus eliminating the need for daily subcutaneous injections.
In conclusion, we provide evidence of potent antiinflammatory and antinociceptive effects of the somatostatin receptor agonists octreotide and pasireotide. We identify SSTR2 as an important target involved in the antiinflammatory effects of somatostatin. Both SSTR2 and SSTR1 mediate antinociception. Concerning the clinical use of SSTR agonists, it should be considered that pan-SSTR agonists may be superior to selective SSTR2 agonists.[4]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Weight
1435.57580041885
Exact Mass
1434.596
Elemental Analysis
C, 67.77; H, 5.76; N, 9.76; O, 16.72
CAS #
396091-79-5
Related CAS #
Pasireotide acetate;396091-76-2;Pasireotide ditrifluoroacetate;Pasireotide L-aspartate salt;396091-77-3;Pasireotide;396091-73-9;Pasireotide (diaspartate);1421446-02-7
PubChem CID
11982961
Appearance
Typically exists as solid at room temperature
Hydrogen Bond Donor Count
13
Hydrogen Bond Acceptor Count
17
Rotatable Bond Count
22
Heavy Atom Count
106
Complexity
2510
Defined Atom Stereocenter Count
7
SMILES
O(C(NCCN)=O)[C@H]1CN2C([C@H](CC3C=CC=CC=3)NC([C@H](CC3C=CC(=CC=3)OCC3C=CC=CC=3)NC([C@H](CCCCN)NC([C@@H](CC3=CNC4C=CC=CC3=4)NC([C@H](C3C=CC=CC=3)NC([C@@H]2C1)=O)=O)=O)=O)=O)=O.OC1C(C(=O)O)=CC2C=CC=CC=2C=1CC1=C(C(C(=O)O)=CC2C=CC=CC1=2)O
InChi Key
HSXBEUMRBMAVDP-QKXVGOHISA-N
InChi Code
InChI=1S/C58H66N10O9.C23H16O6/c59-27-13-12-22-46-52(69)64-47(30-38-23-25-42(26-24-38)76-36-39-16-6-2-7-17-39)53(70)66-49(31-37-14-4-1-5-15-37)57(74)68-35-43(77-58(75)61-29-28-60)33-50(68)55(72)67-51(40-18-8-3-9-19-40)56(73)65-48(54(71)63-46)32-41-34-62-45-21-11-10-20-44(41)45;24-20-16(14-7-3-1-5-12(14)9-18(20)22(26)27)11-17-15-8-4-2-6-13(15)10-19(21(17)25)23(28)29/h1-11,14-21,23-26,34,43,46-51,62H,12-13,22,27-33,35-36,59-60H2,(H,61,75)(H,63,71)(H,64,69)(H,65,73)(H,66,70)(H,67,72);1-10,24-25H,11H2,(H,26,27)(H,28,29)/t43-,46+,47+,48-,49+,50+,51+;/m1./s1
Chemical Name
(3S,6R,9S,12S,15S,19R,20aS)-6-((1H-indol-3-yl)methyl)-9-(4-aminobutyl)-15-benzyl-12-(4-(benzyloxy)benzyl)-1,4,7,10,13,16-hexaoxo-3-phenylicosahydropyrrolo[1,2-a][1,4,7,10,13,16]hexaazacyclooctadecin-19-yl (2-aminoethyl)carbamate 4,4'-methylenebis(3-hydroxy-2-naphthalenecarboxylate)
Synonyms
Pasireotide pamoate; SOM 230; Pasireotide pamoate; Pasireotide embonate; SOM230 pamoate; SOM-230 pamoate; 396091-79-5; UNII-04F55A7UZ3; 04F55A7UZ3; Cyclo((2S)-2-phenylglycyl-D-tryptophyl-L-lysyl-O-(phenylmethyl)-L-tyrosyl-L-phenylalanyl-(4R)-4-((((2-aminoethyl)amino)carbonyl)oxy)-L-prolyl), 4,4'-methylenebis(3-hydroxy-2-naphthalenecarboxylate) (1:1); SOM230; SOM-230; trade name: Signifor; Signifor LAR.
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
View More

Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
View More

Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 0.6966 mL 3.4829 mL 6.9658 mL
5 mM 0.1393 mL 0.6966 mL 1.3932 mL
10 mM 0.0697 mL 0.3483 mL 0.6966 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Long Term Safety and Efficacy of Pasireotide s.c. in Patients With Cushing's Disease
CTID: NCT02310269
Phase:    Status: Completed
Date: 2024-10-15
Study to Allow Access to Pasireotide for Patients Benefiting From Pasireotide Treatment in Novartis-sponsored Studies
CTID: NCT01794793
Phase: Phase 4    Status: Completed
Date: 2024-10-01
A Study of Pasireotide in People With Prolactinoma
CTID: NCT06295952
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Pasireotide to Reduce Clinically Relevant Digestive Leakage After Complete Cytoreductive Surgery (CRS) Plus Hyperthermic Intra-Peritoneal Chemotherapy (HIPEC) for Peritoneal Carcinomatosis
CTID: NCT04826432
Phase: Phase 2    Status: Terminated
Date: 2024-02-08
Compassionate Use of SOM230 for Hyperinsulinemic/Hypoglycemia
CTID: NCT02835131
Phase:    Status: No longer available
Date: 2022-07-29
View More

Reduction by Pasireotide of the Effluent Volume in High-output Enterostomy in Patients Refractory to Usual Medical Treatment
CTID: NCT02713776
Phase: Phase 2    Status: Completed
Date: 2022-04-04


Pasireotide Treatment for Neuroendocrine Tumor
CTID: NCT02779257
Phase: Phase 4    Status: Withdrawn
Date: 2022-03-04
Pasireotide in Prevention of GI Toxicity
CTID: NCT02215070
Phase: Phase 2    Status: Completed
Date: 2021-11-17
Treatment Plan for an Individual Patient With Pasireotide for Hyperinsulinemic Hypoglycemia
CTID: NCT03103009
Phase: Phase 1    Status: Completed
Date: 2021-09-29
An Extension Study to Assess the Long-Term Safety and Efficacy of Pasireotide in Participants With Acromegaly
CTID: NCT00171730
Phase: Phase 2    Status: Completed
Date: 2021-09-05
Extension Study to Assess the Safety and Efficacy of Pasireotide in Participants With Cushing's Disease
CTID: NCT00171951
Phase: Phase 2    Status: Completed
Date: 2021-06-02
Pasireotide in Hyperinsulinemic Hypoglycemia
CTID: NCT03053284
Phase: Phase 2    Status: Withdrawn
Date: 2021-05-14
Docetaxel, Prednisone, and Pasireotide in Treating Patients With Metastatic Hormone-Resistant Prostate Cancer
CTID: NCT01468532
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-03-25
Pasireotide & Everolimus in Adult Patients With Radioiodine-Refractory Differentiated & Medullary Thyroid Cancer
CTID: NCT01270321
Phase: Phase 2    Status: Completed
Date: 2021-02-17
Safety and Efficacy Study of SOM230 s.c. in Cluster Headache
CTID: NCT02619617
Phase: Phase 2    Status: Terminated
Date: 2021-01-05
Study of Pasireotide Long Acting Release (LAR) Injection in Patients With Acromegaly and Patients With Carcinoid Disease
CTID: NCT00446082
Phase: Phase 1    Status: Completed
Date: 2020-12-21
A Phase l Study to Evaluate the Pharmacokinetics and Safety Pasireotide in Subjects With Varying Degrees of Renal Impairment Compared to Healthy Volunteers
CTID: NCT01578928
Phase: Phase 1    Status: Completed
Date: 2020-12-21
Phase 1 Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of Pasireotide LAR in Patients With Castration Resistant Prostate Cancer
CTID: NCT01646684
Phase: Phase 1    Status: Completed
Date: 2020-12-21
Pharmacokinetics and Safety of Single Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function
CTID: NCT00698464
Phase: Phase 1    Status: Completed
Date: 2020-12-21
A Study in Healthy Subjects to Assess the Safety, Tolerability, PK and PD of HTL0030310
CTID: NCT03847207
Phase: Phase 1    Status: Completed
Date: 2020-10-27
HYPAR Trial - Hydrocortisone vs. Pasireotide in Reducing Pancreatic Surgery Complications
CTID: NCT02775227
Phase: Phase 4    Status: Active, not recruiting
Date: 2020-08-24
Impact of Pasireotide on Postoperative Pancreatic Fistulas Following Distal Resections
CTID: NCT04281680
Phase:    Status: Completed
Date: 2020-02-24
Evaluate Safety and Tolerability of Pasireotide LAR in Combination With Everolimus in Advanced Metastatic NETs
CTID: NCT01590199
Phase: Phase 1    Status: Completed
Date: 2019-04-16
Pasireotide, Everolimus and Selective Internal Radioembolization Therapy for Unresectable Hepatic Metastases
CTID: NCT01469572
Phase: Phase 1    Status: Completed
Date: 2018-10-18
Pasireotide in the Treatment of Hypoglycemia Following Gastric Bypass Surgery
CTID: NCT03514576
Phase: Phase 4    Status: Unknown status
Date: 2018-07-05
Pasireotide (SOM230) With or Without Everolimus in Treating Patients With Hormone Resistant, Chemotherapy Naive Prostate Cancer
CTID: NCT01313559
Phase: Phase 2    Status: Terminated
Date: 2018-04-25
Efficacy and Safety of Pasireotide Long Acting Release (LAR) Versus Octreotide LAR or Lanreotide Autogel (ATG) in Patients With Inadequately Controlled Acromegaly
CTID: NCT01137682
Phase: Phase 3    Status: Completed
Date: 2018-04-05
SOM230 Ectopic ACTH-producing Tumors
CTID: NCT02780882
Phase: Phase 2    Status: Withdrawn
Date: 2018-01-26
Adipokine Profile in Patients With Cushing's Disease on Pasireotide Treatment
CTID: NCT03080181
Phase: Phase 4    Status: Completed
Date: 2017-10-27
Phase II Trial of SOM230 in Patients With Unresectable Hepatocellular Carcinoma
CTID: NCT01639352
Phase: Phase 2    Status: Completed
Date: 2017-07-12
Safety and Efficacy of Pasireotide Long Acting Release (LAR) vs. Octreotide LAR in Patients With Active Acromegaly
CTID: NCT00600886
Phase: Phase 3    Status: Completed
Date: 2017-07-02
Phase II Study Evaluating Efficacy, Safety and Pharmacokinetics of Pasireotide in Patients With Dumping Syndrome
CTID: NCT01637272
Phase: Phase 2    Status: Completed
Date: 2017-05-10
Pasireotide LAR Administration in Lymphocele Prevention After Axillary Node Dissection for Breast Cancer
CTID: NCT01356862
Phase: Phase 2    Status: Completed
Date: 2017-01-25
Pasireotide Therapy in Patients With Nelson's Syndrome
CTID: NCT01617733
Phase: Phase 2    Status: Terminated
Date: 2016-11-02
Pasireotide in Combination With RAD001 in Patients With Advanced Neuroendocrine Tumors
CTID: NCT00804336
Phase: Phase 1    Status: Completed
Date: 2016-10-19
Response to Cabergoline and Pasireotide in Non-functioning Pituitary Adenomas and Resistant Prolactinomas
CTID: NCT01620138
Phase: Phase 2/Phas
A phase IIIb multicenter, open-label, single arm study to evaluate the efficacy and safety of pasireotide in patients
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-03-25
A multi-center, randomized, open-label, Phase IV study to
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-08-19
A Phase II trial to assess the efficacy and safety of pasireotide s.c. alone or in combination with cabergoline in patients with Cushing's disease
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2013-11-19
Multicenter 3-arm trial to evaluate the efficacy and safety of Pasireotide LAR or Everolimus alone or in combination in patients with well differentiated neuroendocrine carcinoma of the lung and thymus -LUNA Trial
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date: 2013-06-24
An open label, multicenter pasireotide roll over protocol for patients who have completed a previous Novartis sponsored pasireotide study and are judged by the investigator to benefit from continued pasireotide treatment
CTID: null
Phase: Phase 4    Status: Ongoing, Completed
Date: 2013-06-07
Objective evaluation of the effects of pasireotide on gastrointestinal and colorectal transit times, rectal wall properties, and postprandial response in patients with carcinoid diarrhea
CTID: null
Phase: Phase 2    Status: Completed
Date: 2013-02-12
A multi-center, intra-patient dose escalation phase II study to evaluate the preliminary efficacy, safety and pharmacokinetics of pasireotide (SOM230) subcutaneous (s.c.) followed by pasireotide LAR in patients with dumping syndrome
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-09-20
A randomized, double-blind, multicentre, phase III study to evaluate the efficacy and safety of pasireotide LAR in patients with Cushing’s disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-08-24
A MULTI - CENTER OPEN LABEL PHASE II (B) STUDY TO ASSESS EFFECTS OF SOM230 ON CARDIOVASCULAR PARAMETERS IN ACROMEGALIC PATIENTS
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-08-22
An open-label, multi-center, expanded access study of pasireotide s.c. in patients with Cushing’s disease (Seascape)
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2011-08-05
A randomized, open-label phase II multicenter study evaluating the efficacy of oral Everolimus alone or in combination with Pasireotide LAR i.m. in advanced progressive pancreatic neuroendocrine tumors (PNET)
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2011-06-28
An Open Label, Longitudinal Study of the Effects of Subcutaneous Acute and Chronic Pasireotide (SOM230) Therapy on Adrenocorticotrophic Hormone and Tumour Volume in Patients with Nelson's Syndrome.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-10-18
A phase III, multicenter, randomized, parallel-group study to assess the efficacy and safety of double-blind pasireotide LAR 40 mg and pasireotide LAR 60 mg versus open-label octreotide LAR or lanreotide ATG in patients with inadequately controlled acromegaly
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-06-10
An open label, multicenter, single arm study of pasireotide LAR in patients with rare tumors of neuroendocrine origin
CTID: null
Phase: Phase 2    Status: Completed
Date: 2009-05-06
A single center trial with a randomized, double-blind, placebo-controlled phase to assess safety and efficacy of sc pasireotide in patients with dumping syndrome, followed by an open label phase on active medication.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-07-28
Monocenter, double blinded, exploratory, randomized, study investigating the influence of Pasireotide on the hormonal activity of Prolactinomas - proof of concept study
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2008-07-02
A multicenter, randomized, blinded efficacy and safety study of pasireotide LAR vs octreotide LAR in patients with metastatic carcinoid tumors whose disease-related symptoms are inadequately controlled by somatostatin analogues
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2008-01-14
A multicenter, randomized, blinded study to assess the safety and efficacy of pasireotide LAR vs. octreotide LAR in patients with active acromegaly.
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2007-11-15
Monocenter, double blinded, exploratory, randomized, study investigating the influence of Pasireotide on the hormonal activity of Pheochromocytoma – proof of concept study
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2007-11-08
Stepwise Medical Treatment of Cushing’s Disease: a prospective open label multi-center trial with SOM230 mono- and combination therapy with dopamine agonists and ketoconazole
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2007-04-26
A randomized, double-blind study to assess the safety and efficacy of different dose levels of Pasireotide (SOM230) s.c. over a 6 month treatment period in patients with de novo, persistent or recurrent Cushing’s disease
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2007-01-05
An open label, multicenter, pilot phase II study of SOM230 s.c. in patients with duodeno-pancreatic (neuro) endocrine tumors and different pituitary diseases (Nelsonメs syndrome, non-functioning adenoma, TSH-adenoma, Gonadotroph adenoma, and PRL-adenoma) with potential sensitivity to somatostatin analogues.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2006-12-22
Effectiveness of SOM230 In Treating Non-Functioning Pituitary Adenomas
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2006-06-07
Extension to a multicenter, randomized, crossover, open label, dose finding study to compare the safety, efficacy and PK/PD relationship of multiple doses of SOM230 (200, 400 and 600 µg b.i.d.) and doses of open label Sandostatin (100 µg t.i.d.) in acromegalic patients
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2005-01-12
Extension to a multicenter, open label study to assess the safety and efficacy of 600 micrograms SOM230, administered subcutaneously, b.i.d. in patients with Cushing's disease
CTID: null
Phase: Phase 2, Phase 3    Status: Completed
Date: 2004-10-21

Contact Us