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Terlipressin

Alias: Glycylpressin; Remestyp; Terlipressin
Cat No.:V32785 Purity: ≥98%
Terlipressin is a tube-active vasopressin analog and a selective vasopressin V1 receptor agonist (activator) that reduces splanchnic blood flow and portal pressure and controls acute variceal bleeding.
Terlipressin
Terlipressin Chemical Structure CAS No.: 14636-12-5
Product category: Vasopressin Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
5mg
10mg
25mg
50mg
100mg
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Other Forms of Terlipressin:

  • Terlipressin diacetate
  • Terlipressin acetate
Official Supplier of:
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Top Publications Citing lnvivochem Products
Product Description
Terlipressin is a tube-active vasopressin analog and a selective vasopressin V1 receptor agonist (activator) that reduces splanchnic blood flow and portal pressure and controls acute variceal bleeding. Terlipressin has anti~inflammatory and antioxidant effects and may be utilized in study/research of hepatorenal syndrome and norepinephrine-resistant septic shock.
Biological Activity I Assay Protocols (From Reference)
Targets
Vasopressin V1 receptor
ln Vitro
Terlipressin (25 nM; 24-72 hours; IEC-6 cells) treatment dramatically increases the viability, proliferation, and apoptosis of IEC-6 cells[1].
Terlipressin prevents IEC-6 cells from secreting TNF-α and 15-F2t-isoprostane after they are subjected to oxygen and glucose deprivation and then reoxygenated. Through the PI3K signaling pathway, terlipressin administration after OGD reduces OGD/R-induced cell damage[1].
ln Vivo
Terlipressin treatment dramatically reduces IR-induced liver apoptosis, necrosis, and inflammation in a mouse model of nonlethal hepatic ischemia-reperfusion (IR)[3].
Cell Assay
Cell Line: IEC-6 cells induced by oxygen and glucose deprivation/re-oxygenation (OGD/R)
Concentration: 25 nM
Incubation Time: 24 hours, 48 hours, 72 hours
Result: Significantly increased the proliferation of IEC-6 cells.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Following a 1 mg IV injection of terlipressin acetate in patients with HRS-1, the median Cmax, AUC24h and Cave of terlipressin at steady-state were 70.5 ng/mL, 123 ng × hr/mL and 14.2 ng/mL, respectively. The median Cmax, AUC24h and Cave of lypressin were 1.2 ng/mL, 11.2 ng × hr/mL and 0.5 ng/mL, respectively. Terlipressin and lypressin exhibit linear pharmacokinetics in healthy subjects. Plasma concentrations of terlipressin demonstrate proportional increases with the dose administered.
Less than 1% of terlipressin and <0.1% of lysine-vasopressin is excreted in urine in healthy subjects.
The volume of distribution of terlipressin was 6.3 L and 1370 L for lysine-vasopressin.
The clearance of terlipressin was 27.4 L/hr and 318 L/hr for lysine-vasopressin. Clearance of terlipressin in HRS-1 patients increased with body weight, while body weight had no effect on the clearance of lysine-vasopressin.
Metabolism / Metabolites
The N-terminal glycyl residues of terlipressin is cleaved by various tissue peptidases to release its pharmacologically active metabolite, [lypressin] or lysine-vasopressin. Once formed, lypressin is undergoes various peptidase-mediated metabolic pathways in body tissues. Terlipressin is not metabolized in the blood or plasma. Due to the ubiquitous nature of peptidases in body tissues, it is unlikely that the metabolism of terlipressin will be affected by disease state or other drugs.
Biological Half-Life
The terminal half-life of terlipressin was 0.9 hours and 3.0 hours for lysine-vasopressin.
References

[1]. Terlipressin Protects Intestinal Epithelial Cells Against Oxygen-Glucose Deprivation/Re-Oxygenation Injury via the Phosphatidylinositol 3-kinase Pathway. Exp Ther Med. 2017 Jul;14(1):260-266.

[2]. Refractory Torsade De Pointes Induced by Terlipressin (Glypressin). Int J Cardiol. 2016 Nov 1;222:135-140.

[3]. Signaling Through Hepatocyte Vasopressin Receptor 1 Protects Mouse Liver From Ischemia-Reperfusion Injury. Oncotarget. 2016 Oct 25;7(43):69276-69290.

[4]. Terlipressin for the Treatment of Acute Variceal Bleeding: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicine (Baltimore). 2018 Nov;97(48):e13437.

[5]. Terlipressin for Norepinephrine-Resistant Septic Shock. Lancet. 2002 Apr 6;359(9313):1209-10.

Additional Infomation
Pharmacodynamics
Terlipressin mimics the biological effects of endogenous vasopressin, but it displays increased selectivity for the V1 receptor and a longer half-life than vasopressin. These pharmacokinetic and molecular properties of terlipressin give it several advantages, such as the prevention of rebound hypotension when the drug is stopped and convenience in patients with limited intravenous access. Terlipressin increases arterial pressure (diastolic, systolic, and mean) and decreases heart rate in patients with hepatorenal syndrome type 1 (HRS-1). After the administration of a single 0.85 mg dose of terlipressin in patients with HRS-1, cardiovascular effects were observed within five minutes after dosing and were maintained for at least six hours after dosing. The maximum change in blood pressure and heart rate occurred at 1.2 to two hours post-dose.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C52H74N16O15S2
Molecular Weight
1227.3722
Exact Mass
1226.496
Elemental Analysis
C, 50.89; H, 6.08; N, 18.26; O, 19.55; S, 5.22
CAS #
14636-12-5
Related CAS #
Terlipressin diacetate; 1884420-36-3; Terlipressin acetate; 914453-96-6
PubChem CID
72081
Appearance
White to off-white solid powder
Density
1.5±0.1 g/cm3
Boiling Point
1824.0±65.0 °C at 760 mmHg
Flash Point
1056.9±34.3 °C
Vapour Pressure
0.0±0.3 mmHg at 25°C
Index of Refraction
1.664
LogP
-6.75
Hydrogen Bond Donor Count
16
Hydrogen Bond Acceptor Count
19
Rotatable Bond Count
25
Heavy Atom Count
85
Complexity
2380
Defined Atom Stereocenter Count
8
SMILES
S1C([H])([H])[C@@]([H])(C(N2C([H])([H])C([H])([H])C([H])([H])[C@@]2([H])C(N([H])[C@]([H])(C(N([H])C([H])([H])C(N([H])[H])=O)=O)C([H])([H])C([H])([H])C([H])([H])C([H])([H])N([H])[H])=O)=O)N([H])C([C@]([H])(C([H])([H])C(N([H])[H])=O)N([H])C([C@]([H])(C([H])([H])C([H])([H])C(N([H])[H])=O)N([H])C([C@]([H])(C([H])([H])C2C([H])=C([H])C([H])=C([H])C=2[H])N([H])C([C@]([H])(C([H])([H])C2C([H])=C([H])C(=C([H])C=2[H])O[H])N([H])C([C@]([H])(C([H])([H])S1)N([H])C(C([H])([H])N([H])C(C([H])([H])N([H])C(C([H])([H])N([H])[H])=O)=O)=O)=O)=O)=O)=O)=O
InChi Key
BENFXAYNYRLAIU-QSVFAHTRSA-N
InChi Code
InChI=1S/C52H74N16O15S2/c53-17-5-4-9-31(45(76)60-23-41(57)72)63-51(82)38-10-6-18-68(38)52(83)37-27-85-84-26-36(61-44(75)25-59-43(74)24-58-42(73)22-54)50(81)65-34(20-29-11-13-30(69)14-12-29)48(79)64-33(19-28-7-2-1-3-8-28)47(78)62-32(15-16-39(55)70)46(77)66-35(21-40(56)71)49(80)67-37/h1-3,7-8,11-14,31-38,69H,4-6,9-10,15-27,53-54H2,(H2,55,70)(H2,56,71)(H2,57,72)(H,58,73)(H,59,74)(H,60,76)(H,61,75)(H,62,78)(H,63,82)(H,64,79)(H,65,81)(H,66,77)(H,67,80)/t31-,32-,33-,34-,35-,36-,37-,38-/m0/s1
Chemical Name
(2S)-1-[(4R,7S,10S,13S,16S,19R)-19-[[2-[[2-[(2-aminoacetyl)amino]acetyl]amino]acetyl]amino]-7-(2-amino-2-oxoethyl)-10-(3-amino-3-oxopropyl)-13-benzyl-16-[(4-hydroxyphenyl)methyl]-6,9,12,15,18-pentaoxo-1,2-dithia-5,8,11,14,17-pentazacycloicosane-4-carbonyl]-N-[(2S)-6-amino-1-[(2-amino-2-oxoethyl)amino]-1-oxohexan-2-yl]pyrrolidine-2-carboxamide
Synonyms
Glycylpressin; Remestyp; Terlipressin
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)
DMSO: ~100 mg/mL (~81.5 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (2.04 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.5 mg/mL (2.04 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
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.

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Solubility in Formulation 3: ≥ 2.5 mg/mL (2.04 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 0.8148 mL 4.0738 mL 8.1475 mL
5 mM 0.1630 mL 0.8148 mL 1.6295 mL
10 mM 0.0815 mL 0.4074 mL 0.8148 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.

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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
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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.
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Clinical Trial Information
Terlipressin for HRS-AKI in Liver Transplant Candidates (INFUSE)
CTID: NCT04460560
Phase: Phase 3    Status: Completed
Date: 2024-10-09
Safety and Efficacy of Continuous Infusion of Terlipressin With Norepinephrine Versus Norepinephrine Alone in Improving Outcomes of Acute Kidney Injury in Acute on Chronic Liver Failure With Septic Shock
CTID: NCT06556472
Phase: N/A    Status: Not yet recruiting
Date: 2024-08-16
The Effect of Intramyometrial Injection of Terlipressin Versus Intramyometrial Injection of Carbitocin on Hemoglobin and Blood Loss During Laparoscopic Myomectomy Operations
CTID: NCT05154279
Phase: N/A    Status: Recruiting
Date: 2024-06-25
The Effect of Intramyometrial Injection of Terlipressin Versus Carbitocin on Hemoglobin and Blood Loss During Open Myomectomy Operations Using Haemostatic Tourniquets:
CTID: NCT05242783
Phase: N/A    Status: Completed
Date: 2024-06-25
The Effect of Intracapsular Injection of Terlipressin Versus Carbitocin on Hemoglobin and Blood Loss During Laparoscopic Myomectomy Operations
CTID: NCT05170230
Phase: N/A    Status: Recruiting
Date: 2024-06-25
-----------------
An exploratory study to investigate the haemodynamic effects of serelaxin in patients with compensated cirrhosis and portal hypertension
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-11-06
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Treatment of hepatorenal syndrome with terlipressin infusion adjusted to hemodynamic response
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-02-08


Protocolo de suero salino hipertónico y terlipresina en la mejora funcional del shock séptico
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2011-06-27
A DOUBLE BLIND PLACEBO CONTROLLED TRIAL OF TERLIPRESSIN IN THE MANAGEMENT OF SEVERE ALCOHOLIC HEPATITIS – A PRELIMINARY STUDY
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2007-04-16
Terlipressin in the treatment of catecholamine-resistant septic shock
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-02-15
A double-blind, randomized, placebo-controlled, multicenter phase III study of intravenous terlipressin in patients with hepatorenal syndrome type 1
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-07-25

Biological Data
  • Forest plot showing the difference in the control of bleeding in patients treated with terlipressin compared with no vasoactive drugs. Medicine (Baltimore) . 2018 Nov;97(48):e13437.
  • Forest plot showing the difference in the rebleeding in patients treated with terlipressin compared with balloon tamponade. Medicine (Baltimore) . 2018 Nov;97(48):e13437.
  • The effect of Terlipressin on the overall mouse hepatic blood perfusion in vivo. Oncotarget . 2016 Oct 25;7(43):69276-69290.
  • Terlipressin treatment ameliorates hepatic injury and inflammation. Oncotarget . 2016 Oct 25;7(43):69276-69290.
  • Changes in IEC-6 cell viability following OGD/R. (A) Effect of different concentrations of terlipressin on IEC-6 cell viability following OGD/R. Exp Ther Med . 2017 Jul;14(1):260-266.
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