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MedKoo product information:
Trilostane
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MedKoo Code#: 203020
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Name:
Trilostane
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CAS#:
13647-35-3
Synonym: WIN
24,540. Trilostane;Modrenal;Desopan;Modrenal;DB01108;D01180.
(4α,5α,17β)-3,17-dihydroxy-4,5-epoxyandrost-2-ene-2-carbonitrile.
US brand name: Modrastane. Foreign brand names: Desopan;
Modrenal. Code names: WIN 24,540; WIN 24540. Chemical
structure names: *
(4Alpha,5alpha,17beta)-4,5-epoxy-3,17-dihydroxyandrost-2-ene-2-carbonitrile;
* 2Alpha-cyano-4alpha,5alpha-epoxyandrostan-17beta-ol-3-one; *
4,5-Epoxy-17-hydroxy-3-oxoandrostane-2-carbonitrile
IUPAC/Chemical name:
(1aR,4aR,4bS,6aS,7S,9aS,9bS,11aS)-2,7-dihydroxy-4a,6a-dimethyl-1a,4,4a,4b,5,6,6a,7,8,9,9a,9b,10,11-tetradecahydrocyclopenta[7,8]phenanthro[1,10a-b]oxirene-3-carbonitrile.
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Chemical structure: |
Theoretical analysis
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Chemical Formula: C20H27NO3
Exact Mass: 329.19909
Molecular Weight: 329.43
m/z: 329.19909 (100.0%), 330.20245 (21.6%),
331.20580 (2.2%)
Elemental Analysis: C, 72.92; H, 8.26; N,
4.25; O, 14.57
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Availability and price:
This agent is not in stock, which may be available through custom synthesis. To inquire quotation and lead time or to ask questions, please send email to
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Quality control
data:
Product will be shipped with
supporting analytical data.
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Information about this agent
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According to
wikipedia.com,
Trilostane is an inhibitor of 3 β-hydroxysteroid dehydrogenase used in
the treatment of Cushing's syndrome. It is perhaps best known under the
trade name Vetoryl. It was withdrawn from the United States market in
April 1994. However, it was recently approved in 2008 for the treatment
of Cushing's disease (hyperandrenocorticism) in dogs. It is also the
first drug approved to treat both pituitary- and adrenal-dependent
Cushing's in dogs. This prescription drug works by stopping the
production of cortisol in the adrenal glands. In studies of the drug,
the most common side effects were vomiting, lack of energy, diarrhea,
and weight loss. The safety and effectiveness of trilostane were
shown in several studies. Success was measured by improvements in both
blood test results and physical symptoms (increased appetite and
activity level, and decreased panting, thirst and urination). Only one
other drug, Anipryl (selegiline), is FDA-approved to treat Cushing's
disease in dogs, but only to treat uncomplicated, pituitary-dependent
Cushing's.
Current developer: Stegram
Pharmaceuticals Inc
1: Koonce CJ, Walf AA, Frye CA. Trilostane
exerts antidepressive effects among wild-type, but not estrogen receptor
[beta] knockout mice. Neuroreport. 2009 Aug 5;20(12):1047-50. PubMed
PMID: 19593916.
2: Igaz P, Tömböl Z, Szabó PM, Likó I, Rácz K. Steroid biosynthesis
inhibitors in the therapy of hypercortisolism: theory and practice. Curr
Med Chem. 2008;15(26):2734-47. Review. PubMed PMID: 18991633.
3: Thomas JL, Bucholtz KM, Sun J, Mack VL, Kacsoh B. Structural basis
for the selective inhibition of human 3beta-hydroxysteroid dehydrogenase
1 in human breast tumor MCF-7 cells. Mol Cell Endocrinol. 2009 Mar
25;301(1-2):174-82. Epub 2008 Oct 8. PubMed PMID: 18955108; PubMed
Central PMCID: PMC2667100.
4: Benchekroun G, de Fornel-Thibaud P, Lafarge S, Gomez E, Begon D,
Delisle F, Moraillon R, Héripret D, Maurey C, Rosenberg D. Trilostane
therapy for hyperadrenocorticism in three dogs with adrenocortical
metastasis. Vet Rec. 2008 Aug 9;163(6):190-2. PubMed PMID: 18689782.
5: Thomas JL, Mack VL, Glow JA, Moshkelani D, Terrell JR, Bucholtz KM.
Structure/function of the inhibition of human 3beta-hydroxysteroid
dehydrogenase type 1 and type 2 by trilostane. J Steroid Biochem Mol
Biol. 2008 Jul;111(1-2):66-73. Epub 2008 May 3. PubMed PMID: 18524572;
PubMed Central PMCID: PMC2580795.
6: Machida T, Uchida E, Matsuda K, Hirayama K, Yoshii K, Takiguchi M,
Taniyama H. Aldosterone-, corticosterone- and cortisol-secreting
adrenocortical carcinoma in a dog: case report. J Vet Med Sci. 2008
Mar;70(3):317-20. PubMed PMID: 18388437.
7: Nishikawa T, Saito J, Omura M. [Medical treatment for Cushing's
syndrome]. Nippon Rinsho. 2008 Jan;66(1):186-91. Review. Japanese.
PubMed PMID: 18186263.
8: Puddefoot JR, Barker S, Vinson GP. Trilostane in advanced breast
cancer. Expert Opin Pharmacother. 2006 Dec;7(17):2413-9. Review. PubMed
PMID: 17109615.
9: Barker S, Malouitre SD, Glover HR, Puddefoot JR, Vinson GP.
Comparison of effects of 4-hydroxy tamoxifen and trilostane on oestrogen-regulated
gene expression in MCF-7 cells: up-regulation of oestrogen receptor
beta. J Steroid Biochem Mol Biol. 2006 Aug;100(4-5):141-51. Epub 2006
Jun 27. PubMed PMID: 16806905.
10: Satoh F, Ito S. [Adrenocortical adenoma]. Nippon Rinsho. 2006 May
28;Suppl 1:710-3. Review. Japanese. PubMed PMID: 16776256.
11: Galac S, Kooistra HS, Voorhout G, van den Ingh TS, Mol JA, van den
Berg G, Meij BP. Hyperadrenocorticism in a dog due to ectopic secretion
of adrenocorticotropic hormone. Domest Anim Endocrinol. 2005
Apr;28(3):338-48. Epub 2005 Jan 11. PubMed PMID: 15760674.
12: Thomas JL, Umland TC, Scaccia LA, Boswell EL, Kacsoh B. The higher
affinity of human type 1 3beta-hydroxysteroid dehydrogenase (3beta-HSD1)
for substrate and inhibitor steroids relative to human 3beta-HSD2 is
validated in MCF-7 tumor cells and related to subunit interactions.
Endocr Res. 2004 Nov;30(4):935-41. PubMed PMID: 15666848.
13: Chang LL, Wun WS, Ho LL, Wang PS. Effects of dehydroepiandrosterone
on corticosterone release in rat zona fasciculata-reticularis cells.
Naunyn Schmiedebergs Arch Pharmacol. 2003 Dec;368(6):487-95. Epub 2003
Nov 13. PubMed PMID: 14615881.
14: Skelly BJ, Petrus D, Nicholls PK. Use of trilostane for the
treatment of pituitary-dependent hyperadrenocorticism in a cat. J Small
Anim Pract. 2003 Jun;44(6):269-72. PubMed PMID: 12831104.
15: Eastwood JM, Elwood CM, Hurley KJ. Trilostane treatment of a dog
with functional adrenocortical neoplasia. J Small Anim Pract. 2003
Mar;44(3):126-31. PubMed PMID: 12653328.
16: Puddefoot JR, Barker S, Glover HR, Malouitre SD, Vinson GP.
Non-competitive steroid inhibition of oestrogen receptor functions. Int
J Cancer. 2002 Sep 1;101(1):17-22. PubMed PMID: 12209583.
17: Füessl HS. [Secondary forms of hypertension. 5. Hypertension caused
by Cushing syndrome and Conn's disease]. MMW Fortschr Med. 2002 Feb
28;144(9):42-4. German. PubMed PMID: 11921653.
18: Yamanaka K, Iitaka M, Inaba M, Morita T, Sasano H, Katayama S. A
case of renin-producing adrenocortical cancer. Endocr J. 2000
Apr;47(2):119-25. PubMed PMID: 10943735.
19: Guarneri P, Cascio C, Piccoli T, Piccoli F, Guarneri R. Human
neuroblastoma SH-SY5Y cell line: neurosteroid-producing cell line
relying on cytoskeletal organization. J Neurosci Res. 2000 Jun
1;60(5):656-65. PubMed PMID: 10820437.
20: Williams CJ, Barley VL, Blackledge GR, Rowland CG, Tyrrell CJ,
Bachelot F, Dermaille A, Fargeot P, Namer M, Pouillart J, et al.
Multicentre cross-over study of aminoglutethimide and trilostane in
advanced postmenopausal breast cancer. Clin Oncol (R Coll Radiol).
1995;7(2):87-92. PubMed PMID: 7619769.
21: Ishido H, Yamashita N, Kitaoka M, Tanaka Y, Ogata E. A case of
ectopic ACTH syndrome associated with Zollinger-Ellison syndrome:
long-term survival with chemical adrenalectomy. Endocr J. 1994
Apr;41(2):171-6. PubMed PMID: 7951565.
22: Saito J, Nishikawa T. [Clinical usefulness of pharmacological
treatment of Cushing's syndrome]. Nippon Rinsho. 1994 Mar;52(3):793-6.
Review. Japanese. PubMed PMID: 8164384.
23: Murray R, Pitt P. Treatment of advanced breast cancer with
formestane. Ann Oncol. 1994;5 Suppl 7:S11-3. PubMed PMID: 7873455.
24: Williams CJ, Barley VL, Blackledge GR, Rowland CG, Tyrrell CJ.
Multicentre cross over study of aminoglutethimide and trilostane in
advanced postmenopausal breast cancer. Br J Cancer. 1993
Dec;68(6):1210-5. PubMed PMID: 8260375; PubMed Central PMCID:
PMC1968660.
25: Guarneri P, Papadopoulos V, Pan B, Costa E. Regulation of
pregnenolone synthesis in C6-2B glioma cells by 4'-chlorodiazepam. Proc
Natl Acad Sci U S A. 1992 Jun 1;89(11):5118-22. PubMed PMID: 1317582;
PubMed Central PMCID: PMC49240.
26: Rubens RD. Treatment of metastatic breast cancer and its
complications. Curr Opin Oncol. 1991 Dec;3(6):1029-34. Review. PubMed
PMID: 1668827.
27: Singh H, Jindal DP, Yadav MR, Kumar M. Heterosteroids and drug
research. Prog Med Chem. 1991;28:233-300. Review. PubMed PMID: 1843548.
28: Takahashi M, Luu-The V, Labrie F. Inhibitory effect of synthetic
progestins, 4-MA and cyanoketone on human placental 3 beta-hydroxysteroid
dehydrogenase/5----4-ene-isomerase activity. J Steroid Biochem Mol Biol.
1990 Oct;37(2):231-6. PubMed PMID: 2268554.
29: Nakada T, Koike H, Katayama T. Uneventful delivery following series
of successive treatments for virilized Cushing syndrome due to
adrenocortical carcinoma. Urology. 1990 Oct;36(4):359-63. PubMed PMID:
2219621.
30: Ingle JN, Krook JE, Schaid DJ, Everson LK, Mailliard JA, Long HJ,
McCormack GW. Evaluation of trilostane plus hydrocortisone in women with
metastatic breast cancer and prior hormonal therapy exposure. Am J Clin
Oncol. 1990 Apr;13(2):93-7. PubMed PMID: 2316487.
31: Nakada T, Furuta H, Katayama T, Sumiya H, Shimazaki J. The effect of
adrenal surgery on plasma atrial natriuretic factor and sodium escape
phenomenon in patients with primary aldosteronism. J Urol. 1989
Jul;142(1):13-8. PubMed PMID: 2525199.
32: Menashe Y, Shalev J, Serr DM. [RU-486: clinical application in
gynecology]. Harefuah. 1989 May 10;116(10):532-5. Review. Hebrew. PubMed
PMID: 2676767.
33: Chu PS, Buzdar AU, Hortobagyi GN. Trilostane with hydrocortisone in
treatment of metastatic breast cancer. Breast Cancer Res Treat. 1989
Mar;13(2):117-21. PubMed PMID: 2659103.
34: Stimpel M, Ivens K, Volkmann HP, Wambach G, Kaufmann W. Therapeutic
value of calcium antagonists in autonomous hyperaldosteronism. Klin
Wochenschr. 1989 Feb 15;67(4):248-52. PubMed PMID: 2648061.
35: Iino Y, Izuo M, Takikawa H. Effects of trilostane on
7,12-dimethylbenz[a]anthracene-induced rat mammary cancers and body
weight of rats in relation to estrogen receptors. Oncology.
1989;46(5):301-5. PubMed PMID: 2506498.
36: Williams CJ, Barley V, Blackledge G, Hutcheon A, Kaye S, Smith D,
Keen C, Webster DJ, Rowland C, Tyrrell C. Multicenter study of
trilostane: a new hormonal agent in advanced postmenopausal breast
cancer. Cancer Treat Rep. 1987 Dec;71(12):1197-201. PubMed PMID:
3690530.
37: Tueni E, Devleeschouwer N, Leclercq G, Nijs M, Coune A, Vermeulen A,
Paridaens R. Endocrine effects of Trilostane: in vitro and in vivo
studies. Eur J Cancer Clin Oncol. 1987 Oct;23(10):1461-7. PubMed PMID:
2824205.
38: Nakada T, Koike H, Katayama T. Evidence for a defect in urinary
concentrating ability in primary aldosteronism and its reversal by
adrenal surgery. Urol Int. 1987;42(4):295-301. PubMed PMID: 3672660.
39: Wilkinson JR, Williams JC, Singh D, Goss PE, Easton D, Coombes RC.
Response of nitrosomethylurea-induced rat mammary tumor to endocrine
therapy and comparison with clinical response. Cancer Res. 1986
Sep;46(9):4862-5. PubMed PMID: 3731133.
40: Beardwell CG, Hindley AC, Wilkinson PM, St John J, Bu'lock D.
Hormonal changes in postmenopausal women with breast cancer treated with
trilostane and dexamethasone. Clin Endocrinol (Oxf). 1985
Oct;23(4):413-21. PubMed PMID: 4064349.
41: Adams EF, Ashby MJ, Burrin J, Yeo TH, Drucker R, Stringer K,
Mashiter K. Effect of nivazol on ACTH secretion by human pituitary
corticotrophic tumours in cell culture. Clin Endocrinol (Oxf). 1985
May;22(5):631-8. PubMed PMID: 2992847.
42: Coombes RC, Powles TJ, Muindi J, Hunt J, Ward M, Perez D, Neville
AM. Trilostane therapy for advanced breast cancer. Cancer Treat Rep.
1985 Apr;69(4):351-4. PubMed PMID: 3995507.
43: Nakada T, Kazama T, Koike H, Yoshikawa M, Ishikawa S, Katayama T.
Primary aldosteronism treated by trilostane (3 beta-hydroxysteroid
dehydrogenase inhibitor). Urology. 1985 Feb;25(2):207-14. PubMed PMID:
2982227.
44: Winterberg B, Vetter W, Groth H, Greminger P, Vetter H. Primary
aldosteronism: treatment with trilostane. Cardiology. 1985;72 Suppl
1:117-21. PubMed PMID: 3863713.
45: Nakada T, Kimura M. Primary aldosteronism associated with chronic
renal failure. Report of a case. Int Urol Nephrol. 1984;16(2):165-73.
PubMed PMID: 6469482.
46: Carlström K, Döberl A, Pousette A, Rannevik G, Wilking N. Inhibition
of steroid sulfatase activity by danazol. Acta Obstet Gynecol Scand
Suppl. 1984;123:107-11. PubMed PMID: 6238495.
47: Nakada T, Katayama T. [Therapeutic experience of primary
aldosteronism associated with chronic renal failure]. Nippon Naibunpi
Gakkai Zasshi. 1983 Sep 20;59(9):1219-27. Japanese. PubMed PMID:
6642011.
48: Dewis P, Anderson DC, Bu'lock DE, Earnshaw R, Kelly WF. Experience
with trilostane in the treatment of Cushing's syndrome. Clin Endocrinol
(Oxf). 1983 Jun;18(6):533-40. PubMed PMID: 6883729.
49: Beardwell CG, Hindley AC, Wilkinson PM, Todd ID, Ribeiro GG, Bu'Lock
D. Trilostane in the treatment of advanced breast cancer. Cancer
Chemother Pharmacol. 1983;10(3):158-60. PubMed PMID: 6861259.
50: Bricaire H, Luton JP. [Cushing's syndrome. Medical treatment of
adrenal hypercorticism]. Horm Res. 1980;13(4-5):317-24. French. PubMed
PMID: 7274999.
51: Komanicky P, Spark RF, Melby JC. Treatment of Cushing's syndrome
with trilostane (WIN 24,540), an inhibitor of adrenal steroid
biosynthesis. J Clin Endocrinol Metab. 1978 Nov;47(5):1042-51. PubMed
PMID: 233687.
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