Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C4H6O6.C2H7NS |
| Molecular Weight | 227.236 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NCCS.O[C@H]([C@@H](O)C(O)=O)C(O)=O
InChI
InChIKey=NSKJTUFFDRENDM-ZVGUSBNCSA-N
InChI=1S/C4H6O6.C2H7NS/c5-1(3(7)8)2(6)4(9)10;3-1-2-4/h1-2,5-6H,(H,7,8)(H,9,10);4H,1-3H2/t1-,2-;/m1./s1
| Molecular Formula | C2H7NS |
| Molecular Weight | 77.149 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C4H6O6 |
| Molecular Weight | 150.0868 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/6131501 | https://www.ncbi.nlm.nih.gov/pubmed/6124307 | https://www.ncbi.nlm.nih.gov/pubmed/15675041 | https://www.ncbi.nlm.nih.gov/pubmed/28384851
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/6131501 | https://www.ncbi.nlm.nih.gov/pubmed/6124307 | https://www.ncbi.nlm.nih.gov/pubmed/15675041 | https://www.ncbi.nlm.nih.gov/pubmed/28384851
Cysteamine (trade name CYSTAGON) is a cystine-depleting agent indicated for the treatment of corneal cystine crystal accumulation in patients with cystinosis. Cystinosis is an autosomal recessive inborn error of metabolism in which the transport of cystine out of lysosomes is abnormal; in the nephropathic form, accumulation of cystine and formation of crystals damage various organs, especially the kidney, leading to renal tubular Fanconi Syndrome and progressive glomerular failure, with end-stage renal failure by the end of the first decade of life. In four studies of cystinosis patients before cysteamine was available, renal death (need for transplant or dialysis) occurred at the median age of fewer than 10 years. Patients with cystinosis also experience growth failure, rickets, and photophobia due to cystine deposits in the cornea. With time most organs are damaged, including the retina, muscles and central nervous system. Cysteamine is an aminothiol that participates within lysosomes in a thiol-disulfide interchange reaction converting cystine into cysteine and cysteine-cysteamine mixed disulfide, both of which can exit the lysosome in patients with cystinosis.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: P21980 Gene ID: 7052.0 Gene Symbol: TGM2 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/15675041 |
178.0 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CYSTAGON Approved UsePROCYSBI is indicated for the treatment of nephropathic cystinosis in adult and pediatric patients 2 years of age and older. PROCYSBI is a cystine-depleting agent indicated for the treatment of nephropathic cystinosis in adult and pediatric patients 2 years of age and older. (1) Launch Date1994 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
37.72 μM |
450 mg single, oral dose: 450 mg route of administration: Oral experiment type: SINGLE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
|
2.7 mg/L |
404 mg/m² 4 times / day steady-state, oral dose: 404 mg/m² route of administration: Oral experiment type: STEADY-STATE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
96 μM × h |
450 mg single, oral dose: 450 mg route of administration: Oral experiment type: SINGLE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
|
351 mg × min/L |
404 mg/m² 4 times / day steady-state, oral dose: 404 mg/m² route of administration: Oral experiment type: STEADY-STATE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
90 min |
404 mg/m² 4 times / day steady-state, oral dose: 404 mg/m² route of administration: Oral experiment type: STEADY-STATE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
48% |
450 mg single, oral dose: 450 mg route of administration: Oral experiment type: SINGLE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
|
48% |
404 mg/m² 4 times / day steady-state, oral dose: 404 mg/m² route of administration: Oral experiment type: STEADY-STATE co-administered: |
CYSTEAMINE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
0.44 % 1 times / day multiple, ophthalmic Recommended Dose: 0.44 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.44 %, 1 times / day Sources: |
unhealthy, 13.4 (5.9-27.8) Health Status: unhealthy Age Group: 13.4 (5.9-27.8) Sex: M+F Sources: |
Disc. AE: Intracranial hypertension... AEs leading to discontinuation/dose reduction: Intracranial hypertension Sources: |
600 mg 1 times / day multiple, oral Recommended Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
healthy, 37.5 (19-64) Health Status: healthy Age Group: 37.5 (19-64) Sex: M+F Sources: |
Disc. AE: Blurred vision, Hematuria... AEs leading to discontinuation/dose reduction: Blurred vision Sources: Hematuria |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Intracranial hypertension | Disc. AE | 0.44 % 1 times / day multiple, ophthalmic Recommended Dose: 0.44 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.44 %, 1 times / day Sources: |
unhealthy, 13.4 (5.9-27.8) Health Status: unhealthy Age Group: 13.4 (5.9-27.8) Sex: M+F Sources: |
| Blurred vision | Disc. AE | 600 mg 1 times / day multiple, oral Recommended Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
healthy, 37.5 (19-64) Health Status: healthy Age Group: 37.5 (19-64) Sex: M+F Sources: |
| Hematuria | Disc. AE | 600 mg 1 times / day multiple, oral Recommended Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
healthy, 37.5 (19-64) Health Status: healthy Age Group: 37.5 (19-64) Sex: M+F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
Drug as victim
PubMed
| Title | Date | PubMed |
|---|---|---|
| Electric potential control of DNA immobilization on gold electrode. | 2003-01 |
|
| In vivo confocal microscopy of the cornea in nephropathic cystinosis. | 2002-12 |
|
| Glutathione in gingival crevicular fluid and its relation to local antioxidant capacity in periodontal health and disease. | 2002-12 |
|
| Lysosomal cystine storage augments apoptosis in cultured human fibroblasts and renal tubular epithelial cells. | 2002-12 |
|
| Cysteamine pre-treatment reduces pentylenetetrazol-induced plasticity and epileptiform discharge in the CA1 region of rat hippocampal slices. | 2002-11-15 |
|
| Characterization of the surfactin synthetase C-terminal thioesterase domain as a cyclic depsipeptide synthase. | 2002-11-12 |
|
| Nephropathic cystinosis associated with cardiomyopathy: a 27-year clinical follow-up. | 2002-11-09 |
|
| Possible mechanism for involvement of cysteine in aroma production in wine. | 2002-10-09 |
|
| Follow-up and treatment of adults with cystinosis in the Netherlands. | 2002-10 |
|
| Identification and quantitation of key aroma compounds formed in Maillard-type reactions of fructose with cysteamine or isothiaproline (1,3-thiazolidine-2-carboxylic acid). | 2002-09-11 |
|
| Structural determination and odor characterization of N-(2-mercaptoethyl)-1,3-thiazolidine, a new intense popcorn-like-smelling odorant. | 2002-09-11 |
|
| Studies on the anti-inflammatory and anti-nociceptive effects of melatonin in the rat. | 2002-09 |
|
| The ability of hippocampal CA1 area for induction of long-term potentiation is persistently reduced by prior treatment with cysteamine: an in vitro study. | 2002-08 |
|
| Differentiating the orientations of photosynthetic reaction centers on Au electrodes linked by different bifunctional reagents. | 2002-08 |
|
| Cystinosis. | 2002-07-11 |
|
| Synthesis of (+/-)-madindolines and chemical models. Studies of chemical reactivity. | 2002-07-11 |
|
| A molecular CT blood pool contrast agent. | 2002-07 |
|
| Cysteine-mediated electron transfer in syntrophic acetate oxidation by cocultures of Geobacter sulfurreducens and Wolinella succinogenes. | 2002-07 |
|
| The effects of lysosomotropic agents on normal and INCL cells provide further evidence for the lysosomal nature of palmitoyl-protein thioesterase function. | 2002-06-13 |
|
| Gastroprotective effect of adrenomedullin administered subcutaneously in the rat. | 2002-06 |
|
| X-ray crystallographic studies on butyryl-ACP reveal flexibility of the structure around a putative acyl chain binding site. | 2002-06 |
|
| Cysteamine supplementation during in vitro maturation and embryo culture: a useful tool for increasing the efficiency of bovine in vitro embryo production. | 2002-06 |
|
| Tumour targeting of humanised cross-linked divalent-Fab' antibody fragments: a clinical phase I/II study. | 2002-05-06 |
|
| Negligible urinary cysteamine loss in cystinosis patients with Fanconi syndrome. | 2002-05 |
|
| Properties of selected S-nitrosothiols compared to nitrosylated WR-1065. | 2002-05 |
|
| Endogenous somatostatin inhibits interaction of insulin and cholecystokinin on exocrine secretion of isolated, perfused rat pancreas. | 2002-05 |
|
| Effect of sperm survival and CTC staining pattern on in vitro fertilization of porcine oocytes. | 2002-04-15 |
|
| Generation of roasted notes based on 2-acetyl-2-thiazoline and its precursor, 2-(1-hydroxyethyl)-4,5-dihydrothiazole, by combined bio and thermal approaches. | 2002-04-10 |
|
| Electrochemical and spectroelectrochemical behavior of the main photodegradation product of nifedipine: the nitrosopyridine derivative. | 2002-04 |
|
| Modulation of inflammatory paw oedema by cysteamine in the rat. | 2002-04 |
|
| Effects of tea from Turnera ulmifolia L. on mouse gastric mucosa support the Turneraceae as a new source of antiulcerogenic drugs. | 2002-04 |
|
| Subunit modification and association in VR1 ion channels. | 2002-03-22 |
|
| Prevalence of apoptosis and inner cell allocation in bovine embryos cultured under different oxygen tensions with or without cysteine addition. | 2002-03-15 |
|
| Effect of glutathione synthesis stimulation during in vitro maturation of ovine oocytes on embryo development and intracellular peroxide content. | 2002-03-15 |
|
| Polymer-cysteamine conjugates: new mucoadhesive excipients for drug delivery? | 2002-03-02 |
|
| Age-related prevalence of anterior segment complications in patients with infantile nephropathic cystinosis. | 2002-03 |
|
| Generating favorable nano-environments for thermal and solvent stabilization of immobilized beta-galactosidase. | 2002-02-15 |
|
| Evidence for a central inhibitory role of growth hormone secretagogues and ghrelin on gastric acid secretion in conscious rats. | 2002-02 |
|
| Role of porphyrin sequestration in the biogenesis of iron-laden astrocytic inclusions in primary culture. | 2002 |
|
| Role of heme oxygenase-1 in the biogenesis of corpora amylacea. | 2002 |
|
| A novel strategy for the synthesis of neoglycoconjugates from deacylated deep rough lipopolysaccharides. | 2002 |
|
| In vitro maturation and glutathione synthesis of porcine oocytes in the presence or absence of cysteamine under different oxygen tensions: role of cumulus cells. | 2002 |
|
| Interventions for paracetamol (acetaminophen) overdoses. | 2002 |
|
| Enhancement of solar inactivation of Escherichia coli by titanium dioxide photocatalytic oxidation. | 2002 |
|
| Gastric antisecretory and antiulcer activity of oxytocin in rats and guinea pigs. | 2001-11-21 |
|
| Adsorption properties and activities of lipase on a gold substrate modified by self-assembled monolayers. | 2001-11 |
|
| Synthesis and anti-melanoma activity of analogues of N-acetyl-4-S-cysteaminylphenol substituted with two methyl groups alpha to the nitrogen. | 2001-02 |
|
| Taurine and hypotaurine in spermatozoa and epididymal fluid of cats. | 2001 |
|
| Oxidative stress, glucose-6-phosphate dehydrogenase and the red cell. | 2001 |
|
| Cholesterol 7alpha-hydroxylase. 2. Biochemical properties and participation of endogenous cholesterol in the assay in vitro. | 1975-06-16 |
Sample Use Guides
The recommended maintenance dose of 1.30 grams/m2/day. Patients over age 12 and over 110 pounds should receive 2.0 grams/day given in four divided doses as a starting maintenance dose. This dose should be reached after 4 to 6 weeks of incremental dosage increases as stated above. The dose should be raised if the leukocyte cystine level remains > 2 nmol/1⁄2 cystine/mg/protein.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/28384851
Oocytes were obtained from 4-6 weeks old Naval Medical Research Institute (NMRI) female mice, 48 hours after stimulation with Intraperitoneal (IP) injection of 10 IU Pregnant Mare Serum Gonadotropin (PMSG). Germinal Vesicle (GV) oocyte with and without cumulus cells were isolated from ovaries and cultured in Tissue Culture Medium (TCM) 199 with availability of 100 μM of CYS (Cysteamine). After 24 hours, mature oocyte in metaphase II (MII) were fertilized with sperm in In vitro Fertilization (IVF) medium (T6) and evaluated for fetal development into blastocyst. CYS could significantly (p<0.05) increase the rate of IVM and oocyte evolution, and embryo formation in medium culture.
| Substance Class |
Chemical
Created
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Edited
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| Record UNII |
QO84GZ3TST
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| Record Status |
Validated (UNII)
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NCI_THESAURUS |
C29701
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EU-Orphan Drug |
EU/3/14/1306
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100000089423
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81990
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248-641-7
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DBSALT000032
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m4046
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C47467
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SUB03168MIG
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11958147
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PARENT -> SALT/SOLVATE | |||
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PARENT -> SALT/SOLVATE | |||
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SALT/SOLVATE -> SALT/SOLVATE |
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SOLVATE->ANHYDROUS |
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ACTIVE MOIETY |