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Details

Stereochemistry ACHIRAL
Molecular Formula C18H24N4O
Molecular Weight 312.4094
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of GRANISETRON

SMILES

CN1N=C(C(=O)N[C@@H]2C[C@@H]3CCC[C@H](C2)N3C)C4=C1C=CC=C4

InChI

InChIKey=MFWNKCLOYSRHCJ-BTTYYORXSA-N
InChI=1S/C18H24N4O/c1-21-13-6-5-7-14(21)11-12(10-13)19-18(23)17-15-8-3-4-9-16(15)22(2)20-17/h3-4,8-9,12-14H,5-7,10-11H2,1-2H3,(H,19,23)/t12-,13+,14-

HIDE SMILES / InChI

Molecular Formula C18H24N4O
Molecular Weight 312.4094
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022445s000lbl.pdf

Granisetron is a selective inhibitor of type 3 serotonergic (5-HT3) receptors. The drug is structurally and pharmacologically related to ondansetron, another selective inhibitor of 5-HT3 receptors. The serontonin 5-HT3 receptors are located on the nerve terminals of the vagus in the periphery, and centrally in the chemoreceptor trigger zone of the area postrema. The temporal relationship between the emetogenic action of emetogenic drugs and the release of serotonin, as well as the efficacy of antiemetic agents suggest that chemotherapeutic agents release serotonin from the enterochromaffin cells of the small intestine by causing degenerative changes in the GI tract. The serotonin then stimulates the vagal and splanchnic nerve receptors that project to the medullary vomiting center, as well as the 5-HT3 receptors in the area postrema, thus initiating the vomiting reflex, causing nausea and vomiting. Granisetron is a potent, selective antagonist of 5-HT3 receptors. The antiemetic activity of the drug is brought about through the inhibition of 5-HT3 receptors present both centrally (medullary chemoreceptor zone) and peripherally (GI tract). This inhibition of 5-HT3 receptors in turn inhibits the visceral afferent stimulation of the vomiting center, likely indirectly at the level of the area postrema, as well as through direct inhibition of serotonin activity within the area postrema and the chemoreceptor trigger zone. Granisetron is used for the prevention of nausea and vomiting associated with initial and repeat courses of emetogenic cancer therapy (including high dose cisplatin), postoperation, and radiation (including total body irradiation and daily fractionated abdominal radiation).

CNS Activity

Curator's Comment: The increasing brain/blood concentration ratio of granisetron suggests that granisetron penetrates the blood-brain barrier in rats.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.45 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Secondary
SUSTOL

Approved Use

SUSTOL is a serotonin-3 (5-HT3) receptor antagonist indicated in combination with other antiemetics in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy (MEC) or anthracycline and cyclophosphamide (AC) combination chemotherapy regimens.

Launch Date

1992
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4.948 ng/mL
10 μg/kg bw single, intravenous
dose: 10 μg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
GRANISETRON plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
36.87 ng × h/mL
10 μg/kg bw single, intravenous
dose: 10 μg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
GRANISETRON plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
5 h
10 μg/kg bw single, intravenous
dose: 10 μg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
GRANISETRON plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Other AEs: Constipation, Headache...
Other AEs:
Constipation (27.5%)
Headache (17.6%)
Leukopenia (15%)
Asthenia (6.9%)
Abdominal pain (9%)
Decreased appetite (5.6%)
Anemia (1.3%)
Diarrhea (4.3%)
Abnormal liver function tests (2.6%)
Alopecia (3%)
Pain (0.4%)
Sources:
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Other AEs: Headache, Constipation...
Other AEs:
Headache (13.9%)
Constipation (4.2%)
Somnolence (2.4%)
Dizziness (1.2%)
Dyspepsia (1.8%)
Back pain (3%)
Sources:
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Other AEs: Constipation, Diarrhea...
Other AEs:
Constipation (23.1%)
Diarrhea (15.4%)
Headache (30.8%)
Fatigue (15.4%)
Anorexia (15.4%)
Weight loss (7.7%)
Dizziness (7.7%)
Neutropenia (15.4%)
Mucosal inflammation (15.4%)
Dyspnea (7.7%)
Insomnia (7.7%)
Thrombocytopenia (7.7%)
Injection site bruising (7.7%)
Pain injection site (2.2%)
Sources:
1 mg single, intravenous
Recommended
unhealthy
Other AEs: Pain, Constipation...
Other AEs:
Pain (10.1%)
Constipation (9.4%)
Anemia (9.4%)
Headache (8.6%)
Fever (7.9%)
Abdominal pain (6%)
Hepatic enzymes increased (5.6%)
Insomnia (4.9%)
Bradycardia (4.5%)
Dizziness (4.1%)
Leukocytosis (3.7%)
Anxiety (3.4%)
Hypotension (3.4%)
Diarrhea (3.4%)
Flatulence (3%)
Infection (3%)
Dyspepsia (3%)
Hypertension (2.6%)
Urinary tract infection (2.6%)
Oliguria (2.2%)
Coughing (2.2%)
Sources:
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Other AEs: Headache, Asthenia...
Other AEs:
Headache (14%)
Asthenia (5%)
Somnolence (4%)
Diarrhea (4%)
Constipation (3%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Pain 0.4%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Anemia 1.3%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Leukopenia 15%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Headache 17.6%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Abnormal liver function tests 2.6%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Constipation 27.5%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Alopecia 3%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Diarrhea 4.3%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Decreased appetite 5.6%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Asthenia 6.9%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Abdominal pain 9%
2 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2 mg, 2 times / day
Sources:
unhealthy, 50.6 years (range: 23-76 years)
Health Status: unhealthy
Age Group: 50.6 years (range: 23-76 years)
Sex: M+F
Sources:
Dizziness 1.2%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Dyspepsia 1.8%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Headache 13.9%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Somnolence 2.4%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Back pain 3%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Constipation 4.2%
160 ug/kg single, intravenous
Highest studied dose
Dose: 160 ug/kg
Route: intravenous
Route: single
Dose: 160 ug/kg
Sources:
unhealthy, 54
Health Status: unhealthy
Age Group: 54
Sex: M+F
Sources:
Anorexia 15.4%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Diarrhea 15.4%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Fatigue 15.4%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Mucosal inflammation 15.4%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Neutropenia 15.4%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Pain injection site 2.2%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Constipation 23.1%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Headache 30.8%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Dizziness 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Dyspnea 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Injection site bruising 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Insomnia 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Thrombocytopenia 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Weight loss 7.7%
15 mg single, subcutaneous
Highest studied dose
Dose: 15 mg
Route: subcutaneous
Route: single
Dose: 15 mg
Sources:
unhealthy, 64.3
Health Status: unhealthy
Age Group: 64.3
Sex: M+F
Sources:
Pain 10.1%
1 mg single, intravenous
Recommended
unhealthy
Coughing 2.2%
1 mg single, intravenous
Recommended
unhealthy
Oliguria 2.2%
1 mg single, intravenous
Recommended
unhealthy
Hypertension 2.6%
1 mg single, intravenous
Recommended
unhealthy
Urinary tract infection 2.6%
1 mg single, intravenous
Recommended
unhealthy
Dyspepsia 3%
1 mg single, intravenous
Recommended
unhealthy
Flatulence 3%
1 mg single, intravenous
Recommended
unhealthy
Infection 3%
1 mg single, intravenous
Recommended
unhealthy
Anxiety 3.4%
1 mg single, intravenous
Recommended
unhealthy
Diarrhea 3.4%
1 mg single, intravenous
Recommended
unhealthy
Hypotension 3.4%
1 mg single, intravenous
Recommended
unhealthy
Leukocytosis 3.7%
1 mg single, intravenous
Recommended
unhealthy
Dizziness 4.1%
1 mg single, intravenous
Recommended
unhealthy
Bradycardia 4.5%
1 mg single, intravenous
Recommended
unhealthy
Insomnia 4.9%
1 mg single, intravenous
Recommended
unhealthy
Hepatic enzymes increased 5.6%
1 mg single, intravenous
Recommended
unhealthy
Abdominal pain 6%
1 mg single, intravenous
Recommended
unhealthy
Fever 7.9%
1 mg single, intravenous
Recommended
unhealthy
Headache 8.6%
1 mg single, intravenous
Recommended
unhealthy
Anemia 9.4%
1 mg single, intravenous
Recommended
unhealthy
Constipation 9.4%
1 mg single, intravenous
Recommended
unhealthy
Headache 14%
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Constipation 3%
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Diarrhea 4%
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Somnolence 4%
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Asthenia 5%
40 ug/kg single, intravenous
Recommended
Dose: 40 ug/kg
Route: intravenous
Route: single
Dose: 40 ug/kg
Sources:
unhealthy
Overview

Overview

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
likely
likely
likely
likely
likely
likely
likely
likely
likely
major
unknown (co-administration study)
Comment: Administration of intravenous granisetron hydrochloride with phenobarbital, an enzyme inducer, resulted in a 25% increase in total plasma clearance of granisetron. The clinical significance of this interaction is not known.
Page: 113.0
minor
unknown (co-administration study)
Comment: the potential for an in vivo pharmacokinetic interaction with ketoconazole is not known; Administration of intravenous granisetron hydrochloride with phenobarbital, an enzyme inducer, resulted in a 25% increase in total plasma clearance of granisetron. The clinical significance of this interaction is not known.
Page: 113.0
no
no
no
no
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Pharmacological characterization of the 5-HT1A, 5-HT2 and 5-HT3 receptors in the bovine ciliary muscle.
2003-03-07
Survival with dacarbazine and fotemustine in newly diagnosed glioblastoma multiforme.
2003-02-24
Severe pruritus in a haemodialysed patient: dramatic improvement with granisetron.
2003-02
Effects on muscle pain by intramuscular injection of granisetron in patients with fibromyalgia.
2003-02
A randomized double-blind trial to compare the clinical efficacy of granisetron with metoclopramide, both combined with dexamethasone in the prophylaxis of chemotherapy-induced delayed emesis.
2003-02
Granisetron: relating pharmacology to clinical efficacy.
2003-02
Feasibility of combination chemotherapy with cisplatin and etoposide for haemodialysis patients with lung cancer.
2003-01-13
Granisetron plus dexamethasone versus granisetron alone in the prevention of vomiting induced by conditioning for stem cell transplantation: a prospective randomized study.
2003-01
Comparison of granisetron and granisetron plus dexamethasone for the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy.
2003-01
Analysis of purinergic and cholinergic fast synaptic transmission to identified myenteric neurons.
2003
Combination therapy with granisetron, methylprednisolone and droperidol as an antiemetic prophylaxis in CDDP-induced delayed emesis for gynecologic cancer.
2003
Triplet chemotherapy with vinorelbine, gemcitabine, and cisplatin for advanced non-small cell lung cancer: a phase II study.
2002-12-02
Comparison of granisetron with granisetron plus droperidol combination prophylaxis in post-operative nausea and vomiting after laparoscopic cholecystectomy.
2002-11-27
Compatibility and stability of 5-HT3 receptor antagonists: a pharmacology review.
2002-11-15
Treatment of vomiting after paediatric strabismus surgery with granisetron, droperidol, and metoclopramide.
2002-11-09
5-HT3-receptor antagonists and the cytochrome P450 system: clinical implications.
2002-11-06
Phase I study of docetaxel in combination with cyclophosphamide as first-line chemotherapy for metastatic breast cancer.
2002-11-04
Comparative study of low-dose oral granisetron plus dexamethasone and high-dose metoclopramide plus dexamethasone in prevention of nausea and vomiting induced by CHOP-therapy in young patients with non-Hodgkin's lymphoma.
2002-11
Oral granisetron revisited.
2002-11
Motilin regulates interdigestive gastric blood flow in dogs.
2002-11
The effect of serotonin and serotonin receptor antagonists on motion sickness in Suncus murinus.
2002-11
Irinotecan, cisplatin and mitomycin in inoperable gastro-oesophageal and pancreatic cancers - a new active regimen.
2002-10-07
Prophylactic antiemetic efficacy of granisetron or ramosetron in patients undergoing thyroidectomy.
2002-10
[Nausea disintegrating buccal tablet in the prevention of gastrointestinal reaction induced by anticancer drugs].
2002-09
In vivo assessment of acceleration of motor activity associated with acetylcholine release via 5-hydroxytryptamine4 receptor in dog intestine.
2002-09
A 'modified de Gramont' regimen of fluorouracil, alone and with oxaliplatin, for advanced colorectal cancer.
2002-08-12
Ramosetron for the prevention of cisplatin-induced acute emesis: a prospective randomized comparison with granisetron.
2002-08-09
5-Hydroxytryptamine receptors, especially the 5-HT4 receptor, in guinea pig urinary bladder.
2002-08
Ondansetron but not granisetron affect cell volume regulation and potassium ion transport of glioma cells treated with estramustine phosphate.
2002-08
Progress in preventing chemotherapy-induced nausea and vomiting.
2002-08
Impaired gastrocolonic response and peristaltic reflex in slow-transit constipation: role of 5-HT(3) pathways.
2002-08
Irinotecan pharmacokinetics-pharmacodynamics: the clinical relevance of prolonged exposure to SN-38.
2002-07-15
Antiemetic effects of granisetron, droperidol and dexamethasone in otologic surgery.
2002-07
ATP as a putative sensory mediator: activation of intrinsic sensory neurons of the myenteric plexus via P2X receptors.
2002-06-15
Identification of critical residues in loop E in the 5-HT3ASR binding site.
2002-06-13
Functional group interactions of a 5-HT3R antagonist.
2002-06-13
Laxative and anti-diarrheal activity of polycarbophil in mice and rats.
2002-06
Involvement of serotonin and nitric oxide in endotoxin-induced gastric motility changes in conscious rats.
2002-06
ATP and 5-HT are the principal neurotransmitters in the descending excitatory reflex pathway of the guinea-pig ileum.
2002-06
Effectiveness of serotonin-receptor antagonist antiemetic therapy over successive courses of carboplatin-based chemotherapy.
2002-06
Granisetron vs ondansetron: is it a question of duration of 5-HT3 receptor blockade?
2002-05-20
A phase I trial of weekly gemcitabine and concurrent radiotherapy in patients with locally advanced pancreatic cancer.
2002-05-20
A dose-finding study of carboplatin-epirubicin-docetaxel in advanced epithelial ovarian cancer.
2002-05-06
Gateways to clinical trials.
2002-05
Comparison of granisetron and ramosetron for the prevention of nausea and vomiting after thyroidectomy.
2002-05
Sensitization of enteric reflexes in the rat colon in vitro.
2002-04-18
Preoperative oral granisetron for the prevention of vomiting following paediatric surgery.
2002-03
Ramosetron, a 5-HT3 receptor antagonist for the control of nausea and vomiting.
2002-02
Effects of lerisetron, a new 5-HT3 receptor antagonist, on ipecacuanha-induced emesis in healthy volunteers.
2002
Effects of ondansetron, granisetron, ramosetron, and azasetron on human neutrophil functions.
2002
Patents

Sample Use Guides

IV: 10 mcg/kg over 5 minutes, beginning 30 minutes before initiation of chemotherapy. Orally: 2 mg, given up to 1 hour before chemotherapy, or 1 mg twice a day (the first dose is given up to 1 hour before chemotherapy, and the second dose is given 12 hours later). Granisetron transdermal system: Apply a single patch to the upper outer arm a minimum of 24 hours before chemotherapy. The patch may be applied up to a maximum of 48 hours before chemotherapy as appropriate. Remove the patch a minimum of 24 hours after completion of chemotherapy. The patch can be worn for up to 7 days depending on the duration of the chemotherapy regimen. Granisetron transdermal system is a 52 cm2 patch containing 34.3 mg of granisetron. The patch releases 3.1 mg of granisetron per 24 hours for up to 7 days.
Route of Administration: Other
In Vitro Use Guide
Granisetron (1 uM) shifted the response curves to mucosally applied 5-HT to the right in a parallel and surmountable manner in the guinea pig isolated ileum.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:13:11 GMT 2025
Edited
by admin
on Mon Mar 31 18:13:11 GMT 2025
Record UNII
WZG3J2MCOL
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
SANCUSO
Preferred Name English
GRANISETRON
INN   JAN   MI   ORANGE BOOK   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
GRANISETRON [USAN]
Common Name English
GRANISETRON [JAN]
Common Name English
APF530
Code English
LY-278584
Code English
GRANISETRON [VANDF]
Common Name English
GRANISETRON [USP MONOGRAPH]
Common Name English
GRANISETRON [USP-RS]
Common Name English
APF-530
Code English
Granisetron [WHO-DD]
Common Name English
1H-INDAZOLE-3-CARBOXAMIDE, 1-METHYL-N-(9-METHYL-9-AZABICYCLO(3.3.1)NON-3-YL)-, ENDO-
Common Name English
GRANISETRON [MI]
Common Name English
BRL-43694
Code English
GRANISETRON [ORANGE BOOK]
Common Name English
BRL 43694
Code English
granisetron [INN]
Common Name English
1-Methyl-N-(9-methyl-endo-9-azabicyclo[3.3.1]non-3-yl)-1H-indazole-3-carboxamide
Common Name English
SUSTOL
Brand Name English
Classification Tree Code System Code
NCI_THESAURUS C94726
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
NCI_THESAURUS C267
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
NDF-RT N0000175817
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
WHO-VATC QA04AA02
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
LIVERTOX 467
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
WHO-ATC A04AA02
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
NDF-RT N0000175818
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
EMA ASSESSMENT REPORTS SANCUSO (AUTHORIZED: VOMITTING)
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
Code System Code Type Description
INN
6230
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
DRUG BANK
DB00889
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
MERCK INDEX
m5842
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY Merck Index
CAS
109889-09-0
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
EPA CompTox
DTXSID0023111
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
DAILYMED
WZG3J2MCOL
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
ChEMBL
CHEMBL289469
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
USAN
DD-30
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
IUPHAR
2300
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
SMS_ID
100000084258
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
MESH
D017829
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
NCI_THESAURUS
C62031
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
CAS
124998-65-8
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
NON-SPECIFIC STEREOCHEMISTRY
WIKIPEDIA
GRANISETRON
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
FDA UNII
WZG3J2MCOL
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
RS_ITEM_NUM
1298092
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
EVMPD
SUB07964MIG
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
CHEBI
5537
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
DRUG CENTRAL
1329
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY
RXCUI
26237
Created by admin on Mon Mar 31 18:13:11 GMT 2025 , Edited by admin on Mon Mar 31 18:13:11 GMT 2025
PRIMARY RxNorm
Related Record Type Details
SALT/SOLVATE -> PARENT
LABELED -> NON-LABELED
BINDER->LIGAND
BINDING
EXCRETED UNCHANGED
Based on a study with intravenous injection, approximately 12% of the dose is excreted unchanged in the urine of healthy subjects in 48 hours.
AMOUNT EXCRETED
URINE
TARGET -> INHIBITOR
IC50
Related Record Type Details
METABOLITE ACTIVE -> PARENT
After both oral and intravenous administration, the metabolite is present at about 10% of that of the parent (Clarke et al., 1994; Boppana, 1995). Assuming similar free fractions, it can be estimated that the metabolite would contribute about 20% of the activity of the parent.
Related Record Type Details
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Biological Half-life PHARMACOKINETIC
Volume of Distribution PHARMACOKINETIC
Tmax PHARMACOKINETIC following patch application