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User:Mr. Ibrahem/Omacetaxine

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Mr. Ibrahem/Omacetaxine
Clinical data
Trade namesSynribo, Tekinex, others
Other namesOmacetaxine mepesuccinate, homoharringtonine (HHT)
AHFS/Drugs.comMonograph
License data
Routes of
administration
Subcutaneous, intravenous infusion
Drug classProtein synthesis inhibitor[1]
Legal status
Legal status
Pharmacokinetic data
Protein binding50%
MetabolismMostly via plasma esterases
Elimination half-life6 hours
ExcretionUrine (≤15% unchanged)
Identifiers
  • 1-((1S,3aR,14bS)-2-Methoxy-1,5,6,8,9,14b-hexahydro-4H-cyclopenta(a)(1,3)dioxolo(4,5-h)pyrrolo(2,1-b)(3)benzazepin-1-yl) 4-methyl (2R)-2-hydroxy-2-(4-hydroxy-4-methylpentyl)butanedioate
Chemical and physical data
FormulaC29H39NO9
Molar mass545.629 g·mol−1
3D model (JSmol)
  • CC(C)(CCC[C@@](CC(=O)OC)(C(=O)O[C@H]1[C@H]2c3cc4c(cc3CCN5[C@@]2(CCC5)C=C1OC)OCO4)O)O
  • InChI=1S/C29H39NO9/c1-27(2,33)8-5-10-29(34,16-23(31)36-4)26(32)39-25-22(35-3)15-28-9-6-11-30(28)12-7-18-13-20-21(38-17-37-20)14-19(18)24(25)28/h13-15,24-25,33-34H,5-12,16-17H2,1-4H3/t24-,25-,28+,29-/m1/s1
  • Key:HYFHYPWGAURHIV-JFIAXGOJSA-N

Omacetaxine, sold under the brand name Synribo, is a medication used to treat chronic myeloid leukemia (CML).[1] It is used in cases were other medications have not worked.[1] It is given by injection under the skin.[1]

Common side effects include low platelets, low red blood cells, low white blood cells, fever, diarrhea, nausea, and pain.[1] Other side effects may include bleeding and infection.[1] Use during pregnancy may harm the baby.[1] It is a protein synthesis inhibitor.[1]

Omacetaxine was approved for medical use in the United States in 2012.[1] It is not approved in Europe.[2] In the United States it costs about 1,200 USD for 3.5 mg as of 2021.[3] It is made from a substance in the Chinese evergreen known as harringtonine.[2]

References[edit]

  1. ^ a b c d e f g h i j k l "Omacetaxine Monograph for Professionals". Drugs.com. Archived from the original on 4 March 2021. Retrieved 7 November 2021.
  2. ^ a b "Tekinex". Archived from the original on 30 October 2020. Retrieved 7 November 2021.
  3. ^ "Synribo Prices, Coupons & Patient Assistance Programs". Drugs.com. Retrieved 7 November 2021.