streptozotocin
Approved
May 7, 1982
Streptozotocin (Streptozocin, STZ, Zanosar) is a naturally occurring chemical that is particularly toxic to the insulin-producing beta cells of the pancreas in mammals. It is used in medicine for treating certain cancers of the Islets of Langerhans and used in medical research to produce an animal model for hyperglycemia in a large dose as well as Type 1 diabetes with multiple low doses. Streptozocin inhibits DNA synthesis in bacterial and mammalian cells. In bacterial cells, a specific interaction with cytosine moieties leads to degradation of DNA. The biochemical mechanism leading to mammalian cell death has not been definitely established; streptozocin inhibits cell proliferation at a considerably lower level than that needed to inhibit precursor incorporation into DNA or to inhibit several of the enzymes involved in DNA synthesis. Although streptozocin inhibits the progression of cells into mitosis, no specific phase of the cell cycle is particularly sensitive to its lethal effects. Streptozocin is active in the L1210 leukemic mouse over a fairly wide range of parenteral dosage schedules. In experiments in many animal species, streptozocin induced a diabetes that resembles human hyperglycemic nonketotic diabetes mellitus. This phenomenon, which has been extensively studied, appears to be mediated through a lowering of beta cell nicotinamide adenine dinucleotide (NAD) and consequent histopathologic alteration of pancreatic islet beta cells. The metabolism and the chemical dissociation of streptozocin that occurs under physiologic conditions has not been extensively studied. When administered intravenously to a variety of experimental animals, streptozocin disappears from the blood very rapidly. In all species tested, it was found to concentrate in the liver and kidney. As much as 20% of the drug (or metabolites containing an N-nitrosourea group) is metabolized and/or excreted by the kidney. Metabolic products have not yet been identified. — NCATS
Clinical trial activity
12 trials · 21 clinical orgs · 1 marketing orgs
Earliest trial started Sep 1, 1978 (NCT00001165)
Timeline
Indications
Approved for
Studied for
- Adenoma, Islet Cell · Phase 2
- Adrenocortical Carcinoma · Phase 3
- Astrocytoma · Phase 2
- Brain Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 1
- Diabetes Mellitus · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Glioblastoma · Phase 2
- Glioma · Phase 2
- Intestinal Neoplasms · Phase 2
- Myocardial Infarction · Phase 4
- Neoplasm Metastasis · Phase 2
- Neuroendocrine Tumors · Phase 4
- Oligodendroglioma · Phase 2
- Pancreatic Neoplasms · Phase 2
- Zollinger-Ellison Syndrome · Phase 2
Mechanism of action
- DNAINHIBITOR
DNA inhibitor
Approval history
- approvedMay 7, 1982
Chemistry & pharmacology
SMILES
CN(N=O)C(=O)N[C@@H](C=O)[C@@H](O)[C@H](O)[C@H](O)CO- Mol. weight
- 265.2206 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaStreptozotocin ↗
- NCATS5W494URQ81 ↗
- ChEMBLCHEMBL1977579 ↗
- ChEMBLCHEMBL1651906 ↗
Also known as
- 2-deoxy-2-(3-methyl-3-nitrosoureido)-d-glucopyranose
- 2-deoxy-2-(3-methyl-3-nitrosoureido)-d-glucopyranose
- 2-deoxy-2-(((methylnitrosoamino)carbonyl)amino)-d-glucopyranose
- 2-deoxy-2-(((methylnitrosoamino)carbonyl)amino)-d-glucopyranose
- estreptozocin
- estreptozocina
- estreptozocina
- n-d-glucosyl-(2)-n'-nitrosomethylharnstoff
- n-d-glucosyl-(2)-n'-nitrosomethylurea
- n-d-glucosyl-(2)-n'-nitrosomethylurea
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocin
- streptozocine
- streptozocine
- streptozocinium
- streptozocinium
- streptozocinum
- streptozocinum
- streptozoticin
- streptozotocin
- streptozotocin
- streptozotocin
- streptozotocin
- streptozotocin
- stz
- stz
- u-9889
- u-9889
- zanosar
- zanosar
- zanosar
- zanosar
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07083232 | Phase 4 | Oct 30, 2024 | Al Azhar University |
| NCT03217097 | Phase 4 | Sep 30, 2018 | University of Lyon |
| NCT03351296 | Phase 2 | Dec 31, 2017 | Institut Gustave Roussy, National Cancer Institute, France |
| NCT02246127 | Phase 3 | Oct 27, 2014 | European Neuroendocrine Tumor Society, Grupo Espanol de Tumores Neuroendocrinos (GETNE), Kantar Health, Novartis |
| NCT01362530 | Phase 3 | Sep 13, 2011 | Merck |
| NCT00609765 | Phase 2 | Aug 1, 2007 | Genentech, University of South Florida |
| NCT00448136 | Phase 2 | Jul 1, 2007 | Roche |
| NCT00602082 | Phase 2 | Aug 1, 2005 | University of Cambridge, University of London |
| NCT00094497 | Phase 3 | Jun 1, 2004 | Collaborative Group for Adrenocortical Carcinoma Treatment, German Federal Ministry of Education and Research, National Cancer Institute (NCI), Uppsala University |
| NCT00003543 | Phase 1 | Jun 1, 1998 | Cornell University, National Cancer Institute (NCI) |
| NCT00004688 | Phase 2 | Aug 1, 1996 | Emory University |
| NCT00001165 | Phase 2 | Sep 1, 1978 | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |