streptozotocin

Small moleculeapproved

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

Phase 1
1
Phase 2
9
Phase 3
3
Phase 4
2

Earliest trial started Sep 1, 1978 (NCT00001165)

Timeline

1970s

  1. Jan 1, 1978

    Earliest Phase 2 Sponsor(trial)

1980s

  1. May 7, 1982

    Teva — Earliest FDA Approval

  2. May 7, 1982

    Teva — NDA Organization

  3. May 7, 1982

    Teva — NDA Secondary Org

1990s

  1. Jan 1, 1998

    Earliest Phase 1 Sponsor(trial)

2000s

  1. Jan 1, 2004

    Earliest Phase 3 Sponsor(trial)

Indications

Mechanism of action

  • DNAINHIBITOR

    DNA inhibitor

Approval history

  • approvedMay 7, 1982

Chemistry & pharmacology

Loading structure…

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

Black box warning

Sources

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 IDPhaseStart dateSponsor(s)
NCT07083232Phase 4Oct 30, 2024Al Azhar University
NCT03217097Phase 4Sep 30, 2018University of Lyon
NCT03351296Phase 2Dec 31, 2017Institut Gustave Roussy, National Cancer Institute, France
NCT02246127Phase 3Oct 27, 2014European Neuroendocrine Tumor Society, Grupo Espanol de Tumores Neuroendocrinos (GETNE), Kantar Health, Novartis
NCT01362530Phase 3Sep 13, 2011Merck
NCT00609765Phase 2Aug 1, 2007Genentech, University of South Florida
NCT00448136Phase 2Jul 1, 2007Roche
NCT00602082Phase 2Aug 1, 2005University of Cambridge, University of London
NCT00094497Phase 3Jun 1, 2004Collaborative Group for Adrenocortical Carcinoma Treatment, German Federal Ministry of Education and Research, National Cancer Institute (NCI), Uppsala University
NCT00003543Phase 1Jun 1, 1998Cornell University, National Cancer Institute (NCI)
NCT00004688Phase 2Aug 1, 1996Emory University
NCT00001165Phase 2Sep 1, 1978National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Showing 12 of 12 trials
Page 1 / 1

Organizations

Research & Development (21)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
National Cancer Institute (NCI)Government2021998
Al Azhar UniversityAcademic/Hospital1112024
Collaborative Group for Adrenocortical Carcinoma TreatmentAcademic/Hospital1112004
Cornell UniversityAcademic/Hospital1111998
Emory UniversityAcademic/Hospital1111996
European Neuroendocrine Tumor SocietyAcademic/Hospital1012014
GenentechFor profit1012007
German Federal Ministry of Education and ResearchGovernment1012004
Grupo Espanol de Tumores Neuroendocrinos (GETNE)Academic/Hospital1112014
Institut Gustave RoussyAcademic/Hospital1112017
Kantar HealthFor profit1012014
MerckFor profit1112011
National Cancer Institute, FranceGovernment1012017
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Government1111978
NovartisFor profit1012014
RocheFor profit1112007
University of CambridgeAcademic/Hospital1112005
University of LondonAcademic/Hospital1012005
University of LyonAcademic/Hospital1112018
University of South FloridaAcademic/Hospital1112007
21 organizations
Page 1 / 2

Marketing (2)

OrganizationOrg typeRelationshipDate
TevaFor profitNDAMay 7, 1982
TevaFor profitNDA2May 7, 1982