corticotropin
Trade name: acthar
Approved
Jul 3, 1950
Seractide is a polypeptide hormone corresponding to thirty-nine amino acids of human corticotropin that differs from full-length human corticotropin at four positions. Seractide is potent endogenous melanocortin receptor 2 (MC ) agonist. Seractide stimulates the cortex of the adrenal gland and boosts the synthesis of corticosteroids, mainly glucocorticoids but also sex steroids (androgens). Seractide, was approved by FDA in 1978, but was never marketed. The Seractide, that was ultimately withdrawn by FDA in 2014 for safety reasons. — NCATS
Clinical trial activity
120 trials · 111 clinical orgs · 12 marketing orgs
Earliest trial started Nov 1, 1993 (NCT00004758)
Timeline
1950s
- Jul 3, 1950
Sanofi-Aventis — Earliest FDA Approval
- Jul 3, 1950
Sanofi-Aventis — NDA Secondary Org
- Jul 3, 1950
Sanofi-Aventis — NDA Organization
- Mar 14, 1952
Parke-Davis — NDA Secondary Org
- Apr 29, 1952
Mallinckrodt — NDA Secondary Org
- Apr 29, 1952
Mallinckrodt — Marketing Organization
- Jun 16, 1954
Ani Pharmaceuticals — Marketing Organization
- Jun 16, 1954
Ani Pharmaceuticals — NDA Secondary Org
- Sep 12, 1957
AbbVie — NDA Secondary Org
1970s
- Apr 22, 1970
Amphastar Pharmaceuticals — NDA Secondary Org
1990s
- Jan 1, 1993
Earliest Phase 2 Sponsor(trial)
2000s
- Feb 21, 2008
Sandoz — NDA Secondary Org
- Feb 21, 2008
Novartis — NDA Secondary Org
- Jan 1, 2009
Earliest Phase 1 Sponsor(trial)
- Dec 17, 2009
Mylan — Marketing Organization
- Dec 17, 2009
PHARMOBEDIENT — Marketing Organization
2010s
- Jan 1, 2010
Earliest Phase 3 Sponsor(trial)
- Oct 15, 2010
Questcor Pharmaceuticals — NDA Secondary Org
- Jun 29, 2012
Sandoz — Marketing Organization
- Jun 29, 2012
Novartis — Marketing Organization
Indications
Studied for
- Adrenal Cortex Diseases · Phase 1
- Adrenal Gland Diseases · Phase 4
- Adrenal Insufficiency · Phase 4
- Adrenocorticotropic Hormone · Phase 2/Phase 3
- Amyotrophic Lateral Sclerosis · Phase 2
- Anemia · Phase 3
- Arthritis, Psoriatic · Phase 4
- Arthritis, Rheumatoid · Phase 4
- Autoimmune Diseases · Phase 4
- Cholesterol · Early Phase 1
- Coronary Artery Disease · Phase 4
- Deficiency Diseases · Phase 3
- Dermatomyositis · Phase 4
- Diabetic Nephropathies · Phase 4
- Diet, Ketogenic · Phase 2/Phase 3
- Drugs, Investigational · Early Phase 1
- Dry Eye Syndromes · Phase 4
- Epilepsy · Phase 2
- Fibrosis · Phase 3
- Gastrointestinal Motility · Phase 4
- Glomerulonephritis · Phase 4
- Glomerulonephritis, IGA · Phase 4
- Glomerulonephritis, Membranous · Phase 4
- Glomerulosclerosis, Focal Segmental · Phase 4
- Growth and Development · Phase 3
- Healthy Volunteers · Phase 4
- Hyperaldosteronism · Phase 4
- Hypertension · Early Phase 1
- Hypopituitarism · Phase 4
- Infant · Phase 1
- Keratitis · Phase 4
- Keratoconjunctivitis Sicca · Phase 4
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 1
- Kidney Transplantation · Phase 4
- Lupus Erythematosus, Systemic · Phase 4
- Lupus Nephritis · Phase 4
- Macular Edema · Phase 4
- Migraine Disorders · Phase 2
- Mitral Valve Insufficiency · Phase 4
- Multiple Sclerosis, Chronic Progressive · Phase 2
- Multiple Sclerosis, Relapsing-Remitting · Phase 4
- Muscular Dystrophy, Duchenne · Phase 2
- Nephrotic Syndrome · Phase 4
- Optic Neuritis · Early Phase 1
- Organ Transplantation · Phase 4
- Panuveitis · Phase 4
- Polycystic Ovary Syndrome · Early Phase 1
- Polymyositis · Phase 2
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating · Phase 2
- Post-Dural Puncture Headache · Phase 4
- Proteinuria · Phase 4
- Psychological Distress · Phase 4
- Receptors, Corticotropin · Phase 4
- Respiratory Distress Syndrome · Phase 2
- Retinal Vasculitis · Phase 4
- Sarcoidosis · Phase 4
- Sarcoidosis, Pulmonary · Phase 4
- Scleritis · Phase 4
- Sclerosis · Phase 4
- Sleep Disorders, Intrinsic · Phase 1
- Spasms, Infantile · Phase 4
- Uveitis · Phase 4
- Uveitis, Anterior · Phase 4
- Uveitis, Intermediate · Phase 4
- Uveitis, Posterior · Phase 4
- Vitreoretinopathy, Proliferative · Early Phase 1
Mechanism of action
- Melanocortin receptor 2AGONIST
MC2R agonist
Approval history
- approvedPriority reviewJul 3, 1950
Chemistry & pharmacology
SMILES
CSCC[C@H](NC(=O)[C@H](CO)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@@H](N)CO)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](Cc1c[nH]cn1)C(=O)N[C@@H](Cc1ccccc1)C(=O)N[C@@H](CCCNC(=N)N)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N1CCC[C@H]1C(=O)N[C@H](C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCNC(=N)N)C(=O)N[C@@H](CCCNC(=N)N)C(=O)N1CCC[C@H]1C(=O)N[C@H](C(=O)N[C@@H](CCCCN)C(=O)N[C@H](C(=O)N[C@@H](Cc1ccc(O)cc1)C(=O)N1CCC[C@H]1C(=O)O)C(C)C)C(C)C)C(C)C- Mol. weight
- 2933.49 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Discontinued
Oral
No
Parenteral
Yes
Topical
No
Sources
- NCATSIGM44CEY2I ↗
- WikipediaAdrenocorticotropic hormone ↗
- ChEMBLCHEMBL1201609 ↗
- ChEMBLCHEMBL1201489 ↗
- NCATSK0U68Q2TXA ↗
- ChEMBLCHEMBL2103784 ↗
- NCATS72YY86EA29 ↗
- ChEMBLCHEMBL1201610 ↗
Also known as
- acth
- acth
- acth
- acth
- acth
- acthar
- acthar
- acthar
- acthar
- acthar gel
- acthar gel
- acthar gel
- acthar gel
- acthar gel-synthetic
- acthar gel-synthetic
- acthar gel-synthetic
- acth-z
- acth zinc
- adrenocorticotrophic hormone
- adrenocorticotrophin
- adrenocorticotrophin
- adrenocorticotropic hormone
- adrenocorticotropic hormone
- adrenocorticotropic hormone
- adrenocorticotropic hormone
- adrenocorticotropic hormone 1-24
- adrenocorticotropic hormone 1-24
- adrenocorticotropic hormone fragment 1-24 human, rat
- adrenocorticotropin
- adrenocorticotropin
- adrenocorticotropin zinc
- adrenomone
- alpha(1-24)-corticotrophin
- alpha(1-24)-corticotrophin
- atch (1-24)
- atch (1-24)
- beta(1-24)-corticotrophin
- beta(1-24)-corticotrophin
- corticotrophin
- corticotrophin
- corticotrophin
- corticotrophin
- corticotrophin zinc hydroxide
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin
- corticotropin (1-24)
- corticotropin (1-24)
- corticotropin (1-24)
- corticotropin (1-24)
- corticotropin (1-24)
- corticotropin (1-24)
- corticotropin-(1-24)
- corticotropin-(1-24)
- corticotropin-(1-24) tetracosapeptide
- corticotropin-(1-24) tetracosapeptide
- corticotropin, repository
- corticotropin tetracosapeptide
- corticotropin tetracosapeptide
- corticotropin tetracosapeptide
- corticotropin zinc hydroxide
- corticotropin zinc hydroxide
- corticotropin zinc hydroxide
- corticotropin-zinc hydroxide
- corticotropin-zinc hydroxide
- corticotropin-zinc hydroxide
- corticotropin-zinc hydroxide
- cortigel
- cortigel
- cortrophin
- cortrophin
- cortrophin
- cortrophin-zinc
- cortrophin-zinc
- cortrophin-zinc
- cortrophin zinc acth
- cortrosyn
- cortrosyn
- cortrosyn
- cortrosyn depot
- cosyntropin
- cosyntropin
- cosyntropin
- cosyntropin
- cosyntropin
- cosyntropin
- h.p. acthar gel
- h.p. acthar gel
- h.p. acthar gel
- purified cortrophin gel
- purified cortrophin gel
- repository corticotropin
- repository corticotropin
- seractide
- seractide
- seractide
- seractide
- seractide
- seractide
- seractide acetate
- seractide acetate
- seractide acetate
- seractide acetate hydrate
- synacthen
- synacthen
- synacthen depot
- synacthen depot
- synacthen depot
- synacthen retard
- tetracosactide
- tetracosactide
- tetracosactide
- tetracosactide
- tetracosactide
- tetracosactide
- tetracosactide acetate
- tetracosactide acetate
- tetracosactide acetate
- tetracosactin
- tetracosactrin
- tetracosactrin
- tetracosactrin
- tetracosactrin
- tetracosactrin
- tetracosactrin depot
- tetracosactrin zinc
- tetracosapeptide
- vicotrope
- vicotrope
- zinc corticotropin
- zn beta(1-24)acth
- α1-24-corticotrophin
- α1-24-corticotrophin
- β1-24-corticotrophin
- β1-24-corticotrophin
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06964269 | Phase 4 | Feb 11, 2025 | Toyos Clinic |
| NCT06201897 | Phase 2/Phase 3 (Phase 3) | Mar 31, 2024 | All India Institute of Medical Sciences |
| NCT06079788 | Phase 3 | Nov 1, 2023 | Huazhong University of Science and Technology, Jiao Tong University, Kunming Medical University, Nanjing Medical University, Ningbo Women & Children's Hospital, Zhejiang University |
| NCT05696613 | Phase 3 | Mar 13, 2023 | Cerium Pharmaceuticals |
| NCT05279118 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2022 | All India Institute of Medical Sciences |
| NCT04546126 | Early Phase 1 (Phase 1) | Nov 30, 2021 | University of Michigan |
| NCT05071781 | Phase 4 | May 21, 2021 | Katholieke Universiteit Leuven |
| NCT04808856 | N/A | Apr 1, 2021 | Huazhong University of Science and Technology, Tongji University |
| NCT04461535 | N/A | Jul 31, 2020 | Chongqing Medical University, the Chongqing Primary Aldosteronism Study (CONPASS) Group |
| NCT04169061 | Phase 4 | Sep 30, 2019 | Mallinckrodt |
| NCT04080076 | Phase 4 | Sep 4, 2019 | Mallinckrodt, NephroNet Clinical Research Consortium |
| NCT03905603 | Early Phase 1 (Phase 1) | Aug 31, 2019 | University of Virginia |
| NCT03727776 | Early Phase 1 (Phase 1) | Jul 31, 2019 | Johns Hopkins University, Mallinckrodt |
| NCT03752190 | Phase 4 | Jul 31, 2019 | Johns Hopkins University |
| NCT04037605 | Early Phase 1 (Phase 1) | Jul 24, 2019 | Los Angeles Biomedical Research Institute |
| NCT05546047 | Phase 4 | Mar 14, 2019 | Mallinckrodt, NephroNet Clinical Research Consortium |
| NCT04855279 | N/A | Jan 7, 2019 | Istanbul Medipol University |
| NCT03398018 | Phase 4 | Oct 1, 2018 | University of Alabama, Birmingham |
| NCT03656692 | Phase 4 | Sep 28, 2018 | Mallinckrodt |
| NCT03465111 | Phase 2 | Sep 15, 2018 | Colorado Retina Associates, Colorado Retina Institute, Cornell University, Mallinckrodt, Metropolitan Eye Research and Surgery Institute, Ocular Imaging Research and Reading Center, Stanford University, Texas Retina Associates, University of Louisville |
Organizations
Research & Development (111)
Marketing (17)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | NDA2 | Sep 12, 1957 |
| Amphastar Pharmaceuticals | For profit | NDA2 | Apr 22, 1970 |
| Ani Pharmaceuticals | For profit | MKTG | Jun 16, 1954 |
| Ani Pharmaceuticals | For profit | NDA2 | Jun 16, 1954 |
| Mallinckrodt | For profit | NDA2 | Apr 29, 1952 |
| Mallinckrodt | For profit | MKTG | Apr 29, 1952 |
| Mylan | For profit | MKTG | Dec 17, 2009 |
| Novartis | For profit | NDA2 | Feb 21, 2008 |
| Novartis | For profit | MKTG | Jun 29, 2012 |
| PHARMOBEDIENT | For profit | MKTG | Dec 17, 2009 |
| Parke-Davis | For profit | NDA2 | Mar 14, 1952 |
| Questcor Pharmaceuticals | For profit | NDA2 | Oct 15, 2010 |
| Sandoz | For profit | NDA2 | Feb 21, 2008 |
| Sandoz | For profit | MKTG | Jun 29, 2012 |
| Sanofi-Aventis | For profit | NDA2 | Jul 3, 1950 |
| Sanofi-Aventis | For profit | NDA | Jul 3, 1950 |
| Watson Pharmaceuticals | For profit | MKTG | — |