octreotide
Trade name: sandostatin
Approved
Oct 21, 1988
Octreotide (SMS 201-995, Sandostatin) is an octapeptide that exerts pharmacologic actions similar to the natural hormone, somatostatin. It was developed by Bauer and co-authors at Sandoz. It is an even more potent inhibitor of growth hormone, glucagon, and insulin than somatostatin. Like somatostatin, it also suppresses LH response to GnRH, decreases splanchnic blood flow, and inhibits release of serotonin, gastrin, vasoactive intestinal peptide, secretin, motilin, and pancreatic polypeptide. By virtue of these pharmacological actions, Sandostatin has been used to treat the symptoms associated with metastatic carcinoid tumors (flushing and diarrhea), and Vasoactive Intestinal Peptide (VIP) secreting adenomas (watery diarrhea). Sandostatin substantially reduces growth hormone and/or IGF-I (somatomedin C) levels in patients with acromegaly. A radioactively labelled analogue has been used to visualize somatostatin receptors in a GRF-secreting human tumour. — NCATS
Clinical trial activity
212 trials · 200 clinical orgs · 20 marketing orgs
Earliest trial started Jan 1, 1995 (NCT00004327)
Timeline
1980s
- Oct 21, 1988
Earliest FDA Approval
- Oct 21, 1988
Novartis — NDA Secondary Org
1990s
2000s
- Mar 28, 2005
West-Ward Pharmaceutical — Marketing Organization
- Oct 3, 2005
Teva — Marketing Organization
- Oct 3, 2005
Eu Yan Sang — Marketing Organization
- Oct 3, 2005
Meitheal — Marketing Organization
- Feb 10, 2006
Fresenius — Marketing Organization
- Aug 14, 2007
Sun Pharmaceuticals — Marketing Organization
2010s
- Feb 10, 2011
Mylan — Marketing Organization
- May 11, 2011
Wockhardt — Marketing Organization
- Nov 12, 2013
Sagent Pharmaceuticals, Inc. — Marketing Organization
- Sep 7, 2018
Heritage Pharma — Marketing Organization
- Sep 7, 2018
Emcure — Marketing Organization
- Dec 27, 2018
USV — Marketing Organization
2020s
- Jun 26, 2020
Chiasma, Inc. — Marketing Organization
- Jun 26, 2020
Amryt Research Limited — Marketing Organization
- Jun 26, 2020
Amryt Research Limited — NDA Secondary Org
- Jun 26, 2020
Chiesi — Marketing Organization
- Jun 13, 2023
Gland Pharma Ltd — Marketing Organization
- Jun 13, 2023
Fosun — Marketing Organization
- May 2, 2024
Shuangcheng — Marketing Organization
Indications
Approved for
Studied for
- Abdominal Pain · Phase 2/Phase 3
- Acute Kidney Injury · Early Phase 1
- Adenoma · Phase 4
- Adenoma, Islet Cell · Phase 2
- Anemia · Phase 2/Phase 3
- Angiodysplasia · Phase 2/Phase 3
- Anus Neoplasms · Phase 3
- Ascites · Phase 4
- Bile Duct Neoplasms · Phase 2
- Breast Neoplasms · Phase 3
- Carcinoid Tumor · Phase 3
- Carcinoma · Phase 3
- Carcinoma, Hepatocellular · Phase 3
- Carcinoma, Islet Cell · Phase 2
- Carcinoma, Merkel Cell · Phase 1
- Carcinoma, Neuroendocrine · Phase 2
- Chylothorax · Early Phase 1
- Colonic Neoplasms · Phase 4
- Colorectal Neoplasms · Phase 3
- Congenital Hyperinsulinism · Phase 2
- Constipation · Phase 4
- Diabetes Mellitus · Phase 3
- Diabetes Mellitus, Type 2 · Phase 1
- Diabetic Retinopathy · Phase 3
- Diarrhea · Phase 4
- Dilatation, Pathologic · Phase 2
- Disease Progression · Phase 2
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Endometrial Neoplasms · Phase 3
- Enteritis · Phase 3
- Esophageal and Gastric Varices · Phase 4
- Esophageal Neoplasms · Phase 2
- Fallopian Tube Neoplasms · Phase 3
- Fatty Liver · Phase 1
- Fibrosis · Phase 4
- Fistula · Phase 1
- Gastrointestinal Hemorrhage · Phase 2/Phase 3
- Gastrointestinal Neoplasms · Phase 2
- Gastrointestinal Stromal Tumors · Phase 2
- General Surgery · Phase 3
- Glomerular Filtration Rate · Phase 2/Phase 3
- Glucagon · Phase 1
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 2
- Healthy Volunteers · Phase 1
- Hematemesis · Phase 4
- Hepatomegaly · Phase 2/Phase 3
- Hepatorenal Syndrome · Phase 2/Phase 3
- Hyperinsulinism · Phase 1
- Hyperphagia · Phase 3
- Hypertension, Portal · Phase 4
- Hypoglycemia · Phase 3
- Hypotension, Orthostatic · Phase 1
- Idiopathic Pulmonary Fibrosis · Phase 1/Phase 2
- Insulin · Phase 2
- Insulin Resistance · Phase 1
- Intestinal Neoplasms · Phase 4
- Intestinal Obstruction · Phase 2
- Intraabdominal Infections · Phase 1
- Irritable Bowel Syndrome · Phase 1
- Kidney Diseases · Phase 4
- Liver · Phase 2
- Liver Cirrhosis · Phase 4
- Liver Diseases · Phase 2/Phase 3
- Liver Neoplasms · Phase 2
- Liver Transplantation · Phase 2
- Lung Neoplasms · Phase 1
- Lymphangioleiomyomatosis · Phase 2
- Lymphangiomyoma · Phase 2
- Lymphatic Diseases · Early Phase 1
- Lymphoid Tissue · Phase 2
- Lymphoma · Phase 2
- Macular Edema · Phase 1
- Malignant Carcinoid Syndrome · Phase 4
- Melanoma · Phase 2
- Melena · Phase 4
- Meningioma · Phase 2
- Migraine Disorders · Phase 1/Phase 2
- Multiple Myeloma · Phase 2
- Nausea · Phase 2
- Neoplasm Metastasis · Phase 2
- Neoplastic Syndromes, Hereditary · Phase 2
- Neuroendocrine Tumors · Phase 4
- Non-alcoholic Fatty Liver Disease · Phase 1
- Obesity · Phase 4
- Octreotide · Phase 2
- Orthostatic Intolerance · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 3
- Pancreatic Fistula · Phase 4
- Pancreatic Neoplasms · Phase 3
- Paraganglioma · Phase 1
- Peritoneal Neoplasms · Phase 2
- Pheochromocytoma · Phase 2
- Pituitary Neoplasms · Phase 4
- Pleural Effusion · Phase 2
- Polycystic Kidney, Autosomal Dominant · Phase 2/Phase 3
- Polycystic Kidney Diseases · Phase 2/Phase 3
- Prader-Willi Syndrome · Phase 3
- Prediabetic State · Phase 1
- Prostatic Neoplasms · Phase 3
- Pure Autonomic Failure · Phase 1
- Receptors, Somatostatin · Phase 3
- Renal Insufficiency · Phase 2
- Salivary Gland Fistula · Phase 2
- Sarcoma · Phase 3
- Seroma · Phase 4
- Sputum · Phase 2
- Squamous Intraepithelial Lesions · Phase 2
- Stomach Neoplasms · Phase 3
- Tachycardia · Phase 1/Phase 2
- Telangiectasia, Hereditary Hemorrhagic · Phase 2
- Thymoma · Phase 2
- Thyroid Neoplasms · Phase 1
- Uterine Cervical Neoplasms · Phase 3
- Vaginal Neoplasms · Phase 3
- Vascular Malformations · Phase 2/Phase 3
- Vascular Stiffness · Early Phase 1
- Vipoma · Phase 2
- Vulvar Neoplasms · Phase 3
Mechanism of action
- SomatostatinACTIVATOR
SST activator
- Somatostatin receptorAGONIST
Somatostatin receptor agonist
Long acting
Selectivity for types 2, 3 and 5
Approval history
- approvedPriority reviewOct 21, 1988
Chemistry & pharmacology
SMILES
C[C@@H](O)[C@@H](CO)NC(=O)[C@@H]1CSSC[C@H](NC(=O)[C@H](N)CC2=CC=CC=C2)C(=O)N[C@@H](CC3=CC=CC=C3)C(=O)N[C@H](CC4=CNC5=C4C=CC=C5)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1- Mol. weight
- 1019.239 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaOctreotide ↗
- NCATSRWM8CCW8GP ↗
- ChEMBLCHEMBL2105834 ↗
- ChEMBLCHEMBL1680 ↗
- ChEMBLCHEMBL1200480 ↗
Also known as
- longastatin
- ocreotide
- octeotride
- octeotride
- octreotida
- octreotida
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide
- octreotide acetate
- octreotide acetate
- octreotide acetate
- octreotide acetate
- octreotide acetate
- octreotide (acetate)
- octreotide hydrochloride
- octreotide hydrochloride
- octreotide pamoate
- octreotide pamoate
- octreotidum
- octreotidum
- octrotide
- octrotide
- sandostatin
- sandostatin
- sandostatin
- sandostatin
- sandostatin
- sandostatine
- sandostatin lar
- sandostatin lar
- sms-201-995
- sms-201-995
- sms-201-995
- sms 201-995 ac
- sms 201-995 ac
- sms-201-995 ac
- sms-201-995 ac
- sms 201-995 pa
- sms pa
- y90 resin microspheres
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06881888 | Phase 1 | Aug 31, 2026 | University of Alabama, Birmingham |
| NCT07255248 | N/A | Nov 17, 2025 | Harvard University |
| NCT07165886 | Phase 2/Phase 3 (Phase 3) | Aug 29, 2025 | Shijiazhuang Pharma Group (CSPC) |
| NCT06878664 | Phase 3 | Jun 12, 2025 | Grupo Espanol de Tumores Neuroendocrinos (GETNE), Institut Gustave Roussy, Universidad Complutense de Madrid |
| NCT06974344 | Phase 4 | Jun 1, 2025 | King Faisal University |
| NCT06784752 | Phase 3 | May 6, 2025 | Novartis |
| NCT06558422 | Phase 1 | Dec 1, 2024 | Columbia University, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), University of California, Berkeley |
| NCT06592261 | Phase 1 | Sep 16, 2024 | Columbia University, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
| NCT06505395 | Phase 2 | Jul 30, 2024 | Shijiazhuang Pharma Group (CSPC) |
| NCT06372652 | Phase 1 | Jun 18, 2024 | Immunwork, Inc. |
| NCT07057622 | Phase 3 | Dec 12, 2023 | — |
| NCT06126354 | Phase 1 | Dec 1, 2023 | Columbia University, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Yeshiva University |
| NCT05724134 | Phase 1 | Aug 29, 2023 | Columbia University, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Yeshiva University |
| NCT06085976 | Phase 2 | Aug 14, 2023 | Clinica Universidad de Navarra |
| NCT05884255 | Phase 3 | Jul 6, 2023 | Hengrui Therapeutics, Inc. |
| NCT05761431 | Phase 1 | Mar 2, 2023 | Capital Medical University, Shijiazhuang Pharma Group (CSPC) |
| NCT05459844 | Phase 3 | Jul 31, 2022 | People's Liberation Army of China, Sinotau Pharmaceutical Group |
| NCT05199038 | Phase 4 | Jun 30, 2022 | Tanta University |
| NCT05281328 | Phase 2/Phase 3 (Phase 3) | Jun 28, 2022 | Camurus AB, Radboud University |
| NCT05364944 | Phase 1 | May 18, 2022 | Debiopharm |
Organizations
Research & Development (200)
Marketing (30)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amryt Research Limited | For profit | MKTG | Jun 26, 2020 |
| Amryt Research Limited | For profit | NDA2 | Jun 26, 2020 |
| Chiasma, Inc. | For profit | MKTG | Jun 26, 2020 |
| Chiesi | For profit | MKTG | Jun 26, 2020 |
| Emcure | For profit | MKTG | Sep 7, 2018 |
| Eu Yan Sang | For profit | MKTG | Oct 3, 2005 |
| Fosun | For profit | MKTG | Jun 13, 2023 |
| Fresenius | For profit | MKTG | Feb 10, 2006 |
| Gland Pharma Ltd | For profit | MKTG | Jun 13, 2023 |
| Gland Pharma Ltd | For profit | SYN | Jun 13, 2023 |
| Heritage Pharma | For profit | SYN | Sep 7, 2018 |
| Heritage Pharma | For profit | MKTG | Sep 7, 2018 |
| Heritage Pharma | For profit | SYN | Sep 7, 2018 |
| Meitheal | For profit | MKTG | Oct 3, 2005 |
| Mylan | For profit | MKTG | Feb 10, 2011 |
| Mylan | For profit | SYN | Dec 12, 2025 |
| Novartis | For profit | NDA2 | Oct 21, 1988 |
| Sagent Pharmaceuticals, Inc. | For profit | MKTG | Nov 12, 2013 |
| Sagent Pharmaceuticals, Inc. | For profit | SYN | Nov 12, 2013 |
| Sandoz | For profit | IND | — |
| Sandoz | For profit | NDA | — |
| Shuangcheng | For profit | MKTG | May 2, 2024 |
| Sun Pharmaceuticals | For profit | SYN | Jan 28, 2020 |
| Sun Pharmaceuticals | For profit | SYN | Jan 28, 2020 |
| Sun Pharmaceuticals | For profit | MKTG | Aug 14, 2007 |
| Teva | For profit | MKTG | Oct 3, 2005 |
| Teva | For profit | SYN | Dec 5, 2023 |
| USV | For profit | MKTG | Dec 27, 2018 |
| West-Ward Pharmaceutical | For profit | MKTG | Mar 28, 2005 |
| Wockhardt | For profit | MKTG | May 11, 2011 |