hydroxyprogesterone caproate 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
steroids, progestogens 4189 630-56-8

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • oxyprogesterone caproate
  • 17-alpha-hydroxy-progesterone caproate
  • delalutin
  • 17alpha-hydroxyprogesterone
  • makena
  • 17alpha-Hydroxyprogesterone hexanoate
  • hydroxyprogesterone hexanoate
  • progesterone caproate
  • gestageno
  • hydroxyprogesterone caproate
Hydroxyprogesterone derivative that acts as a PROGESTIN and is used to reduce the risk of recurrent MISCARRIAGE and of PREMATURE BIRTH. It is also used in combination with ESTROGEN in the management of MENSTRUATION DISORDERS.
  • Molecular weight: 428.61
  • Formula: C27H40O4
  • CLOGP: 5.99
  • LIPINSKI: 1
  • HAC: 4
  • HDO: 0
  • TPSA: 60.44
  • ALOGS: -5.69
  • ROTB: 7

  • Status: OFM

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
10 mg P

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
Oct. 3, 1975 FDA ACTAVIS LABS UT INC

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Preterm premature rupture of membranes 1599.39 68.67 254 7635 1155 63479978
Premature baby 1320.11 68.67 338 7551 20397 63460736
Injection site pruritus 1185.87 68.67 368 7521 44748 63436385
Injection site pain 1154.68 68.67 473 7416 129327 63351806
Premature labour 679.00 68.67 180 7709 12324 63468809
Injection site swelling 548.33 68.67 210 7679 47362 63433771
Injection site mass 547.05 68.67 166 7723 18490 63462643
Uterine contractions during pregnancy 526.82 68.67 86 7803 474 63480659
Inappropriate schedule of product administration 504.23 68.67 249 7640 103716 63377417
Product dose omission issue 491.39 68.67 324 7565 233989 63247144
Product administration error 424.36 68.67 143 7746 22254 63458879
Injection site erythema 387.36 68.67 194 7695 82980 63398153
Injection site nodule 361.76 68.67 86 7803 3749 63477384
Cervical incompetence 333.40 68.67 59 7830 558 63480575
Breech presentation 311.55 68.67 62 7827 1152 63479981
Shortened cervix 256.49 68.67 40 7849 155 63480978
Amniotic cavity infection 238.51 68.67 50 7839 1213 63479920
Induced labour 234.59 68.67 47 7842 904 63480229
Injection site rash 230.47 68.67 87 7802 18722 63462411
Premature separation of placenta 182.04 68.67 43 7846 1818 63479315
Pre-eclampsia 163.66 68.67 56 7833 9077 63472056
Premature rupture of membranes 161.49 68.67 48 7841 4945 63476188
Injection site warmth 160.10 68.67 63 7826 15132 63466001
Injection site urticaria 154.09 68.67 60 7829 14013 63467120
Stillbirth 147.24 68.67 48 7841 6702 63474431
Abortion spontaneous 135.27 68.67 80 7809 47115 63434018
Injection site bruising 130.57 68.67 75 7814 41835 63439298
Cervical dilatation 127.91 68.67 16 7873 0 63481133
Premature delivery 127.07 68.67 66 7823 30215 63450918
Product prescribing error 121.03 68.67 61 7828 26228 63454905
Drug ineffective 116.55 68.67 3 7886 1044762 62436371
Gestational diabetes 110.66 68.67 41 7848 8355 63472778
Product administered at inappropriate site 109.38 68.67 32 7857 3117 63478016
Therapy cessation 107.03 68.67 59 7830 30398 63450735
Maternal drugs affecting foetus 105.17 68.67 35 7854 5207 63475926
Injection site reaction 102.92 68.67 73 7816 58451 63422682
Maternal exposure timing unspecified 102.27 68.67 37 7852 7050 63474083
Nonreassuring foetal heart rate pattern 98.16 68.67 15 7874 49 63481084
Limb discomfort 97.42 68.67 55 7834 29661 63451472
Pruritus 86.47 68.67 158 7731 361295 63119838
Gestational hypertension 85.88 68.67 25 7864 2392 63478741
Exposure during pregnancy 82.46 68.67 99 7790 155448 63325685
Placenta praevia 76.27 68.67 19 7870 1005 63480128
Vaginal haemorrhage 69.43 68.67 43 7846 27444 63453689

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Premature baby 2480.75 1066.51 371 137 19262 34937161

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Preterm premature rupture of membranes 1714.39 86 251 6128 1022 79736987
Injection site pain 1105.28 86 406 5973 129432 79608577
Injection site pruritus 1069.57 86 303 6076 41980 79696029
Premature labour 773.82 86 170 6209 8220 79729789
Uterine contractions during pregnancy 529.34 86 79 6300 371 79737638
Product dose omission issue 522.22 86 293 6086 247244 79490765
Inappropriate schedule of product administration 521.60 86 240 6139 133388 79604621
Injection site swelling 502.68 86 175 6204 46957 79691052
Injection site mass 470.01 86 136 6243 20048 79717961
Injection site erythema 379.92 86 164 6215 78033 79659976
Breech presentation 365.77 86 61 6318 641 79737368
Injection site nodule 355.90 86 78 6301 3702 79734307
Product administration error 349.80 86 121 6258 31725 79706284
Cervical incompetence 347.03 86 56 6323 471 79737538
Amniotic cavity infection 268.42 86 48 6331 779 79737230
Shortened cervix 264.58 86 38 6341 128 79737881
Induced labour 246.35 86 45 6334 827 79737182
Injection site rash 215.62 86 73 6306 17881 79720128
Premature separation of placenta 212.07 86 42 6337 1204 79736805
Pre-eclampsia 197.77 86 55 6324 6986 79731023
Premature rupture of membranes 157.73 86 41 6338 4028 79733981
Injection site warmth 157.51 86 55 6324 14752 79723257
Injection site urticaria 149.44 86 51 6328 12775 79725234
Injection site bruising 138.73 86 67 6312 40935 79697074
Gestational diabetes 131.27 86 39 6340 6254 79731755
Premature delivery 129.49 86 54 6325 23413 79714596
Abortion spontaneous 127.10 86 57 6322 29450 79708559
Cervical dilatation 126.52 86 15 6364 0 79738009
Product prescribing error 110.08 86 59 6320 44754 79693255
Exposure during pregnancy 107.23 86 78 6301 101054 79636955
Limb discomfort 106.05 86 52 6327 32798 79705211
Gestational hypertension 103.05 86 25 6354 1854 79736155
Maternal exposure timing unspecified 95.65 86 30 6349 5762 79732247
Vaginal haemorrhage 93.47 86 42 6337 21775 79716234
Therapy cessation 90.96 86 49 6330 37513 79700496
Injection site reaction 86.19 86 54 6325 54731 79683278

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC G03DA03 GENITO URINARY SYSTEM AND SEX HORMONES
SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
PROGESTOGENS
Pregnen (4) derivatives
ATC G03FA02 GENITO URINARY SYSTEM AND SEX HORMONES
SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
PROGESTOGENS AND ESTROGENS IN COMBINATION
Progestogens and estrogens, fixed combinations
FDA CS M0447349 Progesterone Congeners
MeSH PA D004965 Estrogen Antagonists
MeSH PA D006727 Hormone Antagonists
MeSH PA D006728 Hormones
MeSH PA D011372 Progestins
FDA EPC N0000175602 Progestin
CHEBI has role CHEBI:25212 metabolites
CHEBI has role CHEBI:59826 progestins
CHEBI has role CHEBI:75771 Mus musculus metabolites
CHEBI has role CHEBI:77746 Homo sapiens metabolite

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Prevention of Premature Labor indication
Endometrial carcinoma off-label use 254878006 DOID:2871
Impaired glucose tolerance contraindication 9414007
Jaundice contraindication 18165001
Depressive disorder contraindication 35489007
Migraine contraindication 37796009 DOID:6364
Hypertensive disorder contraindication 38341003 DOID:10763
Mild pre-eclampsia contraindication 41114007
Body fluid retention contraindication 43498006
Chronic heart failure contraindication 48447003
Intermenstrual bleeding - irregular contraindication 64996003
Diabetes mellitus contraindication 73211009 DOID:9351
Hyperglycemia contraindication 80394007 DOID:4195
Epilepsy contraindication 84757009 DOID:1826
Kidney disease contraindication 90708001 DOID:557
Neoplasm of liver contraindication 126851005 DOID:3571
Deep venous thrombosis contraindication 128053003
Seizure disorder contraindication 128613002
Asthma contraindication 195967001 DOID:2841
Disease of liver contraindication 235856003 DOID:409
Thromboembolic disorder contraindication 371039008
Carcinoma of female breast contraindication 447782002
Predisposition to Thrombosis contraindication




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Progesterone receptor Nuclear hormone receptor AGONIST IC50 7.66 SCIENTIFIC LITERATURE DRUG LABEL
Sodium-dependent dopamine transporter Transporter Ki 5.26 DRUG MATRIX
Adenosine receptor A3 GPCR Ki 5.57 DRUG MATRIX
Corticosteroid-binding globulin Secreted Ki 7.74 CHEMBL
Glucocorticoid receptor Nuclear hormone receptor Ki 7.64 DRUG MATRIX
Mitogen-activated protein kinase 3 Kinase IC50 5.50 DRUG MATRIX
Sex hormone-binding globulin Secreted Kd 7 CHEMBL
Androgen receptor Transcription factor Ki 6.31 DRUG MATRIX
Progesterone receptor Transcription factor Ki 8.81 DRUG MATRIX

External reference:

IDSource
4017613 VUID
N0000179012 NUI
D00949 KEGG_DRUG
4017613 VANDF
4019781 VANDF
CHEBI:5812 CHEBI
CHEBI:17252 CHEBI
CHEMBL1200848 ChEMBL_ID
DB06789 DRUGBANK_ID
DB14570 DRUGBANK_ID
1087965 RXNORM
179630 MMSL
3385 MMSL
4853 MMSL
7924 MMSL
d00554 MMSL
001291 NDDF
001293 NDDF
126110005 SNOMEDCT_US
126111009 SNOMEDCT_US
56014002 SNOMEDCT_US
D000077713 MESH_DESCRIPTOR_UI
D019326 MESH_DESCRIPTOR_UI
C0044971 UMLSCUI
C0045010 UMLSCUI
633 INN_ID
169870 PUBCHEM_CID
716 INN_ID
68-96-2 SECONDARY_CAS_RN
6238 PUBCHEM_CID
276F2O42F5 UNII
21807M87J2 UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 0517-1767 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 0517-1791 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
HYDROXYPROGESTERONE CAPROATE Human Prescription Drug Label 1 47335-037 INJECTION 250 mg INTRAMUSCULAR ANDA 26 sections
HYDROXYPROGESTERONE CAPROATE Human Prescription Drug Label 1 55150-309 INJECTION 250 mg INTRAMUSCULAR ANDA 26 sections
HYDROXYPROGESTERONE CAPROATE Human Prescription Drug Label 1 55150-310 INJECTION 1250 mg INTRAMUSCULAR ANDA 26 sections
Hydroxyprogesterone Caproate Human Prescription Drug Label 1 55150-311 INJECTION 1250 mg INTRAMUSCULAR ANDA 12 sections
Hydroxyprogesterone Caproate Human Prescription Drug Label 1 55150-311 INJECTION 1250 mg INTRAMUSCULAR ANDA 12 sections
Hydroxyprogesterone Caproate Human Prescription Drug Label 1 55150-311 INJECTION 1250 mg INTRAMUSCULAR ANDA 12 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-243 INJECTION 250 mg INTRAMUSCULAR NDA 26 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-243 INJECTION 250 mg INTRAMUSCULAR NDA 26 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-247 INJECTION 250 mg INTRAMUSCULAR NDA 26 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-247 INJECTION 250 mg INTRAMUSCULAR NDA 26 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-301 INJECTION 250 mg SUBCUTANEOUS NDA 26 sections
Makena HUMAN PRESCRIPTION DRUG LABEL 1 64011-301 INJECTION 250 mg SUBCUTANEOUS NDA 26 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 66993-038 INJECTION 250 mg INTRAMUSCULAR NDA authorized generic 28 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 66993-039 INJECTION 250 mg INTRAMUSCULAR NDA authorized generic 28 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-886 INJECTION 250 mg INTRAMUSCULAR ANDA 11 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-886 INJECTION 250 mg INTRAMUSCULAR ANDA 11 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-886 INJECTION 250 mg INTRAMUSCULAR ANDA 11 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-967 INJECTION 250 mg INTRAMUSCULAR ANDA 27 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-967 INJECTION 250 mg INTRAMUSCULAR ANDA 27 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 67457-967 INJECTION 250 mg INTRAMUSCULAR ANDA 27 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 69238-1797 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 69238-1797 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
HYDROXYPROGESTERONE CAPROATE Human Prescription Drug Label 1 71225-104 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
Hydroxyprogesterone caproate Human Prescription Drug Label 1 71225-105 INJECTION 250 mg INTRAMUSCULAR ANDA 24 sections
Hydroxyprogesterone Caproate HUMAN PRESCRIPTION DRUG LABEL 1 73301-001 LIQUID 250 mg INTRAMUSCULAR ANDA 24 sections