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| Stem definition | Drug id | CAS RN |
|---|---|---|
| leptin derivatives | 4826 | 186018-45-1 |
| Molecule | Description |
|---|---|
|
Synonyms:
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Metreleptin is a recombinant human leptin analog that exerts its function by binding to and activating the human leptin receptor (ObR), which belongs to the Class I cytokine family of receptors that signals through the JAK/STAT transduction pathway. Native leptin is a hormone predominantly secreted by adipose tissue that informs the central nervous system of the status of energy stores in the body. In patients with generalized lipodystrophy, leptin deficiency, resulting from the loss of adipose tissue, contributes to excess caloric intake, which exacerbates the metabolic abnormalities.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| July 29, 2018 | EMA | AEGERION PHARMACEUTICALS B.V. | |
| Feb. 24, 2014 | FDA | AMYLIN PHARMS LLC |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Therapy cessation | 176.77 | 40.42 | 49 | 1206 | 36312 | 90590880 |
| Blood glucose increased | 119.51 | 40.42 | 46 | 1209 | 95200 | 90531992 |
| Blood triglycerides increased | 92.48 | 40.42 | 24 | 1231 | 13737 | 90613455 |
| Insulin resistance | 74.16 | 40.42 | 13 | 1242 | 1145 | 90626047 |
| Product dose omission issue | 65.76 | 40.42 | 44 | 1211 | 291643 | 90335549 |
| Hypertriglyceridaemia | 64.00 | 40.42 | 16 | 1239 | 7873 | 90619319 |
| Hyperphagia | 62.62 | 40.42 | 13 | 1242 | 2805 | 90624387 |
| Neutralising antibodies positive | 59.14 | 40.42 | 9 | 1246 | 327 | 90626865 |
| Glycosylated haemoglobin increased | 53.23 | 40.42 | 16 | 1239 | 15546 | 90611646 |
| Blood glucose decreased | 50.74 | 40.42 | 17 | 1238 | 23412 | 90603780 |
| Pancreatitis acute | 45.49 | 40.42 | 17 | 1238 | 32098 | 90595094 |
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| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Therapy cessation | 118.81 | 40.45 | 34 | 930 | 44823 | 110543512 |
| Insulin resistance | 81.75 | 40.45 | 14 | 950 | 1720 | 110586615 |
| Blood triglycerides increased | 71.68 | 40.45 | 20 | 944 | 23906 | 110564429 |
| Blood glucose increased | 66.04 | 40.45 | 29 | 935 | 132467 | 110455868 |
| Neutralising antibodies positive | 62.02 | 40.45 | 9 | 955 | 379 | 110587956 |
| Hypertriglyceridaemia | 60.00 | 40.45 | 16 | 948 | 16138 | 110572197 |
| Pancreatitis acute | 53.51 | 40.45 | 20 | 944 | 60254 | 110528081 |
| Pancreatitis | 51.55 | 40.45 | 22 | 942 | 93511 | 110494824 |
| Hyperphagia | 47.92 | 40.45 | 10 | 954 | 3521 | 110584814 |
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| Source | Code | Description |
|---|---|---|
| ATC | A16AA07 | ALIMENTARY TRACT AND METABOLISM OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS Amino acids and derivatives |
| FDA Chemical/Ingredient | N0000170333 | Leptin |
| FDA Chemical/Ingredient | N0000175452 | Analogs/Derivatives |
| FDA EPC | N0000190854 | Leptin Analog |
| CHEBI has role | CHEBI:35526 | hypoglycemic agent |
| CHEBI has role | CHEBI:50779 | appetite enhancer |
| CHEBI has role | CHEBI:50864 | insulin-sensitizing drug |
| CHEBI has role | CHEBI:74518 | anti-obesity agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Acquired partial lipodystrophy | indication | 75659004 | |
| Acquired generalized lipodystrophy | indication | 86907008 | |
| Congenital generalized lipodystrophy | indication | 284449005 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Leptin receptor | Membrane receptor | AGONIST | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| 4033286 | VUID |
| N0000190647 | NUI |
| 4033286 | VANDF |
| CHEBI:752900 | CHEBI |
| CHEMBL2107857 | ChEMBL_ID |
| C415771 | MESH_SUPPLEMENTAL_RECORD_UI |
| 7333 | IUPHAR_LIGAND_ID |
| DB09046 | DRUGBANK_ID |
| 1491625 | RXNORM |
| 213104 | MMSL |
| 30187 | MMSL |
| d08243 | MMSL |
| 015482 | NDDF |
| 703361000 | SNOMEDCT_US |
| 715594006 | SNOMEDCT_US |
| C0961965 | UMLSCUI |
| 7808 | INN_ID |
| TL60C27RLH | UNII |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Myalept | HUMAN PRESCRIPTION DRUG LABEL | 1 | 10122-210 | INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | 11.30 mg | SUBCUTANEOUS | BLA | 30 sections |