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paltusotine   Click here for help

GtoPdb Ligand ID: 14237

Synonyms: compound 22 [PMID: 36655128] | CRN-00808 | CRN00808 | Palsonify®
Approved drug PDB Ligand
paltusotine is an approved drug
Compound class: Synthetic organic
Comment: Paltusotine (CRN00808) is a small molecule, orally bioavailable somatostatin receptor type 2 (SST2) agonist [5-6]. It acts to inhibit production of growth hormone and insulin-like growth factor 1.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 2
Rotatable bonds 3
Topological polar surface area 85.64
Molecular weight 456.49
XLogP 1.82
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES C1=CC(=C(C(=C1)C#N)O)C2=CC=C3C(=C2)C(=C(C=N3)C4=CC(=CC(=C4)F)F)N5CCC(CC5)N
Isomeric SMILES C1CN(CCC1N)C2=C3C=C(C=CC3=NC=C2C4=CC(=CC(=C4)F)F)C5=CC=CC(=C5O)C#N
InChI InChI=1S/C27H22F2N4O/c28-19-10-18(11-20(29)13-19)24-15-32-25-5-4-16(22-3-1-2-17(14-30)27(22)34)12-23(25)26(24)33-8-6-21(31)7-9-33/h1-5,10-13,15,21,34H,6-9,31H2
InChI Key GHILNKWBALQPDP-UHFFFAOYSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
Paltusotine (CRN00808) was advanced to clinical evaluation to determine safety and efficacy for the treatment of acromegaly [1,3-4], and neuroendocrine tumour-associated carcinoid syndrome [2]. First approval was granted by the FDA in September 2025, to treat acromegaly.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT07087054 Carcinoid Syndrome Efficacy Study Featuring an Oral Daily Paltusotine Regimen Phase 3 Interventional Crinetics Pharmaceuticals Inc.
NCT05192382 A Study to Evaluate the Safety and Efficacy of Paltusotine for the Treatment of Acromegaly (PATHFNDR-2) Phase 3 Interventional Crinetics Pharmaceuticals Inc.
NCT04837040 A Study to Evaluate the Safety and Efficacy of Paltusotine for the Treatment of Acromegaly Phase 3 Interventional Crinetics Pharmaceuticals Inc.