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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 [6-7]. 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 [1,4-5], and neuroendocrine tumour-associated carcinoid syndrome [2]. First approval was granted by the FDA in September 2025, to treat acromegaly [3].
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.