Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Sincalide
Drug ID BADD_D02027
Description Sincalide is a medication given by injection to assist in the diagnosis of gallbladder and pancreas disorders. It is identified as the 8-amino acid C-terminal segment of cholecystokinin and is also known as _CCK-8_. Naturally occurring cholecystokinin is a gastrointestinal peptide hormone normally essential for stimulating protein and fat digestion in the body. When injected intravenously, sincalide produces a substantial reduction in gallbladder size by causing this organ to contract. The evacuation of bile that results is similar to that which occurs physiologically in response to endogenous cholecystokinin. Furthermore, sincalide stimulates pancreatic secretion of bicarbonate and enzymes. As the product Kinevac (FDA), sincalide is used for the following indications: 1) to stimulate gallbladder contraction, as may be assessed by various methods of diagnostic imaging, or to obtain by duodenal aspiration a sample of concentrated bile for analysis of cholesterol, bile salts, phospholipids, and crystals; (2) to stimulate pancreatic secretion (especially in conjunction with secretin) prior to obtaining a duodenal aspirate for analysis of enzyme activity, composition, and cytology; (3) to accelerate the transit of a barium meal through the small bowel, thereby decreasing the time and extent of radiation associated with fluoroscopy and x-ray examination of the intestinal tract.
Indications and Usage As the product Kinevac (FDA), sincalide is used for the following indications: 1) to stimulate gallbladder contraction, as may be assessed by various methods of diagnostic imaging, or to obtain by duodenal aspiration a sample of concentrated bile for analysis of cholesterol, bile salts, phospholipids, and crystals; (2) to stimulate pancreatic secretion (especially in conjunction with secretin) prior to obtaining a duodenal aspirate for analysis of enzyme activity, composition, and cytology; (3) to accelerate the transit of a barium meal through the small bowel, thereby decreasing the time and extent of radiation associated with fluoroscopy and x-ray examination of the intestinal tract.
Marketing Status approved
ATC Code V04CC03
DrugBank ID DB09142
KEGG ID D05845
MeSH ID D012844
PubChem ID 9833444
TTD Drug ID D0I8AF
NDC Product Code 82773-004; 0270-0556; 55463-0004; 73309-028; 69766-102; 69575-4029; 63323-579; 72266-248; 42973-235; 70511-131
UNII M03GIQ7Z6P
Synonyms Sincalide | CCK-OP | OP-CCK | H-Asp-Tyr(SO3H)-Met-Gly-Trp-Met-Asp-Phe-NH2 | Cholecystokinin Pancreozymin C-Terminal Octapeptide | Cholecystokinin Pancreozymin C Terminal Octapeptide | Syncalide | CCK-8 | Cholecystokinin Octapeptide | SQ-19,844 | SQ 19,844 | SQ19,844 | SQ-19844 | SQ 19844 | SQ19844 | Kinevac
Chemical Information
Molecular Formula C49H62N10O16S3
CAS Registry Number 25126-32-3
SMILES CSCCC(C(=O)NCC(=O)NC(CC1=CNC2=CC=CC=C21)C(=O)NC(CCSC)C(=O)NC(CC(=O)O)C(=O)NC(CC3 =CC=CC=C3)C(=O)N)NC(=O)C(CC4=CC=C(C=C4)OS(=O)(=O)O)NC(=O)C(CC(=O)O)N
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001---
Abdominal pain07.01.05.0020.000336%
Abdominal pain upper07.01.05.003--
Blood pressure increased13.14.03.005---
Chills08.01.09.001; 15.05.03.0160.000267%
Defaecation urgency07.02.04.001---
Dermatitis23.03.04.002---
Diarrhoea07.02.01.001--
Discomfort08.01.08.003---
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.007--
Drug ineffective08.06.01.0060.004702%-
Dyspnoea02.11.05.003; 22.02.01.0040.000217%
Erythema23.03.06.001---
Fatigue08.01.01.0020.000385%
Flushing08.01.03.025; 23.06.05.003; 24.03.01.002--
Headache17.14.01.001--
Hyperhidrosis08.01.03.028; 23.02.03.004--
Hypersensitivity10.01.03.003--
Hypertension24.08.02.001--
Hypoaesthesia17.02.06.023; 23.03.03.081---
Hypotension24.06.03.002--
Impaired gastric emptying07.02.02.004--
Loss of consciousness17.02.04.004---
Muscle spasms15.05.03.004--
Myalgia15.05.02.0010.000217%
Nausea07.01.07.0010.000316%
Pain08.01.08.004--
Pyrexia08.05.02.0030.000267%
Rash23.03.13.0010.000336%-
Sensory loss17.02.07.007---
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