Casokefamide

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Casokefamide
Systematic (IUPAC) name
L-tyrosyl-D-alanyl-L-phenylalanyl-D-alanyl-L-tyrosinamide
Clinical data
Legal status ?
Identifiers
CAS number 98815-38-4
ATC code None
PubChem CID 5464104
ChemSpider 4576538
Chemical data
Formula C33H40N6O7 
Mol. mass 632.707 g/mol

Casokefamide (INN), also known as β-casomorphin 4027 (β-CM-4027) and [D-Ala2,4,Tyr5]-β-casomorphin-5-amide, is a peripherally-specific, synthetic opioid pentapeptide with the amino acid sequence Tyr-D-Ala-Phe-D-Ala-Tyr-NH2.[1] Derived from the β-casomorphin sequence, it was designed with the intention of improving resistance to digestive enzymes so that it could potentially be used as an antidiarrheal medicine.[1][2] Unlike other casomorphins, which are generally selective μ-opioid receptor agonists, casokefamide binds to both the μ- and δ-opioid receptors.[1] In a clinical study, casokefamide was found to be effective via the oral route for the treatment of chronic diarrhea, and did not produce any side effects.[2] However, further clinical development was not pursued and it was never marketed.

See also

References

  1. 1.0 1.1 1.2 Brantl V, Picone D, Amodeo P, Temussi PA (March 1993). "Solution structure of casokefamide". Biochemical and Biophysical Research Communications 191 (3): 853–9. doi:10.1006/bbrc.1993.1295. PMID 8466524. 
  2. 2.0 2.1 Schulte-Frohlinde E, Reindl W, Bierling D, et al. (March 2000). "Effects of oral casokefamide on plasma levels, tolerance, and intestinal transit in man". Peptides 21 (3): 439–42. doi:10.1016/S0196-9781(00)00166-2. PMID 10793229. 
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