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{{Short description|Chemical compound}}
{{drugbox
{{one source|date=October 2014}}
| IUPAC_name = α-aspartyl-''O''-sulfotyrosylmethionylglycyltryptophylmethionyl-α-aspartylphenylalaninamide
{{Drugbox
| image = Sincalide.svg
| Verifiedfields = changed
| CAS_number = 25126-32-3
| Watchedfields = changed
| ATC_prefix = V04
| verifiedrevid = 408748961
| ATC_suffix = CC03
| IUPAC_name = α-aspartyl-''O''-sulfotyrosylmethionylglycyltryptophylmethionyl-α-aspartylphenylalaninamide
| PubChem = 32800
| image = Sincalide.svg
| DrugBank =

| KEGG = D05845
<!--Clinical data-->
| C=49|H=62|N=10|O=16|S=3
| tradename =
| molecular_weight = 1143.27 g/mol
| Drugs.com = {{drugs.com|CONS|sincalide}}
| synonyms = <small>1-De(5-oxo-L-proline)-2-de-L-glutamine-<br>5-L-methioninecaerulein, <nowiki>3--3-(4-sulfooxyphenyl)propanoyl]amino]-4-<br>methylsulfanyl-butanoyl]amino]acetyl]amino]-3-<br>(1''H''-indol-3-yl)propanoyl]amino]-4-methylsulfanyl-<br>butanoyl]amino]-3-propanoic acid</small>
| pregnancy_AU = <!-- A, B1, B2, B3, C, D, X -->
| bioavailability =
| protein_bound = | pregnancy_US = B
| pregnancy_category =
| metabolism =
| legal_AU = <!-- Unscheduled, S2, S3, S4, S5, S6, S7, S8, S9 -->
| elimination_half-life =
| legal_CA = <!-- Schedule I, II, III, IV, V, VI, VII, VIII -->
| excretion =
| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> | legal_UK_comment = Available on a named-patient basis <!-- GSL, P, POM, CD, Class A, B, C -->
| legal_US = Rx-only
| pregnancy_US = B
| legal_status =
| pregnancy_category=
| legal_AU = <!-- Unscheduled / S2 / S3 / S4 / S5 / S6 / S7 / S8 / S9 -->
| legal_CA = <!-- / Schedule I, II, III, IV, V, VI, VII, VIII -->
| legal_UK = <!-- GSL / P / POM / CD / Class A, B, C -->
| legal_US = Rx-only
| legal_status = Available on a named-patient basis <small>(])</small>
| routes_of_administration = ] | routes_of_administration = ]

<!--Pharmacokinetic data-->
| bioavailability =
| protein_bound =
| metabolism =
| elimination_half-life =
| excretion =

<!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 25126-32-3
| ATC_prefix = V04
| ATC_suffix = CC03
| PubChem = 32800
| IUPHAR_ligand = 864
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB09142
| UNII_Ref = {{fdacite|changed|FDA}}
| UNII = M03GIQ7Z6P
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D05845
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 1121
| ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}}
| ChemSpiderID = 8009168



<!--Chemical data-->
| C=49 | H=62 | N=10 | O=16 | S=3
| synonyms = <small>1-De(5-oxo-L-proline)-2-de-L-glutamine-<br>5-L-methioninecaerulein, <nowiki>3--3-(4-sulfooxyphenyl)propanoyl]amino]-4-<br>methylsulfanyl-butanoyl]amino]acetyl]amino]-3-<br>(1''H''-indol-3-yl)propanoyl]amino]-4-methylsulfanyl-<br>butanoyl]amino]-3-propanoic acid</small>
| smiles = CSCC(C(=O)NCC(=O)N(CC1=CNC2=CC=CC=C21)C(=O)N(CCSC)C(=O)N(CC(=O)O)C(=O)N(CC3=CC=CC=C3)C(=O)N)NC(=O)(CC4=CC=C(C=C4)OS(=O)(=O)O)NC(=O)(CC(=O)O)N
| StdInChI_Ref = {{stdinchicite|changed|chemspider}}
| StdInChI = 1S/C49H62N10O16S3/c1-76-18-16-34(55-47(69)37(58-44(66)32(50)23-41(61)62)21-28-12-14-30(15-13-28)75-78(72,73)74)45(67)53-26-40(60)54-38(22-29-25-52-33-11-7-6-10-31(29)33)48(70)56-35(17-19-77-2)46(68)59-39(24-42(63)64)49(71)57-36(43(51)65)20-27-8-4-3-5-9-27/h3-15,25,32,34-39,52H,16-24,26,50H2,1-2H3,(H2,51,65)(H,53,67)(H,54,60)(H,55,69)(H,56,70)(H,57,71)(H,58,66)(H,59,68)(H,61,62)(H,63,64)(H,72,73,74)/t32-,34-,35-,36-,37-,38-,39-/m0/s1
| StdInChIKey_Ref = {{stdinchicite|changed|chemspider}}
| StdInChIKey = IZTQOLKUZKXIRV-YRVFCXMDSA-N
}} }}
'''Sincalide''' (]) is a ] drug administered by ] to aid in diagnosing disorders of the gallbladder and pancreas. It is the 8-amino acid ] fragment of ], and also known as '''CCK-8'''. '''Sincalide''' (]) is a ] drug administered by ] to aid in diagnosing disorders of the ] and ]. It is the 8-amino acid ] fragment of ], and also known as '''CCK-8'''.


Common adverse effects following administration include abdominal discomfort and nausea. These effects are more pronounced following rapid infusion. Common adverse effects following administration include abdominal discomfort and nausea. These effects are more pronounced following rapid infusion.

==Clinical Use==

===Indications===
Sincalide may be used to stimulate ] contraction, as may be assessed by ] ] or ], or to obtain by duodenal aspiration a sample of concentrated bile for analysis of cholesterol, ]s, phospholipids, and crystals.<ref name="Ziessman_2019">{{cite journal | vauthors = Ziessman HA | title = Sincalide: A Review of Clinical Utility, Proper Infusion Methodology, and Alternative Cholecystogogues | journal = Journal of Nuclear Medicine Technology | volume = 47 | issue = 3 | pages = 210–212 | date = September 2019 | pmid = 31019045 | doi = 10.2967/jnmt.119.226019 | s2cid = 131775567 | doi-access = free }}</ref> It can also be used to stimulate pancreatic secretion (especially in conjunction with ]) prior to obtaining a duodenal aspirate for analysis of enzyme activity, composition, and ]. In some instances it is used to accelerate the transit of a ] through the small bowel, thereby decreasing the time and-extent of radiation associated with ] and x-ray examination of the intestinal tract.<ref>Kinevac Package Insert</ref>

==References==
{{reflist}}


==External links== ==External links==
* on NIH.gov * {{cite web | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d7f3d501-a389-4fe1-b20a-c9665b3f3d37 | title = KINEVAC (sincalide)] | work = DailyMed | publisher = U.S. National Library of Medicine }}




{{drug-stub}}
{{Diagnostic agents}} {{Diagnostic agents}}

] ]
]


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