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Rapamycin (Sirolimus; AY22989)

Alias: AY 22989; AY22989; AY-22989; NSC-2260804; RAPA; RAP; RPM; SLM; AY 22989; SILA 9268A; WY090217; WY-090217; WY 090217; C07909; D00753; I 2190A; I-2190A; I2190A; NSC 226080; Rapamune
Cat No.:V0174 Purity: ≥98%
Rapamycin (also known as Sirolimus; AY-22989), a natural macrocyclic lactone isolated from the bacterium Streptomyces hygroscopicus, is a specific and potent mTOR inhibitor with IC50 of ~0.1 nM in HEK293 cells.
Rapamycin (Sirolimus; AY22989)
Rapamycin (Sirolimus; AY22989) Chemical Structure CAS No.: 53123-88-9
Product category: mTOR
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Rapamycin (Sirolimus; AY22989):

  • Rapamycin-13C,d3 (rapamycin; sirolimus-13C,d3; Sirolimus-13C,d3; AY-22989-13C,d3)
  • Seco Rapamycin ethyl ester
  • Wortmannin-Rapamycin Conjugate 1
  • Seco Rapamycin (Secorapamycin; Secorapamycin A)
  • Prolylrapamycin
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Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Purity: =99.046%

Product Description

Rapamycin (also known as Sirolimus; AY-22989), a natural macrocyclic lactone isolated from the bacterium Streptomyces hygroscopicus, is a specific and potent mTOR inhibitor with IC50 of ~0.1 nM in HEK293 cells. Although rapamycin was initially created as an antifungal antibiotic, it also showed signs of immunosuppressive activity, and it is now used for this reason to prevent transplant rejection. Additionally, it shows activity against a number of transplantable tumors and is only marginally to completely inactive against leukemias. Rapamycin suppresses the immune system by preventing T cells from activating and proliferating. The rapamycin-FKBP12 complex, which is formed when rapamycin binds to FK-binding protein 12 (FKBP12), controls an enzyme that is crucial to the progression of the cell cycle.

Biological Activity I Assay Protocols (From Reference)
Targets
mTOR (IC50 = 0.1 nM); Microbial Metabolite; Autophagy; Human Endogenous Metabolite
ln Vitro
Rapamycin (Sirolimus; AY22989) inhibits endogenous mTOR activity in HEK293 cells with IC50 of ~0.1 nM, more potently than iRap and AP21967 with IC50 of ~5 nM and ~10 nM, respectively. [1] Rapamycin treatment causes a severe G1/S cell cycle arrest in Saccharomyces cerevisiae and inhibits translation initiation to levels below 20% of control. [2] Rapamycin exhibits little activity against U373-MG cells with an IC50 of >25 M despite having a similar impact on the inhibition of mTOR signaling. Rapamycin significantly reduces the cell viability of T98G and U87-MG in a dose-dependent manner. By inhibiting the activity of mTOR, rapamycin (100 nM) causes G1 arrest and autophagy but not apoptosis in Rapamycin-sensitive U87-MG and T98G cells. [3]
Saccharomyces cerevisiae cells treated with the immunosuppressant Rapamycin (Sirolimus; AY22989) or depleted for the targets of rapamycin TOR1 and TOR2 arrest growth in the early G1 phase of the cell cycle. Loss of TOR function also causes an early inhibition of translation initiation and induces several other physiological changes characteristic of starved cells entering stationary phase (G0). A G1 cyclin mRNA whose translational control is altered by substitution of the UBI4 5' leader region (UBI4 is normally translated under starvation conditions) suppresses the rapamycin-induced G1 arrest and confers starvation sensitivity. These results suggest that the block in translation initiation is a direct consequence of loss of TOR function and the cause of the G1 arrest. We propose that the TORs, two related phosphatidylinositol kinase homologues, are part of a novel signaling pathway that activates eIF-4E-dependent protein synthesis and, thereby, G1 progression in response to nutrient availability. Such a pathway may constitute a checkpoint that prevents early G1 progression and growth in the absence of nutrients. [2]
The mammalian target of rapamycin (mTOR) is a downstream effector of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt) signaling pathway and a central modulator of cell proliferation in malignant gliomas. Therefore, the targeting of mTOR signaling is considered a promising therapy for malignant gliomas. However, the mechanisms underlying the cytotoxic effects of a selective mTOR inhibitor, Rapamycin (Sirolimus; AY22989), on malignant glioma cells are poorly understood. The purpose of this study was thus to elucidate how rapamycin exerts its cytotoxic effects on malignant glioma cells. We showed that rapamycin induced autophagy but not apoptosis in rapamycin-sensitive malignant glioma U87-MG and T98G cells by inhibiting the function of mTOR. In contrast, in rapamycin-resistant U373-MG cells, the inhibitory effect of rapamycin was minor, although the phosphorylation of p70S6 kinase, a molecule downstream of mTOR, was remarkably inhibited. Interestingly, a PI3K inhibitor, LY294002, and an Akt inhibitor, UCN-01 (7-hydroxystaurosporine), both synergistically sensitized U87-MG and T98G cells as well as U373-MG cells to rapamycin by stimulating the induction of autophagy. Enforced expression of active Akt in tumor cells suppressed the combined effects of LY294002 or UCN-01, whereas dominant-negative Akt expression was sufficient to increase the sensitivity of tumor cells to rapamycin. These results indicate that rapamycin exerts its antitumor effect on malignant glioma cells by inducing autophagy and suggest that in malignant glioma cells a disruption of the PI3K/Akt signaling pathway could greatly enhance the effectiveness of mTOR inhibitors. [3]
ln Vivo
Treatment with Rapamycin (Sirolimus; AY22989) in vivo specifically blocks targets known to be downstream of mTOR such as the phosphorylation and activation of p70S6K and the release of inhibition of eIF4E by PHAS-1/4E-BP1, leading to complete blockage of the hypertrophic increases in plantaris muscle weight and fibre size.[4] Short-term Rapamycin treatment, even at the lowest dose of 0.16 mg/kg, results in profound inhibition of p70S6K activity, which is correlated with an increase in tumor cell death and necrosis of the Eker renal tumors. [5] By lowering VEGF production and preventing VEGF-induced endothelial cell signaling, rapamycin inhibits angiogenesis and metastatic tumor growth in CT-26 xenograft models. [6] Rapamycin treatment at 4 mg/kg/day significantly reduces tumor vascular permeability and tumor growth in C6 xenografts. [7]
Skeletal muscles adapt to changes in their workload by regulating fibre size by unknown mechanisms. The roles of two signalling pathways implicated in muscle hypertrophy on the basis of findings in vitro, Akt/mTOR (mammalian target of rapamycin) and calcineurin/NFAT (nuclear factor of activated T cells), were investigated in several models of skeletal muscle hypertrophy and atrophy in vivo. The Akt/mTOR pathway was upregulated during hypertrophy and downregulated during muscle atrophy. Furthermore, rapamycin, a selective blocker of mTOR, blocked hypertrophy in all models tested, without causing atrophy in control muscles. In contrast, the calcineurin pathway was not activated during hypertrophy in vivo, and inhibitors of calcineurin, cyclosporin A and FK506 did not blunt hypertrophy. Finally, genetic activation of the Akt/mTOR pathway was sufficient to cause hypertrophy and prevent atrophy in vivo, whereas genetic blockade of this pathway blocked hypertrophy in vivo. We conclude that the activation of the Akt/mTOR pathway and its downstream targets, p70S6K and PHAS-1/4E-BP1, is requisitely involved in regulating skeletal muscle fibre size, and that activation of the Akt/mTOR pathway can oppose muscle atrophy induced by disuse.
Enzyme Assay
HEK293 cells are plated at 2-2.5×10~5 cells/well of a 12-well plate and serum-starved for 24 hours in DMEM. Rapamycin (Sirolimus; AY22989) (0.05–50 nM) is administered to cells for 15 minutes at 37 °C in escalating concentrations. 30 minutes at 37 °C are spent adding serum at a final concentration of 20%. Cell lysates are separated by SDS-PAGE after being lysed. Proteins that have been resolved are transferred to a polyvinylidene difluoride membrane and immunoblotted using a primary antibody that is phosphospecific for the Thr-389 of p70 S6 kinase. using ImageQuant and KaleidaGr for data analysis.[1]
Rapamycin (Sirolimus; AY22989) is an immunosuppressive drug that binds simultaneously to the 12-kDa FK506- and rapamycin-binding protein (FKBP12, or FKBP) and the FKBP-rapamycin binding (FRB) domain of the mammalian target of rapamycin (mTOR) kinase. The resulting ternary complex has been used to conditionally perturb protein function, and one such method involves perturbation of a protein of interest through its mislocalization. We synthesized two rapamycin derivatives that possess large substituents at the C-16 position within the FRB-binding interface, and these derivatives were screened against a library of FRB mutants using a three-hybrid assay in Saccharomyces cerevisiae. Several FRB mutants responded to one of the rapamycin derivatives, and twenty of these mutants were further characterized in mammalian cells. The mutants most responsive to the ligand were fused to yellow fluorescent protein, and fluorescence levels in the presence and absence of the ligand were measured to determine stability of the fusion proteins. Wild-type and mutant FRB domains were expressed at low levels in the absence of the rapamycin derivative, and expression levels rose up to 10-fold upon treatment with ligand. The synthetic rapamycin derivatives were further analyzed using quantitative mass spectrometry, and one of the compounds was found to contain contaminating rapamycin. Furthermore, uncontaminated analogs retained the ability to inhibit mTOR, although with diminished potency relative to rapamycin. The ligand-dependent stability displayed by wild-type FRB and FRB mutants as well as the inhibitory potential and purity of the rapamycin derivatives should be considered as potentially confounding experimental variables when using these systems. [1]
Cell Assay
Cells are exposed to various concentrations of Rapamycin (Sirolimus; AY22989) for 72 hours. For the assessment of cell viability, cells are collected by trypsinization, stained with trypan blue, and the viable cells in each well are counted. For the determination of cell cycle, cells are trypsinized, fixed with 70% ethanol, and stained with propidium iodide using a flow cytometry reagent set. Samples are analyzed for DNA content using a FACScan flow cytometer and CellQuest software. For apoptosis detection, cells are stained with the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) technique using an ApopTag apoptosis detection kit. To detect the development of acidic vesicular organelles (AVO), cells are stained with acridine orange (1 μg/mL) for 15 minutes, and examined under a fluorescence microscope. To quantify the development of AVOs, cells are stained with acridine orange (1 μg/mL) for 15 minutes, removed from the plate with trypsin-EDTA, and analyzed using the FACScan flow cytometer and CellQuest software. To analyze the autophagic process, cells are incubated for 10 minutes with 0.05 mM monodansylcadaverine at 37 °C and are then observed under a fluorescence microscope.
Cell viability assay. To determine the effects of rapamycin and Rapamycin (Sirolimus; AY22989) plus LY294002 or UCN-01 on tumor cells, we determined cell viability after the treatments. We used a trypan blue dye exclusion assay as described previously. Tumor cells in exponential growth were harvested and seeded at 5 × 103 cells per well (0.1 mL) in 96-well flat-bottomed plates and incubated overnight at 37°C. The cells were then incubated for 72 hours with or without rapamycin or with rapamycin plus LY294002 or UCN-01. After the cells were collected by trypsinization, they were stained with trypan blue, and the viable cells in each well were counted. The viability of the untreated cells (the control) was considered 100%. Survival fractions were calculated from the mean cell viability of the treated cells. [3]
Animal Protocol
Athymic Nu/Nu mice inoculated subcutaneously with VEGF-A-expressing C6 rat glioma cells
~4 mg/kg/day
Injection i.p.
Drug administration in vivo.[4]
Animals were randomized to treatment or vehicle groups so that the mean starting body weights of each group were equal. Drug treatment began on the day of surgery or on the first day of reloading after the 14-day suspension. Rapamycin was delivered once daily by intraperitoneal injection at a dose of 1.5 mg kg−1, dissolved in 2% carboxymethylcellulose. CsA was delivered once daily by subcutaneous injection at a dose of 15 mg kg−1, dissolved in 10% methanol and olive oil. FK506 was delivered once daily via subcutaneous injection at a dose of 3 mg kg−1, dissolved in 10% ethanol, 10% cremophor and saline.[4]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
In adult renal transplant patients with low- to moderate-immunologic risk, oral administration of 2 mg sirolimus led to a Cmax of 14.4 ± 5.3 ng/mL for oral solution and 15.0 ± 4.9 ng/mL for oral tablets. The tmax was 2.1 ± 0.8 hours for oral solution and 3.5 ± 2.4 hours for oral tablets. In healthy subjects, the tmax is one hour. In a multi-dose study, steady-state was reached six days following repeated twice-daily administration without an initial loading dose, with the average trough concentration of sirolimus increased approximately 2- to 3-fold. It is suspected that a loading dose of three times the maintenance dose will provide near steady-state concentrations within one day in most patients. The systemic availability of sirolimus is approximately 14%. In healthy subjects, the mean bioavailability of sirolimus after administration of the tablet is approximately 27% higher relative to the solution. Sirolimus tablets are not bioequivalent to the solution; however, clinical equivalence has been demonstrated at the 2 mg dose level. Sirolimus concentrations, following the administration of Rapamune Oral Solution to stable renal transplant patients, are dose-proportional between 3 and 12 mg/m2.
Following oral administration of [14C] sirolimus in healthy subjects, about 91% of the radioactivity was recovered from feces and only 2.2% of the radioactivity was detected in urine. Some of the metabolites of sirolimus are also detectable in feces and urine.
The mean (± SD) blood-to-plasma ratio of sirolimus was 36 ± 18 L in stable renal allograft patients, indicating that sirolimus is extensively partitioned into formed blood elements. The mean volume of distribution (Vss/F) of sirolimus is 12 ± 8 L/kg.
In adult renal transplant patients with low- to moderate-immunologic risk, oral administration of 2 mg sirolimus led to oral clearance of 173 ± 50 mL/h/kg for oral solution and 139 ± 63 mL/h/kg for oral tablets.
Following administration of /Sirolimus/ Oral Solution, sirolimus is rapidly absorbed, with a mean time-to-peak concentration (t max ) of approximately 1 hour after a single dose in healthy subjects and approximately 2 hours after multiple oral doses in renal transplant recipients. The systemic availability of sirolimus was estimated to be approximately 14% after the administration of /Sirolimus/ Oral Solution. The mean bioavailability of sirolimus after administration of the tablet is about 27% higher relative to the oral solution.
In 22 healthy volunteers receiving Rapamune Oral Solution, a high-fat meal altered the bioavailability characteristics of sirolimus. Compared with fasting, a 34% decrease in the peak blood sirolimus concentration (C max ), a 3.5-fold increase in the time-to-peak concentration (t max ), and a 35% increase in total exposure (AUC) was observed. After administration of Rapamune Tablets and a high-fat meal in 24 healthy volunteers, C max , t max , and AUC showed increases of 65%, 32%, and 23%, respectively.
Absorption: Rapid, from the gastrointestinal tract. Bioavailability is approximately 14%. Rate of absorption is decreased in the presence of a high-fat diet. The rate and extent of absorption is reduced in black patients.
The mean (+/- SD) blood-to-plasma ratio of sirolimus was 36 +/- 17.9 in stable renal allograft recipients, indicating that sirolimus is extensively partitioned into formed blood elements. The mean volume of distribution of sirolimus is 12 +/- 7.52 L/kg. Sirolimus is extensively bound (approximately 92%) to human plasma proteins. In man, the binding of sirolimus was shown mainly to be associated with serum albumin (97%), (alpha) 1 -acid glycoprotein, and lipoproteins.
For more Absorption, Distribution and Excretion (Complete) data for SIROLIMUS (7 total), please visit the HSDB record page.
Metabolism / Metabolites
Sirolimus undergoes extensive metabolism in the intestinal wall and liver. Sirolimus is primarily metabolized by O-demethylation and/or hydroxylation via CYP3A4 to form seven major metabolites, including hydroxy, demethyl, and hydroxydemethyl metabolites, which are pharmacologically inactive. Sirolimus also undergoes counter-transport from enterocytes of the small intestine into the gut lumen.
Sirolimus is a substrate for both cytochrome P450 IIIA4 (CYP3A4) and P-glycoprotein. Sirolimus is extensively metabolized by O-demethylation and/or hydroxylation. Seven major metabolites, including hydroxy, demethyl, and hydroxydemethyl, are identifiable in whole blood. Some of these metabolites are also detectable in plasma, fecal, and urine samples. Glucuronide and sulfate conjugates are not present in any of the biologic matrices.
Biotransformation: Hepatic, extensive, by cytochrome p450 3A enzymes. Major metabolites include hydroxysirolimus, demethylsirolimus, and hydroxydemethyl-sirolimus.
... After incubation of sirolimus with human and pig small intestinal microsomes, five metabolites were detected using high performance liquid chromatography/electrospray-mass spectrometry: hydroxy, dihydroxy, trihydroxy, desmethyl and didesmethyl sirolimus. The same metabolites were generated by human liver microsomes and pig small intestinal mucosa in the Ussing chamber. Anti-CYP3A antibodies, as well as the specific CYP3A inhibitors troleandomycin and erythromycin, inhibited small intestinal metabolism of sirolimus, confirming that, as in the liver, CYP3A enzymes are responsible for sirolimus metabolism in the small intestine. ...
Sirolimus has known human metabolites that include 16-O-Desmethylsirolimus, 39-O-Desmethylsirolimus, 24-Hydroxy-sirolimus, 11-Hydroxy-sirolimus, 25-Hydroxy-sirolimus, 46-Hydroxy-sirolimus, and 12-Hydroxy-sirolimus.
Biological Half-Life
The mean ± SD terminal elimination half-life (t½) of sirolimus after multiple dosing in stable renal transplant patients was estimated to be about 62 ± 16 hours.
The drug has an elimination half life of 57-63 hours in kidney transplant recipients.
Toxicity/Toxicokinetics
Hepatotoxicity
Serum enzyme elevations occur in a proportion of patients taking sirolimus, but the abnormalities are usually mild, asymptomatic and self-limiting, rarely requiring dose modification or discontinuation. Rare instances of cholestatic hepatitis have been reported with sirolimus use, but the clinical features of the clinically apparent liver injury due to this agent have not been well defined. Most published cases of liver injury attributed to sirolimus occurred in patients exposed to other potentially hepatotoxic agents or who have other underlying possible causes of the abnormalities such as sepsis, cancer or parenteral nutrition. Hepatic artery thrombosis has been reported to be more common with sirolimus therapy after liver transplantation, but this association is still controversial.
Likelihood score: C (probable rare cause of clinically apparent liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
Because almost no information is available on the use of oral sirolimus during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.
Sirolimus is undetectable in the bloodstream after application to the skin, so use of topical sirolimus is unlikely to affect a nursing infant. Avoid application to the nipple area and ensure that the infant's skin does not come into direct contact with the areas of skin that have been treated.
◉ Effects in Breastfed Infants
One infant was reported breastfed (extent not stated) during maternal therapy with sirolimus, tacrolimus and prednisone in unspecified dosages following a kidney-pancreas transplant. The authors who followed the mother knew of no serious side effects in the infant.
◉ Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
Protein Binding
Sirolimus is 92% bound to human plasma proteins, mainly serum albumin (97%), α1-acid glycoprotein, and lipoproteins.
Interactions
Because St. John's wort (hypericum perforatum) induces the activity of CYP3A4 and P-glycoprotein and sirolimus is a substrate of both, concurrent use of St. John's wort with sirolimus may result in decreased sirolimus concentrations.
/Concurrent use of sirolimus with tacrolimus/ may cause excess mortality, graft loss and hepatic artery thrombosis (HAT) in liver transplant patients, most cases of HAT occured within 30 days post-transplantation.
/Antibiotics such as: rifabutin or rifapentine; and anticonvulsants such as: carbamazepine, phenobarbital, or phenytoin/ may decrease sirolimus concentrations due to cytochrome p450 3A4 (CYP3 A4) isoenzyme induction.
Significant increases in sirolimus clearance occur when administered with rifampin due to CYP3A4 induction by rifampin; an alternative antibacterial agent with less enzyme induction potential should be considered.
For more Interactions (Complete) data for SIROLIMUS (11 total), please visit the HSDB record page.
Non-Human Toxicity Values
LD50 Mouse ip 600 mg/kg
LD50 Mouse oral >2,500 mg/kg
References

[1]. The Rapamycin-Binding Domain of the Protein Kinase mTOR is a Destabilizing Domain. J Biol Chem. 2007 May 4;282(18):13395-401.

[2]. TOR controls translation initiation and early G1 progression in yeastMol Biol Cell. 1996 Jan;7(1):25-42.

[3]. Synergistic augmentation of rapamycin-induced autophagy in malignant glioma cells by phosphatidylinositol 3-kinase/protein kinase B inhibitors. Cancer Res. 2005 Apr 15;65(8):3336-46.

[4]. Akt/mTOR pathway is a crucial regulator of skeletal muscle hypertrophy and can prevent muscle atrophy in vivo. Nat Cell Biol, 2001, 3(11), 1014-1019.

Additional Infomation
Therapeutic Uses
Sirolimus is indicated for the prevention of rejection of transplanted kidney allografts. It is recommended that sirolimus be used in a regimen with cyclosporine and corticosteroids. /Included in US product labeling/
Long-term results after percutaneous coronary intervention in the treatment of chronic total coronary occlusions is hindered by a significant rate of restenosis and reocclusion. In the treatment of relatively simple nonocclusive lesions, sirolimus-eluting stents have shown dramatically reduced restenosis rates compared with bare metal stents, but whether these results are more widely applicable is unknown. ... The use of sirolimus-eluting stents in the treatment of chronic total coronary occlusions is associated with a reduction in the rate of major adverse cardiac events and restenosis compared with bare metal stents.
Chronic renal failure triggered by calcineurin inhibitor (CNI)-based immunosuppression is a common complication after cardiac transplantation. Sirolimus and mycophenolate mofetil (MMF) are 2 newer immunosuppressive agents with no documented nephrotoxic side effects. This case report describes a patient with ongoing chronic renal failure 10 months after cardiac transplantation on cyclosporine-based immunosuppressive therapy. Conversion of the immunosuppressive regimen from cyclosporine to sirolimus and MMF resulted in freedom from acute rejection, excellent cardiac graft function and consistently improved renal function. This case illustrates the beneficial potential of sirolimus and MMF as CNI-free and safe long-term immunosuppression in a patient with chronic renal failure after heart transplantation.
Drug Warnings
/BOXED WARNING/ IMMUNOSUPPRESSION, USE IS NOT RECOMMENDED IN LIVER OR LUNG TRANSPLANT PATIENTS. Increased susceptibility to infection and the possible development of lymphoma and other malignancies may result from immunosuppression Increased susceptibility to infection and the possible development of lymphoma may result from immunosuppression. Only physicians experienced in immunosuppressive therapy and management of renal transplant patients should use Rapamune. Patients receiving the drug should be managed in facilities equipped and staffed with adequate laboratory and supportive medical resources. The physician responsible for maintenance therapy should have complete information requisite for the follow-up of the patient. The safety and efficacy of Rapamune (sirolimus) as immunosuppressive therapy have not been established in liver or lung transplant patients, and therefore, such use is not recommended. Liver Transplantation - Excess Mortality, Graft Loss, and Hepatic Artery Thrombosis (HAT): The use of Rapamune in combination with tacrolimus was associated with excess mortality and graft loss in a study in de novo liver transplant patients. Many of these patients had evidence of infection at or near the time of death. In this and another study in de novo liver transplant patients, the use of Rapamune in combination with cyclosporine or tacrolimus was associated with an increase in HAT; most cases of HAT occurred within 30 days post-transplantation and most led to graft loss or death. Lung Transplantation - Bronchial Anastomotic Dehiscence: Cases of bronchial anastomotic dehiscence, most fatal, have been reported in de novo lung transplant patients when Rapamune has been used as part of an immunosuppressive regimen.
Grapefruit juice may inhibit CYP 3A4 enzymes, leading to decreased metabolism of sirolimus; must not be taken with or used to dilute sirolimus.
Cases of bronchial anastomotic dehiscence, most of which were fatal, have been reported in de novo lung transplant patients who received sirolimus in combination with other immunosuppressants. Because safety and efficacy of sirolimus as immunosuppressive therapy in lung transplant patients have not been established, such use in not recommended by the manufacturer.
Use of sirolimus in combination with other immunosuppressants (i.e., cyclosporine, tacrolimus) has been associated with an increased risk on hepatic artery thrombosis, graft loss, and death in de novo liver transplant recipients. Because safety and efficacy of sirolimus as immunosuppressive therapy in liver transplant patients have not been established, such use is not recommended by the manufacturer.
For more Drug Warnings (Complete) data for SIROLIMUS (27 total), please visit the HSDB record page.
Pharmacodynamics
Sirolimus is an immunosuppressant drug with antifungal and antitumour effects. In animal models, sirolimus prolonged allograft survival following various organ transplants and reversed an acute rejection of heart and kidney allografts in rats. Upon oral administration of 2 mg/day and 5 mg/day, sirolimus significantly reduced the incidence of organ rejection in low- to moderate-immunologic risk renal transplant patients at six months following transplantation compared with either azathioprine or placebo. In some studies, the immunosuppressive effect of sirolimus lasted up to six months after discontinuation of therapy: this tolerization effect is alloantigen-specific. Sirolimus potently inhibits antigen-induced proliferation of T cells, B cells, and antibody production. In rodent models of autoimmune disease, sirolimus suppressed immune-mediated events associated with systemic lupus erythematosus, collagen-induced arthritis, autoimmune type I diabetes, autoimmune myocarditis, experimental allergic encephalomyelitis, graft-versus-host disease, and autoimmune uveoretinitis.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C51H79NO13
Molecular Weight
914.18
Exact Mass
913.555
Elemental Analysis
C, 67.01; H, 8.71; N, 1.53; O, 22.75
CAS #
53123-88-9
Related CAS #
Rapamycin;53123-88-9
PubChem CID
5284616
Appearance
White to off-white solid powder
Density
1.2±0.1 g/cm3
Boiling Point
973.0±75.0 °C at 760 mmHg
Melting Point
183-185°C
Flash Point
542.3±37.1 °C
Vapour Pressure
0.0±0.6 mmHg at 25°C
Index of Refraction
1.551
LogP
3.54
Hydrogen Bond Donor Count
3
Hydrogen Bond Acceptor Count
13
Rotatable Bond Count
6
Heavy Atom Count
65
Complexity
1760
Defined Atom Stereocenter Count
15
SMILES
O(C([H])([H])[H])[C@@]1([H])[C@@]([H])(C([H])([H])C([H])([H])[C@@]([H])(C([H])([H])[C@@]([H])(C([H])([H])[H])[C@]2([H])C([H])([H])C([C@@]([H])(C([H])=C(C([H])([H])[H])[C@]([H])([C@]([H])(C([C@]([H])(C([H])([H])[H])C([H])([H])[C@]([H])(C([H])([H])[H])C([H])=C([H])C([H])=C([H])C([H])=C(C([H])([H])[H])[C@]([H])(C([H])([H])[C@]3([H])C([H])([H])C([H])([H])[C@@]([H])(C([H])([H])[H])[C@@](C(C(N4C([H])([H])C([H])([H])C([H])([H])C([H])([H])[C@@]4([H])C(=O)O2)=O)=O)(O[H])O3)OC([H])([H])[H])=O)OC([H])([H])[H])O[H])C([H])([H])[H])=O)C1([H])[H])O[H] |c:35,66,70,t:62|
InChi Key
QFJCIRLUMZQUOT-PYYJPVDBSA-N
InChi Code
InChI=1S/C51H79NO13/c1-30-16-12-11-13-17-31(2)42(61-8)28-38-21-19-36(7)51(60,65-38)48(57)49(58)52-23-15-14-18-39(52)50(59)64-43(33(4)26-37-20-22-40(53)44(27-37)62-9)29-41(54)32(3)25-35(6)46(56)47(63-10)45(55)34(5)24-30/h11-13,16-17,25,30,32-34,36-40,42-44,46-47,53,56,60H,14-15,18-24,26-29H2,1-10H3/b13-11+,16-12+,31-17+,35-25+/t30-,32-,33-,34-,36-,37+,38+,39+,40-,42+,43+,44?,46-,47+,51-/m1/s1
Chemical Name
(3S,6R,7E,9R,10R,12R,14S,15E,17E,19E,21S,23S,26R,27R,34aS)-9,10,12,13,14,21,22,23,24,25,26,27,32,33,34, 34a-hexadecahydro-9,27-dihydroxy-3-[(1R)-2-[(1S,3R,4R)-4-hydroxy-3-methoxycyclohexyl]-1-methylethyl]-10,21-dimethoxy-6,8,12,14,20,26-hexamethyl-23,27-epoxy-3H-pyrido[2,1-c][1,4] oxaazacyclohentriacontine-1,5,11,28,29 (4H,6H,31H)-pentone
Synonyms
AY 22989; AY22989; AY-22989; NSC-2260804; RAPA; RAP; RPM; SLM; AY 22989; SILA 9268A; WY090217; WY-090217; WY 090217; C07909; D00753; I 2190A; I-2190A; I2190A; NSC 226080; Rapamune
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: ~20 mg/mL (21.9 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
Solubility (In Vivo)
Formulation 1: 2% DMSO + 30% PEG 300 + 5% Tween 80 + ddH2O: 5 mg/mL; suspension
Formulation 2: 0.5% CMC-Na + 1%Tween-80 in Saline water: 1.98 mg/mL (2.17 mM); suspension
Formulation 3: 10% DMSO + 90% Corn Oil: ≥ 2.08 mg/mL (2.28 mM); clear solution
Formulation 4: 10% EtOH + 40% PEG300 + 5% Tween-80 + 45% Saline: ≥ 2.5 mg/mL (2.73 mM); suspension
Formulation 5: 10% EtOH + 90% (20% SBE-β-CD in Saline): 2.5 mg/mL (2.73 mM); suspension
Formulation 6: 10% EtOH + 90% Corn Oil: ≥ 2.5 mg/mL (2.73 mM); suspension
Formulation 7: 10% DMSO + 40% PEG300 + 5% Tween-80 + 45% Saline: ≥ 2.08 mg/mL (2.28 mM); clear solution
Formulation 8: 10% DMSO + 90% (20% SBE-β-CD in Saline): 2.08 mg/mL (2.28 mM); suspension
 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.0939 mL 5.4694 mL 10.9388 mL
5 mM 0.2188 mL 1.0939 mL 2.1878 mL
10 mM 0.1094 mL 0.5469 mL 1.0939 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Addition of JSP191 (C-kit Antibody) to Nonmyeloablative Hematopoietic Cell Transplantation for Sickle Cell Disease and Beta-Thalassemia
CTID: NCT05357482
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-12-02
Total Body Irradiation and Astatine-211-Labeled BC8-B10 Monoclonal Antibody for the Treatment of Nonmalignant Diseases
CTID: NCT04083183
Phase: Phase 1/Phase 2    Status: Suspended
Date: 2024-12-02
Matched Related and Unrelated Donor Stem Cell Transplantation for Severe Combined Immune Deficiency (SCID): Busulfan-based Conditioning With h-ATG, Radiation, and Sirolimus
CTID: NCT04370795
Phase: Phase 1/Phase 2    Status: Enrolling by invitation
Date: 2024-12-02
Nonmyeloablative Peripheral Blood Mobilized Hematopoietic Precursor Cell Transplantation for Sickle Cell Disease and Beta-thalassemia in People With Higher Risk of Transplant Failure
CTID: NCT02105766
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-29
A Phase 1/2 Study of Intravenous Gene Transfer With an AAV9 Vector Expressing Human Beta-galactosidase in Type I and Type II GM1 Gangliosidosis
CTID: NCT03952637
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-27
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CD40-L Blockade for Prevention of Acute Graft-Versus-Host Disease
CTID: NCT03605927
Phase: Phase 1    Status: Completed
Date: 2024-11-27


Virotherapy and Natural History Study of KHSV-Associated Multricentric Castleman s Disease With Correlates of Disease Activity
CTID: NCT00092222
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-25
The Lowest Effective Dose of Post-Transplantation Cyclophosphamide in Combination With Sirolimus and Mycophenolate Mofetil as Graft-Versus-Host Disease Prophylaxis After Reduced Intensity Conditioning and Peripheral Blood Stem Cell Transplantation
CTID: NCT05436418
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Phase I/II Study to Reduce Post-transplantation Cyclophosphamide Dosing for Older or Unfit Patients Undergoing Bone Marrow Transplantation for Hematologic Malignancies
CTID: NCT04959175
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Donor Lymphocyte Infusion After Allogeneic Hematopoietic Cell Transplantation for High-Risk Hematologic Malignancies
CTID: NCT05327023
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Optimizing PTCy Dose and Timing
CTID: NCT03983850
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
The Role of Sirolimus in Preventing Functional Decline in Older Adults
CTID: NCT05237687
Phase: Phase 2    Status: Recruiting
Date: 2024-11-22
225Ac-DOTA-Anti-CD38 Daratumumab Monoclonal Antibody With Fludarabine, Melphalan and Total Marrow and Lymphoid Irradiation as Conditioning Treatment for Donor Stem Cell Transplant in Patients With High-Risk Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia and Myelodysplastic Syndrome
CTID: NCT06287944
Phase: Phase 1    Status: Recruiting
Date: 2024-11-21
Siplizumab for Sickle Cell Disease Transplant
CTID: NCT06078696
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-21
High Dose Peripheral Blood Stem Cell Transplantation With Post Transplant Cyclophosphamide for Patients With Chronic Granulomatous Disease
CTID: NCT02629120
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-19
Advancing Transplantation Outcomes in Children
CTID: NCT06055608
Phase: Phase 2    Status: Recruiting
Date: 2024-11-14
Combination Chemotherapy With or Without Donor Stem Cell Transplant in Treating Patients With Acute Lymphoblastic Leukemia
CTID: NCT00792948
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-13
Sirolimus in Combination With Metronomic Chemotherapy in Children With High-Risk Solid Tumors
CTID: NCT04469530
Phase: Phase 2    Status: Recruiting
Date: 2024-11-13
Study of HLA-Haploidentical Stem Cell Transplantation to Treat Clinically Aggressive Sickle Cell Disease
CTID: NCT03121001
Phase: Phase 2    Status: Recruiting
Date: 2024-11-12
Low-Dose Sirolimus to Increase Hematopoietic Function in Patients With RUNX1 Familial Platelet Disorder
CTID: NCT06261060
Phase: Phase 2    Status: Recruiting
Date: 2024-11-08
Low Dose Rapamycin in ME/CFS, Long-COVID, and Other Infection Associated Chronic Conditions
CTID: NCT06257420
Phase:    Status: Enrolling by invitation
Date: 2024-11-05
Sirolimus (Rapamune ) for Relapse Prevention in People With Severe Aplastic Anemia Responsive to Immunosuppressive Therapy
CTID: NCT02979873
Phase: Phase 2    Status: Recruiting
Date: 2024-11-04
Different Doses of Sirolimus for the Treatment of Cystic Lymphatic Malformations
CTID: NCT06673290
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-11-04
Sirolimus for Nosebleeds in HHT
CTID: NCT05269849
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-04
A Study Looking at Kidney Function in Kidney Transplant Recipients Who Are Taking Anti-rejection Medication Including Tacrolimus and With or Without Sirolimus.
CTID: NCT01363752
Phase: Phase 4    Status: Completed
Date: 2024-10-31
Haploidentical Transplant for People With Chronic Granulomatous Disease (CGD) Using Alemtuzumab, Busulfan and TBI With Post-Transplant Cyclophosphamide
CTID: NCT03910452
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-10-30
RESTOR: PK/PD mTORi Inhibition in Older Adults
CTID: NCT06658093
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-10-26
Sirolimus and Familial Adenomatous Polyposis (FAP)
CTID: NCT03095703
Phase: Phase 2    Status: Completed
Date: 2024-10-24
Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Granulomatous Disease (CGD) With an Alemtuzumab, Busulfan and TBI-based Conditioning Regimen Combined With Cytokine (IL-6, +/- IFN-gamma) Antagonists
CTID: NCT05463133
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-24
Immunotherapy in Combination With Prednisone and Sirolimus for Kidney Transplant Recipients With Unresectable or Metastatic Skin Cancer
CTID: NCT05896839
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-15
Provision of TCRγδ T Cells and Memory T Cells Plus Selected Use of Blinatumomab in Naïve T-cell Depleted Haploidentical Donor Hematopoietic Cell Transplantation for Hematologic Malignancies Relapsed or Refractory Despite Prior Transplantation
CTID: NCT02790515
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-09
Topical Sirolimus in Chemoprevention of Facial Squamous Cell Carcinomas in Solid Organ Transplant Recipients (SiroSkin)
CTID: NCT05860881
Phase: Phase 3    Status: Recruiting
Date: 2024-10-08
REpurposing SirolimUS in Compensated Advanced Chronic Liver Disease. the RESUS Proof of Concept Study
CTID: NCT05663944
Phase: Phase 2    Status: Completed
Date: 2024-10-01
Bone Marrow Transplantation vs Standard of Care in Patients With Severe Sickle Cell Disease (BMT CTN 1503)
CTID: NCT02766465
Phase: Phase 2    Status: Completed
Date: 2024-09-24
Graft Versus Host Disease-Reduction Strategies for Donor Blood Stem Cell Transplant Patients With Acute Leukemia or Myelodysplastic Syndrome (MDS)
CTID: NCT03970096
Phase: Phase 2    Status: Recruiting
Date: 2024-09-20
Rapamycin Treatment for ALS
CTID: NCT03359538
Phase: Phase 2    Status: Completed
Date: 2024-09-19
The Safety and Efficiency of Sirolimus in Primary Antiphospholipid Syndrome: a Randomized Control Study
CTID: NCT06504420
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-19
Phase III Trial of Sirolimus in IBM
CTID: NCT04789070
Phase: Phase 3    Status: Recruiting
Date: 2024-09-19
Discovery of Sirolimus Sensitive Biomarkers in Blood
CTID: NCT03304678
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Ixazomib in the Prophylaxis of Chronic Graft-versus-host Disease.
CTID: NCT03225417
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-30
Sirolimus and Durvalumab for the Treatment of Stage I-IIIA Non-small Cell Lung Cancer
CTID: NCT04348292
Phase: Phase 1    Status: Terminated
Date: 2024-08-22
The Safety and Efficacy of Rapamycin on Communicating Hydrocephalus Secondary to Intraventricular Hemorrhage
CTID: NCT06563817
Phase: Phase 2    Status: Recruiting
Date: 2024-08-21
Rapamycin - Effects on Alzheimer's and Cognitive Health
CTID: NCT04629495
Phase: Phase 2    Status: Recruiting
Date: 2024-08-13
The Bioavailability of Compounded and Generic Rapamycin in Normative Aging Individuals
CTID: NCT06550271
Phase:    Status: Completed
Date: 2024-08-13
A Phase I/II GVHD Prevention Trial Combining Pacritinib With Sirolimus-Based Immune Suppression
CTID: NCT02891603
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-08-09
Daily Topical Rapamycin for Vitiligo
CTID: NCT05342519
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-09
A Study Testing the Use of a Perivascular Sirolimus Formulation (Sirogen) in ESRD Patients Undergoing AV Fistula Surgery
CTID: NCT05425056
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-09
Nonmyeloablative Haploidentical Peripheral Blood Mobilized Hematopoietic Precursor Cell Transplantation for Sickle Cell Disease
CTID: NCT03077542
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-07
Short Term Sirolimus Treatment and MRI of the Brain
CTID: NCT05386914
Phase: Phase 1    Status: Recruiting
Date: 2024-08-06
Assessing the Efficacy of Sirolimus in Patients With COVID-19 Pneumonia for Prevention of Post-COVID Fibrosis
CTID: NCT04948203
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-08-01
A Phase 1 Study of UB-VV111 With and Without Rapamycin in Relapsed/Refractory CD19+ B-cell Malignancies
CTID: NCT06528301
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-08-01
Sirolimus in Previously Treated Idiopathic Multicentric Castleman Disease
CTID: NCT03933904
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-29
Study to Evaluate the Efficacy and Safety of Sirolimus in Subjects With Metastatic, Mismatch Repair Deficient Solid Tumors After Immunotherapy
CTID: NCT04393454
Phase: Phase 2    Status: Terminated
Date: 2024-07-25
Ph I/II Study of Allogeneic SCT for Clinically Aggressive Sickle Cell Disease (SCD)
CTID: NCT01499888
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-07-23
Effect of Sirolimus on Molecular Alterations in Cerebral Aneurysms
CTID: NCT04141020
Phase: Phase 2    Status: Recruiting
Date: 2024-07-15
Effect of Rapamycin in Ovarian Aging
CTID: NCT05836025
Phase: Phase 2    Status: Recruiting
Date: 2024-07-15
Sirolimus for Improving Social Abilities in People With PTEN Germline Mutations
CTID: NCT06080165
Phase: Phase 1/Phase 2    Status: Withdrawn
Date: 2024-07-10
Comparison of Triple GVHD Prophylaxis Regimens for Nonmyeloablative or Reduced Intensity Conditioning Unrelated Mobilized Blood Cell Transplantation
CTID: NCT03246906
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-10
Rapamycin Treatment for Activated Phosphoinositide 3-Kinase δ Syndrome
CTID: NCT03383380
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-07-09
Low-dose Interleukin-2 and Rapamycin on sjögren's Syndrome
CTID: NCT05605665
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-07-09
Sirolimus or Everolimus or Temsirolimus and Vorinostat in Advanced Cancer
CTID: NCT01087554
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-07-05
Itacitinib, Tacrolimus, and Sirolimus for the Prevention of GVHD in Patients With Acute Leukemia, Myelodysplastic Syndrome, or Myelofibrosis Undergoing Reduced Intensity Conditioning Donor Stem Cell Transplantation
CTID: NCT04339101
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-06-27
Cyclophosphamide and Sirolimus for the Treatment of Metastatic, RAI-refractory, Differentiated Thyroid Cancer
CTID: NCT03099356
Phase: Phase 2    Status: Recruiting
Date: 2024-06-26
Auranofin and Sirolimus in Treating Participants With Ovarian Cancer
CTID: NCT03456700
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-06-24
Phase 1/2a Clinical Trial of PR001 (LY3884961) in Patients With Parkinson's Disease With at Least One GBA1 Mutation (PROPEL)
CTID: NCT04127578
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-06-21
Sickle Cell Disease Transplant Using a Nonmyeloablative Approach for Patients With Anti-donor Red Cell AntibodY
CTID: NCT06358638
Phase: Phase 2    Status: Recruiting
Date: 2024-06-20
TMLI and Alemtuzumab for Treatment of Sickle Cell Disease
CTID: NCT05384756
Phase: Phase 1    Status: Recruiting
Date: 2024-06-18
Abatacept for GVHD Prophylaxis After Hematopoietic Stem Cell Transplantation for Pediatric Sickle Cell Disease
CTID: NCT02867800
Phase: Phase 1    Status: Completed
Date: 2024-06-13
Prospective Study of Rapamycin for the Treatment of SLE
CTID: NCT00779194
Phase: Phase 2    Status: Completed
Date: 2024-06-12
Cemiplimab in AlloSCT/SOT Recipients With CSCC
CTID: NCT04339062
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-06-12
Rapalog Pharmacology (RAP PAC) Study
CTID: NCT05949658
Phase: Phase 1    Status: Recruiting
Date: 2024-05-31
Bortezomib, Total Marrow Irradiation, Fludarabine Phosphate, and Melphalan in Treating Patients Undergoing Donor Peripheral Blood Stem Cell Transplant For High-Risk Stage I or II Multiple Myeloma
CTID: NCT01163357
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-05-29
Chemotherapy, Total Body Irradiation, and Post-Transplant Cyclophosphamide in Reducing Rates of Graft Versus Host Disease in Patients With Hematologic Malignancies Undergoing Donor Stem Cell Transplant
CTID: NCT03192397
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-05-29
Safety and Durability of Sirolimus for Treatment of LAM
CTID: NCT02432560
Phase:    Status: Recruiting
Date: 2024-05-16
mTOR as Mediator of Insulin Sensitivity Study
CTID: NCT05233722
Phase: N/A    Status: Recruiting
Date: 2024-05-16
Intestinal & Multivisceral Transplantation for Unresectable Mucinous Carcinoma Peritonei (TRANSCAPE)
CTID: NCT06084780
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-05-14
Minitransplants With HLA-matched Donors : Comparison Between 2 GVHD Prophylaxis Regimens
CTID: NCT01428973
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-09
Efficacy and Safety of Different Concentrations of Sirolimus in the Treatment of Kaposiform Hemangioendothelioma.
CTID: NCT04775173
Phase: Phase 2    Status: Completed
Date: 2024-05-07
Topical Rapamycin/Sirolimus for Complicated Vascular Anomalies and Other Susceptible Lesions
CTID: NCT04172922
Phase: Phase 1    Status: Recruiting
Date: 2024-04-17
Study of Sirolimus in Idiopathic Retroperitoneal Fibrosis
CTID: NCT04047576
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-04-15
Sirolimus for Cowden Syndrome With Colon Polyposis
CTID: NCT04094675
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-04-09
Sirolimus Treatment in Hospitalized Patients With COVID-19 Pneumonia
CTID: NCT04341675
Phase: Phase 2    Status: Completed
Date: 2024-04-05
Donor Peripheral Stem Cell Transplant in Treating Patients With Advanced Hematologic Cancer or Other Disorders
CTID: NCT00544115
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-04-02
Evaluating Rapamycin Treatment in Alzheimer's Disease Using Positron Emission Tomography
CTID: NCT06022068
Phase: Phase 1/Phase 2    Status: Enrolling by invitation
Date: 2024-03-26
Sirolimus and Auranofin in Treating Patients With Advanced or Recurrent Non-Small Cell Lung Cancer or Small Cell Lung Cancer
CTID: NCT01737502
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-03-25
Sirolimus for Retinal Astrocytic Hamartoma
CTID: NCT04707209
Phase: N/A    Status: Completed
Date: 2024-03-25
Phase 1/2 Clinical Trial of PR001 in Infants With Type 2 Gaucher Disease (PROVIDE)
CTID: NCT04411654
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-03-21
Sirolimus+Abatacept+Mycophenolate Mofetil for Prophylaxis of aGVHD in Patients Receiving Haplo-HSCT Who Are Intolerant to Calcineurin Inhibitors
CTID: NCT06279494
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-03-21
Weekly Sirolimus Therapy
CTID: NCT04861064
Phase: Phase 2    Status: Recruiting
Date: 2024-03-15
Clofarabine and Melphalan Before Donor Stem Cell Transplant in Treating Patients With Myelodysplasia, Acute Leukemia in Remission, or Chronic Myelomonocytic Leukemia
CTID: NCT01885689
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-03-15
Percutaneous Administration of Sirolimus in the Treatment of Superficial Complicated Vascular Anomalies
CTID: NCT04921722
Phase: Phase 4    Status: Recruiting
Date: 2024-03-15
Sirolimus and Azacitidine in Treating Patients With High Risk Myelodysplastic Syndrome or Acute Myeloid Leukemia That is Recurrent or Not Eligible for Intensive Chemotherapy
CTID: NCT01869114
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-03-13
Reduced Intensity, Partially HLA Mismatched BMT to Treat Hematologic Malignancies
CTID: NCT01203722
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-03-13
Safety Study for the Use of Rapamycin in Children With Familial Adenomatous Polyposis
CTID: NCT06308445
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-03-13
PLX3397 Plus Sirolimus in Unresectable Sarcoma and Malignant Peripheral Nerve Sheath Tumors
CTID: NCT02584647
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-03-13
Haplo Peripheral Blood Sct In GVHD Prevention
CTID: NCT04473911
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-03-07
Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial
CTID: NCT03878524
Phase: Phase 1    Status: Terminated
Date: 2024-03-04
Rapamycin in Combination With Low-dose Aracytin in Elderly Acute Myeloid Leukemia Patients
CTID: NCT00235560
Phase: Phase 2    Status: Completed
Date: 2024-02-29
Improving the Results of Bone Marrow Transplantation for Patients With Severe Congenital Anemias
CTID: NCT00061568
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-02-29
Sirolimus in Combination With Metronomic Chemotherapy in Children With Recurrent and/or Refractory Solid and CNS Tumors
CTID: NCT02574728
Phase: Phase 2    Status: Recruiting
Date: 2024-02-23
Effect of mTOR Inhibition & Other Metabolism Modulating Interventions on the Elderly [SubStudy Rapa & cMRI to Evaluate Cardiac Function]
CTID: NCT04742777
Phase: Phase 2    Status: Recruiting
Date: 2024-02-23
Minimal Islet Transplant at Diabetes Onset
CTID: NCT02505893
Phase: Phase 2    Status: Completed
Date: 2024-02-22
A Phase II Study of Allo-HCT for B-Cell NHL Using Zevalin, Fludarabine and Melphalan
CTID: NCT00577278
Phase: Phase 2    Status: Completed
Date: 2024-02-16
Efficacy and Safety of Rapamycin Versus Vigabatrin in the Prevention of Tuberous Sclerosis Complex Symptoms in Infants
CTID: NCT04987463
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-02-08
Efficacy and Safety of Sirolimus in Active Systemic Lupus Erythematosus
CTID: NCT04582136
Phase: Phase 2    Status: Recruiting
Date: 2024-02-08
The Effects of Sirolimus in Patients With Dilated Cardiomyopathy Infected With Kaposi Sarcoma-associated Virus
CTID: NCT06236022
Phase: Phase 4    Status: Recruiting
Date: 2024-02-01
Human Lysozyme Goat Milk for the Prevention of Graft Versus Host Disease in Patients With Blood Cancer Undergoing a Donor Stem Cell Transplant
CTID: NCT04177004
Phase: Phase 1    Status: Recruiting
Date: 2024-01-30
Tolerance by Engaging Antigen During Cellular Homeostasis
CTID: NCT03504241
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-01-26
Participatory Evaluation (of) Aging (With) Rapamycin (for) Longevity Study
CTID: NCT04488601
Phase: Phase 2    Status: Completed
Date: 2024-01-24
Different Doses of Sirolimus for the Maintenance Treatment of Kaposiform Hemangioendothelioma
CTID: NCT05324384
Phase: Phase 2    Status: Recruiting
Date: 2024-01-24
Testing SIROLIMUS in Beta-thalassemia Transfusion Dependent Patients
CTID: NCT03877809
Phase: Phase 2    Status: Completed
Date: 2024-01-23
Non-Myeloablative Conditioning and Bone Marrow Transplantation
CTID: NCT01850108
Phase: N/A    Status: Active, not recruiting
Date: 2024-01-10
Sirolimus to Treat Diabetic Macular Edema
CTID: NCT00711490
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-01-05
SARC031: MEK Inhibitor Selumetinib (AZD6244) in Combination With the mTOR Inhibitor Sirolimus for Patients With Malignant Peripheral Nerve Sheath Tumors
CTID: NCT03433183
Phase: Phase 2    Status: Completed
Date: 2023-12-26
Cognition, Age, and RaPamycin Effectiveness - DownregulatIon of thE mTor Pathway
CTID: NCT04200911
PhaseEarly Phase 1    Status: Completed
Date: 2023-12-22
Thal-Fabs: Reduced Toxicity Conditioning for High Risk Thalassemia
CTID: NCT05426252
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2023-12-19
Role of Sirolimus in Treatment of Microcystic , Mixed Lymphatic and Vascular Malformations
CTID: NCT06160739
Phase:    Status: Recruiting
Date: 2023-12-15
Ruxolitinib Phosphate and Chemotherapy Given Before and After Reduced Intensity Donor Stem Cell Transplant in Treating Patients With Myelofibrosis
CTID: NCT02917096
Phase: Phase 1    Status: Completed
Date: 2023-12-12
A Study Comparing the Withdrawal of Steroids or Tacrolimus in Kidney Transplant Recipients
CTID: NCT00195429
Phase: Phase 4    Status: Completed
Date: 2023-12-11
Aging Mammary Stem Cells and Breast Cancer Prevention
CTID: NCT02642094
Phase: Phase 2    Status: Terminated
Date: 2023-12-05
Nonmyeloablative Stem Cell Transplant in Children With Sickle Cell Disease and a Major ABO-Incompatible Matched Sibling Donor
CTID: NCT03214354
Phase: Phase 2    Status: Recruiting
Date: 2023-12-04
The Effect and Safety Profile of Thymoglobulin® in Primary Cardiac Transplant Recipients
CTID: NCT03292861
Phase: Phase 2    Status: Enrolling by invitation
Date: 2023-11-28
Haploidentical PBMC Transplant for Severe Congenital Anemias
CTID: NCT00977691
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2023-11-28
Hemorrhagic Brainstem Cavernous Malformations Treatment With Sirolimus: a Single Centre, Randomised, Placebo-controlled Trial
CTID: NCT06091332
Phase: Phase 2    Status: Not yet recruiting
Date: 2023-11-22
Efficacy and Safety of Sirolimus in LAM
CTID: NCT00414648
Phase: Phase 3    Status: Completed
Date: 2023-11-02
Cryopreserved MMUD BM With PTCy for Hematologic Malignancies
CTID: NCT05170828
Phase: Phase 1    Status: Withdrawn
Date: 2023-11-01
Multicenter Interventional Lymphangioleiomyomatosis (LAM) Early Disease Trial
CTID: NCT03150914
Phase: Phase 3    Status: Recruiting
Date: 2023-10-30
Biomarkers in Predicting Treatment Response to Sirolimus and Chemotherapy in Patients With High-Risk Acute Myeloid Leukemia
CTID: NCT02583893
Phase: Phase 2    Status: Completed
Date: 2023-10-10
Effe
NA
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-01-25
A multi-centre phase II trial of GvHD prophylaxis following unrelated donor stem cell transplantation comparing Thymoglobulin vs. Calcineurin inhibitor or Sirolimus-based post-transplant cyclophosphamide
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2020-09-23
LUMINA: A Phase III, Multicenter, Sham-Controlled, Randomized, Double-Masked Study Assessing the Efficacy and Safety of Intravitreal Injections of 440 µg DE-109 for the Treatment of Active, Non-Infectious Uveitis of the Posterior Segment of the Eye.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2020-04-08
A Phase 2/3, multi-center, double-blind, placebo-controlled, randomized, parallel-group, dose-response comparison of the efficacy and safety of a topical rapamycin cream for the treatment of facial angiofibromas (FA) associated with Tuberous Sclerosis Complex (TSC) in patients 6 years of age and over
CTID: null
Phase: Phase 2, Phase 3    Status: Completed
Date: 2019-11-15
TOPical sirolimus in linGUal microkystic lymphatic malformation-TOPGUN
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2019-06-29
The evolution of advanced microangiopathic diabetic complications before and after simultaneous pancreas and kidney transplantation evaluated with progressive non-invasive methods
CTID: null
Phase: Phase 4    Status: Trial now transitioned
Date: 2019-06-27
Treatment of beta-thalassemia patients with rapamycin (sirolimus): from pre-clinical research to a clinical trial
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-04-17
0.1% topical sirolimus in the treatment of cutaneous microcystic lymphatic malformations in children and adults: phase II, split-body randomized, double-blind, vehicle-controlled clinical trial
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2019-02-22
Systems medicine analysis of sarcoidosis by targeting mTOR in a
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2019-02-05
A personalized medicine approach for beta-thalassemia transfusion dependent patients: testing SIROLIMUS in a first pilot clinical trial.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-01-23
A phase II trial of allogeneic peripheral blood stem cell transplantation from family haploidentical donors in patients with myelodisplastic syndrome and acute
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2018-03-27
Treatment of congenital vascular malformations using
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-09-14
Rapamycin (Sirolimus) treatment for amyotrophic lateral sclerosis
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-07-14
Phase Ib/II trial to evaluate safety and efficacy of oral ixazomib in combination with sirolimus and tacrolimus in the prophylaxis of chronic graft-versus-host disease
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing
Date: 2017-03-14
Sirolimus for the treatment of severe intestinal polyposis in patients with familial adenomatous polyposis (FAP); a pilot study
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2016-12-02
An open label phase II study of Sirolimus in patients with segmental overgrowth syndrome
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-10-20
Prospective pilot trial to assess a multimodal molecular targeted therapy in children, adolescent and young adults with relapsed or refractory high-grade pineoblastoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-04-07
Non-randomised Open Label Pilot Study of Sirolimus Therapy for Segmental Overgrowth Due to PIK3CA- Related Overgrowth
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-02-25
Phase III multicentric study evaluating the efficacy and safety of e.querySelector("font strong").innerText = 'View More' } else if(up_display === 'none' || up_display === '') { icon_angle

Biological Data
  • Rapamycin (Sirolimus)

  • Rapamycin (Sirolimus)
  • Rapamycin (Sirolimus)
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