Tretinoin drug data and news

Tretinoin drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Tretinoin
Brand Names/Synonyms Aberel; Accutane; Airol; Aknefug; Aknoten; All Trans Retinoic Acid; All Trans-Retinoic Acid; Amnesteem; Avita; Beta-Retinoic Acid; Claravis; Dermairol; Eudyna; Isotretinoin; Lsotretinoin; Panretin; Renova; Retin-A; Retin-a Micro; Retinoate; Retinoic Acid; Retinoic Acid, All Trans Isomer; Retionic Acid; Retisol-A; Solage; Sotret; Stieva-A; Stieva-a Forte; Trans-Retinoic Acid; Tretin M; Tretinoin; Tri-Luma; Vesanoid; Vitamin a Acid; Vitinoin; β-Retinoic Acid
Indication For the the induction of remission in patients with acute promyelocytic leukemia (APL), French-American-British (FAB) classification M3 (including the M3 variant); For the topical treatment of acne vulgaris, flat warts and other skin conditions (psoriasis, ichthyosis congenita, icthyosis vulgaris, lamellar icthyosis, keratosis palmaris et plantaris, epidermolytic hyperkeratosis, senile comedones, senile keratosis, keratosis follicularis (Darier's disease), and basal cell carcinomas.); For palliative therapy to improve fine wrinkling, mottled hyperpigmentation, roughness associated with photodamage.
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Description Not Available
Pharmacology Tretinoin, also known as all-trans-retinoic acid (ATRA), is a naturally occurring derivative of vitamin A (retinol). Retinoids such as tretinoin are important regulators of cell reproduction, proliferation, and differentiation and are used to treat acne and photodamaged skin and to manage keratinization disorders such as ichthyosis and keratosis follicularis. Tretinoin also represents the class of anticancer drugs called differentiating agents and is used in the treatment of acute promyelocytic leukemia (APL).
Mechanism Of Action Tretinoin binds to alpha, beta, and gamma retinoic acid receptors (RARs). RAR-alpha and RAR-beta have been associated with the development of acute promyelocytic leukemia and squamous cell cancers, respectively. RAR-gamma is associated with retinoid effects on mucocutaneous tissues and bone. Although the exact mechanism of action of tretinoin is unknown, current evidence suggests that the effectiveness of tretinoin in acne is due primarily to its ability to modify abnormal follicular keratinization. Comedones form in follicles with an excess of keratinized epithelial cells. Tretinoin promotes detachment of cornified cells and the enhanced shedding of corneocytes from the follicle. By increasing the mitotic activity of follicular epithelia, tretinoin also increases the turnover rate of thin, loosely-adherent corneocytes. Through these actions, the comedo contents are extruded and the formation of the microcomedo, the precursor lesion of acne vulgaris, is reduced. Tretinoin is not a cytolytic agent but instead induces cytodifferentiation and decreased proliferation of APL cells in culture and in vivo. When Tretinoin is given systemically to APL patients, tretinoin treatment produces an initial maturation of the primitive promyelocytes derived from the leukemic clone, followed by a repopulation of the bone marrow and peripheral blood by normal, polyclonal hematopoietic cells in patients achieving complete remission (CR). The exact mechanism of action of tretinoin in APL is unknown.
Tretinoin News
(When available)

Published Clinical Study Reports That Obagi(R) System ...  May 3, 2006
24-week period: the Obagi Nu-Derm System, a regimen of systematically dosed over-the-counter (OTC) products with hydroquinone plus tretinoin; hydroquinone plus ... - Business Wire (press release),

Barrier Therapeutics to Present at Bank of America 2006 Health ...  May 10, 2006
States, Vusion™ (0.25% miconazole nitrate, 15% zinc oxide, and 81.35% white petrolatum) Ointment and Solagé® (mequinol 2.0% and tretinoin 0.01%) Topical ... - Market Wire (press release)

Connetics Names Sunil Patel Vice President, Corporate Development ...  May 9, 2006
Extina(R) (ketoconazole) VersaFoam-HF, 2%, to treat seborrheic dermatitis and Velac(R) (a combination of 1% clindamycin and 0.025% tretinoin) Gel, for treating ... - PharmaLive.com (press release),

Connetics Reports Preliminary Results for First Quarter 2006 ...  May 3, 2006
Extina(R) (ketoconazole) VersaFoam-HF, 2%, to treat seborrheic dermatitis; and Velac(R) (a combination of 1% clindamycin and 0.025% tretinoin) Gel, to treat ... - PharmaLive.com (press release),

Ethnic Skin: A Spectrum of Issues  Apr 19, 2006
...pseudofolliculitis barbae. [2] Suggested treatments include: Application of tretinoin and a topical corticosteroid may be helpful. (Glycolic acid ... - Medscape (subscription)

Dog's dry nose is treatable condition  Apr 29, 2006
Topical application of keratolytic agents (KeraSolv gel), tretinoin gel, hydrating ointments, ichthammol ointment and some human dry-skin lotions serves as the ... - DetNews.com,

Everything about Acne and Treatments for Acne that are Guaranteed ...  Apr 17, 2006
Topical creams and lotions like those containing Benzoyl Peroxide, antibiotics like tetracycline and Vitamin A-based tretinoin and adapalene are considered ... - DailyIndia.com,

What Is Cystic Acne and How to Treat This Acne  Apr 21, 2006
Tretinoin (Avita, Retin-A, Renova) and adapalene (Differin) are examples of topical prescription products for cystic acne derived from vitamin A. They work by ... - Fashion Monitor Toronto,

Dosage Forms CAPSULE; CREAM; GEL; LIQUID
Drug_Category Keratolytic Agents; Antineoplastic Agents; Cell Stimulants and Proliferants (84:16.00); ATC:D10AD01; ATC:D10AD04; ATC:D10BA01; ATC:L01XX14; ATC:L01XX22
Absorption 1-31% (topical);
Interactions Interactions for Tretinoin:

Concomitant topical medications, medicated or abrasive soaps, shampoos, cleansers, cosmetics with a strong drying effect, products with high concentrations of alcohol, astringents, spices or lime, permanent wave solutions, electrolysis, hair depilatories or waxes, and products that may irritate the skin should be used with caution in patients being treated with RENOVA because they may increase irritation with RENOVA.

RENOVA should not be administered if the patient is also taking drugs known to be photosensitizers (e.g., thiazides, tetracyclines, fluoroquinolones, phenothiazines, sulfonamides) because of the possibility of augmented phototoxicity.

Toxicity Not Available
Organisms Affected Humans and other mammals
Chemical IUPAC Name 3,7-dimethyl-9-(2,6,6-trimethyl-1-cyclohexenyl)-nona-2,4,6,8-tetraenoic acid
Chemical Formula C20H28O2
Molecular Weight 300.435 g/mol
Smiles String CC1=C(C(CCC1)(C)C)C=CC(=CC=CC(=CC(=O)O)C)C
Melting Point 181 °C
Water Solubility <0.1 g/100 mL
State Solid
LogP/Hphobicity 5.067
Isoelectric Point Not Available
Biotransformation Hepatic
Half Life 0.5-2 hours
Protein Binding [%] > 95%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Tretinoin.html
http://www.rxlist.com/cgi/generic/tretinoin.htm
Drug Type Approved Drug
Accession No APRD00362
CAS Registry Number 302-79-4
KEGG Compound ID D00094
PubChem ID SID:7847162
PharmGKB ID PA451746
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2243914

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