CINACALCET
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
Cinacalcet hydrochloride AMG 073 CAS 364782-34-3
IDENTIFIERS
USES/FORMS/SOURCES
Cinacalcet is indicated for the treatment of hypercalcemia in patients with primary hyperparathyroidism, secondary hyperparathyroidism in patients with chronic kidney disease receiving hemodialysis, and for the treatment of hypercalcemia in patients with parathyroid carcinoma (Prod Info SENSIPAR(R) oral tablets, 2014; Iqbal et al, 2003).
Cinacalcet is available as 30 mg, 60 mg, and 90 mg tablets (Prod Info SENSIPAR(R) oral tablets, 2014).
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- USES: Cinacalcet is indicated for the treatment of hypercalcemia in patients with primary hyperparathyroidism, secondary hyperparathyroidism in patients with chronic kidney disease receiving hemodialysis, and for the treatment of hypercalcemia in patients with parathyroid carcinoma.
- PHARMACOLOGY: Cinacalcet, a calcimimetic agent, enhances the sensitivity of the calcium sensing receptor to extracellular calcium, thus, directly reducing the levels of parathyroid hormone (PTH) and serum calcium levels.
- EPIDEMIOLOGY: Overdose is rare.
COMMON: The most commonly reported adverse effects during clinical trials, with an incidence greater than 25%, were nausea and vomiting. INFREQUENT: Other adverse effects reported less frequently include hypocalcemia, hyperkalemia, headache, paraesthesias, fatigue, hypertension, diarrhea, anxiety, anorexia, dyspepsia, abdominal pain, constipation, hypersensitivity reactions, myalgia, muscle spasms, dizziness, hypotension, asthenia, dyspnea, cough, and non-cardiac chest pain. RARE: Seizures, QT prolongation secondary to hypocalcemia, and rash have been rarely reported.
- Editor's Note: An ERG guide with information appropriate to this material does not exist.
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
-RANGE OF TOXICITY
MAXIMUM TOLERATED EXPOSURE
- At the time of this review, a specific toxic dose has not been established.
- Hemodialysis patients have tolerated doses titrated up to 300 milligrams/day (Prod Info SENSIPAR(R) oral tablets, 2014).
- Carcinogenicity Ratings for CAS226256-56-0 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): Not Listed EPA (U.S. Environmental Protection Agency, 2011): Not Listed IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): Not Listed NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed MAK (DFG, 2002): Not Listed NTP (U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project ): Not Listed
TOXICITY AND RISK ASSESSMENT VALUES
- EPA Risk Assessment Values for CAS226256-56-0 (U.S. Environmental Protection Agency, 2011):
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS226256-56-0 (American Conference of Governmental Industrial Hygienists, 2010):
- AIHA WEEL Values for CAS226256-56-0 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS226256-56-0 (National Institute for Occupational Safety and Health, 2007):
- OSHA PEL Values for CAS226256-56-0 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS226256-56-0 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS226256-56-0 (U.S. Environmental Protection Agency, 2010):
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS226256-56-0 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS226256-56-0 (U.S. Environmental Protection Agency, 2010b):
- EPA SARA Title III, Extremely Hazardous Substance List for CAS226256-56-0 (U.S. Environmental Protection Agency, 2010):
- EPA SARA Title III, Community Right-to-Know for CAS226256-56-0 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
- DOT List of Marine Pollutants for CAS226256-56-0 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS226256-56-0 (EPA, 2005):
LABELS
- NFPA Hazard Ratings for CAS226256-56-0 (NFPA, 2002):
-PERSONAL PROTECTION
SUMMARY
- Editor's Note: An ERG guide with information appropriate to this material does not exist.
PROTECTIVE CLOTHING
- CHEMICAL PROTECTIVE CLOTHING. Search results for CAS 226256-56-0.
-PHYSICAL HAZARDS
FIRE HAZARD
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS226256-56-0 (NFPA, 2002):
- FIRE CONTROL/EXTINGUISHING AGENTS
- Editor's Note: An ERG guide with information appropriate to this material does not exist.
- NFPA Extinguishing Methods for CAS226256-56-0 (NFPA, 2002):
EVACUATION PROCEDURES
- Editor's Note: An ERG guide with information appropriate to this material does not exist.
- AIHA ERPG Values for CAS226256-56-0 (AIHA, 2006):
- DOE TEEL Values for CAS226256-56-0 (U.S. Department of Energy, Office of Emergency Management, 2010):
- AEGL Values for CAS226256-56-0 (National Research Council, 2010; National Research Council, 2009; National Research Council, 2008; National Research Council, 2007; NRC, 2001; NRC, 2002; NRC, 2003; NRC, 2004; NRC, 2004; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; 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62 FR 58840, 1997; 65 FR 14186, 2000; 65 FR 39264, 2000; 65 FR 77866, 2000; 66 FR 21940, 2001; 67 FR 7164, 2002; 68 FR 42710, 2003; 69 FR 54144, 2004):
- NIOSH IDLH Values for CAS226256-56-0 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
- BASE: 357.4 (Prod Info SENSIPAR(R) oral tablets, 2011)
- HYDROCHLORIDE: 393.9 (Prod Info SENSIPAR(R) oral tablets, 2011)
DESCRIPTION/PHYSICAL STATE
- Cinacalcet hydrochloride is a white to off-white, crystalline solid that is slightly soluble in water and soluble in methanol or 95% ethanol (Prod Info SENSIPAR(R) oral tablets, 2011).
SOLUBILITY
-REFERENCES
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