ApprovedClinical / approved drugIntravenousEvidence 4/5

Secretin

Also known as: ChiRhoStim, human secretin

Secretin binds the secretin receptor on pancreatic duct cells, raising cAMP and opening CFTR channels to drive secretion of bicarbonate-rich pancreatic fluid that is measured during diagnostic testing.

Secretin
Drug class
Gastrointestinal peptide hormone (diagnostic agent); secretin-receptor agonist
Primary targets
Secretin receptor (SCTR), Pancreatic duct cells, CFTR channel, Gastrin secretion (G cells)
Dose reference
FDA label reference doses (diagnostic, not recommendations): 0.2 mcg/kg IV over 1 minute for pancreatic exocrine function testing or ERCP; 0.4 mcg/kg IV over 1 minute for gastrinoma testing.
Half-life
About 45 minutes per the ChiRhoStim label (synthetic human secretin); native secretin plasma half-life measured at roughly 4 minutes by radioimmunoassay.
Developer / origin
ChiRhoClin, Inc. (Burtonsville, MD)
Reference year
2004
Evidence score
4/5 - Approved diagnostic agent; therapeutic uses unsupported

Approved uses

  • Stimulation of pancreatic secretions (including bicarbonate) to aid diagnosis of pancreatic exocrine dysfunction
  • Stimulation of gastrin secretion to aid diagnosis of gastrinoma
  • Stimulation of pancreatic secretions to facilitate identification of the ampulla of Vater and accessory papilla during ERCP
Evidence 4/5

Approved diagnostic agent; therapeutic uses unsupported

Secretin (ChiRhoStim, human secretin) is FDA-approved as an intravenous diagnostic peptide for pancreatic exocrine function testing, gastrinoma testing, and ERCP duct identification, with a well-defined secretin-receptor/CFTR mechanism. Its mechanism and diagnostic performance are well established, but attempts to use it therapeutically (notably for autism) failed in randomized trials and a Cochrane review.

Investigational compound with human randomized or phase 2/3 evidence.

Evidence basis

  • FDA-approved label (NDA 021256) and DailyMed prescribing information define indications, reference doses, and pharmacokinetics
  • Pancreapedia and pancreatic physiology literature describe the secretin receptor and bicarbonate-secretion mechanism
  • Radioimmunoassay study (Kolts & McGuigan) and label PK data establish half-life values
  • NEJM 1999 RCT (Sandler et al.) and Cochrane review of 16 RCTs (>900 children) found no benefit for autism

How to read this entry

Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.

Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.

Secretin guides

Read the matching guide or adjacent research pages for more context.

Peptide calculators

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