ApprovedClinical / approved drugIntravenousEvidence 4/5

Sincalide

Also known as: Kinevac, CCK-8

Sincalide is the synthetic C-terminal octapeptide of cholecystokinin that activates CCK receptors to stimulate gallbladder contraction, sphincter of Oddi relaxation and pancreatic secretion.

Sincalide
Drug class
Cholecystopancreatic-gastrointestinal hormone analog (diagnostic agent)
Primary targets
Cholecystokinin receptor (CCK-A / CCK1), Cholecystokinin receptor (CCK-B / gastrin)
Dose reference
Reference diagnostic doses (not a recommendation): 0.02 mcg/kg IV over 30-60 seconds, or a 0.12 mcg/kg infusion over ~50-60 minutes; per the Kinevac label.
Half-life
Very short; serum half-life roughly 2.5 minutes per the label (volunteer studies near 1.3 minutes)
Developer / origin
Bracco Diagnostics Inc. (Kinevac)
Reference year
1976
Evidence score
4/5 - Approved diagnostic with standardized methodology evidence

Approved uses

  • Stimulation of gallbladder contraction for diagnostic imaging or to obtain a duodenal-aspirate bile sample
  • Stimulation of pancreatic secretion in combination with secretin for duodenal-aspirate analysis
  • Acceleration of barium meal transit through the small bowel
Evidence 4/5

Approved diagnostic with standardized methodology evidence

Sincalide (Kinevac) is FDA-approved since 1976 as an intravenous diagnostic agent, with a well-defined mechanism and peer-reviewed methodology trials establishing optimal infusion protocols and gallbladder ejection fraction normal values.

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

Evidence basis

  • FDA-approved label (DailyMed/accessdata) defining indications, dosing, pharmacokinetics and warnings
  • Multicenter Journal of Nuclear Medicine study (Ziessman 2010) establishing a 60-minute infusion protocol and 38% lower limit of normal GBEF
  • Interdisciplinary consensus recommendations for cholecystokinin-cholescintigraphy
  • Evidence supports only controlled diagnostic use, not therapeutic or chronic dosing

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.

Sincalide guides

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

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