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.
- 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
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
Key references
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
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Peptide calculators
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