Murabutide

NOD2 Agonist; Muramyl Dipeptide AnalogRx: InvestigationalCompound: Investigational

Also known as: 2‑(N‑acetyl‑β‑D‑glucosaminyl)‑L‑alanyl‑D‑isoglutamine, Immuno-Medics MDP analogue, MDP analog, MDP-butyl ester, Murabutide, N-acetylmuramyl-L-alanyl-D-glutamine n-butyl ester

Educational Only — Not medical advice. Consult a qualified clinician before using any peptide.

Source Murabutide at Peptiology

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Summary

Murabutide is a synthetic muramyl dipeptide analogue that acts as an immunostimulant via NOD2 activation. It has been studied as a vaccine adjuvant and in oncology/infectious disease trials but is not approved for clinical use.

Mechanism of Action

Activates intracellular NOD2 receptor, leading to NF-κB activation and production of pro‑inflammatory cytokines (IL‑1β, TNF‑α, IL‑6).

Routes of Administration

IntramuscularIntravenousSubcutaneous

Goals & Uses

  • Vaccine adjuvantVaccinologyModerate
  • Cancer adjunct therapyOncologyLow
  • Innate immune activationImmunostimulationModerate
  • Cancer immunoadjuvantOncologyLow
  • Hematopoietic stimulationHematologyModerate
  • ImmunostimulationImmunomodulationModerate
  • HIV immunotherapyAntiviral/immunomodulationModerate

Contraindications

  • Known hypersensitivity to MDP analoguesAllergy/ImmunologyHigh
  • Known hypersensitivity to muramyl dipeptide derivativesAllergyHigh
  • Autoimmune diseaseImmuneModerateMay worsen or interact with immune-mediated disease
  • Active systemic infection with sepsis riskInfectious DiseaseHigh
  • Active autoimmune diseaseAutoimmunityModerate

Adverse Effects

  • Flu-like symptomsSystemic/ImmunologicalUncommon
  • Flu‑like symptomsSystemicUncommon
  • Injection site reactionsLocalCommon
  • HeadacheNeurologicUncommonPain in the head or upper neck
  • Transient feverSystemicUncommon
  • FeverSystemicCommonElevated body temperature
  • Cytokine releaseImmunologicalCommon
  • Injection site erythemaLocalCommonRedness at the injection site

Drug Interactions

  • TNF‑α inhibitorsModerate
  • Immunosuppressants (e.g., cyclosporine)Moderate
  • Antiretroviral therapy (e.g., zidovudine)Low
  • CorticosteroidsModerate

Population Constraints

  • PregnancyReproductive SafetyRelative
  • Renal impairmentOrgan ImpairmentRelative
  • Pediatric populationAgeRelative
  • Pediatric patients (<12 y)AgeRelative
  • Pregnant womenReproductiveRelative

Regulatory Status

  • European UnionInvestigationalClinical trial authorization only; not marketed.
  • United StatesInvestigationalInvestigational New Drug (IND) status; no FDA approval.
  • United KingdomInvestigationalNo marketing authorization; used only in research.

No regulatory approval in major jurisdictions; investigated in Phase I/II trials for cancer and infectious disease prophylaxis. Development discontinued in the early 2000s.

Evidence & Sources

No sources recorded yet.

Frequently Asked Questions

What is Murabutide?

Murabutide is a synthetic muramyl dipeptide analogue that acts as an immunostimulant via NOD2 activation. It has been studied as a vaccine adjuvant and in oncology/infectious disease trials but is not approved for clinical use.

What is Murabutide used for?

Murabutide is educationally associated with: Vaccine adjuvant, Cancer adjunct therapy, Innate immune activation, Cancer immunoadjuvant, Hematopoietic stimulation, Immunostimulation, HIV immunotherapy. Educational only — not medical advice.

How is Murabutide administered?

Recorded routes of administration: Intramuscular, Intravenous, Subcutaneous.

What are the potential side effects of Murabutide?

Reported adverse effects include: Flu-like symptoms, Flu‑like symptoms, Injection site reactions, Headache, Transient fever, Fever, Cytokine release, Injection site erythema. This list is not exhaustive — consult a qualified clinician.

Who should avoid Murabutide?

Recorded contraindications: Known hypersensitivity to MDP analogues, Known hypersensitivity to muramyl dipeptide derivatives, Autoimmune disease, Active systemic infection with sepsis risk, Active autoimmune disease. Consult a qualified clinician before use.