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Aprocitentan

From Wikipedia, the free encyclopedia
Chemical compound

Pharmaceutical compound
Aprocitentan
Clinical data
Trade namesTryvio
Other namesACT-132577
AHFS/Drugs.comMonograph
MedlinePlusa624023
Routes of
administration
By mouth
Drug classAntihypertensive
ATC code
Legal status
Legal status
Identifiers
  • 5-(4-Bromophenyl)-4-[2-(5-bromopyrimidin-2-yl)oxyethoxy]-6-(sulfamoylamino)pyrimidine
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
ECHA InfoCard100.282.677Edit this at Wikidata
Chemical and physical data
FormulaC16H14Br2N6O4S
Molar mass546.19 g·mol−1
3D model (JSmol)
  • C1=CC(=CC=C1C2=C(N=CN=C2OCCOC3=NC=C(C=N3)Br)NS(=O)(=O)N)Br
  • InChI=1S/C16H14Br2N6O4S/c17-11-3-1-10(2-4-11)13-14(24-29(19,25)26)22-9-23-15(13)27-5-6-28-16-20-7-12(18)8-21-16/h1-4,7-9H,5-6H2,(H2,19,25,26)(H,22,23,24)
  • Key:DKULOVKANLVDEA-UHFFFAOYSA-N

Aprocitentan, sold under the brand nameTryvio, is a medication used to treathypertension (high blood pressure).[1] It is developed byIdorsia.[4] It is takenby mouth.[1]

Aprocitentan is areceptor antagonist that targets bothendothelin A andendothelin B receptors.[5][6]

Aprocitentan was approved for medical use in the United States in March 2024.[1][4][7] It is the firstendothelin receptor antagonist to be approved by the USFood and Drug Administration (FDA) to treat systemic hypertension.[4] The FDA considers it to be afirst-in-class medication.[8]

Medical uses

[edit]

Aprocitentan isindicated for the treatment of hypertension in combination with other antihypertensive drugs, to lower blood pressure in adults who are not adequately controlled on other medications.[1]

Adverse effects

[edit]

Aprocitentan may causehepatotoxicity (liver damage),edema (fluid retention),anemia (reducedhemoglobin), and decreasedsperm count.[1]

Contraindications

[edit]

Data from animal reproductive toxicity studies with other endothelin-receptor agonists indicate that use is contraindicated in pregnant women.[1]

Mechanism of action

[edit]

Aprocitentan is an endothelin receptor antagonist that inhibits the protein endothelin-1 from binding to endothelin A and endothelin B receptors.[1][6] Endothelin-1 mediates various adverse effects via its receptors, such asinflammation,cell proliferation,fibrosis, andvasoconstriction.[1]

Society and culture

[edit]

Economics

[edit]

Aprocitentan is developed byIdorsia, which sold it toJanssen and purchased the rights back in 2023, forUS$343 million.[9]

Legal status

[edit]

Aprocitentan was approved for medical use in the United States in March 2024.[1]

In April 2024, theCommittee for Medicinal Products for Human Use (CHMP) of theEuropean Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Jeraygo, intended for the treatment of resistant hypertension in adults.[2][10] The applicant for this medicinal product is Idorsia Pharmaceuticals Deutschland GmbH.[2] Aprocitentan was approved for medical use in the European Union in June 2024.[2][3]

References

[edit]
  1. ^abcdefghij"Tryvio- aprocitentan tablet, film coated".DailyMed. 29 March 2024.Archived from the original on 25 April 2024. Retrieved25 April 2024.
  2. ^abcd"Jeraygo EPAR".European Medicines Agency. 25 April 2024.Archived from the original on 13 June 2024. Retrieved13 June 2024. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  3. ^ab"Jeraygo PI".Union Register of medicinal products. 28 June 2024. Retrieved5 July 2024.
  4. ^abc"US FDA approves Idorsia's once-daily Tryvio (aprocitentan) - the first and only endothelin receptor antagonist for the treatment of high blood pressure not adequately controlled in combination with other antihypertensives" (Press release). Idorsia. 20 March 2024.Archived from the original on 28 April 2024. Retrieved28 April 2024 – via PR Newswire.
  5. ^Ojha, Utkarsh; Ruddaraju, Sanjay; Sabapathy, Navukkarasu; Ravindran, Varun; Worapongsatitaya, Pitchaya; Haq, Jeesanul; et al. (2022)."Current and Emerging Classes of Pharmacological Agents for the Management of Hypertension".American Journal of Cardiovascular Drugs.22 (3):271–285.doi:10.1007/s40256-021-00510-9.PMC 8651502.PMID 34878631.
  6. ^abXu, Jingjing; Jiang, Xiaohua; Xu, Suowen (November 2023). "Aprocitentan, a dual endothelin-1 (ET-1) antagonist for treating resistant hypertension: Mechanism of action and therapeutic potential".Drug Discovery Today.28 (11) 103788.doi:10.1016/j.drudis.2023.103788.PMID 37742911.
  7. ^"Novel Drug Approvals for 2024".U.S.Food and Drug Administration (FDA). 29 April 2024.Archived from the original on 30 April 2024. Retrieved30 April 2024.
  8. ^New Drug Therapy Approvals 2024(PDF).U.S.Food and Drug Administration (FDA) (Report). January 2025.Archived from the original on 21 January 2025. Retrieved21 January 2025.
  9. ^Deswal, Phalguni (6 September 2023)."Idorsia reacquires aprocitentan rights from Janssen for $343m".Pharmaceutical Technology.Archived from the original on 8 November 2023. Retrieved8 November 2023.
  10. ^"Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 22-25 April 2024".European Medicines Agency (Press release). 26 April 2024.Archived from the original on 5 July 2024. Retrieved13 June 2024.

Further reading

[edit]
  • Mahfooz K, Najeed S, Tun HN, Khamosh M, Grewal D, Hussain A, et al. (July 2023). "New Dual Endothelin Receptor Antagonist Aprocitentan in Hypertension: A Systematic Review and Meta-Analysis".Current Problems in Cardiology.48 (7) 101686.doi:10.1016/j.cpcardiol.2023.101686.PMID 36893968.
Sympatholytic (and closely related)antihypertensives (C02)
Sympatholytics
(antagonizeα-adrenergic
vasoconstriction)
Central
α2-Adrenergic receptor agonists
Adrenergic release inhibitors
Imidazoline receptor agonists
Ganglion-blocking/nicotinic antagonists
Peripheral
Indirect
Monoamine oxidase inhibitors
VMAT inhibitors
Tyrosine hydroxylase inhibitors
Direct
α1-Adrenergic receptor blockers
Non-selective α-adrenergic receptor blockers
Otherantagonists
Serotonin receptor antagonists
Endothelin receptor antagonists (forPHTooltip Pulmonary hypertension)
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