Macitentan

"目錄號(hào): HY-14184

GPCR/G Protein-

Macitentan 是一種可口服的非肽類的ETAETB receptor的雙重拮抗劑,能有有效治療特發(fā)性肺纖維化和肺動(dòng)脈高壓癥狀。

Endothelin Receptor

相關(guān)產(chǎn)品

Atrasentan hydrochloride-BQ-788 sodium salt-Bosentan-Ambrisentan-Avosentan-BQ-123-ACT-132577-Sitaxsentan sodium-Sulfisoxazole-Zibotentan-Endothelin 1 swine, human-Aminaftone-Macitentan n-butyl analogue-PD-159020-Ro 46-2005-

生物活性

Description

Macitentan is an orally active, non-peptide dual endothelinETAandETB receptorantagonist for the potential treatment of idiopathic pulmonary fibrosis (IPF) and pulmonary arterial hypertension (PAH).

In Vitro

Tube formation ability is restored when microvascular endothelial cells are preincubated with BOS or macitentan, also reducing the expression of mesenchymal markers and restoring CD31 expression and the imbalance between VEGF-A and VEGF-A165b[1]. Macitentan inhibits OATP1B1-mediated uptake of atorvastatin and OATP1B3-mediated uptake of estrone-3-sulfate with IC50?±?SE values of 6.3?±?0.7 and 11.8?±?5.0?μM, respectively[3]. Treatment with macitentan or with ACT-132577 does not lead to intracellular accumulation of R123 in HeyA8-MDR, showing that these compounds are not P-gp inhibitors[4].

In Vivo

Macitentan (25 mg/kg/day, p.o.) prevents increased production of vasoactive and fibrogenic factors, NF-κB activation, structural and functional changes, and increases extracellular matrix protein production in type 2 diabetes in type 2 diabetes[2]. Macitentan (10 mg/kg, p.o.) coupled with once-per-week 5 mg/kg taxol, significantly reduces the weight (size) of HeyA8-MDR tumors in mice. Combination therapy with macitentan (10 or 50 mg/kg, but not 5 mg/kg) and taxol or macitentan (10 mg/kg) and cisplatinum significantly reduces the number of proliferating Ki-67-positive cells[4].

Clinical Trial

NCT00660179

Actelion

Pulmonary Arterial Hypertension

May 2008

Phase 3

NCT00903331

Actelion

Idiopathic Pulmonary Fibrosis

May 2009

Phase 2

NCT00660179

Actelion

Pulmonary Arterial Hypertension

May 2008

Phase 3

NCT00903331

Actelion

Idiopathic Pulmonary Fibrosis

May 2009

Phase 2

NCT02651272

Boston University-Actelion

Pulmonary Hypertension-Sickle Cell Disease

July 2015

Phase 1

NCT01841762

Actelion

Pulmonary Arterial Hypertension

April 2013

Phase 3

NCT02254954

Actelion

Glioblastoma

October 2014

Phase 1

NCT01739400

Actelion

Pulmonary Arterial Hypertension

September 1, 2013

Phase 3

NCT02310672

Actelion

Pulmonary Arterial Hypertension

June 1, 2015

Phase 4

NCT01847014

Actelion

Pulmonary Arterial Hypertension

September 2013

Phase 3

NCT02060721

Actelion

Chronic Thromboembolic Pulmonary Hypertension

February 9, 2015

Phase 2

NCT02081690

Actelion

Pulmonary Arterial Hypertension

March 2014

Phase 3

NCT01743001

Actelion

Pulmonary Arterial Hypertension

May 2013

Phase 3

NCT02932410

Actelion

Pulmonary Arterial Hypertension

July 15, 2017

Phase 3

NCT02021292

Actelion

Chronic Thromboembolic Pulmonary Hypertension

August 2014

Phase 2

NCT01474122

Actelion

Digital Ulcers

December 2011

Phase 3

NCT01474109

Actelion

Systemic Sclerosis-Ulcers

December 2011

Phase 3

NCT02893176

University of California, Los Angeles

Lung Transplant Rejection

September 2016

Phase 4

NCT01346930

Actelion

Idiopathic Pulmonary Fibrosis

July 2011

Phase 2

NCT02382016

Actelion

Portopulmonary Hypertension

June 1, 2015

Phase 4

NCT02126943

Actelion

Pulmonary Arterial Hypertension

April 1, 2014

NCT03215966

Actelion

Healthy Subjects

August 3, 2017

Phase 1

NCT00667823

Actelion

Pulmonary Arterial Hypertension

October 1, 2008

Phase 3

NCT02112487

Actelion

Pulmonary Arterial Hypertension

June 1, 2014

Phase 3

NCT02554903

Actelion

Pulmonary Hypertension

December 2015

Phase 2

NCT02070991

Actelion

Pulmonary Hypertension

July 2014

Phase 2

NCT02050802

Actelion

Healthy

August 2011

Phase 1

NCT03153137

Actelion

Congenital Heart Disease

August 15, 2017

Phase 3

NCT02968901

Actelion

Pulmonary Arterial Hypertension

September 2015

Phase 4

NCT03153111

Actelion

Heart Failure With Preserved Ejection Fraction

July 31, 2017

Phase 2

NCT02558231

Actelion

Pulmonary Arterial Hypertension

May 2016

Phase 3

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References

[1].Corallo C, et al. Bosentan and macitentan prevent the endothelial-to-mesenchymal transition (EndoMT) in systemic sclerosis: in vitro study. Arthritis Res Ther. 2016 Oct 6;18(1):228.

[2].Sen S, et al. Renal, retinal and cardiac changes in type 2 diabetes are attenuated by macitentan, a dual endothelin receptor antagonist. Life Sci. 2012 Apr 13.

[3].Bruderer S, et al. Effect of cyclosporine and rifampin on the pharmacokinetics of macitentan, a tissue-targeting dual endothelin receptor antagonist. AAPS J. 2012 Mar;14(1):68-78.

[4].Kim SJ, et al. Antivascular therapy for multidrug-resistant ovarian tumors by macitentan, a dual endothelin receptor antagonist.Transl Oncol. 2012 Feb;5(1):39-47.

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