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伦扎必利:一种治疗肠易激综合征便秘的新药。

Renzapride: a new drug for the treatment of constipation in the irritable bowel syndrome.

作者信息

Scarpellini Emidio, Tack Jan

机构信息

Catholic University of Leuven, University Hospital Gasthuisberg, Department of Internal Medicine, Division of Gastroenterology, Leuven, Belgium.

出版信息

Expert Opin Investig Drugs. 2008 Nov;17(11):1663-70. doi: 10.1517/13543784.17.11.1663.

DOI:10.1517/13543784.17.11.1663
PMID:18922103
Abstract

Renzapride is a novel drug currently under clinical evaluation for the treatment of irritable bowel syndrome (IBS). Renzapride is a mixed 5-hydroxytryptamine type 4 (5-HT4) agonist and 5-HT3 receptor antagonist that has a stimulatory effect on gastrointestinal motility and transit, as established by in vivo and in vitro studies. Its therapeutic efficacy, tolerability and safety have been evaluated in diabetic gastroparesis in a single study, as well as in IBS in a few other studies. Phase II studies indicated potential beneficial effects on symptoms and bowel habits in patients with constipation-predominant IBS and mixed-type IBS. The outcome of Phase III studies is currently under evaluation.

摘要

雷尼普明是一种目前正在进行临床评估用于治疗肠易激综合征(IBS)的新型药物。雷尼普明是一种5-羟色胺4型(5-HT4)激动剂和5-HT3受体拮抗剂的混合物,体内和体外研究证实其对胃肠动力和转运具有刺激作用。在一项关于糖尿病胃轻瘫的研究以及其他一些关于IBS的研究中,对其治疗效果、耐受性和安全性进行了评估。II期研究表明,对以便秘为主的IBS和混合型IBS患者的症状和排便习惯有潜在的有益影响。III期研究的结果目前正在评估中。

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1
Renzapride: a new drug for the treatment of constipation in the irritable bowel syndrome.伦扎必利:一种治疗肠易激综合征便秘的新药。
Expert Opin Investig Drugs. 2008 Nov;17(11):1663-70. doi: 10.1517/13543784.17.11.1663.
2
Effect of renzapride on transit in constipation-predominant irritable bowel syndrome.雷尼替丁对便秘型肠易激综合征肠道转运的影响。
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Pilot study of the efficacy of renzapride on gastrointestinal motility and symptoms in patients with constipation-predominant irritable bowel syndrome.雷尼替丁对以便秘为主的肠易激综合征患者胃肠动力及症状疗效的初步研究。
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Pharmacology and metabolism of renzapride : a novel therapeutic agent for the potential treatment of irritable bowel syndrome.瑞扎普明的药理学与代谢:一种用于潜在治疗肠易激综合征的新型治疗药物。
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Clinical trial: renzapride therapy for constipation-predominant irritable bowel syndrome--multicentre, randomized, placebo-controlled, double-blind study in primary healthcare setting.临床试验:雷尼替丁治疗便秘型肠易激综合征——在基层医疗环境中进行的多中心、随机、安慰剂对照、双盲研究
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Clinical trial: renzapride treatment of women with irritable bowel syndrome and constipation - a double-blind, randomized, placebo-controlled, study.临床试验:雷扎必利治疗伴有便秘的肠易激综合征女性患者 - 一项双盲、随机、安慰剂对照研究。
Aliment Pharmacol Ther. 2010 May;31(9):979-90. doi: 10.1111/j.1365-2036.2010.04265.x. Epub 2010 Feb 16.
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Renzapride in IBS: is efficacy in the eye of the beholder?瑞扎普明治疗肠易激综合征:疗效因人而异?
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Identification of patients with non-d, non-C irritable bowel syndrome and treatment with renzapride: an exploratory, multicenter, randomized, double-blind, placebo-controlled clinical trial.非腹泻型、非便秘型肠易激综合征患者的识别及雷尼替丁治疗:一项探索性、多中心、随机、双盲、安慰剂对照临床试验
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[New drugs for the treatment of constipation].[治疗便秘的新药]
Med Klin (Munich). 2010 Jul;105(7):475-8. doi: 10.1007/s00063-010-1081-z. Epub 2010 Jul 30.
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The use of novel promotility and prosecretory agents for the treatment of chronic idiopathic constipation and irritable bowel syndrome with constipation.新型促动力和促分泌剂在慢性特发性便秘和便秘型肠易激综合征治疗中的应用。
Adv Ther. 2009 May;26(5):519-30. doi: 10.1007/s12325-009-0027-4. Epub 2009 May 14.

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New therapeutic perspectives in irritable bowel syndrome: Targeting low-grade inflammation, immuno-neuroendocrine axis, motility, secretion and beyond.肠易激综合征的新治疗视角:靶向低水平炎症、免疫神经内分泌轴、运动、分泌及其他方面。
World J Gastroenterol. 2017 Sep 28;23(36):6593-6627. doi: 10.3748/wjg.v23.i36.6593.
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New and Investigational Agents for Irritable Bowel Syndrome.
肠易激综合征的新型和研究性药物
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What's New in the Toolbox for Constipation and Fecal Incontinence?新工具在便秘和粪便失禁方面有何新进展?
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Efficacy and tolerability of renzapride in irritable bowel syndrome: a meta-analysis of randomized, controlled clinical trials including 2528 patients.瑞扎普明治疗肠易激综合征的疗效和耐受性:一项纳入2528例患者的随机对照临床试验的荟萃分析。
Arch Med Sci. 2014 Feb 24;10(1):10-8. doi: 10.5114/aoms.2014.40729. Epub 2014 Feb 23.
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Systematic review: cardiovascular safety profile of 5-HT(4) agonists developed for gastrointestinal disorders.系统评价:用于胃肠道疾病的 5-HT(4)激动剂的心血管安全性概况。
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Current management strategies and therapeutic targets in chronic constipation.慢性便秘的当前管理策略和治疗靶点。
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