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阿巴洛肽:全球首次获批。

Abaloparatide: First Global Approval.

机构信息

Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.

出版信息

Drugs. 2017 Aug;77(12):1363-1368. doi: 10.1007/s40265-017-0780-7.

DOI:10.1007/s40265-017-0780-7
PMID:28624872
Abstract

Abaloparatide (Tymlos™) is a synthetic peptide analogue of human parathyroid hormone-related protein that was developed by Radius Health as an osteoanabolic agent for the treatment of postmenopausal osteoporosis. Abaloparatide acts through selective activation of the parathyroid hormone type 1 receptor signalling pathway. In April 2017, subcutaneous abaloparatide received its first global approval, in the USA, for the treatment of postmenopausal women with osteoporosis at high risk for fracture, defined as a history of osteoporotic fracture, multiple risk factors for fracture, or patients who have failed or are intolerant to other available osteoporosis therapy. A Marketing Authorization Application for subcutaneous abaloparatide for the treatment of postmenopausal women with osteoporosis was accepted by the European Medicines Agency and is currently under review. Radius is also developing a transdermal formulation of abaloparatide, with administration via a microneedle patch. This article summarizes the milestones in the development of abaloparatide leading to this first approval for the treatment of women with postmenopausal osteoporosis.

摘要

阿巴洛肽(特立帕肽)是一种合成的人甲状旁腺激素相关蛋白肽类似物,由 Radius Health 开发,作为一种骨合成代谢药物,用于治疗绝经后骨质疏松症。阿巴洛肽通过选择性激活甲状旁腺激素 1 型受体信号通路发挥作用。2017 年 4 月,皮下注射用阿巴洛肽在美国首次获得全球批准,用于治疗有骨折高风险的绝经后骨质疏松症妇女,定义为有骨质疏松性骨折史、多种骨折风险因素或对其他可用骨质疏松症治疗药物不耐受或治疗失败的患者。皮下注射用阿巴洛肽治疗绝经后骨质疏松症的营销授权申请已被欧洲药品管理局接受,目前正在审查中。Radius 还在开发阿巴洛肽的透皮制剂,通过微针贴片给药。本文总结了阿巴洛肽开发过程中的重要里程碑,最终促成了该药首次获批用于治疗绝经后骨质疏松症女性。

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Abaloparatide: First Global Approval.阿巴洛肽:全球首次获批。
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本文引用的文献

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Comparing the incidence of bone tumors in rats chronically exposed to the selective PTH type 1 receptor agonist abaloparatide or PTH(1-34).比较长期暴露于选择性甲状旁腺激素1型受体激动剂阿巴洛肽或甲状旁腺激素(1-34)的大鼠骨肿瘤发生率。
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Eighteen Months of Treatment With Subcutaneous Abaloparatide Followed by 6 Months of Treatment With Alendronate in Postmenopausal Women With Osteoporosis: Results of the ACTIVExtend Trial.皮下注射阿巴洛肽治疗18个月后,对绝经后骨质疏松症女性使用阿仑膦酸钠治疗6个月:ACTIVExtend试验结果
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骨质疏松症的综合综述及基于生物分子的先进疗法。
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4
Hormone Analogues with Unique Signaling Profiles from Replacement of α-Residue Triads with β/γ Diads.用β/γ 二联体替代α-残基三联体,获得具有独特信号特征的激素类似物。
J Am Chem Soc. 2023 Sep 20;145(37):20539-20550. doi: 10.1021/jacs.3c06703. Epub 2023 Sep 11.
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Is abaloparatide more efficacious on increasing bone mineral density than teriparatide for women with postmenopausal osteoporosis? An updated meta-analysis.阿巴洛肽比特立帕肽对绝经后骨质疏松症女性增加骨密度更有效吗?一项更新的荟萃分析。
J Orthop Surg Res. 2023 Feb 17;18(1):116. doi: 10.1186/s13018-023-03595-x.
6
Altered signaling at the PTH receptor via modified agonist contacts with the extracellular domain provides a path to prolonged agonism in vivo.通过与细胞外结构域的修饰激动剂接触改变甲状旁腺激素受体的信号传递,为体内延长激动作用提供了一条途径。
Proc Natl Acad Sci U S A. 2022 Nov 29;119(48):e2212736119. doi: 10.1073/pnas.2212736119. Epub 2022 Nov 21.
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One year of abaloparatide, a selective peptide activator of the PTH1 receptor, increased bone mass and strength in ovariectomized rats.
阿巴洛肽(一种甲状旁腺激素1型受体的选择性肽激活剂)治疗一年可增加去卵巢大鼠的骨量和骨强度。
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One Year of Abaloparatide, a Selective Activator of the PTH1 Receptor, Increased Bone Formation and Bone Mass in Osteopenic Ovariectomized Rats Without Increasing Bone Resorption.甲状旁腺激素1型受体选择性激活剂阿巴洛肽治疗一年可增加骨质疏松性卵巢切除大鼠的骨形成和骨量,且不增加骨吸收。
J Bone Miner Res. 2017 Jan;32(1):24-33. doi: 10.1002/jbmr.3003. Epub 2016 Oct 17.
6
Effects of Abaloparatide-SC on Fractures and Bone Mineral Density in Subgroups of Postmenopausal Women With Osteoporosis and Varying Baseline Risk Factors.阿巴洛肽皮下注射对具有不同基线风险因素的绝经后骨质疏松症女性亚组骨折和骨密度的影响。
J Bone Miner Res. 2017 Jan;32(1):17-23. doi: 10.1002/jbmr.2991. Epub 2016 Sep 28.
7
Effect of Abaloparatide vs Placebo on New Vertebral Fractures in Postmenopausal Women With Osteoporosis: A Randomized Clinical Trial.阿巴洛肽与安慰剂对绝经后骨质疏松症妇女新发椎体骨折的影响:一项随机临床试验。
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8
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Calcif Tissue Int. 2016 Nov;99(5):489-499. doi: 10.1007/s00223-016-0171-1. Epub 2016 Jul 9.
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Binding Selectivity of Abaloparatide for PTH-Type-1-Receptor Conformations and Effects on Downstream Signaling.阿巴洛肽对甲状旁腺激素1型受体构象的结合选择性及其对下游信号传导的影响
Endocrinology. 2016 Jan;157(1):141-9. doi: 10.1210/en.2015-1726. Epub 2015 Nov 12.
10
Effects of abaloparatide, a human parathyroid hormone-related peptide analog, on bone mineral density in postmenopausal women with osteoporosis.阿巴洛肽(一种人甲状旁腺激素相关肽类似物)对绝经后骨质疏松症女性骨矿物质密度的影响。
J Clin Endocrinol Metab. 2015 Feb;100(2):697-706. doi: 10.1210/jc.2014-3718. Epub 2014 Nov 13.