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罗沙司他:首个获批

Voxelotor: First Approval.

机构信息

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

出版信息

Drugs. 2020 Feb;80(2):209-215. doi: 10.1007/s40265-020-01262-7.

DOI:10.1007/s40265-020-01262-7
PMID:32020554
Abstract

Voxelotor (Oxbryta™) is a haemoglobin S polymerization inhibitor that has been developed for the treatment of sickle cell disease. In November 2019, voxelotor received its first global approval in the USA for the treatment of sickle cell disease in adults and paediatric patients aged ≥ 12 years. The drug was granted accelerated approval based on the results of the phase III HOPE trial. Phase III clinical development of voxelotor for sickle cell disease is ongoing worldwide. Voxelotor also has Orphan Drug designation and Priority Medicine status in Europe for the treatment of sickle cell disease. This article summarizes the milestones in the development of voxelotor leading to this first approval as a disease-modifying agent for sickle cell disease.

摘要

沃瑟罗特(Oxbryta™)是一种血红蛋白 S 聚合抑制剂,已被开发用于治疗镰状细胞病。2019 年 11 月,沃瑟罗特在美国获得全球首次批准,用于治疗成人和 12 岁及以上儿童的镰状细胞病。该药基于 III 期 HOPE 试验的结果获得加速批准。沃瑟罗特治疗镰状细胞病的全球 III 期临床开发正在进行中。沃瑟罗特在欧洲也被授予治疗镰状细胞病的孤儿药资格认定和优先药物地位。本文总结了沃瑟罗特的开发里程碑,最终该药作为镰状细胞病的疾病修正治疗药物获得批准。

相似文献

1
Voxelotor: First Approval.罗沙司他:首个获批
Drugs. 2020 Feb;80(2):209-215. doi: 10.1007/s40265-020-01262-7.
2
Systematic Review of Voxelotor: A First-in-Class Sickle Hemoglobin Polymerization Inhibitor for Management of Sickle Cell Disease.系统性评价罗特西普:首个镰状血红蛋白聚合抑制剂类药物用于镰状细胞病的治疗。
Pharmacotherapy. 2020 Jun;40(6):525-534. doi: 10.1002/phar.2405. Epub 2020 May 19.
3
Voxelotor for the Treatment of Sickle Cell Disease.伏打络索治疗镰状细胞病。
Nurs Womens Health. 2020 Jun;24(3):233-237. doi: 10.1016/j.nwh.2020.03.003. Epub 2020 May 6.
4
A Phase 3 Randomized Trial of Voxelotor in Sickle Cell Disease.一项针对镰状细胞病患者的 voxotor 的 3 期随机试验。
N Engl J Med. 2019 Aug 8;381(6):509-519. doi: 10.1056/NEJMoa1903212. Epub 2019 Jun 14.
5
Voxelotor (GBT440), a first-in-class hemoglobin oxygen-affinity modulator, has promising and reassuring preclinical and clinical data.伏洛托珠单抗(GBT440),一种首创的血红蛋白氧亲和力调节剂,拥有令人鼓舞且可靠的临床前和临床数据。
Am J Hematol. 2018 Mar;93(3):326-329. doi: 10.1002/ajh.25042.
6
Voxelotor in adolescents and adults with sickle cell disease (HOPE): long-term follow-up results of an international, randomised, double-blind, placebo-controlled, phase 3 trial.伏打诺特治疗青少年和成年镰状细胞病患者(HOPE)的研究:一项国际、随机、双盲、安慰剂对照的 3 期临床试验的长期随访结果。
Lancet Haematol. 2021 May;8(5):e323-e333. doi: 10.1016/S2352-3026(21)00059-4. Epub 2021 Apr 7.
7
Sickle hemoglobin oxygen affinity-shifting strategies have unequal cerebrovascular risks.镰状血红蛋白氧亲和力转换策略具有不同的脑血管风险。
Am J Hematol. 2018 Mar;93(3):321-325. doi: 10.1002/ajh.24975. Epub 2017 Dec 6.
8
Sickle cell drug raises hopes and doubts.
Science. 2019 Sep 20;365(6459):1235. doi: 10.1126/science.365.6459.1235.
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Two drugs for sickle cell disease.两种用于治疗镰状细胞病的药物。
Med Lett Drugs Ther. 2020 Apr 6;62(1595):51-52.
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A phase 1/2 ascending dose study and open-label extension study of voxelotor in patients with sickle cell disease.一项评估 voxeloTOR 在镰状细胞病患者中的 1/2 期递增剂量和开放标签扩展研究。
Blood. 2019 Apr 25;133(17):1865-1875. doi: 10.1182/blood-2018-08-868893. Epub 2019 Jan 17.

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本文引用的文献

1
A Phase 3 Randomized Trial of Voxelotor in Sickle Cell Disease.一项针对镰状细胞病患者的 voxotor 的 3 期随机试验。
N Engl J Med. 2019 Aug 8;381(6):509-519. doi: 10.1056/NEJMoa1903212. Epub 2019 Jun 14.
2
Pharmacokinetics and pharmacodynamics of voxelotor (GBT440) in healthy adults and patients with sickle cell disease.在健康成年人和镰状细胞病患者中 voxotor(GBT440)的药代动力学和药效学。
Br J Clin Pharmacol. 2019 Jun;85(6):1290-1302. doi: 10.1111/bcp.13896. Epub 2019 Mar 31.
3
A phase 1/2 ascending dose study and open-label extension study of voxelotor in patients with sickle cell disease.
RSC Med Chem. 2025 May 27. doi: 10.1039/d5md00335k.
4
A retrospective research of adverse event reporting system events for voxelotor based on the FAERS database.基于FAERS数据库对基于voxelotor的不良事件报告系统事件进行的回顾性研究。
BMC Pharmacol Toxicol. 2025 Apr 3;26(1):74. doi: 10.1186/s40360-025-00915-1.
5
Promising role of voxelotor in managing sickle cell disease in children: a narrative review.伏洛托洛在儿童镰状细胞病管理中的潜在作用:一项叙述性综述
Clin Exp Pediatr. 2025 Feb;68(2):106-114. doi: 10.3345/cep.2024.00500. Epub 2024 Nov 13.
6
A Pharmacometrics Model to Characterize a New Type of Target-Mediated Drug Disposition (TMDD) - Nonlinear Pharmacokinetics of Small-Molecule PF-07059013 Mediated By Its High-capacity Pharmacological Target Hemoglobin With Positive Cooperative Binding.一种药代动力学模型来描述一种新型的靶向介导的药物处置(TMDD) - 小分子 PF-07059013 与高容量药理学靶标血红蛋白的非线性药代动力学,血红蛋白与正协同结合。
AAPS J. 2023 Apr 13;25(3):41. doi: 10.1208/s12248-023-00808-3.
7
Recent Advances in Sickle-Cell Disease Therapies: A Review of Voxelotor, Crizanlizumab, and L-glutamine.镰状细胞病治疗的最新进展:对伏洛托珠单抗、克瑞莎珠单抗和L-谷氨酰胺的综述
Pharmacy (Basel). 2022 Sep 26;10(5):123. doi: 10.3390/pharmacy10050123.
8
Enrollment Lessons from a Biological Assignment Study of Marrow Transplantation versus Standard Care for Adolescents and Young Adults with Sickle Cell Disease: Considerations for Future Gene and Cellular Therapy Trials.骨髓移植与标准护理治疗青少年和年轻成人镰状细胞病的生物学分配研究中的入组经验:对未来基因和细胞治疗试验的考虑。
Transplant Cell Ther. 2023 Apr;29(4):217-221. doi: 10.1016/j.jtct.2022.10.008. Epub 2022 Oct 18.
9
Case report: Safety and efficacy of voxelotor in a patient with sickle cell disease and stage IV chronic kidney disease.病例报告:伐昔洛韦对一名镰状细胞病合并IV期慢性肾脏病患者的安全性和有效性
Front Med (Lausanne). 2022 Sep 15;9:931924. doi: 10.3389/fmed.2022.931924. eCollection 2022.
10
OcclusionChip: A functional microcapillary occlusion assay complementary to ektacytometry for detection of small-fraction red blood cells with abnormal deformability.阻塞芯片:一种与红细胞变形性测定法互补的功能性微毛细管阻塞检测方法,用于检测变形性异常的小部分红细胞。
Front Physiol. 2022 Aug 25;13:954106. doi: 10.3389/fphys.2022.954106. eCollection 2022.
一项评估 voxeloTOR 在镰状细胞病患者中的 1/2 期递增剂量和开放标签扩展研究。
Blood. 2019 Apr 25;133(17):1865-1875. doi: 10.1182/blood-2018-08-868893. Epub 2019 Jan 17.
4
Sickle Cell Disease: Advances in Treatment.镰状细胞病:治疗进展
Ochsner J. 2018 Winter;18(4):377-389. doi: 10.31486/toj.18.0076.
5
GBT440 reverses sickling of sickled red blood cells under hypoxic conditions .GBT440可在缺氧条件下逆转镰状红细胞的镰变。
Hematol Rep. 2018 May 14;10(2):7419. doi: 10.4081/hr.2018.7419.
6
Case series of patients with severe sickle cell disease treated with voxelotor (GBT440) by compassionate access.通过同情用药途径使用voxelotor(GBT440)治疗的重症镰状细胞病患者病例系列
Am J Hematol. 2018 May 12. doi: 10.1002/ajh.25139.
7
GBT440 improves red blood cell deformability and reduces viscosity of sickle cell blood under deoxygenated conditions.GBT440在脱氧条件下可改善镰状细胞血液的红细胞变形能力并降低其粘度。
Clin Hemorheol Microcirc. 2018;70(1):95-105. doi: 10.3233/CH-170340.
8
Sickle cell disease.镰状细胞病。
Nat Rev Dis Primers. 2018 Mar 15;4:18010. doi: 10.1038/nrdp.2018.10.
9
Discovery of GBT440, an Orally Bioavailable R-State Stabilizer of Sickle Cell Hemoglobin.镰状细胞血红蛋白口服生物可利用R态稳定剂GBT440的发现。
ACS Med Chem Lett. 2017 Jan 23;8(3):321-326. doi: 10.1021/acsmedchemlett.6b00491. eCollection 2017 Mar 9.
10
GBT440 increases haemoglobin oxygen affinity, reduces sickling and prolongs RBC half-life in a murine model of sickle cell disease.在镰状细胞病小鼠模型中,GBT440可提高血红蛋白对氧的亲和力,减少镰变并延长红细胞半衰期。
Br J Haematol. 2016 Oct;175(1):141-53. doi: 10.1111/bjh.14214. Epub 2016 Jul 5.