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伐达度司他:首个获批

Vadadustat: First Approval.

机构信息

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

出版信息

Drugs. 2020 Sep;80(13):1365-1371. doi: 10.1007/s40265-020-01383-z.

DOI:10.1007/s40265-020-01383-z
PMID:32852744
Abstract

Vadadustat (VAFSEO) is a prolyl hydroxylase inhibitor being developed by Akebia Therapeutics, Inc. (Akebia) for the treatment of anaemia associated with chronic kidney disease (CKD). Akebia is collaborating with Mitsubishi Tanabe Pharma Corporation on the development and commercialization of vadadustat in Japan and with Otsuka Pharmaceutical Co. Ltd on the development and commercialization of vadadustat in the USA, the EU and certain other territories. The drug is approved in Japan for use in adult patients with anaemia associated with CKD and regulatory submissions are planned in the USA and the EU. This article summarizes the milestones in the development of vadadustat leading to this first approval.

摘要

瓦达昔汀(VAFSEO)是一种脯氨酰羟化酶抑制剂,由 Akebia Therapeutics, Inc.(Akebia)研发,用于治疗与慢性肾脏病(CKD)相关的贫血。Akebia 与 Mitsubishi Tanabe Pharma Corporation 合作在日本开发和商业化瓦达昔汀,并与大冢制药有限公司在 USA、EU 和某些其他地区合作开发和商业化瓦达昔汀。该药在日本获批用于治疗与 CKD 相关的成年患者贫血,正在 USA 和 EU 进行监管申报。本文总结了导致该药首次获批的瓦达昔汀研发的重要里程碑。

相似文献

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Vadadustat: First Approval.伐达度司他:首个获批
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2
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N Engl J Med. 2021 Apr 29;384(17):1589-1600. doi: 10.1056/NEJMoa2035938.
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Expert Opin Pharmacother. 2024 Jun;25(9):1111-1120. doi: 10.1080/14656566.2024.2370896. Epub 2024 Jun 24.
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Am J Nephrol. 2017;45(5):380-388. doi: 10.1159/000464476. Epub 2017 Mar 25.
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Vadadustat, a novel oral HIF stabilizer, provides effective anemia treatment in nondialysis-dependent chronic kidney disease.vadadustat,一种新型口服 HIF 稳定剂,为非透析依赖性慢性肾脏病患者提供了有效的贫血治疗方法。
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本文引用的文献

1
Vadadustat, an oral hypoxia-inducible factor prolyl hydroxylase inhibitor, for treatment of anemia of chronic kidney disease: two randomized Phase 2 trials in Japanese patients.伐达他司,一种口服低氧诱导因子脯氨酰羟化酶抑制剂,用于治疗慢性肾脏病贫血:在日本患者中进行的两项随机2期试验。
Nephrol Dial Transplant. 2020 Jul 28. doi: 10.1093/ndt/gfaa060.
2
Hypoxia-Inducible Factor Activators in Renal Anemia: Current Clinical Experience.缺氧诱导因子激活剂在肾脏性贫血中的临床应用
Adv Chronic Kidney Dis. 2019 Jul;26(4):253-266. doi: 10.1053/j.ackd.2019.04.004.
3
Effects of vadadustat on hemoglobin concentrations in patients receiving hemodialysis previously treated with erythropoiesis-stimulating agents.
人参皂苷CK通过改变胶原蛋白的三维排列靶向作用于脯氨酰羟化酶2,以防止血小板黏附并促进血液循环。
Acta Pharm Sin B. 2025 Mar;15(3):1497-1513. doi: 10.1016/j.apsb.2024.12.038. Epub 2024 Dec 31.
4
Light-Induced, Lysine-Targeting Irreversible Covalent Inhibition of the Human Oxygen Sensing Hydroxylase Factor Inhibiting HIF (FIH).光诱导的、靶向赖氨酸的人氧感应羟化酶因子抑制缺氧诱导因子(FIH)的不可逆共价抑制作用
J Am Chem Soc. 2025 May 28;147(21):17871-17879. doi: 10.1021/jacs.5c01935. Epub 2025 May 9.
5
Vascular Access Thrombosis Events in Patients With Dialysis-Dependent CKD Treated With Vadadustat or Darbepoetin Alfa: The INNOVATE Trial Program.使用瓦达司他或阿法达贝泊汀治疗的依赖透析的慢性肾脏病患者的血管通路血栓形成事件:INNOVATE试验项目
Kidney Med. 2025 Mar 19;7(5):100997. doi: 10.1016/j.xkme.2025.100997. eCollection 2025 May.
6
Comprehensive computational strategies for multi-target drug discovery in inflammatory bowel disease utilizing bioactive compounds.利用生物活性化合物进行炎症性肠病多靶点药物发现的综合计算策略
Sci Rep. 2025 May 3;15(1):15542. doi: 10.1038/s41598-025-98771-w.
7
Clinical Pharmacokinetics and Pharmacodynamics of Vadadustat, an Oral Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor.口服低氧诱导因子脯氨酰羟化酶抑制剂瓦他司他的临床药代动力学和药效学
Eur J Drug Metab Pharmacokinet. 2025 May 2. doi: 10.1007/s13318-025-00947-2.
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Derivatives of the Clinically Used HIF Prolyl Hydroxylase Inhibitor Desidustat Are Efficient Inhibitors of Human γ-Butyrobetaine Hydroxylase.临床使用的低氧诱导因子脯氨酰羟化酶抑制剂地西司他的衍生物是人类γ-丁甜菜碱羟化酶的有效抑制剂。
J Med Chem. 2025 May 8;68(9):9777-9798. doi: 10.1021/acs.jmedchem.5c00586. Epub 2025 Apr 22.
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A year in pharmacology: new drugs approved by the US Food and Drug Administration in 2024.药理学的一年:2024年美国食品药品监督管理局批准的新药
Naunyn Schmiedebergs Arch Pharmacol. 2025 May;398(5):5077-5099. doi: 10.1007/s00210-025-04020-2. Epub 2025 Mar 31.
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Highlights on U.S. FDA-approved halogen-containing drugs in 2024.2024年美国食品药品监督管理局批准的含卤素药物亮点。
Eur J Med Chem. 2025 Apr 5;287:117380. doi: 10.1016/j.ejmech.2025.117380. Epub 2025 Feb 9.
地拉罗司先前接受过红细胞生成刺激剂治疗的血液透析患者中,vadadustat 对血红蛋白浓度的影响。
Nephrol Dial Transplant. 2019 Jan 1;34(1):90-99. doi: 10.1093/ndt/gfy055.
4
Molecular and cellular mechanisms of HIF prolyl hydroxylase inhibitors in clinical trials.临床试验中HIF脯氨酰羟化酶抑制剂的分子和细胞机制
Chem Sci. 2017 Nov 1;8(11):7651-7668. doi: 10.1039/c7sc02103h. Epub 2017 Sep 11.
5
Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease.达泊西汀治疗3或4期慢性肾脏病继发贫血患者的临床试验。
Am J Nephrol. 2017;45(5):380-388. doi: 10.1159/000464476. Epub 2017 Mar 25.
6
Vadadustat, a novel oral HIF stabilizer, provides effective anemia treatment in nondialysis-dependent chronic kidney disease.vadadustat,一种新型口服 HIF 稳定剂,为非透析依赖性慢性肾脏病患者提供了有效的贫血治疗方法。
Kidney Int. 2016 Nov;90(5):1115-1122. doi: 10.1016/j.kint.2016.07.019. Epub 2016 Sep 17.