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格非班昔特:首次批准。

Gefapixant: First Approval.

机构信息

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

出版信息

Drugs. 2022 Apr;82(6):691-695. doi: 10.1007/s40265-022-01700-8.

DOI:10.1007/s40265-022-01700-8
PMID:35347635
Abstract

Gefapixant (Lyfnua; Merck & Co.) is a first-in-class, non-narcotic, selective P2X3 receptor antagonist being developed for the treatment of refractory chronic cough or unexplained chronic cough. Marketing approval for gefapixant is being sought in the EU and USA, and the drug was recently approved for marketing in Japan as treatment for refractory or unexplained chronic cough. This article summarizes the milestones in the development of gefapixant leading to this first approval.

摘要

吉法替尼(Lyfnua;默克公司)是一种首创的、非类阿片的、选择性 P2X3 受体拮抗剂,正在开发用于治疗难治性慢性咳嗽或不明原因的慢性咳嗽。正在欧盟和美国寻求吉法替尼的营销批准,该药物最近在日本获得批准用于治疗难治性或不明原因的慢性咳嗽。本文总结了导致首次批准的吉法替尼开发的里程碑。

相似文献

1
Gefapixant: First Approval.格非班昔特:首次批准。
Drugs. 2022 Apr;82(6):691-695. doi: 10.1007/s40265-022-01700-8.
2
Gefapixant, a P2X3 receptor antagonist, for the treatment of refractory or unexplained chronic cough: a randomised, double-blind, controlled, parallel-group, phase 2b trial.Gefapixant,一种 P2X3 受体拮抗剂,用于治疗难治性或原因不明的慢性咳嗽:一项随机、双盲、对照、平行分组、2b 期试验。
Lancet Respir Med. 2020 Aug;8(8):775-785. doi: 10.1016/S2213-2600(19)30471-0. Epub 2020 Feb 25.
3
Efficacy and safety of gefapixant, a P2X receptor antagonist, in refractory chronic cough and unexplained chronic cough (COUGH-1 and COUGH-2): results from two double-blind, randomised, parallel-group, placebo-controlled, phase 3 trials.P2X 受体拮抗剂 gefapixant 治疗难治性慢性咳嗽和不明原因慢性咳嗽(COUGH-1 和 COUGH-2)的疗效和安全性:两项双盲、随机、平行分组、安慰剂对照、3 期临床试验结果。
Lancet. 2022 Mar 5;399(10328):909-923. doi: 10.1016/S0140-6736(21)02348-5.
4
The effect of gefapixant, a P2X3 antagonist, on cough reflex sensitivity: a randomised placebo-controlled study.P2X3 拮抗剂 gefapixant 对咳嗽反射敏感性的影响:一项随机安慰剂对照研究。
Eur Respir J. 2019 Jul 4;54(1). doi: 10.1183/13993003.00439-2019. Print 2019 Jul.
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Update on the clinical development of gefapixant, a P2X3 receptor antagonist for the treatment of refractory chronic cough.治疗难治性慢性咳嗽的 P2X3 受体拮抗剂 gefapixant 的临床开发进展。
Pulm Pharmacol Ther. 2019 Jun;56:75-78. doi: 10.1016/j.pupt.2019.03.006. Epub 2019 Mar 14.
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J Clin Pharmacol. 2022 Nov;62(11):1435-1444. doi: 10.1002/jcph.2094. Epub 2022 Jul 7.
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The discovery and development of gefapixant.格非替尼的发现与开发。
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Potent painkiller from spider venom antagonizes P2X3 receptors without dysgeusia.源自蜘蛛毒液的强效止痛药可拮抗P2X3受体且无味觉障碍。

本文引用的文献

1
Efficacy and safety of gefapixant, a P2X receptor antagonist, in refractory chronic cough and unexplained chronic cough (COUGH-1 and COUGH-2): results from two double-blind, randomised, parallel-group, placebo-controlled, phase 3 trials.P2X 受体拮抗剂 gefapixant 治疗难治性慢性咳嗽和不明原因慢性咳嗽(COUGH-1 和 COUGH-2)的疗效和安全性:两项双盲、随机、平行分组、安慰剂对照、3 期临床试验结果。
Lancet. 2022 Mar 5;399(10328):909-923. doi: 10.1016/S0140-6736(21)02348-5.
2
Characterization of the absorption, metabolism, excretion, and mass balance of gefapixant in humans.在人体中 gefapixant 的吸收、代谢、排泄和物质平衡特征。
Pharmacol Res Perspect. 2022 Feb;10(1):e00924. doi: 10.1002/prp2.924.
3
Mol Ther. 2025 Feb 5;33(2):771-785. doi: 10.1016/j.ymthe.2024.12.036. Epub 2024 Dec 31.
4
Reframing Refractory Chronic Cough: The Role of Interoception.重新审视难治性慢性咳嗽:内感受的作用
Lung. 2025 Feb 12;203(1):32. doi: 10.1007/s00408-025-00786-7.
5
Does Adenosine Triphosphate via Purinergic Receptor Signalling Fuel Pulmonary Fibrosis?三磷酸腺苷通过嘌呤能受体信号传导会引发肺纤维化吗?
J Innate Immun. 2025;17(1):44-55. doi: 10.1159/000543083. Epub 2024 Dec 11.
6
Decoding the impact of the placebo response in clinical trials for chronic cough.解读安慰剂反应在慢性咳嗽临床试验中的影响。
ERJ Open Res. 2024 Oct 28;10(5). doi: 10.1183/23120541.00335-2024. eCollection 2024 Sep.
7
Preparation and preliminary evaluation of a tritium-labeled allosteric P2X4 receptor antagonist.氚标记变构 P2X4 受体拮抗剂的制备及初步评价。
Purinergic Signal. 2024 Dec;20(6):645-656. doi: 10.1007/s11302-024-10005-2. Epub 2024 May 25.
8
Comprehensive insights into potential roles of purinergic P2 receptors on diseases: Signaling pathways involved and potential therapeutics.对嘌呤能P2受体在疾病中的潜在作用的全面见解:涉及的信号通路及潜在治疗方法。
J Adv Res. 2025 Mar;69:427-448. doi: 10.1016/j.jare.2024.03.027. Epub 2024 Mar 31.
9
Detrusor Overactivity After Partial Bladder Outlet Obstruction Is Associated With High Urinary Adenosine Triphosphate Levels in Female Wistar Rats.部分膀胱出口梗阻后逼尿肌过度活动与雌性Wistar大鼠高尿三磷酸腺苷水平相关。
Int Neurourol J. 2024 Feb;28(Suppl 1):34-39. doi: 10.5213/inj.2346196.098. Epub 2024 Feb 29.
10
Safety and Pharmacokinetics of HRS-2261, a P2X3 Receptor Antagonist, in Healthy Subjects: A Randomized, Double-Blind, Placebo-Controlled Phase 1 Study.HRS-2261,一种 P2X3 受体拮抗剂,在健康受试者中的安全性和药代动力学:一项随机、双盲、安慰剂对照的 I 期研究。
Clin Pharmacokinet. 2024 Mar;63(3):293-302. doi: 10.1007/s40262-023-01330-7. Epub 2024 Jan 10.
Assessment of Pharmacokinetic Interaction Between Gefapixant (MK-7264), a P2X3 Receptor Antagonist, and the OATP1B1 Drug Transporter Substrate Pitavastatin.
评估 P2X3 受体拮抗剂 gefapixant(MK-7264)与 OATP1B1 药物转运体底物匹伐他汀之间的药代动力学相互作用。
Clin Pharmacol Drug Dev. 2022 Mar;11(3):406-412. doi: 10.1002/cpdd.1047. Epub 2021 Nov 24.
4
The discovery and development of gefapixant.格非替尼的发现与开发。
Auton Neurosci. 2021 Nov;235:102859. doi: 10.1016/j.autneu.2021.102859. Epub 2021 Jul 31.
5
Treatment of Persistent Cough in Subjects with Idiopathic Pulmonary Fibrosis (IPF) with Gefapixant, a P2X3 Antagonist, in a Randomized, Placebo-Controlled Clinical Trial.在一项随机、安慰剂对照临床试验中,用P2X3拮抗剂格法沙星治疗特发性肺纤维化(IPF)患者的持续性咳嗽。
Pulm Ther. 2021 Dec;7(2):471-486. doi: 10.1007/s41030-021-00162-9. Epub 2021 Jun 21.
6
Gefapixant, a P2X3 receptor antagonist, for the treatment of refractory or unexplained chronic cough: a randomised, double-blind, controlled, parallel-group, phase 2b trial.Gefapixant,一种 P2X3 受体拮抗剂,用于治疗难治性或原因不明的慢性咳嗽:一项随机、双盲、对照、平行分组、2b 期试验。
Lancet Respir Med. 2020 Aug;8(8):775-785. doi: 10.1016/S2213-2600(19)30471-0. Epub 2020 Feb 25.
7
Action of MK-7264 (gefapixant) at human P2X3 and P2X2/3 receptors and in vivo efficacy in models of sensitisation.MK-7264(gefapixant)在人 P2X3 和 P2X2/3 受体上的作用及其在致敏模型中的体内疗效。
Br J Pharmacol. 2019 Jul;176(13):2279-2291. doi: 10.1111/bph.14677. Epub 2019 May 11.
8
Update on the clinical development of gefapixant, a P2X3 receptor antagonist for the treatment of refractory chronic cough.治疗难治性慢性咳嗽的 P2X3 受体拮抗剂 gefapixant 的临床开发进展。
Pulm Pharmacol Ther. 2019 Jun;56:75-78. doi: 10.1016/j.pupt.2019.03.006. Epub 2019 Mar 14.