Department of Nephrology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
J Nephrol. 2024 May;37(4):851-863. doi: 10.1007/s40620-024-01909-8. Epub 2024 Mar 21.
Vascular calcification is a common complication in patients with chronic kidney disease (CKD) and is strongly associated with an increased risk of cardiovascular events and all-cause mortality. Calciphylaxis is a specific and life-threatening manifestation of vascular calcifications that usually affects individuals with advanced kidney function impairment or those undergoing dialysis. Currently, the treatment of vascular calcification and calciphylaxis in CKD lacks approved treatments and focuses on controlling risk factors. SNF472, the intravenous formulation of myo-inositol hexaphosphate, is a novel vascular calcification inhibitor currently undergoing phase 3 clinical trials, demonstrating its ability to directly inhibit the formation of calcium and phosphorus crystals, thereby blocking the production and deposition of ectopic calcium. The efficacy and safety of SNF472 in inhibiting vascular calcification have been confirmed in recent clinical studies. This review summarizes the results of studies related to SNF472 to provide a comprehensive overview of its mechanism of action, efficacy, safety, and ongoing clinical studies.
血管钙化是慢性肾脏病(CKD)患者的常见并发症,与心血管事件和全因死亡率的增加密切相关。钙化防御是血管钙化的一种特定且危及生命的表现形式,通常影响肾功能严重受损或正在接受透析的个体。目前,CKD 中的血管钙化和钙化防御缺乏已批准的治疗方法,主要集中在控制危险因素上。SNF472 是肌醇六磷酸的静脉制剂,是一种新型的血管钙化抑制剂,目前正在进行 3 期临床试验,证明其能够直接抑制钙和磷晶体的形成,从而阻止异位钙的产生和沉积。最近的临床研究证实了 SNF472 抑制血管钙化的疗效和安全性。本综述总结了与 SNF472 相关的研究结果,为其作用机制、疗效、安全性和正在进行的临床研究提供了全面概述。