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依帕司他:首次获批

Iptacopan: First Approval.

机构信息

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

出版信息

Drugs. 2024 May;84(5):599-606. doi: 10.1007/s40265-024-02009-4. Epub 2024 Mar 22.

DOI:10.1007/s40265-024-02009-4
PMID:38517653
Abstract

Iptacopan (FABHALTA) is an oral complement Factor B inhibitor developed by Novartis Pharmaceuticals for the treatment of complement-mediated diseases. Acting upstream of complement 5 in the alternative pathway, iptacopan inhibits both terminal complement-mediated intravascular haemolysis and complement 3-mediated extravascular haemolysis. On 5 December 2023, iptacopan received approval in the USA for the treatment of adults with paroxysmal nocturnal haemoglobinuria (PNH). This article summarizes the milestones in the development of iptacopan leading to this first approval for PNH.

摘要

依库珠单抗(FABHALTA)是一种由诺华制药公司开发的口服补体因子 B 抑制剂,用于治疗补体介导的疾病。依库珠单抗作用于旁路途径中的补体 5 上游,可抑制终末补体介导的血管内溶血和补体 3 介导的血管外溶血。2023 年 12 月 5 日,依库珠单抗获得美国批准,用于治疗阵发性夜间血红蛋白尿症(PNH)成人患者。本文总结了依库珠单抗开发过程中的重要里程碑,最终该药获得 PNH 的首个批准。

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Iptacopan in Idiopathic Immune Complex-Mediated Membranoproliferative Glomerulonephritis: Protocol of the APPARENT Multicenter, Randomized Phase 3 Study.依帕卡潘治疗特发性免疫复合物介导的膜增生性肾小球肾炎:APPARENT多中心随机3期研究方案
Kidney Int Rep. 2023 Oct 29;9(1):64-72. doi: 10.1016/j.ekir.2023.10.022. eCollection 2024 Jan.
2
Efficacy and Safety of Iptacopan in Patients With C3 Glomerulopathy.依他卡帕对C3肾小球病患者的疗效和安全性
Kidney Int Rep. 2023 Sep 22;8(12):2754-2764. doi: 10.1016/j.ekir.2023.09.017. eCollection 2023 Dec.
3
Results of a randomized double-blind placebo-controlled Phase 2 study propose iptacopan as an alternative complement pathway inhibitor for IgA nephropathy.
Int J Mol Sci. 2025 Jun 19;26(12):5902. doi: 10.3390/ijms26125902.
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M28 family peptidase derived from initiates trained immunity to prevent MRSA via the complosome-phosphatidylcholine axis.源自的M28家族肽酶通过补体小体-磷脂酰胆碱轴引发训练免疫以预防耐甲氧西林金黄色葡萄球菌。
Gut Microbes. 2025 Dec;17(1):2484386. doi: 10.1080/19490976.2025.2484386. Epub 2025 Mar 30.
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[Interpretation of the guidelines for diagnosing and treating paroxysmal nocturnal hemoglobinuria in China (2024)].[《中国阵发性睡眠性血红蛋白尿诊断与治疗指南(2024年版)》解读]
Zhonghua Xue Ye Xue Za Zhi. 2024 Dec 14;45(12):1071-1077. doi: 10.3760/cma.j.issn.0253-2727.2024.12.101.
6
Apical tubular complement activation and the loss of kidney function in proteinuric kidney diseases.顶端肾小管补体激活与蛋白尿性肾脏疾病中的肾功能丧失
Clin Kidney J. 2024 Jul 10;17(8):sfae215. doi: 10.1093/ckj/sfae215. eCollection 2024 Aug.
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Kidney Int. 2024 Jan;105(1):189-199. doi: 10.1016/j.kint.2023.09.027. Epub 2023 Oct 31.
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Lancet Haematol. 2021 May;8(5):e344-e354. doi: 10.1016/S2352-3026(21)00028-4. Epub 2021 Mar 23.
10
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Hematol Transfus Cell Ther. 2021 Jul-Sep;43(3):341-348. doi: 10.1016/j.htct.2020.06.006. Epub 2020 Jul 6.