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塞贝曲司他:首次获批。

Sebetralstat: First Approval.

作者信息

Blair Hannah A

机构信息

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

出版信息

Drugs. 2025 Nov;85(11):1499-1505. doi: 10.1007/s40265-025-02239-0. Epub 2025 Sep 27.

DOI:10.1007/s40265-025-02239-0
PMID:41014446
Abstract

Sebetralstat (EKTERLY), an orally available plasma kallikrein inhibitor, is being developed by KalVista Pharmaceuticals for the on-demand treatment of acute attacks of hereditary angioedema (HAE). On 7 July 2025, sebetralstat received its first approval in the USA for the treatment of acute attacks of HAE in adult and pediatric patients aged 12 years and older. The drug has since been approved on 15 July 2025 in the UK for the treatment of HAE attacks in adults and adolescents aged 12 years and older. Sebetralstat has also received a positive opinion in the EU for the symptomatic treatment of acute attacks of HAE in adults and adolescents aged 12 years and older. This article summarizes the milestones in the development of sebetralstat leading to this first approval for HAE.

摘要

塞贝司他(EKTERLY)是一种口服可用的血浆激肽释放酶抑制剂,由KalVista制药公司开发,用于按需治疗遗传性血管性水肿(HAE)急性发作。2025年7月7日,塞贝司他在美国首次获批,用于治疗12岁及以上成人和儿童患者的HAE急性发作。此后,该药物于2025年7月15日在英国获批,用于治疗12岁及以上成人和青少年的HAE发作。塞贝司他在欧盟也获得了积极意见,用于12岁及以上成人和青少年HAE急性发作的对症治疗。本文总结了塞贝司他开发过程中导致其首次获批用于HAE的里程碑事件。

相似文献

1
Sebetralstat: First Approval.塞贝曲司他:首次获批。
Drugs. 2025 Nov;85(11):1499-1505. doi: 10.1007/s40265-025-02239-0. Epub 2025 Sep 27.
2
An investigational oral plasma kallikrein inhibitor for on-demand treatment of hereditary angioedema: a two-part, randomised, double-blind, placebo-controlled, crossover phase 2 trial.一种用于按需治疗遗传性血管性水肿的研究性口服血浆激肽释放酶抑制剂:一项两部分、随机、双盲、安慰剂对照、交叉 2 期临床试验。
Lancet. 2023 Feb 11;401(10375):458-469. doi: 10.1016/S0140-6736(22)02406-0.
3
An evaluation of sebetralstat as the first oral on-demand therapy for Hereditary Angioedema.对司贝特拉司作为遗传性血管性水肿的首个口服按需治疗药物的评估。
Expert Opin Pharmacother. 2025 Apr;26(6):685-693. doi: 10.1080/14656566.2025.2482737. Epub 2025 Apr 1.
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Interventions for the long-term prevention of hereditary angioedema attacks.遗传性血管性水肿长期预防干预措施。
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本文引用的文献

1
Oral Sebetralstat for On-Demand Treatment of Hereditary Angioedema Attacks.按需治疗遗传性血管性水肿发作的口服司培他汀。
N Engl J Med. 2024 Jul 4;391(1):32-43. doi: 10.1056/NEJMoa2314192. Epub 2024 May 31.
2
An investigational oral plasma kallikrein inhibitor for on-demand treatment of hereditary angioedema: a two-part, randomised, double-blind, placebo-controlled, crossover phase 2 trial.一种用于按需治疗遗传性血管性水肿的研究性口服血浆激肽释放酶抑制剂:一项两部分、随机、双盲、安慰剂对照、交叉 2 期临床试验。
Lancet. 2023 Feb 11;401(10375):458-469. doi: 10.1016/S0140-6736(22)02406-0.
3
Sebetralstat (KVD900): A Potent and Selective Small Molecule Plasma Kallikrein Inhibitor Featuring a Novel P1 Group as a Potential Oral On-Demand Treatment for Hereditary Angioedema.
塞贝特拉唑(KVD900):一种强效且选择性的小分子血浆激肽释放酶抑制剂,其 P1 基团为新型结构,有望成为遗传性血管性水肿的口服按需治疗药物。
J Med Chem. 2022 Oct 27;65(20):13629-13644. doi: 10.1021/acs.jmedchem.2c00921. Epub 2022 Oct 17.
4
Absorption, metabolism, and excretion of [C]-sebetralstat (KVD900) following a single oral dose in healthy male participants.
Xenobiotica. 2022 Jul;52(7):707-717. doi: 10.1080/00498254.2022.2132187. Epub 2022 Oct 17.
5
Pharmacological suppression of the kallikrein kinin system with KVD900: An orally available plasma kallikrein inhibitor for the on-demand treatment of hereditary angioedema.用 KVD900 抑制激肽释放酶激肽系统:一种可口服的血浆激肽释放酶抑制剂,用于遗传性血管性水肿的按需治疗。
Clin Exp Allergy. 2022 Sep;52(9):1059-1070. doi: 10.1111/cea.14122. Epub 2022 Mar 20.
6
KVD900, an oral on-demand treatment for hereditary angioedema: Phase 1 study results.KVD900,一种遗传性血管性水肿按需口服治疗药物:I 期研究结果。
J Allergy Clin Immunol. 2022 Jun;149(6):2034-2042. doi: 10.1016/j.jaci.2021.10.038. Epub 2022 Jan 24.
7
US HAEA Medical Advisory Board 2020 Guidelines for the Management of Hereditary Angioedema.美国遗传性血管性水肿学会医学顾问委员会 2020 年遗传性血管性水肿管理指南。
J Allergy Clin Immunol Pract. 2021 Jan;9(1):132-150.e3. doi: 10.1016/j.jaip.2020.08.046. Epub 2020 Sep 6.