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首页> 外文期刊>Drugs of the Future >Sparsentan Dual angiotensin II AT(1) receptor blocker and endothelin ETA receptor antagonist Treatment of focal segmental glomerulosclerosis Treatment of IgA nephropathy
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Sparsentan Dual angiotensin II AT(1) receptor blocker and endothelin ETA receptor antagonist Treatment of focal segmental glomerulosclerosis Treatment of IgA nephropathy

机译:Spararentan双血管紧张素II(1)受体阻滞剂和内皮素ETA受体拮抗剂治疗IgA肾病治疗IgA肾病治疗

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摘要

Treatment of glomerular diseases remains challenging. There are limited therapeutic options currently available for focal segmental glomerulosclerosis (FSGS) and immunoglobulin A nephropathy (IgAN) and they are generally ineffective in a substantial proportion of patients who-progress to end-stage kidney disease during long-term follow-up. Standard management involving renin-angiotensin-aldosterone system (RAAS) inhibitors, corticosteroids and various immunosuppressive therapies does not always achieve sustained, complete or partial remission for most patients while causing serious or intolerable adverse effects. There is a substantial unmet need for new treatments to improve outcomes. Sparsentan, a first-in-class, orally active compound combining angiotensin II type 1 (AT(1)) receptor blockade with endothelin ETA receptor antagonism, offers an innovative dual mechanism of action approach to the treatment of these diseases with a potentially greater nephroprotective effect, compared to RAAS or endothelin inhibition alone. We summarize the molecular and pharmacological features of sparsentan and discuss ongoing clinical trials in FSGS and IgAN. These trials were designed to examine the long-term antiproteinuric effect, nephroprotective potential and safety profile of sparsentan. We also highlight new efforts to evaluate sparsentan in the treatment of Alport syndrome. This review aims to elucidate the potential role of this novel agent in the management of glomerular diseases.
机译:肾小球疾病的治疗仍然具有挑战性。目前可用于局灶性节段性肾小球粥样硬化(FSG)和免疫球蛋白的治疗选择有限,并且它们通常在长期随访期间对终级肾病的大部分患者无效。涉及肾素 - 血管紧张素 - 醛固酮系统(RAAs)抑制剂,皮质类固醇和各种免疫抑制作用的标准管理并不总是为大多数患者的持续,完全或部分缓解而导致严重或难以忍受的不良影响。新治疗需要大量的未满足需要改善结果。结石顿,一流的口服活性化合物组合血管紧张素II型(在(1))受体阻滞与内皮素Eta受体拮抗剂,提供了一种具有潜在更大的肾脏治疗这些疾病的创新的双重机制方法与raas或内皮素抑制相比,效果。我们总结了Sparsentan的分子和药理特征,并讨论了FSGS和Igan的持续临床试验。这些试验旨在探讨稗植物的长期抗胆管效应,肾脏反应性和安全性。我们还强调了评估斯特森坦治疗Alport综合征的新努力。该审查旨在阐明这种新试剂在肾小球疾病管理中的潜在作用。

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