Enarodustat to treat anemia in chronic kidney disease

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Anemia is a common complication in patients with chronic kidney disease (CKD). Erythropoiesis-stimulating agents (ESAs) are the standard therapy for anemia in CKD. It has been expected that hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibition may have the potential to provide therapeutic benefits over pre-existing ESAs for anemia in CKD. Enarodustat (JTZ-951) is an oral HIF-PH inhibitor. In preclinical studies, enarodustat has been found to increase HIF-alpha proteins, erythropoietin production and erythropoiesis. Enarodustat also shows efficient iron utilization in iron-related parameters during erythropoiesis. Clinical trials have shown that enarodustat improved anemia both in non-dialysis-dependent CKD patients and dialysis patients. The safety results in clinical trials demonstrate that enarodustat is generally well tolerated. On the basis of these results, enarodustat was approved in September 2020 in Japan for the treatment of anemia associated with CKD. This manuscript will review enarodustat, its pharmacological characteristics in preclinical studies, and its efficacy and safety in clinical trials with anemic patients in CKD.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

Drugs of today (Barcelona, Spain : 1998) - 57(2021), 8 vom: 13. Aug., Seite 491-497

Sprache:

Englisch

Beteiligte Personen:

Fukui, K [VerfasserIn]
Tanaka, T [VerfasserIn]
Nangaku, M [VerfasserIn]

Links:

Volltext

Themen:

11096-26-7
Anemia
Antianemics
Chronic kidney disease
EC 1.14.11.29
Enarodustat
Erythropoietin
Hypoxia-Inducible Factor-Proline Dioxygenases
Hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitors
JSK7TUA223
Journal Article
N-substituted Glycines
Pyridines
Renal disorders
Triazoles

Anmerkungen:

Date Completed 19.08.2021

Date Revised 19.08.2021

published: Print

Citation Status MEDLINE

doi:

10.1358/dot.2021.57.8.3304877

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329487825