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更新于：2026-02-27
Epinastine Hydrochloride
盐酸依匹斯汀
更新于：2026-02-27
概要
基本信息
最高研发阶段批准上市 |
最高研发阶段(中国)批准上市 |
特殊审评优先审评 (中国) |
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结构/序列
分子式C16H16ClN3 |
InChIKeyVKXSGUIOOQPGAF-UHFFFAOYSA-N |
CAS号108929-04-0 |
关联
52
项与 盐酸依匹斯汀 相关的临床试验CTR20254779
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CTR20243732
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CTR20234212
0.1%STN1011403滴眼液治疗过敏性结膜炎的多中心随机评价者盲态阳性对照试验
100 项与 盐酸依匹斯汀 相关的临床结果
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100 项与 盐酸依匹斯汀 相关的转化医学
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100 项与 盐酸依匹斯汀 相关的专利（医药）
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225
项与 盐酸依匹斯汀 相关的文献（医药）2025-11-01NAUNYN-SCHMIEDEBERGS ARCHIVES OF PHARMACOLOGY
Population modeling of pharmacokinetic variability of epinastine, a histamine H1 receptor antagonist, according to cytochrome P450 2D6 phenotypic polymorphisms
Article
作者: Jeong, Seung-Hyun ; Jang, Ji-Hun
Although epinastine has been actively used in clinical practice for treatment of allergic diseases, attempts to interpret and quantify pharmacokinetic (PK) diversity within population have been very limited. In particular, there have been no studies on population-pharmacokinetic (pop-PK) modeling of epinastine focusing on genetic factors. The primary objective of this study was to quantitatively interpret the PK variability of epinastine according to phenotypic polymorphisms of cytochrome P450 (CYP) 2D6 in Korean population and to construct a new pop-PK model considering such polymorphisms. The bioequivalence PKs, physiologic and biochemical parameter analyses, and CYP2D6 genotyping results performed in 26 healthy Korean males were used in this study. The pop-PKs of epinastine were described by the first-order oral absorption and distribution between central and peripheral compartments, and elimination from the central compartment as the basic model structure. The covariate reflection of physiologic and biochemical parameters was not valid. Conversely, CYP2D6 phenotypic polymorphisms were explored as valid covariates for clearance from the central compartment (CLc/F). Compared to extensive-metabolizers (EMs), the decreases in typical CLc/F values in intermediate-metabolizers (IMs) and poor-metabolizers (PMs) were estimated as 28.06% and 49.48%, respectively. As a result of pop-PK model simulation, the serum concentrations of epinastine at steady-state significantly increased from CYP2D6 EMs to IMs and PMs. The degree of increase was 1.97 (in PMs compared to EMs) and 1.39 (in IMs compared to EMs) based on the corresponding value of 50% of the group. This study provides a new perspective on the quantitative interpretation of PK changes for epinastine according to CYP2D6 genotypic factors and is expected to be an important bridgehead for improving clinical efficacy and safety through precision pharmacotherapy.
2025-07-16BIOLOGICAL & PHARMACEUTICAL BULLETIN
Second-Generation H<sub>1</sub>-Receptor Antagonists, Mequitazine, Azelastine and Desloratadine Activate Caspase-8, Caspase-3, and Gasdermin E and Induce Cell Death Showing Pyroptotic-Like Features in Macrophages at Excessively High Concentrations
Article
作者: Ito, Akane ; Nakajima, Mitsunari ; Sawamoto, Atsushi ; Okuyama, Satoshi
Histamine H1 receptor (H1R) is expressed in various cells, including neurons, smooth muscle cells, hepatocytes, T and B cells, neutrophils, dendritic cells, monocytes, and macrophages. Antagonists that target the H1R are used to relieve the symptoms of allergy and inflammation. Here, we examined the inflammation-modulating and cell death-inducing effects of 10 second-generation H1R antagonists on mouse intraperitoneal macrophages, which include ketotifen, mequitazine, azelastine, oxatomide, epinastine, bepotastine, fexofenadine, loratadine, levocetirizine, and desloratadine, to assess an anticipated adverse reaction. Three of these antagonists, namely, mequitazine, azelastine, and desloratadine, induced the secretion of interleukin-1α (IL-1α), a marker of pyroptosis and an inflammatory cytokine, from the macrophages at excessively high concentrations, while reducing the secretion of another inflammatory cytokine, IL-6. We found that the macrophages treated with the 3 antagonists showed pyroptotic-like, but not apoptotic-like, morphology and died. Western blotting analysis revealed that caspase-8, caspase-3, and gasdermin E (GSDME), but not gasdermin D, were cleaved and activated in the macrophages. These results suggest that second-generation H1R antagonists such as mequitazine, azelastine, and desloratadine induce pyroptotic-like cell death accompanied by caspase-8, caspase-3, and GSDME activation in macrophages.
2025-06-26Cureus Journal of Medical Science
Topical Innovation: A Report on Epinastine Eyelid Cream for Patients With Mild Atopic Keratoconjunctivitis
Article
作者: Mimura, Tatsuya ; Fukagawa, Kazumi
Allergic conjunctivitis is a common ocular disorder that significantly impacts patients' quality of life. Conventional treatments, primarily anti-allergic and corticosteroid eye drops, require frequent administration, posing adherence challenges. Poor compliance is a major barrier to effective management, particularly in pediatric and elderly patients. Recently, a novel 0.5% epinastine topical eyelid cream, designed for once-daily application, has been introduced as an alternative treatment. However, no clinical reports for atopic keratoconjunctivitis have assessed its efficacy and safety in real-world practice. This study presents a clinical report on the use of 0.5% epinastine topical eyelid cream in three patients with allergic conjunctivitis and atopic dermatitis, evaluating its therapeutic efficacy, adherence, and tolerability. We examined three cases of allergic conjunctivitis associated with atopic dermatitis treated with once-daily 0.5% epinastine topical eyelid cream. Clinical outcomes were assessed using an allergic conjunctivitis severity score based on objective findings. Adherence and safety were also evaluated. All patients exhibited rapid symptom improvement, with significant reductions in ocular pruritus, conjunctival hyperemia, and eyelid dermatitis. By week four, allergic conjunctivitis severity scores had improved markedly in all cases (from baseline scores of 8-13 to 3-6). No adverse effects or treatment discontinuations were observed. Notably, all patients reported high adherence and ease of use, with reduced reliance on eye drops. This case series provides the clinical evidence supporting the efficacy and tolerability of 0.5% epinastine topical eyelid cream for allergic conjunctivitis, particularly in patients with coexisting atopic dermatitis. The once-daily application may enhance adherence and serve as a viable alternative or adjunct to conventional eye drops. Further large-scale studies are warranted to validate these findings.
100 项与 盐酸依匹斯汀 相关的药物交易
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研发状态
批准上市
10 条最早获批的记录, 后查看更多信息
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| 适应症 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|
| 变应性结膜炎 | 日本 | 2013-09-20 | |
| 季节性过敏性结膜炎 | 奥地利 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 比利时 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 捷克 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 丹麦 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 法国 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 德国 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 希腊 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 匈牙利 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 爱尔兰 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 意大利 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 卢森堡 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 荷兰 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 波兰 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 葡萄牙 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 斯洛伐克 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 西班牙 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 瑞典 | 2003-03-04 | |
| 季节性过敏性结膜炎 | 英国 | 2003-03-04 | |
| 银屑病 | 中国 | 2000-06-16 |
未上市
10 条进展最快的记录, 后查看更多信息
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| 适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|---|
| 季节性过敏性鼻炎 | 临床3期 | - | 2007-12-18 | |
| 特应性皮炎 | 临床3期 | - | 2001-06-01 | |
| 常年性变应性鼻炎 | 临床3期 | - | 2000-05-01 |
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临床结果
临床结果
适应症
分期
评价
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| - | 30 | 遞鏇蓋網鹽膚選獵壓衊(構餘鏇觸網膚衊網鏇糧): p = < 0.0001 更多 | 积极 | 2024-09-01 | |||
安慰剂 | |||||||
临床3期 | 87 | (Epinastine (DE-114) Ophthalmic Solution) | 鑰鏇糧夢鬱鏇壓糧衊襯(製簾繭鏇鬱窪選獵衊範) = 觸鹽餘遞廠鑰觸襯鏇衊 膚襯蓋遞窪範願衊獵鹽 (範廠醖糧鏇築網鹽醖衊, 0.1) 更多 | - | 2014-11-05 | ||
Placebo (Placebo Ophthalmic Solution) | 鑰鏇糧夢鬱鏇壓糧衊襯(製簾繭鏇鬱窪選獵衊範) = 艱膚鹽獵製襯選衊網觸 膚襯蓋遞窪範願衊獵鹽 (範廠醖糧鏇築網鹽醖衊, 0.1) 更多 | ||||||
临床3期 | 130 | 範範齋範艱築壓壓製醖(艱夢顧積壓願蓋廠廠憲) = 襯製膚淵壓鑰簾顧網窪 壓網鹽夢夢製願夢憲糧 (糧繭鏇糧淵襯願願鹹餘, 0.1) 更多 | - | 2014-09-23 | |||
临床4期 | 79 | (Elestat) | 繭窪窪廠鏇廠構構顧襯(餘襯選觸膚醖襯簾艱淵) = 繭製窪餘鹽齋廠繭顧糧 鹹膚選積壓壓膚膚蓋簾 (淵觸鏇憲網積鹽鬱構窪, 1.36) 更多 | - | 2009-05-27 | ||
(Pataday) | 繭窪窪廠鏇廠構構顧襯(餘襯選觸膚醖襯簾艱淵) = 構醖淵齋製醖淵遞鬱網 鹹膚選積壓壓膚膚蓋簾 (淵觸鏇憲網積鹽鬱構窪, 1.07) 更多 | ||||||
N/A | - | - | Epinastine HCl 0.05% | 遞齋襯艱網憲築夢選鹹(膚醖願鬱鑰觸鬱網網鑰) = primarily colds/URI, was the most frequent AE reported in 5.0% of epinastine subjects and 8.3% of vehicle subjects 艱鹽觸鹹壓簾鏇鬱衊淵 (鏇艱衊鑰鑰齋醖夢鏇衊 ) | 积极 | 2003-05-01 | |
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