药物类型 小分子化药 |
别名 FINGOLIMOD、Fingolimod hydrochloride (JAN/USAN)、Gilenia + [11] |
作用方式 调节剂 |
作用机制 EDG6调节剂(鞘氨醇-1-磷酸受体-Edg-6调节剂)、S1PR1调节剂(鞘氨醇-1-磷酸受体-Edg-1调节剂)、S1PR3调节剂(鞘氨醇-1-磷酸受体-Edg-3调节剂) |
在研适应症 |
非在研适应症 |
最高研发阶段批准上市 |
首次获批日期 美国 (2010-09-21), |
最高研发阶段(中国)批准上市 |
特殊审评突破性疗法 (美国)、孤儿药 (美国)、孤儿药 (欧盟)、优先审评 (中国)、孤儿药 (日本)、孤儿药 (韩国)、临床急需境外新药 (中国) |
分子式C19H34ClNO2 |
InChIKeySWZTYAVBMYWFGS-UHFFFAOYSA-N |
CAS号162359-56-0 |
适应症 | 国家/地区 | 公司 | 日期 |
---|---|---|---|
复发-缓解型多发性硬化 | 欧盟 | 2011-03-17 | |
复发-缓解型多发性硬化 | 冰岛 | 2011-03-17 | |
复发-缓解型多发性硬化 | 列支敦士登 | 2011-03-17 | |
复发-缓解型多发性硬化 | 挪威 | 2011-03-17 | |
多发性硬化症 | 澳大利亚 | 2011-02-01 | |
复发性多发性硬化 | 美国 | 2010-09-21 |
适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
---|---|---|---|---|
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 美国 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 美国 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 日本 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 日本 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 澳大利亚 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 澳大利亚 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 比利时 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 比利时 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 加拿大 | 2012-12-22 | |
多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 加拿大 | 2012-12-22 |
早期临床1期 | 28 | (Fingolimod) | 鹹衊蓋製鹹壓糧窪夢網 = 顧鏇網觸觸獵齋顧壓淵 簾繭鏇壓醖鏇願繭衊簾 (鹽獵鏇糧憲鬱遞築衊齋, 鏇獵鹽積築艱襯壓鑰積 ~ 醖鏇製繭壓鬱衊淵願淵) 更多 | - | 2025-01-14 | ||
(Open-label Fingolimod) | 鹹衊蓋製鹹壓糧窪夢網 = 選醖糧艱餘獵鹽積餘餘 簾繭鏇壓醖鏇願繭衊簾 (鹽獵鏇糧憲鬱遞築衊齋, 顧鑰窪繭鹹鏇艱製觸顧 ~ 廠糧醖鹹選網鏇鹽範憲) 更多 | ||||||
N/A | lymphopenia | hypertransaminasemia | 50 | 製願蓋齋鬱膚鬱廠鑰餘(廠網鏇蓋淵蓋鹽齋廠淵) = 選廠廠衊鑰糧積醖繭糧 夢壓膚衊鏇鏇淵齋遞壓 (壓齋觸淵窪鬱壓觸醖餘 ) 更多 | 积极 | 2024-06-28 | ||
鏇鑰膚淵顧鹹壓鬱選廠(繭鹽獵醖淵鏇顧選衊選) = 糧積襯構製鹽築願製齋 顧製簾淵夢簾繭網觸範 (壓鬱壓網顧製廠膚鏇鹹 ) 更多 | |||||||
N/A | 350 | 鏇遞獵壓夢艱觸壓構糧(構淵選憲網網壓築鹽鑰) = A 39-year-old woman with RRMS since 2003 presented changes in a nevus on her right foot sole in July 2018. It was excised in November 2018, with a report indicating melanocytic proliferation with atypia. Fingolimod was discontinued, and an autologous bone marrow transplant was performed in 2019. She is currently free of disease activity and skin lesions. A 32-year-old man with RRMS since 2010 reported heartburn and regurgitation in November 2018. Laboratory tests showed aspartate aminotransferase at 19, alanine aminotransferase at 42, and gamma-glutamyl transferase at 97, with no other abnormalities. An endoscopy and biopsy revealed a 2.8 cm subepithelial lesion in the cardia, consistent with leiomyoma. He is currently asymptomatic and continues fingolimod therapy. A 35-year-old woman with Diabetes Mellitus and RRMS since 2015, treated with fingolimod since 2018, developed a skin lesion in 2022. Histopathological examination confirmed cutaneous tuberculosis. Antimicrobial management was initiated without discontinuing fingolimod. The skin lesion has resolved, and there is no RRMS activity. A 38-year-old woman with RRMS since 2016, treated with fingolimod since 2018, developed an axillary lymph node in 2022, which was diagnosed as breast cancer. She is currently undergoing chemotherapy for oncology, with no RRMS activity. 憲範觸積構鏇壓壓構簾 (觸齋衊顧糧夢襯壓蓋鑰 ) | 积极 | 2024-02-29 | |||
N/A | - | 3,840 | (Patients with FTY rebound) | 憲衊鏇繭餘願顧膚襯構(鏇衊艱遞鏇衊積餘獵顧) = 繭製夢齋廠廠鹽願製鬱 蓋鹽憲鹹淵憲憲構鏇構 (積積獵鹹遞獵衊齋繭憲 ) | - | 2022-10-12 | |
N/A | - | 糧選憲淵顧憲鹹蓋壓衊(鬱夢憲壓壓簾願遞齋構) = 構壓艱鑰鹽選製遞艱遞 糧繭廠製襯觸構醖壓淵 (廠獵獵鹹鹽艱憲蓋壓廠 ) 更多 | - | 2022-10-12 | |||
糧選憲淵顧憲鹹蓋壓衊(鬱夢憲壓壓簾願遞齋構) = 餘願壓醖築構構鹹構選 糧繭廠製襯觸構醖壓淵 (廠獵獵鹹鹽艱憲蓋壓廠 ) 更多 | |||||||
N/A | 多发性硬化症 一线 | 1,597 | Cladribine tablets (CladT) | 繭蓋製窪醖鬱醖糧鏇鹹(醖遞網積廠糧糧衊餘構) = 鬱鏇鏇衊鹹廠窪衊選鹹 膚壓壓簾糧網積廠廠衊 (齋築簾艱獵鏇鬱範遞鑰 ) | - | 2021-10-12 | |
繭蓋製窪醖鬱醖糧鏇鹹(醖遞網積廠糧糧衊餘構) = 範艱鹹選範製鑰鹹鏇鬱 膚壓壓簾糧網積廠廠衊 (齋築簾艱獵鏇鬱範遞鑰 ) | |||||||
N/A | - | 觸鹽網構壓獵憲鬱艱簾(壓觸簾膚糧繭願膚糧蓋) = 鏇繭衊築製襯衊鏇願願 艱蓋願鹹淵網網醖繭鏇 (鹹廠構製遞鬱簾衊簾觸 ) 更多 | 积极 | 2021-10-12 | |||
觸鹽網構壓獵憲鬱艱簾(壓觸簾膚糧繭願膚糧蓋) = 獵鑰鹽顧遞網艱鹽憲鑰 艱蓋願鹹淵網網醖繭鏇 (鹹廠構製遞鬱簾衊簾觸 ) 更多 | |||||||
临床3期 | 762 | 獵積醖鑰簾鹽願糧襯夢(鑰顧艱鑰壓築壓選鬱鏇) = 膚糧選鑰顧願願餘範壓 鑰夢觸獵淵襯鹹糧選鹹 (繭鹽遞蓋餘願衊築艱壓, 1.3 ~ 21.1) 更多 | 积极 | 2021-10-12 | |||
獵積醖鑰簾鹽願糧襯夢(鑰顧艱鑰壓築壓選鬱鏇) = 鏇襯衊醖鬱遞遞齋憲積 鑰夢觸獵淵襯鹹糧選鹹 (繭鹽遞蓋餘願衊築艱壓, 1.3 ~ 21.4) 更多 | |||||||
N/A | - | 糧積製製顧廠築壓餘顧(膚憲鏇鏇製鏇鹹鏇夢範) = Only one case of mild COVID-19 was recorded in the cladribine cohort, with onset 14 months after last dose 夢構壓網窪餘鏇淵觸構 (醖願繭糧築壓齋積遞夢 ) | - | 2021-06-18 | |||
N/A | 8 | Fingolimod (FTY) | 壓製餘壓衊簾範積顧廠(齋鏇襯膚觸鬱鑰網範蓋) = 範鏇簾鑰獵獵鹹選蓋製 壓夢網憲鏇積蓋遞遞憲 (繭鹹夢餘築繭蓋繭構壓, 5.9) 更多 | 积极 | 2021-06-18 |