The American College of Cardiology/American Heart Association hypertension guidelines recommend treatment initiation with dual antihypertensive therapy in adults with stage 2 hypertension (corresponding to grade 1 and 2 in the ESH classification) and an average BP >20/10 mm Hg above target. Amlodipine and valsartan are two of the most commonly prescribed medications for the treatment of hypertension (high blood pressure). In Pakistan multiple studies were conducted on Hypertension and use of Single Pill Combination in uncontrolled Hypertension. However, no study was conducted to assess the role of Single Pill Combination (SPC) like Amlodipine and Valsartan in newly diagnosed hypertension and to assess their quality of life by patients' satisfaction with their medication after managing the hypertension with the SPC.

开始日期2024-09-28

申办/合作机构

The Searle Co. Ltd.

CTR20242837 / Recruiting临床3期

奥美沙坦酯左氨氯地平片(20mg/2.5mg)用于奥美沙坦酯片(20mg)或苯磺酸氨氯地平片(5mg)单药治疗4周血压不能有效控制的原发性轻、中度高血压患者的有效性和安全性的随机、双盲双模拟、多中心Ⅲ期临床研究

验证复方制剂相对于单方制剂的优效性：评价奥美沙坦酯左氨氯地平片(20mg/2.5mg)用于奥美沙坦酯片(20mg)或苯磺酸氨氯地平片(5mg)单药治疗4周血压不能有效控制的原发性轻、中度高血压患者的有效性和安全性。

开始日期2024-09-13

申办/合作机构

江西施美药业股份有限公司

CTR20242546 / Recruiting临床3期

坎地沙坦酯氨氯地平片（8mg/5mg）用于坎地沙坦酯片（8mg）或苯磺酸氨氯地平片（5mg）单药治疗4周血压不能有效控制的原发性轻、中度高血压患者的有效性和安全性的随机、双盲双模拟、多中心III期临床研究

验证复方制剂相对于单方制剂的优效性。评价复方坎地沙坦酯氨氯地平片（8mg/5mg）用于坎地沙坦酯片（8mg）或苯磺酸氨氯地平片（5mg）单药治疗4周血压不能有效控制的原发性轻、中度高血压的有效性和安全性。

开始日期2024-08-28

申办/合作机构

江西施美药业股份有限公司

100 项与 VDCCs x AT1R 相关的临床结果

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100 项与 VDCCs x AT1R 相关的转化医学

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0 项与 VDCCs x AT1R 相关的专利（医药）

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项与 VDCCs x AT1R 相关的文献（医药）

2024-09-01·Bioorganic & Medicinal Chemistry Letters

Synthesis, biosimulation and pharmacological evaluation of benzimidazole derivatives with antihypertensive multitarget effect

Article

作者: Ibarra-Barajas, Maximiliano ; Hidalgo-Figueroa, Sergio ; Gutiérrez-Hernández, Abraham ; Hernández-Núñez, Emanuel ; Castro-Moreno, Patricia ; Navarrete-Vazquez, Gabriel ; Gaona-Tovar, Emmanuel ; Estrada-Soto, Samuel ; Martínez-Conde, Carlos ; Medina-Franco, José L

In this study, we synthesized a series of seven benzimidazole derivatives incorporating the structural acidic framework of angiotensin II (Ang II) type 1 receptor (AT₁R) antagonists (ARA-II) employing a three-step reaction sequence. The chemical structures were confirmed by ¹H NMR, ¹³C NMR and mass spectral data. Through biosimulation, compounds 1-7 were identified as computational safe hits, thus, best candidates underwent ex vivo testing against two distinct mechanisms implicated in hypertension: antagonism of the Ang II type 1 receptor and the blockade of calcium channel. Molecular docking studies helped to understand at the molecular level the dual vasorelaxant effects with the recognition sites of the AT₁R and the L-type calcium channel. In an in vivo spontaneously hypertensive rat model (SHR), intraperitoneally administration of compound 1 at 20 mg/kg resulted in a 25 % reduction in systolic blood pressure, demonstrating both ex vivo vasorelaxant action and in vivo antihypertensive multitarget efficacy. ©2024 Elsevier.

2024-05-01·Hypertension

Mineralocorticoid Receptors in Vascular Smooth Muscle: Blood Pressure and Beyond

Review

作者: Camarda, Nicholas D. ; Biwer, Lauren A. ; Jaffe, Iris Z. ; Ibarrola, Jaime

After half a century of evidence suggesting the existence of mineralocorticoid receptors (MR) in the vasculature, the advent of technology to specifically knockout the MR from smooth muscle cells (SMCs) in mice has elucidated contributions of SMC-MR to cardiovascular function and disease, independent of the kidney. This review summarizes the latest understanding of the molecular mechanisms by which SMC-MR contributes to (1) regulation of vasomotor function and blood pressure to contribute to systemic and pulmonary hypertension; (2) vascular remodeling in response to hypertension, vascular injury, obesity, and aging, and the impact on vascular calcification; and (3) cardiovascular pathologies including aortic aneurysm, heart valve dysfunction, and heart failure. Data are reviewed from in vitro studies using SMCs and in vivo findings from SMC-specific MR-knockout mice that implicate target genes and signaling pathways downstream of SMC-MR. By regulating expression of the L-type calcium channel subunit Cav1.2 and angiotensin II type-1 receptor, SMC-MR contributes to myogenic tone and vasoconstriction, thereby contributing to systemic blood pressure. MR activation also promotes SMC proliferation, migration, production and degradation of extracellular matrix, and osteogenic differentiation by regulating target genes including connective tissue growth factor, osteopontin, bone morphogenetic protein 2, galectin-3, and matrix metallopeptidase-2. By these mechanisms, SMC-MR promotes disease progression in models of aging-associated vascular stiffness, vascular calcification, mitral and aortic valve disease, pulmonary hypertension, and heart failure. While rarely tested, when sexes were compared, the mechanisms of SMC-MR-mediated disease were sexually dimorphic. These advances support targeting SMC-MR-mediated mechanisms to prevent and treat diverse cardiovascular disorders.

2021-11-01·Biomedicine & Pharmacotherapy2区 · 医学

Baicalin attenuates angiotensin II-induced blood pressure elevation and modulates MLCK/p-MLC signaling pathway

2区 · 医学

Article

作者: Ali, Farman ; Peng, Jun ; Yan, Mengchao ; Xie, Qiurong ; Wang, Di ; Yang, Yanyan ; Chu, Jianfeng ; Cheng, Ying ; Wu, Meizhu ; Fang, Yi ; Liu, Huixin ; Shen, Aling ; Wei, Lihui

Scutellaria baicalensis Georgi is an extensively used medicinal herb for the treatment of hypertension in traditional Chinese medicine. Baicalin, is an important flavonoid in Scutellaria baicalensis Georgi extracts, which exhibits therapeutic effects on anti-hypertension, but its underlying mechanisms remain to be further explored. Therefore, we investigated the effects and molecular mechanisms of Baicalin on anti-hypertension. In vivo studies revealed that Baicalin treatment significantly attenuated the elevation in blood pressure, the pulse propagation and thickening of the abdominal aortic wall in C57BL/6 mice infused with Angiotensin II (Ang II). Moreover, RNA-sequencing and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses identified 537 differentially expressed transcripts and multiple enriched signaling pathways (including vascular smooth muscle contraction and calcium signaling pathway). Consistently, we found that Baicalin pretreatment significantly alleviated the Ang II induced constriction of abdominal aortic ring, while promoted NE pre-contracted vasodilation of abdominal aortic ring at least partly dependent on L-type calcium channel. In addition, Ang II stimulation significantly increased cell viability and PCNA expression, while were attenuated after Baicalin treatment. Moreover, Baicalin pretreatment attenuated Ang II-induced intracellular Ca²⁺ release, Angiotensin II type 1 receptor (AT1R) expression and activation of MLCK/p-MLC pathway in vascular smooth muscle cells (VSMCs). The present work further addressed the pharmacological and mechanistic insights on anti-hypertension of Baicalin, which may help better understand the therapeutic effect of Scutellaria baicalensis Georgi on anti-hypertension.

项与 VDCCs x AT1R 相关的新闻（医药）

2024-05-21

·药通社

己酮可可碱注射液、盐酸格拉司琼片过评！3款创新药获批上市，520、521批件送达！

万人展会！一次性看现行法规下如何办理B证、MAH立项思路及案例、吸入制剂研发思路等……520批件送达信息昨天的批次共有10个受理号获批，2个品种过评。过评品种为山东北大高科华泰制药有限公司的2品规注射用奥美拉唑，鲁南贝特制药有限公司的阿昔莫司胶囊。葡萄糖注射液广东大冢制药和江西科伦的葡萄糖注射液是用非一致性评价来申报的。本身也可以免除一致性评价，临床应用价值已经得到了广泛认可，且它们的质量标准相对成熟和稳定，因此不需要再进行一致性评价来证明其质量和疗效。此外，葡萄糖注射液作为基础输液，其生产工艺和质量控制相对简单，且已有较为完善的质量标准和规范，因此不需要通过一致性评价来进一步证明其安全性和有效性。同时，这也有助于减轻企业的负担，加快药品的上市进程，更好地满足临床需求。这次江西科伦新增了一个批件。图源 | 药融云数据库根据药融云数据库，葡萄糖注射液在全国医院（全终端）的销售量近年来都维持得相对稳定。注射用奥美拉唑本次过评的还有山东北大高科华泰制药有限公司的2品规注射用奥美拉唑。目前注射用奥美拉唑已有51家过评。如下几家中了第七批集采：浙江亚太药业股份有限公司武汉天安医药科技有限公司哈尔滨三联药业股份有限公司华北制药河北华诺有限公司海南全星制药有限公司湖南恒生制药股份有限公司宜昌人福药业有限责任公司陕西博森生物制药股份集团有限公司湖南赛隆药业有限公司湖南科伦制药有限公司阿昔莫司胶囊RECRUIT提到降血脂，很多人首先想到的就是他汀类药物，常见的有瑞舒伐他汀、阿托伐他汀、匹伐他汀、辛伐他汀等等。这是因为他汀在调脂市场独占鳌头，市场份额达到了80%以上，处于无可撼动的地位。阿昔莫司胶囊是一种用于降低甘油三酯水平的药物，适用于那些对其他治疗（如他汀类药物或贝特类药物）反应不充分的患者。阿昔莫司批得很少，有效批文只有这几家，都是2001年首次获批的老批文了：地奥集团成都药业股份有限公司鲁南贝特制药有限公司四川豪运药业股份有限公司根据药融云数据库，近年来阿昔莫司胶囊销量有所下降。图源 | 药融云数据库CMC议程已出！B证、CRO产品立无可立？会议邀请到了数十位企业决策层破解立项难题↓扫码查看所有议程521批件送达信息5月21日共有66个批准文件送达，共有两个过评品种，分别是广州万正药业有限公司的己酮可可碱注射液和福安药业集团宁波天衡制药有限公司的盐酸格拉司琼片。己酮可可碱注射液过评达到了8家，目前仅进入地方集采。图源 | 药融云数据库盐酸格拉司琼片目前市场上有4个有效批文，仅过评1家。图源 | 药融云数据库图源 | 药融云数据库新药板块，上海倍而达药业的甲磺酸瑞奇替尼胶囊、海思科的苯磺酸颗粒加巴林胶囊、信立泰的阿利沙坦酯氨氯地平片、江苏恒瑞的氟唑帕利胶囊批件送达。甲磺酸瑞奇替尼胶囊适应症: 适用于既往经表皮生长因子受体（EGFR）酪氨酸激酶抑制剂（TKI）治疗时或治疗后出现疾病进展，并且经检测确认存在EGFR T790M突变阳性的局部晚期或转移性非小细胞肺癌（NSCLC）成人患者的治疗。重要信息: 甲磺酸瑞奇替尼胶囊（BPI-7711）是一种1类创新药物，属于第三代EGFR-TKI，对EGFR T790M突变具有显著的抑制活性。苯磺酸颗粒加巴林胶囊适应症: 用于治疗成人糖尿病性周围神经病理性疼痛。重要信息: 苯磺酸克利加巴林胶囊是一种1类创新药物，是抑制性神经递质γ-氨基丁酸（GABA）的结构衍生物。阿利沙坦酯氨氯地平片药物类型: AT1R拮抗剂、L-type calcium channel阻滞剂重要信息: 阿利沙坦酯是中国制药企业信立泰研发的一种降压药，属于沙坦类药物，通过选择性的与血管紧张素Ⅱ受体结合，阻断血管紧张素Ⅱ引起的血管收缩，促进醛固酮分泌，达到降低血压的目的。阿利沙坦酯与苯磺酸氨氯地平的组合药物，用于治疗高血压。氟唑帕利胶囊氟唑帕利是一种聚腺苷二磷酸核糖聚合酶（PARP）抑制剂，可特异性杀伤BRCA突变的肿瘤细胞。2020年12月14日，国家药监局官网发布信息显示，恒瑞医药1类创新药氟唑帕利胶囊（商品名：艾瑞颐）上市。氟唑帕利为小分子PARP抑制剂，可抑制BRCA1/2功能异常细胞中的DNA修复过程，诱导细胞周期阻滞，进而抑制肿瘤细胞增殖。该品种上市为患者提供了新的治疗选择。2024年4月2日，恒瑞医药发布公告，氟唑帕利胶囊、甲磺酸阿帕替尼片被国家药品监督管理局药品审评中心纳入突破性治疗品种名单，拟定适应症为氟唑帕利单药或联合阿帕替尼治疗gBRCA突变的HER2阴性乳腺癌。根据受理号，这次是申报氟唑帕利单药或联合甲磺酸阿帕替尼用于伴有胚系BRCA 突变（gBRCAm）的 HER2 阴性乳腺癌患者的治疗。图源 | 药融云数据库全目录：2024年05月21日药品批准证明文件送达信息2024年05月21日药品批准证明文件送达信息-1CMC议程已出！B证、CRO产品立无可立？会议邀请到了数十位企业决策层破解立项难题↓扫码查看所有议程推荐阅读

一致性评价上市批准

2023-05-28

·医药地理

2022年获批进口药品分析（心血管系统用药、神经系统用药）

本文数据来自于CPM新药研发监测数据库（cpm.pharmadl.com）。心血管系统用药2022年NMPA批准的进口心血管系统用药，共计71个（按照注册证号分类），获批品种数量前五的几家企业分别为拜耳（12个）、赛诺菲（8个）、勃林格殷格翰（7个）、Kyowa Kirin（6个）、Organon Pharma（6个）；涉及靶点排名前三的是AGTR1（20个）、CACNA1C（14个）、Hmgcr（14个）。在政策相关度方面，2022年获批的进口心血管系统用药中，2022国家医保目录品种共有67个，没有带量采购招标品种。神经系统用药2022年NMPA批准的进口神经系统用药，共计55个（按照注册证号分类），获批品种前三的企业分别是Napp Pharmaceuticals（8个）、Dr Reddy's Laboratories（6个）、Mundipharma Research（6个）；涉及靶点排名前三的是Nav1.1（9个）、ACHE（7个）、OPRK1（6个）。在政策相关度方面，2022年获批的进口神经系统用药中，2022国家医保目录品种共有49个，没有带量采购招标品种。年度发布2023年《全球药研新动态》《中国医院市场用药格局》（2023版）2023年《数图药讯》权威发布2021年度中国医药工业百强榜单解读中国仿制药发展报告（2022版）医药行业专项报告中国医药中间体和原料药行业调研报告中国非甾体抗炎类原料药市场调研报告中国祛痰类原料药市场调研报告中国钙拮抗剂类原料药市场调研报告中国血管紧张素Ⅱ受体拮抗剂类原料药市场调研报告中国口服血糖调节类原料药市场调研报告中国中枢兴奋类原料药市场调研报告中国抗痛风类原料药市场调研报告中国脑血管病类原料药市场调研报告END如需获取更多数据洞察信息或公众号内容合作，请联系医药地理小助手微信号：pharmadl001

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