Lomitapide

"目录号: HY-14667

Others-

Lomitapide (AEGR-733; BMS-201038)是高效的微粒体甘油三酯转移蛋白(MTP)抑制剂, 体内试验的IC50值为8 nM。

Others

相关产品

SBE-β-CD-MPTP hydrochloride-Cyclosporin A-Etomoxir-Auranofin-GKT137831-Ceruletide-Acetylcysteine-JC-1-BPTES-Brassinolide-FCCP-IPTG-MTT-RSL3 1S,3R--

生物活性

Description

Lomitapide (AEGR-733; BMS-201038) is a potent inhibitor of microsomal triglyceride-transfer protein (MTP) with anIC50of 8 nMin vitro.

IC50& Target

IC50: 8 nM (MTP)[1]

In Vitro

Lomitapide is an oral microsomal triglyceride transfer protein (MTP) inhibitor indicated for the treatment of patients with HoFH, a rare form of hypercholesterolemia that can lead to premature atherosclerotic disease. Lomitapide undergoes hepatic metabolism via cytochrome P-450 (CYP) isoenzyme 3A4 and interacts with CYP3A4 substrates including atorvastatin and simvastatin[2].

In Vivo

The use of lomitapide alone or in combination with other lipid-lowering modalities reduces plasma concentrations of low density lipoprotein cholesterol (LDL-C) by a mean of more than 50%. Lomitapide is associated with significant gastrointestinal adverse effects and increases in hepatic fat levels. The bioavailability of the 50-mg lomitapide capsule is 7.1%. The mean half-life of lomitapide is 39.7 hours[2]. Single-dose administration of lomitapide is shown to reduce serum triglycerides by 35% and 47% at 0.3- and 1-mg/kg doses, respectively. Multiple-dose treatment with lomitapide also results in dose dependent decrease in triglycerides (71%–87%), nonesterified fattyacids(33%–40%), and LDL-C(26-29%)[3].

Clinical Trial

NCT00730236

Aegerion Pharmaceuticals, Inc.-FDA Office of Orphan Products Development

Homozygous Familial Hypercholesterolemia

December 2007

Phase 3

NCT00690443

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

May 2008

Phase 2

NCT00405067

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

May 2006

Phase 2

NCT00559962

Aegerion Pharmaceuticals, Inc.

Hyperlipidemia

October 2007

Phase 2

NCT00474240

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

April 2007

Phase 2

NCT00730236

Aegerion Pharmaceuticals, Inc.-FDA Office of Orphan Products Development

Homozygous Familial Hypercholesterolemia

December 2007

Phase 3

NCT00690443

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

May 2008

Phase 2

NCT00405067

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

May 2006

Phase 2

NCT00559962

Aegerion Pharmaceuticals, Inc.

Hyperlipidemia

October 2007

Phase 2

NCT00474240

Aegerion Pharmaceuticals, Inc.

Hypercholesterolemia

April 2007

Phase 2

NCT02080455

Aegerion Pharmaceuticals, Inc.

Effect of Atorvastatin on the Pharmacokinetics of Lomitapide

February 2014

Phase 1

NCT02173158

Aegerion Pharmaceuticals, Inc.

Familial Hypercholesterolemia - Homozygous

April 2014

Phase 3

NCT02044419

Aegerion Pharmaceuticals, Inc.

Healthy

October 2013

Phase 1

NCT02135705

Aegerion Pharmaceuticals, Inc.

Homozygous Familial Hypercholesterolemia

March 2014

NCT00943306

Aegerion Pharmaceuticals, Inc.

Familial Hypercholesterolemia

September 2009

Phase 3

NCT02080468

Aegerion Pharmaceuticals, Inc.

Healthy

February 2014

Phase 1

NCT01915771

Aegerion Pharmaceuticals, Inc.

Intra-subject Variability of Pharmacokinetics

August 2013

Phase 1

NCT02765841

Aegerion Pharmaceuticals, Inc.

Homozygous Familial Hypercholesterolemia

May 2016

Phase 3

NCT02399839

Aegerion Pharmaceuticals, Inc.

Pregnancy

October 2014

NCT02399852

Aegerion Pharmaceuticals, Inc.

Homozygous Familial Hypercholesterolemia

April 2015

NCT01760187

Aegerion Pharmaceuticals, Inc.-Richmond Pharmacology Limited

Healthy Volunteer

November 2012

Phase 1

NCT01556906

Aegerion Pharmaceuticals, Inc.-University of Pennsylvania-Doris Duke Charitable Foundation

Homozygous Familial Hypercholesterolemia

June 2003

Phase 2

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References

[1].Sulsky R, et al. 5-Carboxamido-1,3,2-dioxaphosphorinanes, potent inhibitors of MTP. Bioorg Med Chem Lett. 2004 Oct 18;14(20):5067-70.

[2].Davis KA. et al. Lomitapide: A novel agent for the treatment of homozygous familial hypercholesterolemia. Am J Health Syst Pharm. 2014 Jun 15;71(12):1001-8.

[3].Dhote V, et al. Inhibition of microsomal triglyceride transfer protein improves insulin sensitivity and reduces atherogenic risk in Zucker fatty rats. Clin Exp Pharmacol Physiol. 2011 May;38(5):338-44.

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