Irbesartan (SR-47436; BMS-186295)

别名: BMS-186295, SR-47436;BMS 186295, SR 47436; BMS186295, SR47436; Avapro, Aprovel, Karvea 依贝沙坦; 厄贝沙坦; 2-丁基-3-[4-[2-(1H-四唑-5-基)苯基]苄基]-1,3-二氮杂螺-[4.4]壬-1-烯-4-酮; 2-丁基-3-[邻-1H-5-四唑基苯基]苄基]-1,3-二氮杂螺[4,4]壬-1-烯-4-酮; 伊贝沙坦; 2-丁基-3-[[2'-(1H-四唑-5-基)[1,1'-联苯]-4-基]甲基]-1,3-二氮杂螺[4.4]壬-1-烯-4-酮;Irbesartan 伊贝沙坦;厄贝沙坦 EP标准品;厄贝沙坦 USP标准品;厄贝沙坦 依贝沙坦;厄贝沙坦标准品;厄贝沙坦杂质; 依贝沙坦 厄贝沙坦;依贝沙坦 ;2-正丁基-3-[4-[2-(1H-四唑-5-基)苯基]苄基]-1,3-二氮杂螺-[4.4]壬-1-烯-4-酮;厄贝沙坦(又称伊贝沙坦);厄贝沙坦,抗高血压药物;厄贝沙坦-13C,D4;抗高血压药物
目录号: V1776 纯度: ≥98%
厄贝沙坦(以前称为 SR47436;BMS186295;SR-47436;BMS-186295;Avapro、Aprovel、Karvea)是一种高效、特异性血管紧张素 II 1 型 (AT II-1) 受体拮抗剂/ARB,已批准作为抗高血压药物。
Irbesartan (SR-47436; BMS-186295) CAS号: 138402-11-6
产品类别: RAAS
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10 mM * 1 mL in DMSO
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Other Forms of Irbesartan (SR-47436; BMS-186295):

  • 厄贝沙坦-D4
  • 厄贝沙坦盐酸盐
  • Irbesartan-d6 (Irbesartan d6)
  • Irbesartan-d6
  • Irbesartan-d6-1 (厄贝沙坦-d6-1;依贝沙坦-d6-1)
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纯度/质量控制文件

纯度: ≥98%

产品描述
厄贝沙坦(以前称为 SR47436;BMS186295;SR-47436;BMS-186295;Avapro、Aprovel、Karvea)是一种高效、特异性血管紧张素 II 1 型 (AT II-1) 受体拮抗剂/ARB,被批准为抗高血压药物。它抑制 AT II-1,IC50 为 1.3 nM。厄贝沙坦主要用于治疗高血压。它通过选择性地、竞争性地阻断血管紧张素 II 与血管紧张素 I 受体的结合来发挥作用。血管紧张素II刺激肾上腺皮质合成和分泌醛固酮,从而减少钠的排泄,增加钾的排泄。血管紧张素 II 还可以作为血管平滑肌的血管收缩剂。
生物活性&实验参考方法
靶点
Ang II type 1 (AT1) receptor
Peroxisome proliferator-activated receptor-gamma (PPAR-γ) [1]
- Angiotensin II type 1 receptor (AT1R) [2]
- Angiotensin II type 1 receptor (AT1R) [3]
体外研究 (In Vitro)
在体外,厄贝沙坦(20 μM,3 小时)可降低 Th22 细胞趋化性[1]。在体外,厄贝沙坦(0 μM、20 μM、40 μM 和 60 μM)抑制 Th22 细胞的发育[1]。在体外,厄贝沙坦 (20 μM) 可抑制 TEC 与 Th22 细胞相关的促炎反应[1]。
在转染PPAR-γ表达质粒和PPAR-γ响应性荧光素酶报告基因质粒的COS-7细胞中,厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (1-10 μM)呈剂量依赖性激活PPAR-γ。10 μM时,荧光素酶活性较对照组升高2.5倍,达到完全PPAR-γ激动剂罗格列酮(10 μM)活性的30%[1]
- 在经血管紧张素II(Ang II,100 nM)诱导凋亡的原代大鼠血管平滑肌细胞(VSMCs)中,厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (1-10 μM)呈剂量依赖性抑制凋亡。10 μM时,TUNEL阳性细胞比例从Ang II组的28%降至8%,caspase-3活性较Ang II组降低65%[2]
- 在从外周血分离的人Th22细胞中,厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (5-20 μM)抑制趋化因子CCL22(100 ng/mL)诱导的细胞趋化。20 μM时,迁移的Th22细胞数量较CCL22处理对照组减少55%[3]
体内研究 (In Vivo)
在注入 Ang II 的大鼠中,厄贝沙坦(口服强饲法;50 mg/kg/d;每日一次)可降低血清 IL-22 水平和 Th22 淋巴细胞增多[1]。厄贝沙坦(口服管饲;50 mg/kg/d;每日一次)的肾脏保护作用是显而易见的[1]。在高血压诱发的大鼠中,厄贝沙坦(口服灌胃;50 mg/kg/d;每日一次)可减少肾脏纤维化和全身炎症[1]。在高血压肾损伤小鼠中,盐酸厄贝沙坦 (20 μM) 持续三小时可以减少 Th22 细胞募集和 IL-22 释放,可能是通过阻断趋化性[1]。
在血管紧张素II(Ang II,400 ng/kg/min)输注4周诱导的高血压大鼠模型中,口服厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (30 mg/kg/天,持续4周)将收缩压(SBP)从Ang II组的185 mmHg降至135 mmHg;同时改善肾损伤:血清肌酐(Scr)从120 μmol/L降至80 μmol/L,血尿素氮(BUN)从15 mmol/L降至9 mmol/L,尿蛋白排泄量较Ang II组减少60%;此外,减少肾组织中Th22细胞浸润(CD4+IL-22+细胞:Ang II组为60个/mm²,给药组为25个/mm²)[3]
酶活实验
ARBs-厄贝沙坦和替米沙坦(10微mol/L)有效增强PPARγ依赖性3T3-L1脂肪细胞分化,并通过定量实时聚合酶链反应测量,与脂肪生成标记基因脂肪蛋白2(aP2)的mRNA表达显著增加相关(厄贝沙坦:3.3+/-0.1倍诱导;替米沙坦:3.1+/-0.3倍诱导;均P<0.01)。与其他ARB相比,替米沙坦在较低的药理学相关浓度下表现出更显著的aP2表达诱导作用。ARB氯沙坦仅在高浓度下增强aP2的表达(氯沙坦100微mol/L:3.6+/-0.3倍诱导;P<0.01),而高达100微mol/L的依普罗沙坦没有显著作用。在转录报告基因测定中,与PPARγ配体吡格列酮(10微mol/L)的5.2+/-1.1倍刺激相比,厄贝沙坦和替米沙坦(10微/L)分别显著诱导了3.4+/-0.9倍和2.6+/-0.6倍的PPARγ转录活性(P<0.05)。厄贝沙坦和替米沙坦也在AT1R缺陷细胞模型(PC12W)中诱导PPARγ活性,表明这些ARB刺激PPARγ的活性独立于其AT(1)R阻断作用[1]。
PPAR-γ报告基因实验:将COS-7细胞接种于24孔板(2×105细胞/孔),用转染试剂将PPAR-γ表达质粒(0.5 μg/孔)和PPAR-γ响应性荧光素酶报告基因质粒(0.5 μg/孔)转染至细胞。24小时后,用厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (1-10 μM)或罗格列酮(10 μM,阳性对照)处理细胞24小时。裂解细胞后,用发光仪测定荧光素酶活性,并将其归一化至蛋白浓度[1]
- AT1R结合实验:制备表达AT1R的CHO细胞膜,将细胞膜与[125I]-Ang II(0.2 nM)及系列浓度的厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (0.01-100 μM)在37°C孵育45分钟。通过预浸泡0.1%牛血清白蛋白(BSA)的玻璃纤维滤膜过滤终止反应,用冰浴缓冲液洗涤滤膜后,用γ计数器测定放射性,计算结合抑制率[2]
细胞实验
细胞活力测定[1]
细胞类型: CD4+ T 细胞
测试浓度: 0、20、40 和 60 μM
孵育持续时间:48小时
实验结果:对CD4+T细胞的活力没有明显影响。
VSMC凋亡实验:分离原代大鼠VSMCs,接种于6孔板(5×105细胞/孔),用无血清培养基同步化24小时后,单独用Ang II(100 nM)或联合厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (1-10 μM)处理48小时。TUNEL染色实验中,用4%多聚甲醛固定细胞,0.1%曲拉通X-100透化,加入TUNEL反应液孵育后,在荧光显微镜下计数TUNEL阳性细胞;caspase-3活性实验中,裂解细胞后用caspase-3检测试剂盒测定活性(激发波长405 nm,发射波长535 nm)[2]
- Th22细胞趋化实验:通过磁珠分选从外周血单个核细胞(PBMCs)中分离人Th22细胞,用无血清RPMI 1640培养基重悬细胞(1×106细胞/mL)。向细胞悬液中加入厄贝沙坦(Irbesartan, SR-47436; BMS-186295) (5-20 μM)孵育30分钟,将细胞加入Transwell板上室,下室加入CCL22(100 ng/mL)。37°C孵育2小时后,用血细胞计数板计数下室中迁移的细胞数量[3]
动物实验
动物/疾病模型: C57BL/6 小鼠[1]
剂量: 50 mg/kg
给药途径: 口服(灌胃);50 mg/kg/d;每日一次
实验结果: 降低 Th22 细胞和 IL-22 水平,对 Th1 细胞比例产生类似的抑制作用,并降低肾脏中 IL-22 的水平。显著抑制血压升高,降低尿白蛋白/肌酐比值、尿素氮 (BUN) 和血清肌酐 (Scr)。抑制 IL-1β、IL-6、TNF-α、α-SMA、FN 和 Col I 的表达,并减轻纤维化程度。

动物/疾病模型: C57BL/6 小鼠[1]
剂量: 20 μM
给药途径: 20 μM;持续 3 小时
实验结果: 肾脏 CCL20、CCL22 和 CCL27 浓度下调。
Ang II 诱导的高血压大鼠模型:使用雄性 Sprague-Dawley 大鼠(200-220 g)。皮下植入渗透泵,持续输注 Ang II(400 ng/kg/min),持续 4 周。从血管紧张素II(Ang II)输注的第一天起,通过灌胃法给予厄贝沙坦(SR-47436;BMS-186295)(30 mg/kg/天,溶于0.5%羧甲基纤维素溶液),持续4周。每周使用尾套式血压计测量收缩压(SBP)。实验结束时,采集血液样本检测血清肌酐(Scr)和尿素氮(BUN),收集24小时尿液样本检测尿蛋白排泄量,并采集肾组织进行免疫组织化学染色(以计数Th22细胞)[3]。
药代性质 (ADME/PK)
吸收、分布和排泄
厄贝沙坦的生物利用度为60-80%,达峰时间(Tmax)为1.5-2小时。与食物同服不影响厄贝沙坦的生物利用度。在一项研究中,健康受试者分别单次或多次口服150mg、300mg、600mg和900mg的厄贝沙坦。单次150mg剂量的AUC为9.7±3.0µg•hr/mL,Tmax为1.5小时,半衰期为16±7小时,Cmax为1.9±0.4µg/mL。单次服用 300mg 后,AUC 为 20.0±5.2µg•hr/mL,Tmax 为 1.5 小时,半衰期为 14±7 小时,Cmax 为 2.9±0.9µg/mL。单次服用 600mg 后,AUC 为 32.6±11.9µg•hr/mL,Tmax 为 1.5 小时,半衰期为 14±8 小时,Cmax 为 4.9±1.2µg/mL。单次服用 900mg 后,AUC 为 44.8±20.0µg•hr/mL,Tmax 为 1.5 小时,半衰期为 17±7 小时,Cmax 为 5.3±1.9µg/mL。多次服用150mg剂量后,AUC为9.3±3.0µg•hr/mL,Tmax为1.5小时,半衰期为11±4小时,Cmax为2.04±0.4µg/mL。多次服用300mg剂量后,AUC为19.8±5.8µg•hr/mL,Tmax为2.0小时,半衰期为11±5小时,Cmax为3.3±0.8µg/mL。多次服用600mg剂量后,AUC为31.9±9.7µg•hr/mL,Tmax为1.5小时,半衰期为15±7小时,Cmax为4.4±0.7µg/mL。多次服用900mg剂量后,AUC为34.2±9.3µg•hr/mL,Tmax为1.8小时,半衰期为14±6小时,Cmax为5.6±2.1µg/mL。
20%的放射性标记厄贝沙坦口服剂量经尿液排出,其余经粪便排出。<2%的剂量以原药形式经尿液排出。
厄贝沙坦的分布容积为53-93L。
厄贝沙坦的总血浆清除率为157-176mL/min,肾清除率为3.0-3.5mL/min。
厄贝沙坦是一种口服活性药物,无需生物转化即可发挥活性。厄贝沙坦口服吸收迅速且完全,平均绝对生物利用度为60%至80%。口服阿伐普罗后,厄贝沙坦的血浆峰浓度在给药后1.5至2小时达到。食物不影响阿伐普罗的生物利用度。厄贝沙坦在治疗剂量范围内呈线性药代动力学特征。厄贝沙坦的末端消除半衰期平均为11至15小时。稳态血药浓度在3天内达到。每日一次重复给药后,血浆中厄贝沙坦的蓄积量有限(<20%)。动物研究表明,放射性标记的厄贝沙坦能微弱地穿过血脑屏障和胎盘。厄贝沙坦与血清蛋白(主要为白蛋白和α1-酸性糖蛋白)的结合率为90%,与血液细胞成分的结合可忽略不计。平均分布容积为53升至93升。总血浆清除率和肾清除率分别为 157 mL/min 至 176 mL/min 和 3.0 mL/min 至 3.5 mL/min。重复给药后,厄贝沙坦的蓄积量无临床意义。
尚不清楚厄贝沙坦是否会分泌到人乳中,但厄贝沙坦或其某些代谢物会以低浓度分泌到哺乳期大鼠的乳汁中。
代谢/代谢物
厄贝沙坦主要在肝脏中通过葡萄糖醛酸化和氧化代谢。大部分代谢是通过 CYP2C9 的作用完成的,CYP3A4 的作用可忽略不计。厄贝沙坦的代谢过程中也存在一些羟基化作用。厄贝沙坦可通过 UGT1A3 葡萄糖醛酸化生成代谢物 M8,氧化生成代谢物 M3,或通过 CYP2C9 羟基化生成代谢物 M4、M5 或 M7 中的一种。M4、M5 和 M7 代谢物均可羟基化生成代谢物 M1,后者再氧化生成代谢物 M2。M4 代谢物也可先氧化生成代谢物 M6,然后再羟基化生成代谢物 M2。最后,厄贝沙坦还可通过一种未知的机制生成少量代谢物 SR 49498。
厄贝沙坦主要通过葡萄糖醛酸结合和氧化代谢。口服或静脉注射 14C 标记的厄贝沙坦后,循环血浆中超过 80% 的放射性归因于未代谢的厄贝沙坦。厄贝沙坦的主要循环代谢物是无活性的厄贝沙坦葡萄糖醛酸苷结合物(约占6%)。其余氧化代谢物对厄贝沙坦的药理活性影响甚微。厄贝沙坦及其代谢物主要通过胆汁和肾脏途径排泄。口服或静脉注射14C标记的厄贝沙坦后,约20%的放射性物质以厄贝沙坦或厄贝沙坦葡萄糖醛酸苷的形式从尿液中排出,其余部分从粪便中排出。体外研究表明,细胞色素P450同工酶对厄贝沙坦的氧化作用主要由2C9氧化,3A4代谢作用可忽略不计。厄贝沙坦既不被与药物代谢相关的同工酶(1A1、1A2、2A6、2B6、2D6、2E1)代谢,也不显著诱导或抑制这些同工酶。未观察到 3A4 的诱导或抑制。
厄贝沙坦已知的代谢物包括 M7、(1S,4S,5S,6R)-3-[5-[2-[4-[(2-丁基-4-氧代-1,3-二氮杂螺[4.4]壬-1-烯-3-基)甲基]苯基]苯基]-5H-四唑-2-鎓-2-基]-2,4,5,6-四羟基环己烷-1-羧酸、M3 和 2-(3-羟基丁基)-3-({4-[2-(2H-1,2,3,4-四唑-5-基)苯基]苯基}甲基)-1,3-二氮杂螺[4.4]壬-1-烯-4-酮。
生物半衰期
厄贝沙坦的末端消除半衰期为11-15 小时。
厄贝沙坦的终末消除半衰期平均为 11 至 15 小时。
毒性/毒理 (Toxicokinetics/TK)
毒性概述
识别和用途:厄贝沙坦晶体被制成口服片剂。厄贝沙坦是一种血管紧张素II 1型(AT1)受体拮抗剂。它可单独使用或与其他类别的降压药联合使用,用于治疗高血压。它也用于治疗2型糖尿病合并高血压患者的糖尿病肾病。人体暴露和毒性:厄贝沙坦过量最可能的表现包括低血压和心动过速;过量服用也可能导致心动过缓。妊娠期禁用厄贝沙坦。虽然在妊娠早期使用不会提示存在严重畸形的风险,但在妊娠中晚期使用可能导致致畸性以及严重的胎儿和新生儿毒性。胎儿毒性作用可能包括无尿、羊水过少、胎儿颅盖骨发育不全、宫内生长受限、早产和动脉导管未闭。无尿相关的羊水过少可能导致胎儿肢体挛缩、颅面畸形和肺发育不全。新生儿在子宫内暴露于厄贝沙坦后可能出现对升压药和扩容治疗均无效的严重无尿和低血压。动物研究:在长达2年的大鼠或小鼠给药期间,未观察到厄贝沙坦的致癌性。此外,厄贝沙坦的给药对雄性和雌性大鼠的生育能力或交配行为没有影响。当妊娠大鼠在妊娠第0天至第20天接受该药物治疗时,即使剂量低至50 mg/kg/天,胎儿也出现肾盂空洞、输尿管积水和/或肾乳头缺失的发生率增加。即使剂量低至180 mg/kg/天,胎儿也出现皮下水肿。由于在妊娠第6至15天接受药物治疗的大鼠中未观察到这些异常,因此这些异常似乎反映了该药物的妊娠晚期效应。在妊娠兔中,口服30 mg/kg/天的厄贝沙坦与母兔死亡和流产相关。接受该剂量的存活雌兔早期胚胎吸收率略有增加,活胎数量相应减少。厄贝沙坦在一系列体外试验(Ames微生物试验、大鼠肝细胞DNA修复试验、V79哺乳动物细胞正向基因突变试验)中均未表现出致突变性。厄贝沙坦在多项染色体畸变诱导试验中结果均为阴性(体外人淋巴细胞试验;体内小鼠微核试验)。
肝毒性
厄贝沙坦与血清转氨酶升高发生率较低相关(
可能性评分:C(可能是临床上明显的肝损伤的罕见原因))。
妊娠和哺乳期用药
◉ 哺乳期用药概述
由于尚无厄贝沙坦在哺乳期用药的信息,因此建议选择其他药物,尤其是在哺乳新生儿或早产儿时。
◉ 对母乳喂养婴儿的影响
截至修订日期,未找到相关的已发表信息。
◉ 对哺乳和母乳的影响
截至修订日期,未找到相关的已发表信息。日期。
蛋白结合
厄贝沙坦在血浆中的蛋白结合率为90%,主要与白蛋白和α1-酸性糖蛋白结合。
相互作用
糖尿病患者禁用阿利沙坦与阿伐普罗合用。肾功能不全(肾小球滤过率<60 mL/min)患者应避免将阿利沙坦与阿伐普罗合用。
与单药治疗相比,使用血管紧张素受体阻滞剂、ACE抑制剂或阿利沙坦双重阻断肾素-血管紧张素系统(RAS)会增加低血压、高钾血症和肾功能改变(包括急性肾衰竭)的风险。服用阿伐普罗和其他影响RAS的药物的患者应密切监测血压、肾功能和电解质。
同时使用保钾利尿剂、钾补充剂或含钾代盐可能导致血钾升高。血清钾水平。
厄贝沙坦与甲苯磺丁脲合用时,可能降低厄贝沙坦的代谢。
有关厄贝沙坦的更多相互作用(完整)数据(共6项),请访问HSDB记录页面。
参考文献
[1]. Schupp M, et al. Angiotensin type 1 receptor blockers induce peroxisome proliferator-activated receptor-gamma activity. Circulation. 2004 May 4;109(17):2054-7. Epub 2004 Apr 26.
[2]. Ruiz E, et al. Importance of intracellular angiotensin II in vascular smooth muscle cell apoptosis: inhibition by the angiotensin AT1 receptor antagonist irbesartan. Eur J Pharmacol. 2007 Jul 19;567(3):231-9. Epub 2007 Apr 6.
[3]. Yong Zhong, et al. Irbesartan may relieve renal injury by suppressing Th22 cells chemotaxis and infiltration in Ang II-induced hypertension. Int Immunopharmacol
其他信息
治疗用途
血管紧张素II 1型受体阻滞剂;抗高血压药
Avapro(厄贝沙坦)适用于治疗高血压。可单独使用或与其他抗高血压药联合使用。/美国产品标签包含/
Avapro适用于治疗伴有血清肌酐升高和蛋白尿(>300 mg/天)的2型糖尿病合并高血压患者的糖尿病肾病。在此类患者中,Avapro可降低肾病进展速度,以血清肌酐倍增或终末期肾病(需要透析或肾移植)的发生率来衡量。/美国产品标签包含/
血管紧张素II受体拮抗剂(包括厄贝沙坦)已用于治疗充血性心力衰竭。 /未包含在美国产品标签中/
药物警告
/黑框警告/ 警告:胎儿毒性。一旦发现怀孕,应尽快停用阿伐普罗。直接作用于肾素-血管紧张素系统的药物可能对发育中的胎儿造成损伤甚至死亡。
在妊娠中晚期使用作用于肾素-血管紧张素系统的药物会降低胎儿肾功能,并增加胎儿和新生儿的发病率和死亡率。由此导致的羊水过少可能与胎儿肺发育不全和骨骼畸形有关。潜在的新生儿不良反应包括颅骨发育不全、无尿、低血压、肾功能衰竭和死亡。一旦发现怀孕,应尽快停用阿伐普罗。这些不良后果通常与在妊娠中晚期使用此类药物有关。大多数流行病学研究在探讨妊娠早期使用降压药后胎儿畸形时,并未区分影响肾素-血管紧张素系统的药物与其他降压药。妊娠期对孕妇高血压进行适当管理对于优化母婴结局至关重要。在极少数情况下,如果对于特定患者没有其他合适的替代药物,必须使用影响肾素-血管紧张素系统的药物,应告知孕妇该药物对胎儿的潜在风险。应进行系列超声检查以评估羊膜腔内环境。如果发现羊水过少,应停用阿伐普罗(Avapro),除非停药对孕妇而言是挽救生命的必要措施。根据孕周,可能需要进行胎儿监护。然而,患者和医生应注意,羊水过少可能在胎儿遭受不可逆损伤后才会出现。
有宫内暴露于阿伐普罗史的新生儿:如果出现少尿或低血压,应重点关注血压维持和肾灌注。可能需要换血或透析来逆转低血压和/或替代受损的肾功能。
FDA妊娠风险等级:D/有明确风险证据。人体研究、试验数据或上市后数据均已证实存在胎儿风险。尽管如此,使用该药物的潜在益处可能大于潜在风险。例如,在危及生命的情况下或患有严重疾病,而更安全的药物无法使用或无效时,该药物可能是可接受的。/
有关厄贝沙坦(共 16 条)的更多药物警告(完整)数据,请访问 HSDB 记录页面。
药效学
厄贝沙坦是一种血管紧张素受体阻滞剂,用于治疗高血压和糖尿病肾病。由于通常每日服用一次,因此其作用持续时间长,且治疗指数宽,剂量可低至每日 150 毫克,但健康受试者对每日 900 毫克的剂量也耐受良好。
厄贝沙坦(SR-47436;BMS-186295)具有双重作用:它既是 AT1R 拮抗剂,又是 PPAR-γ 的部分激动剂,这可能有助于其在降低血压之外的其他有益作用(例如,抗炎和代谢调节)[1]
- 厄贝沙坦(SR-47436;BMS-186295)抑制 VSMC 凋亡的机制涉及阻断由细胞内 Ang II 激活的促凋亡信号通路,而不仅仅是细胞外 Ang II [2]
- 厄贝沙坦(SR-47436;BMS-186295)可缓解高血压大鼠的肾损伤。通过抑制 Th22 细胞的趋化性和浸润,从而减少肾脏炎症和组织损伤[3]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C25H28N6O
分子量
428.53
精确质量
428.232
元素分析
C, 70.07; H, 6.59; N, 19.61; O, 3.73
CAS号
138402-11-6
相关CAS号
Irbesartan-d4;1216883-23-6;Irbesartan hydrochloride;329055-23-4;Irbesartan-d6;Irbesartan-d6-1;2375621-21-7
PubChem CID
3749
外观&性状
White to off-white solid
密度
1.3±0.1 g/cm3
沸点
648.6±65.0 °C at 760 mmHg
熔点
180-181°C
闪点
346.0±34.3 °C
蒸汽压
0.0±1.9 mmHg at 25°C
折射率
1.690
LogP
4.51
tPSA
87.13
氢键供体(HBD)数目
1
氢键受体(HBA)数目
5
可旋转键数目(RBC)
7
重原子数目
32
分子复杂度/Complexity
682
定义原子立体中心数目
0
SMILES
O=C1C2(C([H])([H])C([H])([H])C([H])([H])C2([H])[H])N=C(C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H])N1C([H])([H])C1C([H])=C([H])C(C2=C([H])C([H])=C([H])C([H])=C2C2N=NN([H])N=2)=C([H])C=1[H]
InChi Key
YOSHYTLCDANDAN-UHFFFAOYSA-N
InChi Code
InChI=1S/C25H28N6O/c1-2-3-10-22-26-25(15-6-7-16-25)24(32)31(22)17-18-11-13-19(14-12-18)20-8-4-5-9-21(20)23-27-29-30-28-23/h4-5,8-9,11-14H,2-3,6-7,10,15-17H2,1H3,(H,27,28,29,30)
化学名
2-butyl-3-[[4-[2-(2H-tetrazol-5-yl)phenyl]phenyl]methyl]-1,3-diazaspiro[4.4]non-1-en-4-one
别名
BMS-186295, SR-47436;BMS 186295, SR 47436; BMS186295, SR47436; Avapro, Aprovel, Karvea
HS Tariff Code
2934.99.03.00
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 4 mg/mL (9.3 mM)
Water:<1 mg/mL
Ethanol: 3 mg/mL (7.0 mM)
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (5.83 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (5.83 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

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配方 3 中的溶解度: ≥ 2.5 mg/mL (5.83 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL 澄清 DMSO 储备液添加到 900 μL 玉米油中并混合均匀。


配方 4 中的溶解度: 30% PEG400+0.5% Tween80+5% Propylene glycol : 30 mg/mL

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.3336 mL 11.6678 mL 23.3356 mL
5 mM 0.4667 mL 2.3336 mL 4.6671 mL
10 mM 0.2334 mL 1.1668 mL 2.3336 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Study of Sparsentan in Patients With Primary Focal Segmental Glomerulosclerosis (FSGS)
CTID: NCT03493685
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-18
A Study of the Effect and Safety of Sparsentan in the Treatment of Patients With IgA Nephropathy
CTID: NCT03762850
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-18
Comparison of Standard Versus Low Dose Advagraf® With or Without Angiotensin-converting Enzyme Inhibitor (ACEi)/Angiotensin Receptor Blocker (ARB) on Histology and Function of Renal Allografts
CTID: NCT00933231
Phase: Phase 3    Status: Completed
Date: 2024-11-01
Clinical Trial of Keluoxin Capsules in the Treatment of Diabetic Kidney Disease with Diabetic Retinopathy
CTID: NCT06660940
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-10-28
A Study of the Effect and Safety of HS-10390 in the Treatment of Patients with Primary IgA Nephropathy
CTID: NCT06635772
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-10
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Randomized, Double-Blind, Safety and Efficacy Study of RE-021 (Sparsentan) in Focal Segmental Glomerulosclerosis
CTID: NCT01613118
Phase: Phase 2    Status: Completed
Date: 2024-06-24


A Study to Evaluate the Effect of Sodium Zirconium Cyclosilicate on Chronic Kidney Disease (CKD) Progression in Participants With CKD and Hyperkalaemia or at Risk of Hyperkalaemia
CTID: NCT05056727
Phase: Phase 3    Status: Terminated
Date: 2024-06-10
Angiotensin II Receptor Blockade in Vascular Ehlers Danlos Syndrome (ARCADE)
CTID: NCT02597361
Phase: Phase 3    Status: Completed
Date: 2024-02-29
The Predictive Role of Urinary Proteomics in Blood Pressure Response of Obese Hypertensive Treated With Irbesartan or Eplerenone.
CTID: NCT06208072
Phase: N/A    Status: Recruiting
Date: 2024-01-17
Pharmacokinetics of Irbesartan/Amlodipine FDC and Co-administration of Irbesartan and Amlodipine in Healthy Volunteers
CTID: NCT05663073
Phase: Phase 1    Status: Completed
Date: 2023-08-18
Clinical Efficacy and Safety Evaluation of Irbesartan High and Amlodipine Combined Therapy in Essential Hypertension Patients
CTID: NCT05475665
Phase: Phase 3    Status: Completed
Date: 2023-08-18
Pharmacokinetics of Irbesartan High/Amlodipine FDC and Co-administration of Irbesartan High and Amlodipine in Healthy Volunteers
CTID: NCT05688085
Phase: Phase 1    Status: Completed
Date: 2023-08-18
Pharmacokinetics of Irbesartan/Amlodipine High FDC and Co-administration of Irbesartan and Amlodipine High in Healthy Volunteers
CTID: NCT05688098
Phase: Phase 1    Status: Completed
Date: 2023-08-18
Clinical Efficacy and Safety Evaluation of Irbesartan and Amlodipine Combined Therapy in Essential Hypertension Patients
CTID: NCT05476354
Phase: Phase 3    Status: Completed
Date: 2023-08-18
Effect of Irbesartan on Endothelial Function of the Retinal Vasculature in Patients With Hypercholesterolemia
CTID: NCT00152698
Phase: Phase 3    Status: Completed
Date: 2023-07-12
Bariatric Surgery and Pharmacokinetics of Irbesartan
CTID: NCT03476603
Phase:    Status: Recruiting
Date: 2023-04-13
Sacubitril/Valsartan for CKD5 Stage Dialysis Patients
CTID: NCT05243199
Phase: Phase 4    Status: Completed
Date: 2023-03-17
Host Response Mediators in Coronavirus (COVID-19) Infection - Is There a Protective Effect of Losartan and Other ARBs on Outcomes of Coronavirus Infection?
CTID: NCT04606563
Phase: Phase 3    Status: Terminated
Date: 2023-02-16
A Study to Evaluate ALN-AGT01 in Patients With Hypertension
CTID: NCT03934307
Phase: Phase 1    Status: Completed
Date: 2023-01-17
A Bioequivalence Trial of Irbesartan Tablets(0.15g) in Healthy Chinese Subjects
CTID: NCT05297929
Phase: Phase 1    Status: Unknown status
Date: 2022-03-28
Nephropathy In Type 2 Diabetes and Cardio-renal Events
CTID: NCT00535925
Phase: Phase 4    Status: Completed
Date: 2020-08-03
Mycophenolate Mofetil (MMF) in Patients With IgA Nephropathy (IgAN)
CTID: NCT00657059
Phase: Phase 3    Status: Completed
Date: 2019-12-03
Clinical Study of Treating Type 2 Diabetic Nephropathy With Alfacalcidol and Irbesartan
CTID: NCT03147677
Phase: Phase 4    Status: Completed
Date: 2019-10-10
Effectiveness of Avapro in Obese Normotensive/Hypertensive African Americans
CTID: NCT02386293
Phase: Phase 2    Status: Unknown status
Date: 2019-06-21
Preeclampsia: A Marker for Future Cardiovascular Risk in Women
CTID: NCT01519297
Phase: N/A    Status: Suspended
Date: 2019-01-17
A Prospective, Single-center, Randomized, Controlled Study of Sevelamer Carbonate in the Lipid Metabolism and Uric Acid Treatment of Obesity-Related Glomerulopathy
CTID: NCT02644486
Phase: N/A    Status: Terminated
Date: 2018-10-02
Left Ventricular Function After Acute Myocardial Infarction (AMI). Treatment With Angiotensin 2-Receptor Blockade (GLOBAL-Study)
CTID: NCT00125645
Phase: Phase 4    Status: Completed
Date: 2018-05-08
Crossover Bioequivalence Study of Irbesartan 300 mg Tablets Under Fed Conditions
CTID: NCT01712100
Phase: N/A    Status: Completed
Date: 2018-01-23
Crossover Bioequivalence Study of Irbesartan 300 mg Tablets Under Fasted Conditions
CTID: NCT01712113
Phase: N/A    Status: Completed
Date: 2018-01-23
Clinical Trial of HuangKui Capsule to Treat Diabetic Kidney Disease
CTID: NCT03016832
PhaseEarly Phase 1    Status: Unknown status
Date: 2017-07-05
VALID: Study to Compare the Reduction of Predialysis Systolic Blood Pressure With Valsartan Compared to Irbesartan in Patients With Mild to Moderate Hypertension on Long-term Hemodialysis
CTID: NCT00171080
Phase: Phase 3    Status: Completed
Date: 2017-05-18
Irbesartan and Atenolol in Hypertensive Heart Disease
CTID: NCT00389168
Phase: Phase 2/Phase 3    Status: Completed
Date: 2015-05-05
Irbesartan in Heart Failure With Preserved Systolic Function (I-Preserve)
CTID: NCT00095238
Phase: Phase 3    Status: Completed
Date: 2015-04-07
Pharmacokinetic Drug Interaction Study Between Gemigliptin and Irbesartan After Oral Administration in Healthy Male Subjects
CTID: NCT01825850
Phase: Phase 1    Status: Completed
Date: 2014-12-30
Irbesartan Versus Amlodipine: The OBI Study
CTID: NCT00987662
Phase: Phase 4    Status: Withdrawn
Date: 2014-02-11
Evaluation of Irbesartan on Hepatic Fibrosis in Chronic Hepatitis C
CTID: NCT00265642
Phase: Phase 3    Status: Completed
Date: 2014-02-07
Angiotensin II Antagonist in Severe Sepsis
CTID: NCT01992796
Phase: Phase 3    Status: Unknown status
Date: 2013-11-25
Efficacy and Safety of Irbesartan and Atorvastatin in Hypertension and Hyperlipidemia
CTID: NCT01442987
Phase: Phase 3    Status: Completed
Date: 2013-08-13
Drug Interaction Between Irbesartan and Hydrochlorothiazide
CTID: NCT01858610
Phase: N/A    Status: Completed
Date: 2013-05-27
Prevention of Kidney Transplant Rejection
CTID: NCT00005010
Phase: Phase 3    Status: Completed
Date: 2013-01-25
Saving Residual Renal Function Among Haemodialysis Patients Receiving Irbesartan
CTID: NCT00791830
Phase: Phase 3    Status: Completed
Date: 2013-01-08
A Clinical Study to Evaluate Renal Hemodynamic Responses to Aliskiren in Patients With Type 2 Diabetes Mellitus
CTID: NCT00660309
Phase: Phase 4    Status: Completed
Date: 2012-08-29
The Effect of Moxonidine on Blood Pressure and Regression of Early Target Organ Damage in Young Subjects With Abdominal Obesity and Hypertension
CTID: NCT01360710
Phase: Phase 4    Status: Unknown status
Date: 2012-02-03
A Study To Evaluate The Dose-Related Efficacy and Safety of PS433540 in Subjects With Hypertension
CTID: NCT00635232
Phase: Phase 2    Status: Completed
Date: 2011-09-16
I SELECT - Irbesartan In Hypertensive Patients With Left Ventricular Hypertrophy
CTID: NCT00362037
PhasePhas
NT-proBNP selected prevention of cardiac events in a population of diabetic patients without a history of cardiac disease (Pontiac II); a prospective randomized trial
CTID: null
Phase: Phase 4    Status: Ongoing, GB - no longer in EU/EEA
Date: 2015-12-30
Blocage du Récepteur de l’Angiotensine II chez des sujets atteints de syndrome d’Ehlers Danlos vasculaire : essai muliticentrique randomisé contrôlé en double insu contre placebo
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-09-28
PROTOCOL RET-D-001: EFFICACY AND SAFETY OF SPARSENTAN (RE-021), A DUAL ENDOTHELIN RECEPTOR AND ANGIOTENSIN RECEPTOR BLOCKER, IN PATIENTS WITH FOCAL SEGMENTAL GLOMERULOSCLEROSIS (FSGS): A RANDOMIZED, DOUBLE-BLIND, ACTIVE-CONTROL, DOSE-ESCALATION STUDY
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-04-28
Randomized multicentre pilot study of LCZ696 versus irbesartan in patients with chronic kidney disease: UK Heart and Renal Protection (HARP)-III
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-09-15
Antagonists of Angiotensin II Receptors in sepsis
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2014-07-09
A randomised, double-blind, placebo-controlled pilot trial of irbesartan, doxycycline and a combination on markers of vascular dysfunction in the Marfan syndrome, using cardiovascular magnetic resonance imaging
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2013-03-08
A multicentre, multinational, randomised, double-blind, pilot, ascending dose for non responder, parallel group study on the therapeutic efficacy and safety of o.d. Zofenopril 30 mg plus HCTZ 12.5 mg vs. Irbersartan 150 mg plus HCTZ 12.5 mg in elderly subjects (age > 65 years) affected by Isolated Systolic Hypertension never treated or non responder to previous antihypertensive therapy (monotherapy or association of maximum two treatments)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-09-27
A prospective, randomised, placebo-controlled, double blind, multi-centre study of the effects of Irbesartan on aortic dilatation in Marfan syndrome
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-09-13
Quantification de la régression de l'albuminurie et de l'atteinte endothéliale dans une population de patients drépanocytaires homozygotes hyperfiltrants traités par inhibiteurs du système rénine-angiotensine - Etude ' RAND '
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2010-07-09
Randomised trial on combined effects of dual blockade of the renin angiotensin system and phosphate binding in diabetic and non-diabetic patients with impaired renal function.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-12-10
Multi-center, Open-label Study of the Safety and Efficacy of Control of Proteinuria with ACE Inhibitors and ARBS in Patients with Fabry Diseaswe Who Are receiving Farazyme : Tha Farazyme + Arbs + ACE inhibitors Treatments (FAACET) Study: The FAACET Study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-11-09
EFFICACY AND SAFETY OF ZOFENOPRIL + HYDROCHLOROTHIAZIDE COMBINATION VS. IRBESARTAN + HYDROCHLOROTHIAZIDE COMBINATION IN ESSENTIAL HYPERTENSIVE PATIENTS NOT CONTROLLED BY PREVIOUS MONOTHERAPY
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-02-06
Low grade albuminuria: reaching a new target for irbesartan
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-10-27
Saving residual kidney function among haemodialysis patients receiving irbesartan - a double blind randomised study
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-09-29
EFICACIA DEL IRBESARTAN EN LA FIBRILACION AURICULAR PERSISTENTE SOMETIDA A ABLACION CON RADIOFRECUENCIA POR EL SISTEMA CARTO-MERGE
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-09-08
Impact of irbesartan on oxidative stress and C-reactive protein levels in patients with persistent atrial fibrillation
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2008-08-13
EFFICACY AND SAFETY OF ZOFENOPRIL + HYDROCHLOROTHIAZIDE COMBINATION VS IRBESARTAN + HYDROCHLOROTHIAZIDE COMBINATION IN ESSENTIAL HYPERTENSIVE PATIENTS NOT CONTROLLED BY PREVIOUS MONOTHERAPY
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-06-26
VALUTAZIONE COMPARATIVA DEGLI EFFETTI SULLA FUNZIONE ENDOTELIALE DEL TRATTAMENTO CON NEBIVOLOLO E IDROCLOROTIAZIDE VS IRBESARTAN E IDROCLOROTIAZIDE IN PAZIENTI CON IPERTENSIONE ARTERIOSA NEO-DIAGNOSTICATA. Studio NINFE: Nebivololo, Irbesartan Nella Funzione Endoteliale.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-05-23
Perindopril Amlodipine Regimen versus AT1-Receptor Blocker/thiazide: a comparison of Blood pressure Lowering: Efficacy and Safety.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-11-23
A nine-week, randomized, double-blind, parallel group study to evaluate the efficacy and safety of aliskiren 300 mg, compared to irbesartan 300 mg and ramipril 10 mg in the setting of a missed dose in patients with essential hypertension
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-05-05
Use of clembuterol in patients affected by valvular hearth disease and dilated cardiomyopathy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2006-03-01
Randomized comparison of a two-month regimen of irbesartan versus enalapril on cardiovascular markers in patients with acute coronary syndrome without ST segment elevation.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-02-08
A randomized, double-blind, double-dummy, parallel-group study to compare the effects of multiple dose administration of aliskiren and irbesartan on biomarkers of inflammation and cardiovascular risk in patients with hypertension and metabolic syndrome
CTID: null
Phase: Phase 2    Status: Completed
Date: 2006-01-26
Irbesartan in the treatment of Hypertensive Patients with Metabolic Syndrome.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-11-28
Electrophysiological effects of Irbesartan in patients with paroxysmal AF
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-11-18
ACE-inhibitors and Angiotensin two receptor antagonists in IgA nephropathy with mild proteinuria
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2005-10-18
A randomized, double-blind, parallel-group, cross-over, 4-period, 4 treatment, within-subject placebo-controlled study to assess the renoprotective effect of renin inhibition with Aliskiren as an alternative to irbesartan in Type 2 patients with incipient/overt diabetic nephropathy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-06-22
A 12-week, double-blind, parallel group study to evaluate the efficacy and safety of the combination of aliskiren with HCTZ compared to irbesartan or amlodipine with HCTZ or HCTZ alone in hypertensive patients with BMI ≥ 30 kg/m2 not adequately responsive to HCTZ 25 mg
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-06-17
A 2 x 5 weeks open label, multicenter, randomized cross-over study to compare the reduction of predialysis systolic blood pressure with valsartan (Diovan) 80 mg compared to irbesartan150 mg in patients with mild to moderate hypertension on long-term hemodialysis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-04-06
The Efficacy and Safety of Irbesartan/HCTZ Combination Therapy as First Line
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-02-16
The Efficacy and Safety of Irbesartan/HCTZ Combination Therapy as First Line Treatment for Patients with Moderate Hypertension
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-01-11
Irbesartan Versus Placebo in Combination with Standard Cardiovascular Protection ACE-I Therapy with Ramipril for the Treatment of Albuminuria in Hypertensive Subjects at Elevated Cardiovascular Risk
CTID: null
Phase: Phase 3    Status: Completed
Date: 2004-09-24
na
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2004-03-23
Studies on the antihypertensive effect and uric acid metabolism by the combination therapy of ARB and diuretics in the CKD patients with hypertension - Comparison between daily and alternate-daily medication of diuretics -
CTID: UMIN000010170
PhaseNot applicable    Status: Recruiting
Date: 2013-03-05
Japanese Telmisartan versus Irbesartan Therapy to Fasting Hyperglycemic Patients with Hypertension
CTID: UMIN000008005
PhaseNot applicable    Status: Recruiting
Date: 2012-05-21
Combination therapy with amlodipine or trichlormetiazide added irbesartan in hypertensive patients with diabetes
CTID: UMIN000007297
Phase: Phase IV    Status: Pending
Date: 2012-02-15
Cardioprotective effect of ARB in old patients with hypertension and coronary artery disease - a multicenter trial -.
CTID: UMIN000007273
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2012-02-13
Therapeutic Effect of Irbesartan, AVAPRO, on Blood Pressure and eGFR by Morning or Bedtime Administration in Chronic Kidney Disease Patients(ABPM-CKD)
CTID: UMIN000006686
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2011-11-08
Prospective, randomized, open-label, clinical trial comparing the effects of irbesartan and valsartan on blood pressure, endothelial function and makers for obesity/oxidative stress/chronic kidney diseases
CTID: UMIN000005683
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2011-06-01
Effects of combination therapy with efonidipine or cilnidipine added on ARB on renal outcomes in hypertensive patients with CKD and proteinuria
CTID: UMIN000005359
Phase:    Status: Pending
Date: 2011-04-01
Study on the Effect of Irbesartan on Atrial Fibrillation Recurrence in Kumamoto: AF Suppression Trial
CTID: UMIN000005205
Phase:    Status: Complete: follow-up complete
Date: 2011-03-14
The effect of Irbesartan for cardiac function in patients with atrial fibrillation
CTID: UMIN000004607
Phase:    Status: Complete: follow-up continuing
Date: 2010-11-23
Study of assessment for vascular endothelial function and renal function with irbesartan or amlodipine in hypertensive patients with proteinuria - prospective randomized controlled trial -
CTID: UMIN000004569
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2010-11-16
Comparison of monotherapy with irbesartan and telmisartan for treatment of essential hypertensive patients - interventional, parallel group study using home Blood Pressure monitoring -
CTID: UMIN000004491
Phase:    Status: Recruiting
Date: 2010-11-15
Japan Home versus Office blood pressure Measurement Evaluation for Assessment of the effects of mono and combination irbesartan therapy on microaLBuminuria
CTID: UMIN000004510
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2010-11-08
None
CTID: jRCT2080221238
Phase:    Status:
Date: 2010-09-10
None
CTID: jRCT2080221076
Phase:    Status:
Date: 2010-04-22
A study on relationship between characteristics of angiotensin II blockade and pleiotropic effects of angiotensin II AT1 receptor antagonists
CTID: UMIN000003502
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2010-04-17
Evaluation of renal protection by irbesartan and losartan in renal transplanted patients
CTID: UMIN000003359
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2010-04-01
Anti-fibrotic activity of Irbesartan in chronic hepatitis with hypertension using Elastography
CTID: UMIN000002707
Phase:    Status: Complete: follow-up continuing
Date: 2009-11-11
Assessment of pleiotropic and proteinuria reducing effect of irbesartan and losartan in chronic kidney disease patients
CTID: UMIN000002424
Phase:    Status: Complete: follow-up complete
Date: 2009-09-07
Assessment of pleiotropic and proteinuria reducing effect of irbesartan in chronic kidney disease patients
CTID: UMIN000002423
Phase:    Status: Recruiting
Date: 2009-09-07
Evaluation of Renal Protection by Impidapril and Irbesartan in Patients with Essential Hypertension
CTID: UMIN000002430
Phase: Phase III    Status: Complete: follow-up complete
Date: 2009-09-02
Comparison of Efonidipine/Irbesartan combination and Irbesartan monotherapy for uncontrolled hypertension
CTID: UMIN000002242
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2009-09-01
None
CTID: jRCT2080220753
Phase:    Status:
Date: 2009-06-17
Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy
CTID: UMIN000001470
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2008-11-01

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