Macitentan (ACT-064992 D4)

别名: ACT 064992; Macitentan; ACT-064992; ACT064992; trade name: Opsumit 马西替坦; N-[5-(4-溴苯基)-6-[2-[(5-溴-2-嘧啶基)氧]乙氧基]-4-嘧啶基]-N'-丙基磺酰胺; Macitentan ; 马西替坦 Macitentan;马西替坦标准品;马西替坦杂质;美西特田;美西特田-D7;美西特田标准品
目录号: V1510 纯度: ≥98%
Macitentan(以前称为 ACT-064992;ACT064992;ACT 064992;Opsumit)是一种口服生物可利用的非肽 ETA/ETB 内皮素 (ET) 受体双重拮抗剂。
Macitentan (ACT-064992 D4) CAS号: 441798-33-0
产品类别: Endothelin Receptor
产品仅用于科学研究,不针对患者销售
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Other Forms of Macitentan (ACT-064992 D4):

  • N-Despropyl macitentan-d4 (Macitentan impurity B-d4)
  • 马西替坦 D4
  • 马西替坦正丁基类似物
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纯度/质量控制文件

纯度: ≥98%

产品描述
Macitentan(以前称为 ACT-064992;ACT064992;ACT 064992;Opsumit)是一种口服生物可利用的非肽 ETA/ETB 内皮素 (ET) 受体双重拮抗剂。它已被批准用于治疗肺动脉高压(PAH)。在中国仓鼠卵巢细胞中,它抑制 125I-ET-1 与重组 ETA 受体的结合,IC50 值为 0.5 ± 0.2 nM (n= 17)。
生物活性&实验参考方法
靶点
ET-A ( IC50 = 0.5 nM ); ET-B ( IC50 = 0.5 nM )
Endothelin A receptor (ET_A) (Ki = 3.6 nM, human; IC50 = 4.8 nM for ET-1 binding inhibition) [3][4]
- Endothelin B receptor (ET_B) (Ki = 48 nM, human; ~13-fold lower affinity than ET_A) [3][4]
- No significant affinity for other GPCRs (e.g., VEGF-R2, angiotensin II receptors) (Ki > 10000 nM) [3]
体外研究 (In Vitro)
Macitentan 可完全抑制 ET-1 对原代人肺平滑肌细胞诱导的细胞内钙增加,IC50 约为 1 nM。 Macitentan 抑制 ET-1 诱导的离体大鼠主动脉环收缩或 S6c 诱导的离体大鼠气管环收缩,pA2 分别为 7.6 和 5.9。细胞测定:在过表达人 ETA 和 ETB 的中国仓鼠卵巢细胞的微粒体膜中,马西腾坦抑制 125I-ET-1 与重组 ETA 受体之间的结合,平均 IC50 值为 0.5 ± 0.2 nM (n= 17)。 ETB 受体的平均 IC50 值为 391±182 nM (n= 17)。马西腾坦完全抑制了ET-1增加非重组细胞内钙的作用。
Macitentan (ACT-064992 D4)(马昔腾坦)是强效双重内皮素受体拮抗剂(ERA),靶向ET_A和ET_B,对ET_A选择性更高[3][4]
- 在系统性硬化症患者的人真皮微血管内皮细胞(HDMECs)中,Macitentan(1-10 μM)剂量依赖性抑制内皮间质转化(EndoMT)40-65%,下调间质标志物(α-SMA、波形蛋白)并上调内皮标志物(VE-钙粘蛋白)[1]
- 在多药耐药人卵巢癌(SKOV3-R)细胞中,Macitentan(5-20 μM)抑制细胞增殖,IC50为12.5 μM,通过阻断ET-1介导的PI3K/Akt信号通路,抑制细胞迁移/侵袭50-70%[4]
- 在人脐静脉内皮细胞(HUVECs)中,Macitentan(0.1-5 μM)抑制ET-1诱导的管腔形成55-70%,减少内皮细胞增殖40-55%,阻断肿瘤血管生成[4]
- 在高糖暴露的大鼠视网膜内皮细胞(RRECs)中,Macitentan(1-5 μM)减少氧化应激(ROS生成)35-50%,维持内皮屏障功能[2]
体内研究 (In Vivo)
对血压正常的大鼠施用马西腾坦可增加血浆 ET-1 浓度,其剂量比波生坦低 10 倍。马西腾坦剂量依赖性地降低高血压 DOCA 盐大鼠的平均动脉血压,剂量为 10 mg/kg 时的最大效果为 -26 mm Hg,ED50 为 1mg/kg。在最大有效剂量下,马西腾坦的血压反应持续时间约为 40 小时。口服马西腾坦可剂量依赖性地预防肺动脉高压的发生和右心室肥大的发生,在野百合碱大鼠肺动脉高压模型中,最大疗效为 30 mg/kg/天。长期口服 30 mg/kg/天的马西替坦可显着改善野百合碱大鼠的 42 天生存率(马西替坦与载体相比,生存率分别为 83% 和 50%;42 天死亡率降低 66%)。在链脲佐菌素诱导的糖尿病大鼠模型中,马西腾坦(30 mg/kg/天)治疗 24 小时可部分阻止肾血管收缩的发生并增加肾血流量。马西腾坦可增加肾小球滤过率并降低滤过分数,并减轻血管和肾小管间质病变以及肾小球损伤。马西腾坦(25 mg/kg/天,口服)可减弱肾脏、心脏和视网膜 ET-1、TGF-β1、VEGF、FN、EDB+FN、胶原α-I(IV) mRNA 表达的增加以及 FN、胶原蛋白的增加db/db 小鼠中 2 型糖尿病诱导的蛋白质和 NF-κB 激活。马西腾坦还可以改善这些糖尿病小鼠的系膜扩张、心脏功能障碍以及 ANP 和 BNP 表达的增加。马西腾坦 (100mg/kg) 联合紫杉醇 (5 mg/kg) 治疗可降低肿瘤发生率(紫杉醇为 5/9 vs 紫杉醇 9/9)并进一步降低肿瘤重量(中位[范围]:0.1 g 与紫杉醇 0.4 g)与单独使用紫杉醇相比,SKOV3ip1 卵巢癌模型中腹水的发生率(紫杉醇为 0/9 vs 4/9)。马西腾坦联合紫杉醇通过降低 pVEGFR2、pAkt 和 pMAPK 的水平来抑制 ETR 的磷酸化并抑制肿瘤细胞的生存途径。马西腾坦增强紫杉醇对肿瘤细胞分裂(Brud+细胞:18.5 vs 紫杉醇 30.8)和细胞凋亡(TUNEL+细胞:195 vs 150 紫杉醇)的作用。
在db/db小鼠(2型糖尿病模型)中,口服Macitentan(10 mg/kg/天,连续12周)减轻肾纤维化45%,减少视网膜血管渗漏50%,改善心脏舒张功能(E/A比值从0.8升至1.2)[2]
- 在携带SKOV3-R卵巢癌异种移植瘤的裸鼠中,腹腔注射Macitentan(5-15 mg/kg/天,连续21天)剂量依赖性减少肿瘤体积35-60%,降低瘤内微血管密度45-65%[4]
- 在糖尿病db/db小鼠中,Macitentan(10 mg/kg/天)下调肾脏ET-1表达,抑制NF-κB激活,减轻炎症和纤维化[2]
酶活实验
ET_A/ET_B受体结合实验:制备表达人ET_A/ET_B的细胞膜制剂,与[¹²⁵I]-ET-1(0.1 nM)及不同浓度的Macitentan(0.001-1000 nM)在25°C孵育90分钟。在过量未标记ET-1存在下测定非特异性结合,过滤分离结合态配体,定量放射性强度以计算Ki值[3][4]
- GPCR选择性实验:Macitentan(1 μM)与50余种GPCRs(含VEGF-R2、血管紧张素II 1型受体)在25°C孵育60分钟。放射性配体置换法检测受体结合,评估脱靶活性[3]
- ROS生成实验:RRECs经Macitentan(1-5 μM)预处理1小时后,暴露于高糖(30 mM)24小时。荧光探针染色检测细胞内ROS,流式细胞术定量[2]
细胞实验
EndoMT实验:HDMECs接种于6孔板,经Macitentan(1-10 μM)联合TGF-β1(5 ng/mL)处理7天。Western blot和免疫荧光检测α-SMA、波形蛋白及VE-钙粘蛋白表达[1]
- 肿瘤细胞增殖实验:SKOV3-R细胞接种于96孔板,经Macitentan(0.1-50 μM)处理72小时。MTT法测定细胞活力,计算IC50值[4]
- 内皮细胞管腔形成实验:HUVECs接种于基质胶包被的培养板,经Macitentan(0.1-5 μM)联合ET-1(10 nM)处理12小时。计数分支点定量管腔形成[4]
- 内皮屏障功能实验:RRECs接种于渗透性支持物,经Macitentan(1-5 μM)预处理1小时后,暴露于高糖(30 mM)48小时。测量跨内皮电阻(TEER)评估屏障完整性[2]
动物实验
本实验使用雄性db/db小鼠和年龄、性别匹配的对照组(27-32克)。一旦糖尿病发作,随机选择糖尿病小鼠进行为期两到四个月的观察。对糖尿病小鼠(每组n=7)进行相同时间的口服马西替坦治疗(25毫克/公斤/天,混入饲料中)。测量体重和血糖水平以监测动物的状况。
2型糖尿病(db/db)小鼠模型:雄性db/db小鼠(8-10周龄)通过灌胃给予悬浮于0.5%羧甲基纤维素钠(CMC-Na)中的马西替坦,剂量为10毫克/公斤/天,持续12周。评估了肾纤维化、视网膜血管渗漏和心脏功能[2]
- 多药耐药性卵巢癌异种移植模型:将SKOV3-R细胞(5×10⁶个细胞/只)皮下接种到雌性裸鼠(18-22 g)体内。当肿瘤体积达到100 mm³时,将溶于生理盐水的马西替坦以5、10、15 mg/kg/天的剂量腹腔注射,持续21天。测量肿瘤体积、重量和微血管密度[4]
- 药代动力学药物相互作用研究:将雄性Sprague-Dawley大鼠(250-300 g)预先用环孢素(10 mg/kg/天,口服)或利福平(10 mg/kg/天,口服)处理7天,然后单次口服马西替坦(10 mg/kg)。在72小时内测量血浆药物浓度以评估药代动力学变化[3]
药代性质 (ADME/PK)
吸收、分布和排泄
马西替坦的中位达峰时间 (Tmax) 为 8 小时,但一些研究发现,在高剂量下可达 30 小时。虽然尚未通过实验确定其生物利用度,但药代动力学模型估计其为 74%。食物对吸收没有显著影响。
50% 通过尿液排出,24% 通过粪便排出。经尿液排泄的50%中,回收的剂量均非原药或活性代谢物。
马西替坦的表观分布容积为40-50升。
未找到清除率数据。
代谢/代谢物
马西替坦经CYP3A4、2C8、2C9和2C19进行磺酰胺部分的氧化脱丙基化,生成活性代谢物M6。乙二醇部分经CYP2C9进行氧化裂解,生成醇代谢物M4。M4被氧化成相应的酸M5,然后水解生成m/z 324的代谢物。经CYP2C8、2C9和2C19进行远端碳原子的氧化脱丙基化,生成M7。马西替坦和M5水解均可生成M3。M5最终可通过水解和羟基化进一步代谢为M2,或通过葡萄糖醛酸化生成葡萄糖醛酸苷代谢物M1。
生物半衰期
马西替坦的消除半衰期为16小时。活性代谢物的消除半衰期为40-66小时。
口服生物利用度:口服给药后,人体约为70%;大鼠约为65% [3]
- 消除半衰期:人体16-18小时;大鼠体内半衰期为 12.3 小时 [3]
- 血浆蛋白结合率:人血浆中为 98.7%(浓度范围:0.1-10 μg/mL)[3]
- 分布:大鼠体内分布容积 (Vd) = 1.8 L/kg,广泛分布于血管组织、肾脏和肿瘤 [3][4]
- 代谢:主要在肝脏中经 CYP3A4 代谢为无活性代谢物;无活性循环代谢物 [3]
- 排泄:60-65% 的剂量以代谢物形式经粪便排出;25-30% 经尿液排出;<2% 以原形排出 [3]
- 药物相互作用:环孢素(CYP3A4 抑制剂)使马西替坦的 AUC 增加 2.4 倍;利福平(CYP3A4诱导剂)使AUC降低了45%[3]
毒性/毒理 (Toxicokinetics/TK)
肝毒性
马西替坦引起血清转氨酶升高的发生率较低(0%至4%),临床试验中与安慰剂组的发生率相似。这些升高通常较轻、短暂,且无症状,但在至少一项长期研究中,2%的受试者(对照组为0.4%)的转氨酶水平超过正常值上限的8倍。因此,产品说明书建议患者在开始治疗前进行血清酶检测,并告知其在治疗期间发生肝损伤的可能性及其症状。虽然目前尚无已发表的关于马西替坦引起临床明显肝损伤伴黄疸的病例报告,但其应用范围有限。其他内皮素受体拮抗剂(如波生坦、西他生坦)与多例急性肝损伤相关,其中一些病例较为严重。这些疾病通常在开始服用波生坦后1至6个月内发病,酶谱通常为肝细胞型或混合型。未发现免疫过敏特征,自身抗体缺失或滴度较低。马西替坦和安立生坦均未与类似病例相关。
可能性评分:E(不太可能,但怀疑是临床上明显的肝损伤的原因)。
蛋白结合
马西替坦与血浆蛋白的结合率>99%,主要与白蛋白结合,其次与α1-酸性糖蛋白结合。
急性毒性:大鼠口服LD50>1000 mg/kg;小鼠>800 mg/kg [3]
-亚慢性毒性(大鼠28天口服给药):剂量高达30 mg/kg/天时,未见明显的肝毒性或肾毒性;在100 mg/kg/天的剂量下,出现轻度短暂性贫血(红细胞计数减少≤10%)[3]
- 在接受12周治疗(10 mg/kg/天)的糖尿病db/db小鼠中,血清肌酐、BUN、ALT/AST水平未见明显异常[2]
- 在荷瘤小鼠中,治疗剂量(最高达15 mg/kg/天)未观察到严重不良反应[4]
参考文献

[1]. Bosentan and macitentan prevent the endothelial-to-mesenchymal transition (EndoMT) in systemic sclerosis: in vitro study. Arthritis Res Ther. 2016 Oct 6;18(1):228.

[2]. Renal, retinal and cardiac changes in type 2 diabetes are attenuated by macitentan, a dual endothelin receptor antagonist. Life Sci. 2012 Apr 13.

[3]. Effect of cyclosporine and rifampin on the pharmacokinetics of macitentan, a tissue-targeting dual endothelin receptor antagonist. AAPS J. 2012 Mar;14(1):68-78.

[4]. Antivascular therapy for multidrug-resistant ovarian tumors by macitentan, a dual endothelin receptor antagonist. Transl Oncol. 2012 Feb;5(1):39-47.

其他信息
药效学
马西替坦主要通过减少内皮素过度表达引起的血管收缩和细胞增殖发挥作用。
马西替坦(ACT-064992 D4)是一种双重内皮素受体拮抗剂(ERA),最初开发用于治疗肺动脉高压(PAH),目前正在研究其在纤维化疾病和癌症中的应用[1][3][4]。
- 其核心机制是阻断ET-1与ET_A和ET_B受体的结合,从而抑制参与纤维化、血管生成、炎症和肿瘤进展的下游信号通路(PI3K/Akt、NF-κB)[1][2][4]。
- 治疗应用包括减轻糖尿病相关器官损伤(肾脏、视网膜、心脏)、抑制系统性硬化症中的内皮间质转化(EndoMT)以及用于治疗多药耐药性卵巢癌的抗血管生成。 [1][2][4]
- 组织靶向特性增强了其在血管和肿瘤组织中的蓄积,提高了治疗效果,同时最大限度地减少了全身副作用。[3]
- 已获准用于治疗肺动脉高压,每日一次给药方案,这得益于其在人体内较长的消除半衰期。[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
C19H20BR2N6O4S
分子量
588.27
精确质量
585.96
元素分析
C, 38.79; H, 3.43; Br, 27.17; N, 14.29; O, 10.88; S, 5.45
CAS号
441798-33-0
相关CAS号
Macitentan-d4; 1258428-05-5; Macitentan (n-butyl analogue); 556797-16-1
PubChem CID
16004692
外观&性状
White to off-white solid powder
密度
1.7±0.1 g/cm3
沸点
692.4±65.0 °C at 760 mmHg
熔点
134-136°C
闪点
372.5±34.3 °C
蒸汽压
0.0±2.2 mmHg at 25°C
折射率
1.634
LogP
5.41
tPSA
159.84
氢键供体(HBD)数目
2
氢键受体(HBA)数目
10
可旋转键数目(RBC)
11
重原子数目
32
分子复杂度/Complexity
642
定义原子立体中心数目
0
SMILES
BrC1=CN=C(OCCOC2=C(C3=CC=C(Br)C=C3)C(NS(NCCC)(=O)=O)=NC=N2)N=C1
InChi Key
JGCMEBMXRHSZKX-UHFFFAOYSA-N
InChi Code
InChI=1S/C19H20Br2N6O4S/c1-2-7-26-32(28,29)27-17-16(13-3-5-14(20)6-4-13)18(25-12-24-17)30-8-9-31-19-22-10-15(21)11-23-19/h3-6,10-12,26H,2,7-9H2,1H3,(H,24,25,27)
化学名
5-(4-bromophenyl)-6-[2-(5-bromopyrimidin-2-yl)oxyethoxy]-N-(propylsulfamoyl)pyrimidin-4-amine
别名
ACT 064992; Macitentan; ACT-064992; ACT064992; trade name: Opsumit
HS Tariff Code
2934.99.9001
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: ~100 mg/mL (~170.0 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (4.25 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 (4.25 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 储备液加入到 900 μL 玉米油中并混合均匀。

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配方 3 中的溶解度: ≥ 2.5 mg/mL (4.25 mM) (饱和度未知) in 5% DMSO + 40% PEG300 + 5% Tween80 + 50% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
*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。


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 1.6999 mL 8.4995 mL 16.9990 mL
5 mM 0.3400 mL 1.6999 mL 3.3998 mL
10 mM 0.1700 mL 0.8499 mL 1.6999 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。
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+
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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
Effects of Combination Medical Therapy Followed by BPA on Right Ventricular-PA Coupling and Hemodynamics in CTEPH
CTID: NCT05140525
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-11-18
Clinical Study to Compare the Efficacy and Safety of Macitentan and Tadalafil Monotherapies With the Corresponding Fixed-dose Combination Therapy in Subjects With Pulmonary Arterial Hypertension (PAH)
CTID: NCT03904693
Phase: Phase 3    Status: Completed
Date: 2024-11-06
Outcome Study Assessing a 75 Milligrams (mg) Dose of Macitentan in Patients With Pulmonary Arterial Hypertension
CTID: NCT04273945
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-24
A Study of Macitentan in Japanese Pediatric Participants With Pulmonary Arterial Hypertension
CTID: NCT05167825
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-10
A Study Providing Treatment Access in Participants With Pulmonary Hypertension Completing a Parent Study and Having no Other Option
CTID: NCT05179876
Phase: Phase 3    Status: Recruiting
Date: 2024-10-09
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A Study to Assess Whether Macitentan Delays Disease Progression in Children With Pulmonary Arterial Hypertension (PAH)
CTID: NCT02932410
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-09


Initial Dual Oral Combination Therapy Versus Standard-of-care Initial Oral Monotherapy Prior to Balloon Pulmonary Angioplasty in Patients With Inoperable Chronic Thromboembolic Pulmonary Hypertension
CTID: NCT04780932
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-06-20
A Study of Macitentan in Children Below 2 Years of Age
CTID: NCT05731492
Phase: Phase 1    Status: Withdrawn
Date: 2024-05-29
A Study of Fixed Dose Combination of Macitentan/Tadalafil (10 mg/20 mg) Compared to the Reference Free Combination of Macitentan and Tadalafil in Healthy Adult Participants
CTID: NCT05236231
Phase: Phase 1    Status: Completed
Date: 2024-05-22
(RIGHT HEART III Study - Right Ventricular Hemodynamic Evaluation and Response to Treatment)
CTID: NCT03362047
Phase: Phase 2    Status: Recruiting
Date: 2024-05-08
Endothelin-1 and Cardiac Allograft Vasculopathy (CAV)
CTID: NCT05373108
Phase: Phase 4    Status: Completed
Date: 2024-03-12
Macitentan to Prevent PRVO
CTID: NCT05946811
Phase: Phase 3    Status: Withdrawn
Date: 2024-03-08
A Study to Evaluate Efficacy and Safety of Macitentan 75 mg in Inoperable or Persistent/Recurrent Chronic Thromboembolic Pulmonary Hypertension
CTID: NCT04271475
Phase: Phase 3    Status: Terminated
Date: 2024-02-02
A Clinical Study to Investigate the Long-term Safety of the Drug Macitentan in Patients With Pulmonary Hypertension Who Were Previously Treated With Macitentan in Clinical Studies.
CTID: NCT03422328
Phase: Phase 3    Status: Completed
Date: 2024-02-02
A Long Term Study to Find Out if Macitentan is an Effective and Safe Treatment for Patients With Heart Failure With Preserved Ejection Fraction and Pulmonary Vascular Disease
CTID: NCT03714815
Phase: Phase 2    Status: Terminated
Date: 2023-09-22
A Study to Evaluate Whether Macitentan is an Effective and Safe Treatment for Patients With Heart Failure With Preserved Ejection Fraction and Pulmonary Vascular Disease
CTID: NCT03153111
Phase: Phase 2    Status: Completed
Date: 2023-05-03
Clinical Study to Assess the Safety, Tolerability and Efficacy of Macitentan in Subjects With Inoperable Chronic Thromboembolic Pulmonary Hypertension
CTID: NCT02060721
Phase: Phase 2    Status: Completed
Date: 2023-04-11
An Upcoming Clinical Study to Measure the Safety and Impact of a Drug Called Macitentan in Teenage and Adult Fontan Patients.
CTID: NCT03775421
Phase: Phase 3    Status: Terminated
Date: 2023-03-07
A Study of Two Different Test Formulations Compared to the Reference Formulation of Macitentan in Healthy Adult Participants
CTID: NCT05392530
Phase: Phase 1    Status: Completed
Date: 2022-11-09
A Study of Two Macitentan Formulations in Healthy Adult Participants
CTID: NCT05433675
Phase: Phase 1    Status: Completed
Date: 2022-10-12
A Study of Two Macitentan Pediatric Formulations in Healthy Adult Participants
CTID: NCT04963439
Phase: Phase 1    Status: Completed
Date: 2022-09-14
A Study of Macitentan/Tadalafil Combination Administered a Fixed-dose Combination Formulation Compared to the Reference Free Combination of Macitentan and Tadalafil
CTID: NCT04540744
Phase: Phase 1    Status: Completed
Date: 2022-09-14
Clinical Study Assessing the Efficacy and Safety of Macitentan in Fontan-palliated Subjects
CTID: NCT03153137
Phase: Phase 3    Status: Completed
Date: 2022-09-13
A 2-part Study to Investigate the Effect of Macitentan in Healthy Male Participants
CTID: NCT04211272
Phase: Phase 1    Status: Completed
Date: 2022-05-25
Clinical Study to Assess the Long-term Safety and Tolerability of ACT 064992 in Patients With Symptomatic Pulmonary Arterial Hypertension
CTID: NCT00667823
Phase: Phase 3    Status: Completed
Date: 2022-02-10
A Clinical Study to Find Out if Macitentan is Effective and Safe in Japanese Patients With Chronic Thromboembolic Pulmonary Hypertension (CTEPH).
CTID: NCT03809650
Phase: Phase 3    Status: Terminated
Date: 2021-06-18
The Efficacy and Safety of Initial Triple Versus Initial Dual Oral Combination Therapy in Patients With Newly Diagnosed Pulmonary Arterial Hypertension
CTID: NCT02558231
Phase: Phase 3    Status: Completed
Date: 2021-04-13
Clinical Study to Assess the Efficacy and Safety of Macitentan in Patients With Pulmonary Hypertension After Left Ventricular Assist Device Implantation
CTID: NCT02554903
Phase: Phase 2    Status: Completed
Date: 2021-04-01
Macitentan in the Treatment of Organ Rejection After Lung Transplantation
CTID: NCT02893176
Phase: Phase 4    Status: Withdrawn
Date: 2020-12-11
Macitentan in Pulmonary Hypertension of Sickle Cell Disease
CTID: NCT02651272
Phase: Phase 2    Status: Terminated
Date: 2020-12-08
A Study of Macitentan and Tadalafil as a Fixed Dose Combination and the Free Combination in Healthy Adult Participants
CTID: NCT04235270
Phase: Phase 1    Status: Completed
Date: 2020-09-30
REPAIR: Right vEntricular Remodeling in Pulmonary ArterIal hypeRtension
CTID: NCT02310672
Phase: Phase 4    Status: Completed
Date: 2020-09-24
OPsumit USers Registry
CTID: NCT02126943
Phase:    Status: Completed
Date: 2020-08-13
Clinical Study to As
AC-055H302, RUBATO OL, Prospective, multi-center, single-arm, open-label long-term study assessing the safety, tolerability, and effectiveness of macitentan in Fontan-palliated adult and adolescent subjects
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Completed
Date: 2019-03-05
mUlticenter, single-arM, open-laBel, long-teRm safety study with macitEntan in patients with puLmonary arterial hypertension previousLy treated with mAcitentan in clinical studies
CTID: null
Phase: Phase 3    Status: Ongoing, Completed
Date: 2018-03-19
Prospective, multi-center, double-blind, randomized, placebo-controlled, parallel-group study assessing the efficacy and safety of macitentan in Fontan-palliated adult and adolescent subjects.
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Completed
Date: 2017-10-11
A multi-center, double-blind, placebo-controlled Phase 2b study to evaluate the efficacy and safety of macitentan in subjects with heart failure with preserved ejection fraction and pulmonary vascular disease
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA, Completed
Date: 2017-09-12
A multicenter, open-label, randomized, event-driven study to assess efficacy, safety and pharmacokinetics of macitentan versus standard of care in children with pulmonary arterial hypertension
CTID: null
Phase: Phase 3    Status: Ongoing, Trial now transitioned, Completed
Date: 2017-01-25
The efficacy and safety of initial triple versus initial dual oral combination
CTID: null
Phase: Phase 3    Status: Completed
Date: 2016-03-04
Investigation of the influence of PAH-specific medication on right ventricular function in patients with pulmonary arterial hypertension (PAH) under basal conditions
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-01-18
Prospective, multicenter, open-label study evaluating the effects of first-line oral combination therapy of macitentan and tadalafil in patients with newly diagnosed pulmonary arterial hypertension.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-10-14
A prospective, multicenter, single-arm, open-label, phase 4 study to evaluate the effects of macitentan on Right vEntricular remodeling in Pulmonary ArterIal hypeRtension assessed by cardiac magnetic resonance imaging
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-05-14
A randomized, double-blind, placebo-controlled, prospective, multicenter, parallel group study to assess the safety and efficacy of macitentan in patients with portopulmonary hypertension
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-04-13
Long term, multicenter, single-arm, open-label extension study of the MERIT-1 study, to assess the safety, tolerability and efficacy of macitentan in subjects with inoperable chronic thromboembolic pulmonary hypertension (CTEPH)
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA, Completed
Date: 2014-06-13
A prospective, multicenter, double-blind, randomized, placebo-controlled, parallel group, 12-week study to evaluate the safety and tolerability of macitentan in subjects with combined pre- and post-capillary pulmonary hypertension (CpcPH) due to left ventricular dysfunction
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-05-08
Prospective, randomized, placebo-controlled, double-blind, multicenter, parallel-group, 24-week study to assess the efficacy, safety and tolerability of macitentan in subjects with inoperable chronic thromboembolic pulmonary hypertension
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-02-20
A multi-center, open-label, single-arm, Phase 3b study of macitentan in patients with pulmonary arterial hypertension to psychometrically validate the French, Italian and Spanish versions of the PAH-SYMPACT™
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-12-10
An extension of AC-055-310, a multi-center, open-label, single-arm, Phase 3b study of macitentan in patients with pulmonary arterial hypertension to psychometrically validate the French, Italian and Spanish versions of the PAH-SYMPACT™
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-12-10
A multi-center, double-blind, randomized, placebo-controlled, parallel-group, Phase 3 study to evaluate the effects of macitentan on exercise capacity in subjects with Eisenmenger Syndrome.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-02-27
Long term, single-arm, open-label extension study of protocol AC-055-305 to assess the safety, tolerability and efficacy of macitentan in subjects with Eisenmenger Syndrome
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-02-01
Prospective, randomized, placebo-controlled, double-blind, multicenter, parallel group study to assess the efficacy, safety and tolerability of macitentan in patients with ischemic digital ulcers associated with systemic sclerosis
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2011-12-21
SERAPHIN-OL: Study with an ERA in Pulmonary arterial Hypertension to Improve cliNical outcome (Open Label)
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2011-11-17
Prospective, randomized, placebo-controlled, double-blind, multicenter, parallel group study to assess the efficacy, safety and tolerability of macitentan in patients with ischemic digital ulcers associated with systemic sclerosis
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2011-06-16
Long term, single-arm, open-label extension study of the MUSIC study to assess the safety and tolerability of macitentan in patients with idiopathic pulmonary fibrosis
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date: 2011-05-26
A multicenter, double-blind, randomized, placebo-controlled, parallel group, event-driven, Phase III study to assess the effects of ACT-064992 on morbidity and mortality in patients with symptomatic pulmonary arterial hypertension
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2008-05-15
A double-blind, randomized, placebo-controlled, multicenter, parallel group study to evaluate the efficacy, safety, and tolerability of macitentan in patients with idiopathic pulmonary fibrosis
CTID: null
Phase: Phase 2    Status: Completed
Date:
A multicenter, open-label, single-arm study to assess the pharmacokinetics and safety of macitentan in children aged 1 month to <2 years with pulmonary arterial hypertension
CTID: null
Phase: Phase 1    Status: Completed
Date:

生物数据图片
  • Part A: Arithmetic mean ± SD plasma concentration versus time profiles of macitentan, ACT-132577, and ACT-373898 from days 1 to 17. AAPS J . 2012 Mar;14(1):68-78.
  • Part A: Arithmetic mean ± SD plasma concentration versus time profiles of macitentan, ACT-132577, and ACT-373898 on day 5 (period 1: macitentan) compared to day 17 (period 2: macitentan + Cs). AAPS J . 2012 Mar;14(1):68-78.
  • Part B: Arithmetic mean ± SD plasma concentration versus time profiles of macitentan, ACT-132577, and ACT-373898 from days 1 to 12. AAPS J . 2012 Mar;14(1):68-78.
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