Tolvaptan (OPC-41061)

别名: OPC41061; Tolvaptan; OPC 41061; OPC-41061; trade names Samsca; Jinarc; Resodim 托伐普坦; N-[4-[(5R)-7-氯-5-羟基-2,3,4,5-四氢-1-苯并氮杂卓-1-甲酰基]-3-甲基苯基]-2-甲基苯甲酰胺; 托伐普坦-D7;托伐普坦标准品;托伐普坦杂质
目录号: V1485 纯度: ≥98%
Tolvaptan(原名 OPC41061;OPC-41061;商品名 Samsca;Jinarc;Resodim)是一种选择性、竞争性、口服生物利用度的非肽精氨酸加压素 V2 受体拮抗剂,具有抗高钠血症活性。
Tolvaptan (OPC-41061) CAS号: 150683-30-0
产品类别: Vasopressin Receptor
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
1mg
5mg
10mg
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Tolvaptan (OPC-41061):

  • Tolvaptan-d7 (托伐普坦 d7)
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

产品描述
Tolvaptan(以前称为 OPC41061;OPC-41061;商品名 Samsca;Jinarc;Resodim)是一种选择性、竞争性、口服生物利用度的非肽精氨酸加压素 V2 受体拮抗剂,具有抗高钠血症活性。它抑制精氨酸加压素 V2 受体,IC50 为 3 nM。托伐普坦被批准用于治疗低钠血症。托伐普坦是加压素受体 2 拮抗剂,用于治疗与充血性心力衰竭、肝硬化和抗利尿激素不当综合征 (SIADH) 相关的低钠血症(低血钠水平)。
生物活性&实验参考方法
靶点
vasopressin receptor 2 ( IC50 = 3 nM )
体外研究 (In Vitro)
体外活性:托伐普坦阻断 [(3)H]AVP 与人 V(2) 受体的结合,选择性比 V(1a) 受体高 29 倍,并且对 V(1b) 受体没有抑制作用。 Tolvaptan 不仅能抑制 [(3)H]AVP 的结合,还能抑制表达人 V(2) 受体的 HeLa 细胞中 AVP 诱导的环 AMP 的产生。托伐普坦在健康和患病动物中表现出明显的渗水现象。 Tolvaptan 在常染色体显性多囊肾病 (ADPKD) 细胞中对精氨酸加压素诱导的 cAMP 产生产生浓度依赖性抑制,表观 IC(50) 为 0.1 nM。 Tolvaptan 抑制 AVP 诱导的 ERK 信号传导和细胞增殖。 Tolvaptan 抑制 AVP 诱导的 Cl(-) 分泌,并减少在三维胶原基质中培养的 ADPKD 细胞的体外囊肿生长。
体内研究 (In Vivo)
托伐普坦可改善低钠血症,从而预防死亡,并改善急性和慢性低钠血症大鼠模型的器官水潴留。托伐普坦可降低心脏前负荷,且不会对心力衰竭 (HF) 犬的肾功能、全身血流动力学或循环神经激素产生不利影响。在人类多囊肾病 (PKD) 动物模型中,托伐普坦显示肾脏重量以及囊肿和纤维化体积下降。 Tolvaptan 显着提高心力衰竭大鼠的无电解质水清除率 (E-CH(2)O) 或水渗出至正值,并增加尿精氨酸加压素 (AVP) 排泄。
酶活实验
在体外受体结合研究中,托伐普坦阻断[(3)H]AVP与人V(2)受体的结合,其选择性是V(1a)受体的29倍,并且对V(1b)受体没有抑制作用。Tolvaptan不仅抑制[(3)H]AVP的结合,而且抑制AVP诱导的表达人V(2)受体的HeLa细胞中环状AMP的产生。此外,托伐普坦没有内在的V(2)受体激动作用[1]。
细胞实验
细胞系:HepG2 细胞
浓度:0-100 μM
孵育时间:24、48、96 和 168 小时
结果:对 HepG2 细胞具有时间和剂量依赖性抑制作用,IC50 >100、52.2、 24、48、96 和 168 小时分别为 33.0 和 27.1 μM。
动物实验
Male albino rats with cyclophosphamide intraperitoneal injection
10 mg/kg
Oral gavage; 10 mg/kg once per day; for 22 days
药代性质 (ADME/PK)
Absorption, Distribution and Excretion
Tmax, Healthy subjects: 2 - 4 hours; Cmax, Healthy subjects, 30 mg: 374 ng/mL; Cmax, Healthy subjects, 90 mg: 418 ng/mL; Cmax, heart failure patients, 30 mg: 460 ng/mL; Cmax, heart failure patients, 90 mg: 723 ng/mL; AUC(0-24 hours), 60 mg: 3.71 μg·h/mL; AUC(∞), 60 mg: 4.55 μg·h/mL; The pharmacokinetic properties of tolvaptan are stereospecific, with a steady-state ratio of the S-(-) to the R-(+) enantiomer of about 3. The absolute bioavailability of tolvaptan is unknown. At least 40% of the dose is absorbed as tolvaptan or metabolites. Food does not impact the bioavailability of tolvaptan.
Fecal- very little renal elimination (<1% is excreted unchanged in the urine)
Healthy subjects: 3L/kg; slightly higher in heart failure patients.
4 mL/min/kg (post-oral dosing).
In a study in patients with creatinine clearances ranging from 10-124 mL/min administered a single dose of 60 mg tolvaptan, AUC and Cmax of plasma tolvaptan were less than doubled in patients with severe renal impairment relative to the controls. The peak increase in serum sodium was 5-6 mEq/L, regardless of renal function, but the onset and offset of tolvaptan's effect on serum sodium were slower in patients with severe renal impairment.
In healthy subjects the pharmacokinetics of tolvaptan after single doses of up to 480 mg and multiple doses up to 300 mg once daily have been examined. Area under the curve (AUC) increases proportionally with dose. After administration of doses > or = 60 mg, however, Cmax increases less than proportionally with dose. The pharmacokinetic properties of tolvaptan are stereospecific, with a steady-state ratio of the S-(-) to the R-(+) enantiomer of about 3. The absolute bioavailability of tolvaptan is unknown. At least 40% of the dose is absorbed as tolvaptan or metabolites. Peak concentrations of tolvaptan are observed between 2 and 4 hours post-dose. Food does not impact the bioavailability of tolvaptan. In vitro data indicate that tolvaptan is a substrate and inhibitor of P-gp. Tolvaptan is highly plasma protein bound (99%) and distributed into an apparent volume of distribution of about 3 L/kg. Tolvaptan is eliminated entirely by non-renal routes and mainly, if not exclusively, metabolized by CYP 3A. After oral dosing, clearance is about 4 mL/min/kg and the terminal phase half-life is about 12 hours. The accumulation factor of tolvaptan with the once-daily regimen is 1.3 and the trough concentrations amount to > or = 16% of the peak concentrations, suggesting a dominant half-life somewhat shorter than 12 hours. There is marked inter-subject variation in peak and average exposure to tolvaptan with a percent coefficient of variation ranging between 30 and 60%.
In patients with hyponatremia of any origin the clearance of tolvaptan is reduced to about 2 mL/min/kg. Moderate or severe hepatic impairment or congestive heart failure decrease the clearance and increase the volume of distribution of tolvaptan, but the respective changes are not clinically relevant. Exposure and response to tolvaptan in subjects with creatinine clearance ranging between 79 and 10 mL/min and patients with normal renal function are not different.
In healthy subjects receiving a single dose of Samsca 60 mg, the onset of the aquaretic and sodium increasing effects occurs within 2 to 4 hours post-dose. A peak effect of about a 6 mEq increase in serum sodium and about 9 mL/min increase in urine excretion rate is observed between 4 and 8 hours post-dose; thus, the pharmacological activity lags behind the plasma concentrations of tolvaptan. About 60% of the peak effect on serum sodium is sustained at 24 hours post-dose, but the urinary excretion rate is no longer elevated by this time. Doses above 60 mg tolvaptan do not increase aquaresis or serum sodium further. The effects of tolvaptan in the recommended dose range of 15 to 60 mg once daily appear to be limited to aquaresis and the resulting increase in sodium concentration.
For more Absorption, Distribution and Excretion (Complete) data for Tolvaptan (12 total), please visit the HSDB record page.
Metabolism / Metabolites
Metabolism exclusively by CYP3A4 enzyme in the liver. Metabolites are inactive.
Repeated dosing of female rats reduced systemic exposure to tolvaptan. Analysis of the serum samples for metabolites DM-4103 and DM-4107 revealed increases in the concentrations of these metabolites following repeated dosing, and explained the reduction in serum tolvaptan concentrations. Furthermore, tolvaptan was shown to induce hepatic drug-metabolising enzymes (cytochrome b5 content and aminopyrine N-demethylase activity) in female rats after 7 days dosing at 300 mg/kg/day. Tolvaptan was both a substrate for, and inhibitor of, MDR1-mediated transport.
Tolvaptan is extensively metabolized in all species investigated. In vitro studies with rat liver supernatant produced a number of metabolites of tolvaptan. Hydroxylation of the benzazepine ring produced metabolites DM-4110, DM-4111 and DM-4119. Cleavage of the bond between the 1 and 2 positions of the benzazepine ring produced metabolites DM-4103, DM-4104, DM-4105 and DM- 4107. Oxidation of the hydroxyl group at the 5 position in the benzazepine ring produced MOP-21826.
Tolvaptan is mainly, if not exclusively, metabolized in the liver by cytochrome P-450 (CYP) isoenzyme 3A; the drug also is a weak inhibitor of CYP3A and a substrate and inhibitor of the P-glycoprotein transport system. Compared with tolvaptan, metabolites of the drug have little or no antagonist activity for human V2 receptors.
Tolvaptan is metabolized extensively in humans by the CYP3A4/5 system with seven metabolites (DM-4103, DM-4104, DM-4105, DM-4107, DM-4110, DM-4111, DM-4119) detected in the plasma, urine, and faeces of all subjects in a 14C mass balance study. After administration of (14)C-tolvaptan, 13 metabolites were identified in human plasma. Tolvaptan and identified metabolites accounted for about 70% of administered radioactivity. The predominant metabolite, with >50% of the total dose using the mass balance approach was DM-4103. The terminal elimination half-life of DM-4103 is approximatley 183 hours and after multiple dosing DM-4103 shows accumulation by day 28, but this appears pharmacologically inactive in the concentrations achieved using clinically relevant doses. Only 3% of the radioactivity was due to unchanged tolvaptan in the plasma.
Biological Half-Life
Terminal half life, oral dose = 12 hours.
After IV administration, a half-life was estimated to be 3.5 hours, but it is suggested that this value most likely represents a distribution half-life and not a true elimination half-life.
The terminal phase half-life is about 12 hours.
Although tolvaptan is poorly soluble in water, following single dose of 30-480 mg, it is absorbed rapidly with a median time to peak plasma concentrations of about 2 hours (range of 1-12 hours) in healthy subjects. The mean (SD) of elimination half life is 7.8 (4.9) hours.
毒性/毒理 (Toxicokinetics/TK)
Toxicity Summary
IDENTIFICATION AND USE: Tolvaptan is a white crystalline powder that is formulated into oral tablets. Tolvaptan is an antagonist of arginine vasopressin (antidiuretic hormone) V2 receptors. It is used to treat low sodium levels in the blood. HUMAN EXPOSURE AND TOXICITY: Tolvaptan was well tolerated in healthy subjects at single oral doses up to 480 mg and multiple doses up to 300 mg once daily for 5 days. There is no specific antidote for tolvaptan intoxication. The signs and symptoms of an acute overdose can be anticipated to be those of excessive pharmacologic effect: a rise in serum sodium concentration, polyuria, thirst, and dehydration/hypovolemia. However, chronic administration of tolvaptan can cause serious and potentially fatal liver injury. In 2013, the U.S. Food and Drug Administration (FDA) determined that the drug should not be used for longer than 30 days and should not be used in patients with underlying liver disease because it can cause liver injury, potentially requiring liver transplant or death. In a placebo-controlled and open label extension study of chronically administered tolvaptan in patients with autosomal dominant polycystic kidney disease, cases of serious liver injury attributed to tolvaptan were observed. Tolvaptan therapy should be initiated or reinitiated only in a hospital setting, where serum sodium concentrations and therapeutic response can be monitored closely. Too rapid correction of hyponatremia may cause osmotic demyelination syndrome, resulting in dysarthria, mutism, dysphagia, lethargy, affective changes, spastic quadriparesis, seizures, coma, or death. Slower rates of correction may be advisable in susceptible patients, including those with severe malnutrition, alcoholism, or advanced liver disease. Patients with syndrome of inappropriate secretion of antidiuretic hormone or very low baseline serum sodium concentrations may be at increased risk for too rapid correction of serum sodium concentration. Tolvaptan is contraindicated in patients who are unable to sense or appropriately respond to thirst and in those with hypovolemic hyponatremia. Tolvaptan is mainly, if not exclusively, metabolized in the liver by cytochrome P-450 (CYP) isoenzyme 3A; the drug also is a weak inhibitor of CYP3A and a substrate and inhibitor of the P-glycoprotein transport system. Compared with tolvaptan, metabolites of the drug have little or no antagonist activity for human V2 receptors. ANIMAL STUDIES: Tolvaptan had low acute toxicity when administered to rats and dogs. In repeated dose studies in rats and dogs, findings were generally related to the pharmacological effect of tolvaptan and consisted of increased urine volume, decreased urine osmolality and increased water consumption. Decreased body weight and alterations in hematological and clinical chemistry parameters were also seen but were reversible during a recovery period. Up to two years of oral administration of tolvaptan to male and female rats did not increase the incidence of tumors. In a fertility study in male and female rats, tolvaptan was associated with fewer corpora lutea and implants compared to controls. Oral administration of tolvaptan to pregnant rabbits during organogenesis was associated with reductions in maternal body weight gain and food consumption. Abortions, increased incidences of embryo-fetal death, fetal microphthalmia, open eyelids, cleft palate, brachymelia, and skeletal malformations were also observed. Tolvaptan tested negative for genotoxicity in in vitro (bacterial reverse mutation assay and chromosomal aberration test in Chinese hamster lung fibroblast cells) and in vivo (rat micronucleus assay) test systems.
Hepatotoxicity
In prelicensure clinical trials, tolvaptan was not implicated in causing serum enzyme elevations or clinically apparent liver injury. However, instances of worsening of hepatic failure and complications of portal hypertension were reported in a small proportion of patients with cirrhosis treated with tolvaptan. These complications included variceal hemorrhage, hepatic encephalopathy and worsening of jaundice. In many trials, however, the frequency of these complications was not significantly greater than in placebo treated controls. More recently, in large registration trials of long term therapy in patients with ADPKD, serum aminotransferase elevations occurred in 4% to 5% of patients on tolvaptan, compared to only 1% of controls. Furthermore, clinically apparent liver injury occurred in approximately 0.1% of treated patients. The time to onset of illness ranged from 3 to 9 months (Case 1), but occasionally arose during long term therapy (Case 2). The clinical presentation was with the insidious development of fatigue, nausea and abdominal pain followed by dark urine, jaundice and pruritus. The pattern of serum enzyme elevations was typically hepatocellular or mixed, and liver biopsy showed an acute hepatitis with mild cholestasis. All patients recovered after stopping therapy, generally within 1 to 3 months of stopping therapy without evidence of residual injury. Immunoallergic features and autoantibodies were not found. Rapid recurrence on rechallenge was demonstrated in several patients with marked serum enzyme elevations during therapy, but patients with jaundice were not reexposed. The frequency of clinically apparent liver injury during therapy was one reason for the delay of formal approval of long term tolvaptan therapy for ADPKD. Since its approval and more wide-spread use, occasion reports of clinically apparent liver injury have continued to appear, at least one of which led to liver transplantation. Interestingly, most instances of liver injury have been reported with its use in autosomal dominant polycystic kidney disease rather than hyponatremia. Reasons for this are probably the duration of therapy, but also may relate to the slightly higher doses used to decrease progress in polycystic kidney disease.
Likelihood score: C (probable rare cause of clinically apparent liver injury).
Protein Binding
99% bound
Interactions
Tolvaptan, an arginine vasopressin (V2) receptor antagonist, may interfere with the V2 receptor agonist activity of desmopressin. In a male patient with mild von Willebrand disease, IV infusion of desmopressin 2 hours after oral administration of tolvaptan did not result in the expected increases in von Willebrand factor antigen or factor VIII activity. When the patient received desmopressin prior to initiation of tolvaptan therapy, desmopressin resulted in twofold to threefold increases in von Willebrand factor antigen, ristocetin cofactor activity, and factor VIII activity, and normalized results of the platelet function analyzer test and the activated partial thromboplastin time (aPTT). However, when the patient received desmopressin during tolvaptan therapy, desmopressin failed to increase von Willebrand factor antigen, ristocetin cofactor activity, and factor VIII activity, and effects of desmopressin on platelet function analyzer test results and aPTT were attenuated. Concomitant use of tolvaptan with V2 receptor agonists is not recommended.
In clinical studies, the incidence of hyperkalemia was approximately 1-2% higher when tolvaptan was used concomitantly with angiotensin II receptor antagonists, angiotensin-converting enzyme (ACE) inhibitors, and potassium-sparing diuretics compared with use of these drugs with placebo. Formal drug interaction studies have not been performed. Serum potassium concentrations should be monitored during concomitant therapy with tolvaptan and drugs known to increase serum potassium concentrations (e.g., angiotensin II receptor antagonists, ACE inhibitors, potassium-sparing diuretics).
Concomitant use of tolvaptan with inhibitors of the P-glycoprotein transport system (e.g., cyclosporine) may result in increased tolvaptan concentrations and may require reduction of tolvaptan dosage based on clinical response.
Concomitant use of tolvaptan with potent inducers of CYP3A (e.g., barbiturates, carbamazepine, phenytoin, rifabutin, rifampin, rifapentine, St. John's wort (Hypericum perforatum)) may result in reduced plasma concentrations and decreased efficacy of tolvaptan. The manufacturer states that concomitant use of tolvaptan with rifampin reduces plasma tolvaptan concentrations by 85%, and other potent CYP3A inducers can be expected to produce similar results. Concomitant use of tolvaptan with CYP3A inducers should be avoided. If tolvaptan is used concomitantly with CYP3A inducers, the expected clinical effects of tolvaptan may not be observed at the recommended dosage; patient response should be monitored and the dosage adjusted accordingly.
For more Interactions (Complete) data for Tolvaptan (8 total), please visit the HSDB record page.
参考文献

[1]. Cardiovasc Drug Rev . 2007 Spring;25(1):1-13.

[2]. Am J Physiol Renal Physiol . 2011 Nov;301(5):F1005-13.

[3]. Biochem Pharmacol . 2008 Mar 15;75(6):1322-30.

其他信息
Therapeutic Uses
Vasopressin V2 Receptor Antagonist
Samsca is indicated for the treatment of clinically significant hypervolemic and euvolemic hyponatremia (serum sodium <125 mEq/L or less marked hyponatremia that is symptomatic and has resisted correction with fluid restriction), including patients with heart failure and Syndrome of Inappropriate Antidiuretic Hormone (SIADH). /Included in US product label/
EXPL Autosomal dominant polycystic kidney disease (ADPKD) is characterized by bilateral renal cysts, kidney pain, hypertension, and progressive loss of renal function. It is a leading cause of end-stage renal disease and the most common inherited kidney disease in the United States. Despite its prevalence, disease-modifying treatment options do not currently exist. Tolvaptan is an orally active, selective arginine vasopressin V2 receptor antagonist already in use for hyponatremia. Tolvaptan exhibits dose-proportional pharmacokinetics with a half-life of approximately 12 hours. Metabolism occurs through the cytochrome P450 3A4 isoenzyme, and tolvaptan is a substrate for P-glycoprotein, resulting in numerous drug interactions. Recent research has highlighted the beneficial effect of tolvaptan on delaying the progression of ADPKD, which is the focus of this review. Pharmacologic, preclinical, and phase II and III clinical trial studies have demonstrated that tolvaptan is an effective treatment option that targets underlying pathogenic mechanisms of ADPKD. Tolvaptan delays the increase in total kidney volume (surrogate marker for disease progression), slows the decline in renal function, and reduces kidney pain. However, tolvaptan has significant adverse effects including aquaretic effects (polyuria, nocturia, polydipsia) and elevation of aminotransferase enzyme concentrations with the potential for acute liver failure. Appropriate patient selection is critical to optimize long-term benefits while minimizing adverse effects and hepatotoxic risk factors. Overall, tolvaptan is the first pharmacotherapeutic intervention to demonstrate significant benefit in the treatment of ADPKD, but practitioners and regulatory agencies must carefully weigh the risks versus benefits. Additional research should focus on incidence and risk factors of liver injury, cost-effectiveness, clinical management of drug-drug interactions, and long-term disease outcomes.
Tolvaptan is not indicated for the treatment of hypovolemic hyponatremia. The manufacturer states that tolvaptan should not be used in patients who require urgent intervention to raise serum sodium concentrations to prevent or treat serious neurologic manifestations. In addition, it has not been established that using tolvaptan to increase serum sodium concentrations provides symptomatic benefit to patients
Drug Warnings
/BOXED WARNING/ WARNING: INITIATE AND RE-INITIATE IN A HOSPITAL AND MONITOR SERUM SODIUM. Samsca should be initiated and re-initiated in patients only in a hospital where serum sodium can be monitored closely. Too rapid correction of hyponatremia (e.g., >12 mEq/L/24 hours) can cause osmotic demyelination resulting in dysarthria, mutism, dysphagia, lethargy, affective changes, spastic quadriparesis, seizures, coma and death. In susceptible patients, including those with severe malnutrition, alcoholism or advanced liver disease, slower rates of correction may be advisable.
Tolvaptan therapy should be initiated or reinitiated only in a hospital setting, where serum sodium concentrations and therapeutic response can be monitored closely. Too rapid a correction of hyponatremia (e.g., increases in serum sodium concentration exceeding 12 mEq/L over 24 hours) may cause osmotic demyelination syndrome, resulting in dysarthria, mutism, dysphagia, lethargy, affective changes, spastic quadriparesis, seizures, coma, or death. Slower rates of correction may be advisable in susceptible patients, including those with severe malnutrition, alcoholism, or advanced liver disease. Patients with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) or very low baseline serum sodium concentrations may be at increased risk for too rapid a correction of serum sodium concentration. Fluid restriction during the first 24 hours of tolvaptan therapy may increase the risk of overly rapid correction of serum sodium concentration and generally should be avoided.
Samsca can cause serious and potentially fatal liver injury. In a placebo-controlled and open label extension study of chronically administered tolvaptan in patients with autosomal dominant polycystic kidney disease, cases of serious liver injury attributed to tolvaptan were observed. An increased incidence of ALT greater than three times the upper limit of normal was associated with tolvaptan (42/958 or 4.4%) compared to placebo (5/484 or 1.0%). Cases of serious liver injury were generally observed starting 3 months after initiation of tolvaptan although elevations of ALT occurred prior to 3 months. Patients with symptoms that may indicate liver injury, including fatigue, anorexia, right upper abdominal discomfort, dark urine or jaundice should discontinue treatment with Samsca. Limit duration of therapy with Samsca to 30 days. Avoid use in patients with underlying liver disease, including cirrhosis, because the ability to recover from liver injury may be impaired
The U.S. Food and Drug Administration (FDA) has determined that the drug Samsca (tolvaptan) should not be used for longer than 30 days and should not be used in patients with underlying liver disease because it can cause liver injury, potentially requiring liver transplant or death. Samsca is used to treat low sodium levels in the blood. An increased risk of liver injury was observed in recent large clinical trials evaluating Samsca for a new use in patients with autosomal dominant polycystic kidney disease (ADPKD)
For more Drug Warnings (Complete) data for Tolvaptan (15 total), please visit the HSDB record page.
Pharmacodynamics
Urine volume and fluid intake increase in a dose dependent manner which results in overall negative fluid balance in patients taking tolvaptan. Increases in serum sodium and osmolality can be observed 4-8 hours post-administration and is maintained for 24 hours. The magnitude of serum sodium and osmolality change increases with escalating doses. Furthermore, a decrease in urine osmolality and increase in free water clearance can be observed 4 hours after post-administration of tolvaptan. The affinity for V2 receptors is 29x greater than that of V1a receptors and does not have any appreciable affinity for V2 receptors.
*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
C26H25CLN2O3
分子量
448.94
精确质量
448.155
元素分析
C, 69.56; H, 5.61; Cl, 7.90; N, 6.24; O, 10.69
CAS号
150683-30-0
相关CAS号
Tolvaptan-d7; 1246818-18-7
PubChem CID
216237
外观&性状
White to off-white solid powder
密度
1.3±0.1 g/cm3
沸点
594.4±50.0 °C at 760 mmHg
熔点
219-222°C
闪点
313.3±30.1 °C
蒸汽压
0.0±1.8 mmHg at 25°C
折射率
1.664
LogP
4.09
tPSA
69.64
氢键供体(HBD)数目
2
氢键受体(HBA)数目
3
可旋转键数目(RBC)
3
重原子数目
32
分子复杂度/Complexity
674
定义原子立体中心数目
0
SMILES
ClC1C([H])=C([H])C2=C(C=1[H])C([H])(C([H])([H])C([H])([H])C([H])([H])N2C(C1C([H])=C([H])C(=C([H])C=1C([H])([H])[H])N([H])C(C1=C([H])C([H])=C([H])C([H])=C1C([H])([H])[H])=O)=O)O[H]
InChi Key
GYHCTFXIZSNGJT-UHFFFAOYSA-N
InChi Code
InChI=1S/C26H25ClN2O3/c1-16-6-3-4-7-20(16)25(31)28-19-10-11-21(17(2)14-19)26(32)29-13-5-8-24(30)22-15-18(27)9-12-23(22)29/h3-4,6-7,9-12,14-15,24,30H,5,8,13H2,1-2H3,(H,28,31)
化学名
N-[4-(7-chloro-5-hydroxy-2,3,4,5-tetrahydro-1-benzazepine-1-carbonyl)-3-methylphenyl]-2-methylbenzamide
别名
OPC41061; Tolvaptan; OPC 41061; OPC-41061; trade names Samsca; Jinarc; Resodim
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: ~90 mg/mL (~200.5 mM)
Water: <1 mg/mL
Ethanol: ~6 mg/mL (~13.4 mM)
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.17 mg/mL (4.83 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 21.7 mg/mL澄清DMSO储备液加入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: ≥ 2.17 mg/mL (4.83 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 21.7 mg/mL澄清DMSO储备液加入900 μL玉米油中,混合均匀。

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 2.2275 mL 11.1373 mL 22.2747 mL
5 mM 0.4455 mL 2.2275 mL 4.4549 mL
10 mM 0.2227 mL 1.1137 mL 2.2275 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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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
Acute Heart Failure Patients With High Copeptin Treated With Tolvaptan Targets Increased AVP Activation for Treatment (ACTIVATE)
CTID: NCT01733134
Phase: Phase 3    Status: Withdrawn
Date: 2024-11-20
A Study to See if Tolvaptan is Safe in Infants and Children Who at Enrollment Are 28 Days to Less Than 18 Years Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)
CTID: NCT04782258
Phase: Phase 3    Status: Recruiting
Date: 2024-10-21
Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics Study of Tolvaptan in Pediatric Congestive Heart Failure (CHF) Patients With Volume Overload
CTID: NCT03255226
Phase: Phase 3    Status: Completed
Date: 2024-08-23
A Study of HRS-9057 in Patients With Heart Failure and Volume Overload
CTID: NCT06506994
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-07-18
Low-dose Tolvaptan for Inpatient Hyponatraemia.
CTID: NCT06171100
Phase:    Status: Recruiting
Date: 2024-03-08
View More

Post-Marketing Surveillance Study of Tolvaptan in Patients With ADPKD
CTID: NCT02847624
Phase:    Status: Completed
Date: 2023-12-27


Samsca Post-marketing General Drug Use-results Survey in Patients With Hyponatremia in SIADH
CTID: NCT04790175
Phase:    Status: Recruiting
Date: 2023-11-02
Samsca PMS in ADPKD Patients
CTID: NCT03406286
Phase:    Status: Recruiting
Date: 2023-09-28
A Study to See if Tolvaptan Can Delay Dialysis in Infants and Children Who at Enrollment Are 28 Days to Less Than 12 Weeks Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)
CTID: NCT04786574
Phase: Phase 3    Status: Recruiting
Date: 2023-09-15
Safety, Pharmacokinetics, Tolerability and Efficacy of Tolvaptan in Children and Adolescents With ADPKD (Autosomal Dominant Polycystic Kidney Disease)
CTID: NCT02964273
Phase: Phase 3    Status: Completed
Date: 2023-01-03
Tolvaptan-Octreotide LAR Combination in ADPKD
CTID: NCT03541447
Phase: Phase 2    Status: Completed
Date: 2022-11-03
Efficacy and Safety Evaluation of Tolvaptan in the Treatment of Patients With RHF Caused by PAH
CTID: NCT05569655
Phase: N/A    Status: Unknown status
Date: 2022-10-06
Tolvaptan add-on Therapy to Overcome Loop Diuretic Resistance in Acute Heart Failure With Renal Dysfunction
CTID: NCT04331132
Phase: N/A    Status: Unknown status
Date: 2022-08-11
Evaluating the Safety and effectivenesS in Adult KorEaN Patients Treated With Tolvaptan for Management of Autosomal domInAnt poLycystic Kidney Disease
CTID: NCT03949894
Phase: Phase 4    Status: Completed
Date: 2022-06-16
Postoperative Tolvaptan Use in Left Ventricular Assist Device Implantation Patients
CTID: NCT05408104
Phase:    Status: Completed
Date: 2022-06-07
Tolvaptan For Worsening Outpatient Heart Failure: Role of Copeptin In Identifying Responders
CTID: NCT02476409
Phase: Phase 4    Status: Completed
Date: 2022-05-05
Effect of Samsca on Control of Hyponatremia and Extracellular Fluid in Cirrhotic Patients With Ascites
CTID: NCT01552590
Phase: Phase 4    Status: Terminated
Date: 2022-03-04
To Study Effect of the Combination of Midodrine and Tolvaptan Versus Tolvaptan Alone in Patients With Severe Hyponatremia in Cirrhosis(TOLMINA Trial)
CTID: NCT05060523
Phase: N/A    Status: Unknown status
Date: 2021-11-29
Tolvaptan Extension Study in Participants With ADPKD
CTID: NCT01214421
Phase: Phase 3    Status: Completed
Date: 2021-10-25
Efficacy and Safety Trial of OPC-61815 Injection Compared With Tolvaptan 15-mg Tablet in Patients With Congestive Heart Failure
CTID: NCT03772041
Phase: Phase 3    Status: Completed
Date: 2021-08-05
Clinical Pharmacology Trial to Investigate the Dose of OPC-61815 Injection Equivalent to Tolvaptan 15-mg Tablet in Patients With Congestive Heart Failure
CTID: NCT03254108
Phase: N/A    Status: Completed
Date: 2021-07-28
A Study of OPC-41061 Orally Disintegrating (OD) Tablets Using 2 Different Formulations and 2 Dosing Regimens in Healthy Adult Male Subjects
CTID: NCT02994394
Phase: Phase 1    Status: Completed
Date: 2021-06-28
A Multicenter, Open-label, Dose-finding Trial of OPC-41061 to Investigate Efficacy, Pharmacokinetics, Pharmacodynamics, and Safety in Patients With Carcinomatous Edema (Phase 2)
CTID: NCT01684202
Phase: Phase 2    Status: Completed
Date: 2021-03-18
A Multicenter Trial to Investigate the Efficacy and Safety of Tolvaptan in Patients With Hyponatremia in SIADH
CTID: NCT03048747
Phase: Phase 3    Status: Completed
Date: 2020-11-02
Tolvaptan in Hyponatremic Cancer Patients
CTID: NCT01199198
Phase: Phase 4    Status: Completed
Date: 2020-09-23
Tolvaptan for Advanced or Refractory Heart Failure
CTID: NCT02959411
Phase: Phase 4    Status: Terminated
Date: 2020-07-27
TCUPS- Tolvaptan Use in Cystinuria and Urolithiasis: A Pilot Study
CTID: NCT02538016
Phase: N/A    Status: Completed
Date:
A Multinational Trial to Collect Blood Samples to Explore Potential Genetic/Biomarkers Related to Increased Risk of Liver Injury in Adult Subjects from Prior Tolvaptan Clinical Trials for Autosomal Dominant Polycystic Kidney Disease (ADPKD)
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2016-01-16
Effect of tolvaptan on RBF and GFR in ADPKD
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2015-06-26
A Phase 3b, Multicenter, Extension Follow-up Trial to Evaluate the Long-term Safety of Children and Adolescent Subjects With Euvolemic or Hypervolemic Hyponatremia Who Have Previously Participated in a Trial of Titrated Oral SAMSCA® (Tolvaptan)
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2015-03-26
A Phase 3b, Multi-center, Open-label Trial to Evaluate the Long Term Safety of Titrated Immediate-release Tolvaptan (OPC 41061, 30 mg to 120 mg/day, Split dose) in Subjects with Autosomal Dominant Polycystic Kidney Disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-03-26
A Phase 3b, Multicenter, Open-label, Randomized Withdrawal Trial of the Effects of Titrated Oral SAMSCA® (Tolvaptan) on Serum Sodium, Pharmacokinetics, and Safety in Children and Adolescent Subjects Hospitalized With Euvolemic or Hypervolemic Hyponatremia
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2015-01-12
A Phase 3b, Multi-center, Randomized-withdrawal, Placebo-controlled, Double-blind,
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-01-08
Renal Handling of Water and Sodium in Autosomal Dominant Polycystic Kidney Disease.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-11-18
The effects of tolvaptan on renal handling of water and sodium, vasoactive hormones and circulatory system, during basal conditions and during inhibition of the nitric oxide system in healthy subjects. A dose-response study.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-02-24
Study on the effectiveness and safety of the treatment of mild-moderate symptomatic hyponatremia due to syndrome of inappropriate secretion of antidiuretic hormone (SIADH) with Tolvaptan vs fluid restriction in patients who underwent transsphenoidal surgery for hypothalamic-pituitary disorders.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-10-16
Effects of tolvaptan on renal sodium and water handling and circulation during inhibition of the nitric oxide system in healthy subjects
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-07-02
A PILOT STUDY TO EVALUATE THE INCIDENCE OF HYPONATREMIA IN A MEDICAL-SURGICAL HOSPITAL AND TO EXPLORE THE EFFICACY AND SAFETY OF TOLVAPTAN IN THE CLINICAL PRACTICE
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-03-31
USE OF TOLVAPTAN IN CLINICAL SYNDROMES CHARACTERIZED BY INAPPROPRIATE SECRETION OF ADH
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2010-10-22
A Phase IIa, Single-Center Study, Investigating the Short-Term Renal Hemodynamic Effects, Safety and Pharmacokinetics/Pharmacodynamics of Oral Tolvaptan (OPC-41061) in Subjects with Autosomal Dominant Polycystic Kidney Disease at Various Stages of Renal Function
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-08-31
A Multi-center, Open-label, Extension Study to Evaluate the Long-term Efficacy and Safety of Oral Tolvaptan Tablet Regimens in Subjects with Autosomal Dominant Polycystic Kidney Disease (ADPKD)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-07-07
A Phase 3, Multi-center, Double-blind, Placebo-controlled, Parallel-arm Trial to Determine Long-term Safety and Efficacy of Oral Tolvaptan Tablet Regimens in Adult Subjects with Autosomal Dominant Polycystic Kidney Disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-01-26
Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Long Term Efficacy and Safety of Oral Tolvaptan Tablets in Subjects Hospitalized with
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-07-15
International, Multi-Centre, Study of One year, Open Label, Titrated Oral Tolvaptan Tablet Administration in Patients with Chronic Hyponatraemia: Extension to Studies 156-02-235 and 156-03-238 to assess One-year safety.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2004-08-02
A Pilot Phase 3b, Multicenter, Randomized, Double-blind, Placebo-controlled Trial of the Safety, Efficacy, and Pharmacokinetics of Titrated Oral SAMSCA® (Tolvaptan) in Children and Adolescent Subjects With Euvolemic or Hypervolemic Hyponatremia
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date:
A Phase 3b Multicenter Open-label Trial of the Safety, Tolerability, and Efficacy of Tolvaptan in Infants and Children 28 days to less than 18 years of Age with Autosomal Recessive Polycystic Kidney Disease (ARPKD)
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date:
Efficacy and Safety Trial of OPC-61815 Injection Compared With Tolvaptan 15-mg Tablet in Patients With Congestive Heart Failure
CTID: jRCT2080224173
Phase:    Status: completed
Date: 2018-12-06
The effect of low dose tolvaptan after cardiovascular surgery
CTID: UMIN000033992
Phase:    Status: Recruiting
Date: 2018-09-03
Efficacy and safety of tolvaptan in patients with severe aortic stenosis and chronic kidney disease undergoing transcatheter aortic valve replacement
CTID: UMIN000033577
Phase:    Status: Recruiting
Date: 2018-07-31
Study of body fluid management in patients after cardiac surgery by preoperative administration of tolvaptan
CTID: UMIN000031762
PhaseNot applicable    Status: Recruiting
Date: 2018-04-01
Efficacy and safety of tolvaptan on patients with severe chronic kidney disease complicated by congestive heart failure
CTID: UMIN000029787
Phase:    Status: Recruiting
Date: 2017-11-01
Clinical Pharmacology Trial to Investigate the Dose of OPC-61815 Injection Equivalent to Tolvaptan 15-mg Tablet in Patients With Congestive Heart Failure
CTID: jRCT2080223620
Phase:    Status: completed
Date: 2017-08-21
trial of tolvaptan in pediatric
CTID: jRCT2080223618
Phase:    Status: completed
Date: 2017-08-18
Comparison of Tolvaptan treatment and conventional treatment in elderly acute heart failure.
CTID: UMIN000028039
Phase:    Status: Complete: follow-up complete
Date: 2017-07-03
Utility of resistance index (RI) measured with renal doppler ultrasonography to elucidate induction therapy of Tolvaptan
CTID: UMIN000027765
Phase:    Status: Recruiting
Date: 2017-06-20
A Comparative Study of the Usefulness Between Tolvaptan and Carperitide in Elderly Heart Failure Patients over 75 Years Old
CTID: UMIN000027173
PhaseNot applicable    Status: Pending
Date: 2017-05-01
A Study on predictors of treatment response concerning of the efficacy of tolvaptan on refractory ascites.
CTID: UMIN000026426
PhaseNot applicable    Status: Complete: follow-up continuing
Date: 2017-03-07
An open-label, prospective randomized trial to assess the non-inferiority of diuretic effect of tolvaptan as an alternative agent to loop diuretics in chronic heart failure.
CTID: UMIN000026331
Phase:    Status: Pending
Date: 2017-03-01
Tolvaptan SIADH Study
CTID: jRCT2080223457
Phase:    Status: completed
Date: 2017-02-08
Multicenter study of Genome-Wide Association Study (GWAS) concerning of the efficacy of tolvaptan.
CTID: UMIN000025905
Phase:    Status: Complete: follow-up complete
Date: 2017-02-01
Effect of tolvaptan in the early post operative period after cardiac surgery
CTID: UMIN000025594
Phase:    Status: Complete: follow-up complete
Date: 2017-01-11
A Study of OPC-41061 Orally Disintegrating (OD) Tablets Using 2 Different Formulations and 2 Dosing Regimens in Healthy Adult Male Subjects
CTID: jRCT1080223416
Phase:    Status: completed
Date: 2016-12-19
Change in eGFR after adminstration of tolvaptan and furosemide in liver cirrhosis patients with ascites:a randomized study
CTID: UMIN000023881
Phase:    Status: Complete: follow-up complete
Date: 2016-09-03
The efficacy of tolvaptan, a vasopressin V2 receptor antagonist, in patients with congestive heart failure and kidney diseases
CTID: UMIN000022422
Phase:    Status: Complete: follow-up complete
Date: 2016-06-01
A study to evaluate effect and safety of Tolvaptan in Nephrogenic Diabetes Insipidus caused by mutations in the vasopressin type 2 receptor gene.
CTID: UMIN000021708
Phase:    Status: Recruiting
Date: 2016-04-18
Efficacy and safety of administration of Tolvaptan twice daily in hospitalized acute heart failure patients
CTID: UMIN000021110
Phase:    Status: Complete: follow-up complete
Date: 2016-02-19
LOw-Dose Tolvaptan in Decompensated Heart Failure Patients with Severe Aortic Stenosis - LOHAS registry -
CTID: UMIN000018966
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2016-01-01
Effectiveness of referral system for the management of heart failure with tolvaptan
CTID: UMIN000019675
Phase:    Status: Complete: follow-up complete
Date: 2015-11-09
Yokohama Heart Failure Investigators:Time Zone Dynamics of Serum Arginine-Vasopressin and Urine Aquaporin-2 on Acute Decompensated Heart Failure in the Patients with Depressed Left Ventricular Function
CTID: UMIN000018717
Phase:    Status: Recruiting
Date: 2015-08-19
Tolvaptan and Conventional Treatment for Acute Decompensated Heart Failure
CTID: UMIN000018081
PhaseNot applicable    Status: Complete: follow-up continuing
Date: 2015-06-25
Diuretic effect of tolvaptan in congenital heart disease Multi-center study
CTID: UMIN000018004
PhaseNot applicable    Status: Recruiting
Date: 2015-06-22
Non randomized trial to compare efficacy of tolvaptan and trichlormethiazide in adult congenital heart disease
CTID: UMIN000018009
Phase:    Status: Recruiting
Date: 2015-06-22
Investigation the introduction possibility on human experimental program with diuretics into the practical subject of pharmacology
CTID: UMIN000017432
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-06-01
An exploratory study of susceptible factors to tolvaptan treatment in hepatic edema
CTID: UMIN000017318
Phase:    Status: Complete: follow-up complete
Date: 2015-04-28
Bioequivalence study of OPC-41061 1% powder-formulation
CTID: jRCT1080222790
Phase:    Status: completed
Date: 2015-03-11
The effect of tolvaptan in heart failure patients with loop diuretic resistance.
CTID: UMIN000016655
Phase:    Status: Complete: follow-up complete
Date: 2015-02-27
None
CTID: jRCT2080222704
Phase:    Status:
Date: 2014-12-24
Clinical Efficacy Study of Tolvaptan on Patients with Autosomal Dominant Polycystic Kidney Disease
CTID: UMIN000015715
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2014-11-25
Confirmatory study of patients with progressive autosomal dominant polycystic kidney disease (ADPKD) to establish the determinants of disease progression and response to tolvaptan treatment.
CTID: UMIN000015245
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2014-09-25
The Randomized Controlled Trial for Evaluating the Efficacies of Tolvaptan in Patients with ascites in hepatic edema
CTID: UMIN000015218
Phase:    Status: Complete: follow-up complete
Date: 2014-09-24
The effects of tolvaptan treatment and copeptin concentration on renal prognosis in patients with chronic kidney disease or nephrotic syndrome, who have heart failure symptoms.
CTID: UMIN000014980
Phase:    Status: Pending
Date: 2014-08-28
The Randomized Controlled Trial for Evaluating the Efficacies of Tolvaptan in Patients with Chronic Kidney Disease
CTID: UMIN000014763
Phase:    Status: Complete: follow-up continuing
Date: 2014-08-05
The dosage, timing and duration of tolvaptan administration in Patients Hospitalized for Acute Decompensated Heart Failure
CTID: UMIN000014441
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2014-07-01
Examination of efficacy of tolvaptan for chronic congective heart failure complicated with chronic kidney disease.
CTID: UMIN000014312
Phase:    Status: Recruiting
Date: 2014-07-01
The effect of tolvaptan on renal function during intensive treatment in patients with congestive heart failure
CTID: UMIN000014134
Phase:    Status: Complete: follow-up complete
Date: 2014-05-31
Efficacy of tolvaptan in transurethral resection of prostate: A prospective randomized study
CTID: UMIN000013365
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2014-05-11
Long-term Effect of Tolvaptan Administration for Outcome and Neurohormonal Factors in Patients with Heart Failure
CTID: UMIN000013807
Phase:    Status: Complete: follow-up complete
Date: 2014-04-25
Efficacy of Tolvaptan in acute heart failure patients with preserved left ventricular ejection fraction
CTID: UMIN000013727
Phase:    Status: Enrolling by invitation
Date: 2014-04-16
Efficacy of tolvaptan in transurethral resection of prostate
CTID: jRCT1091220168
Phase:    Status: COMPLETED
Date: 2014-03-07
Multicenter study of the efficacy of tolvaptan for patients with refractory ascites.
CTID: UMIN000013095
Phase:    Status: Complete: follow-up complete
Date: 2014-03-01
Usefulness of Tolvaptan preventing for excessive body fluid retension after cardiac surgery
CTID: UMIN000013153
Phase:    Status: Complete: follow-up complete
Date: 2014-03-01
Oral medication using Tolvaptan for ADL of patients with acute congestive heart failure
CTID: UMIN000013091
Phase:    Status: Complete: follow-up complete
Date: 2014-02-07
Clinical efficacy and safety of the ealry intervention with Tolvaptan(V2 receptorinhibiter)in hospitalized patients with acute exacerbation of chronic heart failur:A randomized open-labeled parallel controlled study
CTID: UMIN000012716
Phase: Phase II    Status: Complete: follow-up complete
Date: 2013-12-27
Clinical efficacy and safety of the ealry intervention with Tolvaptan(V2 receptorinhibiter)in hospitalized patients with acute exacerbation of chronic heart failur:A randomized open-labeled parallel controlled study
CTID: UMIN000012716
Phase: Phase II    Status: Complete: follow-up complete
Date: 2013-12-27
A Trial of the effect of tolvaptan on patients with nephrotic state and chronic heart failure
CTID: UMIN000011763
Phase:    Status: Complete: follow-up complete
Date: 2013-11-27
A Trial of the effect of tolvaptan on patients with nephrotic state and chronic heart failure
CTID: UMIN000011763
Phase:    Status: Complete: follow-up complete
Date: 2013-11-27
Comparison of Tolvaptan and Carperitide in acute decompensated heart failure
CTID: UMIN000012317
Phase:    Status: Recruiting
Date: 2013-11-16
Comparison of Tolvaptan and Carperitide in acute decompensated heart failure
CTID: UMIN000012317
Phase:    Status: Recruiting
Date: 2013-11-16
Effect of Tolvaptan on hemodynamic of congestive heart failure.
CTID: UMIN000012170
Phase:    Status: Complete: follow-up complete
Date: 2013-10-31
Effect of Tolvaptan on hemodynamic of congestive heart failure.
CTID: UMIN000012170
Phase:    Status: Complete: follow-up complete
Date: 2013-10-31
The efficacy of tolvaptan in a population with congestive heart failure and chronic kidney disease: A multicenter, randomized, open label, blind endpoint study (AQUAKID-Study)
CTID: UMIN000012006
Phase: Phase IV    Status: Recruiting
Date: 2013-10-09
The efficacy of tolvaptan in a population with congestive heart failure and chronic kidney disease: A multicenter, randomized, open label, blind endpoint study (AQUAKID-Study)
CTID: UMIN000012006
Phase: Phase IV    Status: Recruiting
Date: 2013-10-09
Randomized controlled trial on the safety and EffectiVeness Of toLvaptan for flUid retenTion after OpeN heart surgery
CTID: UMIN000011721
Phase:    Status: Recruiting
Date: 2013-09-12
Randomized controlled trial on the safety and EffectiVeness Of toLvaptan for flUid retenTion after OpeN heart surgery
CTID: UMIN000011721
Phase:    Status: Recruiting
Date: 2013-09-12
Effects of low dose tolvaptan in old myocardial infarction patients with congestive heart failure
CTID: UMIN000011213
Phase:    Status: Complete: follow-up complete
Date: 2013-07-18
A study on the safety and efficasy of tolvaptan for patients with fluid retention after cardiothoracic surgery
CTID: UMIN000011172
Phase: Phase IV    Status: Pending
Date: 2013-07-12
Open-label dose-finding trial of OPC-41061 in patients with chronic renal failure undergoing peritoneal dialysis
CTID: jRCT2080222135
Phase:    Status:
Date: 2013-07-04
Efficacy of Tolvaptan in heart failure patients with preserved Ejection fraction: multicenter, RaNdomized, open-label triAL (ETERNAL)
CTID: UMIN000011012
Phase:    Status: Complete: follow-up complete
Date: 2013-06-25
None
CTID: jRCT2080222101
Phase:    Status:
Date: 2013-06-07
A study to evaluate the safety and efficacy of tolvaptan in acute heart failure with hypoalbuminemia
CTID: UMIN000010307
Phase:    Status: Complete: follow-up complete
Date: 2013-03-22
Study of the safety and efficacy of tolvaptan for fluid retention symptoms of right heart failure due to pulmonary hypertension
CTID: UMIN000010196
Phase:    Status: Complete: follow-up complete
Date: 2013-03-10
A study to evaluate the dose-response effect of tolvaptan 7.5mg or 15mg in HF patients who undergo cartdiac angiography
CTID: UMIN000009924
Phase:    Status: Complete: follow-up complete
Date: 2013-02-01
Tolvaptan in Comparison to Thiazide for Patients with Chronic Heart Failure
CTID: UMIN000009757
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2013-02-01
Clinical evaluation of time to re-hospitalization and renal function of tolvaptan in congestive heart failure patients with volume overload. Prospective randomized controlled trial.
CTID: UMIN000009810
Phase:    Status: Recruiting
Date: 2013-01-19
Assessment of QUAlity of life during long-term treatment of ToLVapatan in refractory heart failure.(AQUA-TLV)
CTID: UMIN000009604
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2012-12-21
A study to evaluate the efficacy and safety of Tolvaptan in heart failure patients with peritoneal dialysis
CTID: UMIN000009228
Phase:    Status: Pending
Date: 2012-10-31
Efficacy and Safety of Tolvaptan in Heart Failure Patients with Renal Impairment and Volume Overload Despite the Standard Treatment with Conventional Diuretics
CTID: UMIN000009201
Phase:    Status: Complete: follow-up complete
Date: 2012-10-27
A study to evaluate the safety and efficacy of tolvaptan in HF patients who undergo cardiac angiography
CTID: UMIN000009064
Phase:    Status: Complete: follow-up complete
Date: 2012-10-09
A Multicenter, Open-label, Dose-finding Trial of OPC-41061 to Investigate Efficacy, Pharmacokinetics, Pharmacodynamics, and Safety in Patients With Carcinomatous Edema (Phase 2)
CTID: jRCT2080221912
Phase:    Status: completed
Date: 2012-09-07
Efficasy and safety of tolvaptan in patients undergoing peritoneal dialysis with heart failure despite the standard treatment with conventional
CTID: UMIN000008712
Phase:    Status: Recruiting
Date: 2012-08-17
A study to evaluate the efficacy and safety of Tolvaptan and Carperitide in HF patients
CTID: UMIN000008257
Phase:    Status: Pending
Date: 2012-07-01
A Clinical Study on Hemodynamic Changes by the Low Dose of Tolvaptan in Heart Failure Patients
CTID: UMIN000008028
Phase:    Status: Recruiting
Date: 2012-06-01
TOLvaptan Effects on RenAl FuNCtion in Heart FailurE
CTID: UMIN000007943
Phase:    Status: Complete: follow-up complete
Date: 2012-05-14
QUalification of Efficacy in the study of intENsive care with Tolvaptan
CTID: UMIN000007037
Phase:    Status: Pending
Date: 2012-02-01
Answering question on tolvaptan's efficacy for patients with acute decompensated heart failure and renal failure: AQUAMARINE Study
CTID: UMIN000007109
Phase: Phase IV    Status: Complete: follow-up continuing
Date: 2012-01-23
A study to evaluate the Pharmacokinetics and Pharmacodynamics of tolvaptan in congestive heart failure patients with renal impairment
CTID: UMIN000006859
Phase:    Status: Complete: follow-up complete
Date: 2011-12-08
A multi-center,_double-blind,_pararel-group comparison phase 4 trial to investigate the effect of tolvaptan on mid- to long-term prognosis of heart failure patients
CTID: jRCT1080221581
Phase:    Status:
Date: 2011-09-14
Randomized controlled trial of tolvaptan and carperitide to fluid retention in patients with congestive heart failure
CTID: UMIN000006258
Phase:    Status: Complete: follow-up complete
Date: 2011-09-01
A clinical study to investigate the efficacy of diuretics to the HF patients with proteinuria and edema.
CTID: UMIN000006212
PhaseNot applicable    Status: Recruiting
Date: 2011-08-22
Effects of tolvaptan in congestive heart failure patients with renal dysfunction
CTID: UMIN000005465
Phase:    Status: Complete: follow-up complete
Date: 2011-04-25
A multicenter, open-label extension study to investigate the long-term safety and efficacy of tolvaptan in patients with autosomal dominant polycystic kidney disease (ADPKD) [Extension of Trial 156-04-251]
CTID: jRCT2080221325
Phase:    Status:
Date: 2010-12-03

生物数据图片
  • Effect of tolvaptan on intracellular cAMP levels in ADPKD cells stimulated with AVP. Am J Physiol Renal Physiol . 2011 Nov;301(5):F1005-13.
  • Effect of tolvaptan on AVP-induced proliferation of human ADPKD and normal human kidney (NHK) cells. Am J Physiol Renal Physiol . 2011 Nov;301(5):F1005-13.
  • Diuretic effects of the administration of tolvaptan alone and furosemide alone during 6 h post dosing in normal conscious beagle dogs. Cardiovasc Drug Rev . 2007 Spring;25(1):1-13.
  • Effect of AVP and tolvaptan on ERK activation in human ADPKD cells. Am J Physiol Renal Physiol . 2011 Nov;301(5):F1005-13.
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