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2015 ; 36
(12
): 715-23
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Ularitide for the treatment of acute decompensated heart failure: from
preclinical to clinical studies
#MMPMID25670819
Anker SD
; Ponikowski P
; Mitrovic V
; Peacock WF
; Filippatos G
Eur Heart J
2015[Mar]; 36
(12
): 715-23
PMID25670819
show ga
The short- and long-term morbidity and mortality in acute heart failure is still
unacceptably high. There is an unmet need for new therapy options with new drugs
with a new mode of action. One of the drugs currently in clinical testing in
Phase III is ularitide, which is the chemically synthesized form of the human
natriuretic peptide urodilatin. Urodilatin is produced in humans by differential
processing of pro-atrial natriuretic peptide in distal renal tubule cells.
Physiologically, urodilatin appears to be the natriuretic peptide involved in
sodium homeostasis. Ularitide exerts its pharmacological actions such as
vasodilation, diuresis, and natriuresis through the natriuretic peptide
receptor/particulate guanylate cyclase/cyclic guanosine monophosphate pathway. In
animal models of heart failure as well as Phase I and II clinical studies in
heart failure patients, ularitide demonstrated beneficial effects such as symptom
relief and vasodilation, while still preserving renal function. Subsequently, the
pivotal acute decompensated heart failure (ADHF) Phase III study, called
TRUE-AHF, was started with the objectives to evaluate the effects of ularitide
infusion on the clinical status and cardiovascular mortality of patients with
ADHF compared with placebo. This review summarizes preclinical and clinical data
supporting the potential use of ularitide in the treatment of ADHF.
|Acute Disease
[MESH]
|Animals
[MESH]
|Atrial Natriuretic Factor/pharmacology/*therapeutic use
[MESH]
|Clinical Trials as Topic
[MESH]
|Disease Models, Animal
[MESH]
|Diuretics/pharmacology/*therapeutic use
[MESH]
|Female
[MESH]
|Heart Failure/*drug therapy
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Peptide Fragments/pharmacology/therapeutic use
[MESH]