留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

新型非肽类口服生长抑素受体配体paltusotine的临床研究进展

刘宇珂 谭惠文

刘宇珂, 谭惠文. 新型非肽类口服生长抑素受体配体paltusotine的临床研究进展[J]. 罕见病研究, 2023, 2(3): 414-419. doi: 10.12376/j.issn.2097-0501.2023.03.012
引用本文: 刘宇珂, 谭惠文. 新型非肽类口服生长抑素受体配体paltusotine的临床研究进展[J]. 罕见病研究, 2023, 2(3): 414-419. doi: 10.12376/j.issn.2097-0501.2023.03.012
LIU Yuke, TAN Huiwen. Clinical Research Progress of the Non-Peptide Oral Somatostatin Receptor Ligand Paltusotine[J]. Journal of Rare Diseases, 2023, 2(3): 414-419. doi: 10.12376/j.issn.2097-0501.2023.03.012
Citation: LIU Yuke, TAN Huiwen. Clinical Research Progress of the Non-Peptide Oral Somatostatin Receptor Ligand Paltusotine[J]. Journal of Rare Diseases, 2023, 2(3): 414-419. doi: 10.12376/j.issn.2097-0501.2023.03.012

新型非肽类口服生长抑素受体配体paltusotine的临床研究进展

doi: 10.12376/j.issn.2097-0501.2023.03.012
基金项目: 

四川省科技计划项目 2023YFS0259

详细信息
    通信作者:

    谭惠文,E-mail:tanhuiwen2016@scu.edu.cn

  • 中图分类号: R584.1+1;R736.4;R977

Clinical Research Progress of the Non-Peptide Oral Somatostatin Receptor Ligand Paltusotine

Funding: 

Key Project of Science and Technology Department of Sichuan Province 2023YFS0259

More Information
  • 摘要: 生长抑素类似物相关制剂的研发是内分泌代谢领域的热点。第一代奥曲肽、兰瑞肽,第二代帕瑞肽已批准用于肢端肥大症等神经内分泌肿瘤的治疗。而生长抑素受体配体paltusotine作为一种可口服给药的新型非肽类小分子药物,可抑制生长激素和胰岛素样生长因子1的过度分泌。本文分析总结非肽类口服小分子生长抑素配体paltusotine的药物代谢动力学、药效动力学、临床疗效、耐受性和安全性等研究进展。

     

  • 图  1  高选择性生长抑素受体2(SSTR2)激动剂paltusotine的分子结构与作用机制

    Figure  1.  Molecular structure and mechanism of action of paltusotine, the highly selective somatostatin receptor 2(SSTR2) agonist

    图  2  口服非肽类高选择性生长抑素受体配体paltusotine的生物利用度[18]

    Figure  2.  Bioavailability of the oral non-peptide somatostatin receptor ligands(SRLs) paltusotine[18]

    图  3  Paltusotine对健康志愿者的生长激素和IGF-1分泌抑制效能[18]

    Figure  3.  Effect of paltusotine on growth hormone and IGF-1 secretion in healthy volunteers[18]

    图  4  Paltusotine与传统注射制剂SRLs的疗效比较生长抑素类似物[20]

    Figure  4.  Comparison of the efficacy of paltusotine with traditional injectable formulations SRLs[20]

  • [1] Zhao J, Fu H, Yu J, et al. Prospect of acromegaly therapy: molecular mechanism of clinical drugs octreotide and paltusotine[J]. Nat Commun, 2023, 14(1): 962. doi: 10.1038/s41467-023-36673-z
    [2] Gadelha MR, Wildemberg LE, Kasuki L. The future of somatostatin receptor ligands in acromegaly[J]. J Clin Endocrinol Metab, 2022, 107(2): 297-308. doi: 10.1210/clinem/dgab726
    [3] Stueven AK, Kayser A, Wetz C, et al. Somatostatin analogues in the treatment of neuroendocrine tumors: past, present and future[J]. Int J Mol Sci, 2019, 20(12): 3049. doi: 10.3390/ijms20123049
    [4] Zhao J, Wang S, Markison S, et al. Discovery of paltusotine (CRN00808), a potent, selective, and orally bioavailable non-peptide SST2 agonist[J]. ACS Med Chem Lett, 2022, 14(1): 66-74.
    [5] McLaren DS, Murray RD. Paltusotine, a novel oral somatostatin receptor ligand in the management of acromegaly[J]. J Clin Endocrinol Metab, 2023, 108(5): e193-e194. doi: 10.1210/clinem/dgac762
    [6] Pawlikowski M, Mełeń-Mucha G. Somatostatin analogs-from new molecules to new applications[J]. Curr Opin Pharmacol, 2004, 4(6): 608-613. doi: 10.1016/j.coph.2004.06.010
    [7] Patel M, Tena I, Jha A, et al. Somatostatin receptors and analogs in pheochromocytoma and paraganglioma: old players in a new precision medicine world[J]. Front Endocrinol (Lausanne), 2021, 12: 625312. doi: 10.3389/fendo.2021.625312
    [8] Ishida A, Tajima Y, Okabe Y, et al. Discovery and SAR studies of orally active somatostatin receptor subtype-2 (SSTR2) agonists for the treatment of acromegaly[J]. ACS Chem Neurosci, 2020, 11(10): 1482-1494. doi: 10.1021/acschemneuro.0c00124
    [9] Ionovici N, Carsote M, Terzea DC, et al. Somatostatin receptors in normal and acromegalic somatotroph cells: the U-turn of the clinician to immunohistochemistry report-a review[J]. Rom J Morphol Embryol, 2020, 61(2): 353-359. doi: 10.47162/RJME.61.2.05
    [10] Ludlam WH, Anthony L. Safety review: dose optimization of somatostatin analogs in patients with acromegaly and neuroendocrine tumors[J]. Adv Ther, 2011, 28(10): 825-841. doi: 10.1007/s12325-011-0062-9
    [11] Samson SL, Nachtigall LB, Fleseriu M, et al. Maintenance of acromegaly control in patients switching from injectable somatostatin receptor ligands to oral octreotide[J]. J Clin Endocrinol Metab, 2020, 105(10): e3785-e3797. doi: 10.1210/clinem/dgaa526
    [12] Wolters TLC, Roerink SHPP, Sterenborg RBTM, et al. The effect of treatment on quality of life in patients with acromegaly: a prospective study[J]. Eur J Endocrinol, 2020, 182(3): 319-331. doi: 10.1530/EJE-19-0732
    [13] Antunes X, Kasuki L, Gadelha MR. New and emerging pharmacological treatment options for acromegaly[J]. Expert Opin Pharmacother, 2021, 22(12): 1615-1623. doi: 10.1080/14656566.2021.1908998
    [14] Fleseriu M, Biller BMK, Freda PU, et al. A pituitary society update to acromegaly management guidelines[J]. Pituitary, 2021, 24(1): 1-13. doi: 10.1007/s11102-020-01091-7
    [15] 李丹婷, 谭惠文. 生长抑素类似物帕瑞肽的药动学和药效学研究进展[J]. 现代医药卫生, 2021, 37(24): 4137-4141. doi: 10.3969/j.issn.1009-5519.2021.24.001
    [16] 谭惠文, 覃萌, 余叶蓉, 等. 肢端肥大症诊断和药物治疗进展——2021年《垂体协会肢端肥大症诊治指南更新》解读[J]. 中国全科医学, 2021, 24(27): 3397-3403. doi: 10.12114/j.issn.1007-9572.2021.02.016
    [17] Theodoropoulou M, Stalla GK. Somatostatin receptors: from signaling to clinical practice[J]. Front Neuroendocrinol, 2013, 34(3): 228-252. doi: 10.1016/j.yfrne.2013.07.005
    [18] Madan A, Markison S, Betz SF, et al. Paltusotine, a novel oral once-daily nonpeptide SST2 receptor agonist, suppresses GH and IGF-1 in healthy volunteers[J]. Pituitary, 2022, 25(2): 328-339. doi: 10.1007/s11102-021-01201-z
    [19] Muhammad A, Coopmans EC, Gatto F, et al. Pasireotide responsiveness in acromegaly is mainly driven by somatostatin receptor subtype 2 expression[J]. J Clin Endocrinol Metab, 2019, 104(3): 915-924. doi: 10.1210/jc.2018-01524
    [20] Gadelha MR, Gordon MB, Doknic M, et al. ACROBAT edge: safety and efficacy of switching injected SRLs to oral paltusotine in patients with acromegaly[J]. J Clin Endocrinol Metab, 2023, 108(5): e148-e159. doi: 10.1210/clinem/dgac643
    [21] Coopmans EC, Muhammad A, van der Lely AJ, et al. How to position pasireotide lar treatment in acromegaly[J]. J Clin Endocrinol Metab, 2019, 104(6): 1978-1988. doi: 10.1210/jc.2018-01979
    [22] US National Library of Medicine. ClinicalTrials. gov(2021). A study to evaluate the safety and efficacy of paltusotine for the treatment of acromegaly (ACROBAT Evolve). (2021-07-16)[2023-04-10]. https://clinicaltrials.gov/ct2/show/NCT03792555.
    [23] US National Library of Medicine. ClinicalTrials. gov (2021). A study to evaluate the safety and efficacy of paltusotine for the treatment of acromegaly (ACROBAT edge)(2021-07-29)[2023-04-10]. https://clinicaltrials.gov/ct2/show/NCT03789656.
    [24] Martin S, Bender RH, Krasner A, et al. Development and evaluation of the acromegaly symptom diary[J]. J Patient Rep Outcomes, 2023, 7(1): 15. doi: 10.1186/s41687-023-00541-7
  • 加载中
图(4)
计量
  • 文章访问数:  20
  • HTML全文浏览量:  1
  • PDF下载量:  5
  • 被引次数: 0
出版历程
  • 收稿日期:  2023-04-10
  • 录用日期:  2023-04-21
  • 网络出版日期:  2023-09-09

目录

    /

    返回文章
    返回