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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (12): 1429-1435.doi: 10.12092/j.issn.1009-2501.2023.12.014

• 综述与讲座 • 上一篇    下一篇

高磷血症新药 Tenapanor 药理作用及临床评价

侯文平1,2,徐  磊2,苏长海1,2   

  1. 1包头医学院研究生院,包头  014060,内蒙古;2鄂尔多斯市中心医院药剂科,鄂尔多斯  017000,内蒙古
  • 收稿日期:2023-08-17 修回日期:2023-10-09 出版日期:2023-12-26 发布日期:2023-12-21
  • 通讯作者: 苏长海,男,主任药师,硕士生导师,研究方向:临床药学。 E-mail:suchanghai99@sina.com
  • 作者简介:侯文平,男,硕士,研究方向:临床药学。 E-mail:2397900574@qq.com
  • 基金资助:
    鄂尔多斯市医学重点学科建设资助(鄂卫健发【2020】230号);医院药物警戒研究协作组医院药学科研专项课题(DRM2022019)

Pharmacologic effects and clinical evaluation of Tenapanor, a new drug for hyperphosphatemia

HOU Wenping1,2, XU Lei2, SU Changhai2   

  1. 1Graduate School of Baotou Medical College,Baotou 014060, Inner Mongolia, China; 2Department of Pharmacy, Ordos Central Hospital, Ordos 017000, Inner Mongolia, China
  • Received:2023-08-17 Revised:2023-10-09 Online:2023-12-26 Published:2023-12-21

摘要:

Tenapanor是一种新型降磷药物,主要作用于钠/氢交换蛋白3(NHE3)起抑制作用,此外还可以通过下调磷酸钠盐协同转运蛋白(NAPI)的表达,从而降低肠道对磷的吸收。Tenapanor主要用于治疗终末期肾脏病-血液透析(ESRD-HD)患者高磷血症。腹泻为本品最常见的不良反应。本文通过对Tenapanor进行文献检索,就其药理作用、药动学特性、临床评价、安全性、药物相互作用和用法用量进行综述。

关键词: Tenapanor, ESRD, 高磷血症, NHE3抑制剂, 药理作用, 临床评价

Abstract:

Tenapanor is a novel phosphorus-lowering drug, which mainly inhibits sodium/hydrogen exchange protein 3 (NHE3), and also reduces intestinal phosphorus absorption by down-regulating the expression of sodium phosphate co-transporter protein (NAPI).Tenapanor is mainly used for the treatment of hyperphosphatemia in patients with end-stage renal disease-hemodialysis (ESRD-HD). Diarrhea is the most common adverse reaction to this product. This article reviews Tenapanor by performing a literature search on its pharmacological effects, pharmacokinetic properties, clinical evaluation, safety, drug interactions and dosage.

Key words: Tenapanor, ESRD, hyperphosphatemia, NHE3 inhibitor, pharmacological effects, clinical evaluation

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