2006
DOI: 10.1016/j.clpt.2006.05.013
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Pharmacodynamics and pharmacokinetics of the urotensin II receptor antagonist palosuran in macroalbuminuric, diabetic patients

Abstract: The good tolerability profile and the decrease in the 24-hour urinary albumin excretion rate may benefit diabetic patients with renal failure with regard to their disease progression. Larger placebo-controlled trials in this patient population are needed to investigate whether urotensin II receptor antagonists, given as monotherapy or combination therapy, may improve the current treatment of diabetic nephropathy.

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Cited by 65 publications
(52 citation statements)
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“…Subnetwork A ( Figure 5A) and B ( Figure 5B) included quite a number of previously reported T2D-related genes: Tcf4 and Dcc [32]; Cd3d [33], Uts2r [34] and Map2k1 [35]. Subnetwork C ( Figure 5C) was the largest reversed DCL-organized module and it contained an interesting four-gene-circuit (including Arpc5l, Tra1, Mcm3ap, and Hspe1) of consistent negative-topositive correlation reversal.…”
Section: Re-analyzing a T2d Dataset From The Perspective Of Differentmentioning
confidence: 74%
“…Subnetwork A ( Figure 5A) and B ( Figure 5B) included quite a number of previously reported T2D-related genes: Tcf4 and Dcc [32]; Cd3d [33], Uts2r [34] and Map2k1 [35]. Subnetwork C ( Figure 5C) was the largest reversed DCL-organized module and it contained an interesting four-gene-circuit (including Arpc5l, Tra1, Mcm3ap, and Hspe1) of consistent negative-topositive correlation reversal.…”
Section: Re-analyzing a T2d Dataset From The Perspective Of Differentmentioning
confidence: 74%
“…Unfortunately, to date, human studies using palosuran have been largely inconclusive. Oral palosuran treatment of hypertensive type 2 diabetic nepropathy patients with 125 mg, twice daily for 13.5 days when combined with ACE inhibitors or ARBs, decreased 24-h urinary albumin excretion rate (110). However, palosuran did not affect important renal hemodynamic parameters, such as glomerular filtration rate and renal blood flow (110).…”
Section: Potential Therapeutic Applicationsmentioning
confidence: 94%
“…Oral palosuran treatment of hypertensive type 2 diabetic nepropathy patients with 125 mg, twice daily for 13.5 days when combined with ACE inhibitors or ARBs, decreased 24-h urinary albumin excretion rate (110). However, palosuran did not affect important renal hemodynamic parameters, such as glomerular filtration rate and renal blood flow (110). In a subsequent study in type 2 diabetics, palosuran demonstrated no clinically significant effects on ␤-cell secretory capacity and no effects on first-and secondphase insulin response (109).…”
Section: Potential Therapeutic Applicationsmentioning
confidence: 95%
“…However, clinical trials led to divergent results (Desai et al, 2008;Tsoukas et al, 2011). One study indicates that, in hypertensive T2DM patients affected by nephropathy, palosuran (125 mg twice daily) reduces albuminuria, suggesting that blockage of UT could be a therapeutic approach for the treatment of diabetic nephropathy (Sidharta et al, 2006). However, the authors subsequently found that palosuran does not improve insulin secretion, insulin sensitivity, and glycemia in T2DM (Sidharta et al, 2009).…”
Section: E Effect Of Urotensin Ii/urotensin Ii-related Peptide On Thmentioning
confidence: 99%