Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease

Taisuke Ishii, Tetsuhiro Tanaka, Masaomi Nangaku Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, JapanCorrespondence: Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunky...

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Autores principales: Ishii T, Tanaka T, Nangaku M
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:f7bc19af972b4ef4b01564c2effb03362021-12-02T14:16:09ZProfile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease1178-203Xhttps://doaj.org/article/f7bc19af972b4ef4b01564c2effb03362021-02-01T00:00:00Zhttps://www.dovepress.com/profile-of-daprodustat-in-the-treatment-of-renal-anemia-due-to-chronic-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XTaisuke Ishii, Tetsuhiro Tanaka, Masaomi Nangaku Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, JapanCorrespondence: Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 1138655, JapanTel +81-3-3815-5411Fax +81-3-5800-9826Email mnangaku-tky@umin.ac.jpAbstract: Anemia is a major complication of chronic kidney disease (CKD), which mainly results from appropriate erythropoietin production impairment. Prolyl hydroxylase domain (PHD) inhibitors are currently being developed and approved in some countries as a new treatment for CKD patients with anemia due to the stabilization of intracellular hypoxia-inducible factor (HIF) 1α and HIF2α by PHD inhibition. Daprodustat is one of the orally administrated small-molecule HIF-PH inhibitors, leading to an increase in erythropoietin production, which is regulated by HIF. Also, daprodustat is expected to improve iron metabolism. Recently, several clinical trials showed its efficacy and safety in both hemodialysis- and non-hemodialysis- dependent CKD patients. In addition, some international Phase 3 studies are underway to confirm these effects and reveal the safety profile. This article summarizes the development process and results of each clinical trial.Keywords: prolyl hydroxylase domain, hypoxia-inducible factor, erythropoietin, ironIshii TTanaka TNangaku MDove Medical Pressarticleprolyl hydroxylase domainhypoxia inducible factorerythropoietinironTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 155-163 (2021)
institution DOAJ
collection DOAJ
language EN
topic prolyl hydroxylase domain
hypoxia inducible factor
erythropoietin
iron
Therapeutics. Pharmacology
RM1-950
spellingShingle prolyl hydroxylase domain
hypoxia inducible factor
erythropoietin
iron
Therapeutics. Pharmacology
RM1-950
Ishii T
Tanaka T
Nangaku M
Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
description Taisuke Ishii, Tetsuhiro Tanaka, Masaomi Nangaku Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, JapanCorrespondence: Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 1138655, JapanTel +81-3-3815-5411Fax +81-3-5800-9826Email mnangaku-tky@umin.ac.jpAbstract: Anemia is a major complication of chronic kidney disease (CKD), which mainly results from appropriate erythropoietin production impairment. Prolyl hydroxylase domain (PHD) inhibitors are currently being developed and approved in some countries as a new treatment for CKD patients with anemia due to the stabilization of intracellular hypoxia-inducible factor (HIF) 1α and HIF2α by PHD inhibition. Daprodustat is one of the orally administrated small-molecule HIF-PH inhibitors, leading to an increase in erythropoietin production, which is regulated by HIF. Also, daprodustat is expected to improve iron metabolism. Recently, several clinical trials showed its efficacy and safety in both hemodialysis- and non-hemodialysis- dependent CKD patients. In addition, some international Phase 3 studies are underway to confirm these effects and reveal the safety profile. This article summarizes the development process and results of each clinical trial.Keywords: prolyl hydroxylase domain, hypoxia-inducible factor, erythropoietin, iron
format article
author Ishii T
Tanaka T
Nangaku M
author_facet Ishii T
Tanaka T
Nangaku M
author_sort Ishii T
title Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
title_short Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
title_full Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
title_fullStr Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
title_full_unstemmed Profile of Daprodustat in the Treatment of Renal Anemia Due to Chronic Kidney Disease
title_sort profile of daprodustat in the treatment of renal anemia due to chronic kidney disease
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/f7bc19af972b4ef4b01564c2effb0336
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