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词条 Deferiprone
释义

  1. Controversy

  2. See also

  3. References

{{Drugbox
| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 443270530
| IUPAC_name = 3-hydroxy-1,2-dimethylpyridin-4(1H)-one
| image = Deferiprone.svg
| width = 120
| tradename = Ferriprox
| Drugs.com = {{drugs.com|international|deferiprone}}
| licence_EU = yes
| licence_US = Deferiprone
| pregnancy_AU =
| pregnancy_US = D
| pregnancy_category =
| legal_AU =
| legal_CA =
| legal_UK =
| legal_US = Rx-only
| legal_status =
| routes_of_administration = Oral
| bioavailability =
| protein_bound =
| metabolism = Glucuronidation
| elimination_half-life = 2 to 3 hours
| excretion = Renal (75 to 90% in 24 hours)
| IUPHAR_ligand = 7456
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 30652-11-0
| ATC_prefix = V03
| ATC_suffix = AC02
| PubChem = 2972
| ChEBI_Ref = {{ebicite|changed|EBI}}
| ChEBI = 68554
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank =
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 2866
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 2BTY8KH53L
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D07416
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 70927
| C=7 | H=9 | N=1 | O=2
| molecular_weight = 139.152 g/mol
| smiles = O=C\\1C(\\O)=C(/N(/C=C/1)C)C
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C7H9NO2/c1-5-7(10)6(9)3-4-8(5)2/h3-4,10H,1-2H3
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = TZXKOCQBRNJULO-UHFFFAOYSA-N
}}Deferiprone (tradenames include Ferriprox) is a drug that chelates iron and is used to treat iron overload in thalassaemia major.[1] It was first approved for use in treating thalassaemia major in 1994[2] and had been licensed for use in Europe and Asia for many years while awaiting approval in Canada and the United States.[1] On October 14, 2011, it was approved for use in the US under the FDA's accelerated approval program.[3]

Controversy

Deferiprone was at the center of a protracted struggle between Nancy Olivieri, a Canadian haematologist and researcher, and the Hospital for Sick Children and the pharmaceutical company Apotex, that started in 1996 and delayed approval of the drug in North America.[4] Olivieri's data suggested deferiprone leads to progressive hepatic fibrosis.[5][6][7]

See also

  • Deferoxamine
  • Deferasirox

References

1. ^{{cite journal |doi=10.1136/bmj.328.7436.358 |pmid=14962851 |pmc=341373 |title=Thalassaemia major: The murky story of deferiprone |journal=BMJ |volume=328 |issue=7436 |pages=358–9 |year=2004 |last1=Savulescu |first1=J }}
2. ^Staff, Cipla. Cipla's History
3. ^FDA NEWS RELEASE: FDA Approves Ferripox (deferiprone) to Treat Patients with Excess Iron in the Body, Oct. 14, 2011 http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm275814.htm
4. ^{{cite journal |doi=10.1136/jme.2003.006577 |pmid=14872065 |pmc=1757126 |title=Introduction to the Olivieri symposium |journal=Journal of Medical Ethics |volume=30 |issue=1 |pages=1–7 |year=2004 |last1=Viens |first1=A M |last2=Savulescu |first2=J }}
5. ^{{cite journal |doi=10.1182/blood-2002-10-3173 |pmid=12788794 |title=Deferiprone and hepatic fibrosis |journal=Blood |volume=101 |issue=12 |pages=5089–90; author reply 5090–1 |year=2003 |last1=Brittenham |first1=G. M |last2=Nathan |first2=D. G |last3=Olivieri |first3=N. F |last4=Porter |first4=J. B |last5=Pippard |first5=M |last6=Vichinsky |first6=E. P |last7=Weatherall |first7=D. J }}
6. ^{{cite journal |doi=10.1182/blood-2002-01-0306 |pmid=12176871 |title=Lack of progressive hepatic fibrosis during long-term therapy with deferiprone in subjects with transfusion-dependent beta-thalassemia |journal=Blood |volume=100 |issue=5 |pages=1566–9 |year=2002 |last1=Wanless |first1=I. R |last2=Sweeney |first2=G |last3=Dhillon |first3=A. P |last4=Guido |first4=M |last5=Piga |first5=A |last6=Galanello |first6=R |last7=Gamberini |first7=M. R |last8=Schwartz |first8=E |last9=Cohen |first9=A. R }}
7. ^{{Cite web|url=https://www.thestar.com/news/investigations/2019/02/27/uhn-patients-given-unlicensed-drug-that-led-to-diabetes-liver-dysfunction-and-one-death-study-finds.html|title=UHN patients given unlicensed drug that led to diabetes, liver dysfunction and one death, study finds |work=The Star|location=Toronto|first=Robert |last=Cribb |date=2019-02-27 |language=en|access-date=2019-02-27}}
{{Chelating agents}}

4 : Chelating agents|Chelating agents used as drugs|Antidotes|4-Pyridones

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