词条 | Muraglitazar |
释义 |
| Verifiedfields = changed | Watchedfields = changed | verifiedrevid = 407806745 | IUPAC_name = N-[(4-Methoxyphenoxy)carbonyl]-N- | image = Muraglitazar.svg | width = 315 | tradename = | pregnancy_AU = | pregnancy_US = | pregnancy_category = | legal_AU = | legal_CA = | legal_UK = | legal_US = | legal_status = Development terminated | routes_of_administration = | bioavailability = | protein_bound = | metabolism = | elimination_half-life = | excretion = | CAS_number_Ref = {{cascite|correct|??}} | CAS_number = 331741-94-7 | ATC_prefix = None | ATC_suffix = | PubChem = 206044 | DrugBank_Ref = {{drugbankcite|correct|drugbank}} | DrugBank = | UNII_Ref = {{fdacite|changed|FDA}} | UNII = W1MKM70WQI | KEGG_Ref = {{keggcite|correct|kegg}} | KEGG = D05091 | ChEMBL_Ref = {{ebicite|changed|EBI}} | ChEMBL = 557580 | ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}} | ChemSpiderID = 178524 | C=29 | H=28 | N=2 | O=7 | molecular_weight = 516.54 g/mol | smiles = CC1=C(N=C(O1)C2=CC=CC=C2)CCOC3=CC=C(C=C3)CN(CC(=O)O)C(=O)OC4=CC=C(C=C4)OC | StdInChI_Ref = {{stdinchicite|changed|chemspider}} | StdInChI = 1S/C29H28N2O7/c1-20-26(30-28(37-20)22-6-4-3-5-7-22)16-17-36-24-10-8-21(9-11-24)18-31(19-27(32)33)29(34)38-25-14-12-23(35-2)13-15-25/h3-15H,16-19H2,1-2H3,(H,32,33) | StdInChIKey_Ref = {{stdinchicite|changed|chemspider}} | StdInChIKey = IRLWJILLXJGJTD-UHFFFAOYSA-N | synonyms = 2-[(4-Methoxyphenoxy)carbonyl-[[4-[2-(5-methyl-2-phenyl-1,3-oxazol-4-yl)ethoxy]phenyl]methyl]amino]acetic acid }}Muraglitazar (proposed tradename Pargluva) is a dual peroxisome proliferator-activated receptor agonist with affinity to PPARα and PPARγ.[1] The drug had completed phase III clinical trials,[2] however in May, 2006 Bristol-Myers Squibb announced that it had discontinued further development.[3] Data on muraglitazar is relatively sparse due to the recent introduction of this agent. One double-blind randomized clinical trial[2] comparing muraglitazar and pioglitazone found that the effects of the former were favourable in terms of HDL-C increase, decrease in total cholesterol, apolipoprotein B, triglycerides and a greater reduction in HbA1c (p <0.0001 for all comparisons). However, the muraglitazar group had a higher all-cause mortality, greater incidence of edema and heart failure and more weight gain compared to the pioglitazone group. A meta-analysis of the phase II and III clinical trials of muraglitazar revealed that it was associated with a greater incidence of myocardial infarction, stroke, transient ischemic attacks and congestive heart failure (CHF) when compared to placebo or pioglitazone.[4] References1. ^{{cite journal|last1=Waites|first1=CR|last2=Dominick|first2=MA|last3=Sanderson|first3=TP|last4=Schilling|first4=BE|title=Nonclinical Safety Evaluation of Muraglitazar, a Novel PPARα/γ Agonist|journal=Toxicological Sciences|date=13 August 2007|volume=100|issue=1|pages=248–58|doi=10.1093/toxsci/kfm193|pmid=17675651|url=http://toxsci.oxfordjournals.org/content/100/1/248.full.pdf|accessdate=9 November 2016}} {{Oral hypoglycemics}}{{PPAR modulators}}{{gastrointestinal-drug-stub}}2. ^1 {{cite journal|last1=Kendall|first1=DM|last2=Rubin|first2=CJ|last3=Mohideen|first3=P|last4=Ledeine|first4=JM|last5=Belder|first5=R|last6=Gross|first6=J|last7=Norwood|first7=P|last8=O'Mahony|first8=M|last9=Sall|first9=K|last10=Sloan|first10=G|last11=Roberts|first11=A|last12=Fiedorek|first12=FT|last13=DeFronzo|first13=RA|title=Improvement of Glycemic Control, Triglycerides, and HDL Cholesterol Levels with Muraglitazar, a Dual (α/γ) Peroxisome Proliferator–Activated Receptor Activator, in Patients with Type 2 Diabetes Inadequately Controlled with Metformin Monotherapy|journal=Diabetes Care|date=May 2006|volume=29|issue=5|pages=1016–23|doi=10.2337/diacare.2951016|pmid=16644631|url=http://care.diabetesjournals.org/content/diacare/29/5/1016.full.pdf|accessdate=9 November 2016}} 3. ^{{cite web|title=Bristol-Myers Squibb Announces Discontinuation of Development of Muraglitazar, an Investigational Oral Treatment for Type 2 Diabetes|url=http://www.prnewswire.com/news-releases/bristol-myers-squibb-announces-discontinuation-of-development-of-muraglitazar-an-investigational-oral-treatment-for-type-2-diabetes-56462702.html|publisher=PR Newswire from Bristol-Myers Squibb|accessdate=9 November 2016|date=May 18, 2006}} 4. ^{{cite journal|last1=Nissen|first1=SE|last2=Wolski|first2=K|last3=Topol|first3=EJ|title=Effect of Muraglitazar on Death and Major Adverse Cardiovascular Events in Patients with Type 2 Diabetes Mellitus|journal=Journal of the American Medical Association|date=23 November 2005|volume=294|issue=20|pages=2581–6|doi=10.1001/jama.294.20.joc50147|pmid=16239637}} 5 : Abandoned drugs|Oxazoles|Carbamates|Phenol ethers|PPAR agonists |
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