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Trade names | Orladeyo |
Other names | BCX7353, BCX-7353 |
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Routes of administration | By mouth |
Drug class | Plasma kallikrein inhibitor |
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Chemical and physical data | |
Formula | C30H26F4N6O |
Molar mass | 562.573 g·mol−1 |
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Berotralstat, sold under the brand name Orladeyo, is a medication used to prevent attacks of hereditary angioedema (HAE) in people aged twelve years and older. [3] [5] [7] [8] [4]
The most common side effects include abdominal pain, vomiting, diarrhea, back pain, and heartburn. [4]
Berotralstat was approved for medical use in the United States in December 2020, [3] [4] [9] and in the European Union in April 2021. [5]
Berotralstat was approved based on evidence from one clinical trial (Trial 1 /NCT03485911) of 120 participants with hereditary angioedema. [4] The trial was conducted at 40 sites in the United States, the European Union, and Canada. [4] Trial investigators evaluated participants 12 years and older [10] with hereditary angioedema for eight weeks to determine the number of attacks for each participant. [4] The trial enrolled only participants who had at least two attacks during the eight-week period. [4] Participants were assigned to receive one of two doses of berotralstat or placebo once every day for 24 weeks. [4] Neither the participants nor the investigators knew which treatment was being given until after the trial was completed. [4] All participants could use other medications for treatment of attacks. [4]
Hereditary angioedema (HAE) is a disorder that results in recurrent attacks of severe swelling. The swelling most commonly affects the arms, legs, face, intestinal tract, and airway. If the intestinal tract is affected, abdominal pain and vomiting may occur. Swelling of the airway can result in its obstruction and trouble breathing. Without preventive treatment, attacks typically occur every two weeks and last for a few days.
Angioedema is an area of swelling (edema) of the lower layer of skin and tissue just under the skin or mucous membranes. The swelling may occur in the face, tongue, larynx, abdomen, or arms and legs. Often it is associated with hives, which are swelling within the upper skin. Onset is typically over minutes to hours.
Icatibant, sold under the brand name Firazyr, is a medication for the symptomatic treatment of acute attacks of hereditary angioedema (HAE) in adults with C1-esterase-inhibitor deficiency. It is not effective in angioedema caused by medication from the ACE inhibitor class.
Ecallantide is a drug used for the treatment of hereditary angioedema (HAE) and in the prevention of blood loss in cardiothoracic surgery. It is an inhibitor of the protein kallikrein and a 60-amino acid polypeptide which was developed from a Kunitz domain through phage display to mimic antibodies inhibiting kallikrein.
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Lanadelumab, sold under the brand name Takhzyro, is a human monoclonal antibody that targets plasma kallikrein (pKal) in order to promote prevention of angioedema in people with hereditary angioedema. Lanadelumab, was approved in the United States as the first monoclonal antibody indicated for prophylactic treatment to prevent hereditary angioedema attacks. Lanadelumab is the first treatment for hereditary angioedema prevention made by using cells within a lab, not human plasma.
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