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atrasentan

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Description

Atrasentan: A pyrrolidine and benzodioxole derivative that acts a RECEPTOR, ENDOTHELIN A antagonist. It has therapeutic potential as an antineoplastic agent and for the treatment of DIABETIC NEPHROPATHIES. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID159594
CHEMBL ID9194
CHEBI ID135810
SCHEMBL ID34654
MeSH IDM0393223

Synonyms (46)

Synonym
(2r,3r,4s)-4-benzo[1,3]dioxol-5-yl-1-dibutylcarbamoylmethyl-2-(4-methoxy-phenyl)-pyrrolidine-3-carboxylic acid
bdbm50051007
atrasentan
(+)-a-127722
xinlay
a-147627
nsc720763
abt-627
2r-(4-methoxyphenyl)-4s(1,n-di(n-butyl)aminocarbonyl-methyl)-pyrrolidine-3r-carboxylic acid
nsc-720763
3-pyrrolidinecarboxylic acid, 4-(1,3-benzodioxo-5-yl)-1-(2-(dibutylamino)-2-oxoethyl)-2-(4-methoxyphenyl)-, (2r,3r,4s)-
atrasentan [inn]
3-pyrrolidinecarboxylic acid, 4-(1,3-benzodioxol-5-yl)-1-(2-dibutylamino)-2-oxoethyl)-2-(4-methoxyphenyl)-, (2r-(2alpha,3beta,4alpha))-
(+)-a 127722
abt 627
a-127722
a 127722
CHEBI:135810
CHEMBL9194 ,
(2r,3r,4s)-4-(1,3-benzodioxol-5-yl)-1-[2-(dibutylamino)-2-oxoethyl]-2-(4-methoxyphenyl)pyrrolidine-3-carboxylic acid
173937-91-2
unii-v6d7vk2215
v6d7vk2215 ,
abt 147627
gtpl3487
SCHEMBL34654
MOTJMGVDPWRKOC-QPVYNBJUSA-N
(2r,3r,4s)-(+)-2-(4-methoxyphenyl)-4-(1,3-benzodioxol-5-yl)-1-(n,n-di(n-butyl)aminocarbonylmethyl)-pyrrolidine-3-carboxylic acid
atrasentan [vandf]
atrasentan [who-dd]
(2r,3r,4s)-1-((dibutylcarbamoyl)methyl)-2-(p-methoxyphenyl)-4-(3,4-(methylenedioxy)phenyl)-3-pyrrolidinecarboxylic acid
atrasentan [mi]
3-pyrrolidinecarboxylic acid, 4-(1,3-benzodioxol-5-yl)-1-(2-(dibutylamino)-2-oxoethyl)-2-(4-methoxyphenyl)-, (2r-(2.alpha.,3.beta.,4.alpha.))
AKOS030255123
NCGC00378853-03
NCGC00378853-01
EX-A7929
DB06199
rel-(2r,3r,4s)-4-(benzo[d][1,3]dioxol-5-yl)-1-(2-(dibutylamino)-2-oxoethyl)-2-(4-methoxyphenyl)pyrrolidine-3-carboxylic acid
195704-72-4
rel-(2r,3r,4s)-4-(1,3-benzodioxol-5-yl)-1-[2-(dibutylamino)-2-oxoethyl]-2-(4-methoxyphenyl)-3-pyrrolidinecarboxylic acid
Q125083
A-455
(2r,3r,4s)-4-(1,3-benzodioxol-5-yl)-1-[2-(dibutylamino)-2-oxoethyl]-2-(4-methoxyphenyl)pyrrolidine-3-carboxylic acid.
(2s,3r,4s)-4-(1,3-benzodioxol-5-yl)-1-[2-(dibutylamino)-2-oxoethyl]-2-(4-methoxyphenyl)pyrrolidine-3-carboxylic acid
3-pyrrolidinecarboxylic acid, 4-(1,3-benzodioxol-5-yl)-1-[2-(dibutylamino)-2-oxoethyl]-2-(4-methoxyphenyl)-, (2r,3r,4s)-

Research Excerpts

Overview

Atrasentan is a potent, oral, selective endothelin-A (ET(A) receptor antagonist that has clinical activity in patients with hormone-refractory prostate cancer (HRPC) It is a selective pharmacologic ETA blocker that preferentially inhibits ETA activation.

ExcerptReferenceRelevance
"Atrasentan is a selective endothelin A receptor antagonist that reduces urinary albumin-to-creatinine ratio (UACR), with a large variability between patients."( Rationale and protocol of the Study Of diabetic Nephropathy with AtRasentan (SONAR) trial: A clinical trial design novel to diabetic nephropathy.
Andress, DL; Bakris, G; Brennan, JJ; Correa-Rotter, R; de Zeeuw, D; Dey, J; Heerspink, HJL; Hou, FF; Kitzman, DW; Kohan, D; Makino, H; McMurray, J; Parving, HH; Perkovic, V; Tobe, S; Wigderson, M, 2018
)
1.44
"Atrasentan is a selective pharmacologic ETA blocker that preferentially inhibits ETA activation."( Endothelin receptor a blockade is an ineffective treatment for adriamycin nephropathy.
Lin, L; Liu, Y; Tan, RJ; Zhou, D; Zhou, L, 2013
)
1.11
"Atrasentan is a promising therapy for treating diabetic nephropathy (DN). "( Atrasentan increased the expression of klotho by mediating miR-199b-5p and prevented renal tubular injury in diabetic nephropathy.
Kang, WL; Xu, GS, 2016
)
3.32
"Atrasentan is a potent, oral, selective endothelin-A (ET(A)) receptor antagonist that has clinical activity in patients with hormone-refractory prostate cancer (HRPC). "( Phase 3, randomized, controlled trial of atrasentan in patients with nonmetastatic, hormone-refractory prostate cancer.
Carducci, M; Chin, JL; Love, W; Nelson, JB; Qian, J; Saad, F; Schulman, CC; Sleep, DJ; Steinberg, J, 2008
)
2.05
"Atrasentan is a potent and selective endothelin (ETA) receptor antagonist that lowers blood pressure and affects tumor growth."( ETA receptor blockade with atrasentan prevents hypertension with the multitargeted tyrosine kinase inhibitor ABT-869 in telemetry-instrumented rats.
Albert, DH; Banfor, PN; Cox, BF; Davidsen, SK; Franklin, PA; Fryer, RM; Gintant, GA; Segreti, JA; Widomski, DL, 2009
)
1.37
"Atrasentan is a highly potent and selective endothelin receptor A (ET(A)) antagonist under development for the treatment of prostate cancer. "( Interaction potential of the endothelin-A receptor antagonist atrasentan with drug transporters and drug-metabolising enzymes assessed in vitro.
Haefeli, WE; Weiss, J, 2011
)
2.05
"Atrasentan is a selective endothelin ET(A) receptor antagonist under development by Abbott for the potential treatment of cancer, particularly prostate cancer, for which it is in phase III trials [413197]. "( Atrasentan Abbott.
Norman, P, 2002
)
3.2
"Atrasentan is an oral, targeted therapy with favorable tolerability and the potential to delay progression of HRPCa."( Effect of endothelin-A receptor blockade with atrasentan on tumor progression in men with hormone-refractory prostate cancer: a randomized, phase II, placebo-controlled trial.
Breul, J; Carducci, MA; Daliani, DD; Humerickhouse, RA; Nabulsi, AA; Nelson, JB; Padley, RJ; Schmitt, JL; Schulman, CC; Vogelzang, NJ; Weinberg, MA; Zonnenberg, BA, 2003
)
2.02
"Atrasentan (ABT-627) is a highly potent, selective ET(A) receptor antagonist."( Phase I dose-escalation study of the safety and pharmacokinetics of atrasentan: an endothelin receptor antagonist for refractory prostate cancer.
Carr, RA; Groenewegen, G; Humerickhouse, RA; Isaacson, JD; Janus, TJ; Leahy, TW; Voest, E; Zonnenberg, BA, 2003
)
1.28
"Atrasentan is an orally bioavailable selective antagonist of the endothelin receptor ET(A). "( Dose-ranging study of the safety and pharmacokinetics of atrasentan in patients with refractory malignancies.
André, AK; Carr, RA; Humerickhouse, R; Kindler, HL; Ratain, MJ; Ryan, CW; Undevia, SD; Vogelzang, NJ; Vokes, EE; Wang, Q, 2004
)
2.01
"Atrasentan is a novel agent that effectively targets this pathway and is able to inhibit and/or reverse several of those events."( Atrasentan: targeting the endothelin axis in prostate cancer.
Carducci, M; Jimeno, A, 2004
)
2.49
"Atrasentan (A-147627) is an endothelin antagonist receptor being developed at Abbott Laboratories for the treatment of prostate cancer. "( High-throughput determination of atrasentan in human plasma by high-performance liquid chromatography coupled with electrospray ionization tandem mass spectrometry.
Chang, M; El-Shourbagy, T; Wang, PG; Wei, J, 2005
)
2.05
"Atrasentan is a novel agent that effectively targets this pathway and is able to inhibit and/or reverse several of those events."( Atrasentan: a novel and rationally designed therapeutic alternative in the management of cancer.
Carducci, M; Jimeno, A, 2005
)
2.49
"Atrasentan is a novel and selective inhibitor of ET-1 and ET-A."( Endothelin receptor antagonists: rationale, clinical development, and role in prostate cancer therapeutics.
Choueiri, TK; Garcia, JA; Thakkar, SG, 2006
)
1.06
"Atrasentan is a novel agent that effectively targets this pathway and is able to inhibit and/or reverse several of these events."( Atrasentan: a rationally designed targeted therapy for cancer.
Carducci, M; Jimeno, A, 2006
)
2.5
"Atrasentan is an investigational agent that inhibits endothelin-1 receptor, resulting in decreased osteoblast activity."( Randomized phase II study of atrasentan alone or in combination with zoledronic acid in men with metastatic prostate cancer.
Kantoff, P; Kaufman, DS; Michaelson, MD; Oh, WK; Smith, MR, 2006
)
1.35
"Atrasentan is an oral selective endothelin-A receptor antagonist that may inhibit cell proliferation and interfere with angiogenesis during glioma growth. "( Phase I safety study of escalating doses of atrasentan in adults with recurrent malignant glioma.
Carson, KA; Desideri, S; Fisher, JD; Grossman, SA; Lesser, G; Mikkelsen, T; Olson, J; Phuphanich, S, 2008
)
2.05
"Atrasentan is an endothelin antagonist selective for the ET(A) receptor in development at Abbott Laboratories for the treatment of cardiovascular disease and cell proliferation disorders. "( Determination of atrasentan by high performance liquid chromatography with fluorescence detection in human plasma.
Bryan, PD; El-Shourbagy, TA; Padley, RJ; Sapochak, LB; Tames, MM, 2001
)
2.09

Effects

Atrasentan has been developed as an oral selective endothelin-A receptor antagonist. The company was planning to begin filing for prostate cancer in late 2003.

ExcerptReferenceRelevance
"Atrasentan (Atr) has potential therapeutic values for DN."( Atrasentan alleviates high glucose-induced podocyte injury by the microRNA-21/forkhead box O1 axis.
Hong, H; Li, J; Li, X; Shen, L; Wang, H; Wang, J, 2019
)
2.68
"Atrasentan has been developed as an oral selective endothelin-A receptor antagonist."( Phase 1/2 study of atrasentan combined with pegylated liposomal doxorubicin in platinum-resistant recurrent ovarian cancer.
Groenewegen, G; Kronemeijer, RH; Los, M; van der Mijn, KJ; Voest, EE; Witteveen, PO, 2010
)
1.41
"Atrasentan has been granted Fast Track status, allowing for a rolling NDA [414666], [443479]; the company was planning to begin filing for prostate cancer in late 2003."( Atrasentan Abbott.
Norman, P, 2002
)
2.48

Actions

ExcerptReferenceRelevance
"Atrasentan displays additive effects when administered in combination with the cytotoxic drug paclitaxel."( Growth inhibition of cervix carcinoma cells in vivo by endothelin A receptor blockade.
Bagnato, A; Cirilli, A; Muller, A; Natali, PG; Nicotra, MR; Salani, D; Simeone, P; Venuti, A, 2002
)
1.04

Treatment

Atrasentan (7.5 mg/kg/day) for 4 weeks reduced urinary albumin-to-creatinine ratios by 26.0 ± 6.5% (P < 0.01) in apoE knockout (KO) mice with streptozotocin-induced diabetes consuming an atherogenic diet, without changes in gross glomerular morphology, systemic blood pressure, and blood glucose concentration. Pretreatment with atrasenta prevented and abolished the hypertensive effects of ABT-869.

ExcerptReferenceRelevance
"3. Atrasentan treatment significantly improved left ventricular systolic and diastolic function in response to exogenous norepinephrine, but there were no differences between genotypes."( Cardioprotective effects of atrasentan, an endothelin-A receptor antagonist, but not of nitric oxide in diabetic mice with myocyte-specific overexpression of endothelial nitric oxide synthase.
Brunner, F; Kirchengast, M; Saad, Z; Stessel, H; Wölkart, G, 2006
)
1.14
"Atrasentan treatment was associated with lower cardiac output, PAP (14 +/- 1 mm Hg), and medial wall thickness of pulmonary arteries (diameter: 50-150 microM) compared with placebo [13.6 +/- 3.0% versus 18.1 +/- 4.2%; P < 0.05 (ANOVA)]."( Atrasentan treatment of pulmonary vascular disease in piglets with increased pulmonary blood flow.
Demirakca, S; Dieckmann, R; Gebhard, MM; Gorenflo, M; Hagl, S; Herpel, E; Klimpel, H; Neumayer, S; Ullmann, MV, 2007
)
2.5
"Treatment with atrasentan (7.5 mg/kg/day) for 4 weeks reduced urinary albumin-to-creatinine ratios by 26.0 ± 6.5% (P < 0.01) in apoE knockout (KO) mice with streptozotocin-induced diabetes consuming an atherogenic diet, without changes in gross glomerular morphology, systemic blood pressure, and blood glucose concentration."( Atrasentan Reduces Albuminuria by Restoring the Glomerular Endothelial Glycocalyx Barrier in Diabetic Nephropathy.
Avramut, MC; Boels, MG; Dane, MJ; Gröne, HJ; Koster, AJ; Koudijs, A; Lee, DH; Rabelink, TJ; van den Berg, BM; van der Vlag, J; van Faassen, E; van Zonneveld, AJ, 2016
)
2.22
"Pretreatment with atrasentan (5 mg/kg for 5 days) prevented and abolished the hypertensive effects of ABT-869."( ETA receptor blockade with atrasentan prevents hypertension with the multitargeted tyrosine kinase inhibitor ABT-869 in telemetry-instrumented rats.
Albert, DH; Banfor, PN; Cox, BF; Davidsen, SK; Franklin, PA; Fryer, RM; Gintant, GA; Segreti, JA; Widomski, DL, 2009
)
0.97

Toxicity

Atrasentan is well tolerated, with no dose-limiting adverse events observed up to 95 mg. Most common adverse effects with atrasentan were nasal stuffiness, headache, and edema.

ExcerptReferenceRelevance
" The most common adverse events, such as rhinitis, headache, asthenia, and peripheral edema, were reversible on drug discontinuation and responded to symptom-specific treatment."( Atrasentan, an endothelin-receptor antagonist for refractory adenocarcinomas: safety and pharmacokinetics.
Andre, A; Bowling, MK; Carducci, MA; Carr, RA; Donehower, R; Eisenberger, MA; Hosmane, BS; Isaacson, JD; Janus, TJ; Leahy, TL; Nelson, JB; Padley, RJ; Rogers, T; Sinibaldi, V, 2002
)
1.76
" The data provide a basis for further investigation of the impact of ET-R blockade on both the short- and long-term adverse effects of preretrieval warm ischemic injury in cadaveric renal Tx."( Endothelin receptor blockade during hypothermic perfusion preservation mitigates the adverse effect of preretrieval warm ischemic injury on posttransplant glomerular filtration rate.
Antonelli, JA; Burns, TE; Inman, SR; Lewis, RM; Plott, WK; Pomilee, RA, 2002
)
0.31
" The most common adverse events were rhinitis, headache, and peripheral edema."( Phase I dose-escalation study of the safety and pharmacokinetics of atrasentan: an endothelin receptor antagonist for refractory prostate cancer.
Carr, RA; Groenewegen, G; Humerickhouse, RA; Isaacson, JD; Janus, TJ; Leahy, TW; Voest, E; Zonnenberg, BA, 2003
)
0.55
"Atrasentan is well tolerated, with no dose-limiting adverse events observed up to 95 mg."( Phase I dose-escalation study of the safety and pharmacokinetics of atrasentan: an endothelin receptor antagonist for refractory prostate cancer.
Carr, RA; Groenewegen, G; Humerickhouse, RA; Isaacson, JD; Janus, TJ; Leahy, TW; Voest, E; Zonnenberg, BA, 2003
)
2
" The most frequent drug-related adverse events were headache (60%), rhinitis (49%), and peripheral edema (31%)."( Dose-ranging study of the safety and pharmacokinetics of atrasentan in patients with refractory malignancies.
André, AK; Carr, RA; Humerickhouse, R; Kindler, HL; Ratain, MJ; Ryan, CW; Undevia, SD; Vogelzang, NJ; Vokes, EE; Wang, Q, 2004
)
0.57
" Atrasentan generally was tolerated well, and the most common adverse events associated with treatment were headache, rhinitis, and peripheral edema, reflecting the vasodilatory and fluid-retention properties of endothelin-A receptor antagonism."( A phase 3 randomized controlled trial of the efficacy and safety of atrasentan in men with metastatic hormone-refractory prostate cancer.
Abrahamsson, PA; Carducci, MA; Dearnaley, DP; Isaacson, JD; Nelson, JB; North, SA; Saad, F; Schulman, CC; Sleep, DJ, 2007
)
1.49
" When the animals were pretreated with either ABT-627 or A-192621, given alone or combined, the adverse effects of IAP on GFR, RPF, V, and U(Na)V were significantly augmented."( Adverse effects of pneumoperitoneum on renal function: involvement of the endothelin and nitric oxide systems.
Abassi, Z; Bishara, B; Hoffman, A; Karram, T; Khatib, S; Winaver, J, 2008
)
0.35
" The most common adverse effects with atrasentan were nasal stuffiness, headache, and edema."( Efficacy and safety of atrasentan in patients with cardiovascular risk and early atherosclerosis.
Holmes, DR; Kent, B; Lerman, A; Lerman, LO; Mathew, V; Nelson, RE; Prasad, A; Pumper, GM; Raichlin, E, 2008
)
0.93

Pharmacokinetics

Rifampin increased atrasentan peak plasma concentrations by 150% and reduced its terminal half-life by 77%. Analysis of covariance including genotype, study, age, weight, sex, and ethnicity was used to identify factors influencing the drug's pharmacokinetic parameters.

ExcerptReferenceRelevance
" The present study was designed to investigate the pharmacokinetic and pharmacodynamic effects of the orally active ETA selective receptor antagonist ABT-627 in healthy humans."( Pharmacokinetics and pharmacodynamic effects of ABT-627, an oral ETA selective endothelin antagonist, in humans.
Grahn, AY; Honing, ML; Morrison, PJ; Padley, RJ; Rabelink, TJ; Van Weerdt, AW; Verhaar, MC; Yang, YP, 2000
)
0.31
" The terminal elimination half-life was approximately 24 hours, and steady-state plasma concentrations were achieved within 7 days."( Atrasentan, an endothelin-receptor antagonist for refractory adenocarcinomas: safety and pharmacokinetics.
Andre, A; Bowling, MK; Carducci, MA; Carr, RA; Donehower, R; Eisenberger, MA; Hosmane, BS; Isaacson, JD; Janus, TJ; Leahy, TL; Nelson, JB; Padley, RJ; Rogers, T; Sinibaldi, V, 2002
)
1.76
" PK are linear and dose-proportional; the half-life is appropriate for once-daily dosing."( Phase I dose-escalation study of the safety and pharmacokinetics of atrasentan: an endothelin receptor antagonist for refractory prostate cancer.
Carr, RA; Groenewegen, G; Humerickhouse, RA; Isaacson, JD; Janus, TJ; Leahy, TW; Voest, E; Zonnenberg, BA, 2003
)
0.55
" Analysis of covariance including genotype, study, age, weight, sex, and ethnicity was used to identify factors influencing atrasentan single-dose (n = 44) and steady-state (n = 38) pharmacokinetic parameters."( Organic anion transporting polypeptide 1B1 activity classified by SLCO1B1 genotype influences atrasentan pharmacokinetics.
Allen, A; Carr, R; Doan, T; Edeki, T; Grimm, DR; Han, L; Holley-Shanks, R; Katz, DA; Kim, RB; Leake, B; Mueller, T; Sahelijo, L; Spear, BB; Wang, PG; Wang, Q; Xiong, H, 2006
)
0.76
" On average, rifampin increased atrasentan peak plasma concentrations by 150% and reduced its terminal half-life by 77% (P<."( Dual effects of rifampin on the pharmacokinetics of atrasentan.
Achari, R; Carr, RA; Doan, TT; Jankowski, JR; Katz, DA; Locke, CS; Sleep, DJ; Wang, P; Xiong, H, 2007
)
0.87

Compound-Compound Interactions

The study was designed to assess the influence of atrasentan on paclitaxel pharmacokinetics and to determine the safety and efficacy. Patients with platinum-resistant ovarian cancer were treated with pegylated liposomal doxorubicin (PLD) 50 mg/m(2) on day 1.

ExcerptReferenceRelevance
" This study was designed to assess the influence of atrasentan on paclitaxel pharmacokinetics and to determine the safety and efficacy of atrasentan in combination with paclitaxel-carboplatin."( Phase I/II study of atrasentan, an endothelin A receptor antagonist, in combination with paclitaxel and carboplatin as first-line therapy in advanced non-small cell lung cancer.
Antonia, S; Bepler, G; Boulware, D; Burton, M; Chiappori, AA; Haura, E; Kapoor, R; Lush, R; Neuger, AM; Padilla, B; Rodriguez, FA; Simon, G; Sullivan, DM; Williams, C, 2008
)
0.92
"Patients with platinum-resistant ovarian cancer were treated with pegylated liposomal doxorubicin (PLD) 50 mg/m(2) on day 1 (and repeated every 4 weeks) in combination with escalating doses of atrasentan once daily."( Phase 1/2 study of atrasentan combined with pegylated liposomal doxorubicin in platinum-resistant recurrent ovarian cancer.
Groenewegen, G; Kronemeijer, RH; Los, M; van der Mijn, KJ; Voest, EE; Witteveen, PO, 2010
)
0.88
") three times a week) in combination with atrasentan (2."( Targeting the endothelin axis with atrasentan, in combination with IFN-alpha, in metastatic renal cell carcinoma.
de Gast, B; Giles, R; Groenewegen, G; Haanen, J; Vermaat, J; Voest, E; Walraven, M; Witteveen, E, 2012
)
0.92
" In an exploratory analysis, we observed that in the subset of patients with declining vascular endothelial growth factor (VEGF) levels (in combination with rising Endothelin-1 levels), median OS was 22."( Targeting the endothelin axis with atrasentan, in combination with IFN-alpha, in metastatic renal cell carcinoma.
de Gast, B; Giles, R; Groenewegen, G; Haanen, J; Vermaat, J; Voest, E; Walraven, M; Witteveen, E, 2012
)
0.66

Bioavailability

YM598 has high selectivity for native human ETA against ETB receptors. YM598 is superior to atrasentan as an ETA receptor antagonist with regard to pharmacological bioavailability in rats.

ExcerptReferenceRelevance
" In conclusion, A-127722 is ETA-selective, orally bioavailable and efficacious for inhibiting the effects of ET in the rat, and A-127722 is the most potent ET receptor antagonist yet reported."( Pharmacological characterization of A-127722: an orally active and highly potent ETA-selective receptor antagonist.
Adler, AL; Calzadilla, SV; Chiou, WJ; Dayton, BD; Dixon, DB; Gehrke, LJ; Hernandez, L; Magnuson, SR; Marsh, KC; Novosad, EI; Opgenorth, TJ; Von Geldern, TW; Wessale, JL; Winn, M; Wu-Wong, JR, 1996
)
0.29
" The compound has 70% oral bioavailability in rats."( 2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
Bal, R; Boyd, SA; Chiou, WJ; Dixon, DB; Hernandez, L; Jae, HS; Kester, JA; Mantei, RA; Marsh, KC; Novosad, EI; Opgenorth, TJ; Sorensen, BK; Tasker, AS; von Geldern, TW; Winn, M; Wu-Wong, JR, 1996
)
0.29
" EMD 122946 exhibited high bioavailability in rats and monkeys."( Endothelin antagonists: discovery of EMD 122946, a highly potent and orally active ETA selective antagonist.
Anzali, S; Christadler, M; Dorsch, D; Fluck, M; Mederski, WW; Osswald, M; Schelling, P; Schmitges, CJ; Wilm, C, 1998
)
0.3
" Adding a fluorine further increases the binding activity and provides a metabolically stable and orally bioavailable ET(A)-selective antagonist."( Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
Chiou, WJ; Jae, HS; Marsh, KC; Nguyen, B; Opgenorth, TJ; Sorensen, BK; von Geldern, TW; Winn, M, 2001
)
0.31
" Here we report an expansion of this work by substituting a variety of electron-withdrawing groups at the ortho position and evaluating their effects on oral bioavailability as well as structure-activity relationships."( Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
Berens, KL; Blok, N; Bourgoyne, AR; Brock, TA; Bui, H; Decker, ER; Dixon, RA; Holland, GW; Knowles, V; Wang, J; Wu, C; You, TJ, 2004
)
0.32
"Atrasentan is an orally bioavailable selective antagonist of the endothelin receptor ET(A)."( Dose-ranging study of the safety and pharmacokinetics of atrasentan in patients with refractory malignancies.
André, AK; Carr, RA; Humerickhouse, R; Kindler, HL; Ratain, MJ; Ryan, CW; Undevia, SD; Vogelzang, NJ; Vokes, EE; Wang, Q, 2004
)
2.01
" These results suggest that YM598 has high selectivity for native human ETA against ETB receptors, and that YM598 is superior to atrasentan as an ETA receptor antagonist with regard to pharmacological bioavailability in rats."( Superiority of YM598 over atrasentan as a selective endothelin ETA receptor antagonist.
Fujimori, A; Fujiyasu, N; Miyata, K; Noguchi, Y; Ohtake, A; Sasamata, M; Sato, S; Sudoh, K; Ukai, M; Yuyama, H, 2004
)
0.83
" These results suggest that YM598 has a high selectivity for native human ETA receptors against ETB receptors, and that YM598 is superior to atrasentan as an ETA receptor antagonist, with regard to pharmacological bioavailability in rats."( Pharmacological characterization of YM598, a selective endothelin-A receptor antagonist.
Fujimori, A; Miyata, K; Noguchi, Y; Ohtake, A; Sasamata, M; Sato, S; Sudoh, K; Ukai, M; Yuyama, H, 2004
)
0.53
" Clinical testing of an orally bioavailable endothelin antagonist has demonstrated benefit in PSA progression, markers of bone turnover, and pain in men with prostate cancer, but has not demonstrated significant improvement in survival or time to cancer progression."( Endothelin receptor antagonists in cancer therapy.
Lalich, M; Liu, G; McNeel, DG; Wilding, G, 2007
)
0.34
"The clinical investigation of an orally bioavailable ET antagonist, atrasentan, in prostate cancer, is encouraging."( Anti-endothelin drugs in solid tumors.
Bazan, V; Bronte, G; Di Gaudio, F; Fanale, D; Gebbia, N; Rizzo, S; Russo, A, 2010
)
0.6
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" We confirmed dominant role of ETA receptors in regulation of blood pressure and renal hemodynamics in normotensive and hypertensive rats and provided novel evidence for the role of ETA in control of intrarenal NO bioavailability in salt-dependent and spontaneous hypertension."( Effects of systemic and renal intramedullary endothelin-1 receptor blockade on tissue NO and intrarenal hemodynamics in normotensive and hypertensive rats.
Bądzyńska, B; Hojná, S; Kompanowska-Jezierska, E; Sadowski, J; Vaneckova, I, 2021
)
0.62

Dosage Studied

ExcerptRelevanceReference
") orally, starting 3 days before angioplasty and continuing for 4 weeks; 10 additional pigs were treated with the same dosing regimen of the angiotensin-converting enzyme (ACE) inhibitor captopril (3."( Selective antagonism of the ET(A) receptor reduces neointimal hyperplasia after balloon-induced vascular injury in pigs.
Burke, SE; Dayton, BD; Gagne, GD; Lubbers, NL; Opgenorth, TJ; Wegner, CD; Wessale, JL, 1997
)
0.3
" Our results define the dose-response relation for the ET(A)-receptor antagonist ABT-627 in the vasculature of the domestic pig and suggest the presence of an ET(B)-receptor subtype that mediates vasoconstriction in this species."( Evidence for vasoconstriction mediated by the endothelin-B receptor in domestic swine.
Burke, SE; Cox, BF; Ford, TT; Fu, KI; Lubbers, NL; Nelson, RA; Padley, RJ; Wegner, CD, 2000
)
0.31
" Five-day oral dosing with the selective ET(A)-receptor antagonist ABT-627 (~2 mg."( Role of ET(A) receptors in experimental ANG II-induced hypertension in rats.
Ballew, JR; Fink, GD, 2001
)
0.31
" Plasma concentration profiles for atrasentan were determined after dosing on days 1 and 28."( Dose-ranging study of the safety and pharmacokinetics of atrasentan in patients with refractory malignancies.
André, AK; Carr, RA; Humerickhouse, R; Kindler, HL; Ratain, MJ; Ryan, CW; Undevia, SD; Vogelzang, NJ; Vokes, EE; Wang, Q, 2004
)
0.85
" ETB antagonism at either dose had no effect on vasorelaxation in control rats, whereas in diabetes the dose-response curve to ACh was shifted to the right, indicating a decreased relaxation at 15 mg/kg A-192621."( Effect of chronic and selective endothelin receptor antagonism on microvascular function in type 2 diabetes.
Elgebaly, MM; Ergul, A; Harris, AK; Hutchinson, JR; Mezzetti, EM; Portik-Dobos, V; Sachidanandam, K, 2008
)
0.35
" At termination, basilar arteries were collected and mounted on a wire myograph and cumulative dose-response curves to endothelin-1 (1-500 nM) and acetylcholine (1 nM-5 μm) were studied."( Comparison of selective versus dual endothelin receptor antagonism on cerebrovascular dysfunction in diabetes.
Ergul, A; Li, W; Sachidanandam, K, 2011
)
0.37
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
pyrrolidinesAny of a class of heterocyclic amines having a saturated five-membered ring.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (12)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency1.69330.01237.983543.2770AID1645841
GVesicular stomatitis virusPotency21.31740.01238.964839.8107AID1645842
cytochrome P450 2D6Homo sapiens (human)Potency18.99910.00108.379861.1304AID1645840
Interferon betaHomo sapiens (human)Potency21.31740.00339.158239.8107AID1645842
HLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)Potency21.31740.01238.964839.8107AID1645842
Inositol hexakisphosphate kinase 1Homo sapiens (human)Potency21.31740.01238.964839.8107AID1645842
cytochrome P450 2C9, partialHomo sapiens (human)Potency21.31740.01238.964839.8107AID1645842
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Endothelin receptor type BRattus norvegicus (Norway rat)IC50 (µMol)0.00000.00001.17444.4000AID104929
Endothelin receptor type BHomo sapiens (human)IC50 (µMol)0.22210.00010.65659.8000AID66514; AID66534; AID66704
Endothelin-1 receptorHomo sapiens (human)IC50 (µMol)0.00010.00000.76479.9000AID1631613; AID66198; AID68296; AID68310; AID68311
Endothelin-1 receptorHomo sapiens (human)Ki0.00000.00000.430010.0000AID1631613; AID68488
Endothelin-1 receptorRattus norvegicus (Norway rat)IC50 (µMol)0.00020.00001.774610.0000AID104929; AID66055; AID66060; AID66183; AID66197; AID68500
Endothelin-1 receptorRattus norvegicus (Norway rat)Ki0.00000.00000.00210.0065AID66210; AID68501
Endothelin receptor type BSus scrofa (pig)IC50 (µMol)0.31500.11000.32330.5200AID66713; AID66717
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (153)

Processvia Protein(s)Taxonomy
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
positive regulation of T cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
adaptive immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class I via ER pathway, TAP-independentHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of T cell anergyHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
defense responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
detection of bacteriumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-12 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-6 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protection from natural killer cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
innate immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of dendritic cell differentiationHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class IbHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
negative regulation of transcription by RNA polymerase IIEndothelin receptor type BHomo sapiens (human)
neural crest cell migrationEndothelin receptor type BHomo sapiens (human)
positive regulation of protein phosphorylationEndothelin receptor type BHomo sapiens (human)
renin secretion into blood streamEndothelin receptor type BHomo sapiens (human)
regulation of heart rateEndothelin receptor type BHomo sapiens (human)
regulation of pHEndothelin receptor type BHomo sapiens (human)
cell surface receptor signaling pathwayEndothelin receptor type BHomo sapiens (human)
negative regulation of adenylate cyclase activityEndothelin receptor type BHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayEndothelin receptor type BHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationEndothelin receptor type BHomo sapiens (human)
nervous system developmentEndothelin receptor type BHomo sapiens (human)
peripheral nervous system developmentEndothelin receptor type BHomo sapiens (human)
posterior midgut developmentEndothelin receptor type BHomo sapiens (human)
positive regulation of cell population proliferationEndothelin receptor type BHomo sapiens (human)
gene expressionEndothelin receptor type BHomo sapiens (human)
negative regulation of neuron maturationEndothelin receptor type BHomo sapiens (human)
response to organic cyclic compoundEndothelin receptor type BHomo sapiens (human)
vein smooth muscle contractionEndothelin receptor type BHomo sapiens (human)
calcium-mediated signalingEndothelin receptor type BHomo sapiens (human)
cGMP-mediated signalingEndothelin receptor type BHomo sapiens (human)
heparin metabolic processEndothelin receptor type BHomo sapiens (human)
melanocyte differentiationEndothelin receptor type BHomo sapiens (human)
regulation of fever generationEndothelin receptor type BHomo sapiens (human)
aldosterone metabolic processEndothelin receptor type BHomo sapiens (human)
enteric smooth muscle cell differentiationEndothelin receptor type BHomo sapiens (human)
positive regulation of urine volumeEndothelin receptor type BHomo sapiens (human)
renal sodium excretionEndothelin receptor type BHomo sapiens (human)
epithelial fluid transportEndothelin receptor type BHomo sapiens (human)
vasoconstrictionEndothelin receptor type BHomo sapiens (human)
vasodilationEndothelin receptor type BHomo sapiens (human)
negative regulation of apoptotic processEndothelin receptor type BHomo sapiens (human)
positive regulation of canonical NF-kappaB signal transductionEndothelin receptor type BHomo sapiens (human)
macrophage chemotaxisEndothelin receptor type BHomo sapiens (human)
response to painEndothelin receptor type BHomo sapiens (human)
enteric nervous system developmentEndothelin receptor type BHomo sapiens (human)
regulation of epithelial cell proliferationEndothelin receptor type BHomo sapiens (human)
negative regulation of protein metabolic processEndothelin receptor type BHomo sapiens (human)
canonical Wnt signaling pathwayEndothelin receptor type BHomo sapiens (human)
positive regulation of penile erectionEndothelin receptor type BHomo sapiens (human)
establishment of endothelial barrierEndothelin receptor type BHomo sapiens (human)
renal sodium ion absorptionEndothelin receptor type BHomo sapiens (human)
calcium ion transmembrane transportEndothelin receptor type BHomo sapiens (human)
cellular response to lipopolysaccharideEndothelin receptor type BHomo sapiens (human)
protein transmembrane transportEndothelin receptor type BHomo sapiens (human)
podocyte differentiationEndothelin receptor type BHomo sapiens (human)
endothelin receptor signaling pathwayEndothelin receptor type BHomo sapiens (human)
renal albumin absorptionEndothelin receptor type BHomo sapiens (human)
neuroblast migrationEndothelin receptor type BHomo sapiens (human)
chordate pharynx developmentEndothelin receptor type BHomo sapiens (human)
response to sodium phosphateEndothelin receptor type BHomo sapiens (human)
response to endothelinEndothelin receptor type BHomo sapiens (human)
developmental pigmentationEndothelin receptor type BHomo sapiens (human)
mitotic cell cycleEndothelin-1 receptorHomo sapiens (human)
branching involved in blood vessel morphogenesisEndothelin-1 receptorHomo sapiens (human)
response to hypoxiaEndothelin-1 receptorHomo sapiens (human)
in utero embryonic developmentEndothelin-1 receptorHomo sapiens (human)
blood vessel remodelingEndothelin-1 receptorHomo sapiens (human)
response to amphetamineEndothelin-1 receptorHomo sapiens (human)
regulation of heart rateEndothelin-1 receptorHomo sapiens (human)
glomerular filtrationEndothelin-1 receptorHomo sapiens (human)
cardiac chamber formationEndothelin-1 receptorHomo sapiens (human)
left ventricular cardiac muscle tissue morphogenesisEndothelin-1 receptorHomo sapiens (human)
atrial cardiac muscle tissue developmentEndothelin-1 receptorHomo sapiens (human)
cardiac neural crest cell migration involved in outflow tract morphogenesisEndothelin-1 receptorHomo sapiens (human)
noradrenergic neuron differentiationEndothelin-1 receptorHomo sapiens (human)
intracellular calcium ion homeostasisEndothelin-1 receptorHomo sapiens (human)
smooth muscle contractionEndothelin-1 receptorHomo sapiens (human)
mitochondrion organizationEndothelin-1 receptorHomo sapiens (human)
signal transductionEndothelin-1 receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayEndothelin-1 receptorHomo sapiens (human)
activation of adenylate cyclase activityEndothelin-1 receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayEndothelin-1 receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayEndothelin-1 receptorHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationEndothelin-1 receptorHomo sapiens (human)
respiratory gaseous exchange by respiratory systemEndothelin-1 receptorHomo sapiens (human)
regulation of blood pressureEndothelin-1 receptorHomo sapiens (human)
cell population proliferationEndothelin-1 receptorHomo sapiens (human)
response to woundingEndothelin-1 receptorHomo sapiens (human)
gene expressionEndothelin-1 receptorHomo sapiens (human)
protein kinase A signalingEndothelin-1 receptorHomo sapiens (human)
regulation of glucose transmembrane transportEndothelin-1 receptorHomo sapiens (human)
neural crest cell fate commitmentEndothelin-1 receptorHomo sapiens (human)
artery smooth muscle contractionEndothelin-1 receptorHomo sapiens (human)
neuron remodelingEndothelin-1 receptorHomo sapiens (human)
heparin metabolic processEndothelin-1 receptorHomo sapiens (human)
thyroid gland developmentEndothelin-1 receptorHomo sapiens (human)
cellular response to oxidative stressEndothelin-1 receptorHomo sapiens (human)
embryonic heart tube developmentEndothelin-1 receptorHomo sapiens (human)
aorta developmentEndothelin-1 receptorHomo sapiens (human)
vasoconstrictionEndothelin-1 receptorHomo sapiens (human)
norepinephrine metabolic processEndothelin-1 receptorHomo sapiens (human)
middle ear morphogenesisEndothelin-1 receptorHomo sapiens (human)
positive regulation of canonical NF-kappaB signal transductionEndothelin-1 receptorHomo sapiens (human)
cellular response to human chorionic gonadotropin stimulusEndothelin-1 receptorHomo sapiens (human)
enteric nervous system developmentEndothelin-1 receptorHomo sapiens (human)
sympathetic nervous system developmentEndothelin-1 receptorHomo sapiens (human)
axon extensionEndothelin-1 receptorHomo sapiens (human)
embryonic skeletal system developmentEndothelin-1 receptorHomo sapiens (human)
neuromuscular processEndothelin-1 receptorHomo sapiens (human)
sodium ion homeostasisEndothelin-1 receptorHomo sapiens (human)
canonical Wnt signaling pathwayEndothelin-1 receptorHomo sapiens (human)
face developmentEndothelin-1 receptorHomo sapiens (human)
axonogenesis involved in innervationEndothelin-1 receptorHomo sapiens (human)
establishment of endothelial barrierEndothelin-1 receptorHomo sapiens (human)
pharyngeal arch artery morphogenesisEndothelin-1 receptorHomo sapiens (human)
renal sodium ion absorptionEndothelin-1 receptorHomo sapiens (human)
calcium ion transmembrane transportEndothelin-1 receptorHomo sapiens (human)
cellular response to follicle-stimulating hormone stimulusEndothelin-1 receptorHomo sapiens (human)
cellular response to luteinizing hormone stimulusEndothelin-1 receptorHomo sapiens (human)
protein transmembrane transportEndothelin-1 receptorHomo sapiens (human)
glomerular endothelium developmentEndothelin-1 receptorHomo sapiens (human)
podocyte differentiationEndothelin-1 receptorHomo sapiens (human)
endothelin receptor signaling pathway involved in heart processEndothelin-1 receptorHomo sapiens (human)
renal albumin absorptionEndothelin-1 receptorHomo sapiens (human)
vascular associated smooth muscle cell developmentEndothelin-1 receptorHomo sapiens (human)
mesenchymal cell apoptotic processEndothelin-1 receptorHomo sapiens (human)
sympathetic neuron axon guidanceEndothelin-1 receptorHomo sapiens (human)
semaphorin-plexin signaling pathway involved in axon guidanceEndothelin-1 receptorHomo sapiens (human)
podocyte apoptotic processEndothelin-1 receptorHomo sapiens (human)
meiotic cell cycle process involved in oocyte maturationEndothelin-1 receptorHomo sapiens (human)
cranial skeletal system developmentEndothelin-1 receptorHomo sapiens (human)
response to acetylcholineEndothelin-1 receptorHomo sapiens (human)
regulation of protein localization to cell leading edgeEndothelin-1 receptorHomo sapiens (human)
positive regulation of cation channel activityEndothelin-1 receptorHomo sapiens (human)
endothelin receptor signaling pathwayEndothelin-1 receptorHomo sapiens (human)
developmental pigmentationEndothelin-1 receptorHomo sapiens (human)
inositol phosphate metabolic processInositol hexakisphosphate kinase 1Homo sapiens (human)
phosphatidylinositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
negative regulation of cold-induced thermogenesisInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (22)

Processvia Protein(s)Taxonomy
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
signaling receptor bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peptide antigen bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein-folding chaperone bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endothelin receptor activityEndothelin receptor type BHomo sapiens (human)
protein bindingEndothelin receptor type BHomo sapiens (human)
peptide hormone bindingEndothelin receptor type BHomo sapiens (human)
type 1 angiotensin receptor bindingEndothelin receptor type BHomo sapiens (human)
phosphatidylinositol phospholipase C activityEndothelin-1 receptorHomo sapiens (human)
endothelin receptor activityEndothelin-1 receptorHomo sapiens (human)
protein bindingEndothelin-1 receptorHomo sapiens (human)
inositol-1,3,4,5,6-pentakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol heptakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
ATP bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 1-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 3-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol 5-diphosphate pentakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol diphosphate tetrakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (23)

Processvia Protein(s)Taxonomy
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
Golgi membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endoplasmic reticulumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
Golgi apparatusHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cell surfaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
ER to Golgi transport vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
secretory granule membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
phagocytic vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
early endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
recycling endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular exosomeHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
lumenal side of endoplasmic reticulum membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
MHC class I protein complexHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular spaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
external side of plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneEndothelin receptor type BHomo sapiens (human)
nuclear membraneEndothelin receptor type BHomo sapiens (human)
plasma membraneEndothelin receptor type BHomo sapiens (human)
plasma membraneEndothelin-1 receptorHomo sapiens (human)
plasma membraneEndothelin-1 receptorHomo sapiens (human)
fibrillar centerInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
cytosolInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleusInositol hexakisphosphate kinase 1Homo sapiens (human)
cytoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (48)

Assay IDTitleYearJournalArticle
AID68500Inhibitory activity against human Endothelin A receptor2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID68311Binding affinity towards human Endothelin A receptor (hET -A)1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 4. Side chain conformational restriction leads to ET(B) selectivity.
AID66214Selectivity for endothelin A receptor over endothelin receptor B2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
AID66183Binding affinity towards endothelin A receptor in prolactin secreting rat pituitary cells using [125I]ET1 as radioligand.1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID66713Binding affinity towards endothelin B receptor in porcine cerebellar tissue using [125I]-ET-1 as radioligand.1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID24311Time taken to decrease the plasma concentration to half of the maximum concentration when compound was administered intravenously in rats1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID66186In vitro ability to inhibit specific [125I]ET1 binding to rat aorta membranes Endothelin A receptor1998Bioorganic & medicinal chemistry letters, Jul-07, Volume: 8, Issue:13
Endothelin antagonists: discovery of EMD 122946, a highly potent and orally active ETA selective antagonist.
AID66704Binding affinity against endothelin B receptor in porcine cerebellar tissue2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID66198Displacement of [125I]ET-1 from Endothelin A receptor2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
AID196820Compound was evaluated for the functional assay performed by obtaining ET-1 concentration-response curves [pA2(ETA)] in isolated rat aortic rings1998Bioorganic & medicinal chemistry letters, Jul-07, Volume: 8, Issue:13
Endothelin antagonists: discovery of EMD 122946, a highly potent and orally active ETA selective antagonist.
AID68310Binding ability determined by the displacement of [125I]ET1 from the human endothelin A receptor1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Design, synthesis, and activity of a series of pyrrolidine-3-carboxylic acid-based, highly specific, orally active ET(B) antagonists containing a diphenylmethylamine acetamide side chain.
AID10518Area under curve was determined in portal blood of rat when administered intradermally1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID25743Compound was evaluated for pharmacokinetic data, area under curve (AUC)2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID229283Ratio of IC50 of ETA receptor to that of ETB receptor2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID66055Ability to displace [125I]ET1 from the rat endothelin A receptor expressed in rat aorta smooth muscle cells.2004Journal of medicinal chemistry, May-20, Volume: 47, Issue:11
Chemical function based pharmacophore generation of endothelin-A selective receptor antagonists.
AID66534Inhibitory activity against human endothelin B receptor2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID1631613Displacement of [125I]ET-1 from human ET-A receptor expressed in CHO cell membrane2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Endothelin-Receptor Antagonists beyond Pulmonary Arterial Hypertension: Cancer and Fibrosis.
AID14054Maximum concentration of compound in plasma administered orally to rats1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID68493Ratio of binding affinity towards human endothelin receptor type A to human endothelin receptor type B (hETA to hETB)1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Design, synthesis, and activity of a series of pyrrolidine-3-carboxylic acid-based, highly specific, orally active ET(B) antagonists containing a diphenylmethylamine acetamide side chain.
AID66197Inhibitory activity against the Endothelin A receptor of rat MMQ cells1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
AID28099Compound was evaluated for pharmacokinetic data, Cmax2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID31118Compound was evaluated for bioavailability2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID66210Binding affinity towards Endothelin A receptor2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
AID28872Compound was evaluated for half life period when administered intravenously2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID28873Compound was evaluated for half life period when administered orally2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID166817Compound was evaluated for the functional assay performed by obtaining ET-1 concentration-response curves [pA2(ETB)] in isolated rabbit jugularis vein1998Bioorganic & medicinal chemistry letters, Jul-07, Volume: 8, Issue:13
Endothelin antagonists: discovery of EMD 122946, a highly potent and orally active ETA selective antagonist.
AID68501binding affinity against human Endothelin A receptor2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID66060Binding affinity against Endothelin A receptor in MMQ cells in rat2001Journal of medicinal chemistry, Nov-08, Volume: 44, Issue:23
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 5. Highly selective, potent, and orally active ET(A) antagonists.
AID18610Oral bioavailability in rat1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID68488Inhibitory activity against human Endothelin A receptor in chinese hamster ovary cells1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
AID66848Inhibitory activity measured against Endothelin B receptor binding to porcine cerebellum1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
AID66717In vitro ability to inhibit specific [125I]ET1 binding to porcine kidney (inner medulla) membranes Endothelin B receptor1998Bioorganic & medicinal chemistry letters, Jul-07, Volume: 8, Issue:13
Endothelin antagonists: discovery of EMD 122946, a highly potent and orally active ETA selective antagonist.
AID12105Half life period was evaluated in rat2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
AID18193Oral bioavailability in rat1997Journal of medicinal chemistry, Sep-26, Volume: 40, Issue:20
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 2. Sulfonamide-based ETA/ETB mixed antagonists.
AID104929Inhibition of phosphoinositol hydrolysis of MMQ cells.1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
AID10517Area under curve was determined in carotid blood of rat when administered intradermally1997Journal of medicinal chemistry, Jan-31, Volume: 40, Issue:3
Potent and selective non-benzodioxole-containing endothelin-A receptor antagonists.
AID68296Ability to displace endothelin ([125I]ET1) from human Endothelin A receptor1997Journal of medicinal chemistry, Sep-26, Volume: 40, Issue:20
Pyrrolidine-3-carboxylic acids as endothelin antagonists. 2. Sulfonamide-based ETA/ETB mixed antagonists.
AID66514Binding ability determined by the displacement of [125 I]ET-3 from the human Endothelin B receptor1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Design, synthesis, and activity of a series of pyrrolidine-3-carboxylic acid-based, highly specific, orally active ET(B) antagonists containing a diphenylmethylamine acetamide side chain.
AID12753Compound was evaluated for oral bioavailability in rats2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
Discovery, modeling, and human pharmacokinetics of N-(2-acetyl-4,6-dimethylphenyl)-3-(3,4-dimethylisoxazol-5-ylsulfamoyl)thiophene-2-carboxamide (TBC3711), a second generation, ETA selective, and orally bioavailable endothelin antagonist.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1345905Human ETA receptor (Endothelin receptors)1996The Journal of pharmacology and experimental therapeutics, Feb, Volume: 276, Issue:2
Pharmacological characterization of A-127722: an orally active and highly potent ETA-selective receptor antagonist.
AID1345905Human ETA receptor (Endothelin receptors)1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
AID1345807Human ETB receptor (Endothelin receptors)1996Journal of medicinal chemistry, Mar-01, Volume: 39, Issue:5
2,4-Diarylpyrrolidine-3-carboxylic acids--potent ETA selective endothelin receptor antagonists. 1. Discovery of A-127722.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (354)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's37 (10.45)18.2507
2000's190 (53.67)29.6817
2010's98 (27.68)24.3611
2020's29 (8.19)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 48.74

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index48.74 (24.57)
Research Supply Index5.99 (2.92)
Research Growth Index4.83 (4.65)
Search Engine Demand Index78.06 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (48.74)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials41 (11.45%)5.53%
Reviews41 (11.45%)6.00%
Case Studies1 (0.28%)4.05%
Observational0 (0.00%)0.25%
Other275 (76.82%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (20)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
RADAR: Reducing Residual Albuminuria in Subjects With Diabetes and Nephropathy With AtRasentan - A Phase 2b, Prospective, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Safety and Efficacy [NCT01356849]Phase 2149 participants (Actual)Interventional2011-04-30Completed
A Phase 2b, Prospective, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate Efficacy and Safety of Atrasentan, Including Thoracic Bioimpedance, in Type 2 Diabetic Subjects With Nephropathy [NCT01399580]Phase 248 participants (Actual)Interventional2011-08-31Completed
A Phase 2a, Prospective, Randomized, Double-blind, Placebo-controlled Multicenter Study to Evaluate the Safety and Efficacy of Atrasentan on Reducing Albuminuria in Type 2 Diabetic Nephropathy Subjects Who Are Currently Being Treated With an Renin-Angiote [NCT00920764]Phase 292 participants (Actual)Interventional2009-06-30Completed
A Phase 3, Randomized, Double-blind, Placebo-controlled Study of Atrasentan in Patients With IgA Nephropathy at Risk of Progressive Loss of Renal Function [NCT04573478]Phase 3380 participants (Anticipated)Interventional2020-12-11Active, not recruiting
A Phase II Study of Atrasentan (ABT-627) Plus DOXIL in Patients With Recurrent Ovarian, Fallopian Tube, or Peritoneal Serous Papillary Adenocarcinoma Following Platinum + Taxane Therapy [NCT00653328]Phase 215 participants (Actual)Interventional2003-05-31Terminated(stopped due to Abbott (drug manufacturer) discontinued manufacture of ABT-627)
Phase III Study of Docetaxel and Atrasentan Versus Docetaxel and Placebo for Patients With Advanced Hormone Refractory Prostate Cancer [NCT00134056]Phase 31,038 participants (Actual)Interventional2006-08-31Completed
Reducing Residual Albuminuria in Subjects With Diabetes & Nephropathy With Atrasentan - A Phase 2b, Prospective, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Safety & Efficacy in Japanese Subjects [NCT01424319]Phase 258 participants (Actual)Interventional2011-08-31Completed
Atrasentan and Zometa for Men With Androgen Independent Prostate Cancer Metastatic to Bone: A Randomized Pilot Study [NCT00181558]Phase 244 participants Interventional2001-12-31Completed
Endothelin in the Coronary Circulation in Early Atherosclerosis in Humans [NCT00271492]Phase 3200 participants (Actual)Interventional2001-07-31Completed
A Randomized, Double-blind, Placebo-controlled, Crossover Study of Atrasentan in Subjects With IgA Nephropathy on Sodium-glucose Cotransporter-2 Inhibitors (SGLT2i) [NCT05834738]Phase 252 participants (Anticipated)Interventional2023-07-20Recruiting
A Phase II/III Extension Study to Evaluate the Safety and Tolerability of Atrasentan [NCT00127478]Phase 2/Phase 3166 participants (Actual)Interventional2001-07-31Completed
A Phase 2, Open-Label, Basket Study of Atrasentan in Patients With Proteinuric Glomerular Diseases [NCT04573920]Phase 2100 participants (Anticipated)Interventional2021-02-01Recruiting
A Phase III, Randomized Study of Atrasentan in Men With Non-Metastatic, Hormone-Refractory Prostate Cancer [NCT00036556]Phase 3941 participants (Actual)Interventional2001-06-30Completed
A Phase 2 Study Evaluating the Safety and Efficacy of Atrasentan (ABT-627) in Men With Hormone Naive Prostate Cancer Exhibiting Early Signs of Biochemical Failure [NCT00038662]Phase 2200 participants Interventional2002-05-31Completed
A Phase I Evaluation of the Safety and Pharmacokinetics of ABT-627 in Adults With Recurrent Malignant Gliomas [NCT00017264]Phase 10 participants Interventional2002-06-30Completed
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of 10 Mg Atrasentan in Men With Metastatic, Hormone-Refractory Prostate Cancer [NCT00036543]Phase 31,000 participants Interventional2001-05-31Completed
A Phase III Extension Study to Evaluate the Safety of 10 mg Atrasentan in Men With Hormone-Refractory Prostate Cancer [NCT00046943]Phase 30 participants Interventional2002-09-30Completed
A Multicenter, Single-Arm Study of the Effects of Atrasentan on Spermatogenesis and Testicular Function [NCT02118714]Phase 220 participants (Actual)Interventional2015-04-06Completed
A Phase II Trial Evaluating Atrasentan In Patients With Advanced Renal Cell Carcinoma [NCT00039429]Phase 2180 participants (Anticipated)Interventional2003-07-14Completed
A Randomized, Multicountry, Multicenter, Double-Blind, Parallel, Placebo-Controlled Study of the Effects of Atrasentan on Renal Outcomes in Subjects With Type 2 Diabetes and Nephropathy. SONAR: Study Of Diabetic Nephropathy With Atrasentan [NCT01858532]Phase 35,107 participants (Actual)Interventional2013-05-17Terminated(stopped due to Strategic considerations)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00134056 (7) [back to overview]Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)
NCT00134056 (7) [back to overview]Compare Pain Progression Between the Two Study Arms.
NCT00134056 (7) [back to overview]Compare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.
NCT00134056 (7) [back to overview]Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.
NCT00134056 (7) [back to overview]Compare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.
NCT00134056 (7) [back to overview]Number of Patients With a Change in Functional Status
NCT00134056 (7) [back to overview]Compare Qualitative and Quantitative Toxicity Between the Two Study Arms
NCT00653328 (4) [back to overview]Median Time to Tumor Progression
NCT00653328 (4) [back to overview]Overall Survival
NCT00653328 (4) [back to overview]Number of Patients With Objective Response
NCT00653328 (4) [back to overview]Number of Patients With Worst Grade Toxicities
NCT01858532 (5) [back to overview]Time to a 50% Estimated Glomerular Filtration Rate Reduction in the Intent-to-Treat (ITT) Responder Set (as Randomized)
NCT01858532 (5) [back to overview]Time to Cardio-renal Composite Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)
NCT01858532 (5) [back to overview]Time to First Occurrence of a Component of Composite Renal Endpoint for All Randomized Participants (Pooled)
NCT01858532 (5) [back to overview]Time to the Cardiovascular Composite Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)
NCT01858532 (5) [back to overview]Time to the First Occurrence of a Component of the Composite Renal Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)
NCT02118714 (11) [back to overview]Percentage of Participants Who Entered the Observation Period and Did Not Return to Within 15% of Baseline Sperm Concentration or Above During the 52-Week Observational Period
NCT02118714 (11) [back to overview]Percentage of Subjects With a Sperm Concentration < 15 Million Per mL by Treatment Week 26
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Estradiol
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in in Follicle Stimulating Hormone (FSH)
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Inhibin B
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Lutenizing Hormone (LH)
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Semen Volume
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Serum Testosterone
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Concentration
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Morphology
NCT02118714 (11) [back to overview]Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Motility

Compare Elements of Quality of Life Between Treatment Arms: Pain Palliation Response, as Measured by the Brief Pain Inventory (BPI)

"Pain palliation is the proportion of patients showing a two-point reduction in the Worst Pain score (WPS) maintained for two consecutive assessments with no increase in analgesic use. Increase in analgesic use is defined as an increase in Analgesic code Level to 2 (weak opioid) or 3 (strong opioid). Patients will be classified as pain palliated or not palliated. Patients with a WPS of 0 will be defined as stable if their WPS remains 0 for Weeks 7 and 10 with no increase in analgesic use, but they will not be categorized as responders. Pain palliation response is measured by BPI short form that has the following: yes/no question about pain today; 4 pain rating questions (worst pain, least pain, average pain, and current pain); pain medications and pain relief; 7 items addressing effect of pain on functioning. For patients who continue to receive treatment beyond 12 treatment cycles, the Worst Pain item is measured by Pain Medication Log and Pain Assessment" (NCT00134056)
Timeframe: up to 18 months study period

InterventionParticipants (Count of Participants)
Arm I: Placebo75
Arm II: Atrasentan83

[back to top]

Compare Pain Progression Between the Two Study Arms.

Pain progression is defined as patients reporting an increase of at least two Worst Pain points, maintained for at least two consecutive assessments, increase to Level 3 (strong opioid) on the Pain Medication Log Analgesic Code for patients receiving Level 2 (weak opioid) analgesics at randomization, or an increase to Level 2 or 3 analgesics for patients receiving Level 0 or 1 analgesics at randomization. (NCT00134056)
Timeframe: Up to 52 weeks

InterventionParticipants (Count of Participants)
Arm I: Placebo59
Arm II: Atrasentan41

[back to top]

Compare Progression-free Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.

Measured from date of registration to date of first observation of progressive disease, or death due to any cause. Patients without progression are censored at date of last contact. Disease progression is defined by confirmed bone disease progression, soft tissue or pain progression. (NCT00134056)
Timeframe: Up to 7 years after study opens

Interventionmonths (Median)
Arm I: Placebo9.1
Arm II: Atrasentan9.2

[back to top]

Compare Prostate Specific Antigen (PSA) Response Rates Between the Experimental Arm and the Standard Arm.

PSA Partial Response: Greater than or equal to 50% reduction in baseline PSA. There must be no evidence of soft tissue progression, or confirmed none disease progression, or pain progression. (NCT00134056)
Timeframe: Up to 7 years after study opens

InterventionParticipants (Count of Participants)
Arm I: Placebo243
Arm II: Atrasentan249

[back to top]

Compare Survival Between a Control or Standard Therapy Arm of Docetaxel + Placebo + Prednisone With Docetaxel + Atrasentan + Prednisone in Patients With Hormone Refractory Prostate Cancer.

Measured from date of registration to date of death due to any cause. Patient last known to be alive are censored at date of last contact. (NCT00134056)
Timeframe: Up to 7 years after study opens

Interventionmonths (Median)
Arm I: Placebo17.6
Arm II: Atrasentan17.8

[back to top]

Number of Patients With a Change in Functional Status

Functional status will be measured with the Functional Assessment of Cancer Therapy-Prostate (FACT-P) Trial Outcome Index. The FACT-P also addresses four general domains of QOL (physical, functional, emotional, and social well-being subscales) as well as symptom concerns associated with prostate cancer and its treatment. (NCT00134056)
Timeframe: up to 18 months study period

InterventionParticipants (Count of Participants)
Arm I: Placebo118
Arm II: Atrasentan Hydrochloride139

[back to top]

Compare Qualitative and Quantitative Toxicity Between the Two Study Arms

Only adverse events that are possibly, probably or definitely related to study drug are reported. (NCT00134056)
Timeframe: Assessed every 3 weeks up to 52 weeks

,
InterventionParticipants (Number)
ALT, SGPT (serum glutamic pyruvic transaminase)AST, SGOTAdult respiratory distress syndrome (ARDS)Albumin, serum-low (hypoalbuminemia)Alkaline phosphataseAllergic reaction/hypersensitivityAllergy/Immunology-Other (Specify)AmylaseAnorexiaArthritis (non-septic)AspirationAuditory/Ear-Other (Specify)Bilirubin (hyperbilirubinemia)Blood/Bone Marrow-Other (Specify)CNS cerebrovascular ischemiaCPK (creatine phosphokinase)Calcium, serum-low (hypocalcemia)Cardiac Arrhythmia-Other (Specify)Cardiac General-Other (Specify)Cardiac troponin I (cTnI)Cardiac troponin T (cTnT)Cardiac-ischemia/infarctionConduction abnormality NOSConfusionConstipationCoughCreatinineDehydrationDiarrheaDizzinessDry mouth/salivary gland (xerostomia)Dysphagia (difficulty swallowing)Dyspnea (shortness of breath)Edema: head and neckEdema: limbEdema: trunk/genitalErectile dysfunctionEsophagitisFatigue (asthenia, lethargy, malaise)Febrile neutropeniaFever in absence of neutropenia, ANC lt1.0x10e9/LFractureGlucose, serum-high (hyperglycemia)Glucose, serum-low (hypoglycemia)Heartburn/dyspepsiaHemoglobinHemolysisHemorrhage, Respiratory tract NOSHemorrhage, GI - RectumHemorrhage, GI - StomachHemorrhage, GI - Upper GI NOSHemorrhage, GU - BladderHemorrhage/Bleeding-Other (Specify)HemorrhoidsHot flashes/flushesHypertensionHypotensionHypoxiaINR (of prothrombin time)Induration/fibrosis (skin and subcutaneous tissue)Inf (clin/microbio) w/Gr 3-4 neuts - BladderInf (clin/microbio) w/Gr 3-4 neuts - BloodInf (clin/microbio) w/Gr 3-4 neuts - BronchusInf (clin/microbio) w/Gr 3-4 neuts - EsophagusInf (clin/microbio) w/Gr 3-4 neuts - LungInf (clin/microbio) w/Gr 3-4 neuts - Nerve-periphInf (clin/microbio) w/Gr 3-4 neuts - SkinInf (clin/microbio) w/Gr 3-4 neuts - Soft tissueInf (clin/microbio) w/Gr 3-4 neuts - UTIInf (clin/microbio) w/Gr 3-4 neuts - Upper airwayInf w/normal ANC or Gr 1-2 neutrophils - BloodInf w/normal ANC or Gr 1-2 neutrophils - BronchusInf w/normal ANC or Gr 1-2 neutrophils - ColonInf w/normal ANC or Gr 1-2 neutrophils - LungInf w/normal ANC or Gr 1-2 neutrophils - MuscleInf w/normal ANC or Gr 1-2 neutrophils - ScrotumInf w/normal ANC or Gr 1-2 neutrophils - SinusInf w/normal ANC or Gr 1-2 neutrophils - SkinInf w/normal ANC or Gr 1-2 neutrophils - StomachInf w/normal ANC or Gr 1-2 neutrophils - TracheaInf w/normal ANC or Gr 1-2 neutrophils - UTIInf w/normal ANC or Gr 1-2 neutrophils - UngualInf w/unknown ANC - Middle ear (otitis media)Inf w/unknown ANC - Upper aerodigestive NOSInfection with unknown ANC - BloodInfection with unknown ANC - Lung (pneumonia)Infection with unknown ANC - Upper airway NOSInfection with unknown ANC - Urinary tract NOSInfection-Other (Specify)InsomniaLeft ventricular diastolic dysfunctionLeft ventricular systolic dysfunctionLeukocytes (total WBC)LipaseLymphopeniaMagnesium, serum-high (hypermagnesemia)Metabolic/Laboratory-Other (Specify)Mood alteration - agitationMood alteration - depressionMucositis/stomatitis (clinical exam) - Oral cavityMucositis/stomatitis (clinical exam) - PharynxMucositis/stomatitis (clinical exam) - StomachMucositis/stomatitis (functional/symp) - EsophagusMucositis/stomatitis (functional/symp) - Oral cavMucositis/stomatitis (functional/symp) - PharynxMucositis/stomatitis (functional/symp) - RectumMuscle weakness, not d/t neuropathy - Extrem-lowerMuscle weakness, not d/t neuropathy - body/generalMyocarditisNail changesNasal cavity/paranasal sinus reactionsNauseaNeuropathy: motorNeuropathy: sensoryNeutrophils/granulocytes (ANC/AGC)Opportunistic inf associated w/gt=Gr 2 lymphopeniaPTT (Partial thromboplastin time)Pain - Abdomen NOSPain - BackPain - BonePain - Chest wallPain - Chest/thorax NOSPain - Extremity-limbPain - JointPain - MusclePain - Neuralgia/peripheral nervePain - PelvisPain-Other (Specify)Phosphate, serum-low (hypophosphatemia)PlateletsPneumonitis/pulmonary infiltratesPneumothoraxPotassium, serum-high (hyperkalemia)Potassium, serum-low (hypokalemia)Pulmonary/Upper Respiratory-Other (Specify)Rash: hand-foot skin reactionRenal failureRenal/Genitourinary-Other (Specify)Right ventricular dysfunction (cor pulmonale)SVT and nodal arrhythmia - Atrial fibrillationSVT and nodal arrhythmia - Atrial flutterSVT and nodal arrhythmia - Sinus tachycardiaSodium, serum-low (hyponatremia)Somnolence/depressed level of consciousnessSpeech impairment (e.g., dysphasia or aphasia)Sudden deathSyncope (fainting)Thrombosis/embolism (vascular access-related)Thrombosis/thrombus/embolismVasovagal episodeVomitingWatery eye (epiphora, tearing)Weight gain
Arm I: Placebo22334500510102027212121131491031138016120608112011471011002022910311200111114021111011110000030141131010301011211030021110211710140114150112810037712110141031081023090800
Arm II: Atrasentan24006611501012101011010042187101171200140202024012201001112123310201160203211050102001111101131029813202002001311180105611154100281012311104001210201211301011112711

[back to top]

Median Time to Tumor Progression

Tumor progression is determined by appropriate imaging techniques according to RECIST criteria or by CA-125 serum level >=2x baseline and >=70 IU/ml, confirmed by a second determination at least 28 days after the first determination (NCT00653328)
Timeframe: Date on study to the date of measured progressive disease, every 2 cycles (2 months)

InterventionMonths (Median)
Altrasentan + Doxil1

[back to top]

Overall Survival

(NCT00653328)
Timeframe: Date on study to date of death from any cause

InterventionMonths (Median)
Altrasentan + Doxil10

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Number of Patients With Objective Response

"Patient response to treatment:~Progressive disease (PD): >=20% increase in sum of longest diameter (LD) of target lesion(s), taking as reference smallest sum LD recorded since treatment started, or appearance of >= 1 new lesions, and/or 2x CA-125 levels to >=70 IU/ml, confirmed by second measurement after 28 days Complete response (CR): disappearance of all target lesions Partial response (PR): >=30% decrease in sum of LD of target lesion(s), taking as reference baseline sum LD Stable disease (SD): neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD" (NCT00653328)
Timeframe: At month 2 and monthly thereafter to cessation of treatment

Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive Disease
Altrasentan + Doxil00311

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Number of Patients With Worst Grade Toxicities

Not all participants necessarily have an adverse event, thus not everyone will be accounted for in worst-grade toxicities. Likewise, one participant can potentially have more than one event in various grades 1-5 which accounts for the difference in number of patients analyzed and total number in the worst-grade toxicity tables. Tables represent the number of patients with worst-grade toxicity at each of five grades (grade 1, least severe; to grade 5, most severe) following NCI Common Toxicity Criteria (NCT00653328)
Timeframe: Weekly for 2 weeks, then monthly for 5 months

Interventionparticipants (Number)
Number of participants with worst grade toxicity 1Number of participants with worst grade toxicity 2Number of participants with worst grade toxicity 3Number of participants with worst grade toxicity 4Number of participants with worst grade toxicity 5
Altrasentan + Doxil53300

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Time to a 50% Estimated Glomerular Filtration Rate Reduction in the Intent-to-Treat (ITT) Responder Set (as Randomized)

The event of interest for this outcome was a 50% reduction in a participant's estimated glomerular filtration rate (eGFR) value as compared to baseline, confirmed by a repeated value at least 20 days apart. The event time was defined as the first time that a 50% reduction in eGFR was observed. Data are presented as number of participants with a 50% reduction in eGFR (first event per participant). (NCT01858532)
Timeframe: From randomization to individual end of observation, up to 53 months

InterventionParticipants (Count of Participants)
Intent-to-Treat (ITT) Responder Atrasentan78
Intent-to-Treat (ITT) Responder Placebo88

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Time to Cardio-renal Composite Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)

The composite event of interest for this outcome consisted of doubling of serum creatinine, end-stage renal disease (ESRD), cardiovascular (CV) death (including CV death and presumed CV death), nonfatal myocardial infarction (MI; heart attack) and nonfatal stroke. Presumed sudden cardiac death was included as a subcategory of presumed CV death. Only events adjudicated by the Events Adjudication Committee (EAC) were considered in defining this endpoint. Data are presented as number of participants with a cardio-renal composite event (first event per participant). (NCT01858532)
Timeframe: From randomization to individual end of observation, up to 53 months

InterventionParticipants (Count of Participants)
Intent-to-Treat (ITT) Responder Atrasentan147
Intent-to-Treat (ITT) Responder Placebo172

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Time to First Occurrence of a Component of Composite Renal Endpoint for All Randomized Participants (Pooled)

Time to the first occurrence of a component of the composite renal endpoint was defined as doubling of serum creatinine (confirmed by a 30-day serum creatinine measurement) or the onset of end stage renal disease (estimated glomerular filtration rate [eGFR] less than 15 ml/min/1.73 m^2 confirmed by a 90-day eGFR measurement, receiving chronic dialysis, renal transplantation, or renal death). Data for all randomized participants were pooled by treatment and analyzed. Data are presented as number of participants with a renal composite event (first event per participant). (NCT01858532)
Timeframe: From randomization to individual end of observation, up to 53 months

InterventionParticipants (Count of Participants)
Intent-to-Treat (ITT) Atrasentan152
Intent-to-Treat Placebo192

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Time to the Cardiovascular Composite Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)

The composite event of interest for this outcome was cardiovascular (CV) death (CV death, presumed CV death), nonfatal myocardial infarction (MI; heart attack), and nonfatal stroke. Presumed sudden cardiac death was included as a sub-category of presumed CV death. Only events adjudicated by the Events Adjudication Committee (EAC) were used. Data are presented as number of participants with a cardiovascular composite event (first event per participant). (NCT01858532)
Timeframe: From randomization to individual end of observation, up to 53 months

InterventionParticipants (Count of Participants)
Intent-to-Treat (ITT) Responder Atrasentan72
Intent-to-Treat (ITT) Responder Placebo81

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Time to the First Occurrence of a Component of the Composite Renal Endpoint in the Intent-to-Treat (ITT) Responder Set (as Randomized)

Time to the first occurrence of a component of the composite renal endpoint was defined as doubling of serum creatinine (confirmed by a 30-day serum creatinine measurement) or the onset of end stage renal disease (estimated glomerular filtration rate [eGFR] less than 15 ml/min/1.73 m^2 confirmed by a 90-day eGFR measurement, receiving chronic dialysis, renal transplantation, or renal death). Only events adjudicated by the Events Adjudication Committee (EAC) were considered in defining this endpoint. Data are presented as number of participants with a primary renal composite event (first event per participant). (NCT01858532)
Timeframe: From randomization to individual end of observation, up to 53 months

InterventionParticipants (Count of Participants)
Intent-to-Treat (ITT) Responder Atrasentan79
Intent-to-Treat (ITT) Responder Placebo105

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Percentage of Participants Who Entered the Observation Period and Did Not Return to Within 15% of Baseline Sperm Concentration or Above During the 52-Week Observational Period

The percentage of participants who entered the Observational Period and did not return to within 15% of Baseline sperm concentration or above during the 52-week Observational Period. Duplicate semen samples were to be collected during the Observational Period. Sperm concentration was calculated as measure of the number sperm per milliliter of semen. Duplicate semen samples were collected. The average of the 2 samples were used as the value for that scheduled collection period. (NCT02118714)
Timeframe: Up to 52 weeks after the Treatment Period

Interventionpercentage of participants (Number)
Atrasentan11.8

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Percentage of Subjects With a Sperm Concentration < 15 Million Per mL by Treatment Week 26

Percentage of Subjects with a Sperm Concentration < 15 million per mL by Treatment Week 26. Sperm concentration was calculated as measure of the number sperm per milliliter of semen. Duplicate semen samples were collected. The average of the 2 samples were used as the value for that scheduled collection period. (NCT02118714)
Timeframe: Up to 26 weeks

Interventionpercentage of participants (Number)
Atrasentan23.5

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Estradiol

Serum hormones levels were tested during the Treatment and Observational Periods. A negative change from baseline indicated a decrease in serum estradiol. (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Period Week 52

InterventionPicomoles Per Litre (pmol/L) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan-11.7-18.6-17.8-47.320.310.5

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in in Follicle Stimulating Hormone (FSH)

Serum hormones levels will be tested during the Treatment and Observational Periods. A positive change from baseline indicated an increase in serum follicle stimulating hormone. (NCT02118714)
Timeframe: From Week 0 to Treatment Week 26 and Observation Week 52

InterventionInternational Units/Liter (IU/L) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan1.10.80.40.70.40.8

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Inhibin B

Serum hormones levels will be tested during the Treatment and Observational Periods. A negative change from baseline indicated a decrease in serum Inhibin B. (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Period Week 52

Interventionpicogram per milliliter (pg/mL) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan-2.7-8.8-7.2-22.7-21.0-5.5

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Lutenizing Hormone (LH)

Serum hormones levels will be tested during the Treatment and Observational Periods. A positive change from baseline indicated an increase in serum lutenizing hormone. (NCT02118714)
Timeframe: From Week 0 to up to Treatment Period Week 26 and Observation Period Week 52

InterventionInternational Units/Liter (IU/L) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan1.00.71.31.90.51.8

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Semen Volume

Duplicate semen samples will be collected during the Treatment and Observation Periods. The average of the 2 samples were used as the value for that scheduled collection period. A negative change from baseline indicated a decrease in semen volume. (NCT02118714)
Timeframe: From Week 0 to up to Treatment Period Week 26 and Observation Period Week 52

Interventionmilliliter (mL) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan0.0-0.30.00.00.1-0.4

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Serum Testosterone

Serum hormones levels will be tested during the Treatment and Observational Periods. A negative change from baseline indicated a decrease in serum testosterone. (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Period Week 52

Interventionnanomole/liter (nmol/L) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan0.20.80.6-0.3-1.6-1.1

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Concentration

Duplicate semen samples will be collected during the Treatment and Observational Periods. The average of the 2 samples were used as the value for that scheduled collection period. A negative change from baseline indicated a decrease in sperm concentration. (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Period Week 52

Interventionsperm * million per milliliter(X10^6/mL) (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan2.2-10.635.8-16.5-27.5-25.8

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Morphology

Duplicate semen samples will be collected during the Treatment and Observational Periods. The percentage of sperm with normal versus abnormal morphology will be determined via microscopic analysis. A positive change from baseline indicates an improved sperm morphology. (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Period Week 52

Interventionpercentage of normal (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan-1.1-2.2-0.8-6.8-2.31.8

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Change From Baseline up to Treatment Period Week 26 and Observation Period Week 52 in Sperm Motility

Duplicate semen samples will be collected during the Treatment and Observation Periods. The average of the 2 samples were used as the value for that scheduled collection period. A negative change from baseline indicated a lower sperm motility (worsening). (NCT02118714)
Timeframe: From Week 0 up to Treatment Period Week 26 and Observation Observation Week 52

Interventionpercent motility (Mean)
Treatment Period Week 13Treatment Period Week 26Observation Period Week 13Observation Period Week 26Observation Period Week 39Observation Period Week 52
Atrasentan-5.8-7.4-0.3-6.310.81.8

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