Terlipressin is a synthetic analogue of vasopressin, which is an endogenous neurohormone that acts as a vasoconstrictor. It is a prodrug of lypressin, or lysine vasopressin. Compared to endogenous vasopressin, terlipressin has a longer half life and increased selectivity for the V1 receptor. As a potent vasopressor, terlipressin has been investigated in various shock states and conditions with diminished vasomotor tone. It was also studied in hepatorenal syndrome (HRS) and variceal bleeding. The drug was first approved by the FDA in September 2022.
Terlipressin is a vasopressin receptor agonist indicated to improve kidney function in adults with hepatorenal syndrome with rapid reduction in kidney function. The US prescribing information states that patients with a serum creatinine > 5 mg/dL are unlikely to experience benefit from terlipressin.
Investigational site, Kanto, Japan
Scripps Clinic, La Jolla, California, United States
University of Kentucky Chandler Medical Center, Lexington, Kentucky, United States
Iowa City VA Health Care System, Iowa City, Iowa, United States
Departement of Anesthesiology and Intensive Care, Rome, I, Italy
CARBONELL Nicolas, Paris, France
Korea University Anam Hospital, Seoul, Korea, Republic of
Asaf Harofeh MC, Zrifin, Israel
Liver Unit, General Hospital, Padova, Italy
Dept. of Clinical and Experimental Medicine, University of Padova, Padova, Italy
Hospital Clinic Barcelona, Barcelona, Catalonia, Spain
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