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Esaxerenone

Generic Name
Esaxerenone
Drug Type
Small Molecule
Chemical Formula
C22H21F3N2O4S
CAS Number
1632006-28-0
Unique Ingredient Identifier
N62TGJ04A1
Background

Esaxerenone is under investigation in clinical trial NCT02722265 (Long-term Study of CS-3150 as Monotherapy or in Combination With Other Antihypertensive Drug in Japanese Patients With Essential Hypertension).

Indication

用于治疗高血压等。

CDSCO Panel Asks Sun Pharma to Conduct Phase III Trial of Esaxerenone for Resistant Hypertension

• The CDSCO's Subject Expert Committee (SEC) has advised Sun Pharmaceutical Industries to conduct a Phase III clinical study on esaxerenone for resistant hypertension. • This recommendation followed Sun Pharma's proposal to manufacture and market esaxerenone tablets (2.5 mg and 5 mg) and a request to conduct a Phase III clinical trial. • The SEC noted that esaxerenone is not indicated for essential hypertension and that another applicant has been recommended for a Phase III trial in resistant hypertension. • The committee also requested Sun Pharma to submit bioequivalence study data for review, alongside a revised Phase III protocol focusing on resistant hypertension.

Esaxerenone Shows Promise as Second-Line Hypertension Treatment, Especially with ARBs

• Esaxerenone demonstrates non-inferiority to trichlormethiazide in lowering blood pressure when added to either ARBs or CCBs. • In patients on CCBs, esaxerenone was superior to trichlormethiazide in lowering systolic blood pressure, indicating a potential advantage. • The study suggests esaxerenone may be particularly effective when combined with ARBs due to factors like aldosterone breakthrough. • Monitoring serum potassium is crucial when using esaxerenone, especially with ARBs, to manage potential hyperkalemia.
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