Istradefylline: First Global Approval

Kyowa Hakko Kirin is developing istradefylline, a selective adenosine A 2A receptor antagonist, for the once-daily oral treatment of Parkinson’s disease (PD). Adenosine A 2A receptors are considered to be present particularly in the basal ganglia of the brain; the degeneration or abnormality observe...

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Veröffentlicht in:Drugs (New York, N.Y.) N.Y.), 2013-06, Vol.73 (8), p.875-882
Hauptverfasser: Dungo, Rosselle, Deeks, Emma D.
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description Kyowa Hakko Kirin is developing istradefylline, a selective adenosine A 2A receptor antagonist, for the once-daily oral treatment of Parkinson’s disease (PD). Adenosine A 2A receptors are considered to be present particularly in the basal ganglia of the brain; the degeneration or abnormality observed in PD is believed to occur in the basal ganglia, which is recognized to play a significant role in motor control. Commercially available dopamine replacement therapies effectively treat the early motor symptoms of PD; however, these agents are associated with development of motor complications, limiting usefulness in late stages of the disease. Istradefylline is proposed to possess a clearly distinct action site from existing agents which act on dopamine metabolism or dopamine receptors. Kyowa Hakko Kirin has received approval for istradefylline in the adjunctive treatment of PD in Japan. A New Drug Application was filed in the USA, but the FDA issued a non-approvable letter in February 2008. This article summarizes the milestones in the development of istradefylline leading to its first approval for the treatment of patients with PD.
doi_str_mv 10.1007/s40265-013-0066-7
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Antiepileptics. Antiparkinson agents</topic><topic>Basal Ganglia - drug effects</topic><topic>Basal Ganglia - metabolism</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Dopamine</topic><topic>Dopamine - metabolism</topic><topic>Drug Approval</topic><topic>Drug dosages</topic><topic>Dyskinesia</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Japan</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neuropharmacology</topic><topic>Oral administration</topic><topic>Parkinson Disease - drug therapy</topic><topic>Parkinson Disease - metabolism</topic><topic>Parkinson's disease</topic><topic>Pharmaceuticals</topic><topic>Pharmacokinetics</topic><topic>Pharmacology. 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This article summarizes the milestones in the development of istradefylline leading to its first approval for the treatment of patients with PD.</abstract><cop>Cham</cop><pub>Springer International Publishing AG</pub><pmid>23700273</pmid><doi>10.1007/s40265-013-0066-7</doi><tpages>8</tpages></addata></record>
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subjects Adenosine
Adenosine A2 Receptor Antagonists - pharmacokinetics
Adenosine A2 Receptor Antagonists - pharmacology
Agreements
Anticonvulsants. Antiepileptics. Antiparkinson agents
Basal Ganglia - drug effects
Basal Ganglia - metabolism
Biological and medical sciences
Brain
Dopamine
Dopamine - metabolism
Drug Approval
Drug dosages
Dyskinesia
Humans
Internal Medicine
Japan
Medical sciences
Medicine
Medicine & Public Health
Neuropharmacology
Oral administration
Parkinson Disease - drug therapy
Parkinson Disease - metabolism
Parkinson's disease
Pharmaceuticals
Pharmacokinetics
Pharmacology. Drug treatments
Pharmacology/Toxicology
Pharmacotherapy
Purines - pharmacokinetics
Purines - pharmacology
R & D Insight Report
title Istradefylline: First Global Approval
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