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Aprocitentan

CAS No.: 1103522-45-7
Product introduction:Aprocitentan is a first-in-class, orally active dual endothelin-1 (ET-1) receptor antagonist developed by Idorsia Pharmaceuticals and co‑marketed with Johnson & Johnson for the treatment of resistant hypertension (RH). It is the major active metabolite of macitentan (obtained via oxidative depropylation), which was already approved for pulmonary arterial hypertension. In March 2024, the U.S. Food and Drug Administration (FDA) approved aprocitentan under the brand name Tryvio®, making it the first endothelin receptor antagonist ever approved for systemic hypertension. Unlike many conventional antihypertensive agents that primarily target the renin‑angiotensin system or calcium channels, aprocitentan addresses a complementary pathway—the endothelin system—which remains largely unaddressed by currently available therapies.

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CAS No.:1103522-45-7

Aprocitentan is a white to off-white solid powder with a molecular formula of C₁₆H₁₄Br₂N₆O₄S and a molecular weight of approximately 546.19 g/mol. It is highly selective for both ET‑A and ET‑B receptors, with reported IC₅₀ values of 3.4 nM and 987 nM, respectively, for the two receptor subtypes. The compound is soluble in organic solvents such as DMSO and exhibits a plasma half‑life of approximately 44 hours, supporting a convenient once‑daily oral dosing regimen. It is highly bound to plasma proteins, with the powder form typically available in research and pharmaceutical grades (≥98% purity) and recommended to be stored at −20°C (for long‑term stability) or refrigerated at 2‑8°C (for short‑term use), protected from light.

Core Functions:

  • Active pharmaceutical ingredient (API) in Tryvio® for the treatment of hypertension in combination with other antihypertensive drugs, specifically to lower blood pressure in adult patients whose hypertension is not adequately controlled on other medications

  • Research compound for studying endothelin‑1 pathway regulation, dual ET‑A/ET‑B receptor antagonism, and the pathophysiology of resistant hypertension

  • Investigation in specific patient subgroups where the drug has shown enhanced efficacy, including individuals with advanced chronic kidney disease, diabetes, and in Black patients

  • Active reference standard for analytical method development and quality control of endothelin receptor antagonists in pharmaceutical testing

  • Preclinical and clinical research for evaluating its cardiovascular protective effects, including reduction of albuminuria and other hypertension‑mediated organ damage endpoints

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