Synonyms: A-127722 | A-147627 | ABT-627
Compound class:
Synthetic organic
Comment: Atrasentan (ABT-627) is an orally available, nonpeptide endothelin receptor antagonist. The stereochemistry represented here matches that defined in the INN record for atrasentan.
![]() Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
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No information available. |
Summary of Clinical Use ![]() |
Atrasentan was assessed in a Phase 1/II clinical trial as a potential anti-cancer treatment (in combination with paclitaxel and carboplatin) but the compound did not show improved efficacy compared to chemotherapy alone in NSCLC [1]. Phase 3 evaluation in prostate cancer also failed. Development of atrasentan for diabetic nephropathy was continued reached Phase 3 [7-8]. Most recently, Chinook Therapeutics were evaluating atrasentan as a treatment for kidney diseases such as IgA nephropathy and Alport syndrome. |
Mechanism Of Action and Pharmacodynamic Effects ![]() |
Atrasentan is an antagonist of the endothelin A (ETA) receptor. The molecular machanism underlying anti-cancer effects are attributed to atrasentan's ability to inhibit endothelin-induced cell proliferation [5]. This effect is particularly relevant in prostate cancer where endothelin levels are elevated [3]. As a treatment for diabetic nephropathy, atrasentan is reported to reduce renal injury via an anti-inflammatory mechanism involving inhibition of superoxide production [6]. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT01858532 | Study Of Diabetic Nephropathy With Atrasentan | Phase 3 Interventional | AbbVie | The SONAR study | 2 |
NCT00036556 | Study of Atrasentan in Men With Non-Metastatic, Hormone-Refractory Prostate Cancer | Phase 3 Interventional | Abbott | ||
NCT04573478 | Atrasentan in Patients With IgA Nephropathy | Phase 3 Interventional | Chinook Therapeutics, Inc. | ||
NCT04573920 | Atrasentan in Patients With Proteinuric Glomerular Diseases | Phase 2 Interventional | Chinook Therapeutics, Inc. |