Synonyms: DARA-a (Dual Acting Receptor Antagonist of angiotension and endothelin receptors) | BMS-346567 | compound 7 [PMID 15634011] | Filspari® | RE-021 | retrophin
sparsentan is an approved drug (FDA (2023), EMA (2024))
Compound class:
Synthetic organic
Comment: Sparsentan (RE-021) is a selective dual-acting receptor antagonist with affinity for endothelin (A type) and angiotensin II receptors (Type 1) [5-6]. Sparsentan combines the active moieties of the selective AT1 receptor antagonist irbesartan and a selective ETA receptor antagonist (see ligand 91 in [5]).
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 |
Sparsentan progressed to phase 3 clinical trial for evaluation as a potential treatment for focal segmental glomerulosclerosis (FSGS) [3]. FSGS is a rare glomerular disorder which results in proteinuria and progression to end-stage kidney disease (ESKD) over 5-10 years. The EMA issued orphan designation for the treatment of primary IgA nephropathy (IgAN) in January 2022 [2]. FDA approval for this indication was granted in February 2023 (under their accelerated approval program) [7]. The FDA's approval indicates sparsentan's use for patients with primary IgAN who are at high risk of rapid disease progression. Sparsentan is administered to reduce proteinuria in these patients. |
Mechanism Of Action and Pharmacodynamic Effects |
Reduction of proteinuria in FSGS is regarded as being beneficial by slowing disease progression [1]. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT03493685 | Study of Sparsentan in Patients With Primary Focal Segmental Glomerulosclerosis (FSGS) | Phase 3 Interventional | Travere Therapeutics, Inc. | 4 | |
NCT01613118 | Randomized, Double-Blind, Safety and Efficacy Study of RE-021 (Sparsentan) in Focal Segmental Glomerulosclerosis | Phase 2 Interventional | Travere Therapeutics, Inc. | 8 |