Ramatroban Explained

Iupac Name:3-((3R)-3--1,2,3,4-tetrahydro-9H-carbazol-9-yl)propanoic acid
Tradename:Baynas
Routes Of Administration:Oral (tablets)
Legal Status:Rx-only (JP)
Cas Number:116649-85-5
Atc Prefix:None
Pubchem:123879
Unii:P1ALI72U6C
Iuphar Ligand:1910
Chembl:361812
Chemspiderid:110413
Kegg:D01128
C:21
H:21
F:1
N:2
O:4
S:1
Smiles:C1CC2=C(CC1NS(=O)(=O)C3=CC=C(C=C3)F)C4=CC=CC=C4N2CCC(=O)O
Stdinchi:1S/C21H21FN2O4S/c22-14-5-8-16(9-6-14)29(27,28)23-15-7-10-20-18(13-15)17-3-1-2-4-19(17)24(20)12-11-21(25)26/h1-6,8-9,15,23H,7,10-13H2,(H,25,26)/t15-/m1/s1
Stdinchikey:LDXDSHIEDAPSSA-OAHLLOKOSA-N

Ramatroban (INN) (also known as BAY u3405)[1] is a thromboxane receptor antagonist.[2]

It is also a DP2 receptor antagonist.[3]

It is indicated for the treatment of coronary artery disease.[4] It has also been used for the treatment of asthma.[5]

It has been suggested that ramatroban, by modulating DP2 receptor, can reverse viremia-associated proinflammatory and prothrombotic processes which are similar to those induced by SARS-Cov-2. Hence, ramatroban, that has been used for the treatment of allergic rhinitis in Japan for the past two decades with a well established safety profile, merits investigation as a novel immunotherapy for the treatment of COVID-19 disease, although no clinical trial has yet been conducted.[6]

Ramatroban was developed by the German pharmaceutical company Bayer AG and is co-marketed in Japan by Bayer Yakuhin then marketed by Kyorin Pharmaceutical and Nippon Shinyaku Co., Ltd. under the trade name Baynas.

External links

Notes and References

  1. Web site: Ramatroban (compound) . PubChem . National Center for Biotechnology Information . 22 June 2019.
  2. Sugimoto H, Shichijo M, Iino T, Manabe Y, Watanabe A, Shimazaki M, Gantner F, Bacon KB . 6 . An orally bioavailable small molecule antagonist of CRTH2, ramatroban (BAY u3405), inhibits prostaglandin D2-induced eosinophil migration in vitro . The Journal of Pharmacology and Experimental Therapeutics . 305 . 1 . 347–352 . April 2003 . 12649388 . 10.1124/jpet.102.046748 . vanc . 10016709 .
  3. Royer JF, Schratl P, Carrillo JJ, Jupp R, Barker J, Weyman-Jones C, Beri R, Sargent C, Schmidt JA, Lang-Loidolt D, Heinemann A . 6 . A novel antagonist of prostaglandin D2 blocks the locomotion of eosinophils and basophils . European Journal of Clinical Investigation . 38 . 9 . 663–671 . September 2008 . 18837743 . 10.1111/j.1365-2362.2008.01989.x . vanc . free .
  4. Fiedler VB, Seuter F, Perzborn E . Effects of the novel thromboxane antagonist Bay U 3405 on experimental coronary artery disease . Stroke . 21 . 12 Suppl . IV149–IV151 . December 1990 . 2260140 .
  5. Endo S, Akiyama K . [Thromboxane A2 receptor antagonist in asthma therapy] . ja . Nihon Rinsho. Japanese Journal of Clinical Medicine . 54 . 11 . 3045–3048 . November 1996 . 8950952 .
  6. Rizk JG, Kalantar-Zadeh K, Mehra MR, Lavie CJ, Rizk Y, Forthal DN . Pharmaco-Immunomodulatory Therapy in COVID-19 . Drugs . 80 . 13 . 1267–1292 . September 2020 . 32696108 . 7372203 . 10.1007/s40265-020-01367-z .