Knowledge (XXG)

Ataluren

Source ๐Ÿ“

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codon mutation for cystic fibrosis demonstrated increased CFTR protein production and function. Extending on this work, a mechanistic study with yeast and human cells has elucidated the details of ataluren-mediated nonstandard codon-anticodon base pairings which result in specific amino acid substitutions at specific codon positions in the CFTR protein.
31: 2172: 742:(EMA) and received market authorization from the European Commission to treat people with nonsense mutation Duchenne muscular dystrophy in August 2014; a confirmatory phase III clinical trial was required. By December it was on the market in Germany, France, Italy, Denmark, Spain and a number of other European Union countries. 682:
Studies have demonstrated that ataluren treatment increases expression of full-length dystrophin protein in human and mouse primary muscle cells containing the premature stop codon mutation for Duchenne muscular dystrophy and rescues striated muscle function. Studies in mice with the premature stop
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In July 2016, NHS England agreed a Managed Access Agreement (MAA) for Translarna providing reimbursed patient access to Translarna in England via a five-year MAA. This followed a positive recommendation from the National Institute for Health and Care Excellence (NICE) in April 2016, subject to PTC
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Haas M, Vlcek V, Balabanov P, Salmonson T, Bakchine S, Markey G, et al. (January 2015). "European Medicines Agency review of ataluren for the treatment of ambulant patients aged 5 years and older with Duchenne muscular dystrophy resulting from a nonsense mutation in the dystrophin gene".
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The European Medicines Agency review on the approval of ataluren concluded that "the non-clinical data available were considered sufficient to support the proposed mechanism of action and to alleviate earlier concerns on the selectivity of ataluren for premature stop codons."
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More than 10% of people taking ataluren in clinical trials experienced vomiting; more than 5% experienced diarrhea, nausea, headache, upper abdominal pain, and flatulence; between 1% and 5% of people experienced decreased appetite and weight loss,
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In 2010, PTC Therapeutics released preliminary results of its phase IIb clinical trial for Duchenne muscular dystrophy, with participants not showing a significant improvement in the six minute walk distance after the 48 weeks of the trial.
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to identify compounds that increased the amount of protein expressed by mutated genes, and then optimized one of the hits in the screen to create this drug. As with the results of many cell-based screens, the
1570: 1877: 1537:"PTC Therapeutics, Inc. and Genzyme Corporation Announce Preliminary Results from the Phase 2b Clinical Trial of Ataluren; Primary Endpoint Does Not Reach Statistical Significance within Duration of Study" 678:
processing, stability of the mRNA or the resultant protein, thereby making a functional protein similar to the non-mutated endogenous product. It seems to work particularly well for the stop codon 'UGA'.
1011: 1234: 1044: 1603: 1851: 612:, high blood pressure, cough, nosebleeds, abdominal discomfort, constipation, rashes, pain in their arms, legs, and chest muscles, blood in their urine, urinary incontinence, and fever. 102: 551: 651:
of ataluren, it was discovered to bind and stabilize firefly luciferase, thus explaining the mechanism by which it created a false positive effect on the read through assay.
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and NHS England finalizing the terms of the MAA. NICE issued its final guidance later in July with implementation of the MAA for patients following within two months.
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Welch EM, Barton ER, Zhuo J, Tomizawa Y, Friesen WJ, Trifillis P, et al. (May 2007). "PTC124 targets genetic disorders caused by nonsense mutations".
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for ataluren, which was based on a clinical trial in which ataluren missed its primary endpoint; PTC appealed and the FDA declined again in October 2016.
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recommended not renewing the conditional marketing authorization for Translarna, a medicine for treating people with Duchenne muscular dystrophy.
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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should not be given to someone taking ataluren, as they interfere with its mechanism of action. Caution should be used with drugs that induce
2126: 932: 1951: 1674: 843: 1183: 2097: 527: 493: 1379:"PTC124 is an orally bioavailable compound that promotes suppression of the human CFTR-G542X nonsense allele in a CF mouse model" 711:'s lab at the University of Pennsylvania, which was initially funded in part by Parent Project Muscular Dystrophy. The team used 175: 132: 807: 1743:"Ataluren and similar compounds (specific therapies for premature termination codon class I mutations) for cystic fibrosis" 756:
In March 2017, PTC terminated development of ataluren for cystic fibrosis due to lack of efficacy in the phase III trials.
2058: 2162: 1977: 1481:"Press release: PTC Therapeutics Announces $ 15.4 Million NIH Research Grant for Duchenne Muscular Dystrophy | Evaluate" 297: 2143: 568: 377: 2212: 1626: 1992: 1869: 837: 774: 739: 1657:"NHS England successfully negotiates access to new drug treatment for children with duchenne muscular dystrophy" 2197: 1982: 1004:"Researchers question 'read-through' mechanism of muscular dystrophy drug ataluren : Spoonful of Medicine" 671: 246: 2131: 2082: 1901: 1480: 88: 416: 2192: 867:"Therapeutic suppression of premature termination codons: mechanisms and clinical considerations (review)" 366: 2207: 609: 237: 1488: 1037:"Press Release: Questions Raised About Process Used to Identify Experimental Drug for Genetic Disease" 2202: 1390: 1335: 1275: 1198: 1136: 1079: 746: 712: 1844:"Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 24-27 June 2024" 583:
Ataluren is used in the European Union to treat people with Duchenne muscular dystrophy who have a
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InChI=1S/C15H9FN2O3/c16-12-7-2-1-6-11(12)14-17-13(18-21-14)9-4-3-5-10(8-9)15(19)20/h1-8H,(H,19,20)
1723: 1462: 1359: 1184:"Molecular basis for the high-affinity binding and stabilization of firefly luciferase by PTC124" 1105: 1817:"EMA recommends non-renewal of authorisation of Duchenne muscular dystrophy medicine Translarna" 1791:"EMA recommends non-renewal of authorisation of Duchenne muscular dystrophy medicine Translarna" 39: 1264:"Ataluren stimulates ribosomal selection of near-cognate tRNAs to promote nonsense suppression" 832: 1772: 1715: 1454: 1418: 1351: 1303: 1226: 1164: 1097: 984: 928: 922: 896: 721: 667: 648: 584: 346: 147: 52: 286: 1762: 1754: 1705: 1446: 1408: 1398: 1343: 1293: 1283: 1216: 1206: 1154: 1144: 1125:"Mechanism of PTC124 activity in cell-based luciferase assays of nonsense codon suppression" 1087: 974: 964: 886: 878: 716: 572: 433: 201: 306: 2176: 2102: 1262:
Roy B, Friesen WJ, Tomizawa Y, Leszyk JD, Zhuo J, Johnson B, et al. (November 2016).
620: 1511:"PTC Therapeutics, Inc. Initiates Phase 2 Study Of PTC124 In Duchenne Muscular Dystrophy" 662:(an effect referred to as "read-through") by promoting insertion of certain near-cognate 1394: 1339: 1279: 1202: 1140: 1083: 420: 397: 2137: 2035: 1923: 1767: 1742: 1413: 1378: 1298: 1263: 1221: 1159: 1124: 979: 952: 891: 866: 2186: 1727: 1656: 675: 409: 226: 1466: 1109: 80: 2107: 1969: 1905: 1758: 1363: 1182:
Auld DS, Lovell S, Thorne N, Lea WA, Maloney DJ, Shen M, et al. (March 2010).
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Pace A, Buscemi S, Piccionello AP, Pibiri I (2015). Scriven EF, Ramsden CA (eds.).
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Ataluren was discovered by scientists at PTC Therapeutics in a collaboration with
969: 2043: 2025: 2005: 1946: 1563:"PTC Therapeutics Receives Positive Opinion from CHMP for Translarna (ataluren)" 708: 1383:
Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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Du M, Liu X, Welch EM, Hirawat S, Peltz SW, Bedwell DM (February 2008).
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People who are pregnant or breast feeding should not take ataluren.
30: 927:. Advances in Heterocyclic Chemistry. Academic Press. p. 127. 326: 492: 483: 337: 632: 628: 317: 154: 141: 1873: 1485:
PTC, University of Pennsylvania, and the NIH via Evaluate Group
1675:"Drug Company Ends Ataluren Program for CF Nonsense Mutations" 382: 734:
In May 2014, ataluren received a positive opinion from the
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In February 2016, FDA declined to accept PTC Therapeutics
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3. Recent Advances in the Chemistry of 1,2,4-Oxadiazoles
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Auld DS, Thorne N, Maguire WF, Inglese J (March 2009).
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While a large number of studies failed to identify the
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UK Electronic Medicines Compendium. 24 April 2017. 2075: 2057: 2034: 1991: 1968: 1932: 1913: 481: 468: 432: 427: 408: 376: 356: 336: 316: 296: 276: 256: 245: 236: 211: 191: 166: 131: 126: 101: 87: 69: 61: 51: 46: 591:gene, can walk, and are more than five years old. 827: 825: 804:"Translarna - Summary of Product Characteristics" 225: 200: 1741:Aslam AA, Sinha IP, Southern KW (March 2023). 771:Committee for Medicinal Products for Human Use 736:Committee for Medicinal Products for Human Use 1885: 1321: 1319: 1317: 8: 21: 1747:The Cochrane Database of Systematic Reviews 1257: 1255: 953:"A read-through drug put through its paces" 871:International Journal of Molecular Medicine 1892: 1878: 1870: 419: 396: 285: 38: 29: 1766: 1709: 1590: 1588: 1412: 1402: 1297: 1287: 1220: 1210: 1158: 1148: 1091: 1031: 1029: 978: 968: 946: 944: 890: 798: 796: 794: 792: 790: 727:Phase I clinical trials started in 2004. 305: 1627:"FDA snubs PTC appeal for Duchenne drug" 1041:NIH via Drug Discovery & Development 2167: 1068:"Chemical biology: ignore the nonsense" 786: 699:; its chemical name is 3-benzoic acid. 670:with no apparent effects on downstream 567:, is a medication for the treatment of 532: 512: 392: 265: 180: 916: 914: 912: 910: 410: 20: 16:Duchenne muscular dystrophy medication 1606:from the original on 27 December 2014 1008:Nature Medicine: Spoonful of Medicine 365: 345: 79: 7: 1637:from the original on 28 January 2017 846:from the original on 29 October 2020 114: 1491:from the original on 23 August 2023 1240:from the original on 23 August 2023 1047:from the original on 7 October 2017 865:Karijolich J, Yu YT (August 2014). 325: 216: 515:Fc3ccccc3c1nc(no1)c2cc(ccc2)C(=O)O 14: 1900:Other drugs for disorders of the 1854:from the original on 12 July 2024 1066:Schmitz A, Famulok M (May 2007). 810:from the original on 15 July 2017 2170: 1625:Pagliarulo N (17 October 2016). 1573:from the original on 30 May 2019 1517:(Press release). 27 January 2006 1014:from the original on 16 May 2017 453: 450: 444: 540:Key:OOUGLTULBSNHNF-UHFFFAOYSA-N 2059:Histone deacetylase inhibitors 1759:10.1002/14651858.CD012040.pub3 459: 438: 1: 1543:(Press release). 3 March 2010 1978:Delandistrogene moxeparvovec 970:10.1371/journal.pbio.1001458 658:less sensitive to premature 654:Ataluren is thought to make 627:, or that are substrates of 610:high levels of triglycerides 563:, sold under the brand name 951:Roberts RG (25 June 2013). 569:Duchenne muscular dystrophy 2229: 1993:Antisense oligonucleotides 1692:DeFrancesco L (May 2017). 1679:Cystic Fibrosis Foundation 724:of ataluren is not known. 428:Chemical and physical data 2121: 1848:European Medicines Agency 1821:European Medicines Agency 1795:European Medicines Agency 1451:10.1016/j.nmd.2014.11.011 1002:Devitt L (25 June 2013). 838:European Medicines Agency 775:European Medicines Agency 740:European Medicines Agency 548: 523: 503: 171: 37: 28: 1983:Onasemnogene abeparvovec 1954:clostridium histolyticum 81:International Drug Names 1902:musculo-skeletal system 1439:Neuromuscular Disorders 1404:10.1073/pnas.0711795105 1289:10.1073/pnas.1605336113 1212:10.1073/pnas.0909141107 1150:10.1073/pnas.0813345106 883:10.3892/ijmm.2014.1809 1694:"Drug pipeline: 1Q17" 842:. 17 September 2018. 571:. It was designed by 1698:Nature Biotechnology 747:new drug application 713:phenotypic screening 1797:. 15 September 2023 1602:. 3 December 2014. 1395:2008PNAS..105.2064D 1348:10.1038/nature05756 1340:2007Natur.447...87W 1280:2016PNAS..11312508R 1274:(44): 12508โ€“12513. 1203:2010PNAS..107.4878A 1141:2009PNAS..106.3585A 1093:10.1038/nature05715 1084:2007Natur.447...42S 1043:. 3 February 2009. 760:Society and culture 150:(Prescription only) 25: 2148:Never to phase III 769:In June 2024, the 2213:Muscle protectors 2158: 2157: 1197:(11): 4878โ€“4883. 934:978-0-12-802874-2 833:"Translarna EPAR" 722:biological target 649:biological target 595:Contraindications 585:nonsense mutation 558: 557: 494:Interactive image 378:CompTox Dashboard 158: 145: 2220: 2175: 2174: 2173: 2166: 2083:Aceneuramic acid 1894: 1887: 1880: 1871: 1864: 1863: 1861: 1859: 1850:. 28 June 2024. 1840: 1834: 1832: 1830: 1828: 1813: 1807: 1806: 1804: 1802: 1787: 1781: 1780: 1770: 1738: 1732: 1731: 1713: 1711:10.1038/nbt.3874 1689: 1683: 1682: 1671: 1665: 1664: 1653: 1647: 1646: 1644: 1642: 1622: 1616: 1615: 1613: 1611: 1592: 1583: 1582: 1580: 1578: 1559: 1553: 1552: 1550: 1548: 1533: 1527: 1526: 1524: 1522: 1507: 1501: 1500: 1498: 1496: 1487:. 10 July 2007. 1477: 1471: 1470: 1433: 1427: 1426: 1416: 1406: 1389:(6): 2064โ€“2069. 1374: 1368: 1367: 1323: 1312: 1311: 1301: 1291: 1259: 1250: 1249: 1247: 1245: 1239: 1224: 1214: 1188: 1179: 1173: 1172: 1162: 1152: 1135:(9): 3585โ€“3590. 1120: 1114: 1113: 1095: 1063: 1057: 1056: 1054: 1052: 1033: 1024: 1023: 1021: 1019: 999: 993: 992: 982: 972: 948: 939: 938: 918: 905: 904: 894: 862: 856: 855: 853: 851: 829: 820: 819: 817: 815: 800: 717:chemical library 573:PTC Therapeutics 554: 496: 476: 461: 455: 452: 446: 440: 423: 412: 401: 400: 386: 384: 369: 349: 329: 309: 289: 269: 249: 229: 219: 218: 204: 156: 153: 143: 140: 118: 83: 42: 33: 26: 24: 2228: 2227: 2223: 2222: 2221: 2219: 2218: 2217: 2198:Cystic fibrosis 2183: 2182: 2181: 2171: 2169: 2161: 2159: 2154: 2153: 2138:Clinical trials 2117: 2103:Hyaluronic acid 2071: 2053: 2036:Glucocorticoids 2030: 1987: 1964: 1928: 1917:and derivatives 1909: 1898: 1868: 1867: 1857: 1855: 1842: 1841: 1837: 1826: 1824: 1815: 1814: 1810: 1800: 1798: 1789: 1788: 1784: 1753:(3): CD012040. 1740: 1739: 1735: 1691: 1690: 1686: 1681:. 3 March 2017. 1673: 1672: 1668: 1655: 1654: 1650: 1640: 1638: 1624: 1623: 1619: 1609: 1607: 1594: 1593: 1586: 1576: 1574: 1561: 1560: 1556: 1546: 1544: 1535: 1534: 1530: 1520: 1518: 1509: 1508: 1504: 1494: 1492: 1479: 1478: 1474: 1435: 1434: 1430: 1376: 1375: 1371: 1334:(7140): 87โ€“91. 1325: 1324: 1315: 1261: 1260: 1253: 1243: 1241: 1237: 1186: 1181: 1180: 1176: 1122: 1121: 1117: 1078:(7140): 42โ€“43. 1065: 1064: 1060: 1050: 1048: 1035: 1034: 1027: 1017: 1015: 1001: 1000: 996: 963:(6): e1001458. 950: 949: 942: 935: 920: 919: 908: 864: 863: 859: 849: 847: 831: 830: 823: 813: 811: 802: 801: 788: 783: 767: 762: 705: 695:Ataluren is an 693: 668:nonsense codons 666:at the site of 645: 621:Aminoglycosides 618: 605: 603:Adverse effects 597: 581: 552:(what is this?) 549: 544: 541: 536: 531: 530: 519: 516: 511: 510: 499: 474: 464: 458: 449: 443: 404: 380: 372: 352: 332: 312: 292: 272: 252: 232: 215: 207: 187: 184: 179: 178: 162: 122: 90: 17: 12: 11: 5: 2226: 2224: 2216: 2215: 2210: 2205: 2200: 2195: 2185: 2184: 2180: 2179: 2156: 2155: 2152: 2151: 2150: 2149: 2146: 2135: 2129: 2123: 2122: 2119: 2118: 2116: 2115: 2110: 2105: 2100: 2095: 2090: 2085: 2079: 2077: 2073: 2072: 2070: 2069: 2063: 2061: 2055: 2054: 2052: 2051: 2046: 2040: 2038: 2032: 2031: 2029: 2028: 2023: 2018: 2013: 2008: 2003: 1997: 1995: 1989: 1988: 1986: 1985: 1980: 1974: 1972: 1970:Gene therapies 1966: 1965: 1963: 1962: 1957: 1949: 1944: 1938: 1936: 1930: 1929: 1927: 1926: 1920: 1918: 1911: 1910: 1899: 1897: 1896: 1889: 1882: 1874: 1866: 1865: 1835: 1823:. 28 June 2024 1808: 1782: 1733: 1684: 1666: 1648: 1631:BioPharma Dive 1617: 1584: 1554: 1528: 1502: 1472: 1428: 1369: 1313: 1251: 1174: 1115: 1058: 1025: 994: 940: 933: 906: 877:(2): 355โ€“362. 857: 821: 785: 784: 782: 779: 766: 763: 761: 758: 738:(CHMP) of the 704: 701: 692: 689: 644: 641: 617: 614: 604: 601: 596: 593: 580: 577: 556: 555: 546: 545: 543: 542: 539: 537: 534: 526: 525: 524: 521: 520: 518: 517: 514: 506: 505: 504: 501: 500: 498: 497: 489: 487: 479: 478: 472: 466: 465: 462: 456: 447: 441: 436: 430: 429: 425: 424: 414: 406: 405: 403: 402: 389: 387: 374: 373: 371: 370: 362: 360: 354: 353: 351: 350: 342: 340: 334: 333: 331: 330: 322: 320: 314: 313: 311: 310: 302: 300: 294: 293: 291: 290: 282: 280: 274: 273: 271: 270: 262: 260: 254: 253: 251: 250: 242: 240: 234: 233: 231: 230: 222: 220: 209: 208: 206: 205: 197: 195: 189: 188: 186: 185: 183:3-benzoic acid 182: 174: 173: 172: 169: 168: 164: 163: 161: 160: 151: 137: 135: 129: 128: 124: 123: 121: 120: 107: 105: 99: 98: 93: 91:administration 85: 84: 77: 67: 66: 63: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 13: 10: 9: 6: 4: 3: 2: 2225: 2214: 2211: 2209: 2206: 2204: 2201: 2199: 2196: 2194: 2193:Benzoic acids 2191: 2190: 2188: 2178: 2168: 2164: 2147: 2145: 2142: 2141: 2139: 2136: 2133: 2130: 2128: 2125: 2124: 2120: 2114: 2111: 2109: 2106: 2104: 2101: 2099: 2096: 2094: 2091: 2089: 2086: 2084: 2081: 2080: 2078: 2074: 2068: 2065: 2064: 2062: 2060: 2056: 2050: 2047: 2045: 2042: 2041: 2039: 2037: 2033: 2027: 2024: 2022: 2019: 2017: 2014: 2012: 2009: 2007: 2004: 2002: 1999: 1998: 1996: 1994: 1990: 1984: 1981: 1979: 1976: 1975: 1973: 1971: 1967: 1961: 1958: 1956: 1955: 1950: 1948: 1945: 1943: 1940: 1939: 1937: 1935: 1931: 1925: 1922: 1921: 1919: 1916: 1912: 1907: 1903: 1895: 1890: 1888: 1883: 1881: 1876: 1875: 1872: 1853: 1849: 1845: 1839: 1836: 1822: 1818: 1812: 1809: 1796: 1792: 1786: 1783: 1778: 1774: 1769: 1764: 1760: 1756: 1752: 1748: 1744: 1737: 1734: 1729: 1725: 1721: 1717: 1712: 1707: 1703: 1699: 1695: 1688: 1685: 1680: 1676: 1670: 1667: 1662: 1658: 1652: 1649: 1636: 1632: 1628: 1621: 1618: 1605: 1601: 1597: 1591: 1589: 1585: 1572: 1568: 1564: 1558: 1555: 1542: 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723: 718: 714: 710: 702: 700: 698: 690: 688: 684: 680: 677: 673: 672:transcription 669: 665: 661: 657: 652: 650: 642: 640: 638: 634: 630: 626: 622: 615: 613: 611: 602: 600: 594: 592: 590: 586: 578: 576: 574: 570: 566: 562: 553: 547: 538: 533: 529: 522: 513: 509: 502: 495: 491: 490: 488: 485: 480: 473: 471: 467: 437: 435: 431: 426: 422: 418: 415: 413: 411:ECHA InfoCard 407: 399: 395: 394:DTXSID5046776 391: 390: 388: 379: 375: 368: 364: 363: 361: 359: 355: 348: 344: 343: 341: 339: 335: 328: 324: 323: 321: 319: 315: 308: 304: 303: 301: 299: 295: 288: 284: 283: 281: 279: 275: 268: 264: 263: 261: 259: 255: 248: 244: 243: 241: 239: 235: 228: 224: 223: 221: 214: 210: 203: 199: 198: 196: 194: 190: 181: 177: 170: 165: 159: Rx-only 152: 149: 139: 138: 136: 134: 130: 125: 117: 112: 109: 108: 106: 104: 100: 97: 94: 92: 86: 82: 78: 76: 72: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 2208:Orphan drugs 2108:Palovarotene 2098:Chondrocytes 2087: 1953: 1952:Collagenase 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Index



Trade names
AHFS
Drugs.com
International Drug Names
Routes of
administration

By mouth
ATC code
M09AX03
WHO
Legal status
POM
IUPAC name
CAS Number
775304-57-9
PubChem
11219835
IUPHAR/BPS
7341
DrugBank
DB05016
ChemSpider
9394889
UNII
K16AME9I3V
KEGG
D09323
ChEBI
CHEBI:94805

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