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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Dual neurohormonal intervention in CV disease: angiotensin receptor and Neprilysin inhibition
Julian Segura1, Jorge Salazar, Luis M Ruilope
1Hospital 12 de Octubre, Department of Nephrology, Hypertension Unit , Av. Córdoba s/n, 28041 Madrid, Spain.
Insights
New drug LCZ696 shows promise for treating high blood pressure and cardiovascular disease. This novel medication combines a neprilysin inhibitor with an angiotensin receptor blocker for improved efficacy.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Nephrology
Background:
- Cardiovascular disease is a leading global cause of mortality.
- Elevated blood pressure is a primary modifiable risk factor, contributing to millions of deaths annually.
- There is a continuous need for novel therapeutics to manage cardiovascular and renal diseases.
Purpose of the Study:
- To review available data on LCZ696, a novel compound in development.
- To assess the efficacy and tolerability of LCZ696 for arterial hypertension.
- To explore preliminary evidence for LCZ696 in cardiovascular disease treatment.
Main Methods:
- Literature review of studies published within the last five years.
- Searches conducted using PubMed with relevant keywords.
- Focus on data pertaining to LCZ696, the first-in-class angiotensin receptor neprilysin inhibitor.
Main Results:
- LCZ696 demonstrates positive efficacy in managing arterial hypertension.
- The compound exhibits a favorable tolerability profile.
- Preliminary data suggest potential benefits for cardiovascular disease treatment.
Conclusions:
- LCZ696 shows significant promise for the treatment of arterial hypertension.
- Emerging data indicate LCZ696 may also be beneficial in managing cardiovascular disease.
- The combination of neprilysin inhibition and angiotensin receptor blockade represents a novel therapeutic approach.
Introduction:
Cardiovascular disease is the leading cause of death worldwide, accounting for 30% of all deaths, with elevated blood pressure probably the most important modifiable risk factor. Worldwide, elevated blood pressure is estimated to cause 7.5 million deaths, about 12.8% of the total of all annual deaths. New drugs with different efficacy and effectiveness to control cardiovascular and renal disease are always welcomed.
Areas Covered:
Adequate control of arterial hypertension is needed in order to reduce the consequences of cardiovascular and renal disease. A novel compound, LCZ696 , is currently in development based on the concept of comprising in the same entity a Neprilysin inhibitor, with a renin-angiotensin-aldosterone system inhibitor, in this case an angiotensin receptor blocker. This review, performed in PubMed including the last five years under the keywords cited below, presents the available data about LCZ696, the first-in-class angiotensin receptor Neprilysin inhibitor.
Expert Opinion:
Available data show that positive efficacy and a good tolerability profile of LCZ696 in the treatment of arterial hypertension as well as preliminary data indicate that it can also be useful in the treatment of cardiovascular disease. These data are particularly promising in the treatment of arterial hypertension.
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