Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development

© 2017 Future Medicine Ltd.Heart failure still has a significant disease burden with poor outcomes worldwide despite advances in therapy. The standard therapies have been focused on blockade of renin-angiotensin-aldosterone system with angiotensin-converting enzyme inhibitors, angiotensin receptor b...

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Main Authors: Hua, Y., Wang, I., Liu, B., Kelly, D., Reid, Christopher, Liew, D., Zhou, Y., Wang, B.
Format: Journal Article
Published: 2017
Online Access:http://hdl.handle.net/20.500.11937/51401
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author Hua, Y.
Wang, I.
Liu, B.
Kelly, D.
Reid, Christopher
Liew, D.
Zhou, Y.
Wang, B.
author_facet Hua, Y.
Wang, I.
Liu, B.
Kelly, D.
Reid, Christopher
Liew, D.
Zhou, Y.
Wang, B.
author_sort Hua, Y.
building Curtin Institutional Repository
collection Online Access
description © 2017 Future Medicine Ltd.Heart failure still has a significant disease burden with poor outcomes worldwide despite advances in therapy. The standard therapies have been focused on blockade of renin-angiotensin-aldosterone system with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and mineralocorticoid antagonists and the sympathetic nervous system with ß-blockers. The natriuretic peptide system is a potential counter-regulatory system that promotes vasodilatation and natriuresis. Angiotensin receptor neprilysin inhibitors are a new class drug capable of blocking the renin-angiotensin-aldosterone system and enhancing the natriuretic peptide system to improve neurohormonal balance. The success of the PARADIGM-HF trial with LCZ696 and its approval for heart failure treatment is likely to generate a paradigm shift. This review summarises the current knowledge of LCZ696 with a focus on pharmacology, pharmacokinetics and pharmacodynamics, mechanisms of action, clinical efficacy and safety.
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institution Curtin University Malaysia
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publishDate 2017
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spelling curtin-20.500.11937-514012017-09-13T15:35:35Z Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development Hua, Y. Wang, I. Liu, B. Kelly, D. Reid, Christopher Liew, D. Zhou, Y. Wang, B. © 2017 Future Medicine Ltd.Heart failure still has a significant disease burden with poor outcomes worldwide despite advances in therapy. The standard therapies have been focused on blockade of renin-angiotensin-aldosterone system with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and mineralocorticoid antagonists and the sympathetic nervous system with ß-blockers. The natriuretic peptide system is a potential counter-regulatory system that promotes vasodilatation and natriuresis. Angiotensin receptor neprilysin inhibitors are a new class drug capable of blocking the renin-angiotensin-aldosterone system and enhancing the natriuretic peptide system to improve neurohormonal balance. The success of the PARADIGM-HF trial with LCZ696 and its approval for heart failure treatment is likely to generate a paradigm shift. This review summarises the current knowledge of LCZ696 with a focus on pharmacology, pharmacokinetics and pharmacodynamics, mechanisms of action, clinical efficacy and safety. 2017 Journal Article http://hdl.handle.net/20.500.11937/51401 10.2217/fca-2016-0057 restricted
spellingShingle Hua, Y.
Wang, I.
Liu, B.
Kelly, D.
Reid, Christopher
Liew, D.
Zhou, Y.
Wang, B.
Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title_full Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title_fullStr Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title_full_unstemmed Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title_short Angiotensin receptor neprilysin inhibitor LCZ696: Pharmacology, pharmacokinetics and clinical development
title_sort angiotensin receptor neprilysin inhibitor lcz696: pharmacology, pharmacokinetics and clinical development
url http://hdl.handle.net/20.500.11937/51401