本バルクペプチドは研究用途限定で、無菌ではなくヒトまたは動物への投与資格がありません。静脈内Aviptadil試験は経路・製剤固有の忍容性問題として低血圧と下痢を報告しました。TESICOでは5日の複合安全性評価項目がAviptadil群63%、placebo群56%に発生し、オッズ比は1.40(95% CI 0.94-2.08)でした
文献:1) KEGG DRUG D12127. Aviptadil: sequence HSDAVFTDNYTRLRKQMAVKKYLNSILN, formula C147H238N44O42S, molecular weight 3325.80, CAS 40077-57-4;
文献:2) PubChem CID 53314964. Vasoactive intestinal peptide free-acid structure: formula C147H237N43O43S, molecular weight 3326.8, CAS 37221-79-7;
文献:3) BPS/IUPHAR Guide to Pharmacology. VIP and PACAP receptors, family 67: VPAC1, VPAC2, and PAC1 nomenclature and pharmacology;
文献:4) Harmar AJ, et al. Pharmacology and functions of receptors for VIP and PACAP: IUPHAR Review 1. Br J Pharmacol. 2012. PMID 22289055;
文献:5) Brown SM, et al. Intravenous aviptadil and remdesivir for COVID-19-associated hypoxaemic respiratory failure (TESICO). Lancet Respir Med. 2023. PMID 37348524; PMCID PMC10527239; doi:10.1016/S2213-2600(23)00147-9;
文献:6) Youssef JG, et al. IV vasoactive intestinal peptide in critical COVID-19 respiratory failure: 60-day randomized trial. Crit Care Med. 2022. PMID 36044317;
文献:7) Shoemaker RC, House DE, Ryan JC. VIP corrects chronic inflammatory response syndrome markers: an open-label uncontrolled case series. Health. 2013;5:396-401;
文献:8) Iwasaki M, et al. Recent advances in VIP physiology and pathophysiology: focus on the gastrointestinal system. F1000Research. 2019. PMCID PMC6743256.
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Polypeptide with broad biological activity: isolation from small intestine
The Use of IV Vasoactive Intestinal Peptide (Aviptadil) in Patients With Critical COVID-19 Respiratory Failure: Results of a 60-Day Randomized Controlled Trial
Intravenous aviptadil and remdesivir for treatment of COVID-19-associated hypoxaemic respiratory failure in the USA (TESICO): a randomised, placebo-controlled trial