The piprants are a class of substances within pharmacology that act as prostaglandin antagonists.
The piprants are a class of substances within pharmacology that act as prostaglandin antagonists.
Properties
Schematic, simplified representation of the synthesis pathway and receptors (blue) of prostanoids (yellow); sites of action of piprants and other antagonists
The non-proprietary names of thromboxane receptor antagonists (TP antagonists) end in -troban.[1]
Representatives
Within the piprant class, the veterinary drug grapiprant, an EP4 receptor antagonist indicated in dogs for pain and inflammation associated with osteoarthritis, is approved for marketing.[3] The DP1 receptor antagonist laropiprant was used in human medicine until 2013 to suppress flush syndrome caused by treatment with the lipid-lowering drugnicotinic acid.[4]
Antagonists of the DP receptor include active substances against asthma,[2] as the DP2 subtype in particular (also known as CRTh2, an abbreviation for chemoattractant receptor homologous molecule on Th2 cells) mediates allergic reactions and is involved in inflammatory processes in allergic asthma.[5] Among the exclusively experimental representatives evaluated thus far, the development of the DP2 antagonists Fevipiprant, Vidupiprant, and Setipiprant as asthma medications failed,[6][7] while the development of Timapiprant showed mixed results.[7]
^Stephan Neudeck (February 2019), "Osteoarthritis beim Hund – Grapiprant als neue Therapieoption: Piprante wie Grapiprant (Galliprant®) bieten durch ihren selektiven Wirkansatz neue Potenziale für Hunde mit chronischen Gelenkerkrankungen", Kleintier Konkret, vol. 22, no. 1, pp. 47–50, doi:10.1055/a-0815-7389
^ abcLinda Zhu, Christina E. Ciaccio, Thomas B. Casale (2018), "Potential new targets for drug development in severe asthma", World Allergy Organization Journal, vol. 11, no. 1, doi:10.1186/s40413-018-0208-1, PMC6203275, PMID30386455{{citation}}: CS1 maint: multiple names: authors list (link)
^Debasis Das, Dandan Qiao, Zhonghe Liu, Lingzhi Xie, Yong Li, Jingbing Wang, Jianhe Jia, Yuxi Cao, Jian Hong (2023-06-08), "Discovery of Novel, Selective Prostaglandin EP4 Receptor Antagonists with Efficacy in Cancer Models", ACS Medicinal Chemistry Letters, vol. 14, no. 6, pp. 727–736, doi:10.1021/acsmedchemlett.2c00495, PMC10258902, PMID37312837{{citation}}: CS1 maint: multiple names: authors list (link)
^Diana I. Albu, Zichun Wang, Jiayi Wu, Kuan-chun Huang, Wei Li, Diana Liu, Galina Kuznetsov, Qian Chen, Xingfeng Bao, Mary Woodall-Jappe (2015-08-01), "Abstract 275: ER-886046, an antagonist of PGE2 receptor type-4, induces an effective antitumor immune response in mice by attenuating intratumoral MDSCs and TAMs", Cancer Research, vol. 75, no. 15_Supplement, p. 275, doi:10.1158/1538-7445.AM2015-275{{citation}}: CS1 maint: multiple names: authors list (link)
^Filippo Pietrantonio, Federica Morano, Monica Niger, Filippo Ghelardi, Claudia Chiodoni, Michele Palazzo, Federico Nichetti, Paolo Manca, Eleonora Cristarella, Valentina Doldi, Nadia Zaffaroni, Giovanna Sabella, Nadia Brambilla, Elena Benincasa, Giampaolo Giacovelli, Cristina Vitalini, Federica Girolami, Lucio C. Rovati (2025-02-17), "The Prostaglandin EP4 Antagonist Vorbipiprant Combined with PD-1 Blockade for Refractory Microsatellite-Stable Metastatic Colorectal Cancer: A Phase Ib/IIa Trial", Clinical Cancer Research, vol. 31, no. 4, pp. 649–658, doi:10.1158/1078-0432.CCR-24-2611, PMC11831105, PMID39620921{{citation}}: CS1 maint: multiple names: authors list (link)
^B.W. Mol, I. Fatkullin, L. Islamova, A. Parizek, H. Herman, P. Janku, T. Ho, T. Biron-Shental, A. Humberstone, E. Bestel, M. Brethous (2025), "Efficacy and safety of ebopiprant to delay preterm birth after oral administration in pregnant women with spontaneous preterm labor receiving atosiban: a phase 2a, double-blind, parallel group, randomized, placebo-controlled, proof of concept study", European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 313, doi:10.1016/j.ejogrb.2025.114637, PMID40782442{{citation}}: CS1 maint: multiple names: authors list (link)
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