首页|期刊导航|中国临床药理学杂志|治疗软骨发育不全的新药—长效C型利钠肽前药Navepegritide

治疗软骨发育不全的新药—长效C型利钠肽前药NavepegritideOA

Long-acting C-type natriuretic peptide prodrug Navepegritide,a new approveddrug for the treatment of achondroplasia

中文摘要英文摘要

软骨发育不全(ACH)是一种常见的遗传性侏儒症,由成纤维细胞生长因子受体3(FGFR3)基因功能获得性突变导致.近年来,靶向FGFR3下游通路的精准治疗取得重大突破.Ascendis Pharma A/S公司研发的Navepegritide(商品名:YUVIWEL)是一种长效C型利钠肽(CNP)前药,采用瞬时偶联(TransCon)技术将CNP-38与惰性聚乙二醇载体连接,实现每周1次皮下给药并维持持续暴露,于2026年2月获得美国食品药品监督管理局(FDA)加速批准,用于促进2岁及以上骨骺未闭合的软骨发育不全患儿的线性生长.本文介绍Navepegritide的药理学特性、关键临床试验证据、安全性特征及其临床价值,为临床用药提供参考.

Achondroplasia(ACH)is the most common hereditary short limb dwarfism,caused by functional acquired mutations in the fibroblast growth factor receptor 3(FGFR3)gene.In recent years,significant breakthroughs have been made in precision therapy targeting downstream pathways of FGFR3.Navepegritide(product name:YUVIWEL)is a long-acting C-type natriuretic peptide(CNP)prodrug that uses transient conjugation(TransCon)technology to couple CNP to PEG carrier molecules through a cleavable linker,achieving weekly subcutaneous administration.It was approved by the US Food and Drug Administration(FDA)in February 2026 to promote linear growth in children aged 2 years and above with non-closed epiphyseal plates and cartilage dysplasia.This article introduces the pharmacological properties,key clinical trial evidence,safety features,and clinical value of navepegritide,providing reference for clinical medication.

李妍;何心;胡爽

山西省儿童医院、山西省妇幼保健院药剂科,山西太原 030013南京医科大学附属妇产医院、南京市妇幼保健院药学部,江苏南京 210004南京医科大学附属妇产医院、南京市妇幼保健院药学部,江苏南京 210004

医药卫生

软骨发育不全NavepegritideTransCon CNPYUVIWEL

achondroplasiaNavepegritideTransCon CNPYUVIWEL

《中国临床药理学杂志》 2026 (10)

1457-1461,5

10.13699/j.cnki.1001-6821.2026.10.017

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