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Danicopan

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Danicopan
Clinical data
Trade namesVoydeya
Other namesACH-4471
AHFS/Drugs.comMonograph
License data
Routes of
administration		By mouth
Drug classComplement factor D inhibitor
ATC code
Legal status
Legal status
Identifiers
  • (2S,4R)-1-{2-[3-acetyl-5-(2-methylpyrimidin-5-yl)-1H-indazol-1-yl]acetyl}-N-(6-bromopyridin-2-yl)-4-fluoropyrrolidine-2-carboxamide
CAS Number
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
ECHA InfoCard100.398.865 Edit this at Wikidata
Chemical and physical data
FormulaC6H3BrFN7O3
Molar mass320.038 g·mol−1
3D model (JSmol)
  • CC(=O)C1=NN(CC(=O)N2C[C@H](F)C[C@H]2C(=O)NC2=CC=CC(Br)=N2)C2=C1C=C(C=C2)C1=CN=C(C)N=C1
  • InChI=1S/C26H23BrFN7O3/c1-14(36)25-19-8-16(17-10-29-15(2)30-11-17)6-7-20(19)35(33-25)13-24(37)34-12-18(28)9-21(34)26(38)32-23-5-3-4-22(27)31-23/h3-8,10-11,18,21H,9,12-13H2,1-2H3,(H,31,32,38)/t18-,21+/m1/s1
  • Key:PIBARDGJJAGJAJ-NQIIRXRSSA-N

Danicopan, sold under the brand name Voydeya, is a medication used for the treatment of paroxysmal nocturnal hemoglobinuria.[2][3] It is a complement inhibitor which reversibly binds to factor D to prevent alternative pathway-mediated hemolysis and deposition of complement C3 proteins on red blood cells.[3]

The most common side effects include fever, headache, increased levels of liver enzymes (a sign of possible liver problems) and pain in the extremities (arms and legs).[3]

Danicopan was approved for medical use in Japan in January 2024,[5] in the United States in March 2024,[2][6] and in the European Union in April 2024.[3]

Medical uses

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Danicopan is indicated as add-on therapy to ravulizumab or eculizumab for the treatment of extravascular hemolysis in adults with paroxysmal nocturnal hemoglobinuria.[2][3]

Society and culture

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Danicopan was approved for medical use in Japan,[7] the United States,[2] and the European Union in 2024.[3]

In February 2024, the Committee for Medicinal Products for Human Use of the EMA adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Voydeya, intended as add-on therapy to ravulizumab or eculizumab for the treatment of residual hemolytic anemia in adults with paroxysmal nocturnal hemoglobinuria (PNH).[3][8] The applicant for this medicinal product is Alexion Europe.[3] Danicopan was approved for medical use in the European Union in April 2024.[3][4]

In October 2024, the National Institute for Health and Care Excellence (NICE) adopted a recommendation for danicopan as an add-on therapy for adults with the paroxysmal nocturnal haemoglobinuria (PNH) based results from the phase 3 ALPHA trial, which evaluated the efficacy and safety of the drug as an add-on to ravulizumab or eculizumab in patients with PNH who experienced clinically significant extravascular haemolysis.[9]

Names

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Danicopan is the international nonproprietary name.[10]

References

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  1. ^ "Notice: Multiple additions to the Prescription Drug List (PDL) [2024-10-18]". Health Canada. 18 October 2024. Retrieved 25 October 2024.
  2. ^ a b c d e "Voydeya- danicopan tablet, film coated; Voydeya- danicopan kit". DailyMed. 3 April 2024. Archived from the original on 25 April 2024. Retrieved 25 April 2024.
  3. ^ a b c d e f g h i j "Voydeya EPAR". European Medicines Agency. 22 February 2024. Archived from the original on 23 February 2024. Retrieved 24 February 2024. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  4. ^ a b "Voydeya PI". Union Register of medicinal products. 25 April 2024. Retrieved 7 September 2024.
  5. ^ "Voydeya (danicopan) granted first-ever regulatory approval in Japan for adults with PNH to be used in combination with C5 inhibitor therapy". AstraZeneca (Press release). 19 January 2024. Archived from the original on 24 February 2024. Retrieved 24 February 2024.
  6. ^ "Novel Drug Approvals for 2024". U.S. Food and Drug Administration (FDA). 29 April 2024. Archived from the original on 30 April 2024. Retrieved 30 April 2024.
  7. ^ Kang C (May 2024). "Danicopan: First Approval". Drugs. 84 (5): 613–618. doi:10.1007/s40265-024-02023-6. PMID 38528310.
  8. ^ "First oral treatment against residual hemolytic anemia in patients with paroxysmal nocturnal hemoglobinuria". European Medicines Agency (EMA) (Press release). 23 February 2024. Archived from the original on 24 February 2024. Retrieved 24 February 2024.
  9. ^ "AstraZeneca's Voydeya recommended by NICE to treat rare blood disorder PNH - PMLiVE". pmlive.com. 25 October 2024. Retrieved 28 October 2024.
  10. ^ World Health Organization (2019). "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 81". WHO Drug Information. 33 (1). hdl:10665/330896.

Further reading

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  • Lee JW, Griffin M, Kim JS, Lee Lee LW, Piatek C, Nishimura JI, et al. (December 2023). "Addition of danicopan to ravulizumab or eculizumab in patients with paroxysmal nocturnal haemoglobinuria and clinically significant extravascular haemolysis (ALPHA): a double-blind, randomised, phase 3 trial". The Lancet. Haematology. 10 (12): e955–e965. doi:10.1016/S2352-3026(23)00315-0. PMID 38030318.
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