Drug intelligence / Profile preview

alpha blocker + solifenacin

Development stage
Unknown
Lead developer
Astellas Pharma
Modality
Small Molecules
Administration
Oral
01

Overview

Alpha blocker + solifenacin is a combination therapeutic regimen used for the treatment of residual overactive bladder (OAB) symptoms in men who have not achieved adequate relief with alpha blocker monotherapy. Solifenacin is a competitive muscarinic receptor antagonist with selectivity for M1 and M3 receptor subtypes, which are primarily responsible for bladder detrusor muscle contraction. Alpha blockers (alpha-1 adrenergic receptor antagonists) are standard treatments for lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH), working by relaxing smooth muscle in the bladder neck and prostate. The combination therapy aims to address both storage symptoms (urgency, frequency) via solifenacin and voiding symptoms via alpha blockers. This specific combination was evaluated in a Phase 4 randomized, double-blind study (NCT00950300) led by investigator Kyu-Sung Lee to determine the efficacy and safety of adding solifenacin to stable alpha blocker therapy.

Brand names
VESIcare
Other names
alpha blocker-KYU-SUNG LEE-overactive bladdersolifenacin add-on therapysolifenacin succinate
02

Targets

CHRM4 (M4)CHRM3 (M3)M1 (Muscarinic acetylcholine receptor M1)CHRM2 (M2)CHRM5 (M5)ADRA1A (α1A)

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