Drug intelligence / Profile preview

BAY1902607 + itraconazole

Development stage
Phase 1
Lead developer
Bayer
Modality
Small Molecules
Administration
Oral
01

Overview

**BAY1902607 + itraconazole** is a combination of two agents: BAY1902607 (also known as filapixant), a novel selective antagonist of the P2X3 receptor being developed for the treatment of refractory or unexplained chronic cough and conditions such as endometriosis; and itraconazole, a triazole antifungal widely approved and marketed for the treatment of superficial and systemic fungal infections. - **BAY1902607 (filapixant)** acts by selectively inhibiting the P2X3 receptor, a ligand-gated ion channel involved in sensory neuronal signaling, most notably implicated in the cough reflex[2][4][9][6]. It reduces cough frequency and severity in patients with refractory chronic cough, with a side-effect profile notable for dose-dependent taste disturbances[4][6]. - **Itraconazole** is a small-molecule antifungal that inhibits fungal cytochrome P450 14α-demethylase, impairing ergosterol synthesis and disrupting fungal cell membrane formation[7][10]. It is also a strong inhibitor of human CYP3A4 enzyme and drug transporters such as P-glycoprotein and BCRP, resulting in frequent and potentially significant drug-drug interactions[5][7]. - No combination product named "BAY1902607 + itraconazole" is approved or regularly used; co-administration may be under investigation due to itraconazole's known ability to inhibit CYP3A4 and increase exposure of certain drugs, potentially including BAY1902607.

Other names
filapixantITZ
02

Targets

CYP1A1 (Cytochrome P450 1A1)CYP2J2 (Cytochrome P450 family 2 subfamily J member 2)ABCB1 (P-glycoprotein)P2X3 (P2X purinoceptor 3)ABCG2 (Breast cancer resistance protein)CYP51A1 (Sterol 14α-demethylase)

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