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converting enzyme inhibitor + Angiotensin II + anti-renin + aldosterone antagonist diuretic + beta blocker + calcium inhibitor + statin

Development stage
Unknown
Lead developer
Innoviva
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

This is a hypothetical or descriptive combination therapy consisting of seven distinct classes of cardiovascular drugs, each with a unique mechanism of action. The components are: - Converting enzyme inhibitor (ACE inhibitor): Inhibits angiotensin-converting enzyme to reduce the formation of angiotensin II, leading to vasodilation and reduced blood pressure. - Angiotensin II (likely refers to an angiotensin II receptor blocker, ARB): Blocks the effects of angiotensin II at its receptor, causing vasodilation and lowering blood pressure. - Anti-renin agent (direct renin inhibitor): Inhibits renin activity, reducing the conversion of angiotensinogen to angiotensin I and ultimately decreasing blood pressure. - Aldosterone antagonist diuretic (mineralocorticoid receptor antagonist): Blocks aldosterone receptors in the kidney, promoting sodium excretion and potassium retention while reducing fluid overload. - Beta blocker: Blocks beta-adrenergic receptors in the heart and vessels, slowing heart rate and reducing cardiac workload. - Calcium inhibitor (calcium channel blocker): Inhibits calcium influx into vascular smooth muscle or cardiac cells, resulting in vasodilation or decreased cardiac contractility/rate depending on subtype. - Statin: Inhibits HMG-CoA reductase in cholesterol biosynthesis pathway to lower LDL cholesterol. Such a combination would be used for comprehensive management of cardiovascular diseases such as hypertension, heart failure with reduced ejection fraction (HFrEF), coronary artery disease prevention post-myocardial infarction, or high-risk dyslipidemia. No single product containing all these agents exists; this represents an extensive polypharmacy approach rather than a marketed fixed-dose combination[1][3][4][6].

02

Targets

CACNA1C (Voltage-dependent L-type calcium channel subunit alpha-1C)REN (Renin)ACE (Angiotensin Converting Enzyme)ADRB1 (β1)HMGCR (3-hydroxy-3-methylglutaryl-coenzyme A reductase)AGTR1 (Angiotensin II Type-1 receptor)MR (Mineralocorticoid receptor)

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