Drug intelligence / Profile preview

irbesartan + hydrochlorothiazide + amlodipine

Development stage
Unknown
Lead developer
Sanofi
Modality
Small Molecules
Administration
Oral
01

Overview

irbesartan + hydrochlorothiazide + amlodipine is a triple combination antihypertensive therapy consisting of an angiotensin II receptor blocker (ARB), a thiazide diuretic, and a dihydropyridine calcium channel blocker (CCB). This specific regimen is being evaluated by the Third Military Medical University in Phase 3 clinical trials (e.g., NCT03541200) for the treatment of uncontrolled hypertension, often as a comparator to interventional procedures like adrenal artery ablation (AAA). Irbesartan acts by selectively blocking the binding of angiotensin II to the AT1 receptor, thereby inhibiting vasoconstriction and aldosterone release. Hydrochlorothiazide promotes diuresis and reduces blood volume by inhibiting the sodium-chloride symporter in the distal convoluted tubule. Amlodipine induces peripheral vasodilation by inhibiting the influx of calcium ions into vascular smooth muscle cells. Together, these three agents provide a synergistic effect to lower blood pressure in patients who are not adequately controlled on dual therapy or single agents.

Other names
Traditional triple antihypertensive treatmentantihypertensive-Third Military Medical University
02

Targets

LTCC (Voltage-gated calcium channel (L-type))SLC12A3 (Thiazide-sensitive sodium-chloride cotransporter)AGTR1 (Angiotensin II Type-1 receptor)

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