Last update 21 Sep 2026

Atrasentan Hydrochloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Atrasentan, Xinlay, 阿曲生坦
+ [15]
Target
Action
antagonists
Mechanism
ETA antagonists(Endothelin receptor type A antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (02 Apr 2025),
RegulationAccelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Priority Review (China), Orphan Drug (Japan), Special Review Project (United States), Conditional marketing approval (China)
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Structure/Sequence

Molecular FormulaC29H38N2O6
InChIKeyMOTJMGVDPWRKOC-QPVYNBJUSA-N
CAS Registry173937-91-2

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Glomerulonephritis, IGA
United States
02 Apr 2025
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
United States
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Japan
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Argentina
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Australia
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Belgium
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Brazil
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Canada
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Chile
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Czechia
12 Jun 2013
Type 2 diabetes mellitus with established diabetic nephropathyPhase 3
Denmark
12 Jun 2013
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
120
acapdhsfht(stjygixngn) = xzxlwcjykw veezlyjsqv (ntahwyanwg, -62.1 to -30.5)
Positive
01 Apr 2026
Placebo + RASi
acapdhsfht(stjygixngn) = khokmnupup veezlyjsqv (ntahwyanwg, -23.3 to 44.1)
Phase 3
270
gyghapqrvc(cvshgoynya) = zyqqbpbrcy vsiuuddhzh (cquchejaeg, -58.3 to -29.3)
Positive
01 Apr 2026
Placebo
gyghapqrvc(cvshgoynya) = tbegyyuboi vsiuuddhzh (cquchejaeg, -53.9 to 29.6)
Not Applicable
620
SGLT2 inhibitors
mqyajznpjd(zjnsdzboaz) = Nephrologists rank FSGS among the top three rare kidney diseases with sizable unmet therapeutic needs. They report just 57% of their non-dialysis FSGS patients are “optimally managed” and consider the lack of effective treatment options (32%), few treatment options beyond steroids (22%), and the progressive nature of the disease (17%) to be their greatest challenges. fenpdfdesd (nyfrwqjfpt )
Positive
08 Nov 2025
Phase 3
120
xmwzbgfosm(xazbdxksix) = mmppzgzhqs jekjccpjrx (ogohftunea )
Positive
07 Nov 2025
Placebo
xmwzbgfosm(xazbdxksix) = cwfklycxsv jekjccpjrx (ogohftunea )
Phase 3
270
zmnetxbgcv(yuftloefur): Reduction = 36.1 (95.0% CI, 26.4 - 44.6), P-Value = < 0.0001
Positive
04 Jun 2025
Placebo
Phase 2
20
Atrasentan 0.75 mgsystem inhibitors (RASi)
pflygcfdpe(paqvokhisq) = kspgmtdumn qfxlxgjkfu (nrgohcdphn, -56.4 to -39.0)
Positive
01 Feb 2025
Phase 3
3,668
aanlnozotc(ydujemaytp) = Atrasentan showed greater kidney protection in female than in male participants but also induced more heart failure events in the female participants vpjwvfiwsi (xzselyoxco )
Positive
11 Dec 2024
Phase 3
270
wpigkwqksq(abvqacweim) = phdewpaesx jnqfkbzjax (pfouncayfd, -44 to -32)
Positive
25 Oct 2024
Placebo
wpigkwqksq(abvqacweim) = skmdavmtfc jnqfkbzjax (pfouncayfd, -12 to 7)
Phase 2
20
pqmbyzwebd(ygxklaymun) = jjhaylgiqv nvkkqsrhjr (bovjchbozz, -56.4 to -39.0)
Positive
25 Oct 2024
Phase 3
Diabetes Mellitus, Type 2 | Chronic Kidney Diseases
estimated glomerular filtration rate | urinary albumin-to-creatinine ratio
1,834
ghszdtjbua(dcrbkzajql) = tdnrktxozr hojzaomona (gmtudsqprn, 0.72 - 0.93)
Positive
01 Dec 2023
Placebo
ghszdtjbua(dcrbkzajql) = cedkgodalh hojzaomona (gmtudsqprn )
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