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Candesartan (Blopress, Atacand)

Antihypertensive Drug with a New Mechanism of Action

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Drug Discovery in Japan

Abstract

Candesartan (Blopress) is an antihypertensive drug known to act as an angiotensin-II receptor blocker (ARB). It was discovered and developed by Takeda Pharmaceutical . Compared to earlier antihypertensive drugs, candesartan had a new mechanism of action , fewer side effects , and demonstrated efficacy even at low doses. The research project started as exploratory research on diuretics. Takeda discovered CV-2198, the first nonpeptidic ARB, by making full use of spontaneously hypertensive rats (a pathological animal model) provided by academia, and through capturing serendipitous event brought about by cutting-edge chemical synthesis methodology. However, the project was suspended because of weak efficacy, while DuPont developed losartan, building on the Takeda’s invention. Although preceded by DuPont, Takeda quickly responded, and successfully launched candesartan shortly after. The case of candesartan is a good illustration of the role of unique capabilities and the overall organizational strength for innovative drug discovery, as well as the difficulty of go/no-go decisions and indicates the importance of flexible allocation of resources for grasping opportunities.

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References

  • Abe, K., & Tsunoda, K. (2002). Kidney domain 100 years: renal hypertension. Journal of the Japanese Society of Internal Medicine, 91(5), 1393–1400.

    Article  Google Scholar 

  • Arakawa, K. (2006). Looking back on renin-angiotensin system research in Japan (from ACE inhibitors to ARBs). Horiuchi, M. (Ed.), THE ARB. Medical Reviews, pp. 3–11.

    Google Scholar 

  • Arakawa, K., Nakatani, M., Minohara, A., & Nakamura, M. (1967). Isolation and amino acid composition of human angiotensin I. Biochemical Journal, 104, 900–906.

    Article  Google Scholar 

  • Bhardwaj, G. (2006). How the antihypertensive losartan was discovered. Expert Opinion on Drug Discovery, 1(6), 609–18.

    Article  Google Scholar 

  • Bumpus, F. M., Schwarz, H., & Page, I. H. (1957). Synthesis and pharmacology of the octapeptide angiotonin. Science, 125(3253), 886–887.

    Article  Google Scholar 

  • Fukamizu, A. (2011). Chapter 5: The life sciences of mysteries-from accidental discoveries. The Life Sciences-Image of Tsukuba Researchers. http://www.science-academy.jp/rensai/pdf/rensai_5.pdf. Accessed in February 20, 2014.

  • Goldblatt, H., Lynch, J., Hanzal, R. F., & Summerville, W. W. (1934). Studies on experimental hypertension I. The production of persistent elevation of systolic blood pressure by means of renal ischemia. The Journal of experimental medicine, 59(3), 347–379.

    Google Scholar 

  • Gross, F. (1958). Renin und Hypertensin, physiologische oder pathologische Wirkstoffe? Klinische Wochenschrift, 36(15), 693–706.

    Article  Google Scholar 

  • Imai, T., Miyazaki, H., Hirose, S., Hori, H., Hayashi, T., Kageyama, R., et al. (1983). Cloning and sequence analysis of cDNA for human renin precursor. Proceedings of the National Academy of Sciences, 80(24), 7405–7409.

    Article  Google Scholar 

  • Imura, Y. (2010). SHR and drug discovery research. News Letter of the Joint Society for Models of Diseases, including SHR, 35, 1–2.

    Google Scholar 

  • Inada, Y., & Naka, T. (2000). Pharmacological properties and organ protective effects of a new generation of angiotensin-II receptor antagonists of candesartan cilexetil. Journal of Science, Japanese Drug, 115(3), 151–160.

    Google Scholar 

  • Kagami, S. (2010). History of the Renin-Angiotensin System (RAS): From bench to bed: Why basic studies are important for clinicians. Japanese Journal of Nephrology, 23(2), 179–182.

    Google Scholar 

  • Kambayashi, Y., Bardhan, S., Takahashi, K., Tsuzuki, S., Inui, H., Hamakubo, T., et al. (1993). Molecular cloning of a novel angiotensin II receptor isoform involved in phosphotyrosine phosphatase inhibition. Journal of Biological Chemistry, 268(33), 24543–24546.

    Google Scholar 

  • Khairallah, P. A., Toth, A., & Bumpus, F. M. (1970). Analogs of angiotensin II. II. Mechanism of receptor interaction. Journal of medicinal chemistry, 13(2), 181–184.

    Google Scholar 

  • Kokubu, T., Ueda, E., Fujimoto, S., Hiwada, K., Kato, A., Akutsu, H., et al. (1968). Peptide inhibitors of the renin–angiotensin system. Nature, 217, 456–457.

    Article  Google Scholar 

  • Kubo, K. (2006). Creation of the antihypertensive drug candesartan cilexetil. Chem & Education, 54(3), 138–141.

    Google Scholar 

  • Kubo, K., Kohara, Y., Yoshimura, Y., Inada, Y., Shibouta, Y., Furukawa, Y., et al. (1993). Nonpeptide angiotensin II receptor antagonists: Synthesis and biological activity of potential prodrugs of benzimidazole-7-carboxylic acids. Journal of Medicinal Chemistry, 36(16), 2343–2349.

    Article  Google Scholar 

  • Kuno, Y., & Sato, K. (2011). How is a drug discovery science introduction made? Ohm.

    Google Scholar 

  • Marks, L. S., & Maxwell, M. H. (1979). Tigerstedt and the discovery of renin: An historical note. Hypertension, 1(4), 384–388.

    Article  Google Scholar 

  • Morita, K. (2000). New drugs are developed in this way: A development secret by the president of the researcher. Nihon Keizai Shimbunsya.

    Google Scholar 

  • Morrison, A. R., Nishikawa, K., & Needleman, P. (1977). Unmasking of thromboxane A2 synthesis by ureteral obstruction in the rabbit kidney. Nature, 267, 259–260.

    Article  Google Scholar 

  • Nagaoka, A. (1987). Application to drug development in spontaneously hypertensive rats (SHR). Record of the Japanese Society of Model Animal Animals, 3, 30–35.

    Google Scholar 

  • Naka, T. (2001). Angiotensin II receptor antagonist: candesartan cilexetil (Blopress) (a drug developed in Japan). Journal of Specialist Physicians of the Japanese Society of Cardiology, 9(2), 313–318.

    Google Scholar 

  • Naka, T., Kubo, K., & Furukawa, Y. (1995). Research and development of non-peptide angiotensin II receptor antagonists. Journal of the Society of Synthetic Organic Chemistry, 53(9), 802–810.

    Article  Google Scholar 

  • Nikkei Business. (1997). New drugs with fewer side effects that suppress the action of vasoconstrictors in the treatment of hypertension. Issue December 8, pp. 61–64.

    Google Scholar 

  • Nishikawa, K. (2007). Development of ARBs [Basic Edition]—Finding lead compounds from research on diuretics. Blood Pressure, 14(5), 71–83.

    Google Scholar 

  • Ogihara, T., & Kumahara, Y. (1982). Renin-angiotensin system inhibitor. Medicina, 19(11), 1998–1999.

    Google Scholar 

  • Page, I. H. (1990). Hypertension research. A memoir 1920–1960. Hypertension, 16(2), 199–200.

    Article  Google Scholar 

  • Shimamoto, K. (2011). Obesity and hypertension. Journal of the Japanese Society of Internal Medicine, 100(4), 945–949.

    Article  Google Scholar 

  • Skeggs, L. T., Marsh, W. H., Kahn, J. R., & Shumway, N. P. (1954). The existence of two forms of hypertensin. The Journal of Experimental Medicine, 99(3), 275–282.

    Article  Google Scholar 

  • Skeggs, L. T., Kahn, J. R., & Shumway, N. P. (1956). The preparation and function of the hypertensin-converting enzyme. The Journal of Experimental Medicine, 103(3), 295–299.

    Article  Google Scholar 

  • Yanagisawa, H. (2006). History of renin-angiotensin system inhibitors angiotensin receptor antagonist. In Horiuchi, M. (Ed.), THE ARB. Medical Reviews, pp. 252–264.

    Google Scholar 

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Correspondence to Naoki Takada .

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Takada, N., Genda, K., Nagumo, A. (2019). Candesartan (Blopress, Atacand). In: Nagaoka, S. (eds) Drug Discovery in Japan. Springer, Singapore. https://doi.org/10.1007/978-981-13-8906-1_12

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  • DOI: https://doi.org/10.1007/978-981-13-8906-1_12

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