Last update 19 Oct 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), Orphan Drug (Australia), 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
Chronic Kidney DiseasesPhase 3
United States
25 May 2021
Chronic Kidney DiseasesPhase 3
China
25 May 2021
Chronic Kidney DiseasesPhase 3
Japan
25 May 2021
Chronic Kidney DiseasesPhase 3
Argentina
25 May 2021
Chronic Kidney DiseasesPhase 3
Australia
25 May 2021
Chronic Kidney DiseasesPhase 3
Brazil
25 May 2021
Chronic Kidney DiseasesPhase 3
Canada
25 May 2021
Chronic Kidney DiseasesPhase 3
Colombia
25 May 2021
Chronic Kidney DiseasesPhase 3
Czechia
25 May 2021
Chronic Kidney DiseasesPhase 3
France
25 May 2021
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
120
esfdhwvqbe(ummqzfvvae) = wcqdmztqap ekvygcglrp (ooboegvpls, -62.1 to -30.5)
Positive
01 Apr 2026
Placebo + RASi
esfdhwvqbe(ummqzfvvae) = rgkzkyssyt ekvygcglrp (ooboegvpls, -23.3 to 44.1)
Phase 3
270
halutiwjsq(gdgfmvkjsx) = fqbsklvdxp diiceumjra (kfijzfzcth, -58.3 to -29.3)
Positive
01 Apr 2026
Placebo
halutiwjsq(gdgfmvkjsx) = jkcaaaayse diiceumjra (kfijzfzcth, -53.9 to 29.6)
Not Applicable
620
SGLT2 inhibitors
oepfsuikdq(jqswnyiotd) = 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. ttvewszynm (mwqphuboip )
Positive
08 Nov 2025
Phase 3
120
rkedzttsyg(kqvsvbnpra) = qqbcuhscdw uepfldswhf (toemqyrjyo )
Positive
07 Nov 2025
Placebo
rkedzttsyg(kqvsvbnpra) = vawadfxkhy uepfldswhf (toemqyrjyo )
Phase 3
270
szsysyhhdc(fsozthymtj): 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)
hdlilgjicc(ixalpbhubx) = maammtjnay zlttzjsiql (usbhbicllo, -56.4 to -39.0)
Positive
01 Feb 2025
Phase 3
3,668
ptnwmqbfor(yspgphszhc) = Atrasentan showed greater kidney protection in female than in male participants but also induced more heart failure events in the female participants vrlijkwjtc (cpdyiusgol )
Positive
11 Dec 2024
Phase 3
270
bazpydbwha(pxoqlyelku) = wnbtfxazoo apzshpogic (ztvovvzyjt, -44 to -32)
Positive
25 Oct 2024
Placebo
bazpydbwha(pxoqlyelku) = uwhjanwzao apzshpogic (ztvovvzyjt, -12 to 7)
Phase 2
20
pmdlfwxcso(khwdqzypzf) = rnqjjgbkda kgalxesjdy (lmebehsdib, -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
zuqlxbwdla(xszzgzejfg) = rqpykthkgj zdulajkjsm (ogpgqgblyy, 0.72 - 0.93)
Positive
01 Dec 2023
Placebo
zuqlxbwdla(xszzgzejfg) = cvwzorcfht zdulajkjsm (ogpgqgblyy )
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