ulinastatin   Click here for help

GtoPdb Ligand ID: 10359

Synonyms: Miraclid® | Ulinase® | Urinastatin®
Approved drug Immunopharmacology Ligand
ulinastatin is an approved drug (Japan, China)
Comment: Ulinastatin is considered to be a metabolite of inter-α-trypsin inhibitor (ITI) that is one of the cleavage products from the AMBP precursor protein [3]. Compared to full length ITI, ulinastatin lacks the carboxyterminal RFSN amino acids. Functionally ulinastatin is a protease inhibitor, that plays an important role in physiological and pathological processes, and has notable anti-inflammatory activity [1-2,6]. It can be purified from healthy human urine or produced using recombinant technology.
Species: Human
No information available.
Summary of Clinical Use Click here for help
Highly purified ulinastatin is used clinically for the treatment of acute pancreatitis [2], chronic pancreatitis, Stevens-Johnson syndrome, burns, septic shock [7], and toxic epidermal necrolysis (TEN), principally in Japan, China and India. In the EU, ulinastatin has had orphan drug designation as a treatment for acute pancreatitis since 2014. To review the history of ulinastatin's clinical evaluation click here to link to ClinicalTrials.gov's full list of ulinastatin trials.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Ulinastatin inactivates serine proteases, including trypsin, chymotrypsin, kallikrein, plasmin, granulocyte elastase, cathepsin, thrombin, and factors IXa, Xa, XIa, and XlIa.