Pharmacodynamics of a novel designer natriuretic peptide, CD-NP, in a first-in-human clinical trial in healthy subjects

Candace Y.W. Lee, Horng H. Chen, Ondrej Lisy, Suzanne Swan, Courtney Cannon, Hsiao D. Lieu, John C. Burnett

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

CD-NP is a novel chimeric natriuretic peptide (NP) consisting of the 22-amino-acid (AA) human C-type natriuretic peptide (CNP), a venodilating peptide with limited renal actions and minimal effects on blood pressure, and the 15-AA C-terminus of Dendroaspis NP (DNP). The rationale for the design of CD-NP was to enhance the renal actions of CNP, the ligand for natriuretic peptide receptor-B, but without inducing excessive hypotension. Here we report the first-in-human studies for CD-NP, which represent the first successful clinical testing of a chimeric NP demonstrating in normal human volunteers that CD-NP possesses cyclic guanosine monophosphate-activating, natriuretic, and aldosterone-suppressing properties without inducing excessive hypotension, laying the foundation for additional studies on this first-in-class new cardiovascular therapeutic in human heart failure, which are now underway worldwide.

Original languageEnglish (US)
Pages (from-to)668-673
Number of pages6
JournalJournal of Clinical Pharmacology
Volume49
Issue number6
DOIs
StatePublished - Jun 2009

Keywords

  • C-type natriuretic peptide
  • CD-NP
  • Chimeric natriuretic peptide
  • Dendroaspis natriuretic peptide

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

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