Tradipitant

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A neurokinin-1 receptor antagonist


Chemical structure of Tradipitant

Tradipitant is a neurokinin-1 receptor antagonist that has been investigated for its potential therapeutic effects in various conditions, including nausea, vomiting, and pruritus. It is a small molecule drug that works by blocking the action of substance P, a neuropeptide involved in the transmission of pain and other sensory signals.

Mechanism of Action

Tradipitant functions as an antagonist of the neurokinin-1 receptor (NK1R), which is a receptor for substance P. Substance P is a neuropeptide that is involved in the regulation of emesis, pain, and inflammation. By inhibiting the binding of substance P to NK1R, tradipitant can reduce the symptoms associated with these conditions.

Clinical Development

Tradipitant has been studied in various clinical trials for its efficacy in treating conditions such as chronic pruritus, gastroparesis, and motion sickness.

Chronic Pruritus

Chronic pruritus, or persistent itching, is a condition that can significantly affect quality of life. Tradipitant has shown promise in reducing itch severity in patients with atopic dermatitis and other pruritic conditions.

Gastroparesis

Gastroparesis is a disorder characterized by delayed gastric emptying, leading to symptoms such as nausea, vomiting, and abdominal pain. Tradipitant has been evaluated for its potential to alleviate these symptoms by modulating the neurokinin-1 receptor pathway.

Motion Sickness

Tradipitant has also been investigated for its ability to prevent and treat motion sickness, a condition caused by conflicting sensory signals in the vestibular system. By blocking substance P, tradipitant may help reduce the nausea and discomfort associated with motion sickness.

Pharmacokinetics

Tradipitant is administered orally and is absorbed into the bloodstream, where it exerts its effects by binding to the neurokinin-1 receptors. The pharmacokinetic profile of tradipitant includes its absorption, distribution, metabolism, and excretion, which are important factors in determining its dosing regimen and potential interactions with other medications.

Safety and Tolerability

In clinical trials, tradipitant has been generally well-tolerated, with a safety profile similar to other neurokinin-1 receptor antagonists. Common side effects may include mild gastrointestinal disturbances, headache, and fatigue.

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Contributors: Prab R. Tumpati, MD