==== Reference: Usmani SS, Bedi G, Samuel JS, Singh S, Kalra S, Kumar P, et al. (2017) THPdb: Database of FDA-approved peptide and protein therapeutics. PLoS ONE 12(7) e0181748.====

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1652 details
Primary information
ThPP IDTh1148
Therapeutic Peptide/Protein NameAliskiren
SequenceN.A. view full sequnce in fasta
Functional ClassificationIIa
Molecular Weight551.75832
Chemical FormulaC30H53N3O6
Isoelectric PointN.A.
HydrophobicityN.A.
Melting Point (℃)N.A.
Half Life24 hours
Description Aliskiren is an anti-hypertensive (blood pressure lowering) medicine. It works by decreasing substances in the body that narrow blood vessels and raise blood pressure. It is chemically, (2S,4S,5S,7S)-5-amino-N-(3-amino-2,2-dimethyl-3-oxopropyl)-4-hydroxy-7-[[4-methoxy-3-(3-methoxypropoxy)phenyl]methyl]-8-methyl-2-propan-2-ylnonanamide.
Indication/DiseaseIt is used to treat hypertension, renal impairment and hepatic impairment
PharmacodynamicsAliskiren shows high specificity for human renin, with almost no inhibitory effect against other aspartic peptidases such as cathepsin D and pepsin. Although aliskiren also exhibits high affinity for primate renin, it is significantly less active against renin from dog, rat, rabbit, pig and cat. This high potency for human renin compensates for the relatively low oral bioavailability of the drug.
Mechanism of ActionRenin inhibitor that inhibits the conversion of angiotensinogen to angiotensin I. The decrease in antiotensin I causes a decrease in angiotensin II, a potent blood pressure elevating peptide.
ToxicityIt can cause injury and death to the developing fetus
MetabolismMetabolized by CYP3A4
AbsorptionPoorly absorbed; oral bioavailability is about 2.5%.
Volume of DistributionN.A.
ClearanceUrine (25% as parent compound in urine) 
CategoriesRenin inhibitor
Patents NumberN.A.
Date of IssueN.A.
Date of ExpiryN.A.
Drug InteractionAntidiabetic Drugs: Antidiabetic dosage adjustment may be required
TargetRenin
Information of corresponding available drug in the market
Brand NameAmturnide
CompanyNovartis Pharmaceuticals Corporation
Brand DiscriptionAmturnide is a combination of aliskiren, a renin inhibitor, amlodipine besylate, a dihydropyridine calcium channel blocker, and hydrochlorothiazide (HCTZ), a thiazide diuretic. 
Prescribed forAmturnide is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. 
Chemical NameN.A.
FormulationTablets (aliskiren/ amlodipine/ HCTZ): 150/5/12.5, 300/5/12.5, 300/5/25, 300/10/12.5, 300/10/25 mg. 
Physcial AppearnceTablets are convex ovaloid with a beveled edge, film-coated, and unscored.
Route of AdministrationOral route
Recommended DosageDose once-daily. The dosage may be increased after 2 weeks of therapy. The maximum recommended dose of Amturnide is 300/10/25 mg. High-fat meals decrease absorption of aliskiren substantially.
ContraindicationDo not use with angiotensin receptor blockers (ARBs) or angiotensin-converting enzyme inhibitors (ACEIs) in patients with diabetes, Anuria, Hypersensitivity to sulfonamide derived drugs or to any of the components.
Side EffectsDizziness or lightheadedness as your body adjusts to the medication. Swelling hands/ankles/feet, flushing, headache, or diarrhea may also occur.
Useful Linkhttp://pubchem.ncbi.nlm.nih.gov/compound/Aliskiren#section=FDA-Pharmacological-Classification
PubMed ID12927775
3-D StructureN.A.