预约演示
更新于：2026-09-01
Norursodeoxycholic acid
去甲熊去氧胆酸
更新于：2026-09-01
概要
基本信息
药物类型 小分子化药 |
别名 24-norursodeoxycholic acid、Nor-ursodeoxycholic acid、Norucholic Acid + [4] |
作用方式 抑制剂 |
作用机制 胆固醇抑制剂 |
在研适应症 |
非在研适应症 |
非在研机构- |
最高研发阶段批准上市 |
首次获批日期 印度 (2025-08-14), |
最高研发阶段(中国)- |
特殊审评孤儿药 (美国)、孤儿药 (欧盟)、孤儿药 (澳大利亚) |
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结构/序列
分子式C23H38O4 |
InChIKeyQYYDXDSPYPOWRO-JHMCBHKWSA-N |
CAS号99697-24-2 |
关联
15
项与 去甲熊去氧胆酸 相关的临床试验CTIS2025-523778-17-00
A study to compare how the body absorbs 4 different forms of norucholic acid medicine (tablets, granules, and capsules) when taken with or without food in healthy adults
CTRI/2026/05/110771
A Phase IV Open Label Single Arm Study Evaluating Safety and Effectiveness ofNorUrsodeoxycholic Acid 1500 mg in participants with Non Alcoholic Fatty Liver Disease - NA
CTRI/2026/02/102886
An Interventional Open label Three Arm Randomized MultiCenter Parallel Group Comparative Evaluation of Safety and Effectiveness of Nor-Ursodeoxycholic Acid 1500 mg versus Ursodeoxycholic Acid 900 mg versus Saroglitazar 4 mg in Participants with Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD) - NIL
100 项与 去甲熊去氧胆酸 相关的临床结果
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100 项与 去甲熊去氧胆酸 相关的转化医学
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100 项与 去甲熊去氧胆酸 相关的专利（医药）
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109
项与 去甲熊去氧胆酸 相关的文献（医药）2026-07-01Journal of Clinical and Experimental Hepatology
Nor-ursodeoxycholic Acid for Metabolic Dysfunction-associated Steatotic Liver Disease: Is There Enough Evidence for Clinical Use? A Critique of a Phase III Trial and Regulatory Endorsement of the Drug
Letter
作者: Kulkarni, Anand V ; Kumar, Ashish ; Goel, Amit ; Aggarwal, Rakesh ; Kumar, Karan ; Shukla, Akash ; Saraswat, Vivek ; Duseja, Ajay ; Dhiman, R K ; Shalimar
2026-05-01Molecular Metabolism
The conjugation-resistant bile acid norUDCA cures liver fibrosis but impairs systemic energy metabolism
Article
作者: Fuerst, Rita ; Manka Fuh, Marceline ; Heine, Markus ; Vargek, Martin ; Rolle-Kampczyk, Ulrike ; Evangelakos, Ioannis ; Gunasekaran, Karthikeyan ; Engelmann, Beatrice ; Worthmann, Anna ; Scheja, Ludger ; Kumari, Manju ; Breinbauer, Rolf ; Hansen, Arne ; Graute, Sebastian ; Moustafa, Tarek ; Heeren, Joerg ; Saleem, Umber ; Rohde, Julia K ; Verkade, Esther ; Schwinge, Dorothee ; Zaufel, Alex ; de Boer, Jan Freark ; Schlein, Christian ; von Bergen, Martin ; Kuipers, Folkert
Bile acids (BAs) play an important role in systemic metabolic improvements following bariatric surgery. In this study, we found that orally administered norursodeoxycholic acid (norUDCA), a conjugation-resistant C23 derivative of naturally occurring UDCA, accumulated in peripheral organs including heart and brown adipose tissue (BAT). Moreover, norUDCA decreased systemic levels of endogenous conjugated BAs, while increasing unconjugated BAs. Notably, in addition to beneficial effects in a cholestatic liver disease model, norUDCA also lowered plasma glucose and fat mass in mice, suggesting that this BA derivative could be repurposed for treating obesity-associated cardiometabolic diseases. Metabolic energy expenditure studies, however, revealed that norUDCA-treated mice have impaired BAT capacity and developed intolerance to cold stress, a phenotype exacerbated in mice lacking adipose ATGL-dependent lipolysis. Transcriptomic and metabolic analyses demonstrated tissue remodeling in heart and BAT that involved pronounced changes in energy substrate utilization, including enhanced cardiac glucose uptake and higher ketone body utilization in BAT. Importantly, co-administration of a low-carb diet prevented cold stress-induced metabolic deficits. Mechanistic studies in human engineered heart tissue indicated that norUDCA compromised contractile function. In conclusion, these data suggest that conjugation-resistant BA derivatives like norUDCA impair myocardial and BAT energetics by altering glucose, lipid, and energy metabolism, particularly during catabolic cold stress conditions.
2025-12-01GUT
24-Nor-ursodeoxycholic acid: a novel treatment targeting T-cell-mediated immune dysregulation in primary sclerosing cholangitis and beyond
Article
作者: Wu, William Ka Kei ; Tan, Likai
100 项与 去甲熊去氧胆酸 相关的药物交易
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外链
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| - | - | - |
研发状态
批准上市
10 条最早获批的记录, 后查看更多信息
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| 适应症 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|
| 代谢功能障碍相关的脂肪肝病 | 印度 | 2025-08-14 |
未上市
10 条进展最快的记录, 后查看更多信息
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| 适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|---|
| 原发性硬化性胆管炎 | 临床3期 | 奥地利 | 2017-08-24 | |
| 慢性肝病 | 临床2期 | 奥地利 | 2022-04-29 | |
| 原发性胆汁性胆管炎 | 临床2期 | 奥地利 | 2022-04-29 | |
| 代谢功能障碍相关脂肪性肝炎 | 临床2期 | 匈牙利 | 2019-04-21 |
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临床结果
临床结果
适应症
分期
评价
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临床3期 | 1,500 | 膚衊簾願糧齋願顧願窪(襯衊築鬱艱憲簾壓襯壓) = Adverse events were generally balanced between NCA patients with and without UDCA 膚艱簾願廠齋繭鏇網艱 (鏇觸齋鹽範醖鑰鬱餘窪 ) 更多 | 积极 | 2026-05-27 | |||
Placebo + Ursodeoxycholic acid | |||||||
临床2期 | 159 | norUDCA 500mg/d | 製積構願網鹽積窪獵簾(積襯選廠範遞襯鹹膚窪) = 鹹艱襯廠夢鏇糧願觸襯 淵製築築簾壓鹽網範夢 (憲膚鑰積網艱廠憲積鹹 ) | - | 2017-09-01 | ||
norUDCA 1,000mg/d | 製積構願網鹽積窪獵簾(積襯選廠範遞襯鹹膚窪) = 鑰築築製網醖淵艱淵製 淵製築築簾壓鹽網範夢 (憲膚鑰積網艱廠憲積鹹 ) |
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