Rebamipide

Rebamipide
Systematic (IUPAC) name
2-[(4-chlorobenzoyl)amino]-3-(2-oxo-1H-quinolin-4-yl)propanoic acid
Clinical data
Trade names Mucosta (JP), Rebagen (KR, CN, IN)
AHFS/Drugs.com International Drug Names
Routes of
administration
Oral (tablets)
Identifiers
CAS Number 90098-04-7 N
ATC code none
PubChem CID 5042
IUPHAR/BPS 871
ChemSpider 4866 YesY
UNII LR583V32ZR YesY
KEGG D01121 YesY
ChEMBL CHEMBL1697771 N
Chemical data
Formula C19H15ClN2O4
Molar mass 370.786 g/mol
 NYesY (what is this?)  (verify)

Rebamipide, an amino acid derivative of 2-(1H)-quinolinone, is used for mucosal protection, healing of gastroduodenal ulcers, and treatment of gastritis. It works by enhancing mucosal defense, scavenging free radicals, and temporarily activating genes encoding cyclooxygenase-2.

Rebamipide is used in a number of Asian countries including Japan (marketed as Mucosta), South Korea, China[1] and India (where it is marketed under the trade name Rebagen). It is not approved by the Food and Drug Administration for use in the United States.

Studies have shown that rebamipide can fight the damaging effects of NSAIDs on the GIT mucosa, and more recently, the small intestine. It has also been studied for the treatment of Behçet's disease.[2] It was shown to successfully treat pouchitis in a single-N study after first-line therapies for the condition were unsuccessful.[3] Some studies have shown effectiveness in presbyacusis (age-related hearing loss).

It has also been shown to alleviate signs and symptoms of dry eyes in a randomised controlled trial although this is not yet widely available clinically. [4]

Articles

References

  1. drugs.com
  2. Matsuda T, Ohno S, Hirohata S, Miyanaga Y, Ujihara H, Inaba G, Nakamura S, Tanaka S, Kogure M, Mizushima Y (2003). "Efficacy of rebamipide as adjunctive therapy in the treatment of recurrent oral aphthous ulcers in patients with Behcet's disease: a randomised, double-blind, placebo-controlled study". Drugs R D 4 (1): 19–28. doi:10.2165/00126839-200304010-00002. PMID 12568631.
  3. http://www.wjgnet.com/1007-9327/12/656.pdf Archived October 20, 2013, at the Wayback Machine.
  4. Kinoshita, S.; K. Oshiden; S. Awamura; H. Suzuki; N. Nakamichi (2013). "A randomized, multicenter phase 3 study comparing 2% rebamipide (OPC-12759) with 0.1% sodium hyaluronate in the treatment of dry eye". Ophthalmology 120 (6): 1158–65. doi:10.1016/j.ophtha.2012.12.022.
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