About HPN-100
HPN-100 is a pro-drug of phenylbutyrate and a pre-pro-drug of phenylacetic acid, the active moiety of BUPHENYL(R), the only therapy currently FDA-approved as adjunctive therapy for the chronic management of patients with the most prevalent urea cycle deficiencies including those related to carbamylphosphate synthetase, ornithine transcarbamylase and argininosuccinic acid synthetase. HPN-100, which is dosed orally in liquid form, provides an alternative pathway to the urea cycle for the disposal of waste nitrogen through the renal excretion of phenylacetylglutamine, which is formed from phenylacetic acid and glutamine.
About BUPHENYL(R)
BUPHENYL(R) is indicated as adjunctive therapy in the chronic
management of patients with urea cycle disorders involving deficiencies of
carbamylphosphate synthetase (CPS), ornithine transcarbamylase (OTC), or
argininosuccinic acid synthetase (AS). BUPHENYL(R) should not be
administered to patients with known hypersensitivity to sodium
phenylbutyrate or any component of this preparation. The most common
adverse reactions associated with BUPHENYL(R) were amenorrhea dysfunction,
decreased appetite, body odor (probably caused by its metabolite
phenylacetate) and bad taste or taste aversion. Patients with urea cycle
disorders should not take valproic acid, haloperidol, or steroids as these
drugs have been reported to increase blood ammonia levels, and probenecid
may affect the kidneys' excretion. Use with great care, if at all, in
patients with congestive heart failure or severe renal insufficiency, and
in clinical states where there is sodium retention with edema. Use caution
when administering to patients with hepatic or renal insufficiency or
inborn errors of beta oxidation. The safety or efficacy of doses in excess
of 20 gra
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