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Trientine Waymade
Trientine Waymade (trientine dihydrochloride) was approved for the following therapeutic use:
Trientine Waymade is indicated in the treatment of patients with Wilson's disease who areintolerant of penicillamine.
Trientine has a structure similar to polyamines and chelates copper by forming a stable complex with the four constituent nitrogens in a planar ring. The pharmacodynamic action of trientine is dependent on its property of chelating copper and elimination of the trientine copper complex in the urine. Trientine may also chelate copper in the intestinal tract and in the process inhibit copper absorption.
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Trientine Waymade was considered favourable for the therapeutic use approved.