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REVIEW article

Front. Pharmacol.

Sec. Cardiovascular and Smooth Muscle Pharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1626469

This article is part of the Research TopicNew Frontiers in Heart Failure Therapy: Mechanisms, Efficacy, and ChallengesView all 9 articles

Long-Acting Relaxin Analogues: a Novel Tool in Cardiology

Provisionally accepted
Łukasz  WołowiecŁukasz Wołowiec*Albert  JaśniakAlbert JaśniakJoanna  OsiakJoanna OsiakDaria  CzaplińskaDaria CzaplińskaAgata  SzymczakAgata SzymczakJulia Anna Pęcherz  Anna PęcherzJulia Anna Pęcherz Anna PęcherzGrzegorz  GrześkGrzegorz Grześk
  • Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland

The final, formatted version of the article will be published soon.

Serelaxin, a recombinant human relaxin, has emerged as a potential therapy for the future treatment of heart failure. However, its effectiveness has been limited by a short half-life and the need for intravenous administration. Recently developed long-acting relaxin analogues show promise in overcoming these limitations, as they exhibit an improved pharmacokinetic and pharmacodynamic profile while preserving the beneficial actions of relaxin.Their clinical utility has been confirmed in preclinical studies as well as in recently published first-in-human, randomized study focused on heart failure treatment(study ID: NCT04630067), and improvement of renal parameters in healthy volunteers (study ID NCT04768855). In this article, we provide an overview of the mechanisms underlying the effects of long-acting relaxin analogues and their positive impact on the cardiovascular system. Additionally, we present a comprehensive comparison between serelaxin and its novel analogues, exploring their potential implications for the future treatment of cardiovascular diseases.

Keywords: Serelaxin, Relaxin, Heart Failure, therapeutic, Pharmacology

Received: 10 May 2025; Accepted: 22 Jul 2025.

Copyright: © 2025 Wołowiec, Jaśniak, Osiak, Czaplińska, Szymczak, Pęcherz and Grześk. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Łukasz Wołowiec, Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland

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