An orally available small molecule that targets soluble TNF to deliver anti-TNF biologic-like efficacy in rheumatoid arthritis

Tumor necrosis factor (TNF) is a pleiotropic cytokine belonging to a family of trimeric proteins with both proinflammatory and immunoregulatory functions. TNF is a key mediator in autoimmune diseases and during the last couple of decades several biologic drugs have delivered new therapeutic options...

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Main Authors: Alexander Vugler (Author), James O'Connell (Author), Mai Anh Nguyen (Author), Dietmar Weitz (Author), Thomas Leeuw (Author), Elizabeth Hickford (Author), Alexander Verbitsky (Author), Xiaoyou Ying (Author), Markus Rehberg (Author), Bruce Carrington (Author), Mark Merriman (Author), Andrew Moss (Author), Jean-Marie Nicholas (Author), Phil Stanley (Author), Sara Wright (Author), Tim Bourne (Author), Yann Foricher (Author), Zhaoning Zhu (Author), Daniel Brookings (Author), Helen Horsley (Author), Jag Heer (Author), Laurent Schio (Author), Matthias Herrmann (Author), Srinivas Rao (Author), Markus Kohlmann (Author), Peter Florian (Author)
Format: Book
Published: Frontiers Media S.A., 2022-11-01T00:00:00Z.
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100 1 0 |a Alexander Vugler  |e author 
700 1 0 |a James O'Connell  |e author 
700 1 0 |a Mai Anh Nguyen  |e author 
700 1 0 |a Dietmar Weitz  |e author 
700 1 0 |a Thomas Leeuw  |e author 
700 1 0 |a Elizabeth Hickford  |e author 
700 1 0 |a Alexander Verbitsky  |e author 
700 1 0 |a Xiaoyou Ying  |e author 
700 1 0 |a Markus Rehberg  |e author 
700 1 0 |a Bruce Carrington  |e author 
700 1 0 |a Mark Merriman  |e author 
700 1 0 |a Andrew Moss  |e author 
700 1 0 |a Jean-Marie Nicholas  |e author 
700 1 0 |a Phil Stanley  |e author 
700 1 0 |a Sara Wright  |e author 
700 1 0 |a Tim Bourne  |e author 
700 1 0 |a Yann Foricher  |e author 
700 1 0 |a Zhaoning Zhu  |e author 
700 1 0 |a Daniel Brookings  |e author 
700 1 0 |a Helen Horsley  |e author 
700 1 0 |a Jag Heer  |e author 
700 1 0 |a Laurent Schio  |e author 
700 1 0 |a Matthias Herrmann  |e author 
700 1 0 |a Srinivas Rao  |e author 
700 1 0 |a Markus Kohlmann  |e author 
700 1 0 |a Peter Florian  |e author 
245 0 0 |a An orally available small molecule that targets soluble TNF to deliver anti-TNF biologic-like efficacy in rheumatoid arthritis 
260 |b Frontiers Media S.A.,   |c 2022-11-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2022.1037983 
520 |a Tumor necrosis factor (TNF) is a pleiotropic cytokine belonging to a family of trimeric proteins with both proinflammatory and immunoregulatory functions. TNF is a key mediator in autoimmune diseases and during the last couple of decades several biologic drugs have delivered new therapeutic options for patients suffering from chronic autoimmune diseases such as rheumatoid arthritis and chronic inflammatory bowel disease. Attempts to design small molecule therapies directed to this cytokine have not led to approved products yet. Here we report the discovery and development of a potent small molecule inhibitor of TNF that was recently moved into phase 1 clinical trials. The molecule, SAR441566, stabilizes an asymmetrical form of the soluble TNF trimer, compromises downstream signaling and inhibits the functions of TNF in vitro and in vivo. With SAR441566 being studied in healthy volunteers we hope to deliver a more convenient orally bioavailable and effective treatment option for patients suffering with chronic autoimmune diseases compared to established biologic drugs targeting TNF. 
546 |a EN 
690 |a TNF 
690 |a rheumatoid arthritis 
690 |a small molecule 
690 |a TNF trimer 
690 |a immunogenicity 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 13 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2022.1037983/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/1ee03f08f53b498dba01c240aad2ca37  |z Connect to this object online.