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Drug name | Target | Mechanism of action | Trial ID/reference |
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Treatments against immune mediators |
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Anifrolumab (MEDI546) | Directed against subunit 1 of type I interferon receptor | Downregulation of T-cell activation | NCT00930683 |
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Inebilizumab (MEDI551) | Anti-CD19 | Depletion of B cells through enhanced antibody-dependent cellular cytotoxicity | NCT00946699 |
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Sifalimumab Rontalizumab | Anti-IFNα | Specific for IFNα blocking; doesn’t neutralize other type I IFNs | NCT01283139 |
NCT00541749 |
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MEDI7734 | Anti-ILT7 | Temporary depletion of plasmacytoid dendritic cells | NCT02780674 |
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Rituximab | Anti-CD20 | Targets CD20 expressed from pre-B cell stage to the pre-plasma cell stage | Giuggioli D et al. [10] |
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Basiliximab | Anti-IL-2Rα | Directed against the α chain (CD25) of the IL-2 receptor | Becker MO et al. [11] |
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Efalizumab | LFA1/ICAM-1 | Interaction between LFA-1 and ICAM-1 is blocked, preventing T-cell’s activation | Zimmerman T et al. [12] |
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Abatacept | CTLA4 | Inhibits T-cell activation by selectively modulating costimulation (binds to CD80 or CD86 on cell surface) | Elhai M et al. [13] |
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AIMSPRO (®) | αMSH, IL10, CCL2 | Modulates serum levels of relevant cytokines | Quillinan NP et al. [14] |
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Tocilizumab | IL-6R | Regulatory effect in the balance between Th17 and Tregs | NCT01532869 |
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AM095 and SAR100842 | LPA1 | Targets specific G-protein-coupled receptors | NCT01651143 |
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TAK242 | TLR4 | Prevents Th1 and Th17 cytokines production by inhibiting TLR4 stimulation | Bhattacharyya S et al. [15] |
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Treatments against Fibrosis |
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Imatinib | PDGF, TGF-β | Blocks both PDGF and TGF-β signalling pathways | Iwamoto N et al. [16] |
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Dasatinib, Nilotinib | c-Abl, PDGF | Second-generation TKIs with higher affinity to Bcr-Abl | Akhmetshina A et al. [17] |
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Metelimumab (CAT-192) | TGFβ1 | Specifically counteracts the TGFβ1 isoform | Denton CP et al. [18]
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Fresolimumab (GC-1008) | TGFβ1,-β2,-β3 | Targets all isoforms of TGFβ | NCT01284322 |
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FG-3019 | CCN2 | Anti-CTGF, reduces the number of CD45-positive cells | Brenner MC et al. [19] |
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P144 | TGFβ1 | Blocks the interaction between TGFβ1 and TGFβ1 type III receptor | NCT00574613, Postlethwaite AE et al. [20] |
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Anti-Integrin V6 (Abituzumab) | TGFβ | Inhibits binding to αv heterodimers, preventing TGF-β activation | NCT02745145, Katsumoto et al. [17], Henderson NC et al. [21] |
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Pirfenidone | TNFα, IL1β, TGFβ | Blocks TGF-β-stimulated collagen synthesis | Udwadia ZF et al. [22] Khanna D et al. [23] |
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Nintedanib (BIBF 1120) | VEGF, PDGF, FGF | TKI-targeting FGF, PDGF, and VEGF receptors, as well as Src-family tyrosine kinases | NCT02597933, Distler et al. [24] |
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Treatments against vascular alterations |
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Bosentan, Macitentan | ETA/ETB receptor | Blocks both ETA and ETB endothelin receptors that mediate the effects of ET-1 | NCT00077584, Matucci-Cerinic M et al. [25] NCT00660179, Metha S et al. [26] |
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Ambrisentan | ETA receptor | Blocks the action of endothelin-1 at the ETA receptor | NCT00091598, NCT01178073, Gailè N et al. [27], Raghu G et al. [28] |
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Selexipag | IP receptor | Selective IP prostacyclin receptor agonist for long-term treatment of PAH | Sitbon O et al. [29], Denton CP et al. [30] |
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Riociguat | GMPc agonist | Soluble guanylate cyclase (sGC) modulator with both vasoactive and antifibrotic effects | NCT02283762, NCT00863681 |
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Bardoxolone methyl | Nrf2 and NF-κB | Activation of Nrf2 and inhibition of NF-κB | NCT02036970, NCT02657356 |
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