Dosing regimens for oral complement factor D inhibitors
An oral agent and pharmaceutical technology, applied in the field of oral administration of complement factor D inhibitors, capable of solving problems such as destruction
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[0149] introduction:
[0150] Paroxysmal nocturnal hemoglobinuria (PNH) is a rare, life-threatening disorder characterized by hemolytic anemia, thrombosis, and impaired bone marrow function. Uncontrolled activity of the alternative pathway (AP) of complement leads to intravascular hemolysis triggered by membrane attack complex (C5b-9) formation in PNH patients. Terminal complement inhibition by IV administration of eculizumab or ravolizumab reduces intravascular hemolysis and is the standard of care in PNH. However, up to a third of eculizumab-treated patients remain transfusion dependent due to persistent AP activation and extravascular hemolysis mediated by C3 (Kelly RJ et al, Blood 2011;117(25): 6786-6792). The compounds of the present invention are novel, potent, selective and orally bioavailable small molecule inhibitors of human complement factor D. In preclinical in vitro studies, at low nanomolar drug concentrations, the compounds of the present invention inhibit AP...
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