Multi-phase Modulators for Dermal Fibrotic Disorders

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Solution Overview

Problem

Current treatments for dermal wound healing often result in undesirable scar formation due to improper modulation of the complex array of growth factors and cytokines involved in the healing process, making it challenging to effectively control fibrotic tissue formation across multiple phases of wound healing.

Innovation Solution

The use of multi-phase modulators, such as multikinase inhibitors (e.g., axitinib, nintedanib, sorafenib, sunitinib, lenvatinib) and soluble guanylate cyclase stimulators (e.g., riociguat), which interfere with multiple kinase-mediated signaling pathways to modulate exuberant activities in various phases of wound healing, thereby preventing or alleviating aberrant fibrotic tissue formations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If conventional treatments for dermal wound healing are used, then wound healing process is initiated, but undesirable scar formation and excessive fibrosis occur

Engineering Contradiction:
Improvewound healing outcomeVSAvoidscar formation
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The treatment approach segments the wound healing process into distinct phases (hemostasis, inflammation, proliferation, maturation) and applies phase-specific modulators to control the activity of growth factors and cytokines at each stage, preventing excessive fibrosis while maintaining effective wound healing

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention changes the concentration and timing parameters of growth factors and cytokines during different wound healing phases by administering specific modulators (such as TGF-β inhibitors during proliferation phase) to prevent scar formation while preserving necessary healing functions

Inventive Principle:
Principle #35Parameter changes

2Reliability

If multiple growth factors and cytokines are involved in wound healing, then comprehensive tissue repair is achieved, but controlling fibrotic tissue formation becomes challenging

Engineering Contradiction:
Improvetissue repair qualityVSAvoidtreatment control complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The invention employs multi-functional modulators that can target multiple growth factor pathways simultaneously (such as agents that inhibit both TGF-β and PDGF signaling), simplifying the treatment approach while maintaining control over complex fibrotic processes

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The invention introduces intermediary substances (such as soluble receptors or decoy molecules) that mediate the interaction between growth factors and their receptors, providing a controllable mechanism to regulate fibrotic tissue formation without directly interfering with all signaling pathways

Inventive Principle:
Principle #24Intermediary (Mediator)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

These compounds effectively reduce neovascularization and fibrosis, as demonstrated by reduced TGF-β1 mRNA expression and histopathologic evaluations, indicating their potential in remedying undesired scar formation by controlling fibrotic tissue formation across multiple phases of wound healing.

Implementation Method 1

a soluble guanylate cyclase (SGC) stimulator can stimulate the activity of an SGC, leading to the formation of cyclic GMP (cGMP), which is a second messenger in various signal transduction pathways

Methodology Applied
Scientific EffectSoluble guanylate cyclase stimulation:

Implementation Method 2

compounds of the invention include agents that can interfere with multiple phases (multiple targets) of wound healing processes. These agents will be referred to as 'multi-phase modulators' or 'multi-target modulators.' The 'multi-phase modulators' or 'multi-target modulators' may include multikinase inhibitors that can inhibit multiple kinases

Methodology Applied
Scientific EffectKinase inhibition:

Data Source

PatentUS10736885B2Compositions and methods of treating dermal fibrotic disorders
Publication Date: 2020.08.11 AIVIVA BIOPHARMA INC
  • US10736885B2 patent drawing
  • US10736885B2 patent drawing
  • US10736885B2 patent drawing

AI summary

A method for preventing and/or modulating formation of a dermal fibrotic disorder includes administering a therapeutically effective amount of a multi-phase modulator to a subject in need thereof. The multi-phase modulator is selected from the group consisting of axitinib, nintedanib, sorafenib, sunitinib, lenvatinib, panatinib, pazopanib, regorafenib, and riociguat. The dermal fibrotic disorder is acne scars, skin scars such as keloids and hypertrophic scars, wrinkles, cellulite and dermal neoplastic fibrosis, scarring alopecia, various vasculopathy, vasculitis, burn wound healing, diabetic foot syndrome, scleroderma, arthrofibrosis, peyronie's disease, dupuytren's contracture, or adhesive capsulitis.