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2018 ; 6
(2
): e00394
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Ajulemic acid: potential treatment for chronic inflammation
#MMPMID29638269
Burstein SH
Pharmacol Res Perspect
2018[Apr]; 6
(2
): e00394
PMID29638269
show ga
Ajulemic acid (AJA, CT-3, IP-751, JBT-101, anabasum) is a first-in-class,
synthetic, orally active, cannabinoid-derived drug that preferentially binds to
the CB2 receptor and is nonpsychoactive. In preclinical studies, and in Phase 1
and 2 clinical trials, AJA showed a favorable safety, tolerability, and
pharmacokinetic profile. It also demonstrated significant efficacy in preclinical
models of inflammation and fibrosis. It suppresses tissue scarring and stimulates
endogenous eicosanoids that resolve chronic inflammation and fibrosis without
causing immunosuppression. AJA is currently being developed for use in 4 separate
but related indications including systemic sclerosis (SSc), cystic fibrosis,
dermatomyositis (DM), and systemic lupus erythematosus. Phase 2 clinical trials
in the first 3 targets demonstrated that it is safe, is a potential treatment for
these orphan diseases and appears to be a potent inflammation-resolving drug with
a unique mechanism of action, distinct from the nonsteroidal anti-inflammatory
drug (NSAID), and will be useful for treating a wide range of chronic
inflammatory diseases. It may be considered to be a disease-modifying drug unlike
most NSAIDs that only provide symptomatic relief. AJA is currently being
evaluated in 24-month open-label extension studies in SSc and in skin-predominant
DM. A Phase 3 multicenter trial to demonstrate safety and efficacy in SSc has
recently been initiated.
|Animals
[MESH]
|Chronic Disease
[MESH]
|Clinical Trials as Topic
[MESH]
|Dronabinol/administration & dosage/*analogs &
derivatives/pharmacokinetics/therapeutic use
[MESH]