Remibrutinib inhibited EAE models by a two-pronged mechanism based on inhibition of pathogenic B cell autoreactivity, as well as direct anti-inflammatory effects in microglia. Remibrutinib showed efficacy in both models in absence of direct B cell depletion, broad T cell inhibition or reduction of total Ig levels. These findings support the view that remibrutinib may represent a novel treatment option for patients with MS.
Potential for efficacy and anti-inflammatory effects on myeloid cells and microglia was observed. Remibrutinib may represent a novel treatment option for patients with MS.
Remibrutinib exhibited dose-dependent efficacy in a B cell-driven EAE model. In addition, it revealed efficacy on clinical scores and anti-inflammatory effects by acting on myeloid cells and microglia. These findings support the view that remibrutinib may represent a novel treatment option for patients with MS.
Observed inhibition of metabolic enzymes indicated that remibrutinib is a weak inhibitor of CYP3A4 and CYP2C9 and is not a clinically relevant inhibitor of uptake and efflux transporters, except for intestinal P-glycoprotein and breast cancer resistance protein inhibition. OC may be safely administered and are effective when given with pharmacologically relevant doses of remibrutinib.
over 2 years ago
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)