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DRUG CLASS:

Serine protease inhibitor

3d
The Effect of Local and Systemic Tranexamic Acid on Edema and Ecchymosis in Orbital Surgery (clinicaltrials.gov)
P4, N=150, Recruiting, Montefiore Medical Center | Not yet recruiting --> Recruiting
Enrollment open • Surgery
5d
A prospective, randomised controlled trial of the effect of intraosseous injection of tranexamic acid on perioperative blood loss in total hip arthroplasty (ChiCTR2400089028)
P1, N=168, Not yet recruiting, The First Affiliated Hospital of Xinjiang Medical University; The First Affiliated Hospital of Xinjiang Medical University
New P1 trial
9d
Remodeling of the extracellular matrix by serine proteases as a prerequisite for cancer initiation and progression. (PubMed, Matrix Biol)
The ECM architecture is dynamically modulated by multiple serine proteases that process both structural and signaling proteins to regulate physiological processes such as organogenesis and tissue homeostasis but they also contribute to pathological events, especially cancer progression. Here, we review the current literature regarding the role of ECM remodeling by serine proteases (KLKs, uPA, furin, HtrAs, granzymes, matriptase, hepsin) in tumorigenesis.
Review • Journal
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ST14 (ST14 transmembrane serine protease matriptase)
10d
Nafamostat mesylate sensitizes ovarian cancer cells to carboplatin by promoting the ZNF24-mediated inhibition of WNT2B. (PubMed, J Toxicol Sci)
Taken together, NM enhanced the CBP sensitivity of ovarian cancer cells by promoting the ZNF24-mediated inactivation of the WNT2B/Wnt/β-catenin axis. These findings suggest a viable treatment approach for improving CBP resistance in ovarian cancer.
Journal
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WNT2 (Wnt Family Member 2)
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carboplatin • nafamostat
30d
Enrollment closed
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AFP (Alpha-fetoprotein)
1m
Crystallization and crystallographic studies of human serine protease inhibitor (serpin) B9. (PubMed, Acta Crystallogr F Struct Biol Commun)
The structure shows that serpin B9 adopts a relaxed conformation, with its cleaved reactive-centre loop inserted into the central β-sheet. Unlike other serpins, serpin B9 shows significant structural deviations around helix D, with a larger surface cavity, which could serve as a promising target for small-molecule inhibitors.
Journal
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GZMB (Granzyme B)
1m
Burn Study- Tranexamic Acid Versus Thrombin in Split Thickness Skin Graft (clinicaltrials.gov)
P4, N=62, Recruiting, University of Kansas Medical Center | Not yet recruiting --> Recruiting
Enrollment open
1m
New P3 trial
1m
Enrollment open
2ms
Oral Nafamostat in Healthy Volunteers (NAF-101) (clinicaltrials.gov)
P1, N=17, Completed, Ensysce Biosciences | Phase classification: P1b --> P1
Phase classification
2ms
IVTXA: Investigating the Use of Intravenous Tranexamic Acid in Gender Affirming Mastectomy (clinicaltrials.gov)
P2, N=150, Recruiting, University of California, San Francisco | Trial completion date: May 2024 --> May 2025 | Trial primary completion date: May 2024 --> May 2025
Trial completion date • Trial primary completion date
2ms
Safety and efficacy of prophylactic tranexamic acid in reducing postpartum hemorrhage following cesarean delivery in women with systemic autoimmune disease (ChiCTR2400088788)
P=N/A, N=534, Not yet recruiting, Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine; Renji Hospital affiliated to Shanghai Jiaotong University School of Medi
New trial
2ms
ASCOT: Effect on Post-operative Pain of Tranexamic Acid Injection During Shoulder Surgery (clinicaltrials.gov)
P3, N=220, Recruiting, Elsan | Trial completion date: Jul 2025 --> Mar 2025 | Trial primary completion date: Jul 2024 --> Mar 2025
Trial completion date • Trial primary completion date • Surgery
2ms
Journal
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PRSS3 (Serine Protease 3) • CA 19-9 (Cancer antigen 19-9) • TMPRSS4 (Transmembrane Serine Protease 4)
2ms
Presence of heavy chain-hyaluronan/pentraxin 3 (HC-HA/PTX3) complex in human umbilical cord. (PubMed, Tissue Cell)
HC-HA/PTX3 was purified from UC extract by successive runs of density gradient ultracentrifugation and verified the presence of HC1 but not HC2 or HC3 based on western blot analysis. These results suggest the presence of HC-HA/PTX3 complex in UC is similar to AM.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
3ms
TEAPOT: TranExamic Atomized for Pediatric Post-Operative Tonsillectomy Hemorrhage (clinicaltrials.gov)
P1, N=12, Not yet recruiting, The University of Texas Health Science Center at San Antonio
New P1 trial
3ms
A Randomized Control Trial Assessing the Effect of Topical Tranexamic Acid on Risk of Hematoma in Breast Surgery (clinicaltrials.gov)
P4, N=500, Recruiting, University of Michigan | Trial completion date: Jun 2024 --> Jun 2025 | Trial primary completion date: Jun 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Surgery
3ms
Nafamostat Efficacy in Phase 3 Registrational CRRT Study (clinicaltrials.gov)
P=N/A, N=166, Recruiting, Talphera, Inc | Not yet recruiting --> Recruiting | Trial completion date: Aug 2024 --> Dec 2024 | Initiation date: Mar 2024 --> Aug 2024 | Trial primary completion date: Aug 2024 --> Dec 2024
Enrollment open • Trial completion date • Trial initiation date • Trial primary completion date
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nafamostat
3ms
The Potential of Camostat in COVID-19 (clinicaltrials.gov)
P2, N=108, Terminated, University Hospital, Ghent | Recruiting --> Terminated; Interim analyses did not show evidence that camostat mesylate under the present conditions (300 mg three times daily for five or 10 consecutive days, fasted state) was effective as an antiviral drug against early phase SARS-CoV-2 disease.
Trial termination
3ms
Urine biomarkers can predict prostate cancer and PI-RADS score prior to biopsy. (PubMed, Sci Rep)
In combination with the PI-RADS score, the biomarkers improve the detection of prostate carcinoma-free men (AUC = 0.89) and of those with clinically significant PCa (AUC = 0.93). We have uncovered the potential of urinary biomarkers for a test that allows a more stringent prioritization of mpMRI use and improves the decision criteria for prostate biopsy, minimizing patient burden by decreasing the number of unnecessary prostate biopsies.
Journal • Biopsy
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CD99 (CD99 Molecule) • HRNR (Hornerin) • LYVE1 (Lymphatic vessel endothelial hyaluronan receptor 1)
4ms
Early Tranexamic Acid and Modulating the Inflammatory Response in Sepsis (clinicaltrials.gov)
P3, N=80, Recruiting, Assiut University | Trial completion date: Jun 2024 --> Jan 2025 | Trial primary completion date: Jun 2024 --> Jan 2025
Trial completion date • Trial primary completion date
4ms
The Safety of Nafamostat Mesylate for Patients With High Risk Bleeding Undergoing Hemodialysis: A Pilot Study (clinicaltrials.gov)
P=N/A, N=100, Recruiting, Wonju Severance Christian Hospital | Enrolling by invitation --> Recruiting | Trial completion date: Dec 2024 --> Dec 2026 | Trial primary completion date: Dec 2023 --> Dec 2025
Enrollment status • Trial completion date • Trial primary completion date
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nafamostat
4ms
The Role of Serine Protease 8 in Mediating Gefitinib Resistance in Non-small Cell Lung Cancer. (PubMed, Anticancer Agents Med Chem)
The findings indicate that PRSS8 contributes to the acquisition of resistance to gefitinib in NSCLC, potentially through regulation of the AKT/mTOR signaling pathway.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • BAX (BCL2-associated X protein)
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gefitinib
4ms
Enrollment closed • Enrollment change
5ms
A Study to Evaluate LB1148 for Return of Gastrointestinal Function and Adhesions in Subjects Undergoing Bowel Resection (clinicaltrials.gov)
P2, N=112, Completed, Palisade Bio | Recruiting --> Completed | N=200 --> 112 | Trial primary completion date: Jun 2023 --> Sep 2023
Trial completion • Enrollment change • Trial primary completion date
5ms
SEN-CoV-Fadj: Efficacy and Safety Evaluation of Treatment Regimens in Adult COVID-19 Patients in Senegal (clinicaltrials.gov)
P3, N=59, Terminated, Institut Pasteur de Dakar | N=186 --> 59 | Recruiting --> Terminated; In conclusion, the results of the SEN-CoV Fadj trial to date do not meet the objectives of the clinical trial and the sample size required to meet them is clearly too large to be achieved within a reasonable time.
Enrollment change • Trial termination
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nafamostat
5ms
INTEGRITY: A Study to Evaluate LB1148 for Return of Bowel Function in Subjects Undergoing Bowel Resection (clinicaltrials.gov)
P3, N=23, Terminated, Palisade Bio | N=600 --> 23 | Trial completion date: Sep 2024 --> Aug 2023 | Active, not recruiting --> Terminated; Company decision
Enrollment change • Trial completion date • Trial termination
5ms
New P4 trial • Surgery
5ms
Upamostat, a Serine Protease Inhibitor, or Placebo for Treatment of COVID-19 Disease (clinicaltrials.gov)
P2/3, N=61, Terminated, RedHill Biopharma Limited | N=310 --> 61 | Suspended --> Terminated; Part A complete; corporate decision made to cancel Part B.
Enrollment change • Trial termination
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Mesupron (upamostat)
6ms
Trial completion
6ms
New P4 trial
6ms
High expression of serine protease inhibitor kazal type 1 predicts poor prognosis and promotes the progression and invasion of oral tongue squamous cell carcinoma. (PubMed, Arch Oral Biol)
Suppression of SPINK1 inhibited OTSCC cell proliferation, invasion, and motility while promoting apoptosis. These findings suggest that SPINK1 may serve as a prognostic biomarker as well as a potential therapeutic target for managing OTSCC.
Journal
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SPINK1 (Serine peptidase inhibitor, kazal type 1)
6ms
The serine protease CORIN promotes progression of gastric cancer by mediating the ERK1/2 MAPK pathway. (PubMed, Mol Carcinog)
The in vitro tumor-promoting potency of CORIN could be antagonized by selective inhibitors targeting the ERK1/2 MAPK pathway. In conclusion, CORIN is a potential prognostic marker and therapeutic target for GC patients, which may promote tumor progression by mediating the ERK1/2 MAPK signaling pathway and EMT in GC cells.
Journal
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CORIN (Corin, Serine Peptidase)
6ms
Biochemical characterization, stability, and kinetics of three substrates of the recombinant TMPRSS2 serine protease domain. (PubMed, Prep Biochem Biotechnol)
Finally, we determined the rTMPRSS2_SP stability for long-term storage. Altogether, our results represent the first comprehensive characterization of TMPRSS2's biochemical properties, providing valuable insights into its serine protease domain.
Journal
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TMPRSS2 (Transmembrane serine protease 2)
7ms
Journal • Surgery
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PRSS3 (Serine Protease 3) • TMPRSS4 (Transmembrane Serine Protease 4)
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5-fluorouracil
7ms
Tranexamic Acid in Adult Spinal Deformity Surgery (clinicaltrials.gov)
P3, N=100, Recruiting, Hospital for Special Surgery, New York | Trial completion date: Mar 2024 --> Mar 2025 | Trial primary completion date: Mar 2024 --> Mar 2025
Trial completion date • Trial primary completion date • Surgery