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new oral rheumatoid arthritis treatment known as AGIX-4207 has proven safe and
effective in relieving inflammation in a Phase II clinical trial. Under
development by AtheroGenics, AGIX-4207 targets a specific subset of TNF-alpha
induced activity and may reduce chronic inflammation without the broad-based immune
suppression seen in existing TNF-alpha drugs. TNF-alpha is a protein that stimulates
inflammation. AGIX-4207
was tested in 27 patients who were being treated with Remicade® (infliximab).
Researchers said AGIX-4207 was safe and well tolerated by all patients with no
serious adverse events or discontinuations.
To determine
whether AGIX-4207 had an anti-inflammatory effect, the erythrocyte
sedimentation rate (ESR) and several other inflammatory markers
were measured at the beginning and the end of a three-week period.
During a three-week
time frame, AGIX-4207 inhibited the increase in ESR observed in
patients on placebo by 92 percent.
The
next trial for AGIX-4207, according to AtheroGenics, will involve longer dosing
in a larger patient sample.
Physicians
currently treat rheumatoid arthritis in a stepwise escalation,
starting with anti-inflammatory agents such as aspirin or ibuprofen,
and, if necessary, proceeding to treatment with drugs called DMARDs
that affect the body's immune system.
New
DMARD drugs such as Celebrex®, Enbrel® and Vioxx® target the modulation
of TNF-alpha. According to AtheroGenics, such drugs are only partially effective
and either increase the risk of infection or do not adequately address the chronic
inflammation that marks rheumatoid arthritis. Other
sources: AtheroGenics
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