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ACE-1334 (MK-2225) is a recombinant fusion protein developed as an antifibrotic agent for the treatment of systemic sclerosis (scleroderma). It is a homodimeric fragment crystallizable (Fc) fusion protein that incorporates the extracellular domain of the human transforming growth factor beta (TGF-beta) receptor, designed to act as a ligand trap. Its mechanism involves binding and inhibiting TGF-beta1 and TGF-beta3 ligands, but not TGF-beta2, thereby blocking profibrotic signaling pathways implicated in scleroderma and related fibrotic diseases. The drug was originally discovered by Acceleron Pharma and has been further developed by Merck. It has received orphan drug designation for systemic sclerosis/scleroderma. Clinical development has included phase 1 trials in healthy volunteers and patients with systemic sclerosis; some trials have been terminated due to business reasons[2][3][4][6].
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