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ATR-107 is a fully human monoclonal antibody that targets the interleukin 21 receptor (IL21R). It was developed as an immunomodulatory agent, primarily for autoimmune and inflammatory diseases such as Crohn's disease. ATR-107 acts by binding to IL21R, thereby blocking the activity of interleukin 21 (IL-21), a cytokine involved in regulating immune cell function. This blockade inhibits downstream signaling pathways, including STAT3 phosphorylation in T cells and B cells, which are implicated in autoimmune pathogenesis. The drug demonstrated prolonged pharmacodynamic effects with sustained IL21R occupancy but was associated with high immunogenicity—over 75% of subjects developed anti-drug antibodies after single-dose administration. Development was discontinued due to these immunogenicity concerns and related adverse events[1][2][4][6].
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