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AU-934 is a small molecule therapeutic being developed by Auration Biotech as a non-surgical alternative to tympanotomy tubes for the treatment of chronic otitis media with effusion. The active ingredient, KB-R7785, is a matrix metalloproteinase (MMP) inhibitor that specifically targets ADAM metallopeptidase domain 17 (ADAM17), also known as TNF-alpha converting enzyme (TACE). AU-934 is formulated in a sustained-release polymer designed to be applied to the tympanic membrane to maintain a controlled perforation, thereby facilitating middle ear ventilation and fluid drainage. By inhibiting the shedding of growth factors and modulating the tissue remodeling process, the drug prevents the premature closure of the perforation, aiming to provide the therapeutic benefits of ear tubes without the need for surgical intervention.
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