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Ceralifimod is an oral, selective small molecule agonist of the sphingosine 1-phosphate (S1P) receptors S1P1 and S1P5, with high selectivity over other S1P receptor subtypes. It was developed primarily for the treatment of relapsing-remitting multiple sclerosis (RRMS). By activating S1P1 and S1P5 receptors, ceralifimod modulates lymphocyte trafficking, reducing their egress from lymph nodes and thereby limiting autoimmune-mediated damage in multiple sclerosis. The drug reached phase 2/3 clinical trials but development was discontinued after termination of phase III studies. Ceralifimod was originally developed by Ono Pharmaceutical[3][4][5][7].
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