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Cinainu (Legacy Healthcare)

Development stage
Unknown
Lead developer
Legacy Healthcare
Modality
Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Topical
01

Overview

Cinainu is a multi-target botanical drug, classified as a 'New Botanical Entity,' developed by Legacy Healthcare for the treatment of moderate to severe alopecia areata. It is formulated as a topical cutaneous solution containing standardized extracts from *Allium cepa* (onion), *Citrus limon* (lemon), *Theobroma cacao* (cocoa), and *Paullinia cupana* (guarana). The drug's mechanism of action is characterized by its ability to modulate hair follicle cycling and promote endothelial cell activation, which collectively support hair regrowth. Cinainu has been evaluated in the Phase 2/3 RAAINBOW clinical trial, specifically targeting children and adolescents with moderate to severe alopecia areata, where it demonstrated superiority over placebo after 24 weeks of treatment.

Other names
Allium cepa + Citrus limon + Theobroma cacao + Paullinia cupana
02

Targets

BCL-2 (BCL-2 family)SELE (E-selectin)ICAM1 (Intercellular Adhesion Molecule 1)

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