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DC-9476 is a third-generation, highly selective small molecule inhibitor of the BRD4 protein, specifically targeting the BD2 (bromodomain 2) domain. Developed by DeepCure using an AI-driven drug discovery platform, it represents a novel class of BET (bromodomain and extra-terminal motif) inhibitors designed to address inflammation and autoimmune diseases. Unlike earlier non-selective BET inhibitors that often caused dose-limiting toxicities such as thrombocytopenia, DC-9476’s selectivity for BRD4-BD2 enables potent anti-inflammatory effects with an improved safety profile[1][3][10]. In preclinical models—including rheumatoid arthritis (RA), Still’s disease, hidradenitis suppurativa, and macrophage activation syndrome—DC-9476 demonstrated superior efficacy compared to standard-of-care therapies like TNF-alpha inhibitors (e.g., etanercept), IL-6 inhibitors, JAK inhibitors (e.g., tofacitinib), and glucocorticoids[3][4][8]. Mechanistically, it reduces key proinflammatory cytokines such as IL-17A/F, IL-1β, IL-18, IFN-gamma, TNF-alpha and IL-6 by directly inhibiting macrophage activation and modulating multiple inflammatory pathways[2][4][8]. The compound is orally administered and has shown no significant toxicity in animal studies. As of June 2025 it remains in preclinical development with plans for clinical trials.
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