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Edasalonexent (CAT-1004) is an orally bioavailable small molecule conjugate of salsalate and docosahexaenoic acid (DHA) developed by Catabasis Pharmaceuticals (now Astria Therapeutics). It was designed using the company's SMART (Salsalate-Macromolecule-Activated-Release-Technology) platform to synergistically inhibit the NF-κB pathway. NF-κB is a key driver of skeletal and cardiac muscle degeneration in Duchenne muscular dystrophy (DMD). By delivering both salsalate (an IKKβ inhibitor) and DHA (an omega-3 fatty acid) in a single molecule, edasalonexent aimed to reduce inflammation and promote muscle regeneration. Despite promising early-phase results, the drug failed to meet its primary and secondary endpoints in the Phase 3 PolarisDMD trial, leading to the discontinuation of its development for DMD in 2020.
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