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Efdoralprin alfa is a **recombinant, next-generation human alpha-1 antitrypsin (AAT)-Fc fusion protein** that contains two AAT molecules engineered for **extended serum half-life** and enhanced pharmacokinetics. It is being developed primarily for the treatment of **alpha-1 antitrypsin deficiency (AATD)**-associated emphysema and is designed to provide higher and more sustained serum levels of functional AAT than plasma-derived products. Efdoralprin alfa retains the physiological activity of wild-type AAT, specifically inhibiting neutrophil elastase (NE) and proteinase 3 (PR3), key proteases in the pathology of AATD, without significant off-target inhibition of thrombin or trypsin. The drug has received **Fast Track and Orphan Drug designations in the United States** and is currently in Phase 2 registrational trials.[1][3][7][8]
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