Drug intelligence / Profile preview

flavocoxid

Development stage
Phase 3
Lead developer
Primus Pharmaceuticals
Modality
Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Oral
01

Overview

Flavocoxid is a proprietary medical food composed of plant-derived flavonoids, specifically baicalin (from *Scutellaria baicalensis*) and catechin (from *Acacia catechu*), formulated for the dietary management of osteoarthritis. It acts as a dual balanced inhibitor of cyclooxygenase-1 (COX-1), cyclooxygenase-2 (COX-2), and 5-lipoxygenase (5-LOX) enzymes, thereby reducing the production of pro-inflammatory mediators such as prostaglandins and leukotrienes. Flavocoxid also exhibits antioxidant properties by reducing reactive oxygen species and modulates inflammatory gene expression via inhibition of Nuclear factor kappa B (NF-kappaB) activity. It was available by prescription in the United States under the brand name Limbrel for use in adults with chronic osteoarthritis. Developed by Primus Pharmaceuticals, Flavocoxid was marketed as a medical food rather than a pharmaceutical drug; it was withdrawn from the US market after reports of rare but potentially serious liver injury. Its mechanism involves both direct enzyme inhibition and modulation at the gene expression level.

Brand names
Limbrel
Other names
baicalin + catechin
02

Targets

PTGS2 (Prostaglandin-Endoperoxide Synthase 2)PGHS-1 (Prostaglandin G/H Synthase 1)ALOX12 (Arachidonate 12-lipoxygenase, 12S type)

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