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Foselutoclax is an investigational small molecule senolytic drug developed for the treatment of age-related eye diseases such as diabetic macular edema (DME) and neovascular (wet) age-related macular degeneration (AMD)[1][2][4]. It acts as a potent and selective inhibitor of Bcl-xL (BCL2-like 1), a protein that supports the survival of senescent cells. By inhibiting Bcl-xL, foselutoclax selectively eliminates senescent cells in the retina—cells implicated in disease progression and vision loss[1][4][9]. This mechanism distinguishes it from standard anti-VEGF therapies by targeting cellular senescence rather than vascular growth factors. Foselutoclax is administered via intravitreal injection and has shown potential to improve retinal function and visual acuity in early-phase clinical trials[8].
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