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NS-580 (friluglanstat) is an orally available small molecule inhibitor of microsomal prostaglandin E synthase-1 (mPGES-1), developed by Nippon Shinyaku. It is a new molecular entity under clinical development for the treatment of endometriosis, chronic pelvic pain, and chronic prostatitis/chronic pelvic pain syndrome. The drug acts by inhibiting mPGES-1, thereby reducing the synthesis of prostaglandin E2, which plays a role in inflammation and pain. Clinical trials have reached phase II for these indications in Japan and the United Kingdom[1][2][3][4][5].
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