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Fulranumab is a fully human recombinant immunoglobulin G2 (IgG2) monoclonal antibody that specifically binds to and neutralizes nerve growth factor (NGF), thereby inhibiting its biological activity. NGF is a neurotrophin involved in the modulation of pain signaling and is upregulated in various pain states. By blocking NGF, fulranumab was developed as a potential analgesic for chronic pain conditions such as osteoarthritis and diabetic peripheral neuropathic pain. The drug was originally developed by Amgen and later licensed to Johnson & Johnson (Janssen). Clinical trials demonstrated efficacy in reducing moderate to severe pain; however, all phase III trials were discontinued by Johnson & Johnson in 2016 due to strategic portfolio prioritization rather than safety concerns[1][4][5][6].
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