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imlifidase + cyclophosphamide + glucocorticoids

Development stage
Unknown
Lead developer
Hansa Biopharma
Modality
Therapeutic Enzymes → Recombinant Proteins and Enzymes, Small Molecules
Administration
Intravenous (imlifidase, Cyclophosphamide), Oral (glucocorticoids, Possibly Cyclophosphamide As Per Protocol Variation)
01

Overview

This is a **combination therapy** comprising imlifidase (a recombinant IgG-degrading enzyme derived from Streptococcus pyogenes), cyclophosphamide (an alkylating agent), and glucocorticoids (synthetic corticosteroids). Imlifidase enzymatically cleaves all human IgG subclasses, providing rapid removal of pathogenic antibodies such as those in anti-GBM (Goodpasture) disease; cyclophosphamide inhibits DNA replication in proliferating lymphocytes, reducing antibody production; glucocorticoids broadly suppress immune and inflammatory responses. The combination is investigated for the treatment of severe **anti-glomerular basement membrane (anti-GBM) antibody disease** (Goodpasture Syndrome), aiming to reverse kidney failure and suppress autoantibody rebound[1][2][3][5][6].

Other names
Imlifidase + CYC + glucocorticoids
02

Targets

IgG lower hinge (Immunoglobulin G lower hinge region)GR (Glucocorticoid receptor)DNA

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