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Nacresertib (ABBV-105) is an orally bioavailable small molecule inhibitor of Interleukin-1 receptor-associated kinase 4 (IRAK4). IRAK4 is a critical signaling node downstream of Toll-like receptors (TLRs) and Interleukin-1 receptors (IL-1Rs), which are essential components of the innate immune system and drivers of pro-inflammatory cytokine production. By selectively inhibiting IRAK4, nacresertib aims to modulate the inflammatory response in various autoimmune and inflammatory conditions. Developed by AbbVie, nacresertib has been investigated both as a monotherapy and in combination with the JAK inhibitor upadacitinib (the combination is designated as ABBV-599). Clinical development has targeted diseases such as rheumatoid arthritis, atopic dermatitis, and systemic lupus erythematosus, reaching Phase 2 in global clinical trials.
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