Drug intelligence / Profile preview

niacin + prednisolone acetate

Development stage
Phase 3
Lead developer
Palo Alto Medical Foundation
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules
Administration
Oral, Ophthalmic
01

Overview

A combination therapy consisting of oral niacin (nicotinic acid) and topical prednisolone acetate eye drops, developed by the Palo Alto Medical Foundation. It is used to treat various forms of retinal vein occlusion, including central (CRVO), hemi-retinal (HRVO), and branch (BRVO) types. Niacin serves as a vasodilator, promoting the formation of collateral vessels to bypass venous obstructions by stimulating prostaglandin-mediated nitric oxide release. Prednisolone acetate, a corticosteroid, is used to manage associated macular edema and vascular leakage. This approach was investigated as a non-invasive alternative to repeated intravitreal triamcinolone acetonide injections.

Other names
niacin + prednisolonenicotinic acid + prednisolone acetateVitamin B3 + prednisolone acetate
02

Targets

GR (Glucocorticoid receptor)HCAR2 (Hydroxycarboxylic acid receptor 2)HCAR3 (Hydroxycarboxylic acid receptor 3)SLC16A1 (Mitochondrial Pyruvate Carrier)NNMT (Nicotinamide N-methyltransferase)QAPRT (Quinolinic acid phosphoribosyltransferase)SLC22A5 (Organic cation/carnitine transporter 2)

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