Drug intelligence / Profile preview

nintedanib + dextromethorphan

Development stage
Phase 2
Lead developer
The First Affiliated Hospital of Wenzhou Medical University
Modality
Small Molecules
Administration
Oral
01

Overview

Nintedanib + dextromethorphan is a combination therapy being investigated for the treatment of idiopathic pulmonary fibrosis (IPF). Nintedanib is a small molecule tyrosine kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR 1-3), platelet-derived growth factor receptors (PDGFR α and β), and fibroblast growth factor receptors (FGFR 1-3). By inhibiting these pathways, nintedanib reduces the proliferation, migration, and transformation of fibroblasts, which are key drivers of lung fibrosis. Dextromethorphan, a morphinan derivative and NMDA receptor antagonist/sigma-1 receptor agonist, is included in the regimen to address chronic cough, a common and debilitating symptom of IPF. This combination is currently being evaluated in Phase 2 clinical trials sponsored by the First Affiliated Hospital of Wenzhou Medical University to determine if the addition of dextromethorphan can improve patient outcomes and quality of life compared to nintedanib monotherapy.

Other names
nidanib + dextromethorphan
02

Targets

FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)PDGFRA (Platelet-derived growth factor receptor alpha)PDGFRB (Platelet-derived growth factor receptor beta)SIGMAR1 (Sigma non-opioid intracellular receptor 1)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)NMDAR (Glutamate receptor ionotropic, NMDA)

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