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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.
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