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Orismilast is a next-generation, high-potency, oral small molecule inhibitor of phosphodiesterase 4 (PDE4), with selectivity for the PDE4B and PDE4D subtypes. By inhibiting these enzymes, orismilast reduces the breakdown of cyclic AMP (cAMP), leading to broad anti-inflammatory effects through modulation of Th1, Th2, and Th17 pathways and suppression of multiple pro-inflammatory cytokines. Orismilast is being developed primarily for immunological and dermatological diseases including atopic dermatitis (AD), hidradenitis suppurativa (HS), psoriasis, and ulcerative colitis. It has demonstrated efficacy in phase II trials for AD and is also being studied in other inflammatory conditions. The drug is designed as a modified-release tablet to improve tolerability by minimizing gastrointestinal side effects commonly associated with PDE4 inhibition[1][2][9][10].
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