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OssiFi Therapeutics is developing a program of small molecule inhibitors targeting sclerostin, a secreted glycoprotein that acts as a potent negative regulator of bone formation. Sclerostin, encoded by the SOST gene, inhibits the Wnt/β-catenin signaling pathway in osteoblasts by binding to the LRP5/6 co-receptors, thereby suppressing bone mineral density accrual. By antagonizing sclerostin, OssiFi's small molecule candidates aim to stimulate osteoblast activity and promote bone growth. The company is specifically investigating these inhibitors for therapeutic applications in neurogenic low back pain, fracture repair acceleration, and fracture prevention. This small-molecule approach is intended to offer a potentially more convenient or differentiated alternative to existing injectable monoclonal antibody therapies that target the same pathway.
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