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Petesicatib is a small molecule, orally administered cathepsin S inhibitor that was developed by Roche for the treatment of autoimmune diseases, including coeliac disease, psoriasis, and Sjogren's syndrome. Cathepsin S is a thiol protease involved in antigen presentation via MHC class II molecules and plays a key role in immune system regulation. By inhibiting cathepsin S, petesicatib modulates immune responses relevant to autoimmune pathology. The drug reached phase II clinical trials but development was discontinued for all indications[1][2][3][4][5].
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