Drug intelligence / Profile preview

prednisone + leflunomide

Development stage
Unknown
Lead developer
Sanofi
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Recombinant Proteins and Enzymes, Antibody-Based Therapeutics
Administration
Oral
01

Overview

Prednisone + leflunomide is a combination of two immunosuppressive agents used primarily in the management of autoimmune diseases such as myasthenia gravis, primary membranous nephropathy, and immune-mediated polyarthritis. Prednisone is a synthetic glucocorticoid that exerts anti-inflammatory and immunosuppressive effects by modulating gene expression through the glucocorticoid receptor, leading to decreased production of pro-inflammatory cytokines. Leflunomide is a disease-modifying antirheumatic drug (DMARD) that inhibits dihydroorotate dehydrogenase, an enzyme involved in de novo pyrimidine synthesis required for lymphocyte proliferation. The combination targets both T-cell and B-cell mediated immune responses, resulting in reduced inflammation and autoantibody production. This regimen has demonstrated efficacy in reducing disease activity scores and improving clinical symptoms with an acceptable safety profile[1][3][4][5].

Other names
LEF + pred
02

Targets

GR (Glucocorticoid receptor)DHODH (Dihydroorotate dehydrogenase (quinone), mitochondrial)

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