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PSI-697 is a small molecule quinoline derivative developed as an oral antagonist of P-selectin. It was investigated for its potential to treat vascular and thrombotic diseases by inhibiting the interaction between P-selectin and its ligand (P-selectin glycoprotein ligand-1), thereby reducing leukocyte and platelet adhesion and rolling—key processes in inflammation and thrombosis. Preclinical studies demonstrated that PSI-697 could reduce leukocyte rolling in inflamed vessels and decrease thrombus formation in animal models without increasing bleeding risk. However, clinical trials showed that PSI-697 did not significantly inhibit platelet–monocyte aggregate formation in humans at tested doses. The drug reached Phase 1 clinical trials for scleritis but development has since been discontinued[1][3][4][5][6][7].
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