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RGI-2001 is a liposomal formulation of an alpha-galactosylceramide (alpha-GalCer) analog, specifically a synthetic derivative related to KRN7000. It acts as a ligand for the CD1d receptor on antigen-presenting cells and invariant natural killer T (iNKT) cells. By binding to CD1d, RGI-2001 activates iNKT cells, which in turn promote the expansion of regulatory T cells (Tregs). This mechanism induces immune tolerance and is being developed primarily for the prophylaxis of acute graft-versus-host disease (aGVHD) following allogeneic hematopoietic cell transplantation. The drug is currently in Phase 3 planning after positive results from Phase 2b studies showing efficacy in reducing clinically significant aGVHD when added to standard-of-care immunosuppression regimens such as tacrolimus/methotrexate[1][2][3][6][8].
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