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SCD-153 is a lipophilic small molecule prodrug of 4-methyl itaconate (4-MI) designed for the topical treatment of alopecia areata. Developed through a collaboration between Johns Hopkins University, Sun Pharma Advanced Research Company (SPARC), and the Institute of Organic Chemistry and Biochemistry (IOCB) of the Czech Academy of Sciences, SCD-153 is engineered to enhance skin and cell penetration compared to endogenous itaconate. Once absorbed, it is metabolized into 4-MI, which exerts anti-inflammatory effects by attenuating the expression of proinflammatory mediators such as interleukin-6 (IL-6), interleukin-1 beta (IL-1β), interferon beta (IFNβ), and Toll-like receptor 3 (TLR3). Preclinical studies in mice have demonstrated that topical SCD-153 induces significant hair growth by accelerating the transition from the telogen to the anagen phase of the hair cycle, outperforming the JAK inhibitor tofacitinib in consistency and efficacy.
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