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The small-molecule TNF inhibitor is an investigational, orally bioavailable small-molecule inhibitor of tumor necrosis factor (TNF) being developed by Arcus Biosciences for the treatment of inflammatory and autoimmune diseases, including rheumatoid arthritis, psoriasis, and inflammatory bowel disease (such as ulcerative colitis). Unlike conventional anti-TNF biologics (such as adalimumab) that block both TNF receptor 1 (TNFR1) and TNF receptor 2 (TNFR2) signaling, this small-molecule inhibitor is designed to selectively block soluble TNF (sTNF)/TNFR1 signaling while preserving membrane TNF (mTNF)/TNFR2 signaling. Sparing TNFR2 signaling maintains regulatory T cell (Treg) stability and suppressive function and prevents pathogenic cytokine production (such as IFN-γ and IL-17) from helper T cells, potentially offering superior safety and efficacy. The program is expected to enter Phase 1 clinical trials in early 2027.
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