Drug intelligence / Profile preview

thymoglobulin + sirolimus + mycophenolate mofetil

Development stage
Phase 4
Lead developer
Sanofi
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

A multi-drug immunosuppressive regimen combining Thymoglobulin, sirolimus, and mycophenolate mofetil used primarily in solid organ transplantation for induction and maintenance of immunosuppression. Thymoglobulin is rabbit anti-thymocyte globulin, a polyclonal antibody preparation that depletes circulating T cells and modulates immune activation pathways. Sirolimus (rapamycin) is an mTOR inhibitor that blocks IL-2-driven T-cell proliferation and inhibits mTORC1-mediated cell-cycle progression. Mycophenolate mofetil is a prodrug of mycophenolic acid, which inhibits inosine monophosphate dehydrogenase to block de novo guanine nucleotide synthesis, selectively suppressing proliferation of T and B lymphocytes. Together, the combination provides complementary mechanisms: rapid lymphocyte depletion and immunomodulation (Thymoglobulin), signal transduction blockade of lymphocyte proliferation (sirolimus), and antiproliferative inhibition of nucleotide synthesis (mycophenolate), aiming to prevent acute rejection and support graft survival.

Other names
rATG + sirolimus + MMF
02

Targets

FKBP1AHLA-I/DR (HLA class I heavy chains and HLA-DR)IL2RA (Interleukin-2 receptor alpha subunit)IMPDH (Inosine-5'-monophosphate dehydrogenase 1)LFA-1 (Integrin αLβ2)Mechanistic target of rapamycin complex 1CD2 (T-cell Surface Antigen CD2)CD3 (T-cell surface glycoprotein CD3)CD4 (T lymphocyte surface antigen)CD8A (CD8 alpha/beta Coreceptor)HLA class I heavy chainHLA-DR (Human leukocyte antigen DR)ITGB2 (Complement receptor 4)

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