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TOP-N44 is a novel hybrid small molecule drug developed by Topadur Pharma for topical use, primarily targeting the prevention of skin fibrosis and scarring, including hypertrophic scars and keloids. Its mechanism of action involves suppressing inflammation and inhibiting fibroblast activation to prevent excessive scar formation. Preclinical data indicate that it inhibits uncontrolled scarring in human skin fibroblasts. Mechanistically, it acts as a peptide hydrolase inhibitor and has immunosuppressant properties. The drug is being investigated for indications such as burns, cicatrix (scars), and systemic scleroderma[1][2][3].
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