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Traxanox (also known as Y-12141) is a pyrimidobenzazepine derivative developed by Yoshitomi Pharmaceutical Industries as an immunomodulatory agent for the treatment of rheumatoid arthritis. Unlike traditional non-steroidal anti-inflammatory drugs (NSAIDs), traxanox does not inhibit the production of prostaglandin E2 or slow-reacting substances from leukocytes. Instead, its pharmacological profile is characterized by the inhibition of anaphylactoid reactions, suppression of delayed-type hypersensitivity (DTH), and dose-dependent inhibition of adjuvant arthritis in rat models. Its mechanism of action is considered similar to disease-modifying antirheumatic drugs (DMARDs) such as D-penicillamine or levamisole, focusing on the modulation of chronic inflammatory responses rather than acute inflammation.
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