Drug intelligence / Profile preview

upamostat

Development stage
Phase 3
Lead developer
RedHill Biopharma
Modality
Small Molecules
Administration
Oral
01

Overview

Upamostat (RHB-107) is an orally bioavailable, first-in-class serine protease inhibitor originally developed by Heidelberg Pharma (formerly WILEX AG) and currently being developed by RedHill Biopharma. It acts as a prodrug of WX-UK1, targeting several human serine proteases including urokinase-type plasminogen activator (uPA), matriptase, and transmembrane protease serine 2 (TMPRSS2). By inhibiting these host-cell proteases, upamostat prevents viral entry (relevant for COVID-19 and potentially Ebola) and interferes with tumor cell invasion and metastasis. It is primarily being evaluated for the early outpatient treatment of COVID-19 in the Phase 2 ACESO PROTECT trial and has historical development in various cancers and inflammatory gastrointestinal diseases.

Brand names
Mesupron
Other names
upamostat
02

Targets

CTSL (Cathepsin L)TTSP (Type II transmembrane serine protease)PRSS2 (Trypsin-2)PRSS3 (Trypsin-3)PLAU (uPA)ST14 (Matriptase)TMPRSS2 (Transmembrane protease serine 2)

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