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Zampilimab is a humanized monoclonal antibody that targets and inhibits transglutaminase 2 (TG2), an enzyme implicated in the pathogenesis of fibrotic diseases. By inhibiting TG2-mediated crosslinking of extracellular matrix proteins, zampilimab aims to reduce or reverse fibrosis. It has been investigated primarily for chronic kidney disease (including chronic allograft injury after kidney transplantation) and idiopathic pulmonary fibrosis (IPF). Zampilimab was originally developed by UCB and later licensed globally to Chiesi for further development and commercialization as a potential anti-fibrotic therapy[1][3][4][5][7].
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