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CombinatoRx Publishes Data on Selective Amplification of Synergistic Combination Drug Candidate

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CombinatoRx, Incorporated has announced the publication of new in vivo research in Arthritis Research and Therapy on a systems biology based strategy that selectively amplifies the anti-inflammatory activity of very low dose glucocorticoids in immune cells without modulation of pathways associated with glucocorticoid toxicity.

This research, which was conducted by CombinatoRx scientists, demonstrates that the multi-target mechanism of low dose prednisolone (a glucocorticoid) combined with dipyridamole (a cardiovascular agent) creates a dissociated activity profile with an increased therapeutic window through selective amplification of glucocorticoid-mediated anti-inflammatory signaling.

The combination suppressed release of pro-inflammatory mediators, including TNF-a, IL-6 and others, from human peripheral blood mononuclear cells and mouse macrophages. After 8 weeks of oral dosing in mouse models, the immune-specific amplification of prednisolone’s anti-inflammatory activity by dipyridamole did not extend to glucocorticoid-mediated adverse effects including corticosterone suppression.

“This research demonstrates the utility of a systems biology approach to identifying novel therapeutics that are pathway, or multi-target, focused,” said Alexis Borisy, President and CEO of CombinatoRx. “Earlier attempts by the pharmaceutical industry at steroid dissociation using medicinal chemistry have shown mixed results because the anti-inflammatory activity and adverse effects of glucocorticoids do not break cleanly along mechanistic lines of transcription activation and repression. The systems biology approach leverages multi-target action to amplify glucocorticoid activity selectively within the unique network context of inflammatory cells, rather than attempting to dissect various aspects of glucocorticoid receptor biology.”