Synonyms: CC-10004 | Otezla®
apremilast is an approved drug (FDA (2014), EMA (2015))
Compound class:
Synthetic organic
Comment: Apremilast is an oral small molecule phosphodiesterase 4 (PDE4) inhibitor [1-2] (additional comment in [4]). It is selective for PDE4 over other PDE isozymes, but non-selective over PDE4 isoforms [5].
Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖View more information in the IUPHAR Pharmacology Education Project: apremilast |
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No information available. |
Summary of Clinical Use |
Apremilast is approved to treat psoriatic arthritis (PsA). This drug is also in clinical trial as a potential treatment for several other inflammatory conditions. View a list of these trials at ClinicalTrials.gov. In the US and EU, apremilast has been granted orphan desigantion for the treatment of Behçet disease, an auto-immune disease which damages blood vessels and causes sores on mucosal membranes and occular and vascular inflammation. In September 2014, the US FDA granted approval for the treatment of patients with moderate to severe plaque psoriasis, making Otezla® the first and only PDE4 inhibitor available for this indication. |
Mechanism Of Action and Pharmacodynamic Effects |
Apremilast inhibits PDE4 [1]. Inhibition of PDE4 leads to an increase of cAMP concentration and modulation of multiple intracellular signalling pathways. This results in significant reduction of inflammatory cytokine production in T-cells, but since PDE4 subtypes have been identified in some skin cells, the drug effects may have other mechanisms alleviating psoriaritic symptoms [4]. Click here to go to the phosphodiesterases page. |
External links |
For extended ADME data see the following: Electronic Medicines Compendium (eMC) Drugs.com European Medicines Agency (EMA) |