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Opening the Door to a New Treatment Paradigm: The Re-emergence of Chymase Inhibitors.

Chymase is a serine protease that has been studied as a drug target in inflammatory diseases, so far with limited success. Fulacimstat is a novel drug candidate inhibiting chymase that… Click to show full abstract

Chymase is a serine protease that has been studied as a drug target in inflammatory diseases, so far with limited success. Fulacimstat is a novel drug candidate inhibiting chymase that has been investigated in clinical trials for the role of chymase in inflammation. Despite a good safety profile, further clinical development of fulacimstat was not pursued due to a lack of efficacy. Recently, a new role of chymase in blood clot biology has been identified, this resparks interest in chymase inhibitors, and positions fulacimstat as a potential innovative option to treat thrombotic conditions.

Keywords: chymase inhibitors; door new; new treatment; chymase; opening door; treatment paradigm

Journal Title: Journal of medicinal chemistry
Year Published: 2025

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