ZED1227
Experimental drug for celiac disease
{{Drugbox
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| IUPAC_name = (2S)-2-[[4-[[4-(aminomethyl)phenyl]sulfonyl]phenyl]formamido]-3-(1H-imidazol-4-yl)propanoic acid
| image = ZED1227.svg
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ZED1227 is an experimental drug being developed for the treatment of celiac disease, a chronic autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. ZED1227 is a selective inhibitor of transglutaminase 2 (TG2), an enzyme that plays a crucial role in the pathogenesis of celiac disease.
Mechanism of Action
ZED1227 works by inhibiting the activity of transglutaminase 2, which is involved in the modification of gluten peptides. In individuals with celiac disease, TG2 modifies gluten peptides, making them more immunogenic. This leads to an inappropriate immune response that damages the small intestine's lining. By inhibiting TG2, ZED1227 aims to reduce the immune response to gluten and prevent intestinal damage.
Clinical Development
ZED1227 is currently undergoing clinical trials to evaluate its safety and efficacy in patients with celiac disease. Early-phase trials have shown promising results, indicating that the drug can reduce the immune response to gluten in patients who continue to consume gluten-containing foods. Further studies are needed to confirm these findings and to determine the optimal dosing regimen.
Potential Benefits
The development of ZED1227 represents a significant advancement in the treatment of celiac disease. Currently, the only effective treatment for celiac disease is a strict gluten-free diet, which can be challenging to maintain. ZED1227 could provide an additional therapeutic option for patients, potentially allowing them to consume small amounts of gluten without experiencing adverse effects.
Challenges and Considerations
While ZED1227 offers potential benefits, there are challenges associated with its development and use. The long-term safety of TG2 inhibition is not yet fully understood, and there may be risks associated with altering the immune response. Additionally, the drug's effectiveness in a real-world setting, where patients may consume varying amounts of gluten, needs to be thoroughly evaluated.
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Contributors: Prab R. Tumpati, MD