1. Tenidap: A Novel Cytokine-modulating Antirheumatic Drug for the Treatment of Rheumatoid Arthritis
- Author
-
Breedveld F
- Subjects
Adult ,Male ,Indoles ,medicine.medical_treatment ,Immunology ,Pharmacology ,Bone resorption ,Arthritis, Rheumatoid ,Rheumatology ,Animals ,Humans ,Immunology and Allergy ,Medicine ,Serum amyloid A ,Aged ,Aged, 80 and over ,business.industry ,Anti-Inflammatory Agents, Non-Steroidal ,Acute-phase protein ,General Medicine ,Middle Aged ,medicine.disease ,Oxindoles ,Rats ,Antirheumatic Agents ,Disease Models, Animal ,Treatment Outcome ,Cytokine ,Clinical Trials, Phase III as Topic ,Consumer Product Safety ,Rheumatoid arthritis ,Monocyte differentiation ,Cytokines ,Female ,Tenidap ,business ,Acute-Phase Proteins ,medicine.drug - Abstract
Tenidap is a novel, once-daily, cytokine modulating antirheumatic drug indicated for the treatment of rheumatoid arthritis (RA). In vitro, tenidap significantly inhibits the production of the pro-inflammatory cytokines, interleukin-1, interleukin-6 and tumour necrosis factor in human cell lines, and inhibits cytokine-mediated processes such as cartilage degradation, bone resorption, metalloprotease synthesis, endothelial cell adhesion and monocyte differentiation. Tenidap also inhibits cyclo-oxygenase. In RA patients, tenidap 120 mg/day is clinically equivalent to the combination of disease-modifying antirheumatic agents plus non-steroidal anti-inflammatory drugs (NSAIDs) and significantly more effective than NSAIDs. Tenidap also produces rapid, profound and sustained reductions in the serum levels of the acute phase proteins, C-reactive protein and serum amyloid A, an effect suggestive of disease modifying properties. In addition, tenidap reduces circulating levels of IL-6 in RA patients. Tenidap is well tolerated.
- Published
- 1994