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Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

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Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Post-approval, manufacturers may modify an approved new or generic drug product. Such modifications can encompass alterations in the Active Pharmaceutical Ingredient (API), manufacturing process, formulation, batch size, manufacturing site, and container closure system (FDA Guidance for Industry, April 2004). Often, a drug product may undergo multiple changes.These modifications require careful evaluation to determine their potential impact on the drug product's identity, strength, quality,...
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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
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The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Related Experiment Video

Updated: Feb 27, 2026

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
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Nerandomilast: First Approval.

Michael B Brown1

  • 1Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. dru@adis.com.

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|February 26, 2026
PubMed
Summary
This summary is machine-generated.

Nerandomilast is a new oral treatment for idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF). It is a selective phosphodiesterase 4B inhibitor that has received recent approvals in the USA and China.

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Area of Science:

  • Pharmacology
  • Pulmonology
  • Drug Development

Background:

  • Idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) are chronic lung diseases with limited treatment options.
  • Phosphodiesterase 4B (PDE4B) is a potential therapeutic target for fibrotic lung diseases.
  • Nerandomilast is an oral selective PDE4B inhibitor developed for treating lung fibrosis.

Purpose of the Study:

  • To summarize the key milestones in the development of nerandomilast.
  • To highlight the regulatory approvals for nerandomilast in treating IPF and PPF.

Main Methods:

  • Review of development history and clinical trial data.
  • Analysis of regulatory submission and approval timelines.

Main Results:

  • Nerandomilast received its first approval in the USA on October 7, 2025, for adult IPF.
  • Subsequent approvals in China (October 22, 2025) for IPF and in China and the USA (December 2025) for PPF were obtained.
  • Ongoing global filings and Phase II/III trials indicate continued development.

Conclusions:

  • Nerandomilast represents a significant advancement in the treatment of IPF and PPF.
  • The drug's development milestones and approvals mark a new therapeutic option for patients with fibrotic lung diseases.
  • Further clinical trials and global filings are expected to expand access to this novel treatment.