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Table 3 Identified drug candidates in preclinical development with targets in the kallikrein-kinin system

From: Recent advances in the discovery and development of drugs targeting the kallikrein-kinin system

Drug candidate

Class

Intended indication

Year of latest publication

Refs.

Prolylcarboxypeptidase

 UM8190

Small molecule inhibitor

Thromboprophylaxis, obesity

2012

[51]

Coagulation factor XII

 3F7

Recombinant antibody (fully human)

Thromboprophylaxis

2022

[26]

 ALN-F12

siRNA

Hereditary angioedema (prophylaxis)

2019

[38]

Thromboprophylaxis

2020

[37]

 ARC-F12

siRNA

Hereditary angioedema (prophylaxis)

(2016)

[39]

Thromboprophylaxis

(2016)

[39]

 COU254

Small molecule inhibitor

Acute ischemic stroke

2010

[42]

 FXII900

Peptide inhibitor

Thromboprophylaxis

2021

[34, 35]

 KV998086

Small molecule inhibitor

Hereditary angioedema (on-demand)

(2022)

[40, 41]

 rHA-Infestin-4

Inhibitor, protein

Acute ischemic stroke

2016

[43,44,45,46]

 DX-4012

Monoclonal antibody (fully human)

Thromboprophylaxis

(2015)

[36]

 Sylvestin

Peptide inhibitor

Acute ischemic stroke

2022

[47]

Plasma (P) and tissue (T) kallikrein

 CU-2010 (P)

Small molecule inhibitor

Prevention of blood loss in cardiac surgery

2009

[99]

 Ecallantide/DX-88 (P)

Inhibitor, protein

Cerebral ischemia

2006

[85]

 KV998052 (P)

Small molecule inhibitor

Acute respiratory distress syndrome

(2021)

[79]

Retinal edema

(2022)

[80]

 KV998054 (P)

Small molecule inhibitor

Retinal edema

(2019)

[80]

 VA999272 (P)

Small molecule inhibitor

Retinal edema

2016

[81]

 VE-3539 (P)

Small molecule inhibitor

Diabetic retinopathy

(2018)

[83]

 VE-4840 (P)

Small molecule inhibitor

Retinal edema

(2019)

[82]

 DX-2300 (T)

Monoclonal antibody (fully human)

Airway diseases

2009

[86]

Bradykinin B2 receptor

 Bradyzide

Small molecule inhibitor

Inflammatory hyperalgesia

2009

[133]

 FR173657

Small molecule inhibitor

Skin inflammatory diseases

2009

[132, 153]

 LF 18-1505T

Small molecule inhibitor

Closed head trauma

2006

[131]

 FR-190997

Small molecule partial agonist

Ocular hypertension

2014

[139]

 NG291

Peptide agonist

Disruption of blood brain barrier

2021

[136, 137]

 R523

Peptide agonist

Glioma

2010

[138]

Bradykinin B1 receptor

 B 9430

Peptide antagonist

Cerebral ischemia

2000

[156]

 B 9858

Peptide antagonist

Inflammatory hyperalgesia

2002

[151]

 BI 113823

Small molecule antagonist

Chronic liver fibrosis

2022

[155]

 ELN441958

Small molecule antagonist

Inflammatory hyperalgesia

2007

[152]

 MK-0686

Small molecule antagonist

Chronic pain

2007

[149]

 NVP-SAA164

Small molecule antagonist

Inflammatory hyperalgesia

2005

[150]

 R-715

Peptide antagonist

Skin inflammatory diseases

2009

[153]

 R-954

Peptide antagonist

Diabetic retinopathy

2018

[148]

 SSR240612

Small molecule antagonist

Skin inflammatory diseases

2009

[132, 153]

 NG29

Peptide agonist

Glioma

2016

[157, 158]

  1. Year of latest publication: Years are those of the most recent publications found in peer-reviewed journals
  2. Years in parentheses indicate press releases or poster presentations at conferences
  3. “-” means there are no publications or press releases available
  4. (P) and (T) indicate whether plasma; (P) or tissue (T) kallikrein is the target of the active pharmaceutical ingredient; siRNA = small interfering ribonucleic acid