Table 3. Selected interventions that may limit fibrosis.
Category | Name | Class | Potential Target/mechanism | Phase |
---|---|---|---|---|
Pharmaceuticals | Enalpril | Angiotensin converting enzyme inhibitors | Inhibit fibroblast activation | Clinic |
Pirfenidone | Small molecule | TGFβ, inflammation | Clinic | |
Nintedanib | Small molecule | Receptor tyrosine kinsases | Clinic | |
Anakinra | Monoclonal antibody | Inflammation (IL-1RA) | Clinic | |
Fresolimumab | Monoclonal antibody | Inflammation (IL-13) | Phase II | |
Endostatin | Recombinant fragment of col XVIII | TGFβ | Pre-clinical | |
Lumikine | Peptide fragment of lumican | TGFβ | Pre-clinical | |
Biomaterials | Integra™ | Silicone and bovine col I-chondroitin sulfate mesh | Collagen and GAG mesh provide environment to facilitate repair | Clinic |
Surgisis® Oasis® Biodesign® CorMatrix® |
Porcine SIS ECM scaffold |
Multi-functional molecules liberated during matrix degradation mediate inflammation and repair | Clinic | |
XenMatrix® | Porcine dermis ECM scaffold |
See above | Clinic | |
Alloderm® Allomax® |
Human dermis ECM scaffold |
See above | Clinic | |
MatriStem® | Porcine UBM ECM scaffold |
See above | Clinic | |
VentriGel™ | Porcine myocardial ECM hydrogel |
See above | Phase I | |
Cell-based therapies | Dermagraft® | Allogeneic neonatal cells on vicryl scaffold | Neonatal cells and scaffold provide environment to facilitate repair | Clinic |
Apligraf® | Allogeneic neonatal cells on bovine col I matrix | Neonatal cells and scaffold provide environment to facilitate repair | Clinic | |
Mesenchymal stem cells | Allogeneic stem cells | Paracrine signalling alters inflammation | Phase I |