Table 4.
Anti-inflammatory drugs under clinical phases for TBI management
| Sr. No | Drug | Type of study | Proposed mechanism | Status |
|---|---|---|---|---|
| 1 | Erythropoietin | Erythropoietin long term effect observed in patients which suffered from moderate to severe injury | Showed anti-inflammatory, antiapoptotic and anti-oedematous properties due to stimulation of JAK/STAT pathway |
Phase III |
| 2 | Rosuvastatin | After TBI, rosuvastatin effects studied on cytokines | Modulates TNF-α, IL-1, and IL-6 to change the immune response following brain injury |
Phase II completed |
| 3 | Progesterone | Progesterone for Treatment of TBI III (ProTECT) | Neuronal loss and cerebral oedema reduced, remyelination is improved, functional recovery is improved after progesterone infusion |
Terminated at Phase III |
| 4 | Methylprednisolone | Infusion of Methylprednisolone for 24 or 48 h vs. Tirilazad for acute spinal cord injury | Suppress NF-kB activation and TNF-α expression |
Phase III completed |
| 5 | Minocycline | Minocycline’s safety and efficacy in the treatment of TBI | IL-1β and Microglial activation reduced |
Ongoing phase 1/II |
| 6 | N-acetyl cysteine | The safety and potential therapeutic efficacy in mild blast traumatic brain injury patients | Reduces neurological symptoms |
Phase II NCT02791975 |
| 7 | Anakinra | Study for moderate to severe TBI patients | Decrease in pro-inflammatory cytokines for first 48 h of injury |
Phase II |