Table 2.
Summary of recent new drug candidates in sepsis.
Drugs | Structure | Dosage | Mechanism | Ref. |
---|---|---|---|---|
MEDI4893 | Human immunoglobulin | 225, 750, 2250, 5000 mg | Binds S. aureus alpha toxin with a high affinity | [94] |
MEDI3902 | Human immunoglobulin | 250, 750, 1500 or 3000 mg, i.v.drip | Bind to both the PcrV protein and Psl exopolysaccharide on the surface of P. aeruginosa | [95] |
ART-123 | Human soluble thrombomodulin | 0.06 – 6 mg/kg/d, i.v.drip | Change thrombin substrate specificity from pro-coagulant to anti-coagulant activity through the activation of protein C | [96] |
Adrenomedullin | Short half-life free circulating peptide | 2, 4 mg/kg, i.v.drip | Reinforce the endothelial barrier and reduce sepsis-induced vascular leakage | [97] |
GM-CSF | Recombinant human granulocyte-macrophage colony-stimulating factor | 4 μg/kg/day, i.c. | Stimulate the production, maturation, and function of monocytes/macrophages and neutrophils | [98] |
Nangibotide | Synthetic TREM-1 antagonistic peptide | 0.3, 1.0, 3.0 mg/kg/h, i.v.drip | Decrease leukocyte activation and innate immune response | [99] |
CYT-107 | Pluripotent cytokine | 10 μg/kg, once a week or twice a week | Reverse sepsis-induced lymphopenia and avoid excessive inflammatory response | [100] |