ISIS Pharmaceuticals has announced favorable results from firstsystemic human clinical trials of ISIS 104838, a novel antisense inhibitor of tumor necrosis factor-alpha, derived from second-generation chemistry. The inhibitor is being developed to treat rheumatoid arthritis in intravenous and subcutaneous formulations, and psoriasis in a topical formulation. The Phase I trials support a convenient dosing of once every two to four weeks, and advantages over first-generation antisense drugs, such as improvements in local tolerability. An oral formulation of the drug, being developed in collaboration with Elan to treat inflammatory diseases, has started Phase I.
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