Structures of zileuton, representative dual COX-2/5-LOX inhibi-tors and lead compound 1.
Discovery of potential anti-inflammatory drugs: Diaryl-1,2,4-triazoles bearing N-hydroxyurea moiety as dual inhibitors of cyclooxygenase-2 and 5-lipoxygenase
Fig. 1
Various structures of dual COX/5-LOX inhibitors have been developed, and the representatives are tepoxalin, licofelone and ZD-2138 (Fig. 1). Tepoxalin has been approved for the treatment of OA in dogs in the United States and the European Union. Licofelone is a promising dual COX/5-LOX inhibi- tor. The results of Phase III clinical trials suggested that lico- felone is effective in the treatment of OA with reduced gastrointestinal (GI) toxicity and thromboembolic risk compared to traditional NSAIDs and COX-2 selective inhibitors. Besides the above-mentioned dual inhibitors, natural products are also an important source of dual inhibitors, among them, flavocoxid (Limbrel®) has been launched to market as an FDA-regulated medical food for the clinical dietary management of the metabolic aspects of OA in the United States.
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