4.6 Review

Drug Repurposing: Promises of Edaravone Target Drug in Traumatic Brain Injury

Journal

CURRENT MEDICINAL CHEMISTRY
Volume 28, Issue 12, Pages 2369-2391

Publisher

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/0929867327666200812221022

Keywords

Traumatic Brain Injury (TBI); drug repurposing; edaravone; amyotrophic lateral sclerosis; stroke; neurological disorders

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Edaravone, a potent free-radical scavenger, has been used for over 30 years to treat strokes and ALS, and shows promise for repurposing in TBI treatment. Its anti-oxidative effects, neuroprotective properties, and beneficial impacts on inflammatory responses make it a drug of interest for neurological disorders.
Edaravone is a potent free-radical scavenger that has been in the market for more than 30 years. It was originally developed in Japan to treat strokes and has been used there since 2001. Aside from its anti-oxidative effects, edaravone demonstrated beneficial effects on proinflammatory responses, nitric oxide production, and apoptotic cell death. Interestingly, edaravone has shown neuroprotective effects in several animal models of diseases other than stroke. In particular, edaravone administration was found to be effective in halting amyotrophic lateral sclerosis (ALS) progression during the early stages. Accordingly, after its success in Phase III clinical studies, edaravone has been approved by the FDA as a treatment for ALS patients. Considering its promises in neurological disorders and its safety in patients, edaravone is a drug of interest that can be repurposed for traumatic brain injury (TBI) treatment. Drug repurposing is a novel approach in drug development that identifies drugs for purposes other than their original indication. This review presents the biochemical properties of edaravone along with its effects on several neurological disorders in the hope that it can be adopted for treating TBI patients.

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