Can an 11β‑HSD1 Inhibitor Improve Prednisolone’s Benefit–Risk Ratio in Polymyalgia Rheumatica? Early Human Trial Suggests Feasibility
Highlights
– Clofutriben, a selective 11β‑HSD1 inhibitor, attenuated many biomarker signals of prednisolone‑related toxicity across tested doses in patients with polymyalgia rheumatica (PMR).
– When combined with clofutriben, prednisolone 10 mg/day produced clinical relapses in some patients; increasing prednisolone to 20–30 mg/day restored symptom control without losing toxicity mitigation.
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