InflaRx (Nasdaq: IFRX) reports izicopan data showing no CYP3A4 time‑dependent inhibition
Filing Impact
Filing Sentiment
Form Type
6-K
Rhea-AI Filing Summary
InflaRx N.V. reported new mechanistic in vitro data showing that its oral C5a receptor inhibitor izicopan does not exhibit time-dependent inhibition of the CYP3A4 enzyme, even at the highest tested concentration of 100 µM. A Ki-based time-dependent inhibition study using midazolam and testosterone confirmed no CYP3A4 time-dependent inhibition and an IC₅₀ greater than 100 µM, supporting a low risk of clinically relevant drug-drug interactions and liver toxicity. The company links these findings to prior data showing good tolerability in first-in-human and Phase 2a trials and to izicopan’s potential to provide biologic-like efficacy in inflammatory diseases such as hidradenitis suppurativa and chronic spontaneous urticaria.
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Key Figures
IC50 prior CYP3A4 assay: 62 µM
IC50 in Ki-based TDI study: >100 µM
Maximum tested concentration: 100 µM
+4 more
7 metrics
IC50 prior CYP3A4 assay
62 µM
Marginal CYP3A4 inhibition in earlier TDI IC50 shift assay for izicopan
IC50 in Ki-based TDI study
>100 µM
Ki-based TDI study confirmed no CYP3A4 inhibition up to 100 µM
Maximum tested concentration
100 µM
Highest izicopan concentration with no CYP3A4 time-dependent inhibition observed
Single-dose range tested
3–240 mg
First-in-human study single doses with no safety signals of concern
Multiple-dose range tested
30–90 mg
Multiple doses once daily (30 mg) to twice daily (90 mg) for 14 days
Blockade of C5a-induced activation
≥90%
C5a-induced neutrophil activation blockade over 14-day dosing period
Dosing period duration
14 days
Duration over which ≥90% blockade of C5a-induced neutrophil activation observed
Key Terms
time-dependent inhibition, Ki-based TDI (Ki/Kinact) study, CYP3A4, C5a receptor (C5aR) inhibitor, +2 more
6 terms
time-dependent inhibition medical
"izicopan does not exhibit time-dependent inhibition of CYP3A4, an important indicator"
Ki-based TDI (Ki/Kinact) study medical
"InflaRx conducted a mechanistically informative Ki-based TDI (Ki/Kinact) study"
CYP3A4 medical
"does not exhibit time-dependent inhibition of CYP3A4, an important indicator"
CYP3A4 is a liver enzyme that acts like a chemical filter, breaking down a large share of prescription drugs and other substances in the body. Investors pay attention because how a drug is processed by CYP3A4 affects dosing, side effects, drug interactions, clinical trial outcomes and regulatory approvals, all of which can significantly influence a drug’s safety profile, market potential and revenue prospects.
C5a receptor (C5aR) inhibitor medical
"best-in-class oral C5a receptor (C5aR) inhibitor"
hidradenitis suppurativa medical
"In patients with hidradenitis suppurativa, over 4 weeks of therapy, izicopan provided"
A chronic skin disease marked by recurring, painful lumps and tunnels under the skin that often leak and leave scars; it behaves like a slow-burning, recurring infection in areas with many sweat glands. For investors, it matters because the condition has few consistently effective treatments and causes long-term healthcare use, making successful new drugs, devices, or diagnostics potentially high-value opportunities while also carrying clinical-trial, regulatory and reimbursement risks.
Urticaria Activity Score (UAS7) medical
"substantial reductions in the 7-day Urticaria Activity Score (UAS7) broadly"
A 7-day numeric score that measures the severity of hives and itching by adding daily ratings to produce a single number from 0 (no symptoms) to 42 (worst symptoms). Think of it as a week-long symptom report card used in clinical trials and medical practice to show whether a treatment meaningfully reduces discomfort. Investors care because changes in UAS7 are common regulatory and trial endpoints that drive drug approval, labeling and commercial prospects.
FAQ
What did InflaRx (IFRX) announce about izicopan and CYP3A4?
InflaRx announced in vitro data showing izicopan does not exhibit time-dependent inhibition of CYP3A4. A Ki-based TDI study found no CYP3A4 time-dependent inhibition up to 100 µM, supporting a low risk of clinically relevant drug-drug interactions and liver toxicity for this oral C5a receptor inhibitor.
Why is lack of CYP3A4 time-dependent inhibition important for InflaRx’s izicopan?
Lack of CYP3A4 time-dependent inhibition is important because such inhibition can cause drug-drug interactions, hepatotoxicity, or reduced metabolism of concomitant drugs. InflaRx’s data suggest izicopan avoids this mechanism, which may help minimize interaction and liver toxicity risks for patients needing multiple inflammatory disease treatments.
What prior safety data for izicopan did InflaRx (IFRX) highlight?
InflaRx highlighted first-in-human results where izicopan was well tolerated across single doses from 3 mg to 240 mg and multiple doses from 30 mg once daily to 90 mg twice daily for 14 days. No safety signals of concern were reported, supporting its continued development in inflammatory indications.
How has izicopan performed clinically in hidradenitis suppurativa studies?
In hidradenitis suppurativa, topline Phase 2a data showed rapid, clinically meaningful reductions in abscesses and nodules and draining tunnels over four weeks. Robust HiSCR responses continued to deepen four weeks after treatment, alongside substantial reductions in patient-reported pain, suggesting biologic-like efficacy potential for izicopan.
What clinical effects of izicopan were reported in chronic spontaneous urticaria?
In chronic spontaneous urticaria, InflaRx reported substantial reductions in the 7-day Urticaria Activity Score (UAS7), particularly in patients with severe disease. The company also observed improved disease control measured by the Urticaria Control Test (UCT7), supporting further evaluation of izicopan in this inflammatory condition.
What is InflaRx’s broader therapeutic focus beyond izicopan?
InflaRx focuses on anti-inflammatory therapeutics targeting complement factor C5a and its receptor C5aR. Beyond izicopan, its pipeline includes vilobelimab, an intravenously delivered anti-C5a monoclonal antibody that has shown disease-modifying activity and tolerability in multiple clinical studies across various inflammatory indications.
