About the Investigational Drug:

Reparixin is an investigational, potent, noncompetitive allosteric inhibitor of the interleukin-8 (IL-8) receptors CXCR1 and  CXCR2.1 Reducing interleukin-8 signaling may attenuate inflammatory responses by reducing neutrophil recruitment and neutrophil extracellular trap (NET) formation in severe community-acquired pneumonia, acute respiratory distress syndrome, and associated complications.2,3

During our completed phase 2 REPAVID-19 trial, patients with severe COVID-19 pneumonia who  received reparixin exhibited a lower rate of clinical events, including need for supplemental oxygen,  need for mechanical ventilation, admission to intensive care unit, or use of rescue medication compared to did those who  received standard of care.4 In addition, patients with severe COVID-19 in a completed phase 3 trial showed less progression to the need for more invasive treatment than did those who received standard of  care.5 Reparixin has been well tolerated in previous clinical trials of patients with breast cancer and  COVID-19 pneumonia, with gastrointestinal discomfort being the most widely reported side effect.4,5

Proposed Mechanism of Action

Reparixin is an investigational agent and may affect outcomes as proposed in the figure through inhibition of IL-8.1-3,6-10

References: 1.Bertini R, et al. Proc Natl Acad Sci U S A. 2004;101(32):11791-11796; 2Zarbock A et al. Br J Phamacol. 2008;155(3):357-364. 3Alsabani et al. Br J Anaesth. 2022;128:283-293. 4.Landoni G, Piemonti L et al. Infect Dis Ther. 2022;11(4):1559-1574; 5. Piemonti L, et al. Infect Dis Ther. 2023 Oct;12(10):2437-2456. 6.Hosoki et al. Clin Exp Allergy. 2019;49:130-132. 7.Russo et al. Am J Respir Cell Mol Biol. 2009;40:410-421. 8.Schraufstatter et al. Am J Physiol Lung Cell Mol Physiol. 2001;280:L1094-L1103. 9. Song et al. Respir Res. 2022;23:155. 10.Boro et al. J Immunol. 2017;199:1660-1671.