Why the study?
No drug has been developed that promotes thrombolysis while suppressing disease-associated bleeding or hemorrhagic transformation exacerbated by conventional thrombolytic treatments.
SMTP represents a novel class of agents that promote thrombolysis while suppressing hemorrhagic transformation in ischemic stroke models.
SMTP warrants human stroke trials; leaves open translation from animal models.
. SMTP acts as a zymogen modulator (specifically, plasminogen modulator) that alters plasminogen conformation to enhance its binding to fibrin and subsequent fibrinolysis. Certain SMTP congeners exert anti-inflammatory effects by targeting soluble epoxide hydrolase. SMTP congeners with both plasminogen modulation activity and anti-inflammatory activity ameliorate various aspects of ischemic stroke in rodents and primates. A remarkable feature of SMTP efficacy is the suppression of hemorrhagic transformation, which is exacerbated by conventional thrombolytic treatments. No drug with such properties has been developed yet, and SMTP would be the first to promote thrombolysis but suppress disease-associated bleeding. On the basis of these findings, one SMTP congener is under clinical study and development. This review summarizes the discovery, mechanism of action, pharmacological activities, and development of SMTP.
No takes yet. Share an insight, caveat, or question.
Hasumi et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: