Allergy

Atopic dermatitis
Atopic dermatitis (eczema) is a condition that makes skin red and itchy. It's common in children but can occur at any age. Atopic dermatitis is long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever.
Drug Targeting Immuno pathogenic Pathways of Atopic Dermatitis

Target
Biologics that target the IL-4 receptor (IL-4-R) alpha subunit can block the signaling of IL-4 and IL-13, both are key mediators of the TH2 immune response and the main driver of AD
The functions of IL-4 and IL-13 overlap, facilitated in part by shared receptor subunits, to trigger TH2.
MOA Mechanism of Action
The functions of IL-4 and IL-13 overlap, facilitated in part by shared receptor subunits, to trigger TH2.
The Mechanism of Action : JAKs inhibitor

Janus kinase (JAK)/signal transducer and activator of transcription (STAT)
pathway is a master regulator of immune function.
With a growing movement toward use of targeted therapies, JAK inhibitors are an
important focus of therapeutic research for AD.
M. A. Rodrigues et al., (2020) JAK/STAT inhibitors for the treatment of atopic dermatitis, Journal of Dermatological Treatment, 31:1, 33-40
Solimani et al., Front. Immunol., 03 December 2019
Pathophysiology of Acute and Chronic Atopic Dermatitis

Atopic dermatitis (AD) is the most common chronic inflammatory skin disease, with a prevalence of 15–20% in developed countries.
Effects of cytokines on epidermis in AD.
Disrupted epidermal barrier stimulates (KC) keratinocytes to release cytokines and activate (DC) dendritic cells and (LC) Langerhans cells.
Activated DC stimulate Th2 cells to produce IL-4, IL-5, IL-13, IL-31, and IL-33, further leading to cascades of AD symptoms.
Kim J, et al. Allergy Asthma Proc 40:84-92, 2019
Immunopathogenesis and Cytokine Networks of Atopic Dermatitis

AD is largely driven by CD4+T helper Th2 cells, but other T-cell subsets such as CD4+Th22 cells and Th17 cells are also found
The type 2 cytokines IL-4, IL-5 and IL-13 drive further pathogenesis, including eosinophil and mast cell recruitment and activation, B-cell IgEproduction and IL-31 secretion
TsakokT et al. The British Journal of Dermatology. 180(3):464-474, 2019
AR100DP1 reduces the thickness of skin and eases the symptom in DNCB-induced Atopic dermatitis mice
Naive
Atopic dermatitis
Protopic
(tacrolimus)
AR100DP1-1
AR100DP1-2
AR100DP1-3


The ARJIL sample treatment on DNCB-induced atopic dermatitis-like phenotypes in BALB/c mice




The ARJIL sample treatment on DNCB-induced atopic dermatitis-like phenotypes in BALB/c mice

The expression levels of TSLP in skin by IHC (Immunohistochemical) staining


Atopic Dermatitis Animal Experiment - Treatment Results on Mouse Ears

N: Naïve
S: Control
SV: Vehicle
Arjil drug A100
Arjil drug V2
Swelling in the treatment group was significantly alleviated.

Allergy index (IgE) levels significantly decreased.



Asthma
Asthma is a common long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, coughing, chest tightness, and shortness of breath.
Cell (THP-1) Experiment: ARH007 Active Fraction (ARH007-DS1) Can Suppress Inflammatory Cytokines and Regulate Immune Balance (Th1 and Th2).

Allergy Clinical Trials of Product
ARH007
Clinical trial hospital: Chung Shan Medical University Hospital
Atopic Dermatitis

Allergic Rhinitis

Clinical trial hospital: Chung Shan Medical University Hospital
Allergy clinical trials

Eosinophil
(inflamed indicator)
Eosinophil Cationic Protein
(Allergy indicator)

AR Drug could suppress mast cell degranulation in a dose-dependent manner

AR Drug could suppress TNF-α secretion by dendritic cells in a dose-dependent manner
