Table 2.

New drugs for the treatment of microcytic anemia

DrugMechanism/effectPreclinical data/clinical trial
Hepcidin analogs and mini-hepcidin Replace endogenous hepcidin Clinical trial 
Anti-TMPRSS6 (ASO, siRNA) Hepcidin inhibition Clinical trial 
FPN inhibitor VIT-2763 Blocking the hepcidin receptor Clinical trial 
Transferrin injection Decreasing transferrin receptor/reducing iron uptake Preclinical study in animal model 
Luspatercept Activin receptor IIB ligand trap/ameliorating anemia and reducing hepcidin inhibition Clinical trial 
Protoporphyrin IX Reducing iron cycling by inhibiting heme oxygenase 1 Preclinical study in animal model 
Anti–IL-6 and anti–IL-6R Reducing the hepcidin signaling pathway Preclinical study in animal model 
Anti-BMP6 MoAb Reducing the hepcidin signaling pathway Clinical trial 
BMP receptor inhibitors Reducing the hepcidin signaling pathway Preclinical study in animal model 
Antihemojuvelin MoAb Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 
Antihepcidin MoAb Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 
Antihepcidin Spiegelmer Reduced hepcidin/correction of hypoferremia/correction of anemia Clinical trial 
Antihepcidin anticalin Reduced hepcidin/correction of hypoferremia/correction of anemia Clinical trial 
Antiferroportin MoAb GDP Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 
DrugMechanism/effectPreclinical data/clinical trial
Hepcidin analogs and mini-hepcidin Replace endogenous hepcidin Clinical trial 
Anti-TMPRSS6 (ASO, siRNA) Hepcidin inhibition Clinical trial 
FPN inhibitor VIT-2763 Blocking the hepcidin receptor Clinical trial 
Transferrin injection Decreasing transferrin receptor/reducing iron uptake Preclinical study in animal model 
Luspatercept Activin receptor IIB ligand trap/ameliorating anemia and reducing hepcidin inhibition Clinical trial 
Protoporphyrin IX Reducing iron cycling by inhibiting heme oxygenase 1 Preclinical study in animal model 
Anti–IL-6 and anti–IL-6R Reducing the hepcidin signaling pathway Preclinical study in animal model 
Anti-BMP6 MoAb Reducing the hepcidin signaling pathway Clinical trial 
BMP receptor inhibitors Reducing the hepcidin signaling pathway Preclinical study in animal model 
Antihemojuvelin MoAb Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 
Antihepcidin MoAb Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 
Antihepcidin Spiegelmer Reduced hepcidin/correction of hypoferremia/correction of anemia Clinical trial 
Antihepcidin anticalin Reduced hepcidin/correction of hypoferremia/correction of anemia Clinical trial 
Antiferroportin MoAb GDP Reduced hepcidin/correction of hypoferremia/correction of anemia Preclinical study in animal model 

ASO, antisense specific oligonucleotides; BMP, bone morphogenetic protein; FPN, ferroportin; GDP, guanosine 5′-diphosphate encapsulated in lipid vesicle; IL, interleukin; MoAb, monoclonal antibodies; siRNA, short interfering RNA; VIT-2763, small molecule oral ferroportin inhibitor.

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