Table 1.

Novel and repurposed treatments for EPP and XLP

MedicationMechanism of actionManufacturerDevelopment stage
Afamelanotide α-MSH analog Clinuvel FDA approved 
Dersimelagon Selective melanocortin-1 receptor agonist Mitsubishi Tanabe Phase 3 clinical trial 
Cimetidine Inhibition of ALAS Generic Phase 2 clinical trial 
Bitopertin Selective glycine transport inhibitor Disc Medicine Phase 2 clinical trial 
— ABCG2 transporter inhibitor — Animal models 
— Antisense oligonucleotide therapy — Animal models 
MedicationMechanism of actionManufacturerDevelopment stage
Afamelanotide α-MSH analog Clinuvel FDA approved 
Dersimelagon Selective melanocortin-1 receptor agonist Mitsubishi Tanabe Phase 3 clinical trial 
Cimetidine Inhibition of ALAS Generic Phase 2 clinical trial 
Bitopertin Selective glycine transport inhibitor Disc Medicine Phase 2 clinical trial 
— ABCG2 transporter inhibitor — Animal models 
— Antisense oligonucleotide therapy — Animal models 

α-MSH, α-melanocyte stimulating hormone; FDA, US Food and Drug Administration.

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