Skip to main content

Table 3 Clinical trial of targeting directly/indirectly the NLRP3 inflammasome in stroke and diabetes

From: NLRP3 inflammasome as a potential treatment in ischemic stroke concomitant with diabetes

 

Target

Drug regimen

Main finding

Reference

Stroke patients

IL-1 receptor antagonist (IL-1Ra)

(anakinra)

100 mg twice daily for 3 day in patients presenting within 5 hours of the ischemic stroke onset

Reduction of plasma IL-6 and plasma CRP for the first 3 days

[98]

IL-1beta antibody (canakinumab)

A dose of 150 mg every 3 months

Lower rate of recurrent cardiovascular events

[99, 100]

NLRP3 inhibitor drugs (atorvastatin)

80 mg/day

Lower plasma levels of IL-1β, CRP, TNF-a, and other immune-inflammatory markers at 72 h and 7 days after stroke

[101]

Diabetic patients

IL-1 receptor antagonist (IL-1Ra)

(anakinra)

Lasting a 52-week treatment

Improvement of the fasting ratio of proinsulin to insulin (PI/I); reduction of plasma IL-6 and CRP

[69]

IL-1beta antibody (canakinumab)

Canakinumab 150 mg

Improving ISR relative to glucose 0–0.5 h in patients treated with insulin

[102]

IL-1beta antibody (LY2189102)

LY2189102 (0.6, 18, and 180 mg) administered weekly for 12 weeks

Reduction of hemoglobin A1c (HbA1c), fasting and postprandial glucose, hs-CRP, and IL-6

[103]

  1. IL-1Ra IL-1 receptor antagonist, CRP C-reactive protein, hs-CRP high-sensitivity C-reactive protein, HbA1c hemoglobin A1c