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Synonyms: ACE-011 | ACE011 | ActRIIA-IgG1 | MK-7962 | MK7962 | sotatercept-csrk | Winrevair®
sotatercept is an approved drug (EMA & FDA (2024))
Compound class:
Antibody
Comment: Sotatercept (MK-7962) is a soluble activin receptor 2A (ACVR2A; ActR2) ligand trap type inhibitor. Structurally it is a fusion protein of the extracellular domain of the ActR2 and a human IgG Fc domain. In pulmonary blood vessels sotatercept sequesters ActR2 endogenous ligands (e.g. activins A and B, and growth differentiation factors 8 and 11, BMP6 and BMP7), and prevents their interaction with ActR2s to restore normal cell proliferation [3,8].
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| Targets where the ligand is described in the comment field | |
| Target | Comment |
| activin A receptor type 2B |
Ligand traps (decoys) based on the ectodomain structure of activin A receptor type 2B (ActRIIB) are proposed for therapeutic benefit in diseases/conditions that are associated with pathway activation by TGFβ superfamily ligands such as the TGFβs, bone morphogenic proteins (BMPs), activins, and Nodal. Two approved drugs, sotatercept and luspatercept, are ActRIIA/IIB and ActRIIB traps that are used to treat pulmonary arterial hypertension (PAH) and anemias, respectively. Since these original approvals, GSK/35Pharma have developed ActRIIB-based ligand trap HS235, which is proposed to selectively bind pathological activins and GDFs whilst sparing BMP-9 and BMP-10 which are essential for maintaining blood vessel and lymphatic system integrity. HS235 is intended to treat PAH, heart failure and obesity [10]. Keros Therapeutics have developed RKER-012 which also intended for PAH, via neutralisation of ligands including activins A and B, GDFs 8 (myostatin) and 11 [4]. |