Off-target binding and poor metabolic stability in GPR84 inhibition lead to clinical failure, which these specific heterocyclic substitutions mitigate through precise structural modification. Engineering these core scaffolds allows for selective antagonism of inflammatory pathways in animal models.
Single-pathway inhibition often fails to achieve complete remission in complex cardiopulmonary and inflammatory pathologies. Combining IRAK4 and BTK inhibitors addresses the limitation of redundant signaling pathways that cause treatment resistance.