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adjuvants (ImmuMax / ImmuMax SR / adjuvants, Repros)

✓ Approved

Repros Therapeutics Inc. · Small Molecule · Small Molecule

What is adjuvants?

adjuvants is a small molecule developed by Repros Therapeutics Inc.. It is approved for therapeutic indications via unknown.

Drug Profile

Brand NamesImmuMax, ImmuMax SR, adjuvants, Repros
CompanyRepros Therapeutics Inc.
Drug ClassSmall Molecule
RouteUnknown
StatusApproved

Therapeutic Indications

adjuvants is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Surgical and medical proceduresOral appliance application✓ Approved

Related Research Articles

PubMedChemMedChem2026-11-11

Boronic Chalcones as Antibacterial Adjuvants: Antibacterial Activity, Synergy With Antibiotics and Siderophore Conjugation.

Almeida Mariana C MC, Lopes Juliana Romano JR, Palmeira Andreia A, Costa Inês I et al.

Antibacterial resistance has reached critical levels and constitutes a global health emergency. Boronic acid derivatives have emerged as promising antibacterial adjuvants, particularly due to their β-lactamase inhibitory potential. Given the growing interest in siderophore-mediated drug delivery as a strategy to enhance antibacterial efficacy, two novel conjugates combining a boronic acid-chalcone derivative with monocatechol siderophore mimetics were synthesized. First, a series of boronic acid-containing chalcones was screened against a panel of bacterial species, including reference strains and clinical isolates. The potential synergistic effects of these compounds in combination with clinically relevant antibiotics, namely oxacillin, vancomycin, and cefotaxime, were also assessed. Five compounds (4-8) exhibited antibacterial activity against Staphylococcus aureus and Enterococcus faecalis (MICs = 16-64 µg/mL) and demonstrated synergistic effects with oxacillin against methicillin-resistant S. aureus (MRSA). Docking studies targeting both the active and allosteric sites of PBP2a were also performed for the most promising compounds, allowing the identification of plausible binding modes at both sites. Two boronic-chalcone conjugates (16-17) with siderophore mimetics were prepared by direct esterification and demonstrated slight improvements in activity against S. aureus. A preliminary cytotoxicity assessment of all compounds indicated a limited selectivity window, highlighting the need for further structural optimization.

PubMedNPJ vaccines2026-11-11

A structure-guided trivalent subunit vaccine confers maternal protection to neonatal piglets against PEDV and PDCoV.

Liu Jia J, Chen Longping L, Li Dan D, Wang Zhuo Z et al.

Antigenic divergence among porcine epidemic diarrhea virus (PEDV) genotypes and porcine deltacoronavirus (PDCoV) limits the cross-protection provided by current commercial vaccines. Here, employing a structure-guided antigen design strategy, we developed a trivalent subunit vaccine concurrently targeting PEDV G2a, PEDV G2b, and PDCoV. The vaccine antigen set comprises optimized spike ectodomain antigens, featuring stabilizing mutations, a heptad repeat 2 (HR2) deletion, a fused neutralizing epitope, and a flagellin adjuvant fused to the N-terminus. Formulated with MF59+CpG adjuvants, this trivalent vaccine elicited robust PEDV- and PDCoV-specific neutralizing antibody responses and Th1/Th2-associated cellular immune responses characterized by IFN-γ, IL-2, and IL-4 production in mice. Immunization of pregnant sows with 300 μg dose induced high-titer IgG, IgA, and colostral secretory IgA (SIgA) against all three target viruses. Although neutralizing antibody titers were comparable between the 100 μg and 300 μg dose groups, the 300 μg group showed higher and more persistent levels of colostral binding IgG and SIgA. Following maternal immunization, piglets that acquired maternal antibodies through colostrum exhibited reduced clinical diarrhea, lower fecal viral RNA shedding, and less severe intestinal lesions after challenge with PEDV G2a, PEDV G2b, or PDCoV. These findings support this structure-guided trivalent subunit vaccine as a promising candidate for maternal immunization against co-circulating porcine enteric coronaviruses.

PubMedMicrobiome2026-11-11

Adjuvant commensal therapy enhances antibiotic efficacy against Staphylococcus aureus.

Chang Chun-Chi CC, Demeter Tomas T, Gómez-Mejia Alejandro A, Barcik Weronika W et al.

Staphylococcus aureus is a common human pathobiont whose nasal colonization represents a major risk factor for subsequent infection. The prevalence of antimicrobial resistance, coupled with antibiotic-induced microbiota perturbation, has rendered S. aureus-associated infections increasingly difficult to treat. Commensal bacteria have emerged as potential modulators of both host immune responses and pathogen pathogenesis; however, whether they can act as therapeutic adjuvants to enhance treatment outcomes in S. aureus-associated infections remains unclear. Here, we assess the efficacy of commensal bacteria as an adjuvant therapeutic strategy. Using A549 Dual™ reporter cells, we demonstrate that commensals and pathobionts elicit distinct activation profiles of NF-κB and interferon regulatory factor (IRF) signaling pathways and differential IL-8 production. In a 3D humanized airway tissue model, D. pigrum significantly enhanced antibiotic-mediated reduction of S. aureus survival relative to antibiotic treatment alone (D. pigrum KPL1914: 37.3% reduction, 95% CI 2.0-72.6%, Padj = 0.0340; D. pigrum AMBR11: 48.1% reduction, 95% CI 2.3-93.9%, Padj = 0.0356), while preserving barrier integrity and augmenting pro-inflammatory cytokine responses. However, the loss of efficacy with heat-killed D. pigrum indicates that viable bacteria and active host- and/or pathobiont-directed interactions are required to mediate its anti-S. aureus effects. Dual RNA-seq transcriptomic analysis revealed enrichment of host inflammatory pathways and reduction of S. aureus pathogenic potential during D. pigrum antibiotic adjuvant treatment in the airway tissue model. Furthermore, co-culture experiments revealed that D. pigrum constrains core metabolic pathways in S. aureus. These findings demonstrate that D. pigrum limits S. aureus through both host immune modulation and direct suppression of bacterial pathogenesis and adaptive fitness, supporting its potential as a microbiota-based therapeutic adjuvant to enhance antibiotic efficacy against S. aureus-associated infections. Video Abstract.

PubMedMicrobiology spectrum2026-11-11

A dual-action combination therapy targeting bacteria and host immunity against bacterial infections.

Liu Yanjun Y, Zheng Anni A, Zhang Hongfang H, Lu Xingyue X et al.

The escalating crisis of antimicrobial resistance, coupled with a stagnant novel antibiotic discovery pipeline, underscores the urgent need for innovative strategies to combat bacterial infections. The development of antibiotic adjuvants that increase the efficacy of existing drugs represents a critical approach for addressing this challenge. We demonstrate that combining the conventional antibiotic azithromycin with the quorum-sensing inhibitor norharmane exerts potent antibacterial effects through both direct bactericidal activity and host immune activation. This combination not only disrupts bacterial structural integrity but also promotes macrophage polarization toward the M1-type phenotype and upregulates the expression of the important mediator, Muc5b, through activation of the IL-17 signaling pathway, ultimately enhancing mucosal immune defense and tissue repair functions. This regimen shows potent antibacterial efficacy against a range of pathogens in vitro and in vivo, along with a favorable safety profile. These findings highlight a promising combinatorial therapeutic strategy against the growing threat of antibiotic resistance. Antibiotic resistance has become one of the most urgent threats to global public health, yet the development of new antibiotics has slowed dramatically. In this study, we propose a promising alternative strategy that combines azithromycin with a small-molecule compound capable of inhibiting bacterial quorum sensing. This combination not only kills bacteria more effectively than the antibiotic alone but also harnesses the body's own immune system to fight infection. Its mechanisms of action include disrupting bacterial structure, promoting the polarization of macrophages toward the M1-type phenotype, and enhancing bactericidal capacity by activating the IL-17 signaling pathway to stimulate the production of the Muc5b protein. Our findings suggest that this dual-pronged approach could help revitalize existing antibiotics, offering a practical pathway to combat drug-resistant infections.

PubMedACS applied materials & interfaces2026-11-10

Poly-γ-Glutamic Acid-Modified Carbon Dots as an Enhanced Immune-Activating and Antigen-Delivering Nano-adjuvant for Improved Influenza Vaccine Efficacy.

Kim Jungho J, Yeom Chang-Hun CH, Yang Jihyun J, Poo Haryoung H

Vaccine adjuvants are essential components that enhance immune responses to antigens with limited intrinsic immunogenicity and shape the magnitude and quality of adaptive immunity. Although conventional adjuvants effectively stimulate innate immunity, their use is often limited by safety concerns or inefficient antigen delivery. Consequently, biologically derived and biodegradable biomaterials have gained attention as potent vaccine adjuvants. Among them, poly-γ-glutamic acid (γ-PGA) is a naturally derived biopolymer with intrinsic immunostimulatory activity that activates innate immune signaling and promotes cellular immune responses. However, γ-PGA alone shows limited antigen delivery efficiency, which can restrict formulation reproducibility and immune potency. Here, we report γ-PGA-modified carbon dots (PGA-CDs) as a rationally designed nano-adjuvant integrating γ-PGA-mediated immune activation with efficient antigen delivery. Compared with γ-PGA, PGA-CDs exhibited faster and more sustained cellular association, thereby inducing stronger dendritic cell maturation and proinflammatory cytokine production. They readily formed stable nanocomplexes with protein antigens, enhancing cellular uptake and antigen cross-presentation. In vivo, PGA-CDs formulated with ovalbumin elicited strong antigen-specific humoral and cellular immune responses. When combined with hemagglutinin (HA) from pandemic influenza A/California/04/2009 (pH1N1), PGA-CDs induced HA-specific humoral responses comparable to alum, while eliciting significantly stronger antibody and T cell responses than γ-PGA alone, resulting in complete protection against lethal viral challenge. Notably, HA/PGA-CDs also elicited more robust homosubtypic cross-reactive immunity than alum against influenza A/Puerto Rico/8/1934 (H1N1), conferring complete protection. Furthermore, PGA-CDs were well tolerated in vivo, with no detectable hematological or histopathological abnormalities. Collectively, these findings establish PGA-CDs as a promising vaccine adjuvant platform that enhances antigen delivery, amplifies immune activation, and broadens protective efficacy.

PubMedThe Journal of antibiotics2026-11-10

A triazole-quinoline derivative of 5-O-mycaminosyltylonolide exhibits potent activity against multidrug-resistant Enterobacterales in combination with SPR741.

Kimishima Aoi A, Kamo Taichi T, Matsui Hidehito H, Hamamoto Hiroshi H et al.

We identified a triazole-quinoline derivative (compound 7) of a 16-membered macrolide that exhibits enhanced antibacterial activity against Gram-negative pathogens. While the parent compound OMT showed limited activity, compound 7 exhibited enhanced potency, which was further markedly potentiated by the clinically evaluated outer membrane permeabilizer SPR741. In the presence of SPR741, MIC values of compound 7 were reduced to ≤1 μg/mL against multiple Gram-negative species, including multidrug-resistant Escherichia coli and Klebsiella pneumoniae carrying macrolide resistance determinants. Synergistic interactions were confirmed (FIC ≤ 0.5). Importantly, the combination demonstrated therapeutic efficacy in a silkworm infection model (ED50 = 42 mg/kg). These findings support a drug repurposing strategy in which structurally optimized macrolides, combined with clinically relevant adjuvants, can overcome intrinsic and acquired resistance in Gram-negative pathogens, highlighting their translational potential.

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