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  3. Addex Targets Chronic Cough In Ipf With Novel Gabab Modulator
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  • 04 May 2026
  • Admin
  • News Article

Addex Targets Chronic Cough in IPF with Novel GABAB Modulator

Chronic cough is not just annoying. In diseases like Idiopathic Pulmonary Fibrosis (IPF), it’s relentless, debilitating, and poorly managed.

Now, Addex Therapeutics is taking a different approach—one that could shift how chronic cough is treated.

Why Chronic Cough in IPF Is So Hard to Treat?

IPF patients don’t just cough more. They cough differently.

  • Persistent, dry cough worsens over time
  • Standard treatments offer limited relief
  • Quality of life drops significantly

Current options are blunt tools. They suppress symptoms, but often bring side effects that limit long-term use. That’s the gap Addex is trying to fill.

A New Approach: Targeting GABAB Receptors

Instead of traditional cough suppressants, Addex is focusing on the GABAB receptor pathway. Here’s the logic:

  • GABA is the brain’s primary inhibitory neurotransmitter
  • It regulates cough reflex pathways in both the brain and lungs
  • Activating GABAB receptors can reduce cough frequency

This isn’t theoretical. The drug Baclofen already validates the mechanism. But it comes with problems:

  • Sedation
  • Short half-life
  • Reduced effectiveness over time

So Addex is doing something smarter.

Allosteric Modulation: Precision Over Force

Instead of directly activating the receptor (like baclofen), Addex is using a positive allosteric modulator (PAM). That means:

  • It enhances the receptor’s natural response
  • Doesn’t overstimulate the system
  • Offers better selectivity and tolerability

Think of it as tuning the signal, not blasting it.

What the Preclinical Data Shows?

In a bleomycin-induced IPF cough model, the results are promising.

Key findings:

  • Significant reduction in cough frequency
  • Increased cough latency (less sensitivity)
  • Sustained efficacy with once-daily dosing
  • Improved lung pathology:
    • Lower Ashcroft scores
    • Reduced fibrotic tissue involvement

Even more important, safety held up:

  • No meaningful change in respiratory rate
  • Stable body temperature
  • Good tolerability over chronic dosing

This matters. Chronic cough treatments must work long-term, not just acutely.

Beyond Cough: Addex’s Broader Pipeline

Addex isn’t a one-asset story.

Their pipeline reflects a broader bet on allosteric modulation in neurological disorders:

  • Dipraglurant (mGlu5 NAM)
    • Target: brain injury recovery (stroke, TBI)
  • Partnership with Indivior
    • GABAB PAM for substance use disorders
    • Completed IND-enabling studies
  • Stake in Neurosterix LLC
    • M4 PAM → schizophrenia, psychosis
    • mGlu7 PAM → mood disorders
  • Investment in Stalicla
    • Focus: neurodevelopmental disorders

This isn’t random. It’s a platform strategy built around precision receptor modulation.

What This Means (and What It Doesn’t)?

Let’s be clear: this is preclinical data. No human efficacy data yet for chronic cough. But:

  • The mechanism is clinically validated
  • The safety profile looks clean so far
  • The differentiation from existing therapies is real

If this translates to humans, it could offer:

  • A non-sedating chronic cough treatment
  • Better long-term efficacy
  • A targeted approach for IPF patients

That’s a big “if”—but a credible one.

The Bottom Line

Chronic cough in IPF has been stuck with suboptimal treatments for years. Addex’s GABAB PAM approach offers a more refined way forward:

  • Mechanism-backed
  • Preclinically validated
  • Designed for chronic use

Now it comes down to clinical execution. Because in pharma, promising biology is just the entry ticket.

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