cAMPfield is a clinical-stage biopharmaceutical company focused on developing well-tolerated and highly effective oral medicines, founded and led by industry veterans with success developing therapies for immune-mediated inflammatory diseases, including inflammatory bowel disease (IBD).
Prifemilast is an investigational, potentially best-in-class, once-daily oral PDE4B-selective inhibitor designed to set a new standard of care for IBD. Prifemilast has been well-tolerated in more than 700 clinical trial participants to date and has demonstrated robust efficacy in a Phase 3 trial for plaque psoriasis. Many clinicians and patients prefer the convenience and familiarity of oral therapies, but currently approved oral treatments for IBD are limited by poor tolerability, safety concerns, or modest efficacy. Prifemilast offers the potential to combine the convenience of an oral therapy with the safety and efficacy that patients deserve.
Executives who played key roles in the development or commercialization of Entyvio®, Humira®, Otezla® and Zeposia®




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Significant experience successfully executing global clinical development programs







cAMPfield is advancing prifemilast, a selective, once-daily oral inhibitor of phosphodiesterase 4B (PDE4B) for the treatment of IBD. PDE4 inhibition is a clinically validated mechanism in ulcerative colitis, and prifemilast has demonstrated best-in-class potential across more than 700 participants treated in clinical trials.
Cyclic adenosine monophosphate (cAMP) is a key regulator of immune cell function and helps control inflammatory responses. PDE4 enzymes break down cAMP, reducing its anti-inflammatory effects. PDE4B, a PDE4 isoform predominantly expressed in immune cells, plays an important role in regulating inflammatory signaling. Therefore, selectively inhibiting PDE4B promotes cAMP signaling and helps reduce inflammation.1
Inhibiting PDE4B in IBD leads to an increase of intracellular cAMP, which in turn leads to:
When humans carry genetic variants that alter the same molecular pathway targeted by a drug, they represent a “natural experiment” that can provide valuable insight into the therapeutic and safety effects of modulating that pathway. In 2017, a genetic analysis of more than 35,000 individuals found that loss-of-function variants in the ADCY7 gene were associated with approximately a two-fold increased risk of ulcerative colitis.2
ADCY7 encodes an enzyme that generates intracellular cAMP, a key signaling molecule that helps regulate immune responses. PDE4 inhibition similarly increases cAMP levels, but by preventing its breakdown. Taken together, these findings suggest that reduced cAMP signaling increases susceptibility to ulcerative colitis, while enhancing cAMP signaling through PDE4 inhibition has the opposite effect and helps protect against the inflammatory processes that drive disease.
PDE4 inhibitors have been safe and efficacious in numerous clinical trials, leading to regulatory approvals in multiple immune-mediated inflammatory diseases, including plaque psoriasis, psoriatic arthritis, Behçet's disease, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, and progressive pulmonary fibrosis.
Across multiple Phase 2 clinical trials, PDE4 inhibitors have also demonstrated the significant potential to effectively treat ulcerative colitis3-6; however, none have yet been advanced to Phase 3 trials or approval.
Prifemilast is a once-daily, oral PDE4B-selective inhibitor. Prifemilast has an extensive development history, including a completed Phase 3 trial in plaque psoriasis, supporting its potential to become a best-in-class oral therapy for IBD.
While PDE4 inhibitors have been demonstrated effective for treating multiple diseases, their use has historically been limited by undesirable side effects. The side effects associated with previous PDE4 inhibitors are caused by1-4:
Prifemilast more selectively inhibits the PDE4B subtype versus PDE4D. This selectivity is important because PDE4B is highly expressed in inflammatory immune cells and plays a central role in regulating the production of pro-inflammatory cytokines, whereas inhibition of other PDE4 subtypes, particularly PDE4D, has been associated with unwanted adverse effects.
In animal models, prifemilast has shown limited penetration into the brain. Additionally, prifemilast exhibits prolonged absorption, resulting in a slower rise in cAMP levels following dosing. Collectively, the enhanced selectivity, limited central nervous system penetration, and controlled absorption profile engineered into prifemilast are designed to improve tolerability relative to earlier PDE4 inhibitors. This may enable dosing that achieves optimal efficacy without the dose-limiting adverse events historically associated with the class.5
Prifemilast has an extensive development history, with more than 700 clinical trial participants exposed to date, including more than 250 participants with 52 weeks of exposure. Prifemilast was studied in a Phase 3 trial in plaque psoriasis, an immune-mediated inflammatory disease that shares overlapping pathobiology with IBD, including the IL-23/Th17 axis. The trial results demonstrate greater placebo-adjusted efficacy than has been reported to date for other PDE4 inhibitors. Prifemilast also demonstrated a compelling tolerability profile, with treatment discontinuation rates lower than those observed with placebo. Together, these findings provide clinical evidence that potent modulation of the PDE4/cAMP pathway can translate into meaningful therapeutic benefit in human inflammatory disease, supporting the potential for prifemilast to deliver differentiated efficacy in patients with IBD.5
Our pipeline is anchored by prifemilast (HY1999/HPP737), a once-daily oral PDE4B-selective inhibitor for which we are initiating a global Phase 2b study in moderate-to-severe ulcerative colitis and a global Phase 2 study in moderate-to-severe Crohn's disease. Prifemilast is also being developed in plaque psoriasis in Greater China by cAMPfield's partner, Newsoara Biopharma Co., Ltd. (Newsoara).
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cAMPfield Therapeutics launched with a $180 million Series A financing to advance prifemilast, a once-daily oral PDE4 inhibitor in-licensed from Newsoara Biopharma, into global Phase 2 trials in moderate-to-severe ulcerative colitis and Crohn's disease. The financing was led by Frazier Life Sciences.
Read the launch announcement →