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Brensocatib significantly extended time to first acute exacerbation and reduced acute exacerbation frequency in both the Phase II WILLOW study and Phase III ASPEN study ( Insmed has announced plans to rapidly advance brensocatibs US marketing application, and if approved, it is expected to be marketed in the United States by mid-2025 ( 8.2 COPD COPD represents another therapeutic area with important application potential for DPP1 inhibitors ( Neutrophil-mediated inflammatory responses are considered to play key roles in COPD pathogenesis ( Currently, COPD treatment mainly includes bronchodilators, inhaled corticosteroids, and phosphodiesterase-4 inhibitors, but these therapeutic approaches have relatively limited effects on neutrophil-mediated inflammation ( Although there are currently no large-scale clinical trials of DPP1 inhibitors specifically for COPD, based on positive results in bronchiectasis studies and mechanism of action analysis, DPP1 inhibitors are expected to provide new treatment options for COPD patients, particularly those with neutrophil inflammation as the main characteristic phenotype may achieve more significant therapeutic benefits

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