Teriflunomide-E Isomer,(E)-2-Cyano-3-hydroxy-N-(4-(trifluoromethyl)phenyl)but-2-enamide,"rac A77 1726 is the active metabolite of Leflunomide, a potent disease-modifying antirheumatic drug used in the treatment of rheumatoid arthritis. LEF-M interferes with dendritic cell function. The second Phase III study evaluating the efficacy of Genzyme’s teriflunomide therapy against relapsing forms of multiple sclerosis found the once-daily oral drug to be no less effective than injectable interferon beta 1a (Rebif®). ",Leflunomide Impurity
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