Psoriasis is a chronic immune-mediated inflammatory disorder characterized by immune imbalance and keratinocyte hyperproliferation. Highly effective immunomodulators, with well-established safety profiles, have substantially transformed disease management, achieving durable remission in many patients and reshaping current therapeutic paradigms. However, several unmet clinical needs have driven increasing interest in next-generation nucleic-acid-based therapies, including siRNA, miRNA and therapeutic oligonucleotides, which enable precise and modular gene-level modulation. In this review, their therapeutic potential is summarized and key challenges - such as immunogenicity, off-target effects, delivery barriers and manufacturing scalability - are critically examined. Recent advances in biomaterials that facilitate safer and more-durable gene modulation are further summarized; and potential opportunities for future personalized strategies that complement existing biologic therapies are discussed.
The ambitions of Patient Safety and ongoing Pharmacovigilance are quite clear - making drugs and therapies as safe as they can be, so that they deliver ever better outcomes. And yet this entire endeavour is threatened by the enormous complexity in capturing meaningful, high-quality insights and acting on them swiftly. Today, tech vendors are promising the world with AI. Leave the chaos as it is, and let AI make sense of it, they say. But it is not that simple. Until regulators insist that better data is captured at source, and until the entire industry understands that AI is not a simple fix to the complexity problem, Safety functions and their patients will be no better off. In this hard-hitting article, illustrated by clear examples of what's still going wrong, Qinecsa's Daniel O'Keeffe explains why it's time for a major shift in approach to the problem of fragmented patient safety data. Drawing on the persisting challenges affecting pharma companies today, he will explain.
Understanding ligand selectivity and efficacy at melatonin (MT1, MT2) and serotonin (5-HT2C) receptors remains a key challenge in central nervous system (CNS) drug discovery. Ligands combining MT1/MT2 agonism with 5-HT2C antagonism are of therapeutic relevance in depression and circadian rhythm disorders. This review provides a comprehensive overview of ligands reported for these receptors in ChEMBL, with an emphasis on compounds evaluated across multiple targets. A pharmacophore-based approach was applied to group ligands by shared features, revealing pharmacomodulations influencing receptor selectivity and polypharmacology. Together, these insights can inspire the rational design of selective or polypharmacological ligands, offering new opportunities for multitarget drug discovery.

