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5.1 Brensocatib (AZD7986) Brensocatib represents an oral, selective DPP1 inhibitor initially developed by AstraZeneca (AZD7986) ( Compared to earlier DPP1 inhibitors, brensocatib achieved significant safety improvements, effectively addressing toxicity issues present in previous generation compounds ( In vitro studies demonstrate that brensocatib has nanomolar-level inhibitory activity against human DPP1 while exhibiting excellent selectivity over related proteases such as DPP4 and DPP8/9 ( 5.2 BI 1291583 BI 1291583 represents a novel DPP1 inhibitor developed by Boehringer Ingelheim, designed to reduce lung NSP activity levels by inhibiting DPP1 activity, thereby restoring the disrupted protease-antiprotease equilibrium in bronchiectasis patients