We have previously shown that inhibitors of IB kinase  (IKK), including 4(2Ј-aminoethyl)amino-1,8-dimethylimidazo(1,2-a)quinoxaline (BMS-345541), are efficacious against experimental arthritis in rodents. In our efforts to identify an analog as a clinical candidate for the treatment of autoimmune and inflammatory disorders, we have discovered the potent and highly selective IKK inhibitor 2-methoxy-N-((6-(1-methyl-4-(methylamino)-1,6-dihydroimidazo [4,5-d]pyrrolo [2,3-b]pyridin-7-yl)pyridin-2-yl)methyl)acetamide (BMS-066). Investigations of its pharmacology in rodent models of experimental arthritis showed that BMS-066 at doses of 5 and 10 mg/kg once daily was effective at protecting rats against adjuvant-induced arthritis, despite showing only weak inhibition at 10 mg/kg against a pharmacodymanic model of tumor necrosis factor ␣ production in rats challenged with lipopolysaccharide. The duration of exposure in rats indicated that just 6 to 9 h of coverage per day of the concentration necessary to inhibit IKK by 50% in vivo was necessary for protection against arthritis. Similar findings were observed in the mouse collagen-induced arthritis model, with efficacy observed at a dose providing only 6 h of coverage per day of the concentration necessary to inhibit IKK by 50%. This finding probably results from the cumulative effect on multiple cellular mechanisms that contribute to autoimmunity and joint destruction, because BMS-066 was shown to inhibit a broad spectrum of activities such as T cell proliferation, B cell function, cytokine and interleukin secretion from monocytes, T H 17 cell function and regulation, and osteoclastogenesis. Thus, only partial and transient inhibition of IKK is sufficient to yield dramatic benefit in vivo, and this understanding will be important in the clinical development of IKK inhibitors.The multisubunit IB kinase (IKK) complex is essential in transducing the signal-inducible activation of the transcription factor NF-B in response to proinflammatory stimuli. In the "canonical" pathway of NF-B activation, the IKK complex catalyzes the phosphorylation of IB proteins at specific serine residues, which triggers a subsequent ubiquitination and proteolysis of IB, leaving NF-B free to translocate to the nucleus (Ghosh and Karin, 2002). This multisubunit IKK complex is composed of two catalytic subunits, termed IKK␣ and IKK, and a regulatory subunit termed NEMO (or IKK␥), which mediates upstream signals into activation of Article, publication date, and citation information can be found at