P38␣ is a protein kinase that regulates the expression of inflammatory cytokines, suggesting a role in the pathogenesis of diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus. Here, we describe the preclinical pharmacology of pamapimod, a novel p38 mitogen-activated protein kinase inhibitor. Pamapimod inhibited p38␣ and p38 enzymatic activity, with IC 50 values of 0.014 Ϯ 0.002 and 0.48 Ϯ 0.04 M, respectively. There was no activity against p38␦ or p38␥ isoforms. When profiled across 350 kinases, pamapimod bound only to four kinases in addition to p38. Cellular potency was assessed using phosphorylation of heat shock protein-27 and c-Jun as selective readouts for p38 and c-Jun NH 2 -terminal kinase (JNK), respectively. Pamapimod inhibited p38 (IC 50 , 0.06 M), but inhibition of JNK was not detected. Pamapimod also inhibited lipopolysaccharide (LPS)-stimulated tumor necrosis factor (TNF) ␣ production by monocytes, interleukin (IL)-1 production in human whole blood, and spontaneous TNF␣ production by synovial explants from RA patients. LPS-and TNF␣-stimulated production of TNF␣ and IL-6 in rodents also was inhibited by pamapimod. In murine collagen-induced arthritis, pamapimod reduced clinical signs of inflammation and bone loss at 50 mg/kg or greater. In a rat model of hyperalgesia, pamapimod increased tolerance to pressure in a dose-dependent manner, suggesting an important role of p38 in pain associated with inflammation. Finally, an analog of pamapimod that has equivalent potency and selectivity inhibited renal disease in lupus-prone MRL/lpr mice. Our study demonstrates that pamapimod is a potent, selective inhibitor of p38␣ with the ability to inhibit the signs and symptoms of RA and other autoimmune diseases.