PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
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LILLE 30TH NOVEMBER & 1ST DECEMBER PRESENTATION SESSIONS The one-stop shop to engage new partnerships for life sciences innovative projects TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS LILLE www.biofit-event.com
CONTENT INTRODUCTION TECHNOMARKET / 4 LICENSING OPPORTUNITIES INTRODUCTION START-UP SLAMS 5 AGENDA 6 TECHNOMARKET / LICENSING OPPORTUNITIES 9 ONCOLOGY 10 NEUROLOGY/CARDIOLOGY 22 INFECTIOLOGY AND VACCINES 35 RESEARCH TOOLS 43 START-UP SLAMS 47 3
TECHNOMARKET / LICENSING OPPORTUNITIES To foster alliances and business development opportunities on innovative projects, SATT Network (the association of the French TTOs) & BioFIT joint their initiatives to organise the TechnoMarket and Licensing Opportunity Presentations. Let’s discover the latest innovations in: • RESEARCH TOOLS • ONCOLOGY • NEUROLOGY/CARDIOLOGY • INFECTION AND VACCINES During the two-day event, you can discover 30 licensing opportunities selected by a jury of experts in the poster area in the Innovation area and listen to their pitches in Van Gogh 3 room. ORGANISED BY 4
S TA R T- U P S L A M S The Start-up Slams are dedicated to young entrepreneurs (≤ 5 years) who are thin- king about creating or have created an innovative company and having an overall strategy to present. During the presentations, the selected candidates will present their overall strategy to potential partners and investors who could support their company and receive feedback and advice by experienced pharmas and VCs on how to advance it. PA N E L O F A DV I S O R S • Sarah HOLLAND, BD&L Business Partner, General Medicines and Emerging Markets Business Unit (FR) • Esther LANGE, Industry Liaison Manager, ASCENION (DE) • Cécile THÉARD-JALLU, Partner Attorney, DE GAULLE FLEURANCE & ASSOCIÉS (FR) • Sara NUNEZ GARCIA, Principal, SOFINNOVA PARTNERS (FR) • Stephan LENSKY, COO and CBO, EPIMAB BIOTHERAPEUTICS (DE) • Nicolas CARBONI, President and CEO, CONECTUS ALSACE (FR) • Guy HÉLIN, Chief Executive Officer, SYNGULON (BE) • Christian POLICARD Member of the board and Chairman of the Business Development Sub-Committee, FRANCE BIOTECH (FR) ORGANISED BY 5 LILLE
AG E N DA 3 0 TH N O V E M B E R VA N G O G H 3 R O O M TECHNOMARKET / LICENSING OPPORTUNITIES ONCOLOGY • Diagnostic and stratification of colorectal cancer for a better management of patient care protocol - SATT • New peptide-based drug with anti-angiogenic properties - SATT 9. 4 5 A M • Poly(2-oxazoline)s for a new generation of Cancer Drug Delivery 11 .0 0 A M • Potent blocker of HER2 receptor for treatment of metastatic breast cancer - SATT • Kinase Inhibitors & Cancer - SATT • Small molecule lead compounds for colorectal cancer treatment through TNIK modulation • ProNGF: New target to counter resistance mechanisms in breast cancer - SATT • Dual PI3K and mTOR inhibitors as promising drugs to treat cancer - SATT S TA R T- U P S L A M S • APTEEUS 2.30 PM • VitamFero S.A. 4 .0 0 P M • ViroVet • Sencet • Kangstem Biotech Co., Ltd. • NOVAPTECH TECHNOMARKET / LICENSING OPPORTUNITIES NEUROLOGY - CARDIOLOGY • A Preventing neuropathic pain induced by mastectomy - SATT • Neuropain and chronic pain prevention - SATT • DIVE: Dopaminergic stimulation by continuous intracerebro ventricular 4.30 PM delivery of anaerobic dopamine in Parkinson’s disease - SATT 6 .0 0 P M • Biomarkers for the diagnosis of dementia with Lewy bodies • New generation of neuroprotectants: an original way to treat and prevent acute and chronic neurological diseases - SATT • Preventing neuropathic pain induced by chemotherapy - SATT 6 • CARMIDO - SATT • Therapeutic potential of a molecule that modulates platelet function and thrombosis - SATT
AG E N DA 1 ST D E C E M B E R VA N G O G H 3 R O O M TECHNOMARKET / LICENSING OPPORTUNITIES I N F E C T I O L O G Y A N D VA C C I N E S • Bioactive Prosthesist - SATT 9. 45 A M • First effective vaccine against chlamydia infection - SATT 11.0 0 A M • Influenza antivirals - SATT • Adenoviral coat protein delivery vehicles for use as a vaccine platform • FibroCOPD - SATT • New antibody fragments to treat ocular toxoplasmosis - SATT • New small molecules to purge HIV reservoirs - SATT S TA R T- U P S L A M S • e-Zyvec 11.3 0 A M • Spectralys Biotech 1.00 P M • CEFO Co., Ltd • Immune InsighT • 1CryoBio AG TECHNOMARKET / LICENSING OPPORTUNITIES RESEARCH TOOLS 2. 30 P M • A rapid NTP-transporter as a tool for staining DNA in living cells 3.15 P M • MAGIA - SATT • Disruptive mixed in vitro-in-silico approach for protein engineering and screening • iBodies: Modular Polymer-Based Synthetic Antibodies 7
TECHNOMARKET / LICENSING OPPORTUNITIES
ON COLOGY Diagnostic and stratification of colorectal cancer for a better management of patient care protocol Key words lorectal cancer recurrence risk in order to • Colorectal cancer select the best therapy to treat it. It gives • Cancer stem cells the pathologist new data, a cancer stem • Cancer aggressiveness cell scoring, that could be associated to cancer aggressiveness indicator and a Technology predictor of cancer recurrence. The product is a new diagnostic kit with This new diagnostic tool is particularly a high capacity to stratify colorectal interesting for early stages of colorectal cancer. cancer (stage I or II) for which a chemo- This is an immunohistochemistry test therapy treatment may not be indicated, that can be easily added to standard although a real recurrence risk exists. anatomopathological procedures. This new product is selective of cancer stem Market cells and based on their occurrence that Colorectal cancer is the second leading provide data on cancer aggressiveness cause of mortality among cancer patients and potential recurrence rate. This test in the world and is the third most dia- uses markers that recognize biomarkers gnosed cancer globally. Populations are expressed only on colorectal cancer stem aging and colorectal incident case rates cells surface. are increasing in all the markets covered. The product has already been successful- Overall, across the 7 major markets (US, ly tested in a retrospective clinical study 5EU (France, Germany, Italy, Spain, the using biopsies and patient survival rates UK), Japan), the incidence of colorec- at 5 years. The results show a strong sta- tal is expected to increase by an Annual tistical correlation between the specific Growth Rate (AGR) of 1.5% from 2013- biomarker titer and the patient survival 2023. rate. In that way, this new immunohisto- The market size for our technology in- chemistry test will provide the patholo- cludes in particular population with stage gist with a new aggressiveness score for I or II colorectal cancers. colorectal cancer. The goal is to improve Partnership sought patient care protocol and treatment and decrease the risk of cancer recurrence. Available for co-development and/or licensing out: Diagnosis company. Applications The newly developed kit will be useful and beneficial to assess the level of co- 10 SATT GRAND CENTRE Magali Granger magali.granger@sattgc.com
ON COLOGY New peptide-based drug with anti-angiogenic properties Key words Market • New peptide-based drug According to a new report released by • Anti-angiogenic properties the IMS Institute for Healthcare Informa- • Interaction TSP-1:CD47 tics, total global spending on oncology medicines – including therapeutic treat- Technology ments and supportive care – reached the Thrombospondin-1 (TSP-1) is a large $100 billion threshold in 2014. Oncology matricellular glycoprotein found to be drug spending has risen slightly as a overexpressed within tumor stroma in percentage of total drug spending over several cancer types.TSP-1 binding to the past five years in all regions, most CD47 is widely reported to regulate notably in the EU5 countries where onco- cardiovascular function as it promotes logy now represents 14.7 percent of total vasoconstriction and angiogenesis limi- drug spending. tation. Therefore, many studies focused on targeting TSP-1:CD47 interaction, ai- Competitors ming for up-regulation of physiological This important therapeutic domain is angiogenesis to enhance post-ischemia attractive and a lot of biopharmas are in recovery or to facilitate engraftment. competition… The top 10 pharma compa- Thus, we sought to identify an innova- nies by oncology sales are Roche, Novar- tive selective antagonist for TSP-1:CD47 tis, Celgene, Johnson & Johnson, Bristol- interaction. Protein-protein docking and Myers Squibb, Lilly, Takeda, AstraZeneca, molecular dynamics simulations were Merck & Co. and Amgen. Nevertheless, a conducted to design this drug peptide. lot of biotechs are also developing per- TAX2 binds TSP-1 to prevent TSP-1:CD47 tinent approaches, tools, molecules, bio- interaction, as revealed by ELISA and co- logics to tackle the cancer progression. immunoprecipitation experiments. TAX2 Partnership sought peptide molecular targets (TSP-1, CD47 and CD36) are overexpressed within Partnerships to achieve the development human pancreatic and ovarian tumors. in the best therapeutic application and/ or out-licensing: Biotechs, Big Pharms. Applications Design and validation of a new mole- cular agent able to disrupt TSP-1:CD47 molecular interaction and exhibiting robust anti-angiogenic, anti-tumor and anti-metastatic properties for new inno- vative therapeutic approaches against malignant diseases. 11 SATT NORD Anthony Daccache anthony.daccache@sattnord.fr
ON COLOGY LILLE Poly(2-oxazoline)s for a new generation of Cancer Drug Delivery Technology drug release and high drug loading. The combination of polymers and phar- The inclusion of these features in the maceuticals is enabling the development current polymer systems is cumbersome, of advanced drug delivery systems pro- and has triggered the search for alterna- viding high efficacy while minimizing tive polymer platforms better suited for side-effects. Polymers enhance drug polymer therapeutics. solubilization, stability, bioavailability and Our technology: The versatile polymer pharmacokinetics, while also allowing the platform for the new generation chemo- introduction of targeting units, thereby therapy Poly(2-oxazoline)s (abbreviated dramatically improving the pharmaceu- as PAOx, POx or POZ), set themselves tical value of the active pharmaceutical ahead as they display all the required ingredient (API). Due to their specificity, features for the ideal polymer platform new generation chemotherapy is the for novel biomedical applications. Due medical discipline that can most bene- to their structural analogy to natural fit from the conjugation of APIs and polypeptides, PAOx are biocompatible, polymers. exhibit the so-called stealth behavior Polymer conjugation is applicable to (they are not recognized by the immune either low molecular weight drugs, system), and benenfit from tunable peptides or proteins. A water soluble properties and high functionalization polymer can confer several properties to possibilities (Bioconjugate Chem. 2011, the linked molecules: i) increased half- 22, 976-986, Macromol. Rapid Commun. life due to reduced kidney clearance, ii) 2012, 33, 1613-1631, J. Mater. Sci.: Mater. protection against degrading enzymes Med. 2014, 25, 1211-1225). or reduced uptake by reticulo-endothe- At Ghent University, Belgium, we have lial system (RES), thanks to the polymer developed methods to produce defi- steric hindrance iii) augmentation of ned PAOx with tunable physicochemical water solubility, particularly relevant for properties (from more hydrophilic than some anticancer drugs with low solubi- PEG to thermoresponsive), very nar- lity, iv) prevention of immunogenicity of row molar mass distribution (dispersity proteins and v) selective tumor accu- < 1.10, WO2016/008817), and high purity mulation (Adv. Drug Deliv. Rev. 2009, 61, (> 99 %). 1177–1188, Special issue: Advanced func- As with other polymers, PAOx allow the tional polymers for medicine. Macromol introduction of functionality in the poly- Biosci. 2011, 11, 1613–768). mer chain-ends, an ideal place to locate Since the development of the first po- targeting units for targeted drug release lymer-protein conjugates 25 years ago and/or labels for monitoring. Importantly, (Adagen), polyethylene glycol (PEG) has PAOx also allow the introduction of mul- been widely used in the clinic. The suc- tiple reactive handles along the polymer 12 cess of PEG has paved the way for the chain, enabling the conjugation of mul- current development of the next gene- tiple APIs. This key feature grants PAOx ration of polymer-drug systems, so-cal- with the ability to overcome the current led polymer therapeutics which incor- limitation of polymer therapeutics, their porate stimuli-responsiveness, targeted low drug loading capacity, and facilitates
ON COLOGY LILLE to develop combination therapies as one gressive manner. Followed by one single individual chain can carry different APIs. subcutaneous injection, this conjugate We have developed proprietary linking provided sustained plasma levels of the technology (WO2013/103297) to connect API during a period of seven days, hi- multiple APIs to the polymer chain with ghly increasing the quality of life of the the ability to provide controlled release. patient. Polymer hydrophilicity, chain length, and In the field of cancer treatment, antibo- the number and nature of the functional dy-drug conjugates (ADCs) hold a great groups incorporated can be precisely promise as they have the ability to reco- tuned to obtain the optimal drug carrier. gnize low receptor density targets in the As such, our PAOx technology consti- cancer cell. Unlike conventional treat- tutes an ideal platform to be broadly ments that damage healthy cells upon applied for the development of highly dose escalation, ADCs specifically bind effective cancer treatments. to the tumor tissue to deliver the che- motherapeutic agent. This extremely Applications efficacious class of cancer therapy has Our technology serves as a platform bloomed in the recent years with dozens to highly increase the pharmaceutical of new ADCs entering the clinical pipeline value of APIs, therefore opening a range (Biosci. Rep. 2015, 35, e00225, Pharma- of applications as wide as the APIs used col. Rev. 2016, 68, 3-19). in combination with our polymers (J. Ma- Most current ADCs are based on direct ter. Sci.: Mater. Med. 2014, 25, 1211-1225). connection of the drug to the antibody, As previously discussed, highly potent limiting the antibody to drug ratio (DAR) but highly hydrophobic drugs can greatly to approximately 4, before interfering benefit from our technology, as the poly- with the antibody activity. Conjugation mer increases the solubility of the drug. of the antibody as targeting unit to one or The ability of carrying numerous drug several PAOx chains enables the prepara- molecules per polymer chain also enables tion of high capacity ADCs that can not the use of PAOx as a drug depot for sus- only improve current treatments but also tained release and the development of enable successful targeting of more spe- highly effective targeted therapies. Both cific antigens with lower expression in the these fields of application are current- cancer cell (Eur. Polym. J., 2016, in press, ly being explored and will lead to first DOI: 10.1016/j.eurpolymj.2016.09.052). FDA-approved PAOx-based therapy to In all, the synergy of PAOx and suitable date (Eur. Polym. J., 2016, in press, DOI: APIs and targeting units presents itself 10.1016/j.eurpolymj.2016.09.052). In par- as a great opportunity to develop a new ticular, Serina therapeutics has developed generation of chemotherapeutics. a polymer therapeutic for the treatment of Parkinson’s disease that, when appro- Market 13 ved, will provide a major advancement in Since our technology is a technology the field. In this work, PAOx was conjuga- platform for a wide variety of applica- ted with multiple rotigotine units along tions it is not possible to give a speci- the polymer chain via cleavable linkers fic market size or number of customers. that release the drug in a controlled, pro- The total global oncology drug delivery
ON COLOGY LILLE market was >$95 billion in 2014 domi- with 50 unique ADCs. Analysis expects nated by 5 major cancer drug manufac- the overall ADC-market to be worth $10 turers (Roche, Novartis, Eli Lilly, J&J and billion annually by 2024 with 7-10 new Merck) together having a market share > commercial launches. PAOx-technolo- 75%. Although the oral drug prescriptions gy allows higher DARs (Drug Antibody are increasing, intravenous infusion drug Ratio) easily up to 10 or 20 drug units delivery is expected to keep dominating per antibody via conjugation on the poly- the market. mer chain. We believe that PAOx has a Nano vehicles (drug carriers) have be- high added value in the more advanced come a hot topic of research in industry polymeric therapeutics as the side-chain to make oral forms of drugs more effec- drug loading and easy tunability are strong tive. The last decades of research are assets of PAOx that are lacking in current focused on exploring the treatment of technologies. cancer at its molecular level and polymer Competitors therapeutics is establishing as an innova- tive and reliable approach for its ability to Polyethylene glycol (PEG) constitutes create synergies with proteins, enzymes, the gold standard in polymer therapeu- nanoparticles, liposomes and low mole- tics and, in addition to one commercial cular weight drugs. In this regard, polye- product –Doxil-, several PEGylated anti- thylene glycol (PEG) is the gold standard cancer drugs are currently undergoing and has been effectively employed to clinical trials. However, PEG has some achieve better therapeutic index of anti- important drawbacks and limitations. cancer drugs: this includes PEGylated PEG can only be functionalized at the protein or antibody fragments, PEGyla- chain ends, highly limiting its capacity ted cytokines, PEGylated low molecular as drug carrier (J. Control. Release, 2008, weight anticancer drugs, PEGylated na- 25, 87-95). This feature constrains PEG noparticles, PEGylated smart polymers, mainly to micellar systems and prevents and PEGylated polymeric micelles. The its broader application in polymer thera- global PEG-market has growth expecta- peutics and antibody-drug conjugates. tions towards $16 billion in 2020 to $27 PEG has also limitations in the develop- billion in 2030. We believe PAOx has the ment of the so-called smart or stimuli- potential to take a considerable share of responsive systems. Developing novel this market in the future, especially as thermoresponsive systems based on it can open new development avenues PEG is not possible unless it is coupled to unattainable by PEG, but only from the other thermoresponsive polymers, such moment it receives FDA approval. as low temperature-sensitive liposomes, In the war against cancer, Antibody Drug introducing undesirable complexity in the Conjugates will be a game changer. system. 14 At present, two ADCs (Adcetris® and Kad- Most importantly, the observation cyla®) are on the market. Stimulated by of anti-PEG antibodies in 25% of the these successful examples, the number of population never treated with PEG, due to companies entering the field of ADC the- its ubiquity in cosmetics and food addi- rapeutics has risen enormously. Currently tives, constitutes a risk to the efficacy of there are over 200 ongoing clinical trials future PEG-based therapies (Cancer, 2007,
ON COLOGY LILLE 110, 103-111). research projects. For instance, PAOx for Technical limitations aside, the profuse peptide and protein conjugation (e.g. PA- number of patents protecting a variety Oxylation as alternative to PEGylation), of compositions and applications of for instance conjugation of multiple small PEG-based formulations hinders fur- molecules or combination therapy, for de- ther research and development on novel velopment of polymeric micelle delivery therapies. systems, for targeted delivery systems The improved properties and tremen- and antibody drug conjugates with high dous versatility of PAOx make them not loading via PAOx conjugation. only a strong competitor for PEG-based Pharmaceutical companies, biotech or bioconjugates but also suitable for new academic research teams that: advances in cancer medicine. PAOx can • are looking for advanced drug delivery fill the requirements in high drug loading, systems responsiveness, controlled drug delivery, • want to enhance the retention time novel drug formulations or next genera- and therapeutic potential of their thera- tion antibody-drug-conjugation (Macro- peutics such as proteins, enzymes, small mol. Rapid Commun. 2012, 33, 1648, Eur. molecules, liposomes or nanoparticles Polym. J., 2016, in press, DOI: 10.1016/j. • are looking for alternatives to PEG eurpolymj.2016.09.052). Although today and PEGylation (called PAOxylation or PAOx has no FDA approval, the success POZylation) of the ongoing clinical trials (Phase • are looking for delivery vehicles with I, https://clinicaltrials.gov/ ct2/show/ higher drug loadings NCT02579473) will certainly trigger • are looking for polymer linkers in ADC- many companies to enter the PAOx field development in order to obtain high and realize the enormous clinical benefits DARs of targeted drug delivery. • are looking for smart (responsive) poly- mers to develop new methodologies to Partnership sought treat cancer We are seeking collaboration partners • are looking for a reliable source of high (pharma, biotech, academic) to explore quality, ultra-defined poly(2-oxazoline)s the potential of PAOx in cancer drug delivery and beyond. We offer the design, synthesis, characterization and study of tailor made PAOx, specifically adjusted to your API and drug delivery needs. We are looking for potential licencing opportunities and/or we can provide ultra-defined PAOx material for your 15 GHENT UNIVERSITY An Van Den Bulcke a.vandenbulcke@ugent.be
ON COLOGY Potent blocker of HER2 receptor for treatment of metastatic breast cancer Key words blood-brain barrier and, therefore, to • HER2 target brain metastases. • Breast Cancer Applications • Targeted Therapy Treatment of breast cancer’s brain metas- • Small Molecule tases; Treatment of HER2+ breast cancers • Brain Metastasis Resistance; Potential treatment of other Technology HER2+ cancers (ovarian, gastric, salivary, The offer relates to two families of selec- neuroblastoma etc.). tive compounds targeting a new HER2 in- Market tracellular domain for treatment of breast 1.67 million of new breast cancer cancer’s brain metastases and drug resis- diagnosed every year; about 20% HER2+ tant breast cancer. Two hits have been HER2+ resistant breast cancer, HER2+ selected and one has been tested on metastatic breast cancer. orthotopic inoculation of human breast cancer cell lines in a mouse model. Competitors 20 to 30% of breast cancers are related Two commercialized antibodies (trastu- to an overexpression of HER2 and among zumab and pertuzumab) target HER2 them, 20 to 40% express p95HER2, a extracellular domain but cannot reach the truncated version of the receptor belie- brain metastases, one commercialised ved to play a role in cancer resistance. (lapatinib) and two in-clinical-develop- Despite the benefits of the recent thera- ment (neratinib and ONT380) small mo- pies targeting HER2 (Herceptin®, Perjeta® lecules target the tyrosine kinase domain. and Tykerb®), a large part of patients’ relapses because of treatment failure due Partnership sought to cancer resistance or toxicity issues. License: SME specialized in cancer Notably, 20% to 50% of HER2 metas- therapy development; big pharma that tatic breast cancer patients die of brain wishes to enrich its early asset pipeline. metastases. It was recently found that targeting a new domain of HER2 prevents the acti- vation of HER2 signalization and may constitute a novel therapeutic approach. The present offer proposes two com- pound families targeting this domain and inhibiting specifically HER2 downstream signaling pathways in breast cancer. The compounds are able to cross the 16 IDF INNOV Davide D’Alia dda@idfinnov.com
ON COLOGY Kinase Inhibitors & Cancer Key words Ongoing hit-to-lead optimization, target • Non-canonical NF-k-B pathway validation and preclinical validation on • Ezh2 melanoma tumors and metastases mouse • Anti-programmed death-1 models. • Metastasic melanoma Applications • Colorectal cancer Treatment of Melanoma and Metastatic Technology melanoma. The project deals with multi-kinase inhibi- Treatment of other solid tumors including tors having intrinsic anti-cancer activity and colorectal, pancreas and non-small cell lung potentiating anti-PD1 immunotherapy for cancers. cancer treatment, in particular melanomas. Market The hit compound (DMPB5) show same effects than the ones induced by gene Single-agent antibodies blocking the PD-1 silencing of NF-kappa-B non-canonical pathway have already shown their worth. pathway (siRNA): However, many patients still do not respond • Restores in vitro a strong senescence in to immunotherapy. melanoma (not dependent of the B-Raf By treating with multiple therapies with mutations), colorectal, breast and lung can- mechanistically different modes of action, cer cells by decreasing the transcription of a more powerful anticancer effect might the oncogene EZH2 be obtained with minimized toxicity/side • Triggers or potentiates in vitro and in vivo effects. the tumor immune surveillance: increases Competitors production of a key cytokine that attracts A lot of ongoing trials combining PD-1 immune cells (macrophages M1, dendritic inhibitors with other therapies: combina- cells, T-cells and NK cells). tion of anti-CTLA-4 and anti-PD1 gives the • Leads to a dramatic reduction in tumor best response rate but with significant side size in vivo with complete regression in effects. some cases when combined with anti-PD-1 Some 40 separate novel small molecules treatments. being combined with anti-PD-1/PD-L1 anti- Results: bodies across 44 active clinical trials (mela- In vitro: high potency on melanoma cells, noma, metastatic melanoma, solid tumors, metastatic melanoma primary cells from NSCLC, colorectal, pancreas). A particularly patient, non-small cell lung and colorectal popular combo links immunotherapy with cancer cells. a B-Raf and/or Mek inhibitor: Novartis’s In vivo activity at 10mg/kg, i.p., on colorec- marketed Tafinlar® and Mekinist®, Roche/ tal cancer cells injected subcutaneously Exelixis’s Zelboraf® and cobimetinib, and into syngeneic mice; greater activity for AstraZeneca/Array’s selumetinib. combination DMBP5/PD-1. No clinical signs of preliminary toxicity in Partnership sought 17 mice treated with DMBP5. We are currently looking for an industrial partner interested for licensing-in the tech- SATT SUD-EST nology and/or R&D collaboration (possible Rémi Picard co-funding): Pharmaceutical companies remi.picard@sattse.com and Biotechs.
ON COLOGY LILLE Small molecule lead compounds for colorectal cancer treatment through TNIK modulation Key words TNIK is involved in other type of tumor, • Colorectal cancer treatment including pancreatic cancer, the expan- • TNIK(Traf2- and Nck-Interacting sion of indication is also possible. Kinase) modulator Also, recent research results suggest that • Cancer stemnee by prosthetic inhibition of TNIK activity, one can achieve tumor formation pre- Technology vention. Thus, a well-optimized TNIK KY-08341 and closely related analogues inhibitor with excellent safety profile are Novel TNIK modulators w/ excellent can serve as a tumor preventive agent biochemical efficacy, good in vivo effi- for colorectal cancer, especially patients cacy and profile. The team led by Dr. with polyps. Besides these applications, Hyuk Lee of KRICT and Dr. Sang Joon TNIK inhibitors can be developed as Shin of Yonsei Univ. Hospital has disco- EMT modulators for tumor metastasis vered a series of small molecules that can blocking. Recent studies suggest that potently inhibit the activity of TNIK (IC50 by inhibiting TNIK, the TGF- ß mediated value of less than 10 nM). The binding EMT phenomenon can be down-regula- mode of these compounds to TNIK is ted. Thus, KRICT/Yonsei TNIK modulators confirmed by X-ray crystallography stu- can be applied as an EMT modulation for dies. These compounds can inhibit the cancer treatment. activity of TNIK in colorectal cancer cells and also inhibit the growth of colorec- Market tal cancer cell line such as SW480 and The total market size for colorectal can- SW620. These TNIK inhibitors also can cer treatment is estimated to be about show synergistic effects when combined 7 billion USD annually by the end of with traditional colorectal cancer treat- 2014. The market is slowly but conti- ments, such as Irinotecan. In mice xeno- nuously growing with CAGR of 1.3% and graft experiments with subcutaneously is expected to grow further. Due to the injected SW620 colorectal cancer cells, fact that gradual increase of patients is KY-08331, a lead compound for TNIK expected due to the change of life style, inhibition, has shown strong growth including the increased uptake of red inhibition as a single treatment or com- meats, the market is expected to grow bination with Irinotecan. KRICT/Yonsei gradually also. The specific sub-segment Univ. Hospital TNIK modulators possess for the application of TNIK inhibitor is the good drug-like profiles. Most of the com- treatment of 4th grade colorectal cancer pounds possess small molecular weight patients. The targeted agents, Bevacizu- (270 – 350), sparing rooms for further mab, Cetuximab, Regorafenib, are also optimization. used to treat 4th grade colorectal cancer patients, which is about 11% of the total 18 Applications colorectal cancer patients (however, the The primary application of TNIK modula- market portion of these patients are as tors is to treat colorectal cancer. As a Wnt high as 80% of total colorectal cancer signal blocker, TNIK inhibitors can find treatment market, due to the high price applicatins in the treatment of colorec- of novel drugs). For these patients, the tal cancer treatment. Additionally, since development of targeted therapeutics
ON COLOGY LILLE or immunotherapy is very hard due to Partnership sought several reasons. Thus, the development of KRICT and Yonsei Univ. Hospital are TNIK inhibitor is a unique chance that can now looking for a pharma or a biotech meet patients’ unmet needs and market partner for the licensing out of TNIK modu- needs at the same time. Combining these lator technology. Most preferred form of information, one can conclude that the partnership is to license out the entire estimated value of TNIK inhibitor market technology. However, collaborative might reach billion USD market. research is also possible. Pharmaceutical company, Biotech Competitors venture with preclinical/clinical develop- ment capacity. The most prominent potential market competitors are other modulators of Wnt signalling pathway. Inhibitors modulating many other components of Wnt pathway are now being developed. However, as described above, TNIK inhibitor has a merit of being down-stream modulator that can overcome potential resistance problems and potential expansion of ap- plication. Other targeted therapeutics or immunotherapies can be other competi- tors. However, since most of the previous approach to treat colorectal cancer using targeted therapeutics have failed and it is very difficult to find target oncogenes detected in a significant number of pa- tients, the potential competition from tar- geted therapeutics will be not so high. In addition, it is expected that only minority (
ON COLOGY ProNGF: New target to counter resistance mechanisms in breast cancer Key words Competitors • Chemotherapy Tyrosine Kinases specific • Resistance • Medimmune (main competitor) • Companion Test • Cephalon (K252A Þ TEVA) • Astra Zeneca Technology • Novartis The proposed technology can overcome • Roche the development of resistance to treat- ment in the case of breast cancer therapy Partnership sought failure (30% of cases) by blocking a newly License or Cooperation: Biotech identified tumor escape. or Pharma. This treatment strategy could be applied to other types of cancers: • ENT • Prostate A companion test was developed to orient and monitor treatment. Applications Treatment of Breast Cancer Potential treatment of other cancers (ENT, prostate...) Companion test on different types of cancers Market Target Market: Monoclonal Antibodies Market Size: ~60 Billion Dollars with a trend of high growing Some of these monoclonal antibodies can generate a turnover of 7 billion dollars per a year… 20 SATT NORD François-Xavier Denimal francois-xavier.denimal@sattnord.fr
ON COLOGY Dual PI3K and mTOR inhibitors as promising drugs to treat cancer Key words Applications • Antitumoral activity Main therapeutic applications: • Dual Inhibitors • Solid Cancer: Colorectal cancer, Renal • Library of small molecules Cell Carcinoma, Breast Cancer including Triple Negative Breast Cancer (TNBC), Technology brain cancer, lung and ovarian cancer, The phosphatidylinositol-3-kinase • Hematologic Cancer: Through our enzy- (PI3K)/Akt and the mammalian target of matic assay, some of our inhibitors exhibit rapamycin (mTOR) signaling pathways better nanomolar range inhibition toward are both crucial to many aspects of cell PI3Kŏ isoform against four clinical stage growth and survival, in physiological molecules. as well as in pathological conditions. Alternative applications: The PI3K/Akt pathway is a key regulator • Anti-inflammatory treatment some of of survival during cellular stress. Since our molecules have nanomolar range tumors exist in an intrinsically stressful inhibition of PI3Kß and PI3Kŏ (systemic environment, the role of this pathway in lupus erythematous, rheumatoid arthri- cancer appears tis, allergic asthma, cardiovascular and to be crucial. systemic anaphylaxis), Synthesis, and screening of dual PI3K/ • Fibroadipose hyperplasia, an orphan mTOR inhibitors have been used to disease caused by somatic activating create a portfolio of small molecules with: mutations in PIK3CA. • Novel and IP protected family of compounds: They have both PI3K and Market mTOR targets. This combined activity The two main addressed markets are the should lead to a strongest inhibition of triple negative breast cancer and colorec- the whole PI3K/Akt/mTOR pathway, tal cancer treatments based on no avai- • Optimized synthesis, lable very efficient solution on the market • Nanomolar range of enzymatic and and the positive results of our product for cellular activities exhibiting specifity on the first one and the high rate of tumor both targets (PI3K and mTOR) with an regression of our lead for the second one. acceptable kinase selectivity profile, • A wide spectrum of indication, Competitors • Low toxicity and good stability relative Pharma companies. to compounds under clinical develop- Partnership sought ment, • Proven in vivo efficacy versus molecule Available for licensing out: pharma under clinical development. companies. 21 SATT GRAND CENTRE Magali Granger magali.granger@sattgc.com
N EUROLOGY - C A R DI O LO GY Preventing neuropathic pain induced by mastectomy Key words better well-being of patients for at least • Neuropathic pain six months after treatment suggests • Mastectomy that Memantine could be an interesting • Memantine therapeutic option to diminish the burden of breast cancer therapy. Technology In conclusion, this innovative trial shows The product is a repositioning of Meman- for the first time that pre-surgery Meman- tine, a NMDA receptor antagonist usually tine may prevent the occurrence of pain prescribed for Alzheimer’s disease, as a three months after mastectomy, and sug- preventing solution to avoid neuropathic gests that it may also reduce dysesthesia pain following mastectomy. and paresthesia induced by chemothe- Neuropathic pain following surgical treat- rapy. ment for breast cancer with or without chemotherapy is a clinical burden and Applications patients frequently report cognitive, By definition pain is highly unpleasant emotional and quality of life impairment. and often motivates individuals to seek A preclinical study recently showed that healthcare. Patients suffering from breast Memantine administered before surgery cancer sometimes undergo mastectomy may prevent neuropathic pain develop- but this surgical treatment may induce ment and cognitive dysfunction. A clinical neuropathic pain. In the course of breast trial with a translational approach sup- surgery, 20–68% of patients report bur- ports these preclinical results. Indeed, a ning and shooting pain with numbness randomized, pilot clinical trial included and pressure sensation. Mastectomy is 40 women undergoing mastectomy in known to generate neuropathic pain the Oncology Department, University in 30.7% patients at 3 months, 25.7% Hospital, Clermont-Ferrand, France. at 6 months, 42% at 5 years and 37% Memantine (5 to 20mg/ day; n=20) or at 9 years post-mastectomy. Cancer placebo (n=20) was administered for four chemotherapy is also well known to weeks starting two weeks before surgery. induce pain with neuropathic characte- The primary endpoint was pain intensity ristics in 25–50% of patients. However, measured on a (0–10) numerical rating a sizeable proportion of these patients scale at three months post-mastecto- with neuropathic pain go untreated, even my. Compared with placebo, patients though the majority of them report the receiving Memantine showed at three pain to their physician. months a significant reduction in post- Our technology represents a promising mastectomy pain intensity, less rescue to and innovative strategy for the thera- analgesic and a better emotional state. peutic management of post-surgical and An improvement of pain symptoms in- chemotherapic neuropathic pains that 22 duced by cancer chemotherapy was also have currently no disease-modifying or reported. Data show the beneficial effect curative therapies. It offers an analgesic of Memantine to prevent post-mastec- solution that is specifically effective in tomy pain development and to diminish controlling the key disturbance of neuro- chemotherapy-induced pain symptoms. pathic pain symptoms induced by breast The lesser analgesic consumption and surgery.
N EUROLOGY - C A R DI O LO GY Market the neuropathy market in recent years by According to the World Health Orga- introducing novel drugs in these classes nization (WHO), breast cancer is the that improve upon the safety and efficacy second most common cancer in the profile of predecessors in the same class world and the most common cancer in (Pfizer’s Lyrica and Eli Lilly’s Cymbalta), women worldwide, accounting for 16% or by offering a convenient drug deli- of all female cancers, making the disease very system (Endo Health’s Lidoderm). exceedingly prevalent. In 2013, the 6 ma- Although many of the available drugs jor markets (France, Germany, Italy, Spain, offer some degree of efficacy in terms and UK, US, Japan and China) had 853 of pain relief, there still remains vast room 902 diagnosed incident cases of breast for improvement in efficacy, safety, drug cancer. The US had the highest number delivery, and dosing convenience. of cases at 260 971, and accounted for Furthermore, all three market-leading 30.56% of all diagnosed incident cases drugs will lose patent protection over in these markets. The total number the forecast period and will face intense of diagnosed incident cases of breast generic erosion. Future players will also cancer in the 8 major markets is expected join the market like Daiichi-Sankyo and to grow to 1,214,776 cases in 2023 at the Convergence. There are seven promising rate of 4.23% per year. All markets will drugs in clinical development for neuro- see a substantial increase in the number pathies, which are project to enter the of diagnosed incident cases. market before the end of the forecast The target market of our product period in 2022, and will lead to some could be the same as the breast cancer growth in a market that will be largely market according to that neuropathic generic. Sales of these pipeline drugs pain following surgical treatment for will account for 23.8% of global neuro- breast cancer with or without chemo- pathy sales in 2022. At the moment, these therapy is a clinical burden and patients are all drugs in Phase II and Phase III of frequently report cognitive, emotional development for post-diabetic neuropa- and quality of life impairment. thies, post herpetic neuralgia, and trige- minal neuropathy but not post-surgery- Competitors induced neuropathic pain. The main classes of drugs used in the treatment of neuropathic pain are widely Partnership sought available under generic form. Licensing out: Pharma However, some big pharmas (Pfizer, Eli Lilly, and Endo Health) have esta- blished themselves as the key players in 23 SATT GRAND CENTRE Magali Granger magali.granger@sattgc.com
N EUROLOGY - C A R DI O LO GY Neuropain and chronic pain prevention Key words • Post-operative pain treatment • Chronic pain • Early diagnosis of risk for developing • Inflammatory pain post-operative chronic pains • Neuropathic pain Market • Genetic marker Neuropathic pain (NP) affects about • Companion test 19% of the world’s population. Although • Peripheral nervous system there are several drugs in the NP pipeline, • Analgesic drugs what is still lacking is the ability to match • Protein patients to these once they are on the Technology market. A first-in-class treatment for preventing, Post-operative pain market is estimated alleviating or treating neuropathic and at $ 21.6 billion in 2022. Overall incidence inflammatory pains (possible associa- of moderate to severe Post-Operative tion with very low amount of pregaba- Chronic Pain after major surgery: 30% lin) using the endogenous TAFA4 protein. Competitors TAFA4 is a human endogenous short pro- tein (100 amino acids) with high affinity Existing classes of NP drugs contains for PRF-1 on macrophages. The binding several established drugs that are widely of TAFA4 to peripheral nervous system available in generic form. There are se- (dorsal root ganglia) reverses pain more veral products in development that may than 4 hours after injection. TAFA 4 is address some of the unmet clinical needs, an original endogenous molecule (not but the level of unmet need will still be yet investigated) and doesn’t’ need to relatively high (safety, efficacy). Clini- cross blood brain barrier for function. cal trials: 40% of patients get only 30% No observed adverse effects in vivo and pain relief. High demand of drugs with no immunogenicity. novel mechanisms of action. No sensory markers associated with particular pa- TAFA4 has strong analgesic effects thophysiological pain mechanisms are against carrageenan- and Spared Nerve available. Injury-induced mechanical hypersensiti- vity in mice, similar to Pregabalin with a Partnership sought 100 fold lower dose. We are currently looking for an indus- Researchers develop also a companion trial partner interested for licensing-in test based on the first genetic biomarker the technology and/or R&D collaboration predicting chronic pains occurring after (possible co-funding): Pharmaceutical surgery. companies and biotech. Applications • Neuropathic pain treatment • Inflammatory pain treatment 24 SATT SUD-EST Rémi Picard remi.picard@sattse.com
N EUROLOGY - C A R DI O LO GY DIVE: Dopaminergic stimulation by continuous intracerebro ventricular delivery of anaerobic dopamine in Parkinson’s disease Key words Partnership sought • Anaerobic Dopamine License: Pharmaceutical Company in the • Parkinson’s disease field of CNS and specially Parkinson • Intracerebro ventricular delivery Technology New therapeutic concept for Parkinson’s disease based upon a continuous intra- ventricular administration of a specific dopamine delivered in the third ventricle directly close to bilateral striatum. Applications Parkinson’s disease. Market 6.5 million people worldwide suffer from Parkinson’s disease representing 1.5% of the population over 65 years, the class of the most affected age group being 80-84 years old. The global market for treatment of Parkinson’s disease is estimated at 2,751 billion. All patients are not eligible for treatment with DIVE technology, their number is estimated at 14 000 per year worldwide. Considering the cost of the pump and the cost of dopamine, the market at 10 years could be estimated at 634 million euros. Competitors L-Dopa, apomorphine pump, lévodopa + carbidopa, subthalamic stimulation. 25 SATT NORD François-Xavier Denimal francois-xavier.denimal@sattnord.fr
N EUROLOGY - C A R DI O LO GY LILLE Biomarkers for the diagnosis of dementia with Lewy bodies Key words can be applied for the patients carrying • Dementia with Lewy bodies those alleles or genotypes responsible • Diagnosis for that phenotype. • SNPs and mRNA transcripts Applications Technology Dementia with Lewy bodies (DLB) “Biomarker 1” consists of the determi- belongs together with Parkinson’s di- nation of various transcripts of certain sease (PD) to the group of Lewy body gene (gene A) in blood of patients with diseases and is after Alzheimer disease possible DLB. For this purpose, blood is (AD) the second cause of dementia. DLB collected in PAXgene blood RNA tubes. is characterized by an aggressive disease After RNA purification and reverse trans- course and overall elevated mortality cription, relative expression levels are de- and survival of 6 years. These facts turn termined by real-time PCR. Diminished an early and accurate diagnosis of this levels of at least two of the transcripts will disease to a need. be indicative for DLB, allowing its correct Due to overlapping features between diagnosis. DLB and AD, the clinical diagnosis of DLB “Biomarker 2” consists of the determi- is still very difficult to achieve and the nation of 6 polymorphic sites within the use of complementary diagnostic tools regulatory region of another gene (gene such as neuroimaging techniques are too B). A defined genotype combination will expensive for their routine use. be consistent with the diagnosis of those Moreover, due to DLB heterogeneity, DLB patients who show diminished levels different subgroups develop disease by of certain protein in the brain. their own molecular mechanisms each. Diminished levels of “Biomarker 1” may Thus more than one biomarker (one reflect increased protein aggregation for each of the various subgroups) will rates in the brain that represent a charac- be needed to identify all DLB patients. teristic feature for the very first stages of Only such working strategies will permit Lewy body disorders. Signaling to the pe- to tackle the challenges of personalized riphery (e.g. through miRNAs) may result medicine. in the diminution of gene A transcripts in To address both, heterogeneity of the blood. By substrate exhaustion at later disease on one hand and difficult dia- disease stages, protein aggregation rate gnosis on the other, we have developed slows down cancelling the signaling and two different biomarkers for the early normalizing mRNA expression levels. and differential diagnosis of DLB that will About 40% of DLB patient develop substantially improve clinical diagnosis disease as a result of diminished le- success. 26 vels of certain protein in the brain. We Market have identified six polymorphic sites as Estimation of potential direct avec in- “Biomarker 2” within the regulatory re- direct beneficiaries: The national mar- gion of gene B, responsible for this dimi- ket includes about 30.000 new DLB nution. Future treatments directed to the cases per year, and about 150.000 new increase those protein levels in the brain AD cases. Worldwide, in 2016 about
N EUROLOGY - C A R DI O LO GY LILLE 46,8 million people lived with dementia. Of them, around 60% (28,1 million) had AD and 20% (9,35 million) DLB. Since inci- dence of both AD and DLB increases with age, being of 10-15% for AD and of 2-3% for DLB for people aged over 65 years and of 30% for AD and of 10% for DLB for people over 80 years. With ageing of the world population, these numbers are raising constantly and with improving prevention and health care, mortality by conditions like HIV and heart disease is decreasing. In contrast, AD is becoming a more common cause of death and has increased in USA by 68% between 2000 and 2010. Partnership sought We are open to any kind of partnership with pharmaceutical and biotech industry that lead us to achieve final development and/or for licensing out the technology. 27 Institut de Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP) Katrin Beyer kbeyer@igtp.cat
N EUROLOGY - C A R DI O LO GY New generation of neuroprotectants: an original way to treat and prevent acute and chronic neurological diseases Key words mic strokes in main markets is estimated • Acute ischemic Stroke at 1 500 000 (Datamonitor). • Traumatic brain injury • Post-traumatic epilepsy • Neuroprotectants Traumatic brain injury (TBI) is one of Technology the major causes of acquired epilepsy today. In the United States alone approxi- TThe team has developped a new ge- mately 1.4 million people sustain a TBI neration of neuroprotectants that are each year, 200 000 are hospitalized and selective kinase inhibitors (CDK inhibi- 50 000 die. TBI is estimated to cause tors) to treat and prevent acute and chro- 10-20% of all symptomatic epilepsy. A nic neurological diseases, such as stroke, clear relationship exists between the se- traumatic brain injury, post-traumatic epi- verity of injury and the likelihood of deve- lepsy, and amyotrophic lateral sclerosis loping epilepsy. The 30-year cumulative (ALS). Misregulation of CDKs appears incidence of epilepsy is 2.3% for mild, to play a key role within the molecular 4.2% for moderate, and 16.7% for severe pathways leading to neuronal death. It TBI1. is the first molecule which are able to modulate specific CDKs in the brain. • Amyotrophic lateral sclerosis (ALS) During an acute neuronal damage, two Amyotrophic lateral sclerosis is a pro- deleterious mechanisms take place: gressive disease of the nervous system. neuronal death (astrocytes and oligoden- ALS occurs when specific nerve cells in drocytes) and inflammation (proliferation the brain and spinal cord that control vo- of immune and microglial cells). These luntary movement gradually deteriorate. two mechanisms participate in the da- The loss of these so-called motor neurons mage of cerebral tissue. Similar mecha- causes the muscles under their control nisms are known to be involved in chronic to weaken and waste away, leading to neurological damage. paralysis and death. The candidates target simultaneously • Niemann-Pick disease degenerating and proliferating cells. Niemann–Pick diseases are inherited in an autosomal recessive pattern. They are Applications genetic diseases which are classified in The compound could be used in different a subgroup of LSDs called sphingolipi- therapeutic domains: doses or lipid storage disorders, in which • Acute ischemic Stroke harmful quantities of lipid, accumulate Stroke is classified into two major cate- in the spleen, liver, lungs, bone marrow, gories: ischemic stroke (90%) and hae- and brain. Sphingomyelin accumulation 28 morrhagic stroke (10%). Risk factors in the central nervous system results in are age (75% of strokes occur after unsteady gait, slurring of speech and 65), hypertension, smoking, diabetes dysphagia. Abnormal posturing of the and hypercholesterolemia. In western limbs, trunk and face and upper brainstem countries incidence of ischemic stroke is disease results in impaired voluntary 120/100 000 and the number of ische- rapid eye movements. More widespread
N EUROLOGY - C A R DI O LO GY disease involving the cerebral cortex and leading cause of disability for adults and subcortical structures is responsible up to 50% of surviving patients remain for gradual loss of intellectual abilities disabled. In the US, the cost associated causing dementia and seizures. with stroke has been estimated at 58MM$ in 2006 (AHA). Market The global acute ischemic stroke Stroke is classified into two major therapeutics market was 250 M$ in categories: ischemic stroke (90%) and 2010 and is expected to have growth of hemorrhagic stroke (10%). Risk factors 16 % over the next eight years to reach are age (75% of strokes occur after approximately $880m by 2018. This 65), hypertension, smoking, diabetes low figure considering the incidence and hypercholesterolemia. In western of the disease reflects the absence of countries incidence of ischemic stroke is efficacious drugs. Given themedical 120/100 000 and the number of ischemic needs, a successful neuroprotective agent strokes in main markets is estimated at would open the market and rapidly reach 1 500 000 (Datamonitor). multiMM$ sales. Stroke is the second leading cause of death in the western world. In 2008, the Competitors World Stroke Congress reported that Alteplase (tPA, Activase®, Genentech) 20 million stroke events occur globally Partnership sought each year and account for 5.7 million deaths. 10% of ischemic stroke leads to License: Big Pharma death within 30 days and 50% in the next 6 months. Stroke is also the first 29 OUEST VALORISATION Hervé Le Deit herve.le-deit@ouest-valorisation.fr
N EUROLOGY - C A R DI O LO GY Preventing neuropathic pain induced by chemotherapy Key words allodynia in rats. Interestingly, Donepezil • Neuropathic pain also reduces the depression-like pheno- • Oxaliplatin type induced by oxaliplatin. • Donepezil Intracerebral microdialysis revealed a lower level of acetylcholine in the Technology posterior insular cortex (pIC) of oxali- Our product is a repositioning of Done- platin-treated rats, which was signifi- pezil, a centrally active acetylcholineste- cantly increased by Donepezil. Finally, rase inhibitor prescribed in Alzheimer’s the analgesic effect of Donepezil was disease, as a solution to prevent and cure markedly reduced by a microinjection of neuropathic pains induced by platinum the M2 antagonist, methoctramine, wit- compounds used in chemotherapies. hin the pIC in both oxaliplatin-treated Chemotherapy-induced peripheral rats and spared nerve injury rats. These neuropathy (CIPN) represents a dose findings highlight the crucial role of corti- limiting adverse effect of specific neuro- cal cholinergic neurotransmission as a cri- toxic anticancer drugs such as platinum tical mechanism of neuropathic pain, and salts for which no preventive or curative suggest that targeting insular M2 recep- treatment are available yet. Oxalipla- tors using central cholinomimetics could tin, a platinum compound used in the be used for neuropathic pain treatment. treatment of several solid tumors such as colorectal cancer, induces an acute Applications sensory neuropathy which can lead to Our technology provides a promising and limit dosage, to changes in treatment to innovative strategy for the therapeutic non-neurotoxic agents with the risk of management of neuropathic pain that limiting the effective clinical outcome. has currently no disease-modifying or A chronic cumulative sensorimotor neu- curative therapies. It offers an analgesic ropathy is also frequently developed solution that is specifically effective in and greatly alters the quality of life of controlling the key disturbance of neu- survivors. Hence, a better understanding ropathic pain symptoms induced by of its pathophysiological mechanisms is chemotherapies responsible for incapa- necessary to identify new pharmacolo- citating and dose-limiting neurotoxicity. gical targets. Repeated oxaliplatin admi- Donepezil regimen resulted in significant nistration in a mouse model of chronic reduction of overall neuropathic pain oxaliplatin-induced peripheral neuropa- symptom and anxiety depression for thy, induces both cephalic and extrace- both platinum salts, taxanes and Vinca phalic mechanical and cold hypersensi- alkaloids. The most targeted cancers are tivity as soon as after the first injection, advanced and metastatic colorectal can- as well as delayed sensorimotor deficits cers but could be also ovarian, prostate 30 and a depression-like phenotype. Syste- and head and neck cancers. Donepezil mic treatment with Donepezil (Aricept®), repositioning is highly attractive because a centrally active acetylcholinesterase of its potential to speed up the process of inhibitor, prevents and reversed both drug development, hence reducing costs sensory and motor deficits induced by in addition to providing new treatments oxaliplatin such as cold and mechanical for unmet pain needs.
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