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                                            LICE
                                                            ENSIN OPP
                                                                NG  PORTU
                                                                        UNITY
                                                                            Y
              
                                              
                                  New treatment for Multip Scler
                                                         ple   rosis
                                  Phosphodiester
                                               rase 7 (PD
                                                        DE7) inhi
                                                                ibitors for the trea
                                                                                   atment of
                                                                                           f
                                  Multip Sclero (MS)
                                       ple     osis


                             Advanta
                             A     ages:

                                       Ne small m
                                        ew      molecules with selec
                                                                   ctive PDE activity
                                                                           E7       y.
                                       Mo
                                        olecules a active in two well est
                                                 are    e      o        tablished MS anim
                                                                                        mal
                                       mo
                                        odels.
                                       Th
                                        hey show Neuro
                                                  w        oprotectiv
                                                                    ve and Anti-In nflammatory
                                        roperties, answering the main MS clini needs.
                                       pr                  g        n        ical
                                       When oral administered, compoun
                                       W          lly                         nds´ leve found in
                                                                                        els
                                       br        plasma sup
                                        rain and p        pport their biological activity
                                                                                        y.




Hyp
  pothesis

       PDEs are enzymes th regulate intracellula levels of
                            hat                ar        f
                                                                            cAMP                   AM
                                                                                                    MP
     yclic adeno
    cy            osine monoophosphate (cAMP) and cyclic c
    gu
     uanosine m   monophosphaate (cGMP). PDE7 enzymes
                                              7          s                                PDE7 
    sp
     pecifically co
                  ontrol cAMP levels.
                            P

       cAMP pla key role in neuro
                  ays          es         onal functioons, such ass
    ne
     euronal survi ival, growth cone responnses, neurite outgrowth,
                                                       e          ,
    as well as in neuroprotect tion and neu
                                          uroinflamma  ation.
                                                                                        PDE7 
       PDE7 is e
               expressed in immune and pro-inf
                           n                 flammatory
                                                      y                               inhibitors
    ce as well a in brain.
     ells,     as
                                                                      Anti‐
                                                                          ‐Inflammat
                                                                                   tion
        Up-regulati of PDE
                   ion    E7A and PDDE7B protein has been
                                                 ns           n
                                                                       Neu
                                                                         uroprotection
                           ammation i a Parkin
     ssociated to neuroinfla
    as            o                  in         nson disease  e
                                                                        Neeurogenesi
                                                                                   is
    moodel. In this mode   el, PDE7 inhibitors protected     d
     omaninergic neurons an avoided m
    do            c        nd       microglial act
                                                 tivation after
                                                              r
    dif
      fferent insult
                   ts.

 


    The
    T control of cAMP l levels by PD specifi inhibitor represen a new th
                                   DE7      fic      rs         nts        herapeutic approach f
                                                                                               for
                 the trea
                        atment of neuroinflam
                                            mmatory associated di
                                                                iseases, suc as MS.
                                                                           ch
              
 


              
                                         Devel  
                                             lopmen Stage Candidate Id
                                                  nt    e:           dentification


BAC
  CKGROUN
        ND

The m goal of this project is the gener
     main      f                        ration, select
                                                     tion and dev
                                                                velopment of low molecu weight, orally availa
                                                                           f          ular                     able,
selec          inhibitors for the treatme of MS. In addition to an anti-infl
    ctive PDE7 in             r         ent          n          o                     activity, neuroprotective and
                                                                           flammatory a
neurogenic propeerties are als pursued.
                             so

BRAAINco molecu have be specifically designed to interact with PDE7. The design a synthesi of more th a
              ules     een                   d             w                         and       is       han
hund
   dred compoun belongin to differen chemical f
              nds      ng          nt         families has led to the sel
                                                           l            lection of two PDE7 inhibitors.
                                                                                     o

IMBCCo020 and IMBCo010 are the m        most advance compoun out of several mol
                                                   ed          nds                 lecules selec
                                                                                               cted for fur
                                                                                                          rther
devel
    lopment. A b
               brief descript
                            tion of the da obtained with these tw compoun is present below.
                                         ata                    wo      nds        ted

BIO
  OCHEMICA AND C
         AL    CELL BASE ASSAY
                       ED    YS


Enzy
   ymatic activity:

   IM
    MBCo020 an IMBCo010 showed an in vitro PD inhibitio activity in the nanomo range (I
             nd                 n           DE7       on                     olar     IC50).
   N significant effect was found on oth PDEs.
   No                                  her
   In
    ncubation of different M relevant c types (ne
                f          MS         cell       euroblastoma and macro
                                                             a         ophages cell lines, as well as rat prim
                                                                                                             mary
   as
    strocytes) with BRAINco compounds resulted in an increase of cAMP lev (Fig.1).
                            o         s                                 vels

Neur
   roprotection and Neuro
              n         ogenesis:

   BRAINco co  ompounds p protected M relevant cell types (macropha
                                     MS                 s         ages, astroc
                                                                             cytes and microglia) f
                                                                                       m          from
   Li
    ipopolysacch
               haride (LPS) induced da
                          )          amage (Fig.2).

   Se
    elected comp          ced       erentiation of postnatal oligodendrocy precursors and neuro
               pounds induc the diffe                        o           yte                  ospheres (Fig
                                                                                                          g.3).


                                                                                CNPase

   *B              ence PDE7 inhibi  
    BRL50481: refere              itor




                                                                                β-Tub




                                                                                TH




   Fig
     gure 1. cAM MP production inn         Figure 2. Neurop
                                                 e             protection in   Figure 3. Neurosphere differentiati
                                                                                                       e           ion analysed by
   moouse macrophag cell line.  
                  ge                       mouse macrophages, measured by
                                                 e             ,               immunocy ytochemistry (C
                                                                                                      CNPase: oligod
                                                                                                                   dendrocyte marrker,
                                           nitrite production.
                                                 e                             β-Tub: neu
                                                                                        uronal marker a TH: dopami
                                                                                                      and          inergic marker)
                                                                                                                                 ).
              
 


                
                
                                     Development Stage: Candidate Identification
                
                
                
 ANIMAL  MODELS
                
                
 Two well established MS animal models were used: the gold standard experimental autoimmune encephalomyelitis
                
 (EAE) and the Theiler’s virus model.
                
                
 Clinical Score:
                
                
 Clinical scores were significantly improved in the animals treated with BRAINco molecules at the peak of the
                
 disease (Fig.4 and 5).
                
                
                
                
                
                
                
                
                
 Figure 4. Effect of IMBCo010 on EAE animal model.                 Figure 5. Effect of IMBCo020 on Theiler´s virus animal model.
                                                        
 Tissue analysis:
                
                
 Immunohistochemical analyses of spinal cord samples from treated animals showed anti-inflammatory and
                
 neuroprotective properties of the compounds (Fig.6 and 7).
                
                
           Anti-inflammation                                                       Neuroprotection 
                
                            Vehicle                                                               Vehicle
                
                
                
                
                
                
                
                
                
                
                           IMBCo020                                                              IMBCo020
                
                
 Figure 6. Decreased microglia reactivity (Iba-1) on the left and      Figure 7. Myelin staining on the left and Neurofilament staining
 decreased levels of TNF-α pro-inflammatory cytokine on the right.
                                                                       (protection from axonal damage) on the right. 
                
PHARMACOKINETICS, METABOLISM, AND SAFETY CHARACTERIZATION
                
                
                
     Initial PK results after single oral administration showed that selected molecules were present both, in plasma
                
     and brain, at levels supporting their biological activity.

     The compounds also showed good ADME-tox and security profiles (Genotoxicity, Cardiotoxicity, Metabolism,
     Off-target effects).
              
 


Su     
 ummary


 MS
 M is an au  utoimmune chronic inf  flammatory disease of the central nervous sys
                                                           t                       stem, affectting the bra
                                                                                                          ain
 and
 a the spin cord. Ac
             nal        ctive inflamm mation may determine the initial o
                                               y          e            onset of the disease, fo
                                                                                  e           ollowed by a an
 irreversible neurodegen
 i                       neration. A present, t
                                   At          there is no cure for M Current treatment strategies a
                                                                     MS.                       s          are
 aimed at e
 a           enhancing t the quality of life o patients via modify
                                   y           of                     fying the d disease cou urse, treatinng
 exacerbation and man
 e            ns        naging symp   ptoms. Unt recently, first line t
                                               til                    therapies were long-ter injectab
                                                                                               rm         ble
 immunosuppressants, w a limit efficacy Currently new oral treatments are under developmen
 i                      with         ted       y.         y,                                   d          nt,
 and
 a the firs orally ad
             st         dministered drug, Fing  golimod, ha been alr
                                                           as          ready approoved. Neve  ertheless, th
                                                                                                          his
 treatment m
 t          mainly target the inflam
                        ts          mmatory com mponent of the disease
                                                          f           e.


 BRAINco i collabora
 B          is         ating with a network of academ institutes in the de
                                                        mic                      evelopment of selectiv
                                                                                                      ve
 Phosphodiesterase 7 in
 P                    nhibitors for the treatm
                                  r          ment of MS. Novel chem  mical series have been designed b
                                                                                 s        n           by
 virtual mod
 v         deling approoaches base on struct
                                  ed          tural inform
                                                         mation on th enzymes and Struc
                                                                     he          s        cture Activity
 Relationship analysis. Intellectua property has been generated covering th
 R          p                     al                                             hese chemiical familie
                                                                                                      es.
 Selected com
 S          mpounds sh how anti-inflammatory and neurop
                                             y            protective p
                                                                     properties in both, MS relevant ce
                                                                                 n                    ell
 based assay and anim models. Compound are orally available, cross the blood brain barrier an
 b         ys         mal                     ds                                           n          nd
 show a good safety pro
 s          d         ofile.


 In
 I addition, a biomark program is ongoin The objective is to identify n
            ,        ker      m         ng.                o          non-invasive biomarke
                                                                                 e        ers
 specific to the mecha
 s                   anism of ac
                               ction of BR       ompounds, which cou be used for patient
                                         RAINco co                    uld        d
 selection.
 s




                              BRAINc Biopharma S.L
                                   co        a
                              Edificio 50 Parque tecnológ de Vizcaya | 48
                                        04.             gico            8160 Derio (Bilbao) . Vizcaya. Spain | T +34 94 406452 | Fax: +34 94 40 4526
                                                                                                               Telf:         25               06
                              jmasse@
                                    @brainco.es | www.brainco
                                                            o.es




         

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New treatment for Multiple Sclerosis/Nuevo tratamiento para la Esclerosis Múltiple

  • 1.   LICE ENSIN OPP NG PORTU UNITY Y       New treatment for Multip Scler ple rosis Phosphodiester rase 7 (PD DE7) inhi ibitors for the trea atment of f Multip Sclero (MS) ple osis Advanta A ages: Ne small m ew molecules with selec ctive PDE activity E7 y. Mo olecules a active in two well est are e o tablished MS anim mal mo odels. Th hey show Neuro w oprotectiv ve and Anti-In nflammatory roperties, answering the main MS clini needs. pr g n ical When oral administered, compoun W lly nds´ leve found in els br plasma sup rain and p pport their biological activity y. Hyp pothesis PDEs are enzymes th regulate intracellula levels of hat ar f cAMP AM MP yclic adeno cy osine monoophosphate (cAMP) and cyclic c gu uanosine m monophosphaate (cGMP). PDE7 enzymes 7 s PDE7  sp pecifically co ontrol cAMP levels. P cAMP pla key role in neuro ays es onal functioons, such ass ne euronal survi ival, growth cone responnses, neurite outgrowth, e , as well as in neuroprotect tion and neu uroinflamma ation. PDE7  PDE7 is e expressed in immune and pro-inf n flammatory y inhibitors ce as well a in brain. ells, as Anti‐ ‐Inflammat tion Up-regulati of PDE ion E7A and PDDE7B protein has been ns n Neu uroprotection ammation i a Parkin ssociated to neuroinfla as o in nson disease e Neeurogenesi is moodel. In this mode el, PDE7 inhibitors protected d omaninergic neurons an avoided m do c nd microglial act tivation after r dif fferent insult ts.   The T control of cAMP l levels by PD specifi inhibitor represen a new th DE7 fic rs nts herapeutic approach f for the trea atment of neuroinflam mmatory associated di iseases, suc as MS. ch  
  • 2.       Devel   lopmen Stage Candidate Id nt e: dentification BAC CKGROUN ND The m goal of this project is the gener main f ration, select tion and dev velopment of low molecu weight, orally availa f ular able, selec inhibitors for the treatme of MS. In addition to an anti-infl ctive PDE7 in r ent n o activity, neuroprotective and flammatory a neurogenic propeerties are als pursued. so BRAAINco molecu have be specifically designed to interact with PDE7. The design a synthesi of more th a ules een d w and is han hund dred compoun belongin to differen chemical f nds ng nt families has led to the sel l lection of two PDE7 inhibitors. o IMBCCo020 and IMBCo010 are the m most advance compoun out of several mol ed nds lecules selec cted for fur rther devel lopment. A b brief descript tion of the da obtained with these tw compoun is present below. ata wo nds ted BIO OCHEMICA AND C AL CELL BASE ASSAY ED YS Enzy ymatic activity: IM MBCo020 an IMBCo010 showed an in vitro PD inhibitio activity in the nanomo range (I nd n DE7 on olar IC50). N significant effect was found on oth PDEs. No her In ncubation of different M relevant c types (ne f MS cell euroblastoma and macro a ophages cell lines, as well as rat prim mary as strocytes) with BRAINco compounds resulted in an increase of cAMP lev (Fig.1). o s vels Neur roprotection and Neuro n ogenesis: BRAINco co ompounds p protected M relevant cell types (macropha MS s ages, astroc cytes and microglia) f m from Li ipopolysacch haride (LPS) induced da ) amage (Fig.2). Se elected comp ced erentiation of postnatal oligodendrocy precursors and neuro pounds induc the diffe o yte ospheres (Fig g.3). CNPase *B ence PDE7 inhibi   BRL50481: refere itor β-Tub TH Fig gure 1. cAM MP production inn Figure 2. Neurop e protection in Figure 3. Neurosphere differentiati e ion analysed by moouse macrophag cell line.   ge mouse macrophages, measured by e , immunocy ytochemistry (C CNPase: oligod dendrocyte marrker, nitrite production. e β-Tub: neu uronal marker a TH: dopami and inergic marker) ).  
  • 3.       Development Stage: Candidate Identification       ANIMAL  MODELS     Two well established MS animal models were used: the gold standard experimental autoimmune encephalomyelitis   (EAE) and the Theiler’s virus model.     Clinical Score:     Clinical scores were significantly improved in the animals treated with BRAINco molecules at the peak of the   disease (Fig.4 and 5).                   Figure 4. Effect of IMBCo010 on EAE animal model.   Figure 5. Effect of IMBCo020 on Theiler´s virus animal model.   Tissue analysis:     Immunohistochemical analyses of spinal cord samples from treated animals showed anti-inflammatory and   neuroprotective properties of the compounds (Fig.6 and 7).     Anti-inflammation Neuroprotection      Vehicle Vehicle                       IMBCo020 IMBCo020     Figure 6. Decreased microglia reactivity (Iba-1) on the left and Figure 7. Myelin staining on the left and Neurofilament staining decreased levels of TNF-α pro-inflammatory cytokine on the right.   (protection from axonal damage) on the right.    PHARMACOKINETICS, METABOLISM, AND SAFETY CHARACTERIZATION       Initial PK results after single oral administration showed that selected molecules were present both, in plasma   and brain, at levels supporting their biological activity. The compounds also showed good ADME-tox and security profiles (Genotoxicity, Cardiotoxicity, Metabolism, Off-target effects).  
  • 4.   Su   ummary MS M is an au utoimmune chronic inf flammatory disease of the central nervous sys t stem, affectting the bra ain and a the spin cord. Ac nal ctive inflamm mation may determine the initial o y e onset of the disease, fo e ollowed by a an irreversible neurodegen i neration. A present, t At there is no cure for M Current treatment strategies a MS. s are aimed at e a enhancing t the quality of life o patients via modify y of fying the d disease cou urse, treatinng exacerbation and man e ns naging symp ptoms. Unt recently, first line t til therapies were long-ter injectab rm ble immunosuppressants, w a limit efficacy Currently new oral treatments are under developmen i with ted y. y, d nt, and a the firs orally ad st dministered drug, Fing golimod, ha been alr as ready approoved. Neve ertheless, th his treatment m t mainly target the inflam ts mmatory com mponent of the disease f e. BRAINco i collabora B is ating with a network of academ institutes in the de mic evelopment of selectiv ve Phosphodiesterase 7 in P nhibitors for the treatm r ment of MS. Novel chem mical series have been designed b s n by virtual mod v deling approoaches base on struct ed tural inform mation on th enzymes and Struc he s cture Activity Relationship analysis. Intellectua property has been generated covering th R p al hese chemiical familie es. Selected com S mpounds sh how anti-inflammatory and neurop y protective p properties in both, MS relevant ce n ell based assay and anim models. Compound are orally available, cross the blood brain barrier an b ys mal ds n nd show a good safety pro s d ofile. In I addition, a biomark program is ongoin The objective is to identify n , ker m ng. o non-invasive biomarke e ers specific to the mecha s anism of ac ction of BR ompounds, which cou be used for patient RAINco co uld d selection. s BRAINc Biopharma S.L co a Edificio 50 Parque tecnológ de Vizcaya | 48 04. gico 8160 Derio (Bilbao) . Vizcaya. Spain | T +34 94 406452 | Fax: +34 94 40 4526 Telf: 25 06 jmasse@ @brainco.es | www.brainco o.es