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Arch2POCM
        A Drug Development Approach
from Disease Targets to their Clinical Validation



               Stephen Friend
              Sage Bionetworks
           (a non-profit foundation)

                     IBC
                 San Francisco
                  Aug 3, 2011
Alzheimers	
                             Diabetes	
  




      Treating Symptoms v.s. Modifying Diseases
 Depression	
                            Cancer	
  
                  Will it work for me?
r hh
  mb   Cp s 	
   r Dmp
Personalized Medicine 101:
Capturing Single bases pair mutations = ID of responders
Reality: Overlapping Pathways
WHY	
  NOT	
  USE	
  	
  
      “DATA	
  INTENSIVE”	
  SCIENCE	
  
TO	
  BUILD	
  BETTER	
  DISEASE	
  MAPS?	
  
“Data Intensive Science”- “Fourth Scientific Paradigm”
For building: “Better Maps of Human Disease”

           Equipment capable of generating
           massive amounts of data

           IT Interoperability

           Open Information System
       Evolving Models hosted in a
       Compute Space- Knowledge Expert
It is now possible to carry out comprehensive
        monitoring of many traits at the population level
	
   s h b h t
       p	
   t         s r 	
   m Cm pbh pt h
                                    b       s
                 D	
   DCm 	
   s t
                         o




         Cp c
           o           Ctm l s

         h t
         t          pbh p
How is genomic data used to understand biology?
                                                              RNA amplification




                                                  Tumors
                                                           Microarray hybirdization




                                                  Tumors
                                                           Gene Index

  !Standard"GWAS Approaches                                        Profiling Approaches
   Identifies Causative DNA Variation but     Genome scale profiling provide correlates of disease
           provides NO mechanism                                Many examples BUT what is cause and effect?




                                                                    Provide unbiased view of
                                                                    molecular physiology as it
                                                                   relates to disease phenotypes
                                      trait
                                                                      Insights on mechanism
                                                                 Provide causal relationships
                                                                    and allows predictions


                 Integrated"
                 !          Genetics Approaches
Constructing Co-expression Networks

             Start with expression measures for genes most variant genes across 100s ++ samples

                                                                                                     1       2      3         4            Note: NOT a gene
                                                                                                                                          expression heatmap
                                                                                             1

                                                                                                     1     0.8     0.2        -0.8
                                                 Establish a 2D correlation matrix           2
                                                         for all gene pairs
expression




                                                                                                 0.8         1     0.1        -0.6
                                                                                             3

                                                                                                 0.2       0.1       1         -0.1
                                                                                             4

                                                                                                 -0.8      -0.6    -0.1           1
              Brain sample
                                                                                                     Correlation Matrix
                                                                                                                                                            Define Threshold
                                                                                                                                                             eg >0.6 for edge


                                                                             1       2   4       3                                           1      2          3       4
                                                                 1                                                                    1
             1                  4                                        1       1       1       0                                           1          1          0       1
                                                                 2                                                                    2
                                                                         1       1       1       0                                           1          1          0       1
                                                                         1       1       1       0           Hierarchically           3
                                              Identify modules   4                                                                           0          0          1       0
              2                 3                                                                                cluster
                                                                                                                                      4
                                                                 3       0       0       0       1                                           1          1          0       1
                  Network Module                                     Clustered Connection Matrix                                            Connection Matrix
                  sets of genes for which many
                   pairs interact (relative to the
                   total number of pairs in that
                                set)
Integration of Genotypic, Gene Expression & Trait Data
                                               Schadt et al. Nature Genetics 37: 710 (2005)
                                                Millstein et al. BMC Genetics 10: 23 (2009)




                                                        Causal Inference


                                                                                                     “Global Coherent Datasets”
                                                                                                          •  population based
                                                                                                      •  100s-1000s individuals




                   Chen et al. Nature 452:429 (2008)                                          Zhu et al. Cytogenet Genome Res. 105:363 (2004)
      Zhang & Horvath. Stat.Appl.Genet.Mol.Biol. 4: article 17 (2005)                            Zhu et al. PLoS Comput. Biol. 3: e69 (2007)
Preliminary Probabalistic Models- Rosetta /Schadt

                                                                              Networks facilitate direct
                                                                           identification of genes that are
                                                                                   causal for disease
                                                                          Evolutionarily tolerated weak spots


                                 Gene symbol   Gene name                   Variance of OFPM    Mouse   Source
                                                                           explained by gene   model
                                                                           expression*
                                 Zfp90         Zinc finger protein 90      68%                 tg      Constructed using BAC transgenics
                                 Gas7          Growth arrest specific 7    68%                 tg      Constructed using BAC transgenics
                                 Gpx3          Glutathione peroxidase 3    61%                 tg      Provided by Prof. Oleg
                                                                                                       Mirochnitchenko (University of
                                                                                                       Medicine and Dentistry at New
                                                                                                       Jersey, NJ) [12]

                                 Lactb         Lactamase beta              52%                 tg      Constructed using BAC transgenics
                                 Me1           Malic enzyme 1              52%                 ko      Naturally occurring KO
                                 Gyk           Glycerol kinase             46%                 ko      Provided by Dr. Katrina Dipple
                                                                                                       (UCLA) [13]
                                 Lpl           Lipoprotein lipase          46%                 ko      Provided by Dr. Ira Goldberg
                                                                                                       (Columbia University, NY) [11]
                                 C3ar1         Complement component        46%                 ko      Purchased from Deltagen, CA
                                               3a receptor 1
                                 Tgfbr2        Transforming growth         39%                 ko      Purchased from Deltagen, CA
Nat Genet (2005) 205:370                       factor beta receptor 2
List of Influential Papers in Network Modeling




                                        50 network papers
                                        http://sagebase.org/research/resources.php
(Eric Schadt)
Requires Data driven Science

         Lots of data, tools, evolving models of disease

Requires Scientists Clinicians & Citizens to link in different ways
Sage Mission
      Sage Bionetworks is a non-profit organization with a vision to
   create a commons where integrative bionetworks are evolved by
       contributor scientists with a shared vision to accelerate the
                       elimination of human disease

Building Disease Maps                              Data Repository




Commons Pilots                                    Discovery Platform
  Sagebase.org
Sage Bionetworks Collaborators

  Pharma Partners
     Merck, Pfizer, Takeda, Astra Zeneca, Amgen

  Foundations
     CHDI, Gates Foundation

  Government
     NIH, LSDF

  Academic
     Levy (Framingham)
     Rosengren (Lund)
     Krauss (CHORI)

  Federation
     Ideker, Califarno, Butte, Schadt             20
Bin Zhang
Model of Alzheimer’s Disease                                   Jun Zhu


                                                          AD



                                                 normal




                                                          AD




                                                 normal




                                                          AD




                                                 normal




                                                                           Cell
                                                                           cycle
 http://sage.fhcrc.org/downloads/downloads.php
Bin Zhang
Model of Breast Cancer: Integration                                                              Xudong Dai
                                                                                                 Jun Zhu
                  Conserved Super-modules




                              mRNA proc.
   = predictive
                                                                            Breast Cancer Bayesian Network




                  Chromatin
   of survival




              Extract gene:gene relationships for selected super-modules from BN and define Key Drivers


                                                   Pathways & Regulators
                              (Key drivers=yellow; key drivers validated in siRNA screen=green)
    Cell Cycle (Blue)                      Chromatin Modification (Black)   Pre-mRNA proc. (Brown)                    mRNA proc. (red)




                                                                                   Zhang B et al., Key Driver Analysis in Gene Networks (manuscript)
Clinical Trial Comparator Arm
        Partnership (CTCAP)
  Description: Collate, Annotate, Curate and Host Clinical Trial Data
   with Genomic Information from the Comparator Arms of Industry and
   Foundation Sponsored Clinical Trials: Building a Site for Sharing
   Data and Models to evolve better Disease Maps.
  Public-Private Partnership of leading pharmaceutical companies,
   clinical trial groups and researchers.
  Neutral Conveners: Sage Bionetworks and Genetic Alliance
   [nonprofits].
  Initiative to share existing trial data (molecular and clinical) from
   non-proprietary comparator and placebo arms to create powerful
   new tool for drug development.
Federation s Genome-wide Network and
       Modeling Approach to Warburg Effect

Califano group at Columbia   Sage Bionetworks   Butte group at Stanford
THE FEDERATION
Butte   Califano Friend Ideker   Schadt

                   vs
Software Tools Support Collaboration
Biology Tools Support Collaboration
Potential Supporting Technologies



Addama




                                   Taverna
                pbs
Platform for Modeling




      SYNAPSE	
  
INTEROPERABILITY
Engaging Communities of Interest
                                              NEW MAPS
                                       Disease Map and Tool Users-
                            ( Scientists, Industry, Foundations, Regulators...)

                                              PLATFORM
                                Sage Platform and Infrastructure Builders-
                             ( Academic Biotech and Industry IT Partners...)

                                     RULES AND GOVERNANCE
                                      Data Sharing Barrier Breakers-
                                    (Patients Advocates, Governance
                                     and Policy Makers,  Funders...)
                       M
  APS




                    FOR


                                              NEW TOOLS
M




                  PLAT




                                 Data Tool and Disease Map Generators-
  NEW




                                 (Global coherent data sets, Cytoscape,
                              Clinical Trialists, Industrial Trialists, CROs…)
        RULES GOVERN
                               PILOTS= PROJECTS FOR COMMONS
                                     Data Sharing Commons Pilots-
                                   (Federation, CCSB, Inspire2Live....)
                                              Arch2POCM
Arch2POCM	
  

A	
  Fundamental	
  Systems	
  Change	
  
         for	
  Drug	
  Discovery	
  

   Stephen	
  Friend	
  Aled	
  Edwards	
  Chas	
  Bountra	
  
Lex	
  vander	
  Ploeg,	
  Thea	
  Norman,	
  Keith	
  Yamamoto	
  
“Absurdity”	
  of	
  Current	
  R&D	
  Ecosystem	
  

•    $200B	
  per	
  year	
  in	
  biomedical	
  and	
  drug	
  discovery	
  R&D	
  
•    Handful	
  of	
  new	
  medicines	
  approved	
  each	
  year	
  
•    ProducJvity	
  in	
  steady	
  decline	
  since	
  1950	
  
•    90%	
  of	
  novel	
  drugs	
  entering	
  clinical	
  trials	
  fail	
  
•    NIH	
  and	
  EU	
  just	
  started	
  spending	
  billions	
  to	
  duplicate	
  process	
  

•  98%	
  of	
  pharma	
  revenues	
  from	
  compounds	
  approved	
  more	
  
   than	
  5	
  years	
  ago	
  (average	
  patent	
  life	
  11	
  years)	
  
•  >50,000	
  pharma	
  employees	
  fired	
  in	
  each	
  of	
  last	
  three	
  years	
  
•  Number	
  of	
  R&D	
  sites	
  in	
  Europe	
  down	
  from	
  29	
  to	
  16	
  in	
  2009	
  
What	
  is	
  the	
  problem?	
  
•     Regulatory	
  hurdles	
  too	
  high?	
  
•     Low	
  hanging	
  fruit	
  picked?	
  
•     Payers	
  unwilling	
  to	
  pay?	
  
•     Genome	
  has	
  not	
  delivered?	
  
•     Valley	
  of	
  death?	
  
•     Companies	
  not	
  large	
  enough	
  to	
  execute	
  on	
  strategy?	
  
•     Internal	
  research	
  costs	
  too	
  high?	
  
•     Clinical	
  trials	
  in	
  developed	
  countries	
  too	
  expensive?	
  

•  In	
  fact,	
  all	
  are	
  true	
  but	
  none	
  is	
  the	
  real	
  problem	
  
What	
  is	
  the	
  problem?	
  
•  	
  	
  	
  	
  The	
  current	
  system	
  is	
  designed	
  as	
  if	
  every	
  new	
  
   program	
  is	
  desJned	
  to	
  deliver	
  an	
  approved	
  drug	
  

•  Each	
  new	
  therapy	
  is	
  pursued	
  through	
  use	
  of	
  
   proprietary	
  compounds	
  moving	
  in	
  parallel	
  with	
  no	
  
   data	
  being	
  shared	
  (oden	
  5-­‐10	
  companies	
  at	
  a	
  Jme)	
  

•  Therefore	
  it	
  makes	
  complete	
  sense	
  to	
  maintain	
  
   secrecy	
  

•  But	
  we	
  have	
  no	
  clue	
  what	
  we’re	
  doing	
  
   •  	
  Alzheimer’s,	
  cancer,	
  schizophrenia,	
  auJsm.….	
  
The current pharma model is redundant	


   Target ID/         Hit/Probe/          Clinical   Toxicolog   Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                                                           Phase
   Target ID/         Hit/Probe/          Clinical
                                             ID      Pharmaco
                                                     Toxicolog   Phase I
   Discovery           Lead ID           Candidate     logy
                                                         y/                IIa/IIb
                                             ID      Pharmaco
   Target ID/         Hit/Probe/          Clinical
                                                       logy
                                                     Toxicolog   Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                             ID      Pharmaco
   Target ID/         Hit/Probe/          Clinical   Toxicolog
                                                       logy      Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                             ID      Pharmaco
                                                       logy
   Target ID/         Hit/Probe/          Clinical   Toxicolog   Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                             ID      Pharmaco
   Target ID/         Hit/Probe/          Clinical
                                                       logy
                                                     Toxicolog   Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                             ID      Pharmaco
   Target ID/         Hit/Probe/          Clinical   Toxicolog
                                                       logy      Phase I
                                                                           Phase
   Discovery           Lead ID           Candidate       y/                IIa/IIb
                                             ID      Pharmaco
                                                       logy



Attrition       50%                10%               30%         30%       90%

  Negative POC information is not shared
What	
  is	
  the	
  problem?	
  
The	
  real	
  problem	
  is	
  that	
  the	
  current	
  system	
  is	
  unable	
  
to	
  provide	
  the	
  needed	
  insights	
  into	
  human	
  biology	
  and	
  
disease	
  required	
  

•  It	
  has	
  been	
  assumed	
  that	
  academia’s	
  role	
  is	
  to	
  
   provide	
  fundamental	
  biological	
  insights	
  into	
  disease,	
  
   but	
  we	
  know	
  now	
  that	
  virtually	
  all	
  experiments	
  used	
  
   to	
  understand	
  disease	
  in	
  test	
  tubes	
  and	
  animals	
  are	
  
   not	
  predicJve	
  of	
  what	
  happens	
  in	
  people	
  

We	
  need	
  to	
  develop	
  a	
  mechanism	
  to	
  be8er	
  
understand	
  disease	
  biology	
  before	
  tes:ng	
  compe::ve	
  
compounds	
  on	
  sick	
  people	
  
Let s imagine….	

•  A pool of dedicated, stable funding	

•  A process that attracts top scientists and clinicians	

•  A process in which regulators can fully collaborate to solve key
   scientific problems	

•  An engaged citizenry that promotes science and acknowledges
   risk	

•  Mechanisms to decrease bureaucratic and administrative barriers	

•  Sharing of knowledge to more rapidly achieve understanding of
   human biology	

•  A steady stream of targets whose links to disease have been
   validated in humans
Basic	
  Concept	
  of	
  Arch2POCM	
  
•  Use	
  NME’s	
  to	
  understand	
  the	
  biology	
  of	
  human	
  
   diseases	
  
•  Focus	
  on	
  targets	
  that	
  are	
  deemed	
  too	
  risky	
  for	
  
   either	
  public	
  or	
  private	
  sectors	
  
•  Share	
  the	
  	
  risk	
  by	
  pooling	
  public	
  and	
  private	
  
   resources	
  
•  Open	
  access	
  to	
  data	
  produces	
  stream	
  of	
  
   informaJon	
  about	
  human	
  biology	
  
•  NME,	
  not	
  burdened	
  by	
  IP,	
  expands	
  the	
  number	
  of	
  
   ideas	
  that	
  can	
  be	
  pursued,	
  without	
  addiJonal	
  
   funds	
  
Entry Points For Arch2POCM Programs
  Requires two compounds if first fails
                                           - genomic/ genetic
     Pioneer target sources                - disease networks
                                           - academic partners
                                           - private partners
                                           - Sage Bionetworks, SGC,


          Lead               Lead
                                         Preclinical     Phase I      Phase II
      identification     optimisation



   Assay
       in vitro
       probe
                  Lead       Clinical        Phase I       Phase II
                             candidate       asset         asset
   Early Discovery
Arch2POCM and the Power of
              Crowdsourcing
                          	

•  Crowdsourcing: the act of outsourcing tasks
traditionally performed by an employee to a large group
of people or community

• By making Arch2POCM s clinically characterized
probes available to all, Arch2POCM will seed
independently funded, crowdsourced experimental
medicine

• Crowdsourced studies on Arch2POCM probes will
provide clinical information about the pioneer targets in
MANY indications
Why	
  have	
  a	
  “Common	
  Stream”	
  where	
  
     there	
  is	
  No-­‐IP	
  on	
  Compounds	
  thru	
  PhIIb?	
  
•    Broader	
  data	
  disseminaJon	
  
•    Far	
  fewer	
  legal	
  agreements	
  to	
  negoJate	
  
•    Generates	
  FTO	
  
•    Only	
  way	
  to	
  access	
  KOL	
  without	
  hassle	
  
•    More	
  cost-­‐effecJve	
  
•    Not	
  constrained	
  by	
  market	
  consideraJons	
  or	
  
     biased	
  internal	
  thinking	
  
Why	
  now?	
  
•  Economics	
  
•  Genomics	
  is	
  creaJng	
  many	
  high-­‐risk,	
  high	
  
   opportunity	
  targets	
  in	
  all	
  diseases	
  but	
  no	
  has	
  
   the	
  resources	
  to	
  take	
  the	
  risks	
  
•  Increased	
  level	
  of	
  interest	
  by	
  public	
  and	
  
   private	
  
•  Health	
  care	
  costs	
  bringing	
  drug	
  discovery	
  to	
  
   front	
  of	
  public	
  policy	
  
General Benefits of Arch2POCM For The
        Pharmaceutical Industry
 1.  Arch2POCM s use of test compounds to de-risk previously
     unexplored biology enables pharma to initiate proprietary drug
     development with an array of unbiased, clinically validated targets
      Arch2POCM operates without patents and advances pairs of test
       compounds through Ph II
      Test compounds are used by Arch2POCM and the crowd to define
       clinical mechanisms for epigenetic targets impacting oncology
 2.  Arch2POCM crowdsourced research and trials provides parallel
     shots on goal: by aligning test compounds to most promising
     unmet medical need

 3.  Negative clinical trial information generated by Arch2POCM and
     the crowd will increase clinical success rates (as one can pick
     targets and indications more smartly)

 4.  Build methods to track and visualize crowd sourced data, clinical
     safety profiles and reporting of potential adverse event
Why Should Pharmaceutical Companies Invest in
      Arch2POCM? Some Possible Answers
1.  Directly shape the Arch2POCM scientific strategy around how to best
    interrogate the high risk high opportunity epigenetics targets for Oncology
    and Immunology
2.  Chose the components and where they are to be executed: i.e., targets,
    lead compounds, clinical indications and trial design


3.  Potential to realize value for existing pharmaceutical assets that are not
    currently getting developed
        - Contribute these compounds at Gate 2 of Arch2POCM (i.e., pre-IND)

4.     Partnering with Regulatory Sciences groups at the FDA and EMEA and
      real time open dialogs on safety issues around the compounds being
      used to understand biology as opposed to make products
5.  Partnerships with academics and patient groups improve the
    understanding around the importance of the Arch2POCM industry
    partners in the full value chain and enable building of trust with key
    leaders in both communities
Why Should Pharmaceutical Companies Invest in
 Arch2POCM? Some Possible Answers (cont)

6. Real time access to the live stream of project information during the
Arch2POCM oncology projects: projected to provide lead time on key
information vs non-participating pharma
    –  Information on the leads
    –  Information from the preclinical studies
    –  Information from the Arch2POCM tirals in real time before aggregated
    –  Information from the crowd-sourced trials in real time before
       aggregated


7. Direct/rapid access to epigenetic academic experts and their tools

8. Opportunity to take the Validated targets forward to approval or share in
auctioning of these assets
Arch2POCM Value Propositions For Academia


  •  Funding to pursue and publish disruptive discovery research

  •  Sharing of resources and data among private and academic
     partners

  •  Development of basic discoveries toward therapies and cures

  •  Collaboration with private sector and regulatory scientists

  •  Education of students and public about nature and process of
     discovery, and understanding disease

  •  Exit options: extend/branch studies beyond arch2POCM
Arch2POCM Value Propositions For Public
                Funders

•  The	
  benefits	
  of	
  public	
  funding	
  investment	
  in	
  Arch2POCM	
  are	
  
   compounded	
  by	
  the	
  efforts	
  of	
  the	
  crowd.	
  

•  Public	
  funding	
  will	
  support	
  experimental	
  medicine	
  studies.	
  	
  	
  

•  Public	
  funding	
  will	
  invest	
  in	
  a	
  drug	
  development	
  model	
  that	
  
   protects	
  paJent	
  safety	
  by	
  eliminaJng	
  redundant	
  negaJve	
  
   trials	
  
Arch2POCM Value Propositions For
                    Regulators

•  Opportunity	
  to	
  facilitate	
  a	
  greater	
  number	
  of	
  trials	
  on	
  pioneer	
  
   targets.	
  

•  Opportunity	
  to	
  leverage	
  exisJng	
  legacy	
  clinical	
  trial	
  data	
  to	
  
   support	
  improved	
  drug	
  development	
  strategies.	
  	
  
     –  By	
  focusing	
  on	
  pioneer	
  targets	
  instead	
  of	
  compounds,	
  regulators	
  can	
  
        parJcipate	
  pro-­‐acJvely	
  in	
  Arch2POCM	
  POCM	
  development.	
  


•  Opportunity	
  to	
  play	
  a	
  leadership	
  role	
  in	
  the	
  development	
  of	
  
   regulatory	
  and	
  legal	
  collaboraJons	
  that	
  would	
  incenJvize	
  the	
  
   pharmaceuJcal	
  industry	
  to	
  parJcpate	
  in	
  a	
  pre-­‐compeJJve	
  
   clinical	
  validaJon	
  model	
  
Arch2POCM Value Propositions For Patients


•  Arch2POCM	
  and	
  the	
  crowd	
  will	
  accelerate	
  the	
  development	
  of
                                                                                    	
  
   NCEs	
  for	
  unmet	
  medical	
  needs	
  

•  Crowdsourced	
  research	
  and	
  trials	
  	
  represent	
  an	
  opportunity	
  
   for	
   mulJple	
  shots	
  on	
  goal 	
  that	
  will	
  serve	
  to	
  align	
  test	
  
   compounds	
  to	
  most	
  promising	
  unmet	
  medical	
  need	
  

•  PaJent	
  safety	
  is	
  protected	
  because	
  Arch2POCM	
  will	
  release	
  
   negaJve	
  clinical	
  trial	
  data	
  so	
  that	
  redundant	
  trials	
  can	
  stop	
  
Epigene:cs/	
  Chroma:n	
  Biology	
  

 A	
  pioneer	
  area	
  of	
  drug	
  discovery	
  
How We Define Epigenetics




                                       Lysine

                    DNA

                            Histone




           Modification Write   Read   Erase

           Acetyl         HAT   Bromo HDAC
           Methyl         HMT   MBT   DeMethyl
The Case for Epigenetics/Chromatin
                     Biology
1.  There	
  are	
  oncology	
  drugs	
  on	
  the	
  market	
  (HDACs)	
  
2.  A	
  growing	
  number	
  of	
  links	
  to	
  oncology,	
  notably	
  many	
  geneJc	
  
    links	
  (i.e.	
  fusion	
  proteins,	
  somaJc	
  mutaJons)	
  
3.  A	
  pioneer	
  area:	
  More	
  than	
  400	
  targets	
  amenable	
  to	
  small	
  
    molecule	
  intervenJon	
  -­‐	
  most	
  of	
  which	
  only	
  recently	
  shown	
  to	
  be	
  
    “druggable”,	
  and	
  only	
  a	
  few	
  of	
  which	
  are	
  under	
  acJve	
  
    invesJgaJon	
  	
  
4.  Open	
  access,	
  early-­‐stage	
  science	
  is	
  developing	
  quickly	
  –	
  
    significant	
  collaboraJve	
  efforts	
  (e.g.	
  SGC,	
  NIH)	
  to	
  generate	
  
    proteins,	
  structures,	
  assays	
  and	
  chemical	
  starJng	
  points	
  
Some Examples of Links to Cancer
•  Ezh2	
  methyltransferase	
  (enhancer	
  of	
  zeste	
  homolog	
  2)	
  
      –  SomaJc	
  mutaJons	
  in	
  B-­‐cell	
  lymphoma	
  
•  JARID1B	
  demethylase	
  	
  (jumonji,	
  AT	
  rich	
  interac:ve	
  domain	
  2	
  )	
  
      –  Linked	
  to	
  malignant	
  transformaJon:	
  expressed	
  at	
  high	
  levels	
  in	
  breast	
  and	
  prostate	
  
         cancers;	
  	
  Knock-­‐down	
  inhibits	
  proliferaJon	
  of	
  breast	
  cancer	
  lines	
  and	
  tumor	
  growth	
  
•  G9A	
  methyltransferase	
  	
  (euchroma:c	
  histone-­‐lysine	
  N-­‐methyltransferase	
  2)	
  
      –  Expressed	
  in	
  aggressive	
  lung	
  cancer	
  cells:	
  high	
  expression	
  correlates	
  to	
  poor	
  
           prognosis;	
  G9a	
  knockdown	
  inhibits	
  metastasis	
  in	
  vivo.	
  
•    MLL:	
  myeloid/lymphoid	
  or	
  mixed-­‐lineage	
  leukemia	
  
      –  MulJple	
  chromosomal	
  transloca,ons	
  involving	
  this	
  gene	
  are	
  the	
  cause	
  of	
  certain	
  
           acute	
  lymphoid	
  leukemias	
  and	
  acute	
  myeloid	
  leukemias	
  
•    Brd4:	
  (Bromodomain-­‐containing	
  protein	
  4)	
  
      –  Implicated	
  in	
  t(15;	
  19)	
  aggressive	
  carcinoma:	
  Chromosome	
  19	
  transloca,on	
  
           breakpoint	
  interrupts	
  the	
  coding	
  sequence	
  of	
  a	
  bromodomain	
  gene,	
  BRD4	
  
•    CBP	
  bromodomain	
  
      –  Oncogeneic	
  fusions	
  	
  
      –  Mutated	
  in	
  relapsing	
  AML	
  
The Epigenetics Universe (2009)
        Domain Family          Typical substrate class*             Total
                                                                   Targets
        Histone Lysine         Histone/Protein K/R(me)n/ (meCpG)     fq
        demethylase
        Bromodomain            Histone/Protein K(ac)                 k/
        R   Tudor domain       Histone Kme2/3 - Rme2s                kC
        O
            Chromodomain       Histone/Protein K(me)3                f:
        Y
        A   MBT repeat         Histone K(me)3                         C
        L
        PHD finger             Histone K(me)n                        C/
        Acetyltransferase      Histone/Protein K                     W/
        Methyltransferase      Histone/Protein K&R                   Eq
        PARP/ADPRT             Histone/Protein R&E                   W/
        MACRO                  Histone/Protein (p)-ADPribose         Wk
        Histone deacetylases   Histone/Protein KAc                   WW

                                                                   f Ck
Druggable
The Epigenetics Universe (2011)
        Domain Family          Typical substrate class*             Total
                                                                   Targets
        Histone Lysine         Histone/Protein K/R(me)n/ (meCpG)     fq
        demethylase
        Bromodomain            Histone/Protein K(ac)                 k/
        R    Tudor domain      Histone Kme2/3 - Rme2s                kC
        O
             Chromodomain      Histone/Protein K(me)3                f:
        Y
        A    MBT repeat        Histone K(me)3                         C
        L
        PHD finger             Histone K(me)n                        C/
        Acetyltransferase      Histone/Protein K                     W/
        Methyltransferase      Histone/Protein K&R                   Eq
        PARP/ADPRT             Histone/Protein R&E                   W/
        MACRO                  Histone/Protein (p)-ADPribose         Wk
        Histone deacetylases   Histone/Protein KAc                   WW

                                                                   f Ck
Now known to be amenable to small molecule inhibition
Bromodomains Can Be Targeted by Small Molecules
                   (2010)
                                                       Co-crystal (JQ1 + BRD4)




                                                                       Potency
                                                Selectivity         40 nM (BRD4)




 Anti-tumour activity (FDG-PET)

                                  4 days
                                  50mg/kg IP




                                   JQ1distributed to more than 200 labs world wide
Methyltransferases Can be Selectively Inhibited
              (Nature Chem Biol, in press 2011)
Structure based-design of a potent and selective G9a/GLP HMTase antagonist




•  Global reduction in H3K9me2 levels
•  Phenocopies shRNA knockdown
•  Well tolerated by > 7 cell lines
•  Cell line specific reduction in clonogenicity
•  Reactivation of endogenous & exogenous genes in mouse iPS and ES cells
•  Differential effects on DNA methylation between mouse ES cells and human adult
  cancer cells
•  modestly facilitates efficiency of iPS formation
Histone Demethylases Can be Targeted (JMJD3, unpublished)



•  Alphascreen assay
•  Validation by global H3K27me3 demethylation
   assay in JMJD3 transfected cells
•  1.8 Å structure of JMJD3 catalytic domain with
   8-hydroxyquinoline-5-carboxylic acid                          Overall fold of JMJD3
                                                                                                     Binding mode of 8-
                                                                                               hydroxyquinoline-5-carboxylate




                                                                     8-hydroxyquinoline-5-carboxylic acid tested in HEK293 cells
Alphascreen assays used for identifying small molecule binders
Methyl-lysine-binding Proteins Can be Targeted by
                 Small Molecules
                                          Herold et al., J Med Chem (2011)




 •  First structure of small molecule inhibitor bound to methyl-
    lysine binding domain.
 •  Potential relevance to reprogramming and regenerative
    medicine
Bromodomain Field is Poised For Rapid Progress

•  31 crystal structures
•  45 purified Bromo domains
•  Tm shift assay panel >30
     bromodomains
•  5 Alpha binding assays
     across 4 subfamilies
As are Human Methyltransferases

•  Purifiable	
  HMTs:	
  
    –  In	
  general,	
  all	
  the	
  targets	
  can	
  be	
  
       purified	
  to	
  >90%	
  purity	
  in	
  
       milligram	
  quanJJes	
  
    –  AcJvity	
  of	
  most	
  of	
  the	
  proteins	
  
       have	
  been	
  tested	
  
As are Human Demethylases

                      SGC structure

                      Non SGC structure

                      Catalytic domain purified

                      Alphascreen in place
Open Access Chemical Starting Points Will Be Available

 Probe
                          Kd < 100 nM                                   G9a/GLP
                          Selectivity > 30x
Criteria
                          Cell IC50 < 1 µM                              BET

                                                                        SETD7      JMJD2
                           Kd < 500 nM                                  PHF8       FBXL11
                         Selectivity > 30x
                                                                        BET 2nd
 Screening / Chemistry




                                              SUV39H2
                              Active                       L3MBTL3      GCN5L2
                            Kd < 5 µM
                                              EP300
                                                           L3MBTL1      JMJD3
                                              WDR5

                                              HAT1      PRMT3
                                                                                            BRD
                               Weak           CREBBP    BAZ2B     PB1
                                                                                            KDM
                                              FALZ      SETD8
                                                                                            HAT
                                              MYST3     EZH2
                                                                        JARID1C             Me Lys Binders
                               None           DOT1L     JMJD2A Tu
                                              SMYD3     UHRF1                               HMT

                                                In vitro assay
            Cell assay

                                                   available               available

                                                       Assay Development
Aided By an Archipelago of Scientists
Chemistry	
                                     Biology
•  GlaxoSmithKline	
                            •  Assam El-Osta, Baker Inst, Australia
•  University	
  of	
  North	
  Carolina	
          –    SETD7, Diabetes
   (CICBDD)	
                                   •  Or Gozani, Stanford
•  NovarJs	
                                        –    Biochemistry
•  Pfizer	
  	
  Nov,	
  2010	
                  •  James Ellis, Hospital for Sick Children,
                                                   Toronto
•  Eli	
  Lilly	
  	
  Dec	
  2010	
                –    induced pluripotent stem cells
•  Broad	
  InsJtute	
  	
  Feb	
  2011	
       •  Thea Tlsty, UCSF
•  James	
  Bradner,	
  Harvard	
                   –    breast epithelial models
•  NCGC	
                                       •  Broad Institute, Harvard
•  Julian	
  Blagg,	
  ICR	
                        –    cancer cell line panel
•  Chris	
  Abell,	
  Cambridge	
               •  Rossi, U British Columbia
                                                    –    mouse leukemia model/G9a inhibitor
•  Ulrich	
  Guenther,	
  Birmingham	
  
                                                •  James Bradner Harvard
•  Stefan	
  Lauffer,	
  Tuebingen	
                 –    DOT1L in leukemia
                                                    –    BET family
Biological Reagents                             •  David Wilson, Kevin Lee, GSK
                                                    –    Assays in disease tissue from RA and OA patients
•  Anthony Kossiakov, Chicago                       –    Cell based assays
       –    renewable binders
                                                •  Roland Schuele, Freiburg
•  Alan Sawyer, EMBL                                –    JMJD2C in prostate cancer
       –    monoclonal Antibodies
                                                •  Juerg Schwaller, Basel
•  Karen Kennedy, Bill Skarnes                      –    Bromo domains in MLL
   Sanger
       –    knockout mice, knockout Embryonic
            Stem cells
Epigenetics Archipelago Publications (2011)
•    Identification of Macro Domain Proteins as Novel O-Acetyl-ADP-Ribose Deacetylases. J Biol Chem (2011)

•    UNC0638: Potent, Selective, and Cell-penetrant Chemical Probe of Protein Lysine Methyltransferases G9a and GLP.
     Nature Chem Biol. in press
•    Recognition and specificity determinants of the human Cbx chromodomains. J Biol Chem. (2011)

•    Animal Models of Epigenetic Regulation in Neuropsychiatric Disorders. Curr Top Behav Neurosci. (2011)
•    A Selective Inhibitor and Probe of the Cellular Functions of Jumonji C Domain-Containing Histone Demethylases. J Am
     Chem Soc. Epub ahead of print (2011)
•    Inhibition of the histone demethylase JMJD2E by 3-substituted pyridine 2,4-dicarboxylates. Org Biomol Chem. (2011)
•    Inhibition of histone demethylases by 4-carboxy-2,2'-bipyridyl compounds. ChemMedChem. 6(5):759-64. (2011)
•    Recognition of multivalent histone states associated with heterochromatin by UHRF1. J Biol Chem. (2011)
•    Small-molecule ligands of methyl-lysine binding proteins. J Med Chem. 54(7):2504-11 (2011)

•    The Replication Focus Targeting Sequence (RFTS) Domain Is a DNA-competitive Inhibitor of Dnmt1. J Biol Chem. 286
     (17):15344-51 (2011)
•    Structural Chemistry of the Histone Methyltransferases Cofactor Binding Site. J Chem Inf Model. 51(3):612-623. (2011)

•    The structural basis for selective binding of non-methylated CpG islands by the CFP1 CXXC domain. Nature Commun.
     Epub ahead of print (2011)
•    Somatic mutations at EZH2 Y641 act dominantly through a mechanism of selectively altered PRC2 catalytic activity, to
     increase H3K27 trimethylation. Blood. 117(8):2451-9. (2011)
•    Structural basis for the recognition and cleavage of histone H3 by cathepsin L. Nature Commun. (2011)
The Benefits of the Arch2POCM Pre-
competitive Model: Crowdsourced Studies


   The	
  Crowd	
  
                           Arch2POCM
                           Compounds
                           And Data




                      Crowdsourced data on
                      Arch2POCM test compound
                          • SAR	
  med	
  chem	
  
                          • Best	
  indicaJon	
  

                      Clin	
  
                          • Clinical	
  data	
  

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Stephen Friend IBC Next Generation Sequencing & Genomic Medicine 2011-08-03

  • 1. Arch2POCM A Drug Development Approach from Disease Targets to their Clinical Validation Stephen Friend Sage Bionetworks (a non-profit foundation) IBC San Francisco Aug 3, 2011
  • 2. Alzheimers   Diabetes   Treating Symptoms v.s. Modifying Diseases Depression   Cancer   Will it work for me?
  • 3. r hh mb Cp s   r Dmp
  • 4. Personalized Medicine 101: Capturing Single bases pair mutations = ID of responders
  • 6.
  • 7.
  • 8. WHY  NOT  USE     “DATA  INTENSIVE”  SCIENCE   TO  BUILD  BETTER  DISEASE  MAPS?  
  • 9. “Data Intensive Science”- “Fourth Scientific Paradigm” For building: “Better Maps of Human Disease” Equipment capable of generating massive amounts of data IT Interoperability Open Information System Evolving Models hosted in a Compute Space- Knowledge Expert
  • 10.
  • 11. It is now possible to carry out comprehensive monitoring of many traits at the population level   s h b h t p   t s r   m Cm pbh pt h b s D   DCm   s t o Cp c o Ctm l s h t t pbh p
  • 12. How is genomic data used to understand biology? RNA amplification Tumors Microarray hybirdization Tumors Gene Index !Standard"GWAS Approaches Profiling Approaches Identifies Causative DNA Variation but Genome scale profiling provide correlates of disease provides NO mechanism   Many examples BUT what is cause and effect?   Provide unbiased view of molecular physiology as it relates to disease phenotypes trait   Insights on mechanism   Provide causal relationships and allows predictions Integrated" ! Genetics Approaches
  • 13. Constructing Co-expression Networks Start with expression measures for genes most variant genes across 100s ++ samples 1 2 3 4 Note: NOT a gene expression heatmap 1 1 0.8 0.2 -0.8 Establish a 2D correlation matrix 2 for all gene pairs expression 0.8 1 0.1 -0.6 3 0.2 0.1 1 -0.1 4 -0.8 -0.6 -0.1 1 Brain sample Correlation Matrix Define Threshold eg >0.6 for edge 1 2 4 3 1 2 3 4 1 1 1 4 1 1 1 0 1 1 0 1 2 2 1 1 1 0 1 1 0 1 1 1 1 0 Hierarchically 3 Identify modules 4 0 0 1 0 2 3 cluster 4 3 0 0 0 1 1 1 0 1 Network Module Clustered Connection Matrix Connection Matrix sets of genes for which many pairs interact (relative to the total number of pairs in that set)
  • 14. Integration of Genotypic, Gene Expression & Trait Data Schadt et al. Nature Genetics 37: 710 (2005) Millstein et al. BMC Genetics 10: 23 (2009) Causal Inference “Global Coherent Datasets” •  population based •  100s-1000s individuals Chen et al. Nature 452:429 (2008) Zhu et al. Cytogenet Genome Res. 105:363 (2004) Zhang & Horvath. Stat.Appl.Genet.Mol.Biol. 4: article 17 (2005) Zhu et al. PLoS Comput. Biol. 3: e69 (2007)
  • 15. Preliminary Probabalistic Models- Rosetta /Schadt Networks facilitate direct identification of genes that are causal for disease Evolutionarily tolerated weak spots Gene symbol Gene name Variance of OFPM Mouse Source explained by gene model expression* Zfp90 Zinc finger protein 90 68% tg Constructed using BAC transgenics Gas7 Growth arrest specific 7 68% tg Constructed using BAC transgenics Gpx3 Glutathione peroxidase 3 61% tg Provided by Prof. Oleg Mirochnitchenko (University of Medicine and Dentistry at New Jersey, NJ) [12] Lactb Lactamase beta 52% tg Constructed using BAC transgenics Me1 Malic enzyme 1 52% ko Naturally occurring KO Gyk Glycerol kinase 46% ko Provided by Dr. Katrina Dipple (UCLA) [13] Lpl Lipoprotein lipase 46% ko Provided by Dr. Ira Goldberg (Columbia University, NY) [11] C3ar1 Complement component 46% ko Purchased from Deltagen, CA 3a receptor 1 Tgfbr2 Transforming growth 39% ko Purchased from Deltagen, CA Nat Genet (2005) 205:370 factor beta receptor 2
  • 16. List of Influential Papers in Network Modeling   50 network papers   http://sagebase.org/research/resources.php
  • 18. Requires Data driven Science Lots of data, tools, evolving models of disease Requires Scientists Clinicians & Citizens to link in different ways
  • 19. Sage Mission Sage Bionetworks is a non-profit organization with a vision to create a commons where integrative bionetworks are evolved by contributor scientists with a shared vision to accelerate the elimination of human disease Building Disease Maps Data Repository Commons Pilots Discovery Platform Sagebase.org
  • 20. Sage Bionetworks Collaborators   Pharma Partners   Merck, Pfizer, Takeda, Astra Zeneca, Amgen   Foundations   CHDI, Gates Foundation   Government   NIH, LSDF   Academic   Levy (Framingham)   Rosengren (Lund)   Krauss (CHORI)   Federation   Ideker, Califarno, Butte, Schadt 20
  • 21. Bin Zhang Model of Alzheimer’s Disease Jun Zhu AD normal AD normal AD normal Cell cycle http://sage.fhcrc.org/downloads/downloads.php
  • 22. Bin Zhang Model of Breast Cancer: Integration Xudong Dai Jun Zhu Conserved Super-modules mRNA proc. = predictive Breast Cancer Bayesian Network Chromatin of survival Extract gene:gene relationships for selected super-modules from BN and define Key Drivers Pathways & Regulators (Key drivers=yellow; key drivers validated in siRNA screen=green) Cell Cycle (Blue) Chromatin Modification (Black) Pre-mRNA proc. (Brown) mRNA proc. (red) Zhang B et al., Key Driver Analysis in Gene Networks (manuscript)
  • 23. Clinical Trial Comparator Arm Partnership (CTCAP)   Description: Collate, Annotate, Curate and Host Clinical Trial Data with Genomic Information from the Comparator Arms of Industry and Foundation Sponsored Clinical Trials: Building a Site for Sharing Data and Models to evolve better Disease Maps.   Public-Private Partnership of leading pharmaceutical companies, clinical trial groups and researchers.   Neutral Conveners: Sage Bionetworks and Genetic Alliance [nonprofits].   Initiative to share existing trial data (molecular and clinical) from non-proprietary comparator and placebo arms to create powerful new tool for drug development.
  • 24. Federation s Genome-wide Network and Modeling Approach to Warburg Effect Califano group at Columbia Sage Bionetworks Butte group at Stanford
  • 25. THE FEDERATION Butte Califano Friend Ideker Schadt vs
  • 26.
  • 27. Software Tools Support Collaboration
  • 28. Biology Tools Support Collaboration
  • 30. Platform for Modeling SYNAPSE  
  • 31.
  • 32.
  • 34. Engaging Communities of Interest NEW MAPS Disease Map and Tool Users- ( Scientists, Industry, Foundations, Regulators...) PLATFORM Sage Platform and Infrastructure Builders- ( Academic Biotech and Industry IT Partners...) RULES AND GOVERNANCE Data Sharing Barrier Breakers- (Patients Advocates, Governance and Policy Makers,  Funders...) M APS FOR NEW TOOLS M PLAT Data Tool and Disease Map Generators- NEW (Global coherent data sets, Cytoscape, Clinical Trialists, Industrial Trialists, CROs…) RULES GOVERN PILOTS= PROJECTS FOR COMMONS Data Sharing Commons Pilots- (Federation, CCSB, Inspire2Live....) Arch2POCM
  • 35. Arch2POCM   A  Fundamental  Systems  Change   for  Drug  Discovery   Stephen  Friend  Aled  Edwards  Chas  Bountra   Lex  vander  Ploeg,  Thea  Norman,  Keith  Yamamoto  
  • 36. “Absurdity”  of  Current  R&D  Ecosystem   •  $200B  per  year  in  biomedical  and  drug  discovery  R&D   •  Handful  of  new  medicines  approved  each  year   •  ProducJvity  in  steady  decline  since  1950   •  90%  of  novel  drugs  entering  clinical  trials  fail   •  NIH  and  EU  just  started  spending  billions  to  duplicate  process   •  98%  of  pharma  revenues  from  compounds  approved  more   than  5  years  ago  (average  patent  life  11  years)   •  >50,000  pharma  employees  fired  in  each  of  last  three  years   •  Number  of  R&D  sites  in  Europe  down  from  29  to  16  in  2009  
  • 37. What  is  the  problem?   •  Regulatory  hurdles  too  high?   •  Low  hanging  fruit  picked?   •  Payers  unwilling  to  pay?   •  Genome  has  not  delivered?   •  Valley  of  death?   •  Companies  not  large  enough  to  execute  on  strategy?   •  Internal  research  costs  too  high?   •  Clinical  trials  in  developed  countries  too  expensive?   •  In  fact,  all  are  true  but  none  is  the  real  problem  
  • 38. What  is  the  problem?   •         The  current  system  is  designed  as  if  every  new   program  is  desJned  to  deliver  an  approved  drug   •  Each  new  therapy  is  pursued  through  use  of   proprietary  compounds  moving  in  parallel  with  no   data  being  shared  (oden  5-­‐10  companies  at  a  Jme)   •  Therefore  it  makes  complete  sense  to  maintain   secrecy   •  But  we  have  no  clue  what  we’re  doing   •   Alzheimer’s,  cancer,  schizophrenia,  auJsm.….  
  • 39. The current pharma model is redundant Target ID/ Hit/Probe/ Clinical Toxicolog Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb Phase Target ID/ Hit/Probe/ Clinical ID Pharmaco Toxicolog Phase I Discovery Lead ID Candidate logy y/ IIa/IIb ID Pharmaco Target ID/ Hit/Probe/ Clinical logy Toxicolog Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb ID Pharmaco Target ID/ Hit/Probe/ Clinical Toxicolog logy Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb ID Pharmaco logy Target ID/ Hit/Probe/ Clinical Toxicolog Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb ID Pharmaco Target ID/ Hit/Probe/ Clinical logy Toxicolog Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb ID Pharmaco Target ID/ Hit/Probe/ Clinical Toxicolog logy Phase I Phase Discovery Lead ID Candidate y/ IIa/IIb ID Pharmaco logy Attrition 50% 10% 30% 30% 90% Negative POC information is not shared
  • 40. What  is  the  problem?   The  real  problem  is  that  the  current  system  is  unable   to  provide  the  needed  insights  into  human  biology  and   disease  required   •  It  has  been  assumed  that  academia’s  role  is  to   provide  fundamental  biological  insights  into  disease,   but  we  know  now  that  virtually  all  experiments  used   to  understand  disease  in  test  tubes  and  animals  are   not  predicJve  of  what  happens  in  people   We  need  to  develop  a  mechanism  to  be8er   understand  disease  biology  before  tes:ng  compe::ve   compounds  on  sick  people  
  • 41. Let s imagine…. •  A pool of dedicated, stable funding •  A process that attracts top scientists and clinicians •  A process in which regulators can fully collaborate to solve key scientific problems •  An engaged citizenry that promotes science and acknowledges risk •  Mechanisms to decrease bureaucratic and administrative barriers •  Sharing of knowledge to more rapidly achieve understanding of human biology •  A steady stream of targets whose links to disease have been validated in humans
  • 42. Basic  Concept  of  Arch2POCM   •  Use  NME’s  to  understand  the  biology  of  human   diseases   •  Focus  on  targets  that  are  deemed  too  risky  for   either  public  or  private  sectors   •  Share  the    risk  by  pooling  public  and  private   resources   •  Open  access  to  data  produces  stream  of   informaJon  about  human  biology   •  NME,  not  burdened  by  IP,  expands  the  number  of   ideas  that  can  be  pursued,  without  addiJonal   funds  
  • 43. Entry Points For Arch2POCM Programs Requires two compounds if first fails - genomic/ genetic Pioneer target sources - disease networks - academic partners - private partners - Sage Bionetworks, SGC, Lead Lead Preclinical Phase I Phase II identification optimisation Assay in vitro probe Lead Clinical Phase I Phase II candidate asset asset Early Discovery
  • 44. Arch2POCM and the Power of Crowdsourcing •  Crowdsourcing: the act of outsourcing tasks traditionally performed by an employee to a large group of people or community • By making Arch2POCM s clinically characterized probes available to all, Arch2POCM will seed independently funded, crowdsourced experimental medicine • Crowdsourced studies on Arch2POCM probes will provide clinical information about the pioneer targets in MANY indications
  • 45. Why  have  a  “Common  Stream”  where   there  is  No-­‐IP  on  Compounds  thru  PhIIb?   •  Broader  data  disseminaJon   •  Far  fewer  legal  agreements  to  negoJate   •  Generates  FTO   •  Only  way  to  access  KOL  without  hassle   •  More  cost-­‐effecJve   •  Not  constrained  by  market  consideraJons  or   biased  internal  thinking  
  • 46. Why  now?   •  Economics   •  Genomics  is  creaJng  many  high-­‐risk,  high   opportunity  targets  in  all  diseases  but  no  has   the  resources  to  take  the  risks   •  Increased  level  of  interest  by  public  and   private   •  Health  care  costs  bringing  drug  discovery  to   front  of  public  policy  
  • 47.
  • 48. General Benefits of Arch2POCM For The Pharmaceutical Industry 1.  Arch2POCM s use of test compounds to de-risk previously unexplored biology enables pharma to initiate proprietary drug development with an array of unbiased, clinically validated targets   Arch2POCM operates without patents and advances pairs of test compounds through Ph II   Test compounds are used by Arch2POCM and the crowd to define clinical mechanisms for epigenetic targets impacting oncology 2.  Arch2POCM crowdsourced research and trials provides parallel shots on goal: by aligning test compounds to most promising unmet medical need 3.  Negative clinical trial information generated by Arch2POCM and the crowd will increase clinical success rates (as one can pick targets and indications more smartly) 4.  Build methods to track and visualize crowd sourced data, clinical safety profiles and reporting of potential adverse event
  • 49. Why Should Pharmaceutical Companies Invest in Arch2POCM? Some Possible Answers 1.  Directly shape the Arch2POCM scientific strategy around how to best interrogate the high risk high opportunity epigenetics targets for Oncology and Immunology 2.  Chose the components and where they are to be executed: i.e., targets, lead compounds, clinical indications and trial design 3.  Potential to realize value for existing pharmaceutical assets that are not currently getting developed - Contribute these compounds at Gate 2 of Arch2POCM (i.e., pre-IND) 4.  Partnering with Regulatory Sciences groups at the FDA and EMEA and real time open dialogs on safety issues around the compounds being used to understand biology as opposed to make products 5.  Partnerships with academics and patient groups improve the understanding around the importance of the Arch2POCM industry partners in the full value chain and enable building of trust with key leaders in both communities
  • 50. Why Should Pharmaceutical Companies Invest in Arch2POCM? Some Possible Answers (cont) 6. Real time access to the live stream of project information during the Arch2POCM oncology projects: projected to provide lead time on key information vs non-participating pharma –  Information on the leads –  Information from the preclinical studies –  Information from the Arch2POCM tirals in real time before aggregated –  Information from the crowd-sourced trials in real time before aggregated 7. Direct/rapid access to epigenetic academic experts and their tools 8. Opportunity to take the Validated targets forward to approval or share in auctioning of these assets
  • 51. Arch2POCM Value Propositions For Academia •  Funding to pursue and publish disruptive discovery research •  Sharing of resources and data among private and academic partners •  Development of basic discoveries toward therapies and cures •  Collaboration with private sector and regulatory scientists •  Education of students and public about nature and process of discovery, and understanding disease •  Exit options: extend/branch studies beyond arch2POCM
  • 52. Arch2POCM Value Propositions For Public Funders •  The  benefits  of  public  funding  investment  in  Arch2POCM  are   compounded  by  the  efforts  of  the  crowd.   •  Public  funding  will  support  experimental  medicine  studies.       •  Public  funding  will  invest  in  a  drug  development  model  that   protects  paJent  safety  by  eliminaJng  redundant  negaJve   trials  
  • 53. Arch2POCM Value Propositions For Regulators •  Opportunity  to  facilitate  a  greater  number  of  trials  on  pioneer   targets.   •  Opportunity  to  leverage  exisJng  legacy  clinical  trial  data  to   support  improved  drug  development  strategies.     –  By  focusing  on  pioneer  targets  instead  of  compounds,  regulators  can   parJcipate  pro-­‐acJvely  in  Arch2POCM  POCM  development.   •  Opportunity  to  play  a  leadership  role  in  the  development  of   regulatory  and  legal  collaboraJons  that  would  incenJvize  the   pharmaceuJcal  industry  to  parJcpate  in  a  pre-­‐compeJJve   clinical  validaJon  model  
  • 54. Arch2POCM Value Propositions For Patients •  Arch2POCM  and  the  crowd  will  accelerate  the  development  of   NCEs  for  unmet  medical  needs   •  Crowdsourced  research  and  trials    represent  an  opportunity   for   mulJple  shots  on  goal  that  will  serve  to  align  test   compounds  to  most  promising  unmet  medical  need   •  PaJent  safety  is  protected  because  Arch2POCM  will  release   negaJve  clinical  trial  data  so  that  redundant  trials  can  stop  
  • 55. Epigene:cs/  Chroma:n  Biology   A  pioneer  area  of  drug  discovery  
  • 56. How We Define Epigenetics Lysine DNA Histone Modification Write Read Erase Acetyl HAT Bromo HDAC Methyl HMT MBT DeMethyl
  • 57. The Case for Epigenetics/Chromatin Biology 1.  There  are  oncology  drugs  on  the  market  (HDACs)   2.  A  growing  number  of  links  to  oncology,  notably  many  geneJc   links  (i.e.  fusion  proteins,  somaJc  mutaJons)   3.  A  pioneer  area:  More  than  400  targets  amenable  to  small   molecule  intervenJon  -­‐  most  of  which  only  recently  shown  to  be   “druggable”,  and  only  a  few  of  which  are  under  acJve   invesJgaJon     4.  Open  access,  early-­‐stage  science  is  developing  quickly  –   significant  collaboraJve  efforts  (e.g.  SGC,  NIH)  to  generate   proteins,  structures,  assays  and  chemical  starJng  points  
  • 58. Some Examples of Links to Cancer •  Ezh2  methyltransferase  (enhancer  of  zeste  homolog  2)   –  SomaJc  mutaJons  in  B-­‐cell  lymphoma   •  JARID1B  demethylase    (jumonji,  AT  rich  interac:ve  domain  2  )   –  Linked  to  malignant  transformaJon:  expressed  at  high  levels  in  breast  and  prostate   cancers;    Knock-­‐down  inhibits  proliferaJon  of  breast  cancer  lines  and  tumor  growth   •  G9A  methyltransferase    (euchroma:c  histone-­‐lysine  N-­‐methyltransferase  2)   –  Expressed  in  aggressive  lung  cancer  cells:  high  expression  correlates  to  poor   prognosis;  G9a  knockdown  inhibits  metastasis  in  vivo.   •  MLL:  myeloid/lymphoid  or  mixed-­‐lineage  leukemia   –  MulJple  chromosomal  transloca,ons  involving  this  gene  are  the  cause  of  certain   acute  lymphoid  leukemias  and  acute  myeloid  leukemias   •  Brd4:  (Bromodomain-­‐containing  protein  4)   –  Implicated  in  t(15;  19)  aggressive  carcinoma:  Chromosome  19  transloca,on   breakpoint  interrupts  the  coding  sequence  of  a  bromodomain  gene,  BRD4   •  CBP  bromodomain   –  Oncogeneic  fusions     –  Mutated  in  relapsing  AML  
  • 59. The Epigenetics Universe (2009) Domain Family Typical substrate class* Total Targets Histone Lysine Histone/Protein K/R(me)n/ (meCpG) fq demethylase Bromodomain Histone/Protein K(ac) k/ R Tudor domain Histone Kme2/3 - Rme2s kC O Chromodomain Histone/Protein K(me)3 f: Y A MBT repeat Histone K(me)3 C L PHD finger Histone K(me)n C/ Acetyltransferase Histone/Protein K W/ Methyltransferase Histone/Protein K&R Eq PARP/ADPRT Histone/Protein R&E W/ MACRO Histone/Protein (p)-ADPribose Wk Histone deacetylases Histone/Protein KAc WW f Ck Druggable
  • 60. The Epigenetics Universe (2011) Domain Family Typical substrate class* Total Targets Histone Lysine Histone/Protein K/R(me)n/ (meCpG) fq demethylase Bromodomain Histone/Protein K(ac) k/ R Tudor domain Histone Kme2/3 - Rme2s kC O Chromodomain Histone/Protein K(me)3 f: Y A MBT repeat Histone K(me)3 C L PHD finger Histone K(me)n C/ Acetyltransferase Histone/Protein K W/ Methyltransferase Histone/Protein K&R Eq PARP/ADPRT Histone/Protein R&E W/ MACRO Histone/Protein (p)-ADPribose Wk Histone deacetylases Histone/Protein KAc WW f Ck Now known to be amenable to small molecule inhibition
  • 61. Bromodomains Can Be Targeted by Small Molecules (2010) Co-crystal (JQ1 + BRD4) Potency Selectivity 40 nM (BRD4) Anti-tumour activity (FDG-PET) 4 days 50mg/kg IP JQ1distributed to more than 200 labs world wide
  • 62. Methyltransferases Can be Selectively Inhibited (Nature Chem Biol, in press 2011) Structure based-design of a potent and selective G9a/GLP HMTase antagonist •  Global reduction in H3K9me2 levels •  Phenocopies shRNA knockdown •  Well tolerated by > 7 cell lines •  Cell line specific reduction in clonogenicity •  Reactivation of endogenous & exogenous genes in mouse iPS and ES cells •  Differential effects on DNA methylation between mouse ES cells and human adult cancer cells •  modestly facilitates efficiency of iPS formation
  • 63. Histone Demethylases Can be Targeted (JMJD3, unpublished) •  Alphascreen assay •  Validation by global H3K27me3 demethylation assay in JMJD3 transfected cells •  1.8 Å structure of JMJD3 catalytic domain with 8-hydroxyquinoline-5-carboxylic acid Overall fold of JMJD3 Binding mode of 8- hydroxyquinoline-5-carboxylate 8-hydroxyquinoline-5-carboxylic acid tested in HEK293 cells Alphascreen assays used for identifying small molecule binders
  • 64. Methyl-lysine-binding Proteins Can be Targeted by Small Molecules Herold et al., J Med Chem (2011) •  First structure of small molecule inhibitor bound to methyl- lysine binding domain. •  Potential relevance to reprogramming and regenerative medicine
  • 65. Bromodomain Field is Poised For Rapid Progress •  31 crystal structures •  45 purified Bromo domains •  Tm shift assay panel >30 bromodomains •  5 Alpha binding assays across 4 subfamilies
  • 66. As are Human Methyltransferases •  Purifiable  HMTs:   –  In  general,  all  the  targets  can  be   purified  to  >90%  purity  in   milligram  quanJJes   –  AcJvity  of  most  of  the  proteins   have  been  tested  
  • 67. As are Human Demethylases SGC structure Non SGC structure Catalytic domain purified Alphascreen in place
  • 68. Open Access Chemical Starting Points Will Be Available Probe Kd < 100 nM G9a/GLP Selectivity > 30x Criteria Cell IC50 < 1 µM BET SETD7 JMJD2 Kd < 500 nM PHF8 FBXL11 Selectivity > 30x BET 2nd Screening / Chemistry SUV39H2 Active L3MBTL3 GCN5L2 Kd < 5 µM EP300 L3MBTL1 JMJD3 WDR5 HAT1 PRMT3 BRD Weak CREBBP BAZ2B PB1 KDM FALZ SETD8 HAT MYST3 EZH2 JARID1C Me Lys Binders None DOT1L JMJD2A Tu SMYD3 UHRF1 HMT In vitro assay
 Cell assay
 available available Assay Development
  • 69. Aided By an Archipelago of Scientists Chemistry   Biology •  GlaxoSmithKline   •  Assam El-Osta, Baker Inst, Australia •  University  of  North  Carolina   –  SETD7, Diabetes (CICBDD)   •  Or Gozani, Stanford •  NovarJs   –  Biochemistry •  Pfizer    Nov,  2010   •  James Ellis, Hospital for Sick Children, Toronto •  Eli  Lilly    Dec  2010   –  induced pluripotent stem cells •  Broad  InsJtute    Feb  2011   •  Thea Tlsty, UCSF •  James  Bradner,  Harvard   –  breast epithelial models •  NCGC   •  Broad Institute, Harvard •  Julian  Blagg,  ICR   –  cancer cell line panel •  Chris  Abell,  Cambridge   •  Rossi, U British Columbia –  mouse leukemia model/G9a inhibitor •  Ulrich  Guenther,  Birmingham   •  James Bradner Harvard •  Stefan  Lauffer,  Tuebingen   –  DOT1L in leukemia –  BET family Biological Reagents •  David Wilson, Kevin Lee, GSK –  Assays in disease tissue from RA and OA patients •  Anthony Kossiakov, Chicago –  Cell based assays –  renewable binders •  Roland Schuele, Freiburg •  Alan Sawyer, EMBL –  JMJD2C in prostate cancer –  monoclonal Antibodies •  Juerg Schwaller, Basel •  Karen Kennedy, Bill Skarnes –  Bromo domains in MLL Sanger –  knockout mice, knockout Embryonic Stem cells
  • 70. Epigenetics Archipelago Publications (2011) •  Identification of Macro Domain Proteins as Novel O-Acetyl-ADP-Ribose Deacetylases. J Biol Chem (2011) •  UNC0638: Potent, Selective, and Cell-penetrant Chemical Probe of Protein Lysine Methyltransferases G9a and GLP. Nature Chem Biol. in press •  Recognition and specificity determinants of the human Cbx chromodomains. J Biol Chem. (2011) •  Animal Models of Epigenetic Regulation in Neuropsychiatric Disorders. Curr Top Behav Neurosci. (2011) •  A Selective Inhibitor and Probe of the Cellular Functions of Jumonji C Domain-Containing Histone Demethylases. J Am Chem Soc. Epub ahead of print (2011) •  Inhibition of the histone demethylase JMJD2E by 3-substituted pyridine 2,4-dicarboxylates. Org Biomol Chem. (2011) •  Inhibition of histone demethylases by 4-carboxy-2,2'-bipyridyl compounds. ChemMedChem. 6(5):759-64. (2011) •  Recognition of multivalent histone states associated with heterochromatin by UHRF1. J Biol Chem. (2011) •  Small-molecule ligands of methyl-lysine binding proteins. J Med Chem. 54(7):2504-11 (2011) •  The Replication Focus Targeting Sequence (RFTS) Domain Is a DNA-competitive Inhibitor of Dnmt1. J Biol Chem. 286 (17):15344-51 (2011) •  Structural Chemistry of the Histone Methyltransferases Cofactor Binding Site. J Chem Inf Model. 51(3):612-623. (2011) •  The structural basis for selective binding of non-methylated CpG islands by the CFP1 CXXC domain. Nature Commun. Epub ahead of print (2011) •  Somatic mutations at EZH2 Y641 act dominantly through a mechanism of selectively altered PRC2 catalytic activity, to increase H3K27 trimethylation. Blood. 117(8):2451-9. (2011) •  Structural basis for the recognition and cleavage of histone H3 by cathepsin L. Nature Commun. (2011)
  • 71. The Benefits of the Arch2POCM Pre- competitive Model: Crowdsourced Studies The  Crowd   Arch2POCM Compounds And Data Crowdsourced data on Arch2POCM test compound • SAR  med  chem   • Best  indicaJon   Clin   • Clinical  data