Orphagen Pharmaceuticals – a biotech company pioneering the screening, discovery, and development of small molecule ligands that modulate orphan or unexplored members of the nuclear receptor family – announced an award of up to $1.7 million from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) through the Small Business Innovation Research (SBIR) program. This funding will support the preclinical development of the small molecule OR-812, a selective nuclear receptor antagonist, as a novel oral therapeutic for treating ulcerative colitis and Crohn’s disease, two forms of inflammatory bowel disease (IBD).
Many Americans suffer from inflammatory bowel disease (IBD), a lifelong, debilitating inflammatory condition of the gut in which modulation of the immune system is the major therapeutic strategy. But despite developing novel therapies, including monoclonal antibodies to TNFα and IL-12/IL-23, and inhibitors of T cell gut homing such as vedolizumab and ozanimod, less than half of patients experience a sustained therapeutic benefit.
The research leading to this award grew out of Orphagen’s investigations into unexplored members of the nuclear receptor family, which was the source of major drugs in cancer, metabolic disease, and inflammation.
One of these unexplored targets RARα has a central role in the intestinal immune response and regulates the induction of homing markers that drive activated T cells to migrate to the intestinal mucosa. And In vivo pharmacological studies at Orphagen have shown that RARα antagonists will, with very high potency, block the induction of the gut-homing integrin α4β7, the target for vedolizumab, a major inflammatory bowel disease drug. The induction of a second important gut-homing receptor, CCR9, is also blocked by OR-812 during T-cell activation.
The potential for efficacy in this drug class was supported by studies carried out in the laboratory of Professor Casey Weaver, the Leonard H. Robinson Endowed Chair in Pathology at the University of Alabama, Birmingham, a noted pioneer in mucosal immunology. His group showed that an RARα antagonist will inhibit α4β7 expression and cause a significant reduction in the accumulation of inflammatory T cells in the lamina propria of the colon of Citrobacter rodentium-infected mice, a model of gut mucosal inflammation resembling IBD.
Separately, OR-812 markedly suppressed gut mucosal inflammation and erosion in a T cell transfer model of colitis in mouse – which is known to respond to most major classes of drug for IBD. The preliminary safety studies carried out at Orphagen are consistent with a robust safety margin for OR-812.
KEY QUOTES:
“This award recognizes the innovative preclinical work that Orphagen has done to characterize retinoic acid receptor alpha (RARα) as a target for inhibiting autoimmune inflammation of the intestinal mucosa. We’ll use this funding from the NIDDK to further evaluate the properties of our lead compound, OR-812, a potent and selective RARα antagonist with promising preclinical efficacy, safety, and pharmacokinetics for the treatment of IBD.”
“Innovative therapeutics for autoimmune diseases of the intestinal mucosa have largely been dominated by injectable drugs. Our small molecule, OR-812, has the potential to offer IBD patients a novel oral medicine with a differentiated mechanism of action from current therapies.”
- Dr. Scott Thacher, Ph.D., CEO of Orphagen
“Globally, there is a pressing need for new therapies as the incidence of IBD continues to increase. Selectively blocking the action of retinoic acid through RARα is clearly one promising approach.”
- Dr. Weaver