Clene Nanomed­i­cine, re­search­ing the use of gold atoms to slow ALS pro­gres­sion, nets $42.5M Se­ries D

A bio­phar­ma that us­es gold to de­vel­op treat­ments for neu­rode­gen­er­a­tive dis­eases just got a lit­tle bit rich­er.

Rob Ether­ing­ton

Clene Nanomed­i­cine pulled in $42.5 mil­lion in a Se­ries D fi­nanc­ing round Wednes­day, mon­ey which will go to­ward ad­vanc­ing its lead pro­gram through a Phase III plat­form tri­al in ALS and sup­port Phase II tri­als in MS, Parkin­son’s dis­ease and ALS. CEO Rob Ether­ing­ton said that by the end of 2021, Clene will know whether or not the can­di­date, called CNM-Au8, will prove ef­fec­tive.

“It will take us to the end of all these clin­i­cal end­points,” Ether­ing­ton told End­points News. “The ex­cit­ing thing for us is that one as­set could po­ten­tial­ly be in­di­cat­ed to im­prove neu­ro­log­i­cal func­tion in MS, as well as ALS, and [though] Parkin­son’s is the slow­er pro­gram, this mon­ey is go­ing to help us launch more com­plete­ly that pro­gram.”

CNM-Au8 is a liq­uid sus­pen­sion of gold nanocrys­tals that cat­alyze in­tra­cel­lu­lar bi­o­log­i­cal re­ac­tions. Such cat­alyza­tion can lead to im­prove­ment in nerve cell sur­vival, func­tion, and com­mu­ni­ca­tion. Chem­i­cal­ly, the “clean sur­faces” of the nanocrys­tals help nor­mal­ize ATP pro­duc­tion in cells, which is lack­ing in se­ri­ous neu­ro­log­i­cal dis­eases like ALS, CMO Robert Glanz­man said.

“We’re pro­vid­ing bioen­er­gy sup­port to cells,” Glanz­man said. “There’s a rea­son why we tend to get neu­rode­gen­er­a­tive dis­eases as we get old­er, and that is be­cause as we age, there’s a lin­ear loss of bioen­er­getic ca­pac­i­ty with­in neu­rons … and what we’re do­ing is ac­tu­al­ly pro­vid­ing these neu­rons and oth­er cells with free en­er­gy, es­sen­tial­ly.”

In terms of vis­i­ble symp­toms, Glanz­man added that pa­tients tak­ing CNM-Au8 will see bet­ter strength, mus­cle mass and be able to speak, breathe and swal­low more eas­i­ly over a longer pe­ri­od of time.

Clene’s Phase III study comes as it was se­lect­ed to par­tic­i­pate in the first-ever plat­form tri­al for ALS, which en­rolled its first pa­tients ear­li­er this month. The tri­al com­pares three sep­a­rate treat­ments for the dis­ease, with UCB’s zilu­coplan and Bio­haven’s verdiper­stat join­ing CNM-Au8 at Har­vard-backed Mass­a­chu­setts Gen­er­al Hos­pi­tal in test­ing 480 to­tal pa­tients.

Though de­layed from a March start due to the Covid-19 pan­dem­ic, the plat­form tri­al aims to ex­pe­dite the de­vel­op­ment of ther­a­pies for a dis­ease that ad­vances rapid­ly and that has few ef­fec­tive treat­ment op­tions. On­ly rilu­zole, al­so known as Ri­lutek and OK’ed in 1995, shows any mea­sur­able ef­fect on ALS pa­tients, Ether­ing­ton said.

“Rilu­zole, which func­tion­al­ly is re­al­ly the on­ly drug that most peo­ple with ALS use, was orig­i­nal­ly ap­proved to de­lay the need for tra­cheostomies to en­cour­age breath­ing for an ex­tra cou­ple months,” Ether­ing­ton said. “But it has a very mod­est ef­fect gen­er­al­ly. It is the stan­dard of care, how­ev­er, be­cause it’s the on­ly re­al­ly marked­ly rel­e­vant drug that’s been ap­proved for ALS in this coun­try. There’s a few oth­ers but most of them do very lit­tle.”

Clene has two oth­er pro­grams in the pipeline, though nei­ther have reached the clin­ic just yet. The first is a top­i­cal gel con­tain­ing sil­ver and zinc ions, with re­searchers look­ing at burn treat­ment, ac­cel­er­at­ed wound-heal­ing and as an an­ti-in­fec­tive. There’s al­so a gold-plat­inum ther­a­peu­tic be­ing stud­ied for use in on­col­o­gy, which is still in the ini­tial in vit­ro stage.

The bot­tom line for Clene though is that find­ing a treat­ment op­tion for the ex­treme­ly dif­fi­cult ALS in­di­ca­tion be­comes clos­er to re­al­i­ty, with a po­ten­tial­ly huge im­pact on the field.

“The way you and I move and can grasp things and can talk, all this fine mo­tor move­ment we take for grant­ed,” Ether­ing­ton said. “An ALS pa­tient los­es these and this is ex­act­ly what we are study­ing.”

Has the mo­ment fi­nal­ly ar­rived for val­ue-based health­care?

RBC Capital Markets’ Healthcare Technology Analyst, Sean Dodge, spotlights a new breed of tech-enabled providers who are rapidly transforming the way clinicians deliver healthcare, and explores the key question: can this accelerating revolution overturn the US healthcare system?

Key points

Tech-enabled healthcare providers are poised to help the US transition to value, not volume, as the basis for reward.
The move to value-based care has policy momentum, but is risky and complex for clinicians.
Outsourced tech specialists are emerging to provide the required expertise, while healthcare and tech are also converging through M&A.
Value-based care remains in its early stages, but the transition is accelerating and represents a huge addressable market.

Zhi Hong, Brii Biosciences CEO

Brii Bio­sciences stops man­u­fac­tur­ing Covid-19 an­ti­body com­bo, plans to with­draw EUA re­quest

Brii Biosciences said it will stop manufacturing its Covid-19 antibody combination, sold in China, and is working to withdraw its emergency use authorization request in the US, which it started in October 2021.

The Beijing and North Carolina biotech commercially launched the treatment in China last July but is now axing the work and reverting resources to other “high-priority programs,” per a Friday update. The focus now is namely hepatitis B viral infection, postpartum depression and major depressive disorders.

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Clay Siegall, Morphimmune CEO

Up­dat­ed: Ex-Seagen chief Clay Sie­gall emerges as CEO of pri­vate biotech

Clay Siegall will be back in the CEO seat, taking the helm of a private startup working on targeted cancer therapies.

It’s been almost a year since Siegall resigned from Seagen, the biotech he co-founded and led for more than 20 years, in the wake of domestic violence allegations by his then-wife. His eventual successor, David Epstein, sold the company to Pfizer in a $43 billion deal unveiled last week.

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Sergio Traversa, Relmada Therapeutics CEO

Rel­ma­da makes 'crit­i­cal changes' to PhI­II tri­al to try and save de­pres­sion drug

Relmada Therapeutics is making changes to its Phase III study of its lead drug for major depressive disorder, in an attempt to avoid problems with a prior trial that showed little difference between the drug and a placebo.

That failure in October wiped 80% from Relmada’s stock price, and was followed by another negative readout a few months later. In both cases, the company said that there had been trial sites that were associated with what it called surprising placebo effects that skewed the results compared with the drug, REL-1017.

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Peter Hecht, Cyclerion Therapeutics CEO

Hard pressed for cash, Cy­cle­ri­on looks for help fund­ing rare dis­ease drug

Cyclerion Therapeutics may have the design of a Phase IIb study ready to go, but it’s scrambling for a way to fund it.

The company said in a press release that it’s “actively evaluating the best combination of capital, capabilities, and transactions available to it to advance the development of zagociguat,” its lead candidate for a rare, genetic mitochondrial disease known as MELAS.

In a separate SEC filing, Cyclerion once again flagged “substantial doubt about (its) ability to continue as a going concern.” As of the end of 2022, it had cash and cash equivalents of only $13.4 million.

Paul Song, NKGen Biotech CEO

NK cell ther­a­py-fo­cused biotech eyes SPAC deal

A small, Santa Ana-based biotech created in 2017 is looking to enter a SPAC deal as it lays out plans to begin trials in its lead cell therapy candidates and bring on new executives.

Graf Acquisition Corp. IV and NKGen Biotech announced Thursday, with few other details, that the two companies signed a non-binding letter of intent to “pursue a business combination.” Graf Acquisition II and III withdrew their IPOs last year.

In­cyte hit by CRL on ex­tend­ed-re­lease JAK tablets, mud­dy­ing plans for Jakafi fran­chise ex­pan­sion

The FDA has rejected Incyte’s extended-release formulation of ruxolitinib tablets, in a surprise setback for the company’s plans to build on its blockbuster Jakafi franchise.

The ruxolitinib XR tablets are designed to be taken once a day, whereas Jakafi is indicated for twice daily dosage (although some patients can take it once daily).

According to Incyte, the FDA acknowledged in its complete response letter that the study submitted in the NDA “met its objective of bioequivalence based on area under the curve (AUC) parameters but identified additional requirements for approval.”

FDA ad­vi­sors unan­i­mous­ly rec­om­mend ac­cel­er­at­ed ap­proval for Bio­gen's ALS drug

A panel of outside advisors to the FDA unanimously recommended that the agency grant accelerated approval to Biogen’s ALS drug tofersen despite the drug failing the primary goal of its Phase III study, an endorsement that could pave a path forward for the treatment.

By a 9-0 vote, members of the Peripheral and Central Nervous System Drugs Advisory Committee said there was sufficient evidence that tofersen’s effect on a certain protein associated with ALS is reasonably likely to predict a benefit for patients. But panelists stopped short of advocating for a full approval, voting 3-5 against (with one abstention) and largely citing the failed pivotal study.

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Alaa Halawa, executive director at Mubadala’s US venture group

The ven­ture crew at Mubadala are up­ping their biotech cre­ation game, tak­ing care­ful aim at a new fron­tier in drug de­vel­op­ment

It started with a cup of coffee and a slow burning desire to go early and long in the biotech creation business.

Wrapping up a 15-year discovery stint at Genentech back in the summer of 2021, Rami Hannoush was treated to a caffeine-fueled review of the latest work UCSF’s Jim Wells had been doing on protein degradation — one of the hottest fields in drug development.

“Jim and I have known each other for the past 15 years through Genentech collaborations. We met over coffee, and he was telling me about this concept of the company that he was thinking of,” says Hannoush. “And I got immediately intrigued by it because I knew that this could open up a big space in terms of adding a new modality in drug discovery that is desperately needed in pharma.”

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