Clarissa Desjardins, Congruence CEO

New Or­biMed-backed biotech aims to repli­cate Ver­tex's wild­ly suc­cess­ful cys­tic fi­bro­sis pills in oth­er dis­eases

A new biotech aim­ing to tack­le pro­tein mis­fold­ing has land­ed a sub­stan­tial Se­ries A from some blue-chip in­vestors.

Con­gru­ence Ther­a­peu­tics burst on­to the scene Tues­day with a $50 mil­lion round, in­clud­ing funds from Or­biMed. The biotech will use the mon­ey to ad­vance its plat­form and move some of its pro­grams for­ward, CEO Claris­sa Des­jardins told End­points News.

Tues­day’s round was led by Am­pli­tude Ven­tures and Fonds de sol­i­dar­ité FTQ, a pub­lic de­vel­op­ment fund in Que­bec, Cana­da.

There are few oth­er de­tails about the com­pa­ny so far. Though Con­gru­ence says its plat­form uti­lizes ma­chine learn­ing and oth­er math­e­mat­i­cal and physics-based mod­el­ing sys­tems to char­ac­ter­ize pro­tein mis­fold­ing dis­or­ders, the biotech is not yet nam­ing the dis­eases it in­tends to re­search.

But the ap­proach ap­pears to re­sem­ble Ver­tex’s cys­tic fi­bro­sis treat­ments, in which the com­pa­ny uti­lized small mol­e­cule drugs to tar­get cer­tain sites on the af­fect­ed pro­tein to re­store sodi­um trans­port. Ver­tex’s drug was huge­ly suc­cess­ful, mak­ing the dead­ly ge­net­ic dis­ease treat­able for 90% of pa­tients, and proved it was pos­si­ble to treat ge­net­ic dis­eases with dif­fer­ent mu­ta­tions with a pill.

No one has been able to repli­cate the re­sults in oth­er dis­eases, how­ev­er, though sev­er­al groups are now try­ing. No­tably, Ab­b­Vie is at­tempt­ing this ap­proach in cys­tic fi­bro­sis as well, and the new At­las-backed start­up Rec­ti­fy Phar­ma­ceu­ti­cals launched last Oc­to­ber with Ver­tex vets.

Des­jardins did say that Con­gru­ence is al­so build­ing out a li­brary of the bio­phys­i­cal prop­er­ties of var­i­ous mu­tant pro­teins in hopes that a deep­er analy­sis will point to ways of cor­rect­ing them. The biotech is al­so keep­ing its dis­ease re­search ar­eas close to the vest for now.

Af­ter re­searchers iden­ti­fy what they be­lieve could be the mis­fold­ed pro­teins, they can screen po­ten­tial drug can­di­dates to see which “can re­vert the mu­tant and make it con­gru­ent with the wild type, so that we can func­tion­al­ly res­cue that pro­tein,” she said.

Des­jardins found­ed Con­gru­ence af­ter serv­ing as CEO of Clemen­tia Phar­ma­ceu­ti­cals, ac­quired in a $1.3 bil­lion deal with Ipsen in 2019. She told End­points that af­ter Clemen­tia, she want­ed to con­tin­ue re­search­ing rare dis­eases but was look­ing for the right op­por­tu­ni­ty to make an im­pact.

“In rare dis­eases, many of these sin­gle amino acid par­tial loss of func­tion mu­tants were what you call tem­per­a­ture sen­si­tive, that means that they could be cor­rect­ed in vit­ro sim­ply by low­er­ing the tem­per­a­ture,” Des­jardins said. “If you low­er the tem­per­a­ture, you ac­tu­al­ly cor­rect the mis­fold­ing and re­store cel­lu­lar func­tion. So that was fas­ci­nat­ing to me.”

Though this has been a well-known phe­nom­e­non, she added, no one re­al­ly knows why it oc­curs. The foun­da­tion­al goal of Con­gru­ence is to treat such pro­teins as poly­mers, mak­ing it pos­si­ble to map every­thing out and then use the ma­chine learn­ing plat­form to ad­dress ques­tions that nor­mal­ly wouldn’t be pos­si­ble in a wet lab.

Go­ing for­ward, Des­jardins said what sets Con­gru­ence apart from the pack is it’s go­ing af­ter tar­gets that are al­ready val­i­dat­ed, rather than try­ing to find com­plete­ly new ones. The com­pa­ny’s plat­form al­so al­lows it to re­verse en­gi­neer dis­eases in the hopes of ad­vanc­ing pro­grams more ef­fi­cient­ly, she said.

In ad­di­tion to the lead in­vestors and Or­biMed, Con­gru­ence al­so re­ceived fund­ing from Lu­mi­ra Ven­tures, In­vestisse­ment Que­bec, Driehaus Cap­i­tal Man­age­ment and oth­er un­named back­ers.

Image courtesy of The Janssen Pharmaceutical Companies of Johnson & Johnson.

Pro­tect­ing the glob­al phar­ma­ceu­ti­cal in­no­va­tion ecosys­tem – what’s at stake?

We are living in a new era of healthcare that is rapidly advancing progress impacting patient outcomes and experiences. We’ve seen a remarkable pace of transformational innovation, applied research, and advanced clinical development over the last decade.

Despite this tremendous progress, there is much more work to be done, and patients are counting on us – now more than ever – to continue that momentum. At the heart of our industry is a focus on developing and delivering medicines for some of the world’s most challenging diseases, including those that have few or no effective treatments today.

End­points 20(+2) un­der 40, 2023; Bio­phar­ma's high­est-paid CEOs; N-of-1 CRISPR sto­ry goes on af­ter tragedy; and more

Welcome back to Endpoints Weekly, your review of the week’s top biopharma headlines. Want this in your inbox every Saturday morning? Current Endpoints readers can visit their reader profile to add Endpoints Weekly. New to Endpoints? Sign up here.

We will be off Monday in observance of Memorial Day — and when we get back, it will be a straight march to ASCO, BIO and more. Enjoy the (long) weekend!

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Rich Horgan (R) with his late brother, Terry

Rich Hor­gan spear­head­ed a gene ther­a­py for his broth­er. The tri­al end­ed in tragedy, but the work con­tin­ues for more pa­tients

Rich Horgan’s quest to create a custom gene therapy for his brother, Terry, ended in tragedy. But Horgan doesn’t believe it’s the end of the story.

Terry, a 27-year-old patient with Duchenne muscular dystrophy, died last October just eight days after receiving the therapy in a clinical trial in which he was the only participant. The case raised questions about the safety of certain gene therapies and what would happen to other drug programs under a nonprofit that Horgan created, called Cure Rare Disease.

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Bio­phar­ma's 20 high­est-paid CEOs of 2022, each bring­ing in $20M+ pay­days

Even in a down year for much of the biopharma market, 20 CEOs brought in pay packages valued at more than $20 million, an Endpoints News analysis found.

Endpoints collected data on more than 350 CEO compensation packages, covering a wide range of pharma, biotech, and life sciences companies. All told, the 20 largest earners made over $725 million in 2022 — an average package of $36.4 million. Three brought in paydays over $50 million, and one CEO broke the $100 million mark.

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Mi­rati’s drug sitra­va­tinib flops PhI­II in com­bo with Op­di­vo for cer­tain lung can­cer

Mirati Therapeutics’ path to a second drug approval will likely have to wait. The San Diego biotech company said Wednesday that its investigational lung cancer drug failed a Phase III trial testing it in combination with Bristol Myers Squibb’s Opdivo.

The drug, sitravatinib, and Opdivo weren’t better than the chemo drug docetaxel at keeping patients alive, Mirati said in a press release. The spectrum-selective kinase inhibitor missed the primary goal of overall survival in patients with second- or third-line advanced non-squamous, non-small cell lung cancer.

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Athena Countouriotis, Avenzo Therapeutics CEO (website via Nasdaq)

Ex-Turn­ing Point ex­ecs plan to have their next bet, Aven­zo, on the Nas­daq next sum­mer

The crew at Turning Point Therapeutics is back together for a new biotech that wants to acquire early-stage oncology small molecules, including antibody drug conjugates, and potentially form partnerships with China-based drug developers for ex-China rights as it eyes a speedy leap onto the Nasdaq around this time next year, CEO Athena Countouriotis told Endpoints News.

After selling Turning Point to Bristol Myers Squibb, announced at the onset of last year’s ASCO confab, she and colleague Mohammad Hirmand founded Avenzo Therapeutics. The CEO and CMO already have approximately $200 million in seed and Series A financing from five big-name investors to evaluate which drugs to bring into its pipeline. That includes SR One, OrbiMed, Foresite Capital, Citadel’s Surveyor Capital and Lilly Asia Ventures. Bidding wars for assets have led Avenzo to miss out on some deals in recent months, but the biotech has three active term sheets and hopes to bring in its first asset in the third quarter, Countouriotis said in a Friday morning interview.

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The 20(+2) un­der 40: Your guide to the next gen­er­a­tion of biotech lead­ers

This year’s list of 20 biotech leaders under the age of 40 includes a huge range of ambitions. Some of our honorees are planning to create the next big drug giant. Others are pushing the bounds of AI. One is working to revolutionize TB testing. All are compelling talents who are still young in age, but already far along in achievement.

And, as in years past, we went over. The 20 are actually 22 because of two double profiles that reflect how important teamwork is in the industry. As one of our honorees, Joe Illingworth of DJS Antibodies, told me in our interview, “It takes a village to raise a biotech.”

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Car­mot rais­es an­oth­er $150M for obe­si­ty drugs, though race by com­peti­tors is well un­der­way

Carmot Therapeutics announced a $150 million Series E round that it plans to use to fund several trials of its obesity drugs.

Its lead candidate is a GLP-1/GIP dual receptor modulator heading into testing for obesity and diabetes. The latest round brings the startup’s total raised to around $370 million, according to the company.

Similar to Eli Lilly’s Mounjaro, Carmot’s lead drugs target hormones that together can impact insulin production and appetite. Its lead compound is CT-388, a once-weekly injection it is taking into Phase II. It also has a daily injection with the same mechanism and an oral GLP-1; a Phase I trial is in the works.

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FDA ap­proves Lex­i­con’s heart-fail­ure drug af­ter de­feat in di­a­betes

The FDA on Friday approved Lexicon’s heart failure drug sotagliflozin following a string of setbacks for the pharma company, including an FDA rejection in diabetes and the loss of a development deal with Sanofi.

The dual SGLT1 and SGLT2 inhibitor will be marketed as Inpefa and is a once-daily tablet. It’s been approved to reduce the risk of cardiovascular death and heart failure-related hospitalization or urgent visits in adults with heart failure or type 2 diabetes mellitus, chronic kidney disease, and other cardiovascular risk factors. The label spans the range of left ventricular ejection fraction, including preserved ejection fraction and reduced ejection fraction, as well as patients with or without diabetes, Lexicon said Friday.

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