ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL

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ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
www.pharmatechoutlook.com   April - 2020                            ISSN 2644-2787

                                            EUROPE SPECIAL

     DRUG DISCOVERY &
     DEVELOPMENT
     EDITION

Changing the
Paradigm of
EoE Treatment

EsoCap                                     Isabelle Racamier,
                                           CEO and Board Director

                                                                             $15
ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
COVER STORY

  EsoCap
Changing the
Paradigm of EoE
Treatment
M
              odern medicine began to emerge in        diagnosis and treatment of many of the previously
              the post-industrial revolution era of    unknown diseases, including eosinophilic
              the 18th century. Since those early      esophagitis (EoE).
              days, medicine has advanced by               Earlier, if someone had EoE, the chances of
 leaps and bounds, with many scientific discoveries    a doctor misdiagnosing it as gastro-esophageal
 being made and breakthroughs achieved. Today,         reflux disease (GERD) were particularly high. It
 technology’s fingerprints can be found all over the   was not so long ago that doctors realised that even
 healthcare domain—from new ways of teaching           though EoE showed symptoms similar to GERD,
 medical students to taking care of patients in        it was a different, rare disease. In EoE, eosinophils
 hospitals with the most sophisticated equipment.      (a type of white blood cell) build up in the lining
 So much so that technology now helps in accurate      of the esophagus. This buildup, often caused by a
ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
TOP 10
DRUG DISCOVERY
AND DEVELOPMENT
SOLUTION PROVIDERS IN EUROPE - 2020

        We have already reached
        a point of achieving
        technical development
        and technical proof of        Isabelle Racamier,
                                      CEO and Board Director
        concept of our underlying
        technology
ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
person’s reaction to allergens, inflames     gastrointestinal diseases. And to bring      to a mouthpiece through a slit in the
the esophageal tissue and leads to           this smart drug application technology       capsule and a connecting thread. The
difficulty in swallowing and extremely       into clinical testing and to EoE patients,   mouthpiece is further placed onto
painful food impaction. While the            Prof. Dr. Weitschies collaborated with       a specially-designed drinking cup,
current treatment options are limited        Dr. Werner Tschollar. The result of their    which allows the patients to swallow
to strict dietary measures and out of        partnership led to the foundation of         the capsule easily. When patients
label administration of steroids, there is   EsoCap, an emerging biotech startup          consume the capsule, the film sticks to
no single globally accepted therapy for      based in Basel, Switzerland. Today, the      the esophageal mucosa, ensuring local
the condition. Moreover, even though         company is building upon the work            delivery and prolonged mucosal contact
steroids for EoE are generally effective,    of the Greifswald Center of Drug             time as the film dissolves slowly over
these medications are minimally
absorbed by the esophageal segment
of the gastrointestinal tract. The short
transit time of the drug from mouth to
the stomach hinders the expected effect
of the drug. Thus, the pharmaceutical
industry had been on the lookout for a
tool that can administer the medications
directly to the esophagus for treating
EoE.
    At this juncture, the group of Prof.
Dr. Werner Weitschies, from the Center
of Drug Absorption and Transport at
the University of Greifswald, came up
with a breakthrough that the healthcare
industry has been waiting for so long.
They developed a novel drug delivery
platform for the treatment of upper

                                             Absorption and Transport to develop a        time. Further, with an approximate
                                             unique topical drug delivery platform        length of 25 cm, the thin film stretches
                                             designed to assist in the treatment of the   throughout the length of the esophagus.
                                             upper gastrointestinal tract. Currently      Isabelle Racamier, the CEO and board
                                             entering the phase two clinical stage, the   member of EsoCap, believes that their
                                             smart drug application technology will       topical drug delivery platform comes
                                             allow targeted delivery of a broad range     at a time when drug discovery and
                                             of pharmaceutical drugs to the affected      development are witnessing the next
                                             areas with maximum accuracy.                 stage of evolution. She says, “We have
                                                                                          already reached a point of achieving
                                             The Paradigm Shift in EoE                    technical development and technical
                                             Treatment                                    proof of concept of our underlying
                                             EsoCap’s smart drug delivery platform        technology.” Markedly, the University
                                             uses a thin film loaded with the drug        of Greifswald, EsoCap’s collaborator
                                             substance. The film is rolled up into        in the development of the product, has
                                             a capsule, which, when swallowed,            already corroborated the feasibility of
                                             unrolls the film in the esophagus and        the drug delivery concept. An imaging
                                             delivers the drug slowly over time. To       study showed sustained placement of a
                                             ensure the film stays in the intended        polymer film on the esophageal mucosa.
                                             area of application, it is designed such     Such a highly localised approach
                                             that one end of the film is attached         reduces the risk of side effects since
ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
doctors do not have to administer any
systemic drug. Therefore, the smart drug
application technology opens the door
for new treatment options that were not
possible up until now because of the
limitations around local delivery and
subsequent side effects of drugs.

Applications beyond EoE
EsoCap’s innovative technology is not
only meant to benefit thousands of
patients with EoE but also be a major
advancement in the treatment of several
diseases of the upper gastrointestinal
tract. In a recent multidisciplinary
scientific advisory meeting held by
EsoCap, the role of its novel technology
for the topical treatment of eosinophilic
esophagitis was discussed. In the
conference, the experts also explored
the broader applications of EsoCap’s
drug delivery platform in the treatment
of other esophageal diseases. Executive     technology can easily be combined           partners for reaching out to a large scope
teams of many large pharmaceutical          with other drugs to treat each of the       of functions. These external contributors
companies and other accomplished            gastroenterology and oncology disorders’    include companies covering industrial
experts in the field have already started   indications. Besides, considering the       development, production of different
noticing this innovative drug delivery      flexibility of the smart drug application   pieces of the drug delivery platform,
platform. “EsoCap’s new platform has        technology, it can be used with both        along with scientific and regulatory
given pharmaceutical community a            clinically proven and innovative            advisors. Moreover, both internal and
reason to be excited,” comments Isabelle.   new classes of drugs that are still in      external members are encouraged to
     Incentivised by such positive          development.                                bring in their personal initiative and
reception, EsoCap initiated a
                                                                                        contribute to strategy development,
cooperation with Lohmann Therapie-          The Art of Running a Startup                and at the same time have an action-
Systeme (LTS), a leader in the              The successful journey of EsoCap, so far,
                                                                                        oriented mindset for the execution
production of oral thin films, to begin     would not have been possible without
                                                                                        of the company’s business strategy.
the industrial development of the drug      the harmonious blend of the expertise
delivery technology. The collaboration                                                  According to Isabelle, the beauty of
                                            of each management and board member.
is paving the way for clinical trials                                                   being a startup is in the fact that their
                                            “When the team plays together; we
for patients suffering from EoE. The                                                    internal functioning resembles that of an
                                            need to be in full harmony with a
potential of the drug delivery platform     high quality of execution to reach the      orchestra. Isabelle adds, “Everyone needs
has also been recognised by the U.S.        business goals of EsoCap,” underlines       to come in and out at the right time
Food & Drug Administration (FDA),           Isabelle. The management team of            with the right component based on their
which has granted EsoCap the Orphan         EsoCap has educational backgrounds          expertise and talent.”
Drug Designation status in the              and past experiences in the fields of           Such expertise and interoperability
treatment of EoE.                           science, management, and finance.           have helped EsoCap in finalising the
     However, Isabelle notes, “We are       And each individual in the team brings      development of its product and the
currently starting a phase two clinical     their subject matter expertise in general   company is currently starting a phase
trial for only one indication of EoE,       management, strategic planning, finance,    two clinical trial. “The next step for
and there are five additional indications   project management, and development         EsoCap in the upcoming months will be
of gastroenterology and oncology            in the pharmaceutical space. In addition    to enter into a transaction with a major
disorders covering approximately 370        to its internal team, EsoCap also           biopharmaceutical company,” concludes
million patients.” EsoCap’s drug delivery   collaborates with a number of external      Isabelle.
ESOCAP CHANGING THE PARADIGM OF EOE TREATMENT - EUROPE SPECIAL
APRIL - 2020
                                                                            ISSN 2644-2787

                                                                        EUROPE EDITION
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                               IN EUROPE
                                      2020

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                                      IN EUROPE
                                               2020

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