PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018

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PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
LILLE

                 30TH NOVEMBER & 1ST DECEMBER

                             PRESENTATION
                                 SESSIONS
                The one-stop shop to engage new partnerships
                           for life sciences innovative projects

                                  TECHNOMARKET /
                          LICENSING OPPORTUNITIES

                                         START-UP SLAMS
LILLE

           www.biofit-event.com
PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
CONTENT

INTRODUCTION TECHNOMARKET /              4
LICENSING OPPORTUNITIES

INTRODUCTION START-UP SLAMS              5

AGENDA                                   6

TECHNOMARKET / LICENSING OPPORTUNITIES   9

 ONCOLOGY                                10

 NEUROLOGY/CARDIOLOGY                    22

 INFECTIOLOGY AND VACCINES               35

 RESEARCH TOOLS                          43

START-UP SLAMS                           47

                                              3
PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
TECHNOMARKET / LICENSING OPPORTUNITIES

    To foster alliances and business development opportunities on innovative projects,
    SATT Network (the association of the French TTOs) & BioFIT joint their initiatives
    to organise the TechnoMarket and Licensing Opportunity Presentations.

    Let’s discover the latest innovations in:

      • RESEARCH TOOLS

      • ONCOLOGY

      • NEUROLOGY/CARDIOLOGY

      • INFECTION AND VACCINES

    During the two-day event, you can discover 30 licensing opportunities selected by
    a jury of experts in the poster area in the Innovation area and listen to their pitches
    in Van Gogh 3 room.

                                    ORGANISED BY

4
PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
S TA R T- U P S L A M S

The Start-up Slams are dedicated to young entrepreneurs (≤ 5 years) who are thin-
king about creating or have created an innovative company and having an overall
strategy to present.

During the presentations, the selected candidates will present their overall strategy
to potential partners and investors who could support their company and receive
feedback and advice by experienced pharmas and VCs on how to advance it.

                           PA N E L O F A DV I S O R S

    • Sarah HOLLAND,
      BD&L Business Partner, General Medicines and Emerging Markets
      Business Unit (FR)
    • Esther LANGE,
      Industry Liaison Manager, ASCENION (DE)
    • Cécile THÉARD-JALLU,
      Partner Attorney, DE GAULLE FLEURANCE & ASSOCIÉS (FR)
    • Sara NUNEZ GARCIA,
      Principal, SOFINNOVA PARTNERS (FR)
    • Stephan LENSKY,
      COO and CBO, EPIMAB BIOTHERAPEUTICS (DE)
    • Nicolas CARBONI,
      President and CEO, CONECTUS ALSACE (FR)
    • Guy HÉLIN,
      Chief Executive Officer, SYNGULON (BE)
    • Christian POLICARD
      Member of the board and Chairman of the Business Development
      Sub-Committee, FRANCE BIOTECH (FR)

                               ORGANISED BY

                                                                                        5

                                 LILLE
PRESENTATION SESSIONS - TECHNOMARKET / LICENSING OPPORTUNITIES START-UP SLAMS - LILLE - BioFIT 2018
AG E N DA

                               3 0 TH N O V E M B E R
    VA N G O G H 3 R O O M

                  TECHNOMARKET / LICENSING OPPORTUNITIES
                    ONCOLOGY
                  • Diagnostic and stratification of colorectal cancer for a better
                    management of patient care protocol - SATT
                  • New peptide-based drug with anti-angiogenic properties - SATT
    9. 4 5 A M
                  • Poly(2-oxazoline)s for a new generation of Cancer Drug Delivery
    11 .0 0 A M
                  • Potent blocker of HER2 receptor for treatment of metastatic breast cancer - SATT
                  • Kinase Inhibitors & Cancer - SATT
                  • Small molecule lead compounds for colorectal cancer treatment through
                    TNIK modulation
                  • ProNGF: New target to counter resistance mechanisms in breast cancer - SATT
                  • Dual PI3K and mTOR inhibitors as promising drugs to treat cancer - SATT

                    S TA R T- U P S L A M S

                  • APTEEUS
    2.30 PM       • VitamFero S.A.
    4 .0 0 P M    • ViroVet
                  • Sencet
                  • Kangstem Biotech Co., Ltd.
                  • NOVAPTECH

                  TECHNOMARKET / LICENSING OPPORTUNITIES
                    NEUROLOGY - CARDIOLOGY

                  • A Preventing neuropathic pain induced by mastectomy - SATT
                  • Neuropain and chronic pain prevention - SATT
                  • DIVE: Dopaminergic stimulation by continuous intracerebro ventricular
    4.30 PM         delivery of anaerobic dopamine in Parkinson’s disease - SATT
    6 .0 0 P M    • Biomarkers for the diagnosis of dementia with Lewy bodies
                  • New generation of neuroprotectants: an original way to treat and prevent
                    acute and chronic neurological diseases - SATT
                  • Preventing neuropathic pain induced by chemotherapy - SATT
6                 • CARMIDO - SATT
                  • Therapeutic potential of a molecule that modulates platelet function
                    and thrombosis - SATT
AG E N DA

                                1 ST D E C E M B E R
VA N G O G H 3 R O O M

             TECHNOMARKET / LICENSING OPPORTUNITIES
              I N F E C T I O L O G Y A N D VA C C I N E S

             • Bioactive Prosthesist - SATT
9. 45 A M    • First effective vaccine against chlamydia infection - SATT
11.0 0 A M   • Influenza antivirals - SATT
             • Adenoviral coat protein delivery vehicles for use as a vaccine platform
             • FibroCOPD - SATT
             • New antibody fragments to treat ocular toxoplasmosis - SATT
             • New small molecules to purge HIV reservoirs - SATT

               S TA R T- U P S L A M S

             • e-Zyvec
11.3 0 A M
             • Spectralys Biotech
1.00 P M
             • CEFO Co., Ltd
             • Immune InsighT
             • 1CryoBio AG

             TECHNOMARKET / LICENSING OPPORTUNITIES
               RESEARCH TOOLS

2. 30 P M    • A rapid NTP-transporter as a tool for staining DNA in living cells
3.15 P M     • MAGIA - SATT
             • Disruptive mixed in vitro-in-silico approach for protein engineering
               and screening
             • iBodies: Modular Polymer-Based Synthetic Antibodies
                                                                                         7
TECHNOMARKET /
LICENSING
OPPORTUNITIES
ON COLOGY

     Diagnostic and stratification of colorectal
     cancer for a better management of patient
     care protocol
     Key words                                     lorectal cancer recurrence risk in order to
         • Colorectal cancer                       select the best therapy to treat it. It gives
         • Cancer stem cells                       the pathologist new data, a cancer stem
         • Cancer aggressiveness                   cell scoring, that could be associated to
                                                   cancer aggressiveness indicator and a
     Technology                                    predictor of cancer recurrence.
     The product is a new diagnostic kit with      This new diagnostic tool is particularly
     a high capacity to stratify colorectal        interesting for early stages of colorectal
     cancer.                                       cancer (stage I or II) for which a chemo-
     This is an immunohistochemistry test          therapy treatment may not be indicated,
     that can be easily added to standard          although a real recurrence risk exists.
     anatomopathological procedures. This
     new product is selective of cancer stem       Market
     cells and based on their occurrence that      Colorectal cancer is the second leading
     provide data on cancer aggressiveness         cause of mortality among cancer patients
     and potential recurrence rate. This test      in the world and is the third most dia-
     uses markers that recognize biomarkers        gnosed cancer globally. Populations are
     expressed only on colorectal cancer stem      aging and colorectal incident case rates
     cells surface.                                are increasing in all the markets covered.
     The product has already been successful-      Overall, across the 7 major markets (US,
     ly tested in a retrospective clinical study   5EU (France, Germany, Italy, Spain, the
     using biopsies and patient survival rates     UK), Japan), the incidence of colorec-
     at 5 years. The results show a strong sta-    tal is expected to increase by an Annual
     tistical correlation between the specific     Growth Rate (AGR) of 1.5% from 2013-
     biomarker titer and the patient survival      2023.
     rate. In that way, this new immunohisto-      The market size for our technology in-
     chemistry test will provide the patholo-      cludes in particular population with stage
     gist with a new aggressiveness score for      I or II colorectal cancers.
     colorectal cancer. The goal is to improve
                                                   Partnership sought
     patient care protocol and treatment and
     decrease the risk of cancer recurrence.       Available for co-development and/or
                                                   licensing out: Diagnosis company.
     Applications
     The newly developed kit will be useful
     and beneficial to assess the level of co-

10

     SATT GRAND CENTRE
     Magali Granger
     magali.granger@sattgc.com
ON COLOGY

New peptide-based drug
with anti-angiogenic properties
Key words                                   Market
    • New peptide-based drug                According to a new report released by
    • Anti-angiogenic properties            the IMS Institute for Healthcare Informa-
    • Interaction TSP-1:CD47                tics, total global spending on oncology
                                            medicines – including therapeutic treat-
Technology
                                            ments and supportive care – reached the
Thrombospondin-1 (TSP-1) is a large         $100 billion threshold in 2014. Oncology
matricellular glycoprotein found to be      drug spending has risen slightly as a
overexpressed within tumor stroma in        percentage of total drug spending over
several cancer types.TSP-1 binding to       the past five years in all regions, most
CD47 is widely reported to regulate         notably in the EU5 countries where onco-
cardiovascular function as it promotes      logy now represents 14.7 percent of total
vasoconstriction and angiogenesis limi-     drug spending.
tation. Therefore, many studies focused
on targeting TSP-1:CD47 interaction, ai-    Competitors
ming for up-regulation of physiological     This important therapeutic domain is
angiogenesis to enhance post-ischemia       attractive and a lot of biopharmas are in
recovery or to facilitate engraftment.      competition… The top 10 pharma compa-
Thus, we sought to identify an innova-      nies by oncology sales are Roche, Novar-
tive selective antagonist for TSP-1:CD47    tis, Celgene, Johnson & Johnson, Bristol-
interaction. Protein-protein docking and    Myers Squibb, Lilly, Takeda, AstraZeneca,
molecular dynamics simulations were         Merck & Co. and Amgen. Nevertheless, a
conducted to design this drug peptide.      lot of biotechs are also developing per-
TAX2 binds TSP-1 to prevent TSP-1:CD47      tinent approaches, tools, molecules, bio-
interaction, as revealed by ELISA and co-   logics to tackle the cancer progression.
immunoprecipitation experiments. TAX2
                                            Partnership sought
peptide molecular targets (TSP-1, CD47
and CD36) are overexpressed within          Partnerships to achieve the development
human pancreatic and ovarian tumors.        in the best therapeutic application and/
                                            or out-licensing: Biotechs, Big Pharms.
Applications
Design and validation of a new mole-
cular agent able to disrupt TSP-1:CD47
molecular interaction and exhibiting
robust anti-angiogenic, anti-tumor and
anti-metastatic properties for new inno-
vative therapeutic approaches against
malignant diseases.
                                                                                        11

SATT NORD
Anthony Daccache
anthony.daccache@sattnord.fr
ON COLOGY
                                                                          LILLE

     Poly(2-oxazoline)s for a new generation
     of Cancer Drug Delivery
     Technology                                       drug release and high drug loading.
     The combination of polymers and phar-            The inclusion of these features in the
     maceuticals is enabling the development          current polymer systems is cumbersome,
     of advanced drug delivery systems pro-           and has triggered the search for alterna-
     viding high efficacy while minimizing            tive polymer platforms better suited for
     side-effects. Polymers enhance drug              polymer therapeutics.
     solubilization, stability, bioavailability and   Our technology: The versatile polymer
     pharmacokinetics, while also allowing the        platform for the new generation chemo-
     introduction of targeting units, thereby         therapy Poly(2-oxazoline)s (abbreviated
     dramatically improving the pharmaceu-            as PAOx, POx or POZ), set themselves
     tical value of the active pharmaceutical         ahead as they display all the required
     ingredient (API). Due to their specificity,      features for the ideal polymer platform
     new generation chemotherapy is the               for novel biomedical applications. Due
     medical discipline that can most bene-           to their structural analogy to natural
     fit from the conjugation of APIs and             polypeptides, PAOx are biocompatible,
     polymers.                                        exhibit the so-called stealth behavior
     Polymer conjugation is applicable to             (they are not recognized by the immune
     either low molecular weight drugs,               system), and benenfit from tunable
     peptides or proteins. A water soluble            properties and high functionalization
     polymer can confer several properties to         possibilities (Bioconjugate Chem. 2011,
     the linked molecules: i) increased half-         22, 976-986, Macromol. Rapid Commun.
     life due to reduced kidney clearance, ii)        2012, 33, 1613-1631, J. Mater. Sci.: Mater.
     protection against degrading enzymes             Med. 2014, 25, 1211-1225).
     or reduced uptake by reticulo-endothe-           At Ghent University, Belgium, we have
     lial system (RES), thanks to the polymer         developed methods to produce defi-
     steric hindrance iii) augmentation of            ned PAOx with tunable physicochemical
     water solubility, particularly relevant for      properties (from more hydrophilic than
     some anticancer drugs with low solubi-           PEG to thermoresponsive), very nar-
     lity, iv) prevention of immunogenicity of        row molar mass distribution (dispersity
     proteins and v) selective tumor accu-            < 1.10, WO2016/008817), and high purity
     mulation (Adv. Drug Deliv. Rev. 2009, 61,        (> 99 %).
     1177–1188, Special issue: Advanced func-         As with other polymers, PAOx allow the
     tional polymers for medicine. Macromol           introduction of functionality in the poly-
     Biosci. 2011, 11, 1613–768).                     mer chain-ends, an ideal place to locate
     Since the development of the first po-           targeting units for targeted drug release
     lymer-protein conjugates 25 years ago            and/or labels for monitoring. Importantly,
     (Adagen), polyethylene glycol (PEG) has          PAOx also allow the introduction of mul-
     been widely used in the clinic. The suc-         tiple reactive handles along the polymer
12   cess of PEG has paved the way for the            chain, enabling the conjugation of mul-
     current development of the next gene-            tiple APIs. This key feature grants PAOx
     ration of polymer-drug systems, so-cal-          with the ability to overcome the current
     led polymer therapeutics which incor-            limitation of polymer therapeutics, their
     porate stimuli-responsiveness, targeted          low drug loading capacity, and facilitates
ON COLOGY
                                                                     LILLE

to develop combination therapies as one        gressive manner. Followed by one single
individual chain can carry different APIs.     subcutaneous injection, this conjugate
We have developed proprietary linking          provided sustained plasma levels of the
technology (WO2013/103297) to connect          API during a period of seven days, hi-
multiple APIs to the polymer chain with        ghly increasing the quality of life of the
the ability to provide controlled release.     patient.
Polymer hydrophilicity, chain length, and      In the field of cancer treatment, antibo-
the number and nature of the functional        dy-drug conjugates (ADCs) hold a great
groups incorporated can be precisely           promise as they have the ability to reco-
tuned to obtain the optimal drug carrier.      gnize low receptor density targets in the
As such, our PAOx technology consti-           cancer cell. Unlike conventional treat-
tutes an ideal platform to be broadly          ments that damage healthy cells upon
applied for the development of highly          dose escalation, ADCs specifically bind
effective cancer treatments.                   to the tumor tissue to deliver the che-
                                               motherapeutic agent. This extremely
Applications
                                               efficacious class of cancer therapy has
Our technology serves as a platform            bloomed in the recent years with dozens
to highly increase the pharmaceutical          of new ADCs entering the clinical pipeline
value of APIs, therefore opening a range       (Biosci. Rep. 2015, 35, e00225, Pharma-
of applications as wide as the APIs used       col. Rev. 2016, 68, 3-19).
in combination with our polymers (J. Ma-       Most current ADCs are based on direct
ter. Sci.: Mater. Med. 2014, 25, 1211-1225).   connection of the drug to the antibody,
As previously discussed, highly potent         limiting the antibody to drug ratio (DAR)
but highly hydrophobic drugs can greatly       to approximately 4, before interfering
benefit from our technology, as the poly-      with the antibody activity. Conjugation
mer increases the solubility of the drug.      of the antibody as targeting unit to one or
The ability of carrying numerous drug          several PAOx chains enables the prepara-
molecules per polymer chain also enables       tion of high capacity ADCs that can not
the use of PAOx as a drug depot for sus-       only improve current treatments but also
tained release and the development of          enable successful targeting of more spe-
highly effective targeted therapies. Both      cific antigens with lower expression in the
these fields of application are current-       cancer cell (Eur. Polym. J., 2016, in press,
ly being explored and will lead to first       DOI: 10.1016/j.eurpolymj.2016.09.052).
FDA-approved PAOx-based therapy to             In all, the synergy of PAOx and suitable
date (Eur. Polym. J., 2016, in press, DOI:     APIs and targeting units presents itself
10.1016/j.eurpolymj.2016.09.052). In par-      as a great opportunity to develop a new
ticular, Serina therapeutics has developed     generation of chemotherapeutics.
a polymer therapeutic for the treatment
of Parkinson’s disease that, when appro-       Market                                         13
ved, will provide a major advancement in       Since our technology is a technology
the field. In this work, PAOx was conjuga-     platform for a wide variety of applica-
ted with multiple rotigotine units along       tions it is not possible to give a speci-
the polymer chain via cleavable linkers        fic market size or number of customers.
that release the drug in a controlled, pro-    The total global oncology drug delivery
ON COLOGY
                                                                         LILLE

     market was >$95 billion in 2014 domi-           with 50 unique ADCs. Analysis expects
     nated by 5 major cancer drug manufac-           the overall ADC-market to be worth $10
     turers (Roche, Novartis, Eli Lilly, J&J and     billion annually by 2024 with 7-10 new
     Merck) together having a market share >         commercial launches. PAOx-technolo-
     75%. Although the oral drug prescriptions       gy allows higher DARs (Drug Antibody
     are increasing, intravenous infusion drug       Ratio) easily up to 10 or 20 drug units
     delivery is expected to keep dominating         per antibody via conjugation on the poly-
     the market.                                     mer chain. We believe that PAOx has a
     Nano vehicles (drug carriers) have be-          high added value in the more advanced
     come a hot topic of research in industry        polymeric therapeutics as the side-chain
     to make oral forms of drugs more effec-         drug loading and easy tunability are strong
     tive. The last decades of research are          assets of PAOx that are lacking in current
     focused on exploring the treatment of           technologies.
     cancer at its molecular level and polymer
                                                     Competitors
     therapeutics is establishing as an innova-
     tive and reliable approach for its ability to   Polyethylene glycol (PEG) constitutes
     create synergies with proteins, enzymes,        the gold standard in polymer therapeu-
     nanoparticles, liposomes and low mole-          tics and, in addition to one commercial
     cular weight drugs. In this regard, polye-      product –Doxil-, several PEGylated anti-
     thylene glycol (PEG) is the gold standard       cancer drugs are currently undergoing
     and has been effectively employed to            clinical trials. However, PEG has some
     achieve better therapeutic index of anti-       important drawbacks and limitations.
     cancer drugs: this includes PEGylated           PEG can only be functionalized at the
     protein or antibody fragments, PEGyla-          chain ends, highly limiting its capacity
     ted cytokines, PEGylated low molecular          as drug carrier (J. Control. Release, 2008,
     weight anticancer drugs, PEGylated na-          25, 87-95). This feature constrains PEG
     noparticles, PEGylated smart polymers,          mainly to micellar systems and prevents
     and PEGylated polymeric micelles. The           its broader application in polymer thera-
     global PEG-market has growth expecta-           peutics and antibody-drug conjugates.
     tions towards $16 billion in 2020 to $27        PEG has also limitations in the develop-
     billion in 2030. We believe PAOx has the        ment of the so-called smart or stimuli-
     potential to take a considerable share of       responsive systems. Developing novel
     this market in the future, especially as        thermoresponsive systems based on
     it can open new development avenues             PEG is not possible unless it is coupled to
     unattainable by PEG, but only from the          other thermoresponsive polymers, such
     moment it receives FDA approval.                as low temperature-sensitive liposomes,
     In the war against cancer, Antibody Drug        introducing undesirable complexity in the
     Conjugates will be a game changer.              system.
14   At present, two ADCs (Adcetris® and Kad-        Most importantly, the observation
     cyla®) are on the market. Stimulated by         of anti-PEG antibodies in 25% of the
     these successful examples, the number of        population never treated with PEG, due to
     companies entering the field of ADC the-        its ubiquity in cosmetics and food addi-
     rapeutics has risen enormously. Currently       tives, constitutes a risk to the efficacy of
     there are over 200 ongoing clinical trials      future PEG-based therapies (Cancer, 2007,
ON COLOGY
                                                                   LILLE

110, 103-111).                                 research projects. For instance, PAOx for
Technical limitations aside, the profuse      peptide and protein conjugation (e.g. PA-
number of patents protecting a variety        Oxylation as alternative to PEGylation),
of compositions and applications of           for instance conjugation of multiple small
PEG-based formulations hinders fur-           molecules or combination therapy, for de-
ther research and development on novel        velopment of polymeric micelle delivery
therapies.                                    systems, for targeted delivery systems
The improved properties and tremen-           and antibody drug conjugates with high
dous versatility of PAOx make them not        loading via PAOx conjugation.
only a strong competitor for PEG-based        Pharmaceutical companies, biotech or
bioconjugates but also suitable for new       academic research teams that:
advances in cancer medicine. PAOx can         • are looking for advanced drug delivery
fill the requirements in high drug loading,   systems
responsiveness, controlled drug delivery,     • want to enhance the retention time
novel drug formulations or next genera-       and therapeutic potential of their thera-
tion antibody-drug-conjugation (Macro-        peutics such as proteins, enzymes, small
mol. Rapid Commun. 2012, 33, 1648, Eur.       molecules, liposomes or nanoparticles
Polym. J., 2016, in press, DOI: 10.1016/j.    • are looking for alternatives to PEG
eurpolymj.2016.09.052). Although today        and PEGylation (called PAOxylation or
PAOx has no FDA approval, the success         POZylation)
of the ongoing clinical trials (Phase         • are looking for delivery vehicles with
I, https://clinicaltrials.gov/ ct2/show/      higher drug loadings
NCT02579473) will certainly trigger           • are looking for polymer linkers in ADC-
many companies to enter the PAOx field        development in order to obtain high
and realize the enormous clinical benefits    DARs
of targeted drug delivery.                    • are looking for smart (responsive) poly-
                                              mers to develop new methodologies to
Partnership sought
                                              treat cancer
We are seeking collaboration partners         • are looking for a reliable source of high
(pharma, biotech, academic) to explore        quality, ultra-defined poly(2-oxazoline)s
the potential of PAOx in cancer drug
delivery and beyond. We offer the design,
synthesis, characterization and study of
tailor made PAOx, specifically adjusted to
your API and drug delivery needs.
We are looking for potential licencing
opportunities and/or we can provide
ultra-defined PAOx material for your
                                                                                            15

GHENT UNIVERSITY
An Van Den Bulcke
a.vandenbulcke@ugent.be
ON COLOGY

     Potent blocker of HER2 receptor
     for treatment of metastatic breast cancer
     Key words                                     blood-brain barrier and, therefore, to
         • HER2                                    target brain metastases.
         • Breast Cancer
                                                   Applications
         • Targeted Therapy
                                                   Treatment of breast cancer’s brain metas-
         • Small Molecule
                                                   tases; Treatment of HER2+ breast cancers
         • Brain Metastasis
                                                   Resistance; Potential treatment of other
     Technology                                    HER2+ cancers (ovarian, gastric, salivary,
     The offer relates to two families of selec-   neuroblastoma etc.).
     tive compounds targeting a new HER2 in-
                                                   Market
     tracellular domain for treatment of breast
                                                   1.67 million of new breast cancer
     cancer’s brain metastases and drug resis-
                                                   diagnosed every year; about 20% HER2+
     tant breast cancer. Two hits have been
                                                   HER2+ resistant breast cancer, HER2+
     selected and one has been tested on
                                                   metastatic breast cancer.
     orthotopic inoculation of human breast
     cancer cell lines in a mouse model.           Competitors
     20 to 30% of breast cancers are related       Two commercialized antibodies (trastu-
     to an overexpression of HER2 and among        zumab and pertuzumab) target HER2
     them, 20 to 40% express p95HER2, a            extracellular domain but cannot reach the
     truncated version of the receptor belie-      brain metastases, one commercialised
     ved to play a role in cancer resistance.      (lapatinib) and two in-clinical-develop-
     Despite the benefits of the recent thera-     ment (neratinib and ONT380) small mo-
     pies targeting HER2 (Herceptin®, Perjeta®     lecules target the tyrosine kinase domain.
     and Tykerb®), a large part of patients’
     relapses because of treatment failure due     Partnership sought
     to cancer resistance or toxicity issues.      License: SME specialized in cancer
     Notably, 20% to 50% of HER2 metas-            therapy development; big pharma that
     tatic breast cancer patients die of brain     wishes to enrich its early asset pipeline.
     metastases.
     It was recently found that targeting a
     new domain of HER2 prevents the acti-
     vation of HER2 signalization and may
     constitute a novel therapeutic approach.
     The present offer proposes two com-
     pound families targeting this domain and
     inhibiting specifically HER2 downstream
     signaling pathways in breast cancer.
     The compounds are able to cross the
16

     IDF INNOV
     Davide D’Alia
     dda@idfinnov.com
ON COLOGY

Kinase Inhibitors & Cancer
Key words                                        Ongoing hit-to-lead optimization, target
    • Non-canonical NF-k-B pathway               validation and preclinical validation on
    • Ezh2                                       melanoma tumors and metastases mouse
    • Anti-programmed death-1                    models.
    • Metastasic melanoma
                                                 Applications
    • Colorectal cancer
                                                 Treatment of Melanoma and Metastatic
Technology                                       melanoma.
The project deals with multi-kinase inhibi-      Treatment of other solid tumors including
tors having intrinsic anti-cancer activity and   colorectal, pancreas and non-small cell lung
potentiating anti-PD1 immunotherapy for          cancers.
cancer treatment, in particular melanomas.
                                                 Market
The hit compound (DMPB5) show same
effects than the ones induced by gene            Single-agent antibodies blocking the PD-1
silencing of NF-kappa-B non-canonical            pathway have already shown their worth.
pathway (siRNA):                                 However, many patients still do not respond
• Restores in vitro a strong senescence in       to immunotherapy.
melanoma (not dependent of the B-Raf             By treating with multiple therapies with
mutations), colorectal, breast and lung can-     mechanistically different modes of action,
cer cells by decreasing the transcription of     a more powerful anticancer effect might
the oncogene EZH2                                be obtained with minimized toxicity/side
• Triggers or potentiates in vitro and in vivo   effects.
the tumor immune surveillance: increases         Competitors
production of a key cytokine that attracts       A lot of ongoing trials combining PD-1
immune cells (macrophages M1, dendritic          inhibitors with other therapies: combina-
cells, T-cells and NK cells).                    tion of anti-CTLA-4 and anti-PD1 gives the
• Leads to a dramatic reduction in tumor         best response rate but with significant side
size in vivo with complete regression in         effects.
some cases when combined with anti-PD-1          Some 40 separate novel small molecules
treatments.                                      being combined with anti-PD-1/PD-L1 anti-
Results:                                         bodies across 44 active clinical trials (mela-
In vitro: high potency on melanoma cells,        noma, metastatic melanoma, solid tumors,
metastatic melanoma primary cells from           NSCLC, colorectal, pancreas). A particularly
patient, non-small cell lung and colorectal      popular combo links immunotherapy with
cancer cells.                                    a B-Raf and/or Mek inhibitor: Novartis’s
In vivo activity at 10mg/kg, i.p., on colorec-   marketed Tafinlar® and Mekinist®, Roche/
tal cancer cells injected subcutaneously         Exelixis’s Zelboraf® and cobimetinib, and
into syngeneic mice; greater activity for        AstraZeneca/Array’s selumetinib.
combination DMBP5/PD-1.
No clinical signs of preliminary toxicity in     Partnership sought                               17
mice treated with DMBP5.                         We are currently looking for an industrial
                                                 partner interested for licensing-in the tech-
SATT SUD-EST                                     nology and/or R&D collaboration (possible
Rémi Picard                                      co-funding): Pharmaceutical companies
remi.picard@sattse.com                           and Biotechs.
ON COLOGY
                                                                        LILLE

     Small molecule lead compounds for colorectal
     cancer treatment through TNIK modulation
     Key words                                      TNIK is involved in other type of tumor,
         • Colorectal cancer treatment              including pancreatic cancer, the expan-
         • TNIK(Traf2- and Nck-Interacting          sion of indication is also possible.
           Kinase) modulator                        Also, recent research results suggest that
         • Cancer stemnee                           by prosthetic inhibition of TNIK activity,
                                                    one can achieve tumor formation pre-
     Technology
                                                    vention. Thus, a well-optimized TNIK
     KY-08341 and closely related analogues         inhibitor with excellent safety profile
     are Novel TNIK modulators w/ excellent         can serve as a tumor preventive agent
     biochemical efficacy, good in vivo effi-       for colorectal cancer, especially patients
     cacy and profile. The team led by Dr.          with polyps. Besides these applications,
     Hyuk Lee of KRICT and Dr. Sang Joon            TNIK inhibitors can be developed as
     Shin of Yonsei Univ. Hospital has disco-       EMT modulators for tumor metastasis
     vered a series of small molecules that can     blocking. Recent studies suggest that
     potently inhibit the activity of TNIK (IC50    by inhibiting TNIK, the TGF- ß mediated
     value of less than 10 nM). The binding         EMT phenomenon can be down-regula-
     mode of these compounds to TNIK is             ted. Thus, KRICT/Yonsei TNIK modulators
     confirmed by X-ray crystallography stu-        can be applied as an EMT modulation for
     dies. These compounds can inhibit the          cancer treatment.
     activity of TNIK in colorectal cancer cells
     and also inhibit the growth of colorec-        Market
     tal cancer cell line such as SW480 and         The total market size for colorectal can-
     SW620. These TNIK inhibitors also can          cer treatment is estimated to be about
     show synergistic effects when combined         7 billion USD annually by the end of
     with traditional colorectal cancer treat-      2014. The market is slowly but conti-
     ments, such as Irinotecan. In mice xeno-       nuously growing with CAGR of 1.3% and
     graft experiments with subcutaneously          is expected to grow further. Due to the
     injected SW620 colorectal cancer cells,        fact that gradual increase of patients is
     KY-08331, a lead compound for TNIK             expected due to the change of life style,
     inhibition, has shown strong growth            including the increased uptake of red
     inhibition as a single treatment or com-       meats, the market is expected to grow
     bination with Irinotecan. KRICT/Yonsei         gradually also. The specific sub-segment
     Univ. Hospital TNIK modulators possess         for the application of TNIK inhibitor is the
     good drug-like profiles. Most of the com-      treatment of 4th grade colorectal cancer
     pounds possess small molecular weight          patients. The targeted agents, Bevacizu-
     (270 – 350), sparing rooms for further         mab, Cetuximab, Regorafenib, are also
     optimization.                                  used to treat 4th grade colorectal cancer
                                                    patients, which is about 11% of the total
18   Applications
                                                    colorectal cancer patients (however, the
     The primary application of TNIK modula-        market portion of these patients are as
     tors is to treat colorectal cancer. As a Wnt   high as 80% of total colorectal cancer
     signal blocker, TNIK inhibitors can find       treatment market, due to the high price
     applicatins in the treatment of colorec-       of novel drugs). For these patients, the
     tal cancer treatment. Additionally, since      development of targeted therapeutics
ON COLOGY
                                                                   LILLE

or immunotherapy is very hard due to          Partnership sought
several reasons. Thus, the development of     KRICT and Yonsei Univ. Hospital are
TNIK inhibitor is a unique chance that can    now looking for a pharma or a biotech
meet patients’ unmet needs and market         partner for the licensing out of TNIK modu-
needs at the same time. Combining these       lator technology. Most preferred form of
information, one can conclude that the        partnership is to license out the entire
estimated value of TNIK inhibitor market      technology. However, collaborative
might reach billion USD market.               research is also possible.
                                              Pharmaceutical company, Biotech
Competitors                                   venture with preclinical/clinical develop-
                                              ment capacity.
The most prominent potential market
competitors are other modulators of Wnt
signalling pathway. Inhibitors modulating
many other components of Wnt pathway
are now being developed. However, as
described above, TNIK inhibitor has a
merit of being down-stream modulator
that can overcome potential resistance
problems and potential expansion of ap-
plication. Other targeted therapeutics or
immunotherapies can be other competi-
tors. However, since most of the previous
approach to treat colorectal cancer using
targeted therapeutics have failed and it
is very difficult to find target oncogenes
detected in a significant number of pa-
tients, the potential competition from tar-
geted therapeutics will be not so high. In
addition, it is expected that only minority
(
ON COLOGY

     ProNGF: New target to counter resistance
     mechanisms in breast cancer
     Key words                                    Competitors
         • Chemotherapy                           Tyrosine Kinases specific
         • Resistance                              • Medimmune (main competitor)
         • Companion Test                          • Cephalon (K252A Þ TEVA)
                                                   • Astra Zeneca
     Technology
                                                   • Novartis
     The proposed technology can overcome          • Roche
     the development of resistance to treat-
     ment in the case of breast cancer therapy    Partnership sought
     failure (30% of cases) by blocking a newly   License or Cooperation: Biotech
     identified tumor escape.                     or Pharma.
     This treatment strategy could be applied
     to other types of cancers:
      • ENT
      • Prostate
     A companion test was developed to
     orient and monitor treatment.
     Applications
     Treatment of Breast Cancer
     Potential treatment of other cancers
     (ENT, prostate...)
     Companion test on different types of
     cancers
     Market
     Target Market: Monoclonal Antibodies
     Market Size: ~60 Billion Dollars with a
     trend of high growing
     Some of these monoclonal antibodies
     can generate a turnover of 7 billion
     dollars per a year…

20

     SATT NORD
     François-Xavier Denimal
     francois-xavier.denimal@sattnord.fr
ON COLOGY

Dual PI3K and mTOR inhibitors
as promising drugs to treat cancer
Key words                                     Applications
    • Antitumoral activity                    Main therapeutic applications:
    • Dual Inhibitors                         • Solid Cancer: Colorectal cancer, Renal
    • Library of small molecules              Cell Carcinoma, Breast Cancer including
                                              Triple Negative Breast Cancer (TNBC),
Technology
                                              brain cancer, lung and ovarian cancer,
The phosphatidylinositol-3-kinase
                                              • Hematologic Cancer: Through our enzy-
(PI3K)/Akt and the mammalian target of
                                              matic assay, some of our inhibitors exhibit
rapamycin (mTOR) signaling pathways
                                              better nanomolar range inhibition toward
are both crucial to many aspects of cell
                                              PI3Kŏ isoform against four clinical stage
growth and survival, in physiological
                                              molecules.
as well as in pathological conditions.
                                              Alternative applications:
The PI3K/Akt pathway is a key regulator
                                              • Anti-inflammatory treatment some of
of survival during cellular stress. Since
                                              our molecules have nanomolar range
tumors exist in an intrinsically stressful
                                              inhibition of PI3Kß and PI3Kŏ (systemic
environment, the role of this pathway in
                                              lupus erythematous, rheumatoid arthri-
cancer appears
                                              tis, allergic asthma, cardiovascular and
to be crucial.
                                              systemic anaphylaxis),
Synthesis, and screening of dual PI3K/
                                              • Fibroadipose hyperplasia, an orphan
mTOR inhibitors have been used to
                                              disease caused by somatic activating
create a portfolio of small molecules with:
                                              mutations in PIK3CA.
• Novel and IP protected family of
compounds: They have both PI3K and            Market
mTOR targets. This combined activity          The two main addressed markets are the
should lead to a strongest inhibition of      triple negative breast cancer and colorec-
the whole PI3K/Akt/mTOR pathway,              tal cancer treatments based on no avai-
• Optimized synthesis,                        lable very efficient solution on the market
• Nanomolar range of enzymatic and            and the positive results of our product for
cellular activities exhibiting specifity on   the first one and the high rate of tumor
both targets (PI3K and mTOR) with an          regression of our lead for the second one.
acceptable kinase selectivity profile,
• A wide spectrum of indication,              Competitors
• Low toxicity and good stability relative    Pharma companies.
to compounds under clinical develop-
                                              Partnership sought
ment,
• Proven in vivo efficacy versus molecule     Available for licensing out: pharma
under clinical development.                   companies.

                                                                                            21

SATT GRAND CENTRE
Magali Granger
magali.granger@sattgc.com
N EUROLOGY - C A R DI O LO GY

     Preventing neuropathic pain induced
     by mastectomy
     Key words                                    better well-being of patients for at least
        • Neuropathic pain                        six months after treatment suggests
        • Mastectomy                              that Memantine could be an interesting
        • Memantine                               therapeutic option to diminish the burden
                                                  of breast cancer therapy.
     Technology                                   In conclusion, this innovative trial shows
     The product is a repositioning of Meman-     for the first time that pre-surgery Meman-
     tine, a NMDA receptor antagonist usually     tine may prevent the occurrence of pain
     prescribed for Alzheimer’s disease, as a     three months after mastectomy, and sug-
     preventing solution to avoid neuropathic     gests that it may also reduce dysesthesia
     pain following mastectomy.                   and paresthesia induced by chemothe-
     Neuropathic pain following surgical treat-   rapy.
     ment for breast cancer with or without
     chemotherapy is a clinical burden and        Applications
     patients frequently report cognitive,        By definition pain is highly unpleasant
     emotional and quality of life impairment.    and often motivates individuals to seek
     A preclinical study recently showed that     healthcare. Patients suffering from breast
     Memantine administered before surgery        cancer sometimes undergo mastectomy
     may prevent neuropathic pain develop-        but this surgical treatment may induce
     ment and cognitive dysfunction. A clinical   neuropathic pain. In the course of breast
     trial with a translational approach sup-     surgery, 20–68% of patients report bur-
     ports these preclinical results. Indeed, a   ning and shooting pain with numbness
     randomized, pilot clinical trial included    and pressure sensation. Mastectomy is
     40 women undergoing mastectomy in            known to generate neuropathic pain
     the Oncology Department, University          in 30.7% patients at 3 months, 25.7%
     Hospital, Clermont-Ferrand, France.          at 6 months, 42% at 5 years and 37%
     Memantine (5 to 20mg/ day; n=20) or          at 9 years post-mastectomy. Cancer
     placebo (n=20) was administered for four     chemotherapy is also well known to
     weeks starting two weeks before surgery.     induce pain with neuropathic characte-
     The primary endpoint was pain intensity      ristics in 25–50% of patients. However,
     measured on a (0–10) numerical rating        a sizeable proportion of these patients
     scale at three months post-mastecto-         with neuropathic pain go untreated, even
     my. Compared with placebo, patients          though the majority of them report the
     receiving Memantine showed at three          pain to their physician.
     months a significant reduction in post-      Our technology represents a promising
     mastectomy pain intensity, less rescue to    and innovative strategy for the thera-
     analgesic and a better emotional state.      peutic management of post-surgical and
     An improvement of pain symptoms in-          chemotherapic neuropathic pains that
22   duced by cancer chemotherapy was also        have currently no disease-modifying or
     reported. Data show the beneficial effect    curative therapies. It offers an analgesic
     of Memantine to prevent post-mastec-         solution that is specifically effective in
     tomy pain development and to diminish        controlling the key disturbance of neuro-
     chemotherapy-induced pain symptoms.          pathic pain symptoms induced by breast
     The lesser analgesic consumption and         surgery.
N EUROLOGY - C A R DI O LO GY

Market                                        the neuropathy market in recent years by
According to the World Health Orga-           introducing novel drugs in these classes
nization (WHO), breast cancer is the          that improve upon the safety and efficacy
second most common cancer in the              profile of predecessors in the same class
world and the most common cancer in           (Pfizer’s Lyrica and Eli Lilly’s Cymbalta),
women worldwide, accounting for 16%           or by offering a convenient drug deli-
of all female cancers, making the disease     very system (Endo Health’s Lidoderm).
exceedingly prevalent. In 2013, the 6 ma-     Although many of the available drugs
jor markets (France, Germany, Italy, Spain,   offer some degree of efficacy in terms
and UK, US, Japan and China) had 853          of pain relief, there still remains vast room
902 diagnosed incident cases of breast        for improvement in efficacy, safety, drug
cancer. The US had the highest number         delivery, and dosing convenience.
of cases at 260 971, and accounted for        Furthermore, all three market-leading
30.56% of all diagnosed incident cases        drugs will lose patent protection over
in these markets. The total number            the forecast period and will face intense
of diagnosed incident cases of breast         generic erosion. Future players will also
cancer in the 8 major markets is expected     join the market like Daiichi-Sankyo and
to grow to 1,214,776 cases in 2023 at the     Convergence. There are seven promising
rate of 4.23% per year. All markets will      drugs in clinical development for neuro-
see a substantial increase in the number      pathies, which are project to enter the
of diagnosed incident cases.                  market before the end of the forecast
The target market of our product              period in 2022, and will lead to some
could be the same as the breast cancer        growth in a market that will be largely
market according to that neuropathic          generic. Sales of these pipeline drugs
pain following surgical treatment for         will account for 23.8% of global neuro-
breast cancer with or without chemo-          pathy sales in 2022. At the moment, these
therapy is a clinical burden and patients     are all drugs in Phase II and Phase III of
frequently report cognitive, emotional        development for post-diabetic neuropa-
and quality of life impairment.               thies, post herpetic neuralgia, and trige-
                                              minal neuropathy but not post-surgery-
Competitors
                                              induced neuropathic pain.
The main classes of drugs used in the
treatment of neuropathic pain are widely      Partnership sought
available under generic form.                 Licensing out: Pharma
However, some big pharmas (Pfizer,
Eli Lilly, and Endo Health) have esta-
blished themselves as the key players in
                                                                                              23

SATT GRAND CENTRE
Magali Granger
magali.granger@sattgc.com
N EUROLOGY - C A R DI O LO GY

     Neuropain and chronic pain prevention
     Key words                                    • Post-operative pain treatment
        • Chronic pain                            • Early diagnosis of risk for developing
        • Inflammatory pain                       post-operative chronic pains
        • Neuropathic pain
                                                  Market
        • Genetic marker
                                                  Neuropathic pain (NP) affects about
        • Companion test
                                                  19% of the world’s population. Although
        • Peripheral nervous system
                                                  there are several drugs in the NP pipeline,
        • Analgesic drugs
                                                  what is still lacking is the ability to match
        • Protein
                                                  patients to these once they are on the
     Technology                                   market.
     A first-in-class treatment for preventing,   Post-operative pain market is estimated
     alleviating or treating neuropathic and      at $ 21.6 billion in 2022. Overall incidence
     inflammatory pains (possible associa-        of moderate to severe Post-Operative
     tion with very low amount of pregaba-        Chronic Pain after major surgery: 30%
     lin) using the endogenous TAFA4 protein.
                                                  Competitors
     TAFA4 is a human endogenous short pro-
     tein (100 amino acids) with high affinity    Existing classes of NP drugs contains
     for PRF-1 on macrophages. The binding        several established drugs that are widely
     of TAFA4 to peripheral nervous system        available in generic form. There are se-
     (dorsal root ganglia) reverses pain more     veral products in development that may
     than 4 hours after injection. TAFA 4 is      address some of the unmet clinical needs,
     an original endogenous molecule (not         but the level of unmet need will still be
     yet investigated) and doesn’t’ need to       relatively high (safety, efficacy). Clini-
     cross blood brain barrier for function.      cal trials: 40% of patients get only 30%
     No observed adverse effects in vivo and      pain relief. High demand of drugs with
     no immunogenicity.                           novel mechanisms of action. No sensory
                                                  markers associated with particular pa-
     TAFA4 has strong analgesic effects
                                                  thophysiological pain mechanisms are
     against carrageenan- and Spared Nerve
                                                  available.
     Injury-induced mechanical hypersensiti-
     vity in mice, similar to Pregabalin with a   Partnership sought
     100 fold lower dose.                         We are currently looking for an indus-
     Researchers develop also a companion         trial partner interested for licensing-in
     test based on the first genetic biomarker    the technology and/or R&D collaboration
     predicting chronic pains occurring after     (possible co-funding): Pharmaceutical
     surgery.                                     companies and biotech.
     Applications
     • Neuropathic pain treatment
     • Inflammatory pain treatment
24

     SATT SUD-EST
     Rémi Picard
     remi.picard@sattse.com
N EUROLOGY - C A R DI O LO GY

DIVE: Dopaminergic stimulation by
continuous intracerebro ventricular delivery
of anaerobic dopamine in Parkinson’s disease
Key words                                      Partnership sought
   • Anaerobic Dopamine                        License: Pharmaceutical Company in the
   • Parkinson’s disease                       field of CNS and specially Parkinson
   • Intracerebro ventricular delivery
Technology
New therapeutic concept for Parkinson’s
disease based upon a continuous intra-
ventricular administration of a specific
dopamine delivered in the third ventricle
directly close to bilateral striatum.
Applications
Parkinson’s disease.
Market
6.5 million people worldwide suffer from
Parkinson’s disease representing 1.5% of
the population over 65 years, the class
of the most affected age group being
80-84 years old.
The global market for treatment of
Parkinson’s disease is estimated at
2,751 billion. All patients are not eligible
for treatment with DIVE technology, their
number is estimated at 14 000 per year
worldwide. Considering the cost of the
pump and the cost of dopamine, the
market at 10 years could be estimated at
634 million euros.
Competitors
L-Dopa, apomorphine pump, lévodopa +
carbidopa, subthalamic stimulation.

                                                                                        25

SATT NORD
François-Xavier Denimal
francois-xavier.denimal@sattnord.fr
N EUROLOGY - C A R DI O LO GY
                                                                          LILLE

     Biomarkers for the diagnosis of dementia
     with Lewy bodies
     Key words                                        can be applied for the patients carrying
        • Dementia with Lewy bodies                   those alleles or genotypes responsible
        • Diagnosis                                   for that phenotype.
        • SNPs and mRNA transcripts
                                                      Applications
     Technology                                       Dementia with Lewy bodies (DLB)
     “Biomarker 1” consists of the determi-           belongs together with Parkinson’s di-
     nation of various transcripts of certain         sease (PD) to the group of Lewy body
     gene (gene A) in blood of patients with          diseases and is after Alzheimer disease
     possible DLB. For this purpose, blood is         (AD) the second cause of dementia. DLB
     collected in PAXgene blood RNA tubes.            is characterized by an aggressive disease
     After RNA purification and reverse trans-        course and overall elevated mortality
     cription, relative expression levels are de-     and survival of 6 years. These facts turn
     termined by real-time PCR. Diminished            an early and accurate diagnosis of this
     levels of at least two of the transcripts will   disease to a need.
     be indicative for DLB, allowing its correct      Due to overlapping features between
     diagnosis.                                       DLB and AD, the clinical diagnosis of DLB
     “Biomarker 2” consists of the determi-           is still very difficult to achieve and the
     nation of 6 polymorphic sites within the         use of complementary diagnostic tools
     regulatory region of another gene (gene          such as neuroimaging techniques are too
     B). A defined genotype combination will          expensive for their routine use.
     be consistent with the diagnosis of those        Moreover, due to DLB heterogeneity,
     DLB patients who show diminished levels          different subgroups develop disease by
     of certain protein in the brain.                 their own molecular mechanisms each.
     Diminished levels of “Biomarker 1” may           Thus more than one biomarker (one
     reflect increased protein aggregation            for each of the various subgroups) will
     rates in the brain that represent a charac-      be needed to identify all DLB patients.
     teristic feature for the very first stages of    Only such working strategies will permit
     Lewy body disorders. Signaling to the pe-        to tackle the challenges of personalized
     riphery (e.g. through miRNAs) may result         medicine.
     in the diminution of gene A transcripts in       To address both, heterogeneity of the
     blood. By substrate exhaustion at later          disease on one hand and difficult dia-
     disease stages, protein aggregation rate         gnosis on the other, we have developed
     slows down cancelling the signaling and          two different biomarkers for the early
     normalizing mRNA expression levels.              and differential diagnosis of DLB that will
     About 40% of DLB patient develop                 substantially improve clinical diagnosis
     disease as a result of diminished le-            success.
26   vels of certain protein in the brain. We
                                                      Market
     have identified six polymorphic sites as
                                                      Estimation of potential direct avec in-
     “Biomarker 2” within the regulatory re-
                                                      direct beneficiaries: The national mar-
     gion of gene B, responsible for this dimi-
                                                      ket includes about 30.000 new DLB
     nution. Future treatments directed to the
                                                      cases per year, and about 150.000 new
     increase those protein levels in the brain
                                                      AD cases. Worldwide, in 2016 about
N EUROLOGY - C A R DI O LO GY
                                                            LILLE

46,8 million people lived with dementia.
Of them, around 60% (28,1 million) had
AD and 20% (9,35 million) DLB. Since inci-
dence of both AD and DLB increases with
age, being of 10-15% for AD and of 2-3%
for DLB for people aged over 65 years
and of 30% for AD and of 10% for DLB
for people over 80 years. With ageing
of the world population, these numbers
are raising constantly and with improving
prevention and health care, mortality by
conditions like HIV and heart disease is
decreasing. In contrast, AD is becoming
a more common cause of death and has
increased in USA by 68% between 2000
and 2010.
Partnership sought
We are open to any kind of partnership
with pharmaceutical and biotech industry
that lead us to achieve final development
and/or for licensing out the technology.

                                                                                27

Institut de Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP)
Katrin Beyer
kbeyer@igtp.cat
N EUROLOGY - C A R DI O LO GY

     New generation of neuroprotectants:
     an original way to treat and prevent acute
     and chronic neurological diseases
     Key words                                     mic strokes in main markets is estimated
        • Acute ischemic Stroke                    at 1 500 000 (Datamonitor).
        • Traumatic brain injury                   • Post-traumatic epilepsy
        • Neuroprotectants                         Traumatic brain injury (TBI) is one of
     Technology                                    the major causes of acquired epilepsy
                                                   today. In the United States alone approxi-
     TThe team has developped a new ge-
                                                   mately 1.4 million people sustain a TBI
     neration of neuroprotectants that are
                                                   each year, 200 000 are hospitalized and
     selective kinase inhibitors (CDK inhibi-
                                                   50 000 die. TBI is estimated to cause
     tors) to treat and prevent acute and chro-
                                                   10-20% of all symptomatic epilepsy. A
     nic neurological diseases, such as stroke,
                                                   clear relationship exists between the se-
     traumatic brain injury, post-traumatic epi-
                                                   verity of injury and the likelihood of deve-
     lepsy, and amyotrophic lateral sclerosis
                                                   loping epilepsy. The 30-year cumulative
     (ALS). Misregulation of CDKs appears
                                                   incidence of epilepsy is 2.3% for mild,
     to play a key role within the molecular
                                                   4.2% for moderate, and 16.7% for severe
     pathways leading to neuronal death. It
                                                   TBI1.
     is the first molecule which are able to
     modulate specific CDKs in the brain.          • Amyotrophic lateral sclerosis (ALS)
     During an acute neuronal damage, two          Amyotrophic lateral sclerosis is a pro-
     deleterious mechanisms take place:            gressive disease of the nervous system.
     neuronal death (astrocytes and oligoden-      ALS occurs when specific nerve cells in
     drocytes) and inflammation (proliferation     the brain and spinal cord that control vo-
     of immune and microglial cells). These        luntary movement gradually deteriorate.
     two mechanisms participate in the da-         The loss of these so-called motor neurons
     mage of cerebral tissue. Similar mecha-       causes the muscles under their control
     nisms are known to be involved in chronic     to weaken and waste away, leading to
     neurological damage.                          paralysis and death.
     The candidates target simultaneously          • Niemann-Pick disease
     degenerating and proliferating cells.         Niemann–Pick diseases are inherited in
                                                   an autosomal recessive pattern. They are
     Applications
                                                   genetic diseases which are classified in
     The compound could be used in different
                                                   a subgroup of LSDs called sphingolipi-
     therapeutic domains:
                                                   doses or lipid storage disorders, in which
     • Acute ischemic Stroke                       harmful quantities of lipid, accumulate
     Stroke is classified into two major cate-     in the spleen, liver, lungs, bone marrow,
     gories: ischemic stroke (90%) and hae-        and brain. Sphingomyelin accumulation
28   morrhagic stroke (10%). Risk factors          in the central nervous system results in
     are age (75% of strokes occur after           unsteady gait, slurring of speech and
     65), hypertension, smoking, diabetes          dysphagia. Abnormal posturing of the
     and hypercholesterolemia. In western          limbs, trunk and face and upper brainstem
     countries incidence of ischemic stroke is     disease results in impaired voluntary
     120/100 000 and the number of ische-          rapid eye movements. More widespread
N EUROLOGY - C A R DI O LO GY

disease involving the cerebral cortex and    leading cause of disability for adults and
subcortical structures is responsible        up to 50% of surviving patients remain
for gradual loss of intellectual abilities   disabled. In the US, the cost associated
causing dementia and seizures.               with stroke has been estimated at 58MM$
                                             in 2006 (AHA).
Market
                                             The global acute ischemic stroke
Stroke is classified into two major
                                             therapeutics market was 250 M$ in
categories: ischemic stroke (90%) and
                                             2010 and is expected to have growth of
hemorrhagic stroke (10%). Risk factors
                                             16 % over the next eight years to reach
are age (75% of strokes occur after
                                             approximately $880m by 2018. This
65), hypertension, smoking, diabetes
                                             low figure considering the incidence
and hypercholesterolemia. In western
                                             of the disease reflects the absence of
countries incidence of ischemic stroke is
                                             efficacious drugs. Given themedical
120/100 000 and the number of ischemic
                                             needs, a successful neuroprotective agent
strokes in main markets is estimated at
                                             would open the market and rapidly reach
1 500 000 (Datamonitor).
                                             multiMM$ sales.
Stroke is the second leading cause of
death in the western world. In 2008, the     Competitors
World Stroke Congress reported that          Alteplase (tPA, Activase®, Genentech)
20 million stroke events occur globally
                                             Partnership sought
each year and account for 5.7 million
deaths. 10% of ischemic stroke leads to      License: Big Pharma
death within 30 days and 50% in the next
6 months. Stroke is also the first

                                                                                          29

OUEST VALORISATION
Hervé Le Deit
herve.le-deit@ouest-valorisation.fr
N EUROLOGY - C A R DI O LO GY

     Preventing neuropathic pain induced
     by chemotherapy
     Key words                                      allodynia in rats. Interestingly, Donepezil
        • Neuropathic pain                          also reduces the depression-like pheno-
        • Oxaliplatin                               type induced by oxaliplatin.
        • Donepezil                                 Intracerebral microdialysis revealed
                                                    a lower level of acetylcholine in the
     Technology
                                                    posterior insular cortex (pIC) of oxali-
     Our product is a repositioning of Done-        platin-treated rats, which was signifi-
     pezil, a centrally active acetylcholineste-    cantly increased by Donepezil. Finally,
     rase inhibitor prescribed in Alzheimer’s       the analgesic effect of Donepezil was
     disease, as a solution to prevent and cure     markedly reduced by a microinjection of
     neuropathic pains induced by platinum          the M2 antagonist, methoctramine, wit-
     compounds used in chemotherapies.              hin the pIC in both oxaliplatin-treated
     Chemotherapy-induced peripheral                rats and spared nerve injury rats. These
     neuropathy (CIPN) represents a dose            findings highlight the crucial role of corti-
     limiting adverse effect of specific neuro-     cal cholinergic neurotransmission as a cri-
     toxic anticancer drugs such as platinum        tical mechanism of neuropathic pain, and
     salts for which no preventive or curative      suggest that targeting insular M2 recep-
     treatment are available yet. Oxalipla-         tors using central cholinomimetics could
     tin, a platinum compound used in the           be used for neuropathic pain treatment.
     treatment of several solid tumors such
     as colorectal cancer, induces an acute         Applications
     sensory neuropathy which can lead to           Our technology provides a promising and
     limit dosage, to changes in treatment to       innovative strategy for the therapeutic
     non-neurotoxic agents with the risk of         management of neuropathic pain that
     limiting the effective clinical outcome.       has currently no disease-modifying or
     A chronic cumulative sensorimotor neu-         curative therapies. It offers an analgesic
     ropathy is also frequently developed           solution that is specifically effective in
     and greatly alters the quality of life of      controlling the key disturbance of neu-
     survivors. Hence, a better understanding       ropathic pain symptoms induced by
     of its pathophysiological mechanisms is        chemotherapies responsible for incapa-
     necessary to identify new pharmacolo-          citating and dose-limiting neurotoxicity.
     gical targets. Repeated oxaliplatin admi-      Donepezil regimen resulted in significant
     nistration in a mouse model of chronic         reduction of overall neuropathic pain
     oxaliplatin-induced peripheral neuropa-        symptom and anxiety depression for
     thy, induces both cephalic and extrace-        both platinum salts, taxanes and Vinca
     phalic mechanical and cold hypersensi-         alkaloids. The most targeted cancers are
     tivity as soon as after the first injection,   advanced and metastatic colorectal can-
     as well as delayed sensorimotor deficits       cers but could be also ovarian, prostate
30   and a depression-like phenotype. Syste-        and head and neck cancers. Donepezil
     mic treatment with Donepezil (Aricept®),       repositioning is highly attractive because
     a centrally active acetylcholinesterase        of its potential to speed up the process of
     inhibitor, prevents and reversed both          drug development, hence reducing costs
     sensory and motor deficits induced by          in addition to providing new treatments
     oxaliplatin such as cold and mechanical        for unmet pain needs.
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