XV Encuentro de Cooperación Farma-Biotech. mir-acle (mirna mimic) to treat Non-Hodgkin lymphomas

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1 XV Encuentro de Cooperación Farma-Biotech mir-acle (mirna mimic) to treat Non-Hodgkin lymphomas Dr Antonio Quesada, PhD R&D Manager On behalf of Prof. Almudena R. Ramiro, Head of the B Cell Biology Laboratory Spanish National Centre for Cardiovascular Research (CNIC) Madrid, 15 de noviembre de 2016

2 XV Encuentro de Cooperación Farma-Biotech Content 1. The Institution 2. The Product a) Target Indications b) Innovative mechanisms of action c) Differential features facing the market d) Current status of development e) IPR protection f) Pitfalls & Risks to be considered 3. Partnering Opportunities

3 1. The Institution The Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC) is a leading international research center dedicated to understanding the basis of cardiovascular health and disease and to translating this knowledge into improved patient care. The CNIC ( is a very ambitious scientific project whose main goals are to promote excellent scientific research, to train scientists, and to facilitate the transfer of basic scientific knowledge to clinical research and to technological innovative applications. Despite being a young Institute, The CNIC is one of the main biomedical research centres in Spain, having been awarded by the Spanish Ministry of Science and Innovation with the Severo Ochoa Centers of Excellence Program two consecutive times.

4 The present invention claims the use of a microrna, mir-acle, for the treatment of mature B cell neoplasias. Mature B cell lymphomas are originated from Germinal Center B cells and can present with aggressive forms, such as diffuse large B cell lymphoma (DLBCL). Roughly 50% of DLBCL cases are resistant to current therapies or relapse after treatment. mir-acle is a mirna mimic. mirna mimics are small, chemically modified doublestranded RNAs that mimic endogenous mirnas and enable mirna functional analysis by up-regulation of mirna activity. The patent application also claims different mirna compositions, as well as compounds that mimic the mirna activity of MIRacle, including pharmaceutically acceptable carriers and the route of administration.

5 MIRacle is specifically expressed in Germinal Center B cells mir-acle expression during T-dependent immune response

6 mir-acle impairs the germinal center response mir-acle Germinal Center B cells Switched cells Plasma cells mir-acle inhibition in vivo with SPONGE contruct

7 mir-acle negatively regulates the Germinal Center reaction mir-acle in human lymphomas?

8 mir-acle is frequently lost in B cell neoplasms Primary tumors mir-acle Mechanism?

9 Finding mir-acle mechanism with genomewide approaches Dox-inducible LV vector (ptripz) Transcriptome (RNAseq) ptripz-miracle MIRacle OR ptripz-scramble RFP RFP LV Puro Selection Dox & RFP + Sort Ramos BL Proteome (ITRAQ)

10 mir-acle impairs BCR signaling BCR signaling is required for survival of most B cell lymphomas MIRacle p-erk1/2 ERK1/2 p-akt Señal relativa Señal relativa α- tubulina MIRacle MIRacle MIRacle MFI normalizada MIRacle Proliferation Survival

11 mir-acle reduces BCL2, NFKB2 and IKKB expression BCL2/NFKB2/IKKB expression in control or mir-acle-expressing lymphoma cells Anti-correlation of mir-acle and BCL2/NFKB2/IKKB expression in ABC-DLBCL MIRacle

12 mir-acle impairs proliferation of lymphoma cells mir-acle mir-acle

13 mir-acle promotes cell death in lymphoma cells in vitro Stauro mir-acle mir-acle

14 mir-acle re-expression impairs the growth of BL xenografts mir-acle + Dox 1 week Monitor tumor growth End-point Ramos Ramos mir-acle mir-acle mir-acle *Same results in Raji BL and in MD-901 ABC-DLBCL

15 mir-acle impairs proliferation and survival of BL xenografts mir-acle Ki67 Caspase 3 mir-acle Bcl2 mir-acle

16 Selection mir-acle of the suppresses candidate: mir28 established BL xenografts mir-acle - Monitor tumor growth End-point Dox mir-acle mir-acle

17 Synthetic Selection mir-acle of the candidate: suppresses mir28 established BL xenografts WT BL mir-acle MIMIC Monitor tumor growth End-point Intratumoral treatment Intravenous treatment MIRacle 0,1nM mir-acle 0,1nM mir-acle 0,5nM 0,5nM

18 mir-acle therapeutic potential is conserved mouse primary tumors MIMIC Spleen weight (g) MIRacle Lymphoma B cells (%) Caspase 3 Caspasa 3 + cells/mm 2 MIRacle

19 b ) Innovative mechanisms of action mir-acle is a negative regulator of germinal center reaction mir-acle is lost in human B cell neoplasms mir-acle impairs proliferation and survival of lymphoma cells Replacing mir-acle expression in lymphomas inhibits tumor growth mir-acle is amenable to use in its synthetic form and both by local and systemic administration Thus, mir-acle is potentially a novel therapeutic approach to aggressive B cell neoplasms mir-acle may avoid or complement the use of traditional chemotherapy treatment

20 c) Differential features facing the market Non-Hodgkin lymphomas (NHL) are high prevalent diseases in western societies and their treatment has a great economic impact. Diffuse large B cell lymphoma (DLBCL) is the most common lymphoid malignancy in adults, accounting for 30-40% of all NHL in western countries. We aim to develop a cheaper and more effective therapeutic alternative for NHL that may render high benefits in terms of diminishing the relative cost of the treatment and of improving the life quality and survival of patients. In addition, our proposed therapeutic approach aspires to be the treatment of choice in NHL patients not responding to R-CHOP therapy (rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone), the treatment of choice in aggressive subtypes of NHL.

21 d) Current status of development We are currently expanding our tests on mir-acle toxicity in vitro and in vivo in the context of ERC Proof of Concept Grant. mir-acle will be administered intravenously into wild type mice and complete histopathological and biochemical toxicity analyses will be performed. mir-acle versus R-CHOP treatments are currently being compared both in vitro and in mouse models, including xenografts and primary tumors. Singergic effects of both treatments will also be assessed.

22 e) IPR protection Number EP Priority date 14/05/2015 Aplicants CNIC The patent application claims different mirna compositions, as well as compounds that mimic the mirna activity of mir-acle, including pharmaceutically acceptable carriers and the route of administration.

23 f) Pitfalls & Risks to be considered Use of protected modified mirnas We are open to study: different mirna modifications Permeable molecules similar to mir-acle

24 3. Partnering Opportunities We are interested in a cooperation with pharma industry in the following aspects: Development of mir-acle formulations with higher activity Co-development of the current patent portfolio to generate a suitable product to license and further analyze in Clinical trials. Licensing of the current patent porfolio

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