INTERfering and Co-Evolving Prevention and Therapy (INTERCEPT) Proposers Day

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INTERfering and Co-Evolving Prevention and Therapy (INTERCEPT) Proposers Day Dr. Jim Gimlett, Program Manager DARPA Biological Technologies Office (BTO) April 28, 2016 Arlington, VA

INTERCEPT Agenda INTERCEPT Program Motivation and Overview INTERCEPT Program Objectives INTERCEPT Technical Areas Timeline and Milestones Proposal Guidance Disclaimer: In the event of a disagreement between the contents of the BAA and the information in this briefing, please follow the BAA. No exceptions. 2

INTERCEPT Vision Novel approach to combat viral diseases Problem: Vaccines, antibiotics, small drugs are static; they treat pathogen as a fixed target at time of diagnosis Human pathogens mutate and evolve; current therapies can t keep up with the moving targets Evolving pathogen Co-evolving therapy Evolves Keeps pace DARPA Approach: Use evolution to defeat evolving pathogens Develop non-static therapies that track and keep pace with fast-evolving targets Goal: Develop co-evolving therapy platforms to protect the warfighter and the public against rapidly evolving viral pathogens and biothreats 3

Wait, what s the problem and why DARPA? Vaccine Protection vs. Virus Evolution Vaccine-Mediated Immunity (years) 10 5 1 No vaccines Yellow fever virus Rabies Measles Japanese encephalitis 5 Mumps Smallpox Dengue SARS-CoV MERS-CoV 15 INTERCEPT needed Influenza Ebola Increasing Evolution Rate (Mutations per year) HIV 25 Challenges Fast-evolving virus biothreats Growing number of viruses with no vaccines or therapies Slow response time to new threats Static therapeutics can t keep up Pathogen evolution leads to resistance, therapeutic obsolescence Drugs must undergo costly re-design and testing Health response teams have limited tools to combat new strains and biothreats Evolving pathogen Evolves We need a new paradigm! Co-evolving therapy Keeps pace 4

Viral infection of a host cell Virus hijacks the cell to amplify itself and egress to infect other cells Viral E.g., HIV Viral proteins Cell Virus 1. enters cell; 2. replicates its and produces viral proteins; 3. uses proteins to package new copies Viral packaging proteins Progeny Virus Viral and proteins assemble and exit cell Virus Viral 1. Host Viral 2. Viral copies 3. Nucleus Cytoplasm Circulation 5

Therapeutic Interfering Particle (TIP) TIPs are derived from virus but lack essential genes for replication TIPs are not active in the absence of virus TIP Truncated Cell TIP 1. enters cell; TIP can t replicate without virus present. TIP 1. Host TIP TIP Nucleus Cytoplasm 6

How TIP interferes with viral infection TIPs stoichiometrically out-compete virus for viral proteins, allowing TIPs to form and exit cell This results in reduced formation and release of virus that can infect other cells Virus Cell TIP 1. enters cell, 2. replicates its (short TIP s result in more TIP than virus copies) and 3. steals viral proteins to package new TIP s Viral Progeny TIPs & Virus TIPs assemble w/ hijacked proteins & exit cell to interfere with viral infection Viral Host 3. TIP 1. TIP 2. TIP Nucleus Cytoplasm Circulation 7

Co-evolutionary dynamics: TIPs keep pace with fast evolving viruses TIP and full length virus both undergo mutations at similar rates; Spectrum of virus and TIP variants coexist in host, each variant facing selection pressures. Virus Shared Deleted genes Time Mutated virus Mutations in shared area Mutations in non-shared area TIP Mutated TIP TIP mutations match viral mutation and keeps pace No impact on TIP efficacy During infection, virus accumulates mutations along its TIP treatment is effective even if virus evolves: Mutations occurring in viral genes not shared with TIP have little impact on TIP efficacy To escape TIP, virus must undergo multiple mutations including mutations within region common to TIP; however, TIP can readily produce a matching mutation that enables it to keep pace with virus 8

Impact: TIPs as a general platform Address diverse mechanisms of replication and transmission Develop TIP platform to address broad spectrum of fast evolving viral threats that lack or have weak vaccines & therapies HIGH PRIORITY VIRAL PATHOGHENS Dengue SARS-CoV Ebola JC virus Zika MERS-CoV Crimean Congo HV BK virus Hantaviruses Lassa Lujo Chapare Nipah Junin Machupo Guanarito Hendra Sabia Caliciviruses West Nile Rift Valley Fever St. Louis encephalitis LaCrosse encephalitis California encephalitis Western equine encephalitis Eastern equine encephalitis Enterovirus 68 Enterovirus 71 Chikungunya Hepatitis C Herpes simplex HIV Japanese encephalitis Venezuelan equine Influenza Hepatitis E encephalitis Crimean Congo Hemorrhagic Fever Omsk Hemorrhagic Fever Marburg Severe Fever with Thrombocytopenia Syndrome Heartland Alkhurma virus Kyasanur Forest Tickborne encephalitis complex flaviviruses (http://www.niaid.nih.gov/topics/biodefenserelated/biodefense/pages/cata.aspx) 9

INTERCEPT Technical Areas Exploit emerging technologies for TIP development, optimization, testing TA1: TIP development Design and generate TIP candidates that outcompete pathogen, cannot self-activate (obligate parasites) Screen & optimize initial TIPs for short term efficacy and toxicity in vitro TA2: Co-evolution testing Build dynamic in vitro platforms for long-term co-evolutionary assessment in in vivo-like conditions Assess long term evolutionary safety and efficacy in vitro and in vivo TA3: Modeling Develop in-silico modeling platform to inform TIP design Develop models of viral kinematics, safety, efficacy, and coevolution at cell, host and population levels 10

TA1: TIP development Objective: Engineer TIPs that stoichiometrically outcompete virus but are inactive/dormant in the absence of infection with the virus A. Build TIP library Virus Candidate TIP s TIP design Targeted (a priori knowledge, screen input, TA3 models) Random deletions Hybrid approaches TIP particle synthesis Cell culture Synthetic Iterate Safety Select TIP variants that can t replicate in absence of parent virus (obligate parasitism) TIP B. Screen TIPs for: Efficacy Select TIP variants that reduce viral infection in short-term cell culture Virus Virus + TIP TIP library Deliverables: Optimized TIPs screened for safety and efficacy reduce viral infection in short-term cell cultures 11

TA2: Co-evolution testing Objective: Evaluate TIPs for long-term toxicity, efficacy and co-evolution In vitro testing Example: Develop continuous evolutionary bioreactors Target cells Continuous input of fresh cells Infected cells + TIP In vivo testing Animal models of infectious diseases Assess TIP dose, toxicity, efficacy, and co-evolution long-term in target organ and systemic Evaluate host immune response Transmission studies Waste: dead cells, old media Periodic sampling of TIPs & pathogen Periodic sequencing of TIP and pathogen genes to monitor pathogen-tip mutations & co-evolution Quantify stable reduction of pathogen load long term Deliverables: Long-term validation: co-evolution, safety, efficacy in vitro and/or in vivo for selected virus types 12

TA3: Modeling Objective: Build in silico model that captures virus/tip/host and population-level dynamics to support TIP design and platform development Cell level: TIP and virus kinematics TIP optimization Host level: TIP efficacy, safety, co-evolution with viral mutations and host immune response Population level: TIP evolution, stability, transmission - + Host Virus + - - TIP + - Host immune response + beneficial - antagonistic Output: disease control by persistent reduction of viral load Deliverables: In silico TIP-pathogen-host dynamics and co-evolution framework at cell-, host-, and population-level Predictive models for long-term TIP efficacy, safety, optimal design feeding back to TA1 13

Proposal guidance Read the BAA carefully! For all Technical Areas: Justify virus candidate/s selected for study Summarize key innovations, how your approach advances beyond current practice Back up your idea and technical approach (e.g. by theoretical arguments, models, past results, new data) Provide quantitative metrics feasible within the proposed timeline Summarize key expected outputs and deliverables 14

Proposal guidance continued Proposers must address one of the following: A. All three Technical Areas (TAs); B. Both TA2 and TA3; or C. TA3 Must identify collaborator/s to team to address TA2 before the end of the first year of contract Proposals that focus solely on Technical Area 1 or solely on Technical Area 2 will not be considered for funding. Teaming It is anticipated that teaming will be necessary to meet the goals of this program Tips: 1. Listen to presenters during today s attendee presentation sessions, where attendees will briefly present their expertise and capabilities 2. Reach out to colleagues and collaborators 15

BAA Inbox and FAQ Direct all questions and communication to the BAA Inbox DARPA-BAA-16-35@darpa.mil BAA Inbox FAQ DARPA will post a consolidated FAQs on a regular basis To access the posting go to: http://www.darpa.mil/work-with-us/opportunities?tfilter=&ofilter=1&sort=date 16

Some advice Read the BAA, carefully and respond accordingly. Some instructions are specific required and must Most of the instructions are non-specific you decide on what is the best possible science to support the objectives of the program Be honest about risks and demonstrate thoughtful consideration for how to mitigate those risks. Ask for clarification as needed. FAQs will be updated regularly. Take advantage of today s opportunities to meet potential teammates and ask questions 17

INTERCEPT Evolving pathogen Evolves Co-evolving therapy Keeps pace 18