CANCER THERAPEUTICS: A NOVEL APPROACH

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CANCER THERAPEUTICS: A NOVEL APPROACH Mary Dwyer, Ph.D. HBRI and ChemRegen, Inc. SCDMDG Meeting October 23, 212

Outline Introduction Hit, HBRI1: identification & characterization Leads, HBRI2 & HBRI3: identification & characterization Next steps

212 Estimated US Cancer Incidence & Mortality

Current Treatment Approaches, Issues Standard Triple Threat Surgery Chemotherapy (fluorouracil) Radiation Therapy Adverse effects on normal tissues Targeted Therapies- mabs & Tyrosine Kinase Inhibitors Avastin - VEGF-Receptor mab Sutent - VEGF-Rs & PDGF-Rs Tyr Kinase inhibitor Costly, Production Limitations, Off-target Effects

HBRI Created First-in-Kind Non-Toxic Anti- Cancer Agents Breast Cancer Prostate Cancer Colon Cancer Pancreatic Cancer Other Cancers

Pathway Dysregulation in Cancer Increased proliferation Increased metastasis Resistance to apoptosis

Compound Screen: A Pathway-Selective Inhibitor

Compound Screen: A Pathway-Selective Inhibitor Screened 76, compounds via a pathwayselective assay Identified 181 primary hits Confirmed 11 hits 14 pathway-selective hits 1 potent & reproducible hit developed

HBRI1 Inhibits Pathway-Specific Transcriptional Activity 15 IC 5 22nM RLU* 1 DMSO 5 HBRI1 Commercial Inhibitor.1.1 1 1 1 *HEK-293, normalized to DMSO Log [Compound Conc. (nm)]

HBRI1 Decreases Prostate Cancer Cell Proliferation & Cytotoxicity % Proliferation (relative to DMSO control) LNCap Proliferation 12 1 8 6 4 2 2 4 8 1 25 [Compound (nm)] IC 5 6 nm LNCap Cytotoxicity No effect at 5 nm after 24 hrs monitoring GAPDH release Primary Mouse Fibroblasts no change in proliferation or viability with 1 week of HBRI1 treatment

Medicinal Chemistry Development of HBRI1: Weakly potent Lipophilic Poorly soluble Hit Validated Hit Structure- Activity Relationships Structure-Property Relationships Several Cycles Analog Synthesis Highly potent Drug-like properties Lead Data Analysis Biological Screen

HBRI1 SAR Yields Potent Inhibitors, HBRI2 & HBRI3 % Inhibition Relative to DMSO 1 5 HBRI2 IC 5 29 nm.1 1 1 1 1 1 Log [Compound, nm] % Inhibition Relative to DMSO 15 1 5 HBRI3 IC 5 4 nm.1 1 1 1 1 1 Log [Compound, nm] HBRI3 is 5-fold more potent than HBRI1 HBRI3 is 1-fold more water soluble than HBRI1

HBRI1-3 Stimulate Prostate Cancer Cell Apoptosis & Regulate Target Gene Expression Apoptosis Gene Expression HBRI1 induces apoptosis: HEK-293 Caspase-Glo (dose dependent increase) HCT-116 (Colon Cancer) PARP cleavage observed (1μM, 16h) Fold Expression Fold Expression 1.4 1.2 1..8.6.4.2. 1.4 1.2 1..8.6.4.2. MYC D 1 2 3 HBRI Cyclin D1 D 1 2 3 HBRI LNCAP LNCAP [1μM] 16h [1μM] 16h

HBRI2 & HBRI3 Stimulate Prostate Cancer Cell (PC-3) Apoptosis % Apoptosis Activation (Relative to DMSO) 3 2 1 HBRI2 EC 5 117nM 1 1 1 1 1 Log [Compound], nm % Apoptosis Activation (Relative to DMSO) 4 HBRI3 EC 5 32nM 3 2 1 1 1 1 1 1 Log [Compound], nm Apoptosis monitored by Caspase Activation.

HBRI2 & HBRI3 Stimulate Colon Cancer Cell (HCT-116) Apoptosis % Apoptosis Activation (Relative to DMSO) 1 8 6 4 2 HBRI2 EC 5 143nM 1 1 1 1 1 Log [Compound Conc. (nm)] % Apoptosis Activation (Relative to DMSO) 1 8 6 4 2 EC 5 15nM HBRI3 1 1 1 1 1 Log [Compound Conc. (nm)]

HBRI2 & HBRI3 Inhibit Breast Cancer Cell (MDA-MB-231) Proliferation HBRI2 / HBRI3 Fluorescence (Ex 495nm /Em 535nm ) 6 4 2 IC 5 25nM 2 4 6 Days of HBRI2 Treatment Fluorescence (Ex 495nm /Em 535nm ) 6 IC 5 24nM 4 2 2 4 6 Days of HBRI3 Treatment

HBRI2 & HBRI3 Inhibit Pancreatic Cancer Cell (Mia-PaCa) Proliferation HBRI2 HBRI3 Fluorescence (Ex 49nm/Em 535nm) 35 3 25 2 15 1 5 IC 5 1nM Fluorescence (Ex 49nm/Em 535nm) 35 3 25 2 15 1 5 IC 5 55nM 1 2 3 4 5 1 2 3 4 5 Days of HBRI2 Treatment Days of HBRI3 Treatment Similar decreases in proliferation of prostate & colon cancers were observed.

HBRI2 & HBRI3: Initial Pharmacokinetic Studies Chemical & Metabolic Stability Chemical Stability (h) Metabolic Stability (t 1/2, min) Human Mouse Rat HBRI 1 12 NA 1 NA 1 NA 1 HBRI 2 NA 1 NC 2 3 12 HBRI 3 NC 2 77 382 65 1 NA = Not Tested 2 NC = No Change Rat in vivo studies: no acute toxicity of HBRI3 Single dose at 2 mg/kg 7-days of daily dosing at 3 mg/kg: no effect on weight gain compared to vehicletreated animals

Prostate Cancer Xenograft Study in Mice Tumor weight (g) Tumor volumes (mm 3 ) 14 12 1 8 6 4 2.75.5.25. Vehicle HBRI1 HBRI3 Day 7 Day 1 Day13 Day 16 Day19 Vehicle HBRI1 HBRI3 HBRI3 reduced PC3 tumor volume by 8%

Prostate Cancer Xenograft Study in Mice Excised PC3 Tumors Vehicle HBRI1 (original hit) HBRI3 (the lead) HBRI3 decreased PC3 tumor size in 8% of animals

Colon Cancer Xenograft Study in Mice HCT116 xenograft nu/nu mice Tumor Volume (mm 3 ) 2 18 16 14 12 1 8 6 4 2 5 1 15 2 25 Day # Vehicle HBRI3

Summary HBRI3 is a novel anti-cancer agent widely useful against a number of cancers In the presence of other anti-cancer drugs, HBRI3 may be useful as a synergist to increase the potency and decrease the toxicity or off-target action of anti-cancer drugs. HBRI3 appears to work on cycling cells such as cancer cells and does not appear to affect normal cells, hence the nontoxicity. HBRI3 may be useful for hypoxic tumors (solid tumors)

Acknowledgements John Cashman Ph.D., HBRI and CR Mark Mercola Ph.D., Sanford-Burnham (SB) and CR Chemists Karl Okolotowicz Ph.D., HBRI and CR Dennis Schade Ph.D., HBRI, SB, and CR Daniel Ryan, HBRI and CR Biologists Masanao Tsuda Ph.D., SB and CR Mary Dwyer Ph.D., HBRI and CR Erik Willems Ph.D., SB and CR Sigeng Chen Ph.D., HBRI and CR