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The NTD Drug Discovery Booster: an innovative collaboration for hit expansion Charlie Mowbray Discovery Director [email protected] GHIT R&D Forum, December 8 th 2017 Tokyo Garden Terrace Kioi Conference Activating the Power of Japan’s Unique Chemical Compounds for Neglected Diseases

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Page 1: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

TheNTDDrugDiscoveryBooster:aninnovativecollaborationforhitexpansion

[email protected]

GHITR&DForum,December8th 2017TokyoGardenTerraceKioi Conference

ActivatingthePowerofJapan’sUniqueChemicalCompoundsforNeglectedDiseases

Page 2: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Responding to the Needs of Patients Suffering from Neglected Diseases…

Hep C

DNDi’s PRIORITY:

Neglected Patients

Pediatric HIV

Filarial diseases

Sleeping sickness

Chagas disease

Leishmaniasis

Malaria Mycetoma

…from Bench to Bedside

©"Sco&"Nelson"for"T

he"New

"York"Times!

• Todevelopnewdrugsornewformulationsofexistingdrugs

• Tostrengthencapacitiesinasustainablemanner

• Toadoptadynamicapproachtoportfoliodiseases

DNDi’s Mission

Page 3: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

7 new treatments delivered, recommended, implemented

• 30projects,8diseasesareas

• 13entirely newchemical entities (NCEs)

• Over160partnerships,most inendemiccountries

• 160staff,half inendemic countries&700peopleworking onDNDiprojects

• EUR400millionraised equally frompublicandprivate sources

• 4regional disease-specific clinical trialplatforms/networks andseveraltechnology transfers

ü Easy touseü Affordableü Field-adaptedü Non-patented

2016SUPERBOOSTERTHERAPYPaediatric HIV/TB

HIV/TB

Page 4: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

DNDi’s success is only possible through innovative partnerships Universities

&ResearchInstitutes

PDPs

Int.Org.&NGOsBiotechs

CROs Pharmaceuticalcompanies

CRITERIAFORSUCCESSü Sharethesamevisionü Mutualunderstandingü Involvementthroughoutthe

wholeprocess

Over160partnerships worldwide

SomecurrentJapanesepartners:

EisaiTakedaShionogiDaiichi-SankyoGeneDesignKitasato InstituteRikenInstituteIMC

GHITFund

Page 5: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

7 new treatments available and up to 16 new chemical entities in the pipeline

Screen Hit to Lead Pre-clinical Phase I Phase IIa/PoCLead Opt. RegistrationPhase IIb/III Access

New Chemical Entity (NCE); Fexinidazole (for HAT, VL, and Chagas disease) = 1 NCE; Fosravuconazole = 1NCE

Fosravuconazole

DNDi R&D Portfolio June 2017Research DevelopmentTranslation Implementation

Mycetoma

Ravidasvir/Sofosbuvir

HCV

Two ‘4-in-1’ LPV/r/ABC/3TC

LPV/r pellets with dual NRTI

SuperboosterTherapy

Paediatric HIV/TBPediatric HIV

Screening EmodepsideABBV-4083TylaMac

MacroFilaricide 3

Filaria

New BenzRegimens +/-fosravuconazole

Screening

Biomarkers

ChagasH2L

Fexinidazole

BenznidazolePaediatric Dosage

Form

ChagasLead Opt

Chagas

SSG&PM Africa

New Treatmentsfor HIV/VLScreening

DNDI-5421DNDI-5610oxaborole

LeishH2L

DNDI-0690nitroimidazole New VL Treatments

Asia

New Treatmentsfor PKDL

New VL TreatmentsLatin America

New CLCombinationCpG-D35 (CL)

Aminopyrazoles

DNDI-6148oxaborole

CGH VL Series 1

MF/ParomomycinCombo for Africa

Leishmaniasis

FexinidazoleAcoziboroleSCYX-1330682SCYX-1608210oxaborole

NECT Nifurtimox-EflornithineCombination Therapy

HAT

MalariaFDC ASAQ

MalariaFDC ASMQ

GSK3494245DDD1305143

GSK3186899DDD853651

Page 6: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Projects with Japanese partnerships and support from the GHIT Fund providing NCEs

Screen Hit to Lead Pre-clinical Phase I Phase IIa/PoCLead Opt. RegistrationPhase IIb/III Access

New Chemical Entity (NCE)

DNDi R&D Portfolio June 2017Research DevelopmentTranslation Implementation

Mycetoma

Chagas

Leishmaniasis

CpG-D35 (CL)GeneDesign

Eisai

AminoPyrazolesTakeda

New BenzRegimens +/-FosravuconazoleEisai

FosravuconazoleEisai

Takeda

Daiichi-Sankyo

DNDI-5561Takeda

IMC

Daiichi-Sankyo

Eisai

Takeda

NTD Booster

Kitasato

Eisai,Takeda,Shionogi

Eisai

Takeda

IMC

Daiichi-Sankyo

Eisai

Takeda

Kitasato

NTD Booster

Daiichi-Sankyo

Brd projectRiken

Eisai,Takeda,Shionogi

Growingportfolio• 8Partners• 20projects

Page 7: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Unique compounds from Japan• Screeningofdrug-likesmallmoleculesfromJapanese

pharmaceuticalcompaniesandresearchinstitutes• Someinterestinghitsidentified• NTDDrugDiscoveryBoosterusedtoacceleratethese

newdiscoveries

• Japanesenaturalproducts

PCAplotsofdrugsapprovedbyFDAbetween1981–2010parsedbycompoundorigin

NewmanDJ,CraggGM.NaturalProductsasSourcesofNewDrugsfrom1981to2014JNatProd.201625;79(3):629-61

Stratton etal.,2013,Cheminformaticcomparisonofapproveddrugsfromnaturalproductversussyntheticorigins. Bioorg MedChem Lett.20151;25(21):4802–4807

Page 8: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

• DrugdiscoveryfortropicaldiseasessuchasVisceralLeishmanisais andChagasDiseaseisneglected– Littleinterest,limitedinvestment,fewresearchers,fewtools

• Parasitesareverydifficulttokill– HighThroughputScreeninghitrates:

• L.donovani (intracellular)<0.05%• T.cruzi (intracellular)<0.15%

Hitsarescarceandprecious– needtofullyexploitthem

A BIG Experiment in Early Drug Discovery

THP1 cells infected witheGFP-L. donovani (courtesy

of GSK Tres Cantos)

• TheNTDDrugDiscoveryBoosterGoals:– ExpandpreciousHTShitsandenablescaffold-hoppingtofindnewhits– Benefitfromthepoolingofstructuresandinformation– Acceleratediscoveryandreducecosts– Experimentwithanewopeninnovationapproachtodrugdiscovery

Page 9: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Source #hits

Seed S01 1

PartnerA ~90

PartnerB ~90

PartnerC ~90

Partner D ~40

• Complementary compoundcollectionsanddifferent computational approaches efficiently explorechemicalspace around newhits

• RapidSARexpansionandscaffold-hopping before expensive optmimisation chemistry is needed

Booster Process - Representative Example

Page 10: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

2Q15 3Q15 4Q15 1Q16 2Q16 3Q16 4Q16 1Q17 2Q17 3Q17 4Q17 1Q18 Status

Hit Series approved

Hit Series approved

HitSeries approved

Abandonned

Hit Series approved

Hit Series approved

Hit Series approved

Hit Series approved

Abandonned

Abandonned

Abandonned

2nd Iteration ongoing

2nd Iteration ongoing

2nd Iteration planned

1st iteration ongoing

1st iterationplanned

OngoingCompleted Abandonned

S01 S01IH1

S02 S02IH1 S02IH2

S03 S03IH1

S04

S05 S05IH1

S06 S06IH1

S07

S08

S07IH1

S11

S09

S10

S03IH2

S08IH1

S02IH3

S12

S07IH2

S13

S14

S11IH1

S15

S12IH1

S16

S13IH1

Hitseriesidentified

Booster: Progress to date

S14IH1

Page 11: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Innovative NTD Booster Project recognised by DNDiProject of the year 2016

Page 12: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

NTD Booster Summary• AnovelapproachacceleratingdiscoveryofnewdrugsforNTDs

• AuniquepartnershipofJapanesecompanies,theGHITFundandotherinternationalpartners

• Diversityofchemistryandscientificapproachesalreadyyieldingseveralpromisingprojects

• Usefullearningforgrowingpartnershipwithapplicabilitytootherglobalhealthprojects

• SpecialenvironmentcreatedinJapanbytheGHITFundandJapanesepharmaceuticalcompanies• Globalpartnershipcommittedtopatients’needs• PreciousJapanesecontributionstosyntheticandnaturalcompoundscreening,theNTDBooster,

anddrugdiscoveryanddevelopmentprojects

Page 13: Activating the Power of Japan’s Unique Chemical Compounds ... 1_4... · J Nat Prod. 2016 25;79(3):629-61 Strattonet al., 2013, Cheminformatic comparison of approved drugs from natural

Acknowledgements

NTD Drug Discovery Booster

IeuanRobertsGarryPairaudeauThierryKogejOlaEngkvistDuncanYoungIainComleyJohnCuff

StacieCananKevinCondroskiTraceyNguyenChuong-ThuThaiJ.P.CasperBlayne Lenoir

Nao-aki WatanabeAtsushi InoueMakoto AsadaKazuya NagaokaMikaAokiKunizo HigurashiAkifumi KimuraNobukoKomuraMakotoMatsuiShuichiSuzukiKappei Tsukahara

RyuYoshidaRinaKakiOsamuYoshidaChiakiFujikoshiAikoYamashitaShujiYonezawaTakashiKawasujiAkiraNaito

Mitsuyuki ShimadaYuichiro AkaoSachiko ItonoMasahiro KamauraNobuo ChoTakashiIchikawaKaori KanekoNaoki TaruiYoshinoriIkeuraTerufumi TakagiAtsukoOchidaTaisukeTawaraishiNaoMorishitaHidekiIgata

BenjaminPerryCharlesE.MowbrayJean-PierrePaccaudDominiqueJunodRachelTisseuilRobDonFumikoHirabayashi

Jean-RobertIosetLeelaPavanTadooriDaisukeImotoTatsuroKuzukiMariMatsumotoMidori Morioka

DavidShumConsantin RaduNakyung Lee

Honggun LeeKideok KimJungjin Lee

Jinyeop KimSooyoung ByunHichul Kim

Starr International Foundation