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The global marine pharmaceutical pipeline i li Alejandro M. S. Mayer, Ph.D. Midwestern University Pharmacology Department, CCOM Downers Grove, Grove Illinois, Illinois USA 1 2 http://marinepharmacology.midwestern.edu/ The global marine pharmaceutical pipeline • • • FDA- approved FDA d marine i pharmaceuticals h i l The Clinical Pipeline p The Preclinical Pipeline http://marinepharmacology.midwestern.edu/ 3 4 FDA – approved: 7 Clinical Pipeline: 11 Preclinical Pipeline: 1,458 Chemistry Marine Natural Products: 8,940 Global Marine Pharmaceutical Pipeline in 2012 5 The global marine pharmaceutical pipeline • • • FDA- approved pp marine p pharmaceuticals The Clinical Pipeline p The Preclinical Pipeline • The Odyssey of Marine Pharmaceuticals: a Current Pipeline Perspective, Trend in Pharmacological Sciences, 31: 255-265, 2010 6 FDA- approved marine pharmaceuticals http://marinepharmacology.midwestern.edu/ 7 Cytarabine Ara Cytarabine, Ara-C C (Cytosar): FDA approval 1969 Arabinosylcytosine or cytosine arabinoside is a synthetic pyrimidine nucleoside Caribbean sponge Tethya crypta, source of spongothymidine, led to synthesis of new class of arabinosyl 8 nucleosides. Cytarabine Ara Cytarabine, Ara-C C (Cytosar): Cancer • Pharmacology: cytosine arabinoside is rapidly converted into cytosine arabinoside triphosphate, which inhibits the DNA polymerase by competing with the physiologic substrate deoxycitidine triphosphate • Indications for use: induction and maintenance of remission in acute non non-lymphocytic lymphocytic leukemia of adults and children • Also Al used d ffor: acute t lymphocytic l h ti lleukemia k i and d chronic myelocytic leukemia 9 Cytarabine, Ara-C (Cytosar): clinical trials Downloaded from www.clinicaltrials.gov 10 Cytarabine, Ara-C (Cytosar): Hospira, USA 11 Downloaded from http://www.hospira.com/Products/cytarabine.aspx Vidarabine Ara Vidarabine, Ara-A A (Vira-A): (Vira A): FDA approval 1976 Arabinofuranosyladenine or adenine arabinoside is Caribbean sponge Tethya crypta, source of spongouridine, led to a synthetic purine th i off new class l off arabinosyl bi l synthesis nucleoside 12 nucleosides. Vidarabine Ara Vidarabine, Ara-A A (Vira-A): (Vira A): Antiviral • Ph Pharmacology: l Vid bi iis converted Vidarabine t d iinto t arabinoside bi id triphosphate, and inhibits viral DNA polymerase and DNA synthesis • Indications for use: 3% ophthalmic ointment is used for acute t keratoconjunctivitis k t j ti iti and d recurrentt epithelial ith li l keratitis, caused by herpes simplex virus types 1 and 2 • Currently C tl discontinued di ti d in i th the U U.S. S as noted t d iin FDA Orange Book (3-2011) 13 Downloaded from http://www.accessdata.fda.gov/scripts/cder/ob/docs/tempai.cfm 14 Ziconotide (Prialt): FDA approval 2004 25 amino acid, polybasic peptide containing 3 disulfide bridges and the FDA-approved pp drug g Prialt® Piscivorous marine snail Conus magus, source of the naturally occurring conopeptide • Developed as a pain medication 15 Ziconotide (Prialt): clinical trials Downloaded from www.clinicaltrials.gov 16 Ziconotide (Prialt): Jazz Pharmaceuticals, Ireland Downloaded from www.prialt.com Omega 3 acid Ethyl Ester (Lovaza): FDA approval 2004 Omega-3-acid ethyl esters of eicosapentaenoic acid (EPA) ethyl esters of docosahexaenoic acid (DHA) Downloaded from http://www.accessdata.fda.gov/drugsatfda_docs/label/2009/021654s023lbl.pdf 18 Omega-3-acid Ethyl Esters (Lovaza): clinical trials Downloaded from www.clinicaltrials.gov 19 Omega-3-acid Ethyl Esters (Lovaza): GlaxoSmithKline, UK Downloaded from http://www.gsk.com/products/prescription-medicines/lovaza.htm 20 Trabectedin, ET-743 (Yondelis®): cancer Colonial ascidian Ecteinascidia turbinata (Phylum Chordata, Subphylum: Urochordata) 200 175 PubMed 2000-07 150 Pharmacology 100 50 0 20 00 20 01 20 02 20 03 20 04 20 05 20 06 20 07 Binds to the minor groove of DNA and interferes with cell division and the gene transcription processes and repair machinery of the DNA. 21 Trabectedin, ET-743 (Yondelis®): FDA approval 2005 http://www.fda.gov/ForIndustry/DevelopingProductsforRareDiseasesConditions/HowtoapplyforOrphanP roductDesignation/default.htm 22 Trabectedin, ET-743 ((Yondelis®): ) FDA approval pp 2005 Downloaded from http://www.accessdata.fda.gov/scripts/opdlisting/oopd/OOPD_Results_2.cfm 23 Trabectedin, ET-743 (Yondelis®): clinical trials 24 Downloaded from www.clinicaltrials.gov Trabectedin, ET-743 (Yondelis®): Pharmamar, Spain Downloaded from http://www.pharmamar.com/yondelis.aspx 25 Eribulin mesylate (Halaven®) : FDA approval 2010 Halichondrin B analogue g E7389 (macrolide, polyketide) Sponge Lissodendoryx sp. (Phylum:Porifera Ph l P if ) Courtesy C t off John J h Bl Blunt, t Univ. of Canterbury, N. Zealand Pharmacology • Developed as an anticancer agent • Microtubule interacting agent • Developed by Eisai, Woodcliff Lake, NJ 26 Eribulin mesylate Halaven®: clinical trials Downloaded from www.clinicaltrials.gov 27 Eribulin mesylate (Halaven®): Eisai Co., Ltd, Japan 28 Downloaded from http://www.eisai.com/pdf/eir/epipeline.pdf Brentuximab vedotin : FDA approval 2011 H2 N H N O HO O N N OMe O OMe O N H Monomethyl Auristatin E (peptide) Dolabella auricularia (sea hare) Phylum: Mollusca, Class: Gastropoda Monomethyl auristatin E (MMAE) is a synthetic anticancer agent agent. Because of its toxicity toxicity, it cannot be used as a drug itself; instead, it is linked to a monoclonal antibody (MAB) which directs it to the cancer cells. 29 http://www.youtube.com/watch?v=WYuBjfJP84c Brentuximab vedotin (SGN-35): cancer mAb-linker- H2 N H N O HO O N N OMe O OMe O N H Anti-CD30- Monomethyl Auristatin E (peptide) Seattle Genetics’ proprietary technology Pharmacology • Brentuximab vedotin is an antibody-drug conjugate (ADC) that targets CD30, a marker of Hodgkin lymphoma lymphoma. • The ADC is stable in the bloodstream, but releases MMAE, an antimicrotubule agent, upon internalization into CD30-expressing tumor cells, resulting in a targeted cell-killing effect. Downloaded from http://www.seagen.com/product_pipeline_sgn35.shtml 30 Brentuximab vedotin (SGN-35): clinical trials Downloaded from www.clinicaltrials.gov 31 Brentuximab vedotin (SGN-35): Seattle Genetics, USA 32 Downloaded from http://www.seagen.com/product_pipeline.php The global marine pharmaceutical pipeline • • • FDA approved marine pharmaceuticals FDAThe Clinical Pipeline The Preclinical Pipeline 33 The Marine Pharmaceutical Clinical Pipeline http://marinepharmacology.midwestern.edu/ 34 FDA – approved: 7 Clinical Pipeline: 11 Preclinical Pipeline: 1,458 Chemistry Marine Natural Products: 8,940 Global Marine Pharmaceutical Pipeline in 2012 35 Marine pharmaceuticals in Phase 3 http://marinepharmacology midwestern edu/clinPipeline htm http://marinepharmacology.midwestern.edu/clinPipeline.htm 36 Plitidepsin (Aplidin®): Phase 3, cancer OCH3 O N O O NH N CH3 O O O O O O O N H OH NH CH3 N O N O O Aplidium p albicans (seasquirt) ( q ) Plitidepsin (depsipeptide) (Phylum Chordata, Subphylum:Tunicata) Pharmacology • Extremely potent inducer of apoptosis with IC50 in the low nanomolar range. • It triggers Rac 1 activation, together with MPK-1 downregulation, and sustained JNK activation. • Ongoing O i efforts ff t seekk to t identify id tif the th primary i cellular ll l ttarget. t 37 Mayer et al. TIPS 2010 Plitidepsin (Aplidin®): Phase 3, clinical trials Downloaded from www.clinicaltrials.gov 38 Plitidepsin (Aplidin®): Pharmamar, Spain 39 Marine pharmaceuticals in Phase 2 http://marinepharmacology.midwestern.edu/clinPipeline.htm 40 PM00104 (Zalypsis®): Phase 2, cancer OCH3 CH3 HO AcO H H3C N CH3 N O O OH NH O CF3 Jorunna funebris (sea slug) (Phylum: Mollusca, Mollusca Class: Gastropoda) (Zalypsis®) alkaloid Pharmacology • New DNA-binding alkaloid isolated from the skin and mucus of the Pacific nudibranch Joruna funebris. • Zalypsis® binds to guanines in selected DNA triplets, DNA adducts eventually give rise to double strand breaks, S-phase arrest and apoptosis in cancer cells. Mayer et al. TIPS 2010 41 PM00104 (Zalypsis®): Phase 2, clinical trials Downloaded from www.clinicaltrials.gov 42 PM00104 (Zalypsis®): Pharmamar, Spain 43 Glembatumumab vedotin (CDX-011) : Phase 2, cancer H2 N H N O HO O N N OMe O OMe O N H Monomethyl Auristatin E (peptide) Dolabella auricularia (sea hare) Phylum: Mollusca, Class: Gastropoda Monomethyl auristatin E (MMAE) is a synthetic anticancer agent agent. Because of its toxicity toxicity, it cannot be used as a drug itself; instead, it is linked to a monoclonal antibody (MAB) which directs it to the cancer cells. 44 Glembatumumab vedotin (CDX-011) : Phase 2, cancer mAb-linker- H2 N H N O HO O N N OMe O OMe O N H Anti-NMB- Monomethyl Auristatin E (peptide) Seattle Genetics’ proprietary technology Pharmacology • Brentuximab vedotin is an antibody-drug conjugate (ADC) that targets glycoprotein NMB NMB, a marker of breast cancer cancer. • The ADC is stable in the bloodstream, but releases MMAE, an antimicrotubule agent, upon internalization into NMB-expressing tumor cells, resulting in a targeted cell-killing effect. 45 Downloaded from http://www.celldextherapeutics.com/wt/page/cancer Glembatumumab vedotin (CDX-011) : Phase 2, clinical trials Downloaded from www.clinicaltrials.gov 46 Glembatumumab vedotin: CellDex Therapeutics, USA Downloaded from http://www.celldextherapeutics.com/wt/page/pipeline_redirect http://www celldextherapeutics com/wt/page/pipeline redirect 47 Marine pharmaceuticals in Phase 1 http://marinepharmacology.midwestern.edu/clinPipeline.htm 48 Marizomib (Salinosporamide A): Phase 1, Cancer H OH H N O O O CH3 Cl Salinosporamide A is a betalactone-gamma-lactam lactone gamma lactam Pharmacology gy Salinospora tropica, a marine bacteria (Phylum: Actinobacteria). Courtesy of Ray Lam, Nereus Pharmaceuticals Preclinical and Clinical research • Covalent modification of the • Developed as an Anticancer agent active site threonine residues of the 20S proteasome, proteasome a multimulti subunit enzyme complex that degrades ubiquitin-tagged proteins in eukaryotic cells • Developed by Nereus Pharmaceuticals, San Diego, CA 49 Marizomib (Salinosporamide A): Phase 1, clinical trials Downloaded from www.clinicaltrials.gov 50 Salinosporamide A (NPI-0052): Nereus, USA 51 Downloaded from http://www.nereuspharm.com/overview.shtml The global marine pharmaceutical pipeline • • • FDA approved marine pharmaceuticals FDAThe Clinical Pipeline The Preclinical Pipeline 52 FDA – approved: 7 Clinical Pipeline: 11 Preclinical Pipeline: 1,458 Chemistry Marine Natural Products: 8,940 Global Marine Pharmaceutical Pipeline in 2012 http://marinepharmacology.midwestern.edu/ Marine pharmaceutical preclinical pipeline • • • • • For the period 1998-2008 13 marine pharmacology reviews p 1,458 compounds Global research enterprise Multiple pharmacological classes 55 The global marine pharmaceutical preclinical pipeline Global research involving investigators in 32 countries & US 56 in the period 2007-2008 Marine pharmaceutical preclinical pipeline • • • • • For the period 1998-2008 13 marine pharmacology reviews p 1,458 compounds Global research enterprise Multiple pharmacological classes 57 The marine pharmaceuticals preclinical pipeline in 2007-2008: 197 compounds • • • • • • • Antitumor Antibacterial Antifungal Antiviral Antimalarial Antituberculosis Antiprotozoal • • • • • • Anticoagulant Cardiovascular Anti-inflammatory Immune system Nervous system Variety of molecular targets: eg. enzymes, receptors 58 59 The global marine pharmaceutical pipeline: conclusions • • • • • • • Biodiversity Bi di it off marine i organisms i and d chemistry h i t FDA-approved agents in several therapeutic areas Active clinical pipeline: Phase 1, 2, 3 Biotechnology: FDA-approved, Phase 1 & 2 MABs Preclinical pipeline could be larger if $$ increases US, European & Japanese companies involved Large markets for pharmaceuticals in cancer, etc. 60 Acknowledgements Global Marine Pharmaceutical Clinical Pipeline: • • • • • • • • • J. Michael Macintosh, M.D., University of Utah David Newman, Ph.D., National Cancer Institute Keith Glaser, Ph.D., Abbott Laboratories Robert Jacobs,, Ph.D.,, U.C. Santa Barbara Daniel Little, Ph.D., U.C. Santa Barbara William Kem, Ph.D., University of Florida Barbara Potts, Potts Ph Ph.D., D Nereus Pharmaceuticals Dale Shuster, Ph.D., Eisai Pharmaceuticals Maria del Carmen Cuevas Marchante, Ph.D., PharMamar, Spain Global Marine Pharmaceutical Preclinical Pipeline reviews • • • • • Roberto Berlinck,, Ph.D.,, Universityy of Sao Paulo. Brasil Mark Hamann, Ph.D., University of Mississippi, USA Abimael Rodriguez, Ph.D., University of Puerto Rico, USA Nobuhiro Fusetani, Fusetani Ph.D., Ph D Hokkaido University University, Japan Kirk Gustafson, Ph.D., National Cancer Institute, USA 61 New developments in the marine pharmaceutical clinical and preclinical pipeline will be posted @ htt // http://marinepharmacology.midwestern.edu i h l id t d / [email protected] 62