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THE TECH TRANSFER UNIT COPENHAGEN UNIVERSITY Licensee offer New synthetic antibiotics against MRSAs: Piperazine Inhibitors of Bacterial Gyrase and Topoisomerase IV The Opportunity The University of Copenhagen, the Danish Technical University and LEO Pharma A/S are seeking an industrial partner for an invention related to a novel class of antibiotic compounds that are effective against methicillin-resistant Staphylococcus aureus (MRSA). We offer access to a new class of synthetic antibiotics that target bacterial type II topoisomerase with a novel mode of action. There are several advantages of topoisomerase inhibitors as antibiotics. Bacteria contain the two type IIA topoisomerases DNA gyrase (topoisomerase II) and topoisomerase IV. The active sites show a high degree of similarity, thus one antibiotic can potentially target those two distinct enzymes. Consequently, development of resistance would require mutations in both of the corresponding genes (gyrA for gyrase and parC for topoisomerase IV). The problem The extensive use of penicillin derivatives has resulted in development in resistance among bacteria such as MRSA. The mortality rate for humans infected is 15-60% and in Europe 25,000 people die every year from infections caused by multidrug-resistant bacteria. MRSA strains are resistant to the β-lactam antibiotics (penicillins), but resistance to tetracyclins, macrolides, lincosamides, aminoglycosides, trimethoprim, and in some cases also to fluoroquinolones is frequently observed. Vancomycin has for a long time been the drug of last resort to MRSA infections, but this has now resulted in increasing vancomycin-resistance among MRSA. Therefore, there is a huge medical need for antibiotics with novel modes of action and a slow kinetics with respect to development of resistance. The Invention/technology The new class of antibiotics is constituted by a piperazine core that links to a fluoroquinoline and a hydrophobic moiety. The antibiotics target bacterial type II topoisomerase with mode of action, which is distinct from the one of currently approved drugs. The antibiotics inhibit bacterial gyrase and topoisomerase IV and hamper DNA transcription and replication in living bacterial cells. Key Selling points One antibiotic can potentially target two different type IIA topoisomerases found in bacteria. Consequently, development of resistance would require mutations to occur in both of the corresponding genes (gyrA and parC). DNA gyrase is not found in humans, and the human topoisomerases have distinct differences from the bacterial counterparts and are generally not affected by bacterial topoisomerase inhibitors. This new class of antibiotics possesses a simple chemical structure, which facilitates its rapid non costly preparation via chemical synthesis. Development status We have a number of promising lead compounds and have performed some lead optimization and are now approaching preclinical testing of these leads. Date included show biologic evaluation in enzymatic assays benchmarked with Ciprofloxacin and NXL101. NXL101 was a lead compound from Novexel but it was discontinued due to unfavorable route of synthesis and hERG profile discovered in a Phase I trial. Ciprofloxacin is a widely used of the second-generation quinolones antibiotic. -1- Biological evaluation of piperazine-based antibiotic agents in enzymatic assays against S. aureus gyrase and S. aureus topoisomerase IV. Entry Compound S. aureus a gyrase IC50 (M) S. aureus b topoisomerase IV IC50 (M) 1 NXL 101 0.34 8.80 2 Ciprofloxacin 3.84 9.16 3 81 0.48 2.47 4 73 0.28 9.92 5 74 0.68 1.81 Our lead compounds have excellent antibiotic properties against MRSA and other Gram-Positive strains in a similar range as NXL-101 and GSK2140944, a novel piperidine antibiotic in the pipeline at GSK. Our compounds do not have any antibiotic activity towards investigated Gram-negative strains. Together with the excellent antibiotic properties, the compounds of the invention also seem to have suitable properties with respect to hERG inhibition. MIC determination by broth microdilution of GSK, NXL-101, our lead compound and ciprofloxacin against ESKAPE pathogens. MIC values (ug/ml) GSK NXL-101 2140944 Gram positive UCPH Cipro- NCE floxacin Staphylococcus aureus 0.8 0.4 0.4 0.4 MRSA, CC398 0.8 0.4 0.4 0.4 Enterococcus faecium 3.1 1.56 1.56 0.1 12.5 >50 >50 0.1 Enterobacter cloacae 50 >50 >50 0.1 Klebsiella pneumoniae 50 >50 >50 0.1 nd 2015 and Gram negative Pseudomonas aeruginosa Intellectual property rights An EP patent application covering the inventions was files on March 2 nd extended in to a PCT patent application filed on March 2 2016. Contact information University of Copenhagen TechTransfer Office Universitetsparken 1 2100 Copenhagen Denmark Commercial Enquiries: Peter Stein Nielsen Commercial Officer [email protected] +45 2164 7447 (Mobile) +45 3533 6447 (Office) **** -2-