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New Hope for the Treatment and Prevention of Age-Related Metabolic Diseases Vision FOCUS Metabolic diseases associated with age-related mitochondrial dysfunction, especially insulin resistance and type 2 diabetes. DEVELOPMENT STATUS Developing novel insulin sensitizers that are selective for a newly identified molecular target connecting mitochondrial metabolism to important cellular activities that are out of balance in metabolic diseases. Phase 2 clinical proof of concept has been demonstrated. INTELLECTUAL PROPERTY Composition of matter, use, and process patents issued and pending. FUNDING STATUS Raised $55 million since 2006. Raising a $40 million Series E round to conduct Phase 2b study of MSDC-0602 and advance the mTOT Modulator new chemical entity pipeline to Phase 2. CONTACT Stephen C. Benoit, CEO Metabolic Solutions Development Co., LLC Kalamazoo, Michigan (269) 903.0430 [email protected] www.msdrx.com Metabolic Solutions Development Company, LLC (MSDC) believes that diabetes can and should be prevented. The pioneering insights of the company’s founders into the pharmacology of insulin sensitizers has driven MSDC to the forefront of the field with the breakthrough discovery of a new mitochondrial molecular target, mTOT™, and subsequent development of a novel class of insulin sensitizers already in clinical trials called mTOT Modulators ™. Mission MSDC is a drug discovery and development company investigating new molecular targets and developing novel therapeutics to treat metabolic diseases associated with age-related mitochondrial dysfunction, especially insulin resistance and type 2 diabetes. The company’s lead products, MSDC-0160 and MSDC-0602, are the first anti-diabetic agents in a new class of insulin sensitizers referred to as mTOT Modulators for the treatment of type 2 diabetes. The Company was founded in 2006 by Jerry Colca, PhD and Rolf Kletzien, PhD, former researchers at The Upjohn Company who were key players in the early development of insulin sensitizers for type 2 diabetes mellitus (T2DM) and who helped select and led the development of Actos® (pioglitazone hydrochloride). Insulin Sensitizers Insulin sensitizers were discovered more than 25 years ago. After more than 12 years of clinical use, they have been shown to provide durable therapeutic effects in the treatment of diabetes. More than a decade after the first insulin sensitizers were discovered, a hypothesis was developed that activation of the PPAR was the mechanism of action by which these agents improved insulin sensitivity. However, as has been reported widely in the literature, PPAR is now recognized to be responsible for the dose-limiting effects associated with currently marketed insulin sensitizers, and these adverse actions are, in fact, off-target effects. In 2010, MSDC scientists made the breakthrough discovery that identified a new mitochondrial target, mTOT, as the target through which insulin sensitizers produce their anti-diabetic effects. As a result of this new understanding, and as demonstrated in multiple clinical studies in patients diagnosed with type 2 diabetes, MSDC and its collaborators are demonstrating that mTOT is the molecular complex through which insulin sensitization is achieved. Pipeline MSDC (cont’d) MSDC-0160 A 90-day, randomized, double-blind, comparator- and placebo-controlled, multidose Phase 2b clinical study in 258 patients with type 2 diabetes was completed in December 2011. Data from this study was presented at the American Diabetes Association 72nd Scientific Sessions in June 2012 (Abstract 966-P). MSDC-0160 also is being studied at Rush University Medical Center (Chicago) in a Phase 2a trial in patients with dementia due to Alzheimer’s disease, with funding provided by the Alzheimer’s Drug Discovery Foundation. In addition, the compound is being investigated in animal models of polycystic kidney disease in collaboration with the Polycystic Kidney Disease Foundation. MSDC-0602 A 28-day, randomized, double-blind, comparator- and placebo-controlled, multidose Phase 2a study in 129 patients with type 2 diabetes completed in August 2011. This proof-of-concept clinical study showed that MSDC-0602 achieved significant glucose control and increased insulin sensitivity in type 2 diabetes patients. A Phase 2b study is expected to begin Q3 2012. MSDC-0602 also is being evaluated in animal models of fatty liver disease (FLD) supported by a grant from the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health. FOUNDERS Jerry Colca, PhD Rolf Kletzien, PhD BOARD OF DIRECTORS Stephen Benoit (CEO) Jerry Callahan, PhD, MBA (Hopen Life Science Ventures) Jerry Colca, PhD (President/CSO) Michael Jandernoa (Co-Founder, Bridge Street Capital Partners and Founder, Grand Angels) Rolf Kletzien, PhD (Sr. VP Research) John Landis, PhD (Adjunct Professor, Purdue Univ. ) Mark Olesnavage, Board Chair (Hopen Life Science Ventures) William Parfet (Chairman and CEO, MPI Research) SCIENCE & MEDICAL ADVISORY BOARD IDF Diabetes Atlas, 5th ed. © International Diabetes Federation, 2011. Market As highlighted by the International Diabetes Federation Atlas (5th Ed.), diabetes is a significant and growing problem, and the costs to society are high and escalating. In particular, the IDF report noted that the number of people with type 2 diabetes is increasing in every country. Only the class of drugs referred to as insulin sensitizers treat the root cause of type 2 diabetes – insulin resistance. Thus, there is a critical unmet need for new therapeutic agents that improve insulin sensitivity. According to the American Diabetes Association and the U.S. Centers for Disease Control, 25.8 million children and adults in the United States – 8.3% of the population – have diabetes. There are an additional 79 million people in the U.S. with pre-diabetes. William Baer, MD, PharmD (Executive Director and CMO, ClinXus) Charles Burant, MD, PhD (Dr. Robert C. and Veronica Atkins Professor of Metabolism, University of Michigan Medical School) Barbara Cannon, PhD (Professor of Physiology, Wenner-Gren Institute, Stockholm University ) Douglas Morton Jr., PhD (former Group VP, Technology Acquisitions Operations, Pfizer) June 2012