CFTR activators and inhibitors may have broad applicability in addressing a number of high unmet medical needs, including chronic dry eye, constipation, polycystic kidney disease, cholestasis and secretory diarrheas. This portfolio of CFTR activators and inhibitors was developed in the UCSF laboratory of
"The licensing of the CFTR portfolio of activators and inhibitors is an important milestone for Vanda, as we continue to realize our vision of developing treatments to address unmet medical needs. The recently published animal model data from Dr. Verkman's team related to dry eye, constipation, polycystic kidney disease and diarrhea indications demonstrates the broad potential applicability of these compounds," said
"I am excited to be working with Vanda to advance the CFTR activators and inhibitors into the clinic. While CFTR modulators have been recently approved for the treatment of certain mutations in cystic fibrosis, the work we have done suggests these unique activators and inhibitors of wild-type, non-mutated CFTR could have utility in a number of prevalent conditions, including some where there is currently no available therapy," said Verkman, professor of medicine and of physiology, and director of the Cystic Fibrosis Research Development Program at UCSF.
This licensing agreement was negotiated with
Under the terms of the agreement, Vanda will pay UCSF an initial license fee of
In 2017, Vanda intends to complete the technology transfer activities from UCSF and initiate IND enabling studies for several CFTR indications.
About CFTR
The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein functions as a channel for the movement of chloride ions in and out of cells, which is important for salt and water balance on epithelial surfaces, such as in the lungs, intestines and the surface of the eye.
The only currently
CFTR modulators that do not target specific rare mutations are expected to have utility in a variety of conditions in patients who have a disorder related to either impairment of or excessive fluid secretion across epithelial surfaces. In these disorders, CFTR activators have the ability to enhance fluid flow while CFTR inhibitors restrict fluid flow, in both cases helping restoring balance of fluids across membranes.
As CFTR activators increase water excretion into the extracellular space they may be beneficial in treating a number of conditions such as dry eye(1,2), cholestasis, constipation(3), and some lung conditions such as COPD, among others. Work in Verkman's lab demonstrated preliminary in vivo efficacy for certain compounds in both dry eye and constipation models, and work is ongoing in identifying and validating additional CFTR activator indications.
As CFTR inhibitors decrease water excretion across epithelia, such as where aberrant CFTR activation occurs, they may be useful in the treatment of cholera, traveler's diarrhea(4), polycystic kidney disease(5), and other conditions of water hyper-excretion. To date, Verkman's work has shown evidence of blocking cholera and E. coli-toxin-induced water excretion as well as activity in models of polycystic kidney disease.
About the UCSF CFTR Modulator Portfolio
The CFTR portfolio consists of patents and recently filed application families describing CFTR activators and inhibitors, some of which have proof-of-principle efficacy data in relevant in vivo disease models and which possess high affinities for CFTR.
About Vanda:
Vanda is a global biopharmaceutical company focused on the development and commercialization of innovative therapies to address high unmet medical needs and improve the lives of patients.
For more on
About UCSF
UCSF is the nation's leading university exclusively focused on health. UCSF is dedicated to transforming health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy; a graduate division with world-renowned programs in the biological sciences, a preeminent biomedical research enterprise and top-tier hospitals,
References
- Lee, S., P.W. Phuan,
C.M. Felix ,J.A. Tan ,M.H. Levin andA.S. Verkman (2017). Nanomolar-potency aminophenyl-1,3,5-triazine activators of the cystic fibrosis transmembrane conductance regulator (CFTR) chloride channel for prosecretory therapy of dry eye diseases. J. Med. Chem. 60:1210-1218. - Flores, A.M.,
S.D. Casey ,C.M. Felix , P.W. Phuan,A.S. Verkman andM.H. Levin (2016). Small-molecule CFTR activators increase tear secretion and prevent experimental dry eye disease. Faseb J. 30:1789-1797. - Cil, O., P.W. Phuan,
J.H. Son ,J.S. Zhu ,C.K. Ku, N.A. Tabib,A.P. Teuthorn , L. Ferrera,N.C. Zachos , R. Lin,L.J. Galietta , M. Donowitz,M.J. Kurth andA.S. Verkman (2017). Phenylquinoxalone CFTR activator as potential pro-secretory therapy for constipation. Transl. Res. 182:14-26. - Cil, O., P.W. Phuan,
A.M. Gillespie , S. Lee, L. Tradtrantip, J. Yin, M. Tse,N.C. Zachos , R. Yin, M. Donowitz andA.S. Verkman (2017). Benzopyrimido-pyrrolo-oxazine-dione CFTR inhibitor (R)-BPO-27 for antisecretory therapy of diarrheas caused by bacterial enterotoxins. Faseb J. 31:743-750. - Snyder, D., L. Tradtrantip, C. Yao,
M.J. Kurth andA.S. Verkman (2011). Potent, metabolically stable pyrimido-pyrrolo-quinoxolindione CFTR inhibitor for polycystic kidney disease. J. Med. Chem. 54:5468-5477.
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