Editor's Note
This article was published in the October 2024 print issue of Pharmaceutical Technology® Europe.
Novel mitophagy inducers and gene therapies that restore cellular function and decelerate the ageing process.
Over the past century, life expectancy has dramatically increased in most parts of the world, but humans are spending more years in poor health than at any point in history (1). However, technological and scientific advances have increased our understanding of the ‘hallmarks of ageing’ resulting in molecular and cellular changes that lead to the modulation of mitochondrial dysfunction, inflammation, and cellular senescence (2).
This article was published in the October 2024 print issue of Pharmaceutical Technology® Europe.
Ageing is emerging as a druggable condition with multiple pharmaceuticals able to alter the pace of ageing in model organisms. Anti-ageing activity has been demonstrated in some US Food and Drug Administration (FDA)-approved drugs such as the immunosuppressant rapamycin, a mammalian target of rapamycin (mTOR) inhibitor, and the anti-diabetic agent, metformin, an AMP-activated protein kinase (AMPK) activator (3). US-based Aeovian Pharmaceuticals and Amplifier Therapeutics are looking to develop next-generation AMPK and mTOR inhibitors in age-related diseases (4,5).
Many biopharmaceutical companies are now prioritizing ageing research for early-stage discovery or therapeutic pipeline development. BioAge Labs, Fauna Bio, and Insilico Medicine are deploying artificial intelligence (AI)-enabled multi-omic platform technologies to identify novel anti-ageing targets. Several experimental drugs—dasatinib, fisetin, navitoclax, and quercetin—have demonstrated senolytic activity, and inhibitors targeting Bcl-2, HSP, tyrosine kinase or P53, are now being evaluated by biopharma as potential senolytics (6). One of the most advanced programmes is Unity Biotechnology’s UBX1325 (foselutoclax), a Bcl-2 inhibitor in Phase II development for the treatment of age-related macular degeneration (AMD) (7).
Several European start-ups are actively pursuing anti-ageing research including Swiss-based Vandria and UK-based clook.bio and Genflow Biosciences.
Vandria is developing novel mitophagy inducers that rejuvenate cells to treat age-related and chronic diseases. The decline in mitochondrial function has been implicated in many age-related diseases including mild cognitive impairment (MCI), neurodegenerative diseases, and muscular disorders. Vandria has demonstrated that removing damaged mitochondria via mitophagy can rejuvenate cells leading to an improvement in cellular functions and the generation of energy or ATP (adenosine triphosphate) (8).
Vandria has built a proprietary in vitro screening platform and generated a novel pipeline of small-molecule mitophagy inducers to target different tissues and address specific unmet medical conditions. Its lead programme, VNA-318, has completed investigational new drug (IND) studies for central nervous system (CNS) indications including MCI, Alzheimer’s, and Parkinson’s diseases, and other forms of dementia. Its other preclinical programmes include VNA-052 for sporadic inclusion body myositis, VNA-438 for Metabolic Dysfunction Associated Steatohepatitis (MASH), VNA-710 for idiopathic pulmonary fibrosis (IPF), and VNA-897 for an undisclosed target (9).
In February 2024, Vandria was awarded a CHF 2.5 million (US$2.8 million) research grant from the Swiss Innovation Agency Innosuisse to help advance the development of VNA-318 (10). The funds will be matched with CHF 4.6 million from the company initiative to progress VNA-318 into Phase I/IIb clinical trials in 2025. In preclinical animal models, VNA-318, has been shown to improve memory and learning. Additionally, VNA-318 has strong disease-modifying effects in Alzheimer’s and Parkinson’s disease models and has a wide safety window. The company has been issued a composition of matter patent by the US Patent Office covering VNA-318 and other compounds (10).
The company is also advancing the development of another mitophagy lead candidate, VNA-052, for muscle diseases. This clinical programme was awarded a research grant, totaling €1.1 million (US$1.2 million) from Eurostars, a programme co-funded by the European Union (10). In August 2024, Vandria announced the second closing of its Series A financing raising CHF 28.3 million (US$30.7 million). The funds will be used to support its clinical development programmes (11).
Recent advances in gene editing and delivery have allowed scientists to partially reprogramme cells and reverse the effects of ageing (12). Two UK start-ups, clock.bio and Genflow Biosciences, are leveraging human inducible pluripotent stem cells (hiPSC) to prevent and treat age-related diseases:
In the United States, numerous companies are also pursuing cellular reprogramming strategies including Altos Labs, Longeveron, Retro Biosciences, Rejuvenate Bio, and Turn Biotechnologies (19–23).
Great strides have been made in anti-ageing longevity research, numerous drug targets have been identified, and several agents are progressing steadily through the clinic. In 2021, venture capitalists invested $9.26 billion (€8.3 billion) in this area, with cellular reprogramming and rejuvenation attracting the most attention (24). Pharma has announced several partnerships in this space including Eli Lilly/Fauna Bio, Sanofi/Insilico Medicine, and Pfizer/VitaDAO. While US biotechs dominate the scene, European and UK start-ups are gaining traction, and there are significant opportunities for pharma to expand their foothold and take a more proactive approach in the treatment of chronic age-related diseases.
Cheryl Barton, PhD,is director of PharmaVision.
Pharmaceutical Technology® Europe
Vol. 36, No. 9
October 2024
Pages: 14–15, 18
When referring to this article, please cite it as Barton, C. European Biotech Targeting Anti-ageing. Pharmaceutical Technology Europe 2024 36 (9).
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