Professional Documents
Culture Documents
Version 42
Various T4 formulations developed to optimize clinical potential Conducting and supporting multiple clinical trials in 2011
Phase 2 trial in patients after acute myocardial infarction (RGN-352 injectable solution)* Phase 2 trial in patients with dry eye associated with GvHD (RGN-259 eye drops) Phase 2 epidermolysis bullosa (EB) trial scheduled for completion in 2011 (RGN-137 topical gel)
2012 - Phase 1/2 trial in patients with multiple sclerosis (RGN-352 injectable solution) Several T4 fragments being developed for cosmeceutical products Over 20 active research collaborations worldwide, most of which support current clinical programs Broad worldwide IP portfolio with patents/applications expiring from 2019 - 2030 Commitment to optimizing commercial value and investor return via strategic licensing and partnerships
* In March 2011 the FDA placed a clinical hold on our Phase 2 AMI trial due to cGMP issues at a contract manufacturers site formulating RGN-352. The timing for the resumption of this trial is unclear. The reader is referred to our press release dated March 16, 2011. 3
Cosmeceuticals
(T4 peptide fragments)
Dermal RGN-137
(topical gel for dermal wound healing)
Ophthalmic RGN-259
(eye drop for corneal indications)
Product
RGN-137 RGN-259
Disease
Epidermolysis Bullosa* Neurotrophic Keratitis Physician-Sponsored Dry Eye* Sjgrens Dry Eye**
US treatable population/yr
12K 4K
RGN-352
500K
Clinical targets
Initiation of Phase 2 Dry Eye trial First patient screened Initiation of Phase 2 AMI trial First patient in Completion of Phase 2 EB trial targeted Initiation of Phase 1/2 MS trial Physician-sponsored To be funded by institution and grants Data from dry eye and EB trials Begun Q4 2010 Begun TBD 2011 TBD
2011
2010
H1 2011
H2 2011
H1 2012
H2 2012
RGN-352 Injectable
RGN-137 Topical
Note, the first patient enrolled in our Phase 2 AMI trial along with the trials duration is not determinable, given the clinical hold currently in force by the FDA.
Continue collaborating with academic researchers on myocardial infarction and central nervous system indications
Continue strategic partnership discussions with large pharma
Dr. Gabriel Sosne, Associate Professor of Ophthalmology, Wayne State University, Detroit Michigan
10
Treatment period
11
End of treatment
12
13
Drug
Myozyme Sabril Naglazyme Remicade
Company
Genzyme Ovation BioMarin Centocor
WW $ Sales
~1B ~60M ~$60M ~$200M
14
Include U.S. military, NIH, pharmaceutical company, cosmetic company, and Canadian university
Multiple areas of clinical focus
Neurologic & stroke Cardiovascular & cardiac repair
Ophthalmology
Dermatology Pulmonary Tropical disease Thrombosis Cosmeceuticals
15
16
Shares outstanding
Fully diluted shares Share price (03/11/11)
79.9 M
101.3 M $0.23
$0.20 - $0.79
~$19 M
17
Summary
Major studies show T4s significant effects in cardiac, multiple sclerosis, stroke, and traumatic brain injury models RGN clinical trial targets in 2011
Phase 2 trial in patients after acute myocardial infarction*
Phase 2 trial in patients with dry eye Phase 2 trial in patients with epidermolysis bullosa (EB)
2012 - Phase 1/2 trial in patients with multiple sclerosis (RGN-352 injectable solution)
Appendix
19
RGN Management
Dr. Allan Goldstein Chairman & Chief Scientific Advisor
Founder of RegeneRx, Discoverer of T1 and T4 Professor and Former Chair, Dept of Biochemistry and Molecular Biochemistry, GWU Med School, Washington, DC Author of over 400 scientific articles; inventor of more than 25 U.S. Patents Former President and CEO, Cryomedical Sciences, Inc., Member of Board, TCM & MdBio 28 years senior management experience in biotechnology industry Brought several medical products through FDA and to the market Practiced public accounting with Deloitte for over 10 years Senior financial executive with HFS, Inc. (major defense contractor), Bell Atlantic, and SkyBridge, LP, (an international satellite broadband startup that raised $400 million in equity) Accomplished in financial management, SEC regulations and corporate strategy 28 years global regulatory and clinical affairs experience in pharmaceutical industry Responsible for obtaining marketing approval for numerous drugs and in vitro diagnostics Negotiated corporate partnerships and licensing agreements with major pharmaceutical firms
20
21
Former Chief of the Cell Biology Section at the NIDCR, Bethesda, Maryland
Assistant Professor, Dept of Medicine, Division of Nephrology, Medical College of Wisconsin, Vice President, Medical Affairs, Sigma Tau Pharmaceuticals, Gaithersburg, Maryland Associate Professor, Dept of Ophthalmology, Wayne State Univ. School of Med and Kresge Eye Institute, Detroit, MI Director, Gladstone Inst of Cardiovascular Disease, Prof, Pediatrics and Biochemistry & Biophysics, Pirag Distinguished Professor in Pediatric Dev Cardiology, Univ of California, San Francisco, CA
Deepak Srivastava, MD
22
23
7 days PBS
7 days Tb4
Representative day 7 Slit lamp photographs of mouse eyes following alkali injury. (A) PBS-treated eye demonstrating dense corneal opacification and inflammation. (B) T4-treated eye with evident red reflex, indicating increase corneal clarity and healing.
24
Media
Tb4
Sosne et al., 2001
Day 0
Day 4
24 hours
25
control
T4
26
T4 Promotes Corneal Epithelial Cell Adhesion to Basal Lamina and Intercellular Contacts in vivo
Control
T4
27
Control
28
T4
* P 0.04
Baseline Pre-CAE
Day 15 Day 18 CAE + Scop CAE + Scop 9th day of dosing End of Dosing
Animals were subjected to a controlled adverse environment (CAE) for 18 days. Dosing started on day 7. On days 15-18 animals were injected with scopolamine to induce severe dry eye. On day 15 T4 reduced corneal staining back to baseline levels. On day 18, after induction of severe dry eye, T4 maintained corneal staining at baseline levels (P0.04) while the positive control, doxycycline, increased corneal staining at day 18.
29
30
Biological Activities
Increases oligodendrocyte progenitor cells (OPCs) and mature oligodendrocytes in brain7 Reduces inflammatory infiltrates7
Mechanisms of Action
Stimulates oligodendrogenesis/OPC differentiation7 Unknown
Induction of remyelination*
31
Preclinical Overview
RGN-352 Animal Proof of Principle data7 Results
OPCs increased by >200 % in brain SVZ and >80% in white matter (p<0.05, NG2+ immunostaining) Mature oligodendrocyte cells increased 90% in white matter (p<0.05, CNPase+ immunostaining) Neurological relative functional recovery 50% greater in TB4 treatment group (p<0.01) Oligodendrogenesis increased in brain approximately 100% (BrdU+-NG2+ and BrdU+CNPase+ double immunostaining) Inflammatory infiltrates adjacent to vessels in brain reduced 30% (p<0.05, H&E staining)
Experimental
EAE induced with myelin PLP dissolved in Freunds adjuvant 10 mice in treatment group and 11 in control (saline) group 6 mg/kg IP administration Dosed on day 1 of EAE induction and then once every three days for 4 more doses Evaluated daily
32
T4 increases progenitor cells after stroke. NG-2 staining is increased in the ipsilateral SVZ, striatum and corpus callosum (CC) adjacent to the ischemic core of the T4 treated rats when compared to saline control (see arrows). Quantitative data show significantly increased density in these areas in the T4 treated rats compared to the saline control.
33
About the cover July 2, 2009 The cover image, by Paul R. Riley, illustrating a heart wrapped in a layer of regenerating cells, is from a study showing that thymosin 4 guides progenitor cells from the outer layer of the heart to tissue repair sites.
34
Biological Activities
Promotes cell migration 1,2,4,6
Mechanisms of Action
Regulates G- and F-actin
Promotes angiogenesis and stem cell differentiation 2,5,7,11 Prevents apoptosis and promotes cell survival 7,9,13
Unknown
Activates the PI 3K/Akt signaling pathway Upregulates the survival kinase, Akt Down-regulates inflammatory cytokines and chemokines Inhibits leukocyte invasion and adhesion Suppresses activation of NFB
35
Preclinical Pharmacology
T4 Significantly Improves Ventricular Function
~65% Improvement of Fractional Shortening at 4 Weeks ~100% Improvement of Ejection Fraction at 4 Weeks
Bock-M arquette, et. al, Thymosin B4 activates integrin-linked kinase and promotes cardiac cell migration, survival and repair, NATURE, 2004
36
Preclinical Pharmacology
T4 Reduces Heart Muscle Damage After Heart Injury
~53% Reduction in Scar Volume
p < 0.02
Blue staining indicates scar tissue, red indicates viable myocardium 20 mice I.P., I.C. Evaluated at 14 days post-ligation Biologic Activities 1. Prevents apoptosis 2. Enhanced myocardial salvage
Bock-M arquette, et. al, Thymosin B4 activates integrin-linked kinase and promotes cardiac cell migration, survival and repair, NATURE, 2004
37
Preclinical Pharmacology
T4 Affects Cardiomyocyte and Endothelial Cell Survival and Inflammation
T4 Enhances Posthypoxic Cardiomyocyte Survival T4 Reduces Endothelial Cell Apoptosis
# p<0.05 vs control
Hinkel R et al., (2008) Thymosin beta4 is an essential paracrine factor of embryonic endothelial progenitor cell-mediated cardioprotection; Circulation Apr 29;117(17):2232-40.
38
Preclinical Cardiac
Preclinical Dosing and Regimen Overview
Animal
Permanently ligated mouse (25-30 g) Permanently ligated mouse (25-30 g) Mouse embryos with heartspecific T4 deficiency and epicardial explants
T4 Dose
150 g 15 g 150 g 1500 g NA
Regimen
Once every 3rd day for 28 days
ROA
Intraperitoneal
Pub
Nature 2004
QD for 14 days
NA
NA - in vitro exposure of epicardial explants to T4 Pressure-regulated 10-minute retroinfusion into the anterior interventricular vein Intraperitoneal
Nature 2007
15 mg
Single dose
Circulation 2008
150 g
Single dose
39
Preclinical Cardiac
RGN-352/T4 Preclinical Cardiac Data Highlights
T4-treated neonatal cardiomyocytes migrate further, beat more rhythmically, more rapidly and more vigorously and survive for up to 28 days vs 7-14 days compared to controls (p<0.0001-<0.05) T4 showed a statistically significant improvement in myocardial function (p<0.0001) and reduction in scar volume (p <0.02) when administered immediately following coronary artery ligation in the mouse heart failure model T4 improved survival post-AMI by 70% in mouse heart failure model (p<0.03) T4 deemed responsible for all aspects of coronary vessel development in a cardiac-specific mouse T4 knock-down model and the stimulation of outgrowths from quiescent adult epicardium explants, restoring pluripotency and triggering the differentiation of fibroblasts, smooth muscle and endothelial cells T4 reduced infarct size, increased subendocardial shortening and dP/dtmax in the ischemiareperfusion pig model, and revealed a pleiotropic pattern of cardioprotection via the activation of cardiomyocyte survival pathways, inhibition of endothelial apoptosis, and suppression of inflammatory cell recruitment in vitro and in vivo T4 shown to essentially replicate eEPC-mediated cardioprotection
T4 supports cardiac regeneration by inhibiting myocardial cell death after infarction, inducing vessel growth and myocardial progenitor mobilization and by organ-wide activation of the embryonic coronary development program in adult epicardium in vivo
40