William Goure United States

Acumen Pharmaceuticals, Inc.

Direct to Brain Soluble Aβ Oligomer Selective Immunotherapy

First/Best in Class Therapy for Alzheimer’s Disease

Right Target - Right Patients - Right Delivery.  ACU-193 is Acumen’s monoclonal antibody drug candidate that targets soluble amyloid-beta oligomers (sAβo) with high affinity and selectivity.  Acumen is developing ACU-193 for direct intrathecal delivery to the brain via a device collaboration designed to increase the probability of early clinical success and enhance long term commercial potential.

The Only Alzheimer’s Immunotherapy Specifically Targeting Toxic sAβo Using Direct Brain Delivery.  ACU-193 is a late-preclinical, fully humanized monoclonal antibody that selectively targets sAβo, the primary pathologic agent in Alzheimer’s.  Composition of matter and use patents for ACU-193 run through 2030; and further IP protection is available.

Acumen is establishing an exclusive collaboration for access to FDA/CE approved chronic infusion pump systems for direct to brain drug delivery.  ACU-193 and direct brain delivery positions the program as a scientifically and clinically differentiated approach to Alzheimer’s with attractive long-term commercial and therapeutic potential.

Program Profile & Positioning

Indication:

Early Alzheimer’s dementia (Mild AD, aMCI)

Therapy:

Symptomatic + Disease Modifying

Drug:

ACU-193

Delivery Route:

Intrathecal, Direct to Brain

Device:

FDA/CE Approved Implantable Infusion Pump and Intrathecal Catheter

Refill Rate:

Every 14-21 Days

Duration:

Life-Long (Chronic Delivery)

Expected Effects:

Improved Memory

Decreased Soluble Aβ Toxicity

Slow Disease Progression (Aβ and tau)

Stage of Development:

Pre-clinical – IND Enabling

Development:

ACU-193 is poised to reach clinical proof-of-concept (Phase 1b) with short (26 week) clinical studies based on improvements on memory and cognitive measures.

Scientific Background & Program History.  SAβo are widely recognized as the primary neurotoxins responsible for the acute cognitive deficits and progressive neurodegeneration in Alzheimer’s disease.  SAβo are non-fibrillic assemblies of Aβ peptides, and are distinct from protofibrils, fibrillar Aβ, and β-amyloid plaques.  Brain levels of sAβo are 3-8 orders of magnitude lower than levels of β-amyloid plaques or monomeric Aβ.  They are elevated in the Alzheimer’s brain, and studies suggest a correlation between levels of sAβo and cognitive deficits in Alzheimer’s.  SAβo bind with high affinity to mature synapses, most likely to a small number of highly selective neuronal receptors.  Binding to these receptors interferes with normal neuronal function leading to memory loss and neurodegeneration.  Because sAβo are present at concentrations that are 3-8 orders of magnitude lower than non-toxic monomeric and fibrillar Aβ, they are an optimal immunotherapeutic target.  However, because only approximately 0.1-0.2% of peripherally administered antibodies cross the blood-brain-barrier and reach the brain, brain exposure of peripherally administered antibodies may limit their therapeutic efficacy.  Acumen is pursuing intrathecal delivery of ACU-193 to ensure therapeutic levels of the drug candidate reach the brain and achieve effects.

Effects of sAβo.

Inhibition of long-term potentiation

Tau missorting in cell bodies and dendrites

Disappearance of dendritic spines

Tau hypo-phosphorylation

Elevation of intracellular calcium

Increased Tau targeting kinases

Increased cytosolic calcium

Decreased microtubules

Increased missorted neurofilaments

Decreased mitochondria density

Acumen pioneered research on sAβo.  The company’s anti-sAβo antibody program was licensed to Merck & Co. in 2003 for significant upfront and milestone payments.  ACU-193 is a third generation product of the ~8 year/~$70M partnership with Merck.  Merck advanced the program to a late preclinical development stage.  In November 2011, as part of Merck’s restructuring following its merger with Schering Plough, Acumen reacquired all rights to the program including ACU-193, backup molecules, and substantial IP with no financial or take-back rights obligations to Merck.

ACU-193 Details.  

  • Humanized, affinity-matured, IgG2 monoclonal antibody with uniquely high selectivity for sAβo.

  • Prevents binding of sAβo to neurons and sAβo toxic effects at synapses.

  • Brain penetration, target engagement and robust biochemical and behavioral efficacy demonstrated in mouse models of Alzheimer’s.

  • Excellent pharmacokinetics, bio-distribution and brain penetration demonstrated in 4 animal species.

  • Excellent safety profile in exploratory studies in rhesus monkeys.

  • GMP production cell lines and the necessary analytics established.

  • Drug delivery collaboration with Medtronic for direct brain delivery.

  • Companion diagnostic biomarker assay established.

  • Composition of matter and use patent protection through 2030.

Year Founded
1996
Biotech Subsector
Biotech Phase of Development
Technology Overview

Program Profile & Positioning

Indication:

Early Alzheimer’s dementia (Mild AD, aMCI)

Therapy:

Symptomatic + Disease Modifying

Drug:

ACU-193

Delivery Route:

Intrathecal, Direct to Brain

Device:

FDA/CE Approved Implantable Infusion Pump and Intrathecal Catheter

Refill Rate:

Every 14-21 Days

Duration:

Life-Long (Chronic Delivery)

Expected Effects:

Improved Memory

Decreased Soluble Aβ Toxicity

Slow Disease Progression (Aβ and tau)

Stage of Development:

Pre-clinical – IND Enabling

Development:

ACU-193 is poised to reach clinical proof-of-concept (Phase 1b) with short (26 week) clinical studies based on improvements on memory and cognitive measures.

Scientific Background & Program History.  SAβo are widely recognized as the primary neurotoxins responsible for the acute cognitive deficits and progressive neurodegeneration in Alzheimer’s disease.  SAβo are non-fibrillic assemblies of Aβ peptides, and are distinct from protofibrils, fibrillar Aβ, and β-amyloid plaques.  Brain levels of sAβo are 3-8 orders of magnitude lower than levels of β-amyloid plaques or monomeric Aβ.  They are elevated in the Alzheimer’s brain, and studies suggest a correlation between levels of sAβo and cognitive deficits in Alzheimer’s.  SAβo bind with high affinity to mature synapses, most likely to a small number of highly selective neuronal receptors.  Binding to these receptors interferes with normal neuronal function leading to memory loss and neurodegeneration.  Because sAβo are present at concentrations that are 3-8 orders of magnitude lower than non-toxic monomeric and fibrillar Aβ, they are an optimal immunotherapeutic target.  However, because only approximately 0.1-0.2% of peripherally administered antibodies cross the blood-brain-barrier and reach the brain, brain exposure of peripherally administered antibodies may limit their therapeutic efficacy.  Acumen is pursuing intrathecal delivery of ACU-193 to ensure therapeutic levels of the drug candidate reach the brain and achieve effects.

Effects of sAβo.

Inhibition of long-term potentiation

Tau missorting in cell bodies and dendrites

Disappearance of dendritic spines

Tau hypo-phosphorylation

Elevation of intracellular calcium

Increased Tau targeting kinases

Increased cytosolic calcium

Decreased microtubules

Increased missorted neurofilaments

Decreased mitochondria density

Acumen pioneered research on sAβo.  The company’s anti-sAβo antibody program was licensed to Merck & Co. in 2003 for significant upfront and milestone payments.  ACU-193 is a third generation product of the ~8 year/~$70M partnership with Merck.  Merck advanced the program to a late preclinical development stage.  In November 2011, as part of Merck’s restructuring following its merger with Schering Plough, Acumen reacquired all rights to the program including ACU-193, backup molecules, and substantial IP with no financial or take-back rights obligations to Merck.

ACU-193 Details.  

  • Humanized, affinity-matured, IgG2 monoclonal antibody with uniquely high selectivity for sAβo.

  • Prevents binding of sAβo to neurons and sAβo toxic effects at synapses.

  • Brain penetration, target engagement and robust biochemical and behavioral efficacy demonstrated in mouse models of Alzheimer’s.

  • Excellent pharmacokinetics, bio-distribution and brain penetration demonstrated in 4 animal species.

  • Excellent safety profile in exploratory studies in rhesus monkeys.

  • GMP production cell lines and the necessary analytics established.

  • Drug delivery collaboration with Medtronic for direct brain delivery.

  • Companion diagnostic biomarker assay established.

  • Composition of matter and use patent protection through 2030.

Current Financing Needs

Investment of $8M brings ACU-193 to IND in ~18 months; incremental investment of $22M brings ACU-193 through clinical proof of concept in Alzheimer’s by 2018.

Acumen seeks potential partners and investors to accelerate development of ACU-193 and an associated companion diagnostic for Alzheimer’s.

Current Timeline

18 months to IND, 20 months to completion of Phase 1A/B clinical trials; 24 months to completion of Phase 2A Proof-of-Concept clinial trails.  ACU-193 is expected to deliver acute behavioral benefits and chronic disease modification benefits:

  • ACU-193 is expected to show behavior benefits within 3 months

  • POC for acute clinical benefits via Aricept/Memantine like clinical trials

Current Investors

Investors.

  • Biotechnology Value Fund

  • NeuroVentures Fund

  • Individuals

IP Status

Composition of matter and use patents for ACU-193 and backup antibodies run through 2030; and further IP protection is available.

Recent Milestones

Acumen’s soluble Aβ oligomer selective antibody shows more robust behavioral and biochemical efficacy in transgenic mouse models of Alzheimer’s disease than that reported for any Aβ immunotherapy in clinical testing.

Management Team Highlights

Acumen Pharmaceuticals
COO 

M.K. Govind

Medtech Subsector
Connexios
VP of Operations 

James Graham

Texas Medical Center Innovation Fund
LinkedIn logo Associate Director 
BIO

Jim Graham joined the Texas Medical Center Innovation Institute in 2014.  Jim brings more than a decade of experience in life science finance, entrepreneurship and commercialization.  Jim began his career in the West Coast office of Alex.Brown, the U.S. investment banking division of Deutsche Bank.  In 2003, he worked for Biogen Idec before moving to the Boston Office of McKinsey & Co.  At McKinsey, Jim served leading pharmaceutical, biotechnology and medical device clients as a member of the Pharmaceutical and Medical Products practice.  In 2009, Jim joined Sante Ventures, an early stage life sciences venture capital firm, where he led a number of investments in medical technologies. He holds a B.S. in Biological Sciences with Honors from Stanford, an S.M. in Biomedical Sciences from the Harvard-MIT Division of Health Sciences and Technology and an MBA from the MIT Sloan School of Management. Jim also holds the Chartered Financial Analyst designation.

Paul Grand

RCT Ventures invests in early-stage life science companies including medical devices, drug discovery platforms, and research tools.

Paul Grand
RCT Ventures
LinkedIn logo Managing Director 
BIO

Grand is responsible for sourcing RCT’s investments in medical devices and representing RCT on the boards of its portfolio companies.

Prior to joining RCT, Grand was co-founder and VP Operations of Imagine Pharmaceuticals, which developed a platform to selectively deliver therapeutics and other compounds across the blood brain barrier. He was also co-founder and CEO of MicroSurgeon, which developed a microwave thermal ablation device for the treatment of solid tumors.

Grand has extensive experience in new company formation and fund raising. Since 1990, he has built, operated, recruited management and raised financing for eight high technology, medical device and biotechnology companies. Grand also was a Managing Director for Fruition Ventures, a group of private equity investors focused primarily on tech companies.

Grand is actively involved in programs to encourage bio-entrepreneurship, innovation and commercialization of University technologies. He has lectured, judged business plans, and mentored students and scientists at numerous universities, including UCLA, Stanford, USC, and UCSF. Grand serves as an investment advisor to the LARTA NIH Commercialization Assistance Program for SBIR program awardees. He is on the Oversight Committees for the Coulter Translational Research Partnership Programs at USC and University of Washington. Grand is a reviewer for proof of concept and commercialization-focused funding programs for the University of California system-wide, USC, University of Utah and University of Colorado. 

Grand is a frequent panelist at biomedical conferences. He has spoken at more than 100 conferences, been featured in hundreds of articles in publications including Forbes, New York Times and Wall Street Journal and appeared as an expert on Bloomberg Television, CNN, and CNN/FN. Grand serves as Producer and Host for the MedTech Innovator competition that seeks to discover outstanding early-stage MedTech opportunities - http://medtechinnovator.com

Charles Gray

Novo Nordisk was founded in 1923 and is based in Bagsvaerd Denmark with additional R&D sites in Seattle WA Beijing China and Bangalore India. The firm is actively seeking to in-license assets and also forms research collaborations and co-marketing and distribution partnerships with other biotech companies. Novo Nordisk is focused on developing protein and peptide therapeutics and protein delivery devices. The firm has also in-licensed antibodies. Indications of interest include metabolic disorders blood and immune disorders growth disorders and inflammatory disorders. Within the inflammation fieldthe firm is particularly targeting therapies based on cytokines and on molecules on the surface of cells involved in immune regulation. The firm is interested in certain orphan conditions. In addition to partnering and in-licensing Novo Nordisk has a corporate venture fund Novo AS. The firm also offers research grants and resources for studies into Novo Nordisk's products.
Novo Nordisk
Sourcing Director 

Aaron Green

Neural Analytics
Director of Partnerships 

Walter Greenblatt United States

Our clients are early-stage biotechnology, medical device, diagnostics and pharmaceutical service companies. When we begin working with a client they are frequently looking to complete proof-of-concept studies, secure intellectual property and other critical preliminary tasks. Typically we raise the first round ($1 - $5 million of capital) needed to accomplish these milestones, usually, but not always from angel investors. After key milestones have been achieved using that money, we generally follow by raising a second round of $5-20 million, usually institutional money, for development and growth

By working this way, we increase our clients' success rate raising capital and building their companies and the returns to the investors we bring into those companies. We have raised over $80 million in early stage funding for our clients (in Seed, Series A and Series B rounds) and delivered realized returns, so far, over $500 million—a realized return to date of over 6X—to the investors who provided that early stage capital, with a number of the companies still driving towards an exit that may increase that figure. Realized (cash-on-cash) internal rates of return for a hypothetical investor who participated in each round of financing offered by WG&A to date exceeds 65% annually.

Walter Greenblatt & Associates
Managing Director 

Dan Griggs, MS

BSI Group America

Josh Groman

MidCap Financial is a commercial finance firm that was founded in 28 with offices in Bethesda MD Chicago IL and Los Angeles CA. The firm focuses on providing debt financing solutions to healthcare companies. The firm generally provides loans of around $15 million and is involved in approximately 15 new deals each year. The firm considers companies located around globe.
MidCap Financial LLC
Managing Director 

Mr Charles Groome Hong Kong SAR China

We are a Hong Kong-based venture fund management company focusing on mid- to long-term advanced technology investments at early stage. Through our partnership with the top analytical companies utilizing machine learning and large panel of experts, we can construct complex decision trees showing risk and return at every stage of company evolution. We routinely invest in both private and public companies specializing in biotechnology, drug discovery, personalized medicine, Big Data analysis, industrial expert systems and artificial intelligence. 

Mr Charles Groome
Deep Knowledge Ventures
LinkedIn logo Venture Partner