William Goure
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.
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Humanized, affinity-matured, IgG2 monoclonal antibody with uniquely high selectivity for sAβo.
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Prevents binding of sAβo to neurons and sAβo toxic effects at synapses.
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Brain penetration, target engagement and robust biochemical and behavioral efficacy demonstrated in mouse models of Alzheimer’s.
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Excellent pharmacokinetics, bio-distribution and brain penetration demonstrated in 4 animal species.
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Excellent safety profile in exploratory studies in rhesus monkeys.
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GMP production cell lines and the necessary analytics established.
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Drug delivery collaboration with Medtronic for direct brain delivery.
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Companion diagnostic biomarker assay established.
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Composition of matter and use patent protection through 2030.
Acumen Pharmaceuticals
COOPaul Grand
RCT Ventures invests in early-stage life science companies including medical devices, drug discovery platforms, and research tools.
Charles Gray
Novo Nordisk
Sourcing DirectorWalter Greenblatt
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 DirectorJosh Groman
MidCap Financial LLC
Managing DirectorMr Charles Groome
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.