MICROBIOTIX A product-focused, small molecule, anti-infective company Terry Bowlin, Ph.D., CEO Donald Moir, Ph.D., CSO Norton Peet, Ph.D., Director of Chemistry Michelle Butler, Ph.D., Sr. Scientist Mary Kittredge, Accounts Manager CONFIDENTIAL October 2006
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MICROBIOTIX A product-focused, small molecule, anti-infective company Terry Bowlin, Ph.D., CEO Donald Moir, Ph.D., CSO Norton Peet, Ph.D., Director of.
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MICROBIOTIX
A product-focused, small molecule, anti-infective company
Terry Bowlin, Ph.D., CEODonald Moir, Ph.D., CSONorton Peet, Ph.D., Director of ChemistryMichelle Butler, Ph.D., Sr. ScientistMary Kittredge, Accounts Manager
CONFIDENTIALOctober 2006
October 2006
MICROBIOTIX STRATEGY
To discover and develop small
molecule anti-infective drugs which
inhibit novel bacterial targets
October 2006
Corporate Overview
• Launched in January 2000 and currently occupies 8,200 square feet of fully equipped laboratory and office space in Worcester, Massachusetts
• Core antibiotics technology based on scientific founders’ research at U Mass on inhibition of bacterial DNA replication
• Proprietary antibiotic discovery platforms targeting specific validated steps in drug resistant bacteria
• Current preclinical pipeline of novel bacterial DNA polymerase inhibitors (MBX500) and anti-herpes (CMV, HHV6, HHV8) inhibitor (MBX400)
• Target identification, validation and screening ongoing for novel antibacterials and biofilm inhibitors
• Active biodefense program for novel antibiotics
October 2006
MICROBIOTIX PIPELINE
COMPOUND INDICATION STATUS
MBX 500 Gram+ antibacterial Preclinical
MBX 400 Herpes (CMV, HHV6&8) Preclinical
MBX 1066 Broad Spectrum antibiotics for biodefense
Lead/SAR
MSL-049293 Biofilm Inhibitor Chemical Hits
- B. anthracis/S. aureus Screening
October 2006
ANTIBIOTIC DTRA PROJECT
PROPOSAL OVERVIEW - T. BOWLIN
PROJECT/MICROBIOLOGY - M. BUTLER
PROJECT/MECHANISM - D. MOIR
PROJECT/CHEMISTRY - N. PEET
PROJECT/MILESTONES/TIMELINES - T. BOWLIN
October 2006
PROJECT OBJECTIVES
The broad long-term objective of this project is to develop a new chemical class of therapeutic agents, the bis-(imidazolinylindole) series discovered in preliminary studies, for use against intracellular bacterial BW threats.
October 2006
PROJECT RATIONALE
Development of new chemical classes of broad-acting anti-bacterials is crucial for biodefense:
Likely to be potent on strains/species which are resistant to current drugs
Potential for acting on new pathways or targets within the microbial cell
Supplement and complement existing classes of antibacterials
October 2006
PROJECT STRATEGY
Our strategy is to:
Demonstrate in vivo efficacy of members of this bis-(imidazolinylindole) family of compounds by using animal models of B. mallei, B. pseudomallei, Y. pestis, F. tularensis and C. burnetii infection
Determine the mechanism of action of these compounds
Delineate the key structural features important for activity and provide back-up compounds
Conduct IND-enabling pharmacokinetic, toxicology and safety pharmacology studies
October 2006
Donald T. Moir, Ph.D.CSO, Microbiotix, Inc.Biology & Chemistry
Michelle Butler, Ph.D.Senior ScientistMicrobiotix, Inc.
In Vitro Microbiology
Donald Woods, Ph.D.Professor
University of CalgaryAnimal Models
Sina Bavari, Ph.D.Chief, Immunology
USAMRIIDAnimal Models
Norton Peet, Ph.D.Director of Chemistry
Microbiotix, Inc.Chemistry
Terry L. Bowlin Ph.D.CEO, Microbiotix, Inc.
Team Lead&
Preclinical IND enabling studies To be hired, Ph.D.
Regulatory ComplianceTo be hired, Ph.D.Clinical Director
Management Chart
October 2006
AIMS
Aim 1. Demonstrate potent, selective inhibitory activity of one or more bis-(imidazolinylindole) compounds in animal models of infection (year 1). Milestone: Identify an inhibitor exhibiting in vivo efficacy (ED50<30 mg/kg) against >2 category A or B
pathogens and minimum toxicity (MTD>300 mg/kg).
Aim 2. Establish the mechanism of action of the bis-(imidazolinylindole) class of compounds (year 1).
Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of the bis-(imidazolinylindole) class of compounds (year 1-2). Aim 4. Conduct IND-enabling pharmacokinetic, toxicology and safety pharmacology studies (year 2). Aim 5. Prepare and file an IND application for a broad spectrum anti-bacterial active against intracellular BW threats (end of year 2).
October 2006
Aim 1 in vitro Studies
Preliminary Data
MIC assays with the following category A/B pathogens
Yersinia pestis
Burkholderia mallei
Burkholderia pseudomallei
Francisella tularensis
Intracellular assays for the obligate intracellular pathogen, Coxiella burnetii
October 2006
A HTS Assay for Growth Inhibition of Bacillus anthracis Yielded Four Potent Antibacterial Agents
B. anthracis (Sterne), expressing GFP as a marker for growth, was screened using the NCI open repository
The four most potent compounds displayed a dose-dependent inhibition of growth
Aim 1 in vivo Studies Preliminary mouse toxicity data Using the following animal models, we will assess the potencies of the NCI
compounds in vivo: F. tularensis—to be performed in the laboratory of Dr. Sina Bavari using the aerosol
route of administration of strain Schu4 in a mouse model of tularemia Y. pestis-- to be performed in the laboratory of Dr. Sina Bavari using the aerosol route
of administration of strain CO-92 in a mouse model of pneumonic plague C. burnetii-- to be performed in the laboratory of Dr. Sina Bavari using the
intraperitoneal route of administration of the Nine Mile 1 strain in a mouse model of Q fever
B. pseudomallei-- to be performed in the laboratory of Dr. Donald Woods using the intraperitoneal route of administration of the 1026b strain in a mouse model of meliodosis
B. mallei-- to be performed in the laboratory of Dr. Donald Woods using the intraperitoneal route of administration of the 1026b strain in a mouse model of glanders
Maximum tolerated dose (MTD) determinations in mice
October 2006
Toxicity Determination in Mice
Compound Dose (mg/kg) Route # Mice # Surviving on Day 5
NSC-317880 100 i.p. 6 6200 i.p. 6 6
400 i.p. 6 6
NSC-317881 100 i.p. 6 6200 i.p. 6 6
400 i.p. 6 6
NSC-330687 25 i.p. 6 650 i.p. 6 6
100 i.p. 12 11
200 i.p. 12 11
400 i.p. 6 2
NSC-369718 50 i.p. 6 6100 i.p. 6 6
200 i.p. 6 6
October 2006
AIMS
Aim 1. Demonstrate potent, selective inhibitory activity of one or more bis-(imidazolinylindole) compounds in animal models of infection (year 1).
Aim 2. Establish the mechanism of action of the bis-(imidazolinylindole) class of compounds (year 1). Milestone: Defined mechanism of action and target which are common to multiple bacterial BW species but distinctly different in mammalian cells.
Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of the bis-(imidazolinylindole) class of compounds (year 1-2).
Aim 4. Conduct IND-enabling pharmacokinetic, toxicology and safety pharmacology studies (year 2). Aim 5. Prepare and file an IND application for a broad spectrum anti-bacterial active against intracellular BW threats (end of year 2).
3.a. Genes Up-Regulated in Resistant Strains-- Identify over-expressed E. coli genes which confer resistance
3.b. Mapping Mutations to Resistance-- Select resistant mutants; then,
-- Transfer resistance with a genomic plasmid library, or-- co-transduce Tn markers and compound resistance
4. Expression Profiling-- Identify genes or patterns of genes up- or down-
regulated in response to treatment with compound
5. Target Confirmation -- Demonstrate MIC alterations in response to up- or down-
regulation of the putative target-- Demonstrate plasmid-mediated transfer of resistance in
>1 species
Inhibits 0 or 1 pathwayInhibits >1 pathway
YesNo
Aim 2 – Mechanism of Action
Membrane is target
October 2006
Aim 2 – Mechanism of Action:Macromolecular Synthesis Assays
Example: Specificity of a Fatty Acid Synthesis Inhibitor in MMS Assay
N. Kaplan et al., 46th ICAAC, 2006
October 2006
Example: MBX-500 is Bactericidal Against Enterococcus faeciumEnterococcus faecium Time Kill Assay
0
2
4
6
8
10
0 5 10 15 20 25
Time (hours)
Lo
g C
FU
/mL Control
Vanco-4xMIC
MBX-500-8x MIC
MBX-500-4x MIC
MBX-500-2x MIC
Only 3 bactericidal mechanisms are known:Only 3 bactericidal mechanisms are known:(a)(a) membrane integrity damagemembrane integrity damage(b)(b) DNA damageDNA damage(c)(c) prevention of cell division or segregation of DNA into daughter cellsprevention of cell division or segregation of DNA into daughter cells
Aim 2 – Mechanism of Action:Bactericidal/Bacteristatic Determination
October 2006
+++
+
++ + +
+
+
+
-- ---
--
---
Membrane potential direction
+++
+
++ + +
+
+
+
-- ---
--
---
Add cells
Add drug
If drug affects membrane potential
If drug does not affect membrane potential
Fluorescence increase No fluorescence
Fluorescence
Concentrated in cells --Fluorescence quenched
DiSC3(5)
NH
NH
N
NH HN
N
•2TFA
Aim 2 – Mechanism of Action:Assay for Effect on Membrane Potential
October 2006
yfgPyfg
MIC = 8 MIC > 8
gene
mRNA
protein
gene
mRNA
protein
yfgPyfg
Preg yfg
plasmid
Aim 2 – Mechanism of Action:Target Identification by Over-expression Rescue
October 2006
Rescuing library of 500 over-expressing clones Non- rescuing libraries
0.5X MIC + + +
+
+
+
1.0X MIC
2.0X MIC
An
tib
ioti
c co
nce
ntr
atio
n
Each OER library contains ~500 genes“+” Indicates bacterial growth
Aim 2 – Mechanism of Action:Target Identification by Over-expression Rescue
October 2006
Select resistant mutants
Identify genetic locus conferring resistance
Linkage to transposon in a random Tn library (co-transduction)
Linkage to plasmid in a cloned genomic library (co-transformation)
Sequence plasmid insert DNA and/or Tn-linked DNA to identify locus by
match to database sequence
Aim 2 – Mechanism of Action:Mapping Mutations to Resistance
October 2006
Stress Response&
“pumps”
Rps & Rpl Loci
Biosynthetic Locus
Ampicillin
Cycloserine
Vancomycin
Stationary
Control
Phosphomycin
Erythromycin
Tim
eAim 2 – Mechanism of Action:
Expression Profiling
October 2006
AIMS
Aim 1. Demonstrate potent, selective inhibitory activity of one or more bis-(imidazolinylindole) compounds in animal models of infection (year 1).
Aim 2. Establish the mechanism of action of the bis-(imidazolinylindole) class of compounds (year 1).
Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of the bis-(imidazolinylindole) class of compounds (year 1-2). Milestone: Identify key structural features for potency and selectivity; provide back-up compounds with MIC in serum <1 µg/ml with a selectivity index (CC50/MIC) >100.
Aim 5. Prepare and file an IND application for a broad spectrum anti-bacterial active against intracellular BW threats (end of year 2).
October 2006
PROGRESS/CHEMISTRY
Preliminary Data Successful synthesis of NSC 317,881 In progress: NSC 317,880 Proposed route to NSC 330,687 Proposed route to NSC 369,718 Future SAR directions
Aim 1. Demonstrate potent, selective inhibitory activity of one or more bis-(imidazolinylindole) compounds in animal models of infection (year 1).
Aim 2. Establish the mechanism of action of the bis-(imidazolinylindole) class of compounds (year 1).
Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of the bis-(imidazolinylindole) class of compounds (year 1-2).
Aim 4. Conduct IND-enabling pharmacokinetic, toxicology and safety pharmacology studies (year 2). Milestone: Complete two species GLP toxicology & safety pharmacology studies for the optimal bis-(imidazolinylindole) compound suitable for IND submission.
Aim 5. Prepare and file an IND application for a broad spectrum anti-bacterial active against intracellular BW threats (end of year 2).
October 2006
IND ENABLING STUDIES
Toxicology: 2 species acute and multiple dose GLP toxicology studies will be performed in rats and dogs
Safety pharmacology: Identify any undesirable preclinical pharmacodynamic properties relevant to human safety
Pharmacokinetics and Bioavailability: The intent is to fully understand the absorption, distribution, metabolism and excretion (ADME) of our lead compound
October 2006
AIMS
Aim 1. Demonstrate potent, selective inhibitory activity of one or more bis-(imidazolinylindole) compounds in animal models of infection (year 1).
Aim 2. Establish the mechanism of action of the bis-(imidazolinylindole) class of compounds (year 1). Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of the bis-(imidazolinylindole) class of compounds (year 1-2).
Aim 5. Prepare and file an IND application for a broad spectrum anti-bacterial active against intracellular BW threats (end of year 2). Milestone: IND approval for clinical Phase I human safety evaluation.
October 2006
IND Filing
Hire regulatory and clinical manager
Conduct pre-IND meeting with FDA
Overall 2 year project milestone: IND approval for clinical phase I human safety evaluation
October 2006
Timeline Year 1 Year 2 Task 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 4.1 Efficacy 4.1.1 Small Scale Synthesis 4.1.2 Large Scale Process 4.1.3 In vitro potency 4.1.4 In vivo potency 4.1.4.1 F. tularensis 4.1.4.2 Y. pestis 4.1.4.3 C. burnetii 4.1.4.4 B. pseudomallei 4.1.4.5 B. mallei 4.1.5 Murine toxicity Milestone: Identify a Lead Compound
4.2 Mechanism of Action 4.2.1 Macromolecular Synthesis 4.2.2 Membrane Perturbation 4.2.3 Map Loci 4.2.4 Genetic Expression Profile 4.2.5 Hypersensitivity and Resistance
Milestone: Defined MOA
October 2006
Timeline (cont.)
Year 1 Year 2 Task 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 4.3 SAR 4.3.1 Molecular Modeling 4.3.2 Synthesis of Analogs 4.3.2.1 NSC 317,880 4.3.2.2 NSC 317,881 4.3.2.3 NSC 330,687 4.3.3 Biological Evaluation 4.3.3.1 Potency 4.3.3.2 Cytotoxicity 4.3.3.3 Kinetics 4.3.3.4 Frequency of Resistance 4.3.3.5 Bioavailability (in vitro) 4.3.3.6 Drug Interactions 4.3.3.7 Metabolic Stability 4.3.3.8 QT Interval Milestone: Backup Compounds Identified
October 2006
Timeline (cont.)
Year 1 Year 2 Task 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 4.4 IND-Enabling Studies 4.4.1 PK and Bioavailability 4.4.2 Toxicology Studies 4.4.2.1 Rat 4.4.2.2 Dog 4.4.2.3 Genetic 4.4.3 Safety Pharmacology Milestone: 2 spec. Tox & Safety Profile
October 2006
Timeline (cont.)
Year 1 Year 2 Task 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 4.5 Prepare and File IND 4.5.1 Hire Regulatory Manager 4.5.2 Project Reports 4.5.3 Hire Clinical Director 4.5.4 Clinical Protocols 4.5.5 FDA Pre-meeting 4.5.6 File IND Milestone: IND Approval
October 2006
Research Progression
Aim 1. Demonstrate potent, selective
inhibitory activity of one or more bis-
(imidazolinylindole)
Aim 2. Establish the mechanism of action of
the bis-(imidazolinylindole) class
of compounds
Aim 4. Conduct IND-enabling pharmacokinetic, toxicology and safety
pharmacology studies
Milestone 1: ED50<30mg/kg
against >2 category A or B pathogens MTB
>300 mg/kg
Milestone 2: Defined MOA and target common to
multiple species
Aim 3. Demonstrate structure-activity relationships for the potency and selectivity of bis-(imidazolinylindole) class of compounds
Aim 5. Prepare and file IND application for a broad-spectrum antibacterial active against
intracellular biowarfare agents
Milestone 4: 2-species GLP tox. And safety pharmacology Milestone 3: ID key structural features,
backup compounds with MIC<1 µg/ml, selectivity index (CC50/MIC) > 100
Milestone 5: IND approval for clinical Phase I human safety evaluation
Year 1
Year 2
October 2006
Key Advantages of Microbiotix Approach
The team believes that there are several competitive advantages in its approach to the development of new therapy for biodefense. These advantages include the following:
Identification of a novel series of broadly acting antibiotics active against multiple bioterrorism category A and B intracellular pathogens.
Involvement of an impressive group of collaborators to carry out BSL level 3/4 development and help guide the project.
MBX has a proven track record in antibacterial drug discovery and development.
The team has extensive scientific expertise in bacterial genomics and genetics.
MBX management and team leadership has a long term track record in successfully developing drugs and obtaining regulatory approval.