tolerability of their compound. Weve made a molecule called NUV-868 which targets BD2 approximately
1,500-fold better than BD1. Again, these numbers are IC50, so the lower the number, the more potent, the higher the number, the less potent. So, weve been able to make a drug called NUV-868, which targets BD2 about 1,500-fold better than it hits BD1.
When we
test NUV-868 in an acute myeloid leukemia xenograft model, you can see that in two different xenograft models, this is Kasumi-1, this is
MV-4-11, the black top lines are untreated tumors. And then the purple, blue and gray lines, we see low, medium and high dose. You can see that in both models, at
somewhere between 10 and 20 milligrams per kilo are causing significant inhibition of growth of both AML xenografts.
However, as I mentioned, our 868
molecule is significantly more selective for BD2 than BD1. And when you look at NUV-868 dosed at 30 milligrams twice a day, so 60 milligrams a day, a significantly higher dose than was required to achieve
efficacy in these xenograft models, looking at the blue staining cells, we would call them goblet cells in the intestine, which are a target of non-specific bromodomain inhibitors and associated with
significant toxicity, you can see that NUV-868 causes no evidence of goblet cell loss compared to the vehicle, whereas a less specific bromodomain inhibitor, in this case,
ABBV-075, this is a non-selective bromodomain inhibitor, causes significant goblet cell loss compared to the vehicle. So, by making our molecule significantly more
selective for BD2 over BD1, weve been able to achieve efficacy in our xenograft models, but not cause significant gut toxicity.
Weve also
been able to show that in a prostate cancer model, NUV-868 also caused deep tumor reductions. In this case, again, a patient-derived xenograft model of prostate cancer, vehicle-treated animals grew
significantly. Again, a log scale on the Y axis. Enzalutamide-treated animals still had significant increases in tumor growth. And NUV-868 in combination with Enzalutamide caused significantly better outcomes.
And at a higher dose of 868 or 868 plus Enzalutamide, again we saw deep tumor reductions compared to one of the worlds standard of care for a prostate cancer treatment.
Our next program is the Wee1 program. And when tumors have their DNA damaged by either radiation or chemotherapy, they need to fix their DNA because if they
replicate bad DNA, the replication of bad DNA will lead to tumor death. So what tumors do to avoid the effects of radiation and chemo is they activate an endogenous checkpoint called Wee1. And by doing so, they are able to arrest their own DNA
replication, which gives them time to fix their damaged DNA. Once they fix their damaged DNA, they can turn off their Wee1 and start growing again. So if you can artificially inhibit Wee1 with a drug, we could actually force tumors to replicate bad
DNA and kill themselves. So Wee1 inhibitors will have the potential to improve the effects of any therapy that causes DNA damage, like chemotherapy or radiation.
The promise of existing Wee1 inhibitors is limited by tolerability. So in this particular case, a Wee1 inhibitor called AZD1775 has shown significant
improvements in tumor responses in some kinds of cancer, including ovarian, uterine and pancreatic. However, this drug has been associated with significant bone marrow and GI toxicity, which is believed to be related to its potent inhibition of
another kinase called PLK1.
So the drug that I just showed you, AZD1775, is indeed a very potent inhibitor of Wee1 with a four nanomolar IC50. But
because it inhibits PLK1 with also a very potent IC50, 15 nanomolar, this drug is associated with GI toxicity. And weve shown that it kills healthy colon cells, IEC6, with a 250 nanomolar IC50. So weve been able
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