Priothera Receives First Regulatory Approvals to Start a Global Pivotal Study with Mocravimod in Acute Myeloid Leukemia Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplant

Priothera Receives First Regulatory Approvals to Start a Global Pivotal Study with Mocravimod in Acute Myeloid Leukemia Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplant

NEWS

April 2022

Priothera Receives First Regulatory Approvals to Start a Global Pivotal Study with Mocravimod in Acute Myeloid Leukemia Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplant

Global Phase 2b/3 trial assessing the efficacy and safety of mocravimod as an adjunctive and maintenance therapy in AML patients undergoing allogeneic HSCT planned to start in H2 202

Dublin, Ireland – 11th April 2022 – Priothera Ltd, a late-clinical stage biotechnology company pioneering the development of its S1P receptor modulator mocravimod, today announces it has received the two first European country approvals from the Swiss and French national health authorities (Swissmedic and ANSM) to begin its planned pivotal study of mocravimod. The company has also received encouraging feedback from the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) on the clinical study design that is closely aligned with earlier feedback from the US Food and Drug Administration (FDA).

Priothera will initiate a global Phase 2b/3 study (MO-TRANS study) in Europe, US and Japan, assessing the efficacy and safety of mocravimod as an adjunctive and maintenance therapy in adult Acute Myeloid Leukemia (AML) patients undergoing allogenic hematopoietic stem cell transplant (HSCT). The MO-TRANS study is expected to start in the second half of 2022 and preliminary data from this study are expected by the end of 2024. 

Florent Gros, Co-Founder and CEO of Priothera, commented “Following on from our recent receipt of orphan drug designations for mocravimod in the US and Europe, we are pleased to have received our first approvals to initiate this key global Phase 2b/3 trial with this highly promising compound. Moreover, the CHMP feedback is encouraging, and is also closely aligned with the feedback we received from the FDA. These first approvals are important regulatory and clinical milestones for Priothera and move us a step closer to bringing mocravimod, an adjunctive and maintenance treatment, to patients with AML and other hematologic malignancies, for whom there remains a significant unmet medical need.”

About mocravimod

Mocravimod (also known as KRP203), is a synthetic, sphingosine 1-phosphate receptor (S1PR) modulator. This novel investigational drug has been assessed in Phase 1 and Phase 2 trials for safety and tolerability, as well as for efficacy in several autoimmune indications. Promising data from a Phase 1b/2a clinical study in patients with hematological malignancies led Priothera to further develop mocravimod for the treatment of blood cancers.

Mocravimod will be investigated as an adjunctive and maintenance treatment in a Phase 2b/3 study as a potential treatment for patients with Acute Myeloid Leukemia (AML) receiving allogeneic hematopoietic stem cell transplantation (HSCT). Allogenic HSCT is the only potentially curative approach for AML patients, but current treatments have unacceptably high mortality and morbidity rates.  

Priothera leverages S1PR modulator’s unique mode of action to maintain anti-leukemia activity – graft-versus leukemia (GVL) while reducing tissue damage resulting from graft-versus-host disease (GVHD), a consequence of allogenic HSCT. This novel treatment approach – mocravimod being the only S1PR modulator treating blood cancers – tackles a high unmet medical need and intends to add quality life to patients.

 

About Priothera

Priothera is leading the way in developing orally applied sphingosine 1 phosphate (S1P) receptor modulators for the treatment of hematological malignancies. S1P receptor modulators are known to largely reduce egress of T cells from lymphatic tissues. Not being an immunosuppressant, mocravimod maintains the graft-versus-leukemia (GVL) benefits in patients receiving HSCT while inhibiting graft-versus-host-disease (GvHD).

Priothera was founded in 2020 by an experienced team of drug development experts and is headquartered in Dublin, Ireland, and with a subsidiary in Saint-Louis, France. The Company is backed by international founding investors Fountain Healthcare Partners (Dublin, Ireland), funds managed by Tekla Capital Management, LLC (Boston, Massachusetts), HealthCap (Stockholm, Sweden) and EarlyBird Venture Capital (Berlin, Germany).

For more information please visit: www.priothera.com

Contact

Priothera
Florent Gros, CEO
E: info@priothera.com 

MEDiSTRAVA Consulting
Sylvie Berrebi, Sandi Greenwood, Frazer Hall
E: priothera@medistrava.com
T: +44 (0)7714 306525

Priothera Receives R&D Innovation Loan from Bpifrance

Priothera Receives R&D Innovation Loan from Bpifrance

NEWS

April 2022

Priothera Receives R&D Innovation Loan from Bpifrance

€1.5 million loan will further support clinical manufacture of mocravimod for the adjunctive treatment of Acute Myeloid Leukemia (AML)

Dublin, Ireland and Saint-Louis, France – Monday 4 th April 2022 – Priothera, a late-clinical stage biotechnology company pioneering the development of its S1P receptor modulator drug, mocravimod, today announces that it has entered a €1.5 million Loan Agreement with the regional Bpifrance in Strasbourg (Grand Est Bpifrance), via Priothera SAS, its French affiliate.

This R&D innovation loan will be used to further support the clinical manufacture of mocravimod for a European, US and Asian registration-enabling clinical trial with mocravimod in Acute Myeloid Leukemia (AML) patients undergoing allogeneic hematopoietic stem cell transplant (HSCT).

Brice Suire, Co-Founder and Chief Financial Officer of Priothera, said: “This non-dilutive financing, alongside the funding from the European Investment Bank that we announced recently, will play an important role in financing the development of mocravimod. It will allow us to strengthen our local French team and accelerate delivery of the clinical supply of mocravimod needed for our upcoming registration-enabling global clinical trial. We are very pleased with the confidence shown by Grand Est Bpifrance in supporting the Company in its development program.”

Alban Stamm, Innovation Manager at Bpifrance Alsace commented: “We believe that Priothera, with its drug candidate mocravimod, has the potential to enable a major breakthrough in preventing transplant rejection which would provide a tremendous benefit to AML patients undergoing a stem cell transplant. The Bpifrance loan will support Priothera’s key objective of establishing human proof of concept and generating registrational data, allowing the company to create significant socio-economic value in France and beyond that for patients globally.”

Mocravimod, a sphingosine 1 phosphate (S1P) receptor modulator which has been previously tested in multiple autoimmune indications, is being developed to enhance the curative potential of HSCT in patients with AML. Moreover, it has shown clinically relevant benefits in an early clinical study in patients with hematologic malignancies undergoing HSCT.

About Priothera

Priothera is leading the way in developing orally applied sphingosine 1 phosphate (S1P) receptor modulators for the treatment of hematological malignancies. S1P receptor modulators are known to largely reduce egress of T cells from lymphatic tissues and not being immunosuppressants, thereby allowing for inhibition of graft-versus-host-disease (GvHD) while maintaining graft-versus-leukemia benefits in patients receiving HSCT.

Priothera which was founded in 2020 by an experienced team of drug development experts is headquartered in Dublin, Ireland. The Company is backed by international founding investors Fountain Healthcare Partners (Dublin, Ireland), funds managed by Tekla Capital Management, LLC (Boston, Massachusetts), HealthCap (Stockholm, Sweden) and EarlyBird Venture Capital (Berlin, Germany).

For more information please visit: www.priothera.com

 

About Bpifrance

Bpifrance is the one stop shop for entrepreneurs with a vastly comprehensive toolbox offered in the field to customers through 50 local branches. Our mission is simple: we believe in serving the future, by being entrepreneur-centric and heavily decentralized.

Contact

Priothera
Philippe Lievre, Chief Business Officer Priothera
T: +41 76 802 11 30
E : philippe.lievre@priothera.com

MEDiSTRAVA Consulting
Sylvie Berrebi, David Dible, Sandi Greenwood, Frazer Hall
E: priothera@medistrava.com
T: +44 (0)7714 306525

Location, location, location: fighting hematological malignancies by trapping T cells in lymphoid tissue

Location, location, location: fighting hematological malignancies by trapping T cells in lymphoid tissue

PRESS RELEASE

March 2022

Location, location, location: fighting hematological malignancies by trapping T cells in lymphoid tissue

Priothera’s small molecule mocravimod is transforming the prospects of patients with hematological malignancies receiving hematopoietic stem cell transplants.

In recent decades, the incidence of some hematologi- cal malignancies (HMs), such as acute lymphocytic leukemia (ALL) and chronic myeloid leukemia (CML), has decreased, while the incidence of others, includ- ing chronic lymphocytic leukemia (CLL) and acute myeloid leukemia (AML), have increased in most countries worldwide. At the same time, the number of allogeneic hematopoietic stem cell transplants (HSCT), an established treatment for HMs following chemotherapy, has also increased significantly.

Yet HMs remain a major cause of cancer deaths, with overall mortality rising in recent decades—a fact that points to the unsatisfactory curative poten- tial of HSCT. Priothera is addressing this clear unmet medical need with the development of mocravimod, a small-molecule immune-modulating adjunctive and maintenance therapy for HMs that is initially being developed for AML with the first study in adult AML patients to be initiated in 2022.

For many intermediate and high-risk AML patients, as well as those with other HMs, chemotherapy fol- lowed by HSCT is the only potentially curative treat- ment option, but one that comes with a significant risk of serious and sometimes fatal graft-versus- host-disease (GvHD). HSCT is also limited in efficacy, due to immune-suppressive comedications that aim at controlling GvHD: 40% of post-HSCT AML patients relapse, with a dismal prognosis of 2-year survival less than 20%.

 

 

Mediating graft-versus-host disease

A crucial factor that determines the effectiveness of HSCT in AML is whether the patient develops graft-versus-leukemia, in which transplanted alloge- neic T cells attack and eliminate host leukemic cells (Fig. 1). Notably, the beneficial alloreactive T cells responsible for GvL are the same T cells that medi- ate GvHD. However, despite the fact that GvL and GvHD are driven by the same cells, they manifest in different parts of the body. GvL mainly occurs in lymphoid tissues, such as bone marrow and lymph nodes, where the malignant hematological cells reside. GvHD, by contrast, occurs throughout the body after donor T cells become activated by anti- gen-presenting cells and migrate out of lymphoid tissues to the gastrointestinal tract, liver, lung, and skin, where they attack host cells.

HSCT would be much more effective, and less prone to severe side effects, if alloreactive T cells remained in lymphoid tissues, mediating GvL but unable to attack the rest of the body to elicit GvHD.

This is mocravimod’s mode of action, which has been shown in a clinical proof-of-concept study. Mocravimod, a propane-1,3-diol derivative, is a novel, synthetic sphingosine 1-phosphate receptor (S1PR) agonist with a long half-life in the body. Delivered as a prodrug during and after HSCT, mocravimod is phosphorylated in vivo to generate the active moi- ety, mocravimod phosphate, which binds to S1PR, a receptor that plays a crucial role in lymphocyte trafficking from lymphoid tissues to peripheral blood.

By interfering with S1PR signalling, mocravimod sequesters donor T cells in lymphoid tissue, but with- out affecting their cytotoxic, leukaemia-cell-killing power, which facilitates the emergence of disease- eliminating GvL. At the same time, because the allore- active T cells cannot leave lymphoid tissues to attack other tissues within the body, the potential for GvHD is greatly reduced.

Fig. 1 | How mocravimod promotes GvL and hinders GvHD after HSCT. After hematopoietic stem cell transplant (HSCT), alloreactive T cells mediate beneficial graft-versus-leukemia (GvL) in lymphoid tissues and harmful graft-versus-host disease (GvHD) in peripheral tissue (left of figure). Mocravimod sequesters alloreactive T cells in lymphoid tissue, where they maintain GvL, and simultaneously reduce GvHD (top right). Other immunosuppressant T cell blockers can reduce GvHD, but also reduce GvL (bottom right).

Promising early clinical results

The dual effect has been demonstrated in mouse models of allogeneic HSCT, and mocravimod has been found to be safe and well-tolerated in human safety studies as well as in a study in which

hematologic malignancy patients requiring HSCT received mocravimod on top of standard of care. In these patients GvHD, relapse and mortality were reduced. In an upcoming phase 2b filing-enabling study, adult patients with AML will receive mocravi- mod as an adjunctive and maintenance therapy while undergoing HSCT. The study will assess improvements in relapse-free and overall survival.

Priothera has completed the necessary non-clinical filing package and is currently scaling up and validat- ing manufacturing processes for commercial supply so that the company will be immediately ready for its global commercial launch following approval. Priothera welcomes discussions with potential inves- tors and partners who are excited about ushering a new era of treatment for hematological malignancies.

Contact

Priothera
Philippe Lievre, Chief Business Officer Priothera
T: +41 76 802 11 30
E : philippe.lievre@priothera.com