Strand Therapeutics’ mRNA Logic Circuits Enhance Gene Therapy’s Safety, Ease and Controllability

On September 15, 2020 Strand Therapeutics reported that it is positioned to reshape the future of oncology (Press release, Strand Therapeutics, SEP 15, 2020, View Source [SID1234573056]). The company is genetically programming RNA not just to deliver a gene of interest, but to control the location, timing and intensity of therapeutic protein expression using mRNA-encoded logic circuits.

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That controllability is an important feature, and one that’s been lacking for mRNA gene therapies. With it, mRNA gene therapy has the potential to supplant traditional DNA-based gene therapy, offering a gene delivery technology that is easier and safer.

The idea to program mRNA was developed at Massachusetts Institute of Technology’s Synthetic Biology Center and spun out of the labs scientific co-founders Darrell Irvine, Ph.D. and Ron Weiss, Ph.D., where co-founders Tasuku Kitada, Ph.D., now president and head of R&D, and Jacob Becraft, Ph.D., CEO, worked as researchers.

Kitada and Becraft were the first to create synthetic gene circuits using synthetic mRNA, showing that post-transcriptional circuits could be "wired" to create a variety of networks that enabled cell type-specific expression and small molecule-based control of gene expression from synthetic mRNA.

In the MIT research lab of Ron Weiss, the pair led the team that developed the world’s first synesthetic biology programming language for mRNA.

"You can make it so that rather than DNA or RNA just expressing a protein, it can respond to inputs. Our body is filled with natural genetic circuits," Becraft told BioSpace.

Traditional DNA-based gene therapy uses viral vectors or nanoparticles to deliver a gene to the nucleus of a cell, where it is transcribed into mRNA. The mRNA then carries those instructions outside the nucleus and into the cytoplasm where protein is produced. Once the gene is in place, its expression can be up- or down-regulated. The challenge is that, "The cells protect their nucleus," Becraft noted. That makes it difficult for a gene to enter.

mRNA, however, doesn’t access the nucleus. Instead it accesses the cytoplasm. This approach to gene therapy is easier from a drug delivery perspective, and safer, because "it doesn’t run the risk of DNA mutating the genome," Becraft explained.

"We take the approach that the mRNA molecule doesn’t need to be changed structurally. We make regular, non-modified RNA, but make that mRNA smarter, able to operate autonomously and sense its surroundings," he said.

Strand Therapeutics does that by engineering the sequences of the nucleotides rather than changing the biochemical makeup of the RNA. In 2018, researchers showed that mRNA can deliver RNA therapeutic proteins, alongside those that encode for RNA-binding proteins in their genetic circuits.

In August, Irvine and Weiss published a paper in Nature Cancer showing the technology can simulate multiple mechanisms in known orders to stimulate multiple targets at once, creating a full-fledged immune response. Working in mice, they used multifunctional oncolytic nanoparticles to deliver self-replicating IL-12 RNA that was encapsulated in lipids.

The system promoted immunogenic cancer cell death, stimulated danger sensors in transfected cells, and modulated the immune cells for a greater anti-tumor immune response. In several of the mouse models, a single injection to the tumor eradiated those tumors, caused uninjected tumors to regress, and induced a protective immune memory.

"What we’ve done is use our programming technology to simulate multiple mechanisms in known order to kill multiple targets at once, to create a full-fledged immune response. You need to take a holistic approach and hit targets in the correct order," Becraft stressed. The platform is entering IND-enabling studies in humanized mouse models now.

"What’s different about synthetic biology is that we’re building therapies that recapitulate how biological systems work," Becraft said. "The mRNA enters into a cell and will respond to what’s happening in the cell with a feedback loop. For example, if it sees markers of a cancer cell, you build a system to recognize those inputs – like a computer program – and actuate a response. With programmable mRNA, we can stimulate multiple mechanisms and deliver multiple different cargos at once."

Strand Therapeutics’ MIT pedigree lends it immediate academic validation, but to succeed, the company also needed industry validation that the approach was not only scientifically interesting but promising to other healthcare leaders.

"It’s always good to have pharma interest, to recognize the technology’s potential," Becraft said. That’s a key tipping point."

That validation arrived in the form of multiple industry awards.

From a business development standpoint, "One of the first big awards was the Bristol-Myers Squibb 2018 Golden Ticket, recognizing Strand as an innovative startup. I say that not because of the free lab space and mentorship but because, through it, I met a member of the BMS team who was a very experienced executive in the biopharma world. She left BMS and joined another company, but we stayed in touch. Eventually, we hired her as our COO." Becraft makes a point of stressing that she wasn’t poached. "She worked at another company before joining Strand Therapeutics."

Just over a year ago, the company received $6 million in seed funding from Playground Global, Alexandria Venture Investments, ANRI and private investors. That allowed it to hire key personnel and further develop its synthetic biology platform. With that boost, it has attracted pharmaceutical partners and is pursuing multiple partnership strategies. Now, Becraft said, "We’re set to enter clinical trials in early 2022."

GSK highlights scientific advances across its growing oncology portfolio at ESMO Virtual Congress 2020

On September 15, 2020 GlaxoSmithKline plc reported that it will present new data at the upcoming European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) Virtual Congress 2020, underscoring its commitment to advancing its growing oncology portfolio, which includes the recent European Commission (EC) and US Food and Drug Administration (FDA) approvals of BLENREP (belantamab mafodotin) for patients with relapsed/refractory multiple myeloma, and the FDA approval of a new indication in first-line ovarian cancer for ZEJULA (niraparib) (Press release, GlaxoSmithKline, SEP 15, 2020, View Source [SID1234565139]).

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Reflecting the increasing depth and breadth of GSK’s innovative research in oncology, investigators will present 13 abstracts covering a range of approved and investigational therapies, focused on science related to the immune system, the use of human genetics and other research platforms.

GSK presentations at ESMO (Free ESMO Whitepaper) will focus on research intended to improve outcomes for women with high unmet medical needs, including data related to the safety and efficacy of ZEJULA in patients with advanced, recurrent or resistant ovarian cancer. Investigators also will present a late-breaking presentation: "Safety and Antitumor Activity of Dostarlimab in Patients (Pts) with Advanced or Recurrent DNA Mismatch Repair Deficient (dMMR) or Proficient (MMRp) Endometrial Cancer (EC): Results from GARNET."

Dr Axel Hoos, Senior Vice President and Head of Oncology R&D, GSK said: "This year we have achieved strong momentum for our oncology pipeline, with 14 assets in clinical development across four key research areas. Recent approvals for BLENREP in multiple myeloma and a new indication for ZEJULA in first-line ovarian cancer have delivered new treatment options for patients with unmet needs, and we look forward to sharing new data from our oncology pipeline at ESMO (Free ESMO Whitepaper)."

A list of additional presentations focused on GSK therapies at ESMO (Free ESMO Whitepaper) can be found below:

Synthetic Lethality

Abstract Name

Presenter

Presentation Details

Patient-Reported Outcomes (PRO) in Patients (Pts) Receiving Niraparib in the PRIMA/ENGOT-OV26/GOG-3012 Trial

Pothuri, B.

810MO

Efficacy and Safety of Niraparib in Older Patients (Pts) with Advanced Ovarian Cancer (OC): Results from the PRIMA/ENGOT-OV26/GOG-3012 Trial

Valabrega, G.

819P

MOONSTONE/GOG-3032: A Phase II, Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of Niraparib + Dostarlimab in Patients with Platinum-Resistant Ovarian Cancer

Randall, L.M.

883TiP

JASPER: Efficacy and Safety of First-Line (1L) Niraparib Plus a Programmed Death Receptor 1 Inhibitor (PD-1i) in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC)

Ramalingam, S.S.

1268P

Immuno-oncology

Abstract Name

Presenter

Presentation Details

Safety and Efficacy of Dostarlimab in Patients (Pts) with Recurrent/Advanced Non-Small Cell Lung Cancer (NSCLC)

Subramanian, J.

1399P

Patient-Reported Outcomes (PROs) in the GARNET Trial in Patients (Pts) with Advanced or Recurrent Mismatch Repair Deficient/Microsatelite Instability-High (dMMR/MSI-H) Endometrial Cancer (EC) Treated with Dostarlimab

Kristeleit, R.

858P

The Relationship Between Overall Survival (OS), Progression-Free Survival (PFS), and Objective Response Rate (ORR) in Immune Checkpoint Inhibitor Clinical Trials of Head and Neck Squamous Cell Carcinoma (HNSCC): A Systematic Review and Meta-analysis

Wang, X.

951P

Matching-Adjusted Indirect Comparisons (MAIC) of Safety Between Single-Agent Belantamab Mafodotin Versus Selinexor Plus Dexamethasone in Relapsed/Refractory Multiple Myeloma (RRMM)

· Suvannasankha, A.

901P

A Phase II/III, Randomized, Placebo-Controlled Study of Bintrafusp Alfa with Gemcitabine Plus Cisplatin as First-Line Treatment of Biliary Tract Cancer

Oh, D-Y.

79TiP

Long-Term Follow-Up of Bintrafusp Alfa, a Bifunctional Fusion Protein Targeting TGF-β and PD-L1, in Patients with Pretreated Biliary Tract Cancer

Yoo, C.

73P

Three-Year Follow-up of Bintrafusp Alfa, a Bifunctional Fusion Protein Targeting TGF-β and PD-L1, for Second-Line (2L) Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC)

Paz-Ares, L.

1272P

Phase 2 Study of Bintrafusp Alfa, a Bifunctional Fusion Protein Targeting TGF-β and PD-L1, in Platinum-Experienced Advanced Cervical Cancer

Birrer, M.

879TiP

GSK in Oncology

GSK is focused on maximising patient survival through transformational medicines. GSK’s pipeline is focused on immuno-oncology, cell therapy, cancer epigenetics and synthetic lethality. Our goal is to achieve a sustainable flow of new treatments based on a diversified portfolio of investigational medicines utilising modalities such as small molecules, antibodies, antibody-drug conjugates and cell therapy, either alone or in combination.

Axial Biotherapeutics to Present at the H.C. Wainwright 22nd Annual Global Investment Conference

On September 15, 2020 Axial Biotherapeutics, a biotechnology company dedicated to building a unique class of gut-targeted programs for neurodegenerative diseases and neurodevelopmental disorders, reported that management will present at the H.C. Wainwright Annual Global Investment Conference on Tuesday, September 15, 2020 at 2:00 PM ET (Press release, Axial Biotherapeutics, SEP 15, 2020, https://www.axialbiotherapeutics.com/2020/09/axial-biotherapeutics-to-present-at-the-h-c-wainwright-22nd-annual-global-investment-conference/ [SID1234565165]).

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Cullinan Oncology, German Cancer Research Center (DKFZ) and the University of Tübingen Announce the Formation of Cullinan Florentine to Develop CLN-049, a Novel Bispecific Antibody for AML

On September 15, 2020 Cullinan Oncology, LLC, the German Cancer Research Center and the Eberhard Karls University of Tübingen, Faculty of Medicine (University of Tübingen), Germany, reported the formation of Cullinan Florentine, a company focused on developing a novel FLT3 x CD3 bispecific antibody for the treatment of patients with acute myeloid leukemia (AML) (Press release, Cullinan Oncology, SEP 15, 2020, View Source [SID1234565193]). This antibody has been developed in Tübingen within the German Cancer Consortium (DKTK), whose core center is the German Cancer Research Center (DKFZ) in Heidelberg. Cullinan Florentine has acquired an exclusive license to develop CLN-049 from the University of Tübingen and the DKFZ.

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"We believe the receptor tyrosine kinase FLT3 is among the most attractive targets in AML but is largely untapped as a target for T cell engaging antibodies," stated Jennifer Michaelson, Ph.D., Chief Development Officer, Biologics at Cullinan Oncology. "Given CLN-049’s robust preclinical package and ease of manufacturability, we believe this bispecific antibody has the potential to be a superior treatment option for AML patients. We are looking forward to filing an IND for CLN-049 by year end."

AML is a rapidly progressing cancer that forms in the bone marrow and results in an increased number of abnormal white blood cells in the bloodstream and bone marrow. AML remains one of the most challenging blood cancers, with high unmet medical need due to low median survival rates in patients. FLT3 is expressed on leukemic cells from the majority of AML patients, including prominent expression on leukemic progenitor cells.

FLT3 is a commercially validated target in AML, yet unlike small molecule inhibitors targeting FLT3, a T cell engaging antibody like CLN-049, which binds to the extracellular domain of FLT3, is agnostic to mutations in the intracellular signaling domain, opening up a broader patient population and avoiding resistance mechanisms. FLT3 has potential advantages over the more commonly selected target antigens for T cell engagers, such as CD33 and CD123, given the low-level expression of FLT3 on normal myeloid cells and hematopoietic stem cells. CLN-049 is therefore predicted to have an improved safety profile.

"We’ve long held the belief that FLT3 is among the most attractive targets in AML," stated Helmut Salih, DKFZ/DKTK Professor and physician at Tübingen University Hospital, and Gundram Jung, Professor at Tübingen University, the originators of the molecule. "And we look forward to advancing CLN-049 into clinical testing with the help of the Cullinan team given their deep domain expertise in the bispecific field."

Van Andel Institute to serve as Cancer MoonshotSM Biorepository

On September 15, 2020 Van Andel Institute’s Biorepository reported that has been awarded a $2.7 million, two-year subcontract from the Frederick National Laboratory for Cancer Research currently operated by Leidos Biomedical Research, Inc. on behalf of the National Cancer Institute to serve as the biorepository for the Cancer Moonshot Biobank study, a national initiative to transform cancer treatment and prevention through accelerated research (Press release, Van Andel Institute, SEP 15, 2020, View Source;utm_medium=rss&utm_campaign=cancer-moonshot-biorepository-announcement [SID1234565167]).

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In this role, VAI will assemble and distribute kits for the collection of tumor tissue, blood and other biospecimens to hospitals and medical centers around the U.S. Once samples are collected from volunteers, they will be shipped to VAI for processing and either stored for later study or sent to other organizations conducting analyses for the Cancer Moonshot. In all, the Biobank project is expected to collect biospecimens from more than 1,000 participants.

"Biospecimens are the bedrock of scientific research — without them, we wouldn’t be able to study cancer or develop new treatments and diagnostics," said Scott Jewell, Ph.D., director of VAI’s Core Technologies and Services, which includes the Institute’s Biorepository. "We are honored to be part of the Cancer Moonshot Biobank study and look forward to doing our part to support research and improve cancer care."

The Cancer Moonshot was launched in 2016 by the Obama Administration. Its strategic aims, determined by a Blue Ribbon Panel of experts, are designed to answer critical scientific and medical questions while ensuring the samples collected represent the diversity of the U.S. population.

VAI’s Biorepository provides services for a number of large-scale national and international projects, including NIH’s Clinical Proteomic Tumor Analysis Consortium and the National Cancer Institute’s Biospecimen Pre-Analytical Variables Program. The Biorepository team also played an integral role in biospecimen collection for the NIH’s Genotype-Tissue Expression project, including developing and shipping the kits used by investigators around the country to collect tissue samples. It currently serves as the biobank for the Multiple Myeloma Research Foundation’s CoMMpass Study, the Tuberous Sclerosis Alliance and the Van Andel Institute–Stand Up To Cancer Epigenetics Dream Team. Since 2012, VAI’s Biorepository has been accredited by the College of American Pathologists (no. 8017856), which provides objective assurance that VAI meets or exceeds the high standards set by CAP.

The project has been funded in whole or in part with federal funds from the National Cancer Institute of the National Institutes of Health under contract no. HHSN261201500003I, Task Order HHSN26100042 through Leidos Biomedical Research, Inc. under subcontract no. 20X062Q. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. government.