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iThemba overview
1. New Ideas β New Medicines β New Hope
www.ithembapharma.com
2. iThemba β at a glance
β’ Mission: To become the premier medicinal
chemistry driven drug discovery organization in
Africa and to improve African healthcare
through, novel, affordable small molecule drugs
β’ Strategy: leverage the expertise of founders and
SAB, generate IP and partner projects with
major pharmaceutical companies, offer world
class chemistry services to offset drug discovery
cash-burn with novel business model
2 www.ithembapharma.com
3. Business Model
β’ Offset discovery βcash-burnβ by building world class
collaborative service business
β’ Invest profits from above into in-house projects
β’ Identify, funded, IP generating collaborations
β’ License products at suitable point
β’ Retain marketing rights in Africa
3 www.ithembapharma.com
4. Board of Scientific Advisors
β’ Prof. Dennis Liotta
- Emory University, Atlanta, USA
β’ Prof. James Bull
- University of Cape Town, South Africa
β’ Prof. Anthony G. M. Barrett
- Imperial College, London, United Kingdom
β’ Prof. Erick Carreira
- ETH, Zurich
β’ Prof. Steven V. Ley
- Cambridge University, England
β’ Dr. George R. Painter
- Chimerix Inc., NC, USA
4 www.ithembapharma.com
6. Disease Focus
HIV
6 million HIV+ in SA alone
4 million new infections p.a.
Over 30 million HIV+ in
Africa
Drug Medicinal
Discovery Chemistry
TB
8 million infections and 2
Malaria million deaths p.a.
300-500 million infected p.a. Mortality growing at 20% p.a
1-2 million deaths p.a. mostly Resistance
children
6 www.ithembapharma.com
7. Pipeline
Lead Process
Proposal Screening Hit to Lead
Optimisation Optimisation
Malaria Set 1
TB/ICL Abacavir
proposals (7k, TB)
IF β TB
TB selective Nitroimidazoles
macrophage
accumulation
Malaria hits
TB Hits
(NIH/TB CoC)
Set 1
(12k, Malaria)
7 www.ithembapharma.com
8. Current Mtb Therapy Outdated
β’ About 1/3 of the global population is infected
with Mycobacterium tuberculosis (Mtb)
β’ Annually, nearly 8 million of the infected people
develop active TB
β’ Current therapy takes too long to administer
β’ Current regimen from 1960βs
β’ 6 β 9 months to complete therapy
β’ Non-compliance results in drug-resistant strains
β’ Some resistant strains untreatable
www.ithembapharma.com
9. TB adapts
β’ Like all pathogens TB adapts to its environment
β’ Mycobacteria mobilize the glyoxylate shunt for
catabolism of fatty acids in order to sustain
infection in an immune competent host
β’ The glyoxylate shunt is unique to bacteria and lower
eukaryotes
β’ IsoCitrate Lyase (ICL) and Maleate Synthase (MS)
are key enzymes in this process
9 www.ithembapharma.com
10. Isocitrate Lyase
β’ ICL (plus MS) allows MTB to bypass the CO2-
generating steps of the tricarboxylic acid (TCA) cycle
β The metabolic pathway by which acetate is oxidized to generate ATP.
β’ The shunt consumes two molecules of acetyl CoA to
generate one molecule of succinate.
β Lipids are a source of acetyl CoA, and succinate is a precursor for the
synthesis of glucose.
β’ The net effect is that the glyoxylate shunt allows
MTB to synthesize carbohydrates from fatty acids.
β Thus, disruption of this pathway is a viable treatment for latent
tuberculosis infections.
10 www.ithembapharma.com
11. Target Validation
β’ ICL promotes bacterial survival in infected
macrophages
β McKinney et al. Nature, 2000
β’ Gene deletion results in impaired growth
β McKinney et al. Nat. Med, 2005
β’ Glyoxylate cycle is essential for TB growth and
persistence in macrophages and mice
ο ICL Previously deemed βun-druggableβ
11 www.ithembapharma.com
12. Solution
β’ Screen a focused set of small molecules
against ICL
β 2 x small molecule inhibitors identified (IC50
<50nM)
β Program designed and initiated to address
liabilities
β Promising efficacy against Mtb
οTechnology licensed from Emory University
12 www.ithembapharma.com
13. Isocitrate Lyase
β’ Isoniazid and Rifampin like activity
13 www.ithembapharma.com
14. Novel iThemba Nitroimidazoles
β’ In-house program to discover new nitroimidazoles
β’ Favourable IP position
β’ Short synthetic routes using readily available reagents,
and established synthetic protocols
β’ No chiral centres
β’ Incorporate solubilizing groups, overcoming
associated solubility and bioavailability problems
β’ No structural alerts
β’ Increased molecular flexibility
14 www.ithembapharma.com
15. HIV Massive Problem in SA
β’ South Africa is currently experiencing one of the
most severe AIDS epidemics in the world
β’ At the end of 2007, there were approximately
5.7 million people living with HIV in South Africa,
and almost 1,000 AIDS deaths occurring every
day
β’ TB co-infection probably largest killer of HIV
positive patients
15 www.ithembapharma.com
16. iThemba Solution
β’ Take existing drug and produce for less
β’ New process for anti-retroviral drug
β 2007 global sales $220 million
β Off patent 2009
β Current synthetic route 15 steps, low yield
β iThemba has licensed technology from Emory
university for 7 step process
16 www.ithembapharma.com
17. Short-circuiting Drug Discovery
β’ Traditional drug discovery approach not viable
in South Africa
β Cost and lack of infrastructure
β Too many hurdles
β’ Solution to target whole organisms
β Take away major hurdles
β Identify efficacious hits immediately
17 www.ithembapharma.com
18. iThemba Approach
β’ Negotiate use of other companies screening
collections
β Requires no target/disease conflicts
β’ Leverage neglected disease angle
β’ Requires no capital investment in library
purchase and storage
18 www.ithembapharma.com
19. iThemba Screening Solution
β’ Novel screening collaborations in place for
Malaria (MMV sponsored)
β’ Medical Research Council Technology
β’ 45k compounds
β’ Constructed from commercial sources
β’ Historically good hit rate
β’ Chimerix compound collection
β’ 7k compounds
β’ Acquired from Dr Leroy Townsend (University of Michigan)
β’ Contains numerous unique nucleoside analogues as well as a
diverse set of heterocycles
19 www.ithembapharma.com
20. Screening Progress
β’ Chimerix collection of nucleoside analogues
β 131 cpds with activity IC50<1Β΅M
β High toxicity attrition
β Mitochondrial toxicity flag
β Highly novel structures
β’ MRCT library diverse heterocyclic structures
β Low molecular weight (<300)
β No toxicophores or potential reactive functional groups
β 30 cpds with activity IC50<1Β΅M
β MMV proposal submitted
β Solids re-ordered
20 www.ithembapharma.com
22. Chemistry Services
β’ Services
β FTE contracts
β Custom Medicinal Chemistry
β Custom synthesis/arrays
β Individual compound synthesis
β Scale up
β’ Cost-effective and alternative synthetic routes
β’ Design and synthesis of molecules with drug-
like properties
β’ Hit-to-lead optimization
22 www.ithembapharma.com
23. Capabilities
β’ Provide synthesis on milligram to 50+ gram scale on
single or multistep routes
β’ Follow established synthetic routes, design new
synthetic routes, or trouble-shoot existing synthetic
routes
β’ Provide custom intermediate/template or
monomer/reagent synthesis
β’ Prepare analog synthesis
β’ Produce synthesis of metabolites or standards
23 www.ithembapharma.com
24. Capabilities
β’ Pharmaceutical standard chemistry
β Fully functional synthesis labs
β ~750m2 of useable laboratory space
β’ Microwave synthesiser
β’ Automated prep and analytical HPLC
β’ Parallel sysnthesis and evaporation
β’ Pharma-standard analytical capability
β State-of-the-art LC/MS and NMR (400MHz)
24 www.ithembapharma.com
25. Collaborations, example 1
β’ Brief: Synthesis of a number of functionalised
steroid analogues as potential anti-cancer agents
β’ Solution: iThemba leveraged expertise on itβs SAB
to devise novel routes to desired tool compounds
β’ Deliverables: 15 synthetic steps, 11 test
compounds (>95% purity, β₯25mg) in 5 weeks
β’ Preliminary Results: 3 examples inhibit cell
proliferation in the metaphase with <20nM EC50βs
25 www.ithembapharma.com
26. Collaborations, example 2
β’ Brief: Take computational derived fragments
from marketed drugs and design library
β’ Solution: Using in-silico techniques and RO3
100 component library deisgned
β’ Deliverables: 10, 10 component fragment sets
with >95% purity and β₯100mg
β’ Time frame: 3 months from project initiation
26 www.ithembapharma.com
27. Why iThemba?
β’ Competitive cost base
β’ Strong IP laws in South Africa
β’ Access to superlative Scientific Advisory Board
β’ Good cultural fit
β’ Moral leverage β all profits re-invested into
neglected disease research
β’ Governmental support
27 www.ithembapharma.com
28. Customer Needs!
β’ Communication
β Dedicated and accessible project leader
β’ Confidentiality
β Dedicated, backed up server , ELN,
β’ Quality
β’ Safety & Environment
β Comply with global standards, PPE culture
β’ Competitive pricing with flexible terms
28 www.ithembapharma.com
29. Rates & Contact Information
β’ Competitive rates
β’ Flexible pricing model
β Per FTE
β Bid per project
β Bid per compound
β Bid per chemical step
β’ Contact: Dr. Chris Edlin
β Tel (dir) +27 11 605 2635
β Cell +27 82 350 4313
β E-mail: cedlin@ithembapharma.com
29 www.ithembapharma.com