8 de octubre de 2021
The compound being studied, CMS121, was first developed and studied at Salk
The compound being studied, CMS121, was first developed and studied at Salk
LA JOLLA—El fármaco experimental para el Alzheimer CMS121, desarrollado y estudiado en Salk durante los últimos quince años, ha pasado ahora a un ensayo clínico de fase 1 para evaluar su seguridad en humanos. El profesor de investigación de Salk Pamela Maher y Bill Raschke de Virogenics, Inc., recibirá $4.5 millones durante dos años del Instituto Nacional sobre el Envejecimiento para apoyar el ensayo, y esperan que las primeras dosis se administren a voluntarios sanos a principios de 2022. En ratones, CMS121 revierte los signos del envejecimiento en el cerebro y previene la pérdida de memoria asociada con la enfermedad de Alzheimer.

“CMS121 is acting through a completely different pathway than most people have been looking at for Alzheimer’s disease,” says Maher, head of Salk’s Cellular Neurobiology Laboratory. “This drug could actually make a difference for someone with Alzheimer’s disease.”
In 2006, Maher and colleagues first discovered that fisetin—a natural chemical found in strawberries and other fruits and vegetables—helped prevent cultured neurons from dying and boosted the memory of healthy mice. The team chemically altered the structure of fisetin and screened the new, related compounds for their ability to reverse the signs of aging in isolated brain cells. One of the synthesized fisetin derivatives—CMS121—was even more effective than fisetin at slowing the degeneration of brain cells that occurs during aging.
Since then, Maher’s group has tested the ability of CMS121 to treat Alzheimer’s in a variety of mouse models of the disease. While many experimental Alzheimer’s drugs aim to directly target the amyloid-β protein that accumulates in the brains of people with the disease, CMS121 works by altering pathways related to inflammation and lipid synthesis.
To move CMS121 toward commercial use, Maher partnered with San Diego-based biotech startup Virogenics, founded by Raschke, to carry out the extensive preclinical and Investigational New Drug (IND) studies required before compounds can be tested in humans. While many studies at this phase are funded by large pharmaceutical companies or rely on venture capital backing, Maher and Virogenics won a Small Business Technology Transfer Grant from the National Institute of Allergy and Infectious Diseases (NIAID) in 2013 to support their studies on CMS121. Now the phase 1 trial of CMS121 is being funded by the National Institute on Aging.
“It’s pretty amazing that we’ve been able to see this drug from the lab all the way through to a phase 1 trial. It’s also fairly unusual to do all of this entirely with support from the National Institutes of Health,” says Maher. “We’re very proud that we’ve taken such a distinct approach.”
In the upcoming phase 1 trial, 56 healthy volunteers will take varying doses of CMS121 or a placebo in a randomized, double-blind study. Maher expects the data collection from the trial to be complete by fall 2022. “We hope that everything looks safe at that point and we can move on to a phase 2 trial,” she says.
The phase 1 clinical trial is being supported by the National Institute on Aging under Award Number R01AG074447.
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El Instituto Salk es un centro de investigación independiente y sin fines de lucro fundado en 1960 por Jonas Salk, creador de la primera vacuna segura y eficaz contra la poliomielitis. La misión del Instituto es impulsar una investigación fundamental, colaborativa y audaz que aborde los retos más acuciantes de la sociedad, entre ellos el cáncer, la enfermedad de Alzheimer y la vulnerabilidad agrícola. Esta ciencia fundamental sustenta todos los esfuerzos traslacionales, generando conocimientos que permiten el desarrollo de nuevos medicamentos e innovaciones en todo el mundo.