Arrowhead Pharmaceuticals Hosts R&D Day on Emerging Pipeline of Pulmonary Targeted RNAi Therapeutics
Presentations will begin at
Arrowhead will describe the development of investigational candidates:
- ARO-MUC5AC, designed to reduce expression of mucin 5AC (MUC5AC) as a potential treatment for various muco-obstructive pulmonary diseases
- ARO-RAGE, designed to reduce expression of the receptor for advanced glycation end products (RAGE) as a potential treatment for various obstructive inflammatory pulmonary diseases
- ARO-MMP7, Arrowhead’s newest and previously undisclosed candidate designed to the reduce expression of matrix metalloproteinase 7 (MMP7) as a potential treatment for idiopathic pulmonary fibrosis (IPF)
The company will also discuss learnings from its first pulmonary clinical candidate, ARO-ENaC, that led to enhanced candidate and platform designs that have the potential to offer improved potency, duration, and the flexibility of subcutaneous as well as inhaled delivery.
“Today we’re discussing ARO-MUC5AC, ARO-RAGE, and ARO-MMP7, three of our pulmonary candidates. These are each potentially important new investigational medicines that seek treat muco-obstructive and inflammatory lung diseases and IPF in fundamentally new ways,” said
Select R&D Day Highlights
ARO-RAGE is an investigational medicine that aims to be a better anti-inflammatory therapy with broader anti-inflammatory effects than current biologics and with a more convenient inhaled mode of administration. Preclinical studies have yielded highly positive results. Single inhaled doses of ARO-RAGE in rats and primates led to reductions of greater than 90% in lung RAGE mRNA and in serum sRAGE protein, a circulating biomarker for RAGE target engagement in the lung. Pharmacodynamic response appears to be highly durable enabling bimonthly or quarterly dosing. In a rat model of allergic asthma, silencing RAGE in the lung effectively reduced inflammatory cell recruitment and cytokines, supporting the rationale for targeting RAGE in inflammatory lung disease. Subcutaneous administration also achieved deep and sustained reduction in RAGE expression, expanding the flexibility of the TRiMTM platform.
ARO-MUC5AC is the first investigational medicine to directly silence pathologic MUC5AC expression and potentially address muco-obstructive disease, characterized by mucus hypersecretion, in a fundamentally different way than current therapies. Preclinical results have shown deep silencing of up to 70-90% of induced MUC5AC expression in mice and primates. In a sheep model of allergic asthma, ARO-MUC5AC administration effectively preserved airway function.
ARO-MMP7 is Arrowhead’s previously undisclosed investigational medicine being developed as a potential treatment for IPF. MMP7 plays multiple roles in IPF pathogenesis, including promoting inflammation and aberrant epithelial repair and fibrosis. Silencing MMP7 expression in a rat IPF model reduced inflammatory cell infiltration, limited lung fibrosis, and preserved pulmonary function. Additional data on this program will be presented at the
Arrowhead’s first clinical candidate, ARO-ENaC, using the lung targeted TRiMTM platform was voluntarily paused in 2021 based on non-clinical findings showing adverse local lung effects seen in chronic rat (6-month) and primate (9-month) GLP toxicology studies. The company believes that the mechanism underlying ARO-ENaC chronic toxicology findings are consistent with lung macrophage overload, which has been widely studied for over 40 years and extensively described in the literature. Arrowhead believes that a lower cumulative dose in future chronic toxicology studies decreases the risk of adverse findings. For example, the planned 6-month rat ARO-MUC5AC and ARO-RAGE dose levels and dose intervals yield a cumulative dose well below the threshold where adverse findings were seen in the ARO-ENaC 6-month rat study.
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