14 toshio miyata tohoku breakout 2

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Successful Academia-Pharma Collaboration Drug Discovery and Clinical Development

Toshio MIYATA Tohoku University Graduate School of Medicine United Centers for Advanced Research and Translational Medicine (ART)


Center Center for Advanced Medical Research and Development

United Centers for Advanced Research and Translational Medicine (ART)

Center for Drug Discovery and Exploratory Clinical Study

Center for Neuroscience

Center for Prion Research

Center for Cancer Research

Project

Center

Project

●Clinical Cell Therapy ●Medical Apparatus Development ●Gene Therapy ●Regulatory Science

Center for Regulatory Epigenome and Diseases

●Regulatory Epigenome ●Disease Genomics and Epigenomics

●Molecular Medicine and Therapy ●Chemical library and medicinal chemistry ●Medicinal bioregulation ●Drug metabolism and Pharmacokinetics ●Regulatory Science ●Exploratory Clinical study ●Molecular Imaging

Center for Oxygen Medicine

●Oxidative Stress medicine and Therapy ●Hypoxia Medicine and Therapy

●Developmental Neuroscience ●Clinical Neuroscience ●Translational Neuroscience

●Neurological Science ●Neurochemistry

●Cell Proliferation ●Cancer stem cell

Center for Metabolic Diseases

Center for Advanced and Integrated Renal Science Center for Integrated Research for Women’s Health

Center for Immunological Science Center for Sports Medicine & Science

●Metabolic Diseases ●Metabolic Disease Complications ●Chronic kidney disease ●Renal pathophysiology

●Integrated research for women’s health

●Immune development and homeostasis ●Allergy and autoimmunity

●Peak Performance ●Sports Injury


Project-oriented, cross-cutting research organization ART style Open innovation Traditional vertical structure Academic unit A

Academic unit B

・Professor ・Assoc. professor ・Lecturer ・Assistant

・Professor ・Assoc. professor ・Lecturer ・Assistant

Core center A ・Professor (A,B,C) ・Assoc. professor (D,E,F) ・Lecturer (Q,S,X) ・Assistant from other faculty (C,D,E)

Core center C Academic unit C

Academic unit D

・Professor ・Assoc. professor ・Lecturer ・Assistant

・Professor ・Assoc. professor ・Lecturer ・Assistant

・Professor (A,C) ・Assoc. professor (A,B,D) ・Lecturer (Q,V,W) ・Assistant (C,F,G)

Core center B ・Professor (C,L,N) ・Assoc. professor (A,B,D) ・Lecturer (C,G) ・Assistant (P,S,Z)

Core center D ・Professor (Y,E) ・Assoc. professor (F) ・Lecturer (K,M,U,Z) ・Assistant (H,J,E)

「Human resource (PJ leader)」& 「Projects」


Current status Technology Licensing Organization (TLO)

Support

Intellectual properties(IPs) form basic research

Center/Organization for the clinical study

Support

Clinical Trial

Guidance and motivation at an early stage of research Comprehensive, hands-on supports


Old model Transfer to the Pharma

Intellectual properties (IPs) Insufficient

Basic Research

Useful compounds

Proof of concept in human

Pharmacokinetics (PK) Pharmacodynamics (PD) Toxicity

Project manager Patent attorney Regulatory expert

IPs

Clinical Data Assets of academia

Ideal model

Transfer to the Pharma


Fact Medicines are not always developed for fields in which they are needed‌


Academia-Pharma collaboration What are their respective roles? Traditional development for the marketing approval application

Exploratory clinical trial

Industry

Academia Knowledge of disease pathophysiology

Safe investigational compound

Lead Optimiza tion

Preclinical

Human (Patient)

9Eliminate ineffective compounds 9Select useful compounds which act on human physiology and pharmacology

Sub missi on


New ICH Harmonized Tripartate Guideline

European Union, Japan and the USA

Epoch-making step for the drug discovery and development in academia !


Exploratory clinical trial Pharmacokinetics (microdose trial) Tissue distribution (microdose trial with PET-CT) Pharmacodynamics (using biomarkers)

Earlier access to human data 9Pharmacokinetics (PK) as a micro-dosing test 9Pharamadynamics (PD) with useful surrogate biomarkers and sensitive detection technologies (e.g., PET molecular imaging) Miyata et al, Nature Review Nephrology, 2011


Exploratory clinical trials in academia Benefits Earlier access to human data should •Improve insights into human physiology/pharmacology •Document the drug candidate’s characteristics •Identify therapeutic targets relevant to disease

Tools •Investigational chemical compounds •Molecular imaging •Biomarkers (efficacy, toxicity)


Cross-disciplinary approach

Pathology Computer Science

Pharma cology

Biology

Low Drug Discovery Molecular & Compound Development (probe)

Chemistry

Structural Biology


In silico approach by structure based drug design Our examples

PAI-1

Oxygen sensor

Oxidative stress sensor

Miyata et al, Nature Review Nephrology, 2011


Inhibitors of plasminogen activator inhibitor (PAI)-1 Antithrombosis Antifibrosis

Anticancer Potential benefits

Antiobesity

Antiinflammation Cell regeneration


Human PAI-1 protein structure


Open innovation Possible in acadmia (basic research), but still rare in Academia-Pharma collaboration‌

Investigational new compound

Open Resources Useful Biomarkers

Molecular imaging


Lack of the an adequate framework to nurture academic seeds for clinical trials

Discovery & Screening

Lead optimi zation

PreClinical

Phase Ⅰ

Regurations (GLP, GMP)

Death Valley for translational medicine

Phase Ⅱ

Phase Ⅲ

POC

Pharmaceutical industry

MEXT, METI JST NEDO

Governmental fund

Submission

Who should invest and develop?


I

deal approach‌?

To take into consideration of both advantages and disadvantages of Japan and other countries from the global perspective!

To take advantage of clinical development system outside Japan while bridging with the EU, US, etc..


Clinical development in the academic network from the global perspective

US Japan

IPs

(Tohoku univ.,etc)

Ph-IIa Alopecia

Ph-I (Japanese)

Ph-IIa Thrombosis

(Indication)

Ph-I (US)

IPs (material) GMP compound GLP Pre-clinical data

Ph-IIa Cell regeneration

(Northwestern univ.)

Ph-IIa PCOS

Ph-IIa Kidney disease

Ex. PAI-inhibitor


Academia-Pharma collaboration‌? 9 Guidance and motivation at an early stage of research with a clear, anticipated exit as well as comprehensive, hands-on internal supports are important. 9 IPs, combined with clinical data, could be important assets of academia for the transfer to the Pharma. 9 Academia and the Pharma have its respective roles. Open innovation of science and technology for the exploratory clinical trials should be the scope of academic research. 9 Clinical development should be conducted in the academic network from the global perspective.


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