Platform Technology. We are committed to leading the development of first-in-class, highly-selective, and potent small molecule inhibitors of nicotinamide N-methyltransferase (NNMT), a cytosolic enzyme highly expressed in select tissue (e.g., adipocytes, hepatocytes, muscle), where it plays a critical role in regulating energy metabolism (NAD+ salvage cycle) and epigenetic (methionine cycle) pathways.
Substantial evidence supports enhanced NNMT expression and activity linking to a number of chronic diseases; high NNMT expression and activity in the white adipose tissue as observed in obesity, strongly triggers adiposity-induced insulin resistance and related metabolic syndrome (type 2 diabetes). Similarly, several skeletal muscle disorders including muscular dystrophies (e.g., Duchene Muscular Dystrophy) and age-related muscle degeneration (e.g., sarcopenia) are characterized by a surge in NNMT expression and subsequently reduced cellular NAD+ levels. We have developed a series of selective small molecule NNMT inhibitors with attractive drug-like properties, and accelerating our efforts to transition our novel lead drug candidates through preclinical development and to Phase I trials. |
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Novel Treatment for Muscle Weakness in Aging Adults. After about 35 years of age, muscle strength declines with age, typically at a rate of 1-1.5% per year for men and 0.5-2% per year for women. A number of studies show that decreased muscle strength correlates with decreased mobility, increased mortality, and increased morbidity. Each year, 18-25% of elderly suffer a fall, with 5% of all elderly falling multiple times. Moreover, 25% of all falls result in hospitalization (3 M cases in US at a cost of $30B). Additionally, many falls result in hip fractures (worldwide incidence ~550 per 100,000 elderly). Post-hip fracture mortality rates are ~ 30% @ 1 yr and 49% @ 3 yrs, with only 10% patients continuing independent living after a hip fracture. We are advancing to clinical trails a first-in-human oral drug that rejuvenates aged muscle stem cells, thereby increasing muscle repair, strength, and function in the elderly. |