Eli Lilly and Co. suffered a delay in its effort to bring an Alzheimer’s drug to market this month, but it also published
new research that the pharmaceutical company thinks confirms it is on the right track.
Indianapolis-based Lilly announced on Dec. 12 that it will conduct another Phase 3 trial of the drug solanezumab to show that the drug
slows the progression of Alzheimer’s disease. In October, scientists detailed clinical trial results that showed the
drug moderately slowed the decline in mental abilities in patients with mild forms of the memory-sapping
disease.
But a week before that announcement, the journal Neuron published a paper by a team of 13 Alzheimer’s researchers
at Lilly, which they think proves the science behind solanezumab is sound.
That could be significant because Lilly, which is losing patent protection on its older neuroscience blockbusters Zyprexa
and Cymbalta, has staked enormous resources on bringing an Alzheimer’s drug to market. If successful, it could reap
billions of dollars per year in sales.
“We learned a lot from solanezumab and that was the key point for how we figured out how to attack this,” said
Ron DeMattos, Lilly’s lead biologist on solanezumab and the lead author of the new study.
The Neuron study tested a new drug’s ability to reduce the buildup of plaques in the brain that are a key
marker of Alzheimer’s disease and, according to some theories, the cause of its damage.
These plaques are formed by the clumping and tangling of chunks of a brain protein called amyloid-beta. It is produced in
every person’s brain but reaches excess levels in the brains of Alzheimer’s patients.
Removing amyloid or slowing its production are the goals of nearly all the experimental Alzheimer’s drugs being tested now by major pharmaceutical
companies. Alzheimer’s disease is getting such attention because there is no effective treatment for it currently and
the costs of caring for Alzheimer’s patients are estimated to be $180 billion per year in the United States alone.
Lilly’s scientists designed solanezumab to attach to free-floating pieces of amyloid and carry them out of the brain
tissue into the spinal fluid or the bloodstream.
Solanezumab does not attach to amyloid plaques. But Lilly’s scientists reasoned that, as solanezumab reduced the levels
of free-floating amyloid that hover around the amyloid plaques like a cloud, more of the amyloid pieces clumped up in plaques
would be able to jump off and float away.
In its latest study, Lilly scientists designed a new drug, called mE8, that attaches only to amyloid plaques, but not to
the free-floating pieces of amyloid surrounding the plaques.
Lilly’s drug, which is known as mE8, showed a better ability to remove plaque than the mouse version of a competing
drug called bapineuzumab. That drug, which was developed by Ireland-based Elan Corp. and tested by New York-based Pfizer Inc.
and New Jersey-based Johnson & Johnson, failed in a Phase 3 clinical trial this summer. Human studies of the drug were
discontinued.
DeMattos attributed the differences to the fact that bapineuzumab attaches to both free-floating amyloid and to amyloid plaques.
Much of the drug appears to have become clustered with free-floating amyloid before it could ever reach amyloid plaques in
most parts of the brain.
He also noted that Lilly’s drug mE8 showed no bleeding in the brain, called microhemorrhaging. The mouse version of
bapineuzumab did show some bleeding in mice brains.
“We’re really enthusiastic about this approach,” DeMattos said, noting that a humanized version of mE8
drug would be the next Alzheimer’s drug Lilly moves into clinical trials. In addition to solanezumab, Lilly already
has one other drug in human trials.
DeMattos said it is likely that Alzheimer’s will be successfully treated through a combination of drugs, rather than
just one. However, he said Lilly would need to thoroughly study both solanezumab and mE8 separately before it considers whether
they could be used as a combination therapy.
“This has become a very hot topic among the academic clinicians,” DeMattos said of a combination therapy. “Lilly
is uniquely positioned in that we have an antibody that targets the soluble [amyloid] beta and we have an antibody that targets
the plaques specifically.”

















IBJ Conversations
0 Comments
Add Comment