Evan Mizerak, on Developing an ASO Targeting CAPN2 for ALS

Commentary
Video

The lead of preclinical research at Amylyx Pharmaceuticals discussed the literature supporting AMX0114’s target and its upcoming trial design.

“Calpain-2 is a calcium dependent cysteine protease, it's part of a family of calpains... But Calpain-2 is the one that has the most robust evidence in the literature for having a connection to neurodegeneration. And so essentially, when there's a calcium influx into the axon precipitated by neuronal injury, that causes aberrant overactivation of calpain-2, which results in axonal transport deficits, and ultimately, denervation. And so that's kind of the pathophysiological connection of the protein to ALS pathophysiology.”

Amylyx Pharmaceuticals is developing an antisense oligonucleotide (ASO) targeting the gene encoding calpain-2 (CAPN2), termed AMX0114, with the hope of affecting axonal degeneration in amyotrophic lateral sclerosis (ALS). The company is currently tying up investigational new drug (IND)-enabling studies and aims to initiate a first-in-human trial in the fourth quarter of 2024.

The design of the single ascending dose/multiple ascending dose study was presented at the 2024 Muscular Dystrophy Association (MDA) Clinical and Scientific Conference, held March 3-6, in Orlando, Florida, by Joshua Cohen, co-chief executive officer and cofounder, Amylyx.

CGTLive® spoke with Evan Mizerak, lead, preclinical research, Amylyx, to learn more about AMX0114 and the CAPN2 target. He discussed the body of scientific literature supporting CAPN2 as a target in ALS, including evidence of hyperactivity of CAPN2 in disease relevant tissue, attenuated disease symptoms in mice models with CAPN2 modulation, and even a possible role in cleaving and processing neurofilament.

Click here to view more coverage of the 2024 MDA Conference.

REFERENCE
Cohen J, Miller R, Pesko J, et al.Next Steps in Development for AMX0114: An Antisense Oligonucleotide Targeting Calpain-2, a Critical Effector of Axonal Degeneration. Presented at: 2024 MDA Clinical and Scientific Conference; March 3-6; Orlando, FL. Poster #M199
Recent Videos
Ben Samelson-Jones, MD, PhD, assistant professor pediatric hematology, Perelman School of Medicine, University of Pennsylvania and Associate Director, Clinical In Vivo Gene Therapy, Children’s Hospital of Philadelphia
Manali Kamdar, MD, the associate professor of medicine–hematology and clinical director of lymphoma services at the University of Colorado
Steven W. Pipe, MD, a professor of pediatric hematology/oncology at CS Mott Children’s Hospital
Haydar Frangoul, MD, the medical director of pediatric hematology/oncology at Sarah Cannon Research Institute and Pediatric Transplant and Cellular Therapy Program at TriStar Centennial
David Barrett, JD, the chief executive officer of ASGCT
Georg Schett, MD, vice president research and chair of internal medicine at the University of Erlangen – Nuremberg
David Barrett, JD, the chief executive officer of ASGCT
Bhagirathbhai R. Dholaria, MD, an associate professor of medicine in malignant hematology & stem cell transplantation at Vanderbilt University Medical Center
Caroline Diorio, MD, FRCPC, FAAP, an attending physician at the Cancer Center at Children's Hospital of Philadelphia
© 2024 MJH Life Sciences

All rights reserved.