Drug Discovery for Neurodegeneration

presented by Alzheimer's Drug Discovery Foundation

The Westin @ Times Square

New York, NY - February 5-6, 2007

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S E S S I O N   S Y N O P S E S

An Overview of Drug Discovery for Neurodegenerative Disease

Plenary Speaker — Barry D. Greenberg, PhD, Principal Scientist, Neurochem, Inc.

The scope of discovering, developing and delivering a drug for neurodegenerative disease is routinely underappreciated by those who have not been directly involved in pre-clinical research and clinical development.  Success requires an extremely broad and coordinated multidisciplinary effort.  Impacts on success can arise from a large number of sources, including but not limited to: the qualities of the biochemical target; tractability of the related medicinal chemistry; ability to achieve a comprehensible structure-activity relationship of appropriate chemical series; selectivity and chemical properties of the prioritized compound(s); the availability and successful application of informative pre-clinical in vivo pharmacodynamic models; the compound's metabolism, distribution, formulation, delivery, and safety; the ability to translate effects on the target to therapeutically relevant dosing and outcomes in humans; and the pharmacologic baseline of the patient population being tested.   A discussion of these challenges within a context of currently considered promising targets for treating neurodegenerative diseases will be presented.


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SESSION I - Target Identification & Validation:

How Our Understanding of the Biology of Neurodegeneration Can Be Employed

Chair — Linda Van Eldik, PhD, Northwestern University

This session will present the early, exploratory phases of drug discovery.  Speakers will focus on the identification and validation of drug discovery targets for neurodegenerative disease.  Examples of key questions to be addressed include:

1) Can we utilize knowledge of the pathophysiology of neurodegenerative disease, especially Alzheimer's disease, to develop novel therapeutics that affect disease progression? 

2) How are basic science investigations, such as elucidation of a macromolecular structure or biological pathway, used as a starting point for identification of a potential drug discovery target? 

3) What is the process by which drug discovery targets are validated or linked to the disease? 

4) What are the particular risks inherent in CNS discovery and how can they be minimized?


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SESSION II - Lead Discovery: In-Vitro Models of Neurodegenerative Disease

Chair — Ross Stein, PhD, Harvard Medical School

A key component of the development of new therapeutic agents is the identification of molecules that can serve as foundational lead structures on which drug discovery programs can be built.  High-throughput screening of large collections of drug-like molecules for modulatory activity in disease-relevant assays is an important means to discovering these lead molecules.  This session will first address general issues of the development of assays that are suitable for high-throughput screening and then review specific case studies relevant to neurodegenerative diseases.  The session will end with a discussion of an academic center that is actively engaged in drug discovery, development and delivery for neurodegenerative disease and how it might serve as a model.


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SESSION III - Lead Identification & Optimization:  Unique Aspects of Chemistry in Neurodegenerative Disease

Chair — D. Martin Watterson, PhD, Northwestern University

This session will focus on the fundamentals of drug discovery chemistry and how this can impact or be driven by later-stage considerations of biology, pathophysiology, and production.  Examples of key questions to be addressed include:

1) What properties of a chemical compound make it more likely to be useful as a drug?

2) What properties are potentially important for bioavailability and CNS penetrance? 

3) How does the design of a chemical library and screening impact medicinal chemistry refinement? 

4) What are the standard considerations in medicinal chemistry refinement?  

Speakers will provide a review of fundamentals and stimulate discussion about these key questions as applied to neurodegenerative diseases, especially chronic disorders such as Alzheimer’s disease. 


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SESSION IV - Pre-Clinical Proof-of-Concept & Development: Neurodegenerative Disease

Chair — Jordan Tang, PhD, Oklahoma Medical Research Foundation

Research designed for pre-clinical proof-of-concept is particularly important for the development of drugs for neurodegenerative diseases. This is because neurodegenerative diseases require drugs that can penetrate the blood-brain-barrier and are also particularly difficult to assess for efficacy.  Proof-of-concept pre-clinical studies are aimed to critically evaluate therapeutic candidates before embarking on expensive clinical trials.  This session focuses on the overall requirements and organization of these studies, the necessary steps leading to clinical trials, and the use and development of neuroimaging, biomarkers and surrogates in clinical development.


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SESSION V - Drug Delivery Technologies to the CNS

Chair — Illana Gozes, PhD, Allon Therapeutics & Tel Aviv University

The session is designed to cover the characteristics of the blood brain barrier and strategies to enable delivery into the brain.  These strategies include intrinsic drug candidate characteristics, covalent and non-covalent modifications to enable active transport, and use of the latest advances in nanotechnology to brain delivery.  Systemic vs. nasal administration approaches will be delineated and measurements of brain delivery at the analytical and functional levels will also be addressed.


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SESSION VI - Partnering & Other Models for Advancing Drug Discovery:

Finding Resources to Advance Neurodegenerative Disease Drug Discovery

Chair — Elias Michaelis, MD, PhD, University of Kansas

This session will discuss how to transition from early-stage drug discovery to drug development.  The speakers will focus their presentations on the approaches toward drug development and the support available for such efforts.  Examples of key questions to be addressed include:

1) What are the steps that lead from chemical hit discovery to pre-clinical drug development? 

2) How can contract research organizations (CRO) and university-based research centers optimize the process of converting chemical hits to potential drug candidates, including phrarmacokinetic, oral bioavailability, drug stability and early toxicology studies, as well as GMP production of the drug candidates for human studies? 

3) What support is available from the NIH to assist in the conduct of both pre-clinical and clinical studies of potential new drug entities?


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SESSION VII - Business Development & Technology Transfer in Neurodegeneration

Chair — Richard DiRocco, PhD, Secant Pharma

This session will focus primarily on what academia-based inventors should know to become effective agents for the commercialization of their discoveries in the life sciences.  Universities are constituted primarily to disseminate new knowledge, a goal that often is not consistent with what is required for successful technology commercialization.  Speakers will address issues and questions relating to:

1) How best to communicate scientific discoveries, internally and externally,  in a manner that protects the intellectual property rights associated with the discovery;

2) How to work effectively with technology transfer professionals;

3) How to determine the optimal route to commercialization;

4) How to determine whether a company start-up or a license is most appropriate for a particular invention;

5) What to expect from a partnership with a pharmaceutical or biotech company; and

6) What to look for in a license and how to get the best deal.

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