Positive preclinical results support the development of ISTH0036 for the treatment of glaucoma

Isarna Therapeutics presented preclinical data for its lead candidate ISTH0036 in one podium presentation and two poster publications at the Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO).

ISTH0036 is a locked nucleic acid-modified antisense oligonucleotide, currently in phase I development for the treatment of advanced-stage glaucoma.

As described in the podium presentation, ISTH0036 was administered to evaluate its therapeutic potential in murine models of glaucoma filtration surgery (GFS) and laser-induced choroidal neovascularization (CNV). In the murine GFS model, upon intraocular administration, ISTH0036 was able to significantly prolong bleb survival, as compared to control oligonucleotide- and saline-treated eyes. In addition, ISTH0036 was able to significantly decrease the extent of fibrosis in the bleb area in a sequence-specific manner.

Furthermore, in a murine CNV model, intravitreal administration of ISTH0036 was able to significantly reduce (40%) the process of angiogenesis, as compared to saline- and control oligonucleotide-treated eyes. This observation may open up development opportunities beyond glaucoma.

Preclinical data supports the potential of  ISTH0036 to protect glaucoma patients’ vision

Also presented at the conference, two posters described the overall preclinical profile and the testing of ISTH0036 in which it successfully demonstrated excellent cellular uptake, potent TGF-ß2 mRNA downregulation (target engagement) in cell-based assays and in relevant tissues of the eye. Long-lasting tissue distribution was consistent with the observed target engagement.

“We have clearly demonstrated in these animal models that intraocular administration of ISTH0036 leads to biological responses consistent with the expected molecular mechanism of action and with observed efficient and long-lasting distribution in relevant eye tissues,” said Dr Michel Janicot, Head of Preclinical Research and Development at Isarna. “These preclinical data support the compound’s potential to protect glaucoma patients’ vision and we hope to reproduce these results in our ongoing clinical evaluation of the compound. In addition, based on these data we see several other high medical need diseases that could potentially benefit from TGF-ß-targeted treatment.”

Several diseases in ophthalmology have been linked to the modulation of TGF-ß, among them are glaucoma, proliferative vitreoretinopathy, diabetic retinopathy and corneal diseases. TGF-ß2 has specifically been identified as having a critical role in the pathophysiology of glaucoma affecting changes in the ocular outflow region that can lead to open-angle glaucoma and has been linked in addition to having a direct, toxic effect on the optic nerve head.