Active Brain & Nervous System Cancer

SynaptixBio: A demonstration of antisense oligonucleotide therapeutics for the treatment of a rare paediatric TUBB4A-related leukodystrophy - A first-in-human clinical trial

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A UK biotech company is about to test the first-ever treatment for a fatal childhood brain disease in human patients. TUBB4A-related leukodystrophies are genetic disorders that destroy the central nervous system, robbing children of the ability to walk, speak, and swallow. The most common form, H-ABC, accounts for 65% of cases. No curative treatment exists, and no clinical trials are currently running anywhere in the world. This project aims to change that. SynaptixBio will run first-in-human multicentre trials of an antisense oligonucleotide—a synthetic molecule designed to correct the genetic fault at the root of the disease. The immediate goal is to establish safety and tolerability, but if the molecule works, it could transform the standard of care for these children, who currently have no options beyond palliative support. Beyond the direct patient impact, success would open a new market for antisense therapies in rare paediatric leukodystrophies, generating revenue and investment for the UK economy. It would also demonstrate a platform approach that could be adapted to other genetic brain disorders.

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SynaptixBio is a rare disease biotech pioneering ground-breaking development for treatment of severe leukodystrophies which affect the central nervous system (CNS) in both adults (milder) and children (the most common and severe). TUBB4A-related leukodystrophies are a group of newly described neurodegenerative diseases which are genetic, debilitating, and life-limiting diseases. Manifestations include deterioration of motor function (walking/sitting/speech/swallowing), developmental delays, and gait dysfunction. Survival is often limited to childhood. The incidence is estimated at 1:100,000 to 1:200,000 and makes up 9% of all leukodystrophies. The most common TUBB4A-related leukodystrophy is Hypomyelination with Atrophy of the Basal Ganglia and Cerebellum (H-ABC) with about 65% of cases. At present, no curative treatment exists for TUBB4A-related leukodystrophies and there are no clinical trials currently ongoing or scheduled for TUBB4A-leukodystrophy patients across the world. In this project, SynaptixBio will conduct first-in-human multicentre clinical trials to determine safety, tolerability, and efficacy of its candidate molecule against H-ABC. Once developed, SynaptixBio's treatment is expected to improve overall patient outcomes and standard-of-care, delivering transformative effects by opening new markets, generating revenues and investments which benefits the UK economy.

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