TERT Mrna for Telomere Extension to Treat Fatal Diseases and Aging
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TERT mRNA for telomere extension to treat fatal diseases and aging Aging or disease TERT mRNA [email protected] Rejuvenation Technologies Inc. © 2021 Why aging? • Aging is the strongest risk factor for all age- related diseases • Telomeres are a cellular Deaths per 100,000per Deaths aging clock Age: • Telomere extension From: The Milbank Quarterly, Vol. 80 No. 1, 2002, from US 1997 Vital Statistics resets the aging clock 2 Prepared for Rejuvenation Tech Investors The road to healthspan extension Market Liver $30B Liver Cirrhosis, Alcoholic Hepatitis Lung • Safety & efficacy data $10B Interstitial Lung Disease including IPF • Capital Blood $10B Cytopenia, Neutropenia Whole body Clinical Trial Endpoints: • Improved function (6 months) $1T+ AGING • Delayed all-cause mortality (2 years) • Longer healthspan (Phase IV) 3 Prepared for Rejuvenation Tech Investors mRNA therapies have come of age Jan. 2020 Market caps Jan. 2021 • 2020 was the year mRNA worked Moderna $65B • $100B in value created $6B • We invented a way to reset the aging clock using mRNA BioNTech $27B • In 2020 we achieved proof-of- concept in mice $7B Translate Bio $1.9B • Series A to gain IND clearance for first-in-human studies $0.4B 4 Prepared for Rejuvenation Tech Investors Summary • TERT mRNA: our patented method to extend telomeres • One dose reverses a decade of telomere shortening • Lead indications: fatal diseases of liver and lung • TERT mRNA extends survival by 42% and reduces liver fibrosis by 25% in mice • First FDA meeting Q2 2021 5 Prepared for Rejuvenation Tech Investors Short telomeres are deadly • Telomeres protect chromosome tips but shorten each time cells divide • When telomeres become too short cells can’t divide • If cells can divide, patients stay alive If cells can’t divide, patients die Prepared for Rejuvenation Tech Investors TERT mRNA enables cells to divide more Human cell growth curves (in vitro) 100 Treatment 4 3 + 1 90 treatments 80 3 treatments 2 treatments 70 Treatments 1 treatment 60 1-3 50 40 TERT mRNA increases the proliferative capacity of cells 30 Population doubling doubling (n) Population 20 10 0 0 20 40 60 80 100 120 140 160 180 Day 7 Prepared for Rejuvenation Tech Investors Reset cellular clock with TERT mRNA Telomere shortening mechanism remains intact Length at birth Telomere length Telomere catastrophe TERT mRNA TERT mRNA Dosing Schedule Telomere extension rate Disease risk Time (years) 8 Prepared for Rejuvenation Tech Investors How TERT mRNA extends telomeres 5’ UTR Poly-A Tail Cap TERT mRNA 3’ UTR Delivery by lipid nanoparticles TERT mRNA Translation Functional TERT protein Telomere extension Modified Nucleosides Cell Cell 9 Prepared for Rejuvenation Tech Investors TERT mRNA advantages 5’ UTR Poly-A Tail TERT mRNA avoids the problems of other Cap approaches: 3’ UTR ✓ Safe TERT DNA gene therapy • Genomic integration, continuous TERT ✓ Transient expression • Immortalizing, unsafe ✓ Fast-acting • AAV causes genomic integration (Kaeppel, 2013) in tens of millions of cells per dose ✓ Telomere-specific • Companies: Telocyte, Libella ✓ Non-integrating Small molecule TERT activators • Screens since 1998 ✓ Non-immortalizing • Slow and ineffective • Chronic dosing, chronic activation ✓ Hypoimmunogenic • Companies: Sierra Sciences, TA Sciences ✓ Avoids the problems that Other genes • Transient expression of zscan4 for two days continue to stymie other generates cancer stem cells (Portney, 2020) valiant efforts • Company: Elixirgen 10 Prepared for Rejuvenation Tech Investors Pipeline INDICATION RESEARCH IN VIVO EFFICACY IND-ENABLING PHASE I Aging AGING Liver cirrhosis* TERT-101 2022 One formulation for LIVER Alcoholic hepatitis TERT-101 2022 multiple indications Pulmonary fibrosis* TERT-201 LUNG Hematopoietic stem cells Mesenchymal stem cells EX VIVO * Patients with TERT mutations, subpopulation available 11 Prepared for Rejuvenation Tech Investors Target milestones Months post close 0 6 12 18 24 FDA INTERACT (liver) Pre-IND meeting (liver) IND clearance (liver) Pre-IND meeting (lung) 12 Prepared for Rejuvenation Tech Investors [email protected] Rejuvenation Technologies Inc. © 2021 13.