Verona Pharma PLC RPL554 data presented at North American CF Conference
October 08 2015 - 6:30AM
UK Regulatory
TIDMVRP
Verona Pharma plc
("Verona Pharma" or the "Company")
Data demonstrating PDE3/4 inhibitor RPL554 enhances CTFR-dependent currents in
cystic fibrosis airway epithelia
Poster presented at North American Cystic Fibrosis Conference, USA
8 October 2015, Cardiff - Verona Pharma plc (AIM: VRP.L), the drug development
company focused on first-in-class medicines to treat respiratory diseases,
announces that a poster will be presented later today at the North American
Cystic Fibrosis Conference in Phoenix, Arizona, USA, 8-10 October 2015.
Poster number 231, entitled: "The Dual Phosphodiesterase 3 and 4 Inhibitor,
RPL554, Enhances Forskolin-Stimulated, CTFR-Dependent Currents in Cystic
Fibrosis Airway Epithelia" investigated the effect of RPL554, an inhaled dual
PDE3/4 inhibitor, on the Cystic Fibrosis Transmembrane conductance Regulator
(CFTR), an anion channel that is mutated in Cystic Fibrosis (CF).
In a preclinical model, RPL554 was shown to have CFTR-stimulatory properties
and that CFTR activation by RPL554 is mediated by its inhibition of PDE4 in
cells from CF patients with the R117H/F508del mutation. The data reported
suggest that CFTR activation may contribute to the action of inhaled RPL554 in
chronic obstructive pulmonary disease (COPD) and asthma, and further support
the concept that RPL554 may be an attractive novel therapeutic option for the
treatment of CF, an orphan disease with about 70,000 people afflicted
worldwide. This work was partly funded through the Venture and Innovation Award
which Verona Pharma received from the UK CF Trust in November 2014. This poster
also extends the work presented at the 2014 North American Cystic Fibrosis
Conference in Atlanta, Georgia, USA, announced in a press release on 29
September 2014.
Verona Pharma's lead drug, RPL554, is a first-in-class drug currently in Phase
II trials as a nebulised treatment for acute exacerbations of COPD in the
hospital setting.
The full abstract for this poster is reproduced below.
THE DUAL PHOSPHODIESTERASE 3 AND 4 INHIBITOR, RPL554 ENHANCES
FORSKOLIN-STIMULATED, CFTR-DEPENDENT CURRENTS IN CYSTIC FIBROSIS AIRWAY
EPITHELIA
Mark J. Turner1, Elizabeth Matthes1, Kathy Abbott-Banner2, Scott H. Randell3
and John W. Hanrahan1
1 Dept. of Physiology, McGill University, Montréal, Canada
2 Verona Pharma plc, London UK
3 UNC Chapel Hill, Chapel Hill NC
Efficient spatial and temporal regulation of cAMP is required for cell signal
transduction by protein kinase A (PKA) and the exchange protein directly
activated by cyclic AMP (EPAC). The enzymes responsible for degrading cAMP are
the cyclic nucleotide phosphodiesterases (PDEs), of which at least 11 different
isoforms have been identified in humans. The Cystic Fibrosis Transmembrane
conductance Regulator (CFTR) is the PKA-activated anion channel that is mutated
in Cystic Fibrosis (CF). Inhibitors of both PDE3 and PDE4 have been shown to
elevate intracellular cAMP and activate CFTR in various airway epithelial
models, suggesting they could serve as potential therapeutic targets for CF.
Using qPCR, of the 7 PDEs surveyed, we found PDE4D to be the most highly
expressed isoform in CFBE-WT and CFBE-F508del cells, contributing 64% of the
total PDE expression in both cell lines (n=3). Relatively high levels of PDE7A
(11.1 ± 2.6% of the total in WT cells and 7.5 ± 0.7% in ?F-508 cells; n=4; p>
0.05) and PDE8A (27.2 ± 4.7% in WT cells and 18.1 ± 1.2% in F508del cells; n=3;
p<0.01) were also observed, suggesting they may also contribute to CFTR
regulation. RPL554, a dual PDE3/4 inhibitor in Ph2a clinical trials, is a
"first-in-class" inhaled treatment for respiratory diseases and has been shown
to have significant bronchodilator and anti-inflammatory (including
anti-neutrophilic) activity in humans (Franciosi, L.G., et al., Lancet Respir
Med, 2013. 1(9) 714-727). RPL554 caused a dose-dependent increase in
CFTR-dependent short circuit current (Isc) across CFBE-WT cells, with 10?M
RPL554 eliciting 65.9 ± 4.5% (n=3) of the maximal forskolin response. Similar
results were also obtained with primary WT human bronchial epithelial cells. To
determine if the RPL554 stimulation was mediated by inhibition of PDE3 or PDE4
in primary human bronchial epithelial cells (HBEs), and whether PDE inhibition
was able to activate CFTR in CF airway epithelia, the specific PDE inhibitors
Milrinone (PDE3) and Rolipram (PDE4) were tested on HBEs from three R117H/
F508del CF patients. Forskolin (2?M) increased Isc by 1.43 ± 0.11?A cm-2 (n=
16), which was enhanced to 2.06 ± 0.19?A cm-2 in cells that had been
pre-treated with Lumacaftor for 24 h (p<0.01; n=15) demonstrating Lumacaftor
was able to act as a corrector in these cells. The acute addition of Rolipram,
RPL554, and Rolipram + Milrinone (without Lumacaftor pre-treatment) increased
forskolin-stimulated Isc by 0.92 ± 0.17?A cm-2 (p<0.01; n=5), 0.92 ± 0.19?A
cm-2 (p<0.05; n=8) and 0.64 ± 0.14?A cm-2 (p<0.05; n=9), respectively. No
increase was induced by Milrinone alone (Isc increased by -0.03 ± 0.10?A cm-2;
n=5). The similar magnitude of the response caused by Rolipram and RPL554,
together with the absence of an effect of Milrinone, suggests that the CFTR
activation by RPL554 is mediated by inhibition of PDE4. These data suggest that
CFTR activation may contribute to the action of inhaled RPL554 in COPD and
asthma and further support the concept that RPL554 may be an attractive novel
therapeutic option for the treatment of CF.
Work supported by a Venture and Innovation Award from the UK CF Trust.
-Ends-
For further information please contact:
Verona Pharma plc Tel: +44 (0)20 3283 4200
Jan-Anders Karlsson, Chief Executive
Officer
N+1 Singer Tel: +44 (0)20 7496 3000
Aubrey Powell / Jen Boorer
FTI Consulting Tel: +44 (0)20 3727 1000
Simon Conway / Stephanie Cuthbert /
Natalie Garland-Collins
Notes to Editors
About Verona Pharma plc
Verona Pharma plc is a UK-based clinical stage biopharmaceutical company
focused on the development of innovative prescription medicines to treat
respiratory diseases with significant unmet medical needs, such as chronic
obstructive pulmonary disease (COPD), asthma and cystic fibrosis.
Verona Pharma's lead drug, RPL554, is a first-in-class drug currently in Phase
II trials as a nebulised treatment for acute exacerbations of COPD in the
hospital setting. The drug is a dual phosphodiesterase (PDE) 3/4 inhibitor and
therefore has both bronchodilator and anti-inflammatory effects, which are
essential to the improvement of patients with COPD and asthma.
Verona Pharma is also building a broader portfolio of RPL554-containing
products to maximise its benefit to patients and its value. This includes the
very significant markets for COPD and asthma maintenance therapy. The Company
is also exploring the potential of the drug in different diseases, such as
cystic fibrosis, where it is in pre-clinical testing and has received a Venture
and Innovation Award from the Cystic Fibrosis Trust.
END
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