• Algernon Pharmaceuticals has initiated an NP-120 (Ifenprodil) small cell lung cancer (SCLC) research program
  • Dr. William North, professor emeritus at Dartmouth College and cancer research pioneer, has been named as lead consultant
  • SCLC is a high-grade neuroendocrine carcinoma arising predominantly in current or former smokers and has an exceptionally poor patient prognosis
  • In a recent study, Ifenprodil in combination with chemotherapeutic agent topotecan completely blocked tumour growth
  • The company is planning to submit a pre-IND (Investigational New Drug) meeting request with the U.S. Food and Drug Administration
  • Algernon is a clinical-stage pharmaceutical development company
  • Algernon Pharmaceuticals Inc. (AGN) opened trading at C$0.115 per share

Algernon Pharmaceuticals has initiated an NP-120 (Ifenprodil) small cell lung cancer (SCLC) research program.

Dr. William North, professor emeritus at Dartmouth College and cancer research pioneer, has been named as lead consultant. SCLC is a high-grade neuroendocrine carcinoma arising predominantly in current or former smokers and has an exceptionally poor patient prognosis. SCLC accounts for approximately 15 per cent of all lung cancer cases.

In a study published in January 2019, Ifenprodil in combination with chemotherapeutic agent topotecan produced clear additive effects that completely blocked tumour growth.

Key findings from the study:

  • Incubation of NCI H82 cells with Ifenprodil in vitro significantly reduced key components of the ERK 1/2 growth cascade. The activation of the ERK/MAPK signalling pathway promotes proliferation and has an anti-apoptotic effect. In addition, levels of poly(ADP-ribose) polymerase (PARP), a DNA repair protein were reduced (X0.38), while cell apoptosis was increased (X5.21). NCI H82 has been described as a “variant” and is representative of recurrent disease.
  • 48 hr incubation with Ifenprodil doses <50μM reduced NCI H82 cell viability significantly (P<0.01) with an IC50 produced by doses of >106μM. Additionally, clear additive effects with topotecan were shown, as co-incubation with 4μM topotecan reduced Ifenprodil’s IC50 from 106μM to 7.3μM (P<0.0001).
  • Xenografts from mice receiving a daily dose of Ifenprodil (2.5 mg/kg) over 10 days decreased their size by ~30 per cent and maintained them at a size below that at day 0 until treatment ceased at day 10. Afterwards, tumours began to recover and grow but at the same rate as control tumours (P<0.001). 2.5 mg/kg is considered a well-tolerated dose and did not impact the health of the animals.
  • Xenografts from mice receiving alternate day doses of Ifenprodil over 9 days (2.5 mg/kg) or topotecan (days 0, 2 and 4) showed slowed tumour growth compared to vehicle-treated controls so that each agent restricted the rise in tumour size to about 2.5-times by day 16, while controls rose to an average of 9.2-times. Tumour doubling times were 4 days for controls, 9 days for topotecan treatment, and 12 days for Ifenprodil treatment.
  • Xenografts from mice receiving alternate day doses of Ifenprodil (2.5 mg/kg) plus 3 mg/kg topotecan on days 0, 2 and 4 seemed to arrest all growth over the 16 days of observation, and the tumours of all individual animals behaved in a similar manner with little scatter. From this study, there was clear addition through the topotecan and Ifenprodil combination (P<0.01) with marked synergy for smaller tumours (P=4.7E−4).
  • Xenografts from mice receiving alternate day doses of Ifenprodil (2.5 mg/kg) plus 50 mg/kg cyclophosphamide on days 0, 1 and 2 produced a clear additive effect (P<0.03), preventing tumour growth.

Algernon announced that it signed an exclusive licensing agreement with Dartmouth College to acquire the rights to a method of use patent for treating neuroendocrine cancers which express functional N-methyl-D-aspartate (NMDA) receptors.

The company is planning to submit a pre-IND (Investigational New Drug) meeting request with the U.S. Food and Drug Administration to present all elements of the SCLC cancer clinical program design to receive the agency’s guidance and advice. This program will be the second cancer-based initiative the company has launched, following the recent announcement of the start of its pancreatic cancer research program.

“We are very pleased to be expanding our Ifenprodil cancer research program to include SCLC,” said Christopher J. Moreau, CEO of Algernon Pharmaceuticals. “We also welcome Dr. William North to help us lead the investigation of Ifenprodil’s potential as a new non-toxic cancer therapy.”

Dr. William North is a Professor Emeritus of Physiology and Neurobiology at the Geisel School of Medicine at Dartmouth College and was a Senior Faculty member of the Norris Cotton Cancer Center. Dr. North was appointed Professor in 1988 and joined the medical school in 1974.

Dr. North has served on several Advisory Councils, including NIH and DOD Study Sections, is a member of the CALGB, the American Association for Cancer Research, the Endocrine Society and AAAS, and is a Fellow of the International Neuropeptide Society.

Dr. North has published extensively with 232 scientific manuscripts and 17 reviews and book chapters and is an inventor of several U.S. Patents.

Dr. North holds a Ph.D. in Biochemistry, and in Physiology, from the University of Queensland, Australia, an MS (equivalent) from Melbourne University, and an honorary MA degree from Dartmouth College.

Algernon is a clinical-stage pharmaceutical development company that investigates safe, approved drugs for new disease applications.

Algernon Pharmaceuticals Inc. (AGN) opened trading at C$0.115 per share.

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