4. • TB is the leading infectious disease
killer, and a top 10 killer worldwide.
• TB kills 1 person nearly every 18
seconds; 1.8 million die each year.
• 10.4 million new cases annually.
• Leading killer of people with AIDS.
• Drug resistance is on the rise—
580,000 annual cases.
• 1 million children become ill with TB
each year and 210,000 die.
TB Pandemic
Chris Cooper
5. Current TB Therapy
LONG
TB treatment today takes 6-30 months.
OLD
Arsenal of drugs developed mostly in 1960s.
COMPLEX
Many pills must be taken daily; drug-resistant
treatment includes daily injections.
EXPENSIVE
Drug-resistant (DR) TB drugs can cost >$10,000
per treatment.
INADEQUATE
Breeds resistance & default; incompatible with
some HIV treatments; DR-TB treatment often
fails.
One day of treatment for
drug-resistant TB
5
6. 6
Catalyzing and advancing new TB cures
TB Alliance: A Product Development Partnership (PDP)
6
Not for profit organization founded in 2000,
with offices in New York, USA; and Pretoria,
South Africa (total staff: 48)
Developing new TB drugs—and redefining
the way TB drugs are developed
Virtual business model promotes innovation and
efficient, rapid progress
Leverage global pipeline of drugs to find the most
promising TB regimens
Transform TB treatment with new regimens that
treat drug-sensitive and drug-resistant TB
Ensure beneficial new TB regimens are quickly and
widely adopted
Largest TB drug pipeline in history
7. 7
Achieving maximum impact will
require:
• Short, simple regimens that are
adopted, available and affordable.
• Ideally, a universal regimen
consisting of all novel drugs that is
effective in all people with active
TB.
• All TB treatments are appropriately
formulated for children.
Discover, develop and deliver better and faster TB regimens
Our Vision: Better TB Medicines for All
7
8. Success will require novel drug combinations
Product Development Strategy
Current
Treatment
6-30
Months
New Treatments in
Development
3-6
Months
Aspirational
Goal
7-10
Days
8
12. 12
In Vitro ADME/Tox Testing (CRO #4)
• Solubility (clogD), plasma protein binding, %F.
• Metabolic stability, CYP450, hERG, Cytotoxicity liabilities, etc.
Mouse PO PK (CRO #4).
Analogue Synthesis
(CRO #1)
SAR/SLR
In Vitro Testing (Research Institute #3)
• Whole Cell Activity – Replicating and non-replicating
In Vivo PoC (Chronic Efficacy in Mice) (Research Institute #6)
In Vivo PoC (Acute Efficacy in Mice) (Research Institute #5)
In Vitro Testing (University #2)
• Activity against isolated enzyme
• MoA, MoR
“Typical” TB Alliance Lead Optimization Project
Multiple data sources
Lab-to-lab variability, as well as
site-to-site
Multiple data types
Assimilate, integrate and
analyze relevant data
Improve decision-making
28. In Vitro ADME/Tox Testing (CRO #4)
• Solubility (clogD), plasma protein binding, %F.
• Metabolic stability, CYP450, hERG, Cytotoxicity liabilities, etc.
Mouse PO PK (CRO #4).
Analogue Synthesis
(CRO #1)
SAR/SLR
In Vitro Testing (Research Institute #3)
• Whole Cell Activity – Replicating and non-replicating
In Vivo PoC (Chronic Efficacy in Mice) (Research Institute #6)
In Vivo PoC (Acute Efficacy in Mice) (Research Institute #6)
In Vitro Testing (University #2)
• Activity against isolated enzyme
• MoA, MoR
“Typical” TB Alliance Lead Optimization Project
Multiple data sources
Lab-to-lab variability, as well as
site-to-site
Multiple data types
Assimilate, integrate and
analyze relevant data
Improve decision-making
Chris Cooper
29. Integration of CDD
• Available to all TB Alliance research partners
(CRO’s, universities, research institutes) to
facilitate direct data upload.
• CDD Vault integrated across TB Drug
Accelerator (TBDA) consortium -> enhanced
project coordination for global TB network.
• Initial raw data can be uploaded to private
“sandbox” -> permits data QC prior to
publication.
30. Integration of CDD
• Single data source for:
– Compound batch registration
– Chemical structures, descriptors
– In vitro biochemical data
– In vivo pharmacokinetic data
– In vivo efficacy data
– Tox. data, etc.
– Biological/pharmacological
protocols
• CDD Visualization-> Provides
simple graphical interface view
of data parameters/trends.
31. In Vitro ADME/Tox Testing (CRO #4)
• Solubility (clogD), plasma protein binding, %F.
• Metabolic stability, CYP450, hERG, Cytotoxicity liabilities, etc.
Mouse PO PK (CRO #4).
Analogue Synthesis
(CRO #1)
SAR/SLR
In Vitro Testing (Research Institute #3)
• Whole Cell Activity – Replicating and non-replicating
In Vivo PoC (Chronic Efficacy in Mice) (Research Institute #6)
In Vivo PoC (Acute Efficacy in Mice) (Research Institute #6)
In Vitro Testing (University #2)
• Activity against isolated enzyme
• MoA, MoR
“Typical” TB Alliance Lead Optimization Project
Multiple data sources
Lab-to-lab variability, as well as
site-to-site
Multiple data types
Assimilate, integrate and
analyze relevant data
Improve decision-making
32. Integration of Optibrium (StarDrop)
• Provides intuitive graphical depictions of important SAR/SLR
trends (physicochemical, potency/efficacy, toxicities, etc.).
33. Integration of Optibrium (StarDrop)
!!!!!!
• Multidimensional chemistry space models -> provide guidance
for new analogue design and synthesis.
Integration of CDD + StarDrop has improved the quality and
speed of med. chem. decision-making across TB Alliance
discovery portfolio