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perlsteinlab.com

info@perlsteinlab.com

@perlsteinlab
Mission
Precision medicine for orphan disease patients
Experience

Ethan O. Perlstein, PhD
Founder

Lewis-Sigler Fellow
2007-2012

Ph.D. in
chemical biology
2001-2006

B.A. in
sociology
1997-2001

Milestones

founded in Dec 2013

located in San Francisco
and part of QB3 network

affiliated with Janssen Labs
Problem
95% of orphan diseases have no FDA approved drug.
Solution
Perlstein Lab’s patient-centered approach

1 in 12 people has an
orphan disease

every orphan disease has
a spectrum of mutations

PL generates proprietary
personalized orphan drug
candidates for each mutation
Market
In the US alone there are 30M orphan disease patients.
1,500 diagnosed
single-gene
diseases

3,000 total
single-gene
diseases

6,000 genetic
diseases
Leveraging primordial models

Danio rerio

70% shared ancestry

Drosophila melanogaster

60% shared ancestry

Caenorhabditis elegans

38% shared ancestry

Saccharomyces cerevisiae

31% shared ancestry

Recent advances in DNA
sequencing and genome editing
enable patient-tailored drug
discovery for thousands of
conserved orphan disease
genes.
Platform
lead optimization

safety and efficacy studies
in patient-derived cells
rapid, scalable
growth-based
drug screens
mutation-matched
genome-edited primordial
models
orphan patient
genetic profiles

0 months

3 months

6 months

“Lead gen for orphan drug developers”

18 months
Scaling the platform
PL is initially focusing on Lysosomal Storage Diseases, which are estimated to afflict
over 1M patients globally, but each LSD is caused by at least 50 different mutations.
Tay-Sachs
Sialidosis
Morquio A
Fucosidosis
Pompe disease
Griscelli Type 3
Chediak-Higashi
Mucolipidosis IV
Pycnodystostosis
Metachromatic
leukodystrophy I
Globoid cell
leukodystrophy
Pseudo-Hurler
polydystrophy

GM2 gangliosidosis

Niemann-Pick A/B

MPS Type I

Griscelli Type 1

MPS Type II

Griscelli Type 2

MPS Type IIIa
MPS Type IIIb
MPS Type IIIc
MPS Type IIId
MPS Type IVB
MPS Type VI
Gaucher Type II

Ceroid lipofuscinosis 2

Schindler disease

Ceroid lipofuscinosis 6

Metachromatic
leukodystrophy II

Ceroid lipofuscinosis 8

Sandhoff disease
Salla disease
Gaucher Type 1
MPS Type VII
β-Mannosidosis

Niemann-Pick Type C
Incidence: 1 in 130,000 births
Prevalence: 2-3,000 patients
# of mutations: > 200 known

α-Mannosidosis
Fabry disease
Cystinosis
Ceroid lipofuscinosis 1
Aspartylglucosaminuria

Niemann-Pick C
Batten disease
Wolman disease

Primordial
disease gene
present?
Team
Full time
Scientist
#1

Scientist
#3

CROs

Contract

Advisors

Scientist
#2

Linda Avey

Cathy Stewart

entrepreneurship

academic drug discovery

Scientist
#4

CMOs

John Alan Tucker
medicinal chemistry

Oli Rayner
patient advocacy

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Perlstein Lab Deck

  • 2. Mission Precision medicine for orphan disease patients
  • 3. Experience Ethan O. Perlstein, PhD Founder Lewis-Sigler Fellow 2007-2012 Ph.D. in chemical biology 2001-2006 B.A. in sociology 1997-2001 Milestones founded in Dec 2013 located in San Francisco and part of QB3 network affiliated with Janssen Labs
  • 4. Problem 95% of orphan diseases have no FDA approved drug.
  • 5. Solution Perlstein Lab’s patient-centered approach 1 in 12 people has an orphan disease every orphan disease has a spectrum of mutations PL generates proprietary personalized orphan drug candidates for each mutation
  • 6. Market In the US alone there are 30M orphan disease patients. 1,500 diagnosed single-gene diseases 3,000 total single-gene diseases 6,000 genetic diseases
  • 7. Leveraging primordial models Danio rerio 70% shared ancestry Drosophila melanogaster 60% shared ancestry Caenorhabditis elegans 38% shared ancestry Saccharomyces cerevisiae 31% shared ancestry Recent advances in DNA sequencing and genome editing enable patient-tailored drug discovery for thousands of conserved orphan disease genes.
  • 8. Platform lead optimization safety and efficacy studies in patient-derived cells rapid, scalable growth-based drug screens mutation-matched genome-edited primordial models orphan patient genetic profiles 0 months 3 months 6 months “Lead gen for orphan drug developers” 18 months
  • 9. Scaling the platform PL is initially focusing on Lysosomal Storage Diseases, which are estimated to afflict over 1M patients globally, but each LSD is caused by at least 50 different mutations. Tay-Sachs Sialidosis Morquio A Fucosidosis Pompe disease Griscelli Type 3 Chediak-Higashi Mucolipidosis IV Pycnodystostosis Metachromatic leukodystrophy I Globoid cell leukodystrophy Pseudo-Hurler polydystrophy GM2 gangliosidosis Niemann-Pick A/B MPS Type I Griscelli Type 1 MPS Type II Griscelli Type 2 MPS Type IIIa MPS Type IIIb MPS Type IIIc MPS Type IIId MPS Type IVB MPS Type VI Gaucher Type II Ceroid lipofuscinosis 2 Schindler disease Ceroid lipofuscinosis 6 Metachromatic leukodystrophy II Ceroid lipofuscinosis 8 Sandhoff disease Salla disease Gaucher Type 1 MPS Type VII β-Mannosidosis Niemann-Pick Type C Incidence: 1 in 130,000 births Prevalence: 2-3,000 patients # of mutations: > 200 known α-Mannosidosis Fabry disease Cystinosis Ceroid lipofuscinosis 1 Aspartylglucosaminuria Niemann-Pick C Batten disease Wolman disease Primordial disease gene present?
  • 10. Team Full time Scientist #1 Scientist #3 CROs Contract Advisors Scientist #2 Linda Avey Cathy Stewart entrepreneurship academic drug discovery Scientist #4 CMOs John Alan Tucker medicinal chemistry Oli Rayner patient advocacy