Commercialization of ALM-488 for Highlighting Nerves During Image Guided Surgeries

用于在图像引导手术期间突出神经的 ALM-488 的商业化

• 批准号: 10701737
• 负责人: Brett J. Berman
• 金额: $ 169.06万
• 依托单位: ALUME BIOSCIENCES, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10701737
• 关键词: Acceleration; Anatomy; Animals; Award; Binding; Biological Sciences; Canis familiaris; Clinical; Clinical Trials; Color; Companions; Complement; Contracts; Data; Development; Dose; Dyes; Ensure; Equity; Erectile dysfunction; Exhibits; Feedback; Formulation; Funding; Funding Mechanisms; Goals; Grant; Head and Neck Cancer; Head and Neck Surgery; Human; Image; Image-Guided Surgery; Incontinence; Infection; Injury; Interview; Intravenous; Intravenous infusion procedures; Laboratories; Light; Lighting; Marketing; Medical Imaging; Methods; Morbidity - disease rate; Motor; National Institute of Neurological Disorders and Stroke; Nerve; Nerve Tissue; Numbness; Operating Rooms; Operative Surgical Procedures; Paralysed; Patient-Focused Outcomes; Patients; Peptides; Perception; Peripheral Nerves; Pharmaceutical Preparations; Pharmacology; Phase; Phase I/II Clinical Trial; Phase I/II Trial; Positioning Attribute; Postoperative Period; Price; Procedures; Process; Production; Rattus; Recovery; Resource-limited setting; Risk; Rodent; Safety; Series; Site; Small Business Innovation Research Grant; Structure; Surgeon; Surgical Specialties; Surveys; Testing; Texture; Tissues; Toxic effect; Toxicity Tests; Toxicology; Trauma; Tumor Cell Invasion; United States National Institutes of Health; Visual; Visualization; Work; afferent nerve; autonomic nerve; cancer surgery; chronic pain; clinical candidate; clinical efficacy; clinical translation; commercialization; commercialization readiness; imaging agent; improved; in vivo; instrumentation; manufacture; manufacturing scale-up; method development; multi-site trial; nerve agent; nerve damage; nerve injury; novel; phase III trial; polypeptide; pre-clinical; preservation; prevent; programs; protein aminoacid sequence; spared nerve

PROJECT SUMMARY Fundamental to the goals of surgery are functional preservation of critical nerves and minimization of post- operative patient morbidity. Unfortunately, inadvertent nerve injury during surgery continues to be a major cause of post-surgical patient morbidity due to the inability of surgeons to visualize nerves during surgery. Nerve injury during surgery can lead to chronic pain, numbness, permanent paralysis, incontinence, and erectile dysfunction. Current nerve identification strategies utilize non-quantifiable criteria such as anatomy, texture, color, and relationship to surrounding structures to distinguish nerves from non-nerve tissues. In instances of trauma, tumor invasion, or infection, nerve identification using the above criteria is especially challenging and often fails to prevent nerve damage. Using white light reflectance, which is the standard mode of illumination in operating rooms, the visual difference between small nerves and adjacent tissue can be imperceptible. There is an unmet need to improve the intraoperative visualization of nerves to preserve nerve function and minimize patient morbidity following surgery. There are currently no clinically approved agents that enhance nerve contrast during surgery. Alume Biosciences has advanced a first-in-class IV-administered agent for nerve visualization. This candidate, ALM-488, is a peptide dye conjugate that binds motor, sensory, and autonomic nerves in vivo and enables nerve visualization with high nerve to non-nerve contrast with no inherent toxicity. ALM-488 is currently being evaluated in a clinical trial in head and neck cancer surgery patients to establish safety and efficacy for clinical use. In this CRP proposal, Alume proposes to accelerate ALM-488 towards a final NDA-enabling Phase 3 trial and commercialization by 1) manufacturing drug substance and drug product stability lots to satisfy NDA requirements; 2) completing Phase 3-enabling toxicology studies; and 3) performing a U.S. market assessment to inform market positioning. Alume anticipates that clinical translation of ALM-488 will be transformative for the surgical field to prevent inadvertent injury during surgery and improve post-operative patient outcomes.

项目总结