A small startup based in San Diego and Shanghai believes it has figured out how to boost hemoglobin levels with a pill, potentially offering a cheaper and simpler alternative to expensive and onerous gene editing therapies for sickle cell disease and beta thalassemia.
GluBio Therapeutics is planning Phase 1 clinical trials for two experimental drugs later this year. The work has attracted Sanofi’s attention, which is investing $30 million, the startup told
Endpoints News
in an exclusive interview.
Sanofi will have first dibs on negotiating a license for the two drugs, which belong to a class of compounds called molecular glues that stick to proteins and mark them for destruction. By targeting two proteins that repress the production of fetal hemoglobin, GluBio hopes to restore the oxygen-carrying molecule that most people stop making after birth.
The approach is conceptually similar to the mechanism of Casgevy, the gene editing therapy sold by CRISPR Therapeutics and Vertex Pharmaceuticals, which
targets one of the genetic switches
that keeps fetal hemoglobin turned off in children and adults.
Other companies are on the same trail as GluBio, including
Bristol Myers Squibb
and
Novartis
, which have quietly begun their own Phase 1 studies of small molecules that boost fetal hemoglobin.
The startup will run the Phase 1a study in healthy volunteers in China, which CEO Gang Lu said can be done in roughly half the time and at a quarter of the cost of a similar study in the US. “That’s the reason that Sanofi asked us to complete Phase 1 trials,” he said.
The idea that a small molecule drug, which must be taken chronically, could compete with a one-time treatment is a surprising twist in the sickle cell saga.
When the CRISPR therapy was approved just over two years ago, it was heralded as a highly-anticipated cure for a long-neglected disease. Sensing that the window for new treatments was closing, several other companies stopped developing their own experimental therapies.
But as of January, only about
60 patients
have received the $2.2 million gene editing treatment — compared with approximately
100,000 patients
in the US. That slow uptake, coupled with Pfizer’s decision to pull its sickle cell pill Oxbryta off the market for safety reasons, has reopened the door for rivals.
Two obscure proteins dubbed WIZ and ZBTB7A are at the center of the molecular glue approach. The CRISPR therapy inhibits a different transcription factor called BCL11A, but GluBio believes its drugs will have a similar effect.
“It’s the same pathway,” Lu said. “We saw the same level of fetal hemoglobin induction.”
The
Novartis compound
degrades WIZ, and the
BMS compound
is a dual degrader of both WIZ and ZBTB7A — which biologists once playfully referred to as Pokémon before the game company
threatened to sue
. GluBio is advancing both a WIZ degrader and a dual degrader.
The new funding brings GluBio’s total raised to $117 million since its launch in 2021. The company was born of Lu’s frustration with working on protein degraders at bigger companies — first at Celgene, which was acquired by Bristol Myers, and then briefly at the protein degrader startup Neomorph. He had ideas for new drug targets that he wanted to explore, but his supervisors either turned them down or said he would have to wait for the board’s approval.
“I didn’t feel like I had the freedom to operate,” Lu said. “So that’s why I left Neomorph after four months and co-founded GluBio.”
He was joined by Liqiang Fu, a chemist who was running into similar hurdles getting his ideas cleared at Johnson & Johnson’s protein degradation unit in China. Backed with $20 million in seed funding, the duo launched GluBio in 2021 and raised a $67 million Series A the following year.
Today, Lu helms an eight-person biology team in San Diego, and Fu leads a 14-person chemistry team in Shanghai. The company already has molecular glues targeting two emerging cancer targets, CK1α and IKZF1/3, in clinical trials.
GluBio’s investors are all Chinese firms, and include Kaitai Capital, Legend Capital, K2VC, Hillhouse Capital, Qiming Venture Partners, Lilly Asia Ventures and E Fund. They’ve given the company “more freedom” to explore relatively novel biology, Lu said.
“We come up with an idea, we ask scientists to set up experiments. Typically, in a couple of weeks, we have an answer, and we nominate a program right away,” he said.