Imbrium Therapeutics LP

STAMFORD, Conn.--( BUSINESS WIRE )--Imbrium Therapeutics L.P. (“Imbrium”), a subsidiary of Purdue Pharma L.P. (“Purdue”), today announced the first patient has been randomized and dosed in a Phase 2 clinical study evaluating sunobinop for the potential treatment of moderate to severe alcohol use disorder (AUD).* Sunobinop is an investigational, novel and potential first-in-class oral compound designed to bind to and activate the nociceptin/orphanin-FQ peptide receptor (NOP), a protein that is widely expressed in the central and peripheral nervous system and involved in a range of biological functions. 1 “The National Institute on Alcohol Abuse and Alcoholism includes in its strategic plan the development of new medications to treat AUD, 2 while The National Institute on Drug Abuse has highlighted the potential use of NOP receptor agonists to treat substance use disorders, 3,4 ” said Craig Landau, MD, President and CEO, Purdue Pharma. “The sunobinop trial is an important part of our work to improve public health, and we look forward to learning more as we continue investigational efforts exploring sunobinop as a possible option to help individuals living with alcohol use disorder.” Preclinical studies have shown activation of NOP in AUD models reduces the reinforcing and motivating effects of ethanol (alcohol). 5,6 In humans, lower NOP activity in the brain (measured by PET imaging) has been associated with an increased risk of relapse in 22 recently abstinent patients with severe AUD who were followed for 12 weeks. 7 This randomized, double-blind, placebo-controlled study will seek to evaluate the effect of sunobinop on approximately 240 adult participants with moderate or severe AUD who are seeking treatment. Participants will receive either an oral dose of sunobinop or placebo to be taken at bedtime for 8 weeks, and their alcohol consumption will recorded/compared. In addition to studying sunobinop as a potential treatment option for AUD, Imbrium is also evaluating sunobinop for potential treatment of overactive bladder syndrome and interstitial cystitis/bladder pain syndrome. *This release discusses investigational uses of an agent in development and is not intended to convey conclusions about efficacy or safety. There is no guarantee that sunobinop will successfully complete development or gain FDA approval. About Imbrium Therapeutics L.P. Imbrium is a clinical-stage biopharmaceutical company dedicated to advancing medical science through the development of important new therapeutics. We are pursuing treatments for genitourinary disorders, disorders of the central nervous system, oncology chemotherapeutics, and non-opioid approaches to the management of pain. As a subsidiary of Purdue Pharma L.P., Imbrium strives to develop new medicines that serve the unmet needs of patients, physicians, and health systems worldwide. We have built a robust and diversified pipeline of investigational drug candidates, and we seek to actively collaborate with industry and academic partners to identify and advance future impactful medicines. For more information, please visit www.imbriumthera.com . References Lambert D. The nociceptin/orphanin FQ receptor: a target with broad therapeutic potential. Nat Rev Drug Discov. 2008;7:694–710. NIAAA. Strategic Plan: Fiscal Years 2024-2028, Goal 4: Improve Diagnosis and Expand Treatment of Alcohol Use Disorder and Alcohol-Related Conditions. National Institute of Alcohol Abuse and Alcoholism. Accessed October 29, 2024. https://www-niaaa-nih-gov.libproxy1.nus.edu.sg/about-niaaa/strategic-plan-fiscal-years-2024-2028/research-goals/goal-4-improve-diagnosis-and-expand-treatment-alcohol-use-disorder-and-alcohol-related Rasmussen K, White DA, Acri JB. NIDA’s medication development priorities in response to the Opioid Crisis: ten most wanted. Neuropsychopharmacology. 2019; 44: 657-659. Heidbreder C. Potential new Pharmacologic Developments for Opioid and Stimulant Use Disorders. National Institutes of Health HEAL Initiative. April 14, 2021. Accessed October 28, 2024. https://heal-nih-gov.libproxy1.nus.edu.sg/files/2021-07/pharmacotherapeutic-opioid-stimulant-heidbreder.pdf Ciccocioppo R, Panocka I, Polidori C, Regoli D, Massi M. Effect of nociceptin on alcohol intake in alcohol-preferring rats. Psychopharmacology. 1999;141(2):220-4. Kuzmin A, Sandin J, Terenius L, Ogren SO. Acquisition, expression, and reinstatement of ethanol-induced conditioned place preference in mice: effects of opioid receptor-like 1 receptor agonists and naloxone. J Pharmacol Exp Ther. 2003;304(1):310-8. Tollefson S, Stoughton C, Himes ML, et al. Imaging nociceptin opioid peptide receptors in alcohol use disorder with [11C]NOP-1A and positron emission tomography: Findings from a second cohort. Biol Psychiatry. 2023;94(5):416-423.

STAMFORD, CT, USA I August 05, 2024 I Imbrium Therapeutics L.P. (“Imbrium”), a subsidiary of Purdue Pharma L.P. (“Purdue”), has submitted an Investigational New Drug Application (IND) to the U.S. Food and Drug Administration (FDA) to evaluate sunobinop for the potential treatment of moderate to severe alcohol use disorder (AUD)*. Sunobinop is an investigational, novel and potential first-in-class oral compound discovered by our scientists that is currently in clinical development. Sunobinop is designed to bind to and activate the nociceptin/orphanin-FQ peptide receptor (NOP), a protein that is widely expressed in the central and peripheral nervous system 1 and involved in a range of biological functions. 2 “Over the past several years, the data collected to date in our sunobinop development program has supported this potent, partial and selective agonist 3 as a potential treatment approach for AUD and other serious conditions,” said Dr. Julie Ducharme, Vice President, Chief Scientific Officer. “As part of our ongoing commitment to improve public health as an R&D driven pharmaceutical company, we look forward to learning more about sunobinop and the role of NOP receptors in AUD,” said Craig Landau, MD, President and CEO, Purdue. Sunobinop Development Program Imbrium is evaluating sunobinop as a potential treatment option for AUD, as well as for overactive bladder syndrome (OAB) and interstitial cystitis/bladder pain syndrome (IC/BPS). This IND submission is informed from data that suggest NOP agonists, like sunobinop, have potential for the treatment of AUD. 4,5 Preclinical studies have shown activation of NOP in AUD models reduces the reinforcing and motivating effects of ethanol (alcohol). 6,7 In humans, NOP activity has been associated with relapse risk in patients with AUD. 8 The National Institute of Drug Abuse has identified NOP receptor agonists in the ten most wanted pharmacological mechanisms for rapid development of therapeutics to treat substance use disorder. 9 Sunobinop studies have suggested improvements in various sleep measurements. Building on these data, Imbrium intends to conduct a two-part, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the impact of sunobinop given at bedtime on alcohol consumption, as well as alcohol craving. In this Phase 2 study, a total of 240 subjects with moderate to severe AUD who are seeking treatment will be recruited. *This release discusses investigational uses of an agent in development and is not intended to convey conclusions about efficacy or safety. There is no guarantee that sunobinop will successfully complete development or gain FDA approval. About Imbrium Therapeutics L.P. Imbrium is a clinical-stage biopharmaceutical company dedicated to advancing medical science through the development of important new therapeutics. We are pursuing treatments for genitourinary disorders, disorders of the central nervous system, oncology chemotherapeutics, and non-opioid approaches to the management of pain. As a subsidiary of Purdue Pharma L.P., Imbrium strives to develop new medicines that serve the unmet needs of patients, physicians, and health systems worldwide. We have built a robust and diversified pipeline of investigational drug candidates, and we seek to actively collaborate with industry and academic partners to identify and advance future impactful medicines. For more information, please visit www.imbriumthera.com . References: 1. Zaveri N. The nociceptin opioid receptor (NOP) as a therapeutic target: Progress in translation from preclinical research to clinical utility. J Med Chem . 2016;59(15):7011-7028. 2. Lambert D. The nociceptin/orphanin FQ receptor: a target with broad therapeutic potential. Nat Rev Drug Discov . 2008;7:694–710. 3. Whiteside G, Kyle D, Kapil R, et al. The nociceptin/orphanin FQ receptor partial agonist sunobinop promotes non-REM sleep in rodents and patients with insomnia. J Clin Invest . 2024; 134(1):e171172 4. Kuzmin A, Sandin J, Terenius L, Ogren SO. Acquisition, expression, and reinstatement of ethanol-induced conditioned place preference in mice: effects of opioid receptor-like 1 receptor agonists and naloxone. J Pharmacol Exp Ther. 2003;304(1):310-8. 5. Kuzmin A, Kreek MJ, Bakalkin G, Liljequist S. The nociceptin/orphanin FQ receptor agonist Ro 64-6198 reducesalcohol self-administration and prevents relapse-like alcohol drinking. Neuropsychopharmacology 2007;32(4):902-10. 6. Ciccocioppo R, Panocka I, Polidori C, Regoli D, Massi M. Effect of nociceptin on alcohol intake in alcohol-preferring rats. Psychopharmacology . 1999;141(2):220-4. 7. Kuzmin A, Sandin J, Terenius L, Ogren SO. Acquisition, expression, and reinstatement of ethanol-induced conditioned place preference in mice: effects of opioid receptor-like 1 receptor agonists and naloxone. J Pharmacol Exp Ther . 2003;304(1):310-8. 8. Tollefson S, Stoughton C, Himes ML, et al. Imaging nociceptin opioid peptide receptors in alcohol use disorder with [11C]NOP-1A and positron emission tomography: Findings from a second cohort. Biol Psychiatry . 2023;94(5):416-423. 9. Rasmussen K, White DA, and Aci JB. NIDA’s medication development priorities in response to the Opioid Crisis: ten most wanted. Neuropsychopharmacology 2019; 44(4):657-659. SOURCE: Imbrium Therapeutics

STAMFORD, Conn.--(BUSINESS WIRE)-- Imbrium Therapeutics L.P. (“Imbrium”), a subsidiary of Purdue Pharma L.P. (“Purdue”), achieved last patient last visit in its Phase 1b study of the investigational drug sunobinop as a potential treatment for overactive bladder syndrome (OAB)*. Sunobinop is an investigational, novel and potential first-in-class oral compound discovered by Imbrium Therapeutics and that is currently in clinical development. Sunobinop is designed to bind to and activate the nociceptin/orphanin-FQ peptide receptor (NOP), a protein that is widely expressed in the central and peripheral nervous system1 and involved in a range of biological functions, including bladder function.2,3 Fifty-one female patients suffering from OAB were enrolled in this multicenter, randomized, double-blind, placebo-controlled crossover study. The study was designed to test the effects of sunobinop at bedtime on key disease symptoms, such as urinary urgency, frequency, incontinence, and nocturia in subjects with OAB compared to placebo. OAB is a life-long urologic disorder that reduces patients’ quality of life. The condition affects 14% of men and women in the U.S.4 "Millions of patients with overactive bladder are in need of additional treatment options for the disruptive, distressing symptoms. This study will help us learn more about sunobinop’s potential to be a new treatment option,” said Dr. Julie Ducharme, Vice President and Chief Scientific Officer. “We look forward to reviewing and analyzing the results later this year.” “We are pleased to achieve last patient last visit in the sunobinop Phase 1b study,” said Craig Landau, MD, President and CEO of Purdue. “Our continued progress in this work demonstrates our ongoing commitment to innovation through research and development.” In addition to OAB, Imbrium is also evaluating sunobinop as a potential treatment for interstitial cystitis/bladder pain syndrome (IC/BPS) and separately for alcohol use disorder. *This release discusses investigational uses of an agent in development and is not intended to convey conclusions about efficacy or safety. There is no guarantee that sunobinop will successfully complete development or gain FDA approval. About Imbrium Therapeutics L.P. Imbrium is a clinical-stage biopharmaceutical company dedicated to advancing medical science through the development of important new therapeutics. We are pursuing treatments for genitourinary disorders, disorders of the central nervous system, oncology chemotherapeutics, and non-opioid approaches to the management of pain. As a subsidiary of Purdue Pharma L.P., Imbrium strives to develop new medicines that serve the unmet needs of patients, physicians, and health systems worldwide. We have built a robust and diversified pipeline of investigational drug candidates, and we seek to actively collaborate with industry and academic partners to identify and advance future impactful medicines. For more information, please visit . References 1. Zaveri, N. The nociceptin opioid receptor (NOP) as a therapeutic target: Progress in translation from preclinical research to clinical utility. J Med Chem. 2016; 59(15): 7011-7028. 2. Lambert, D. The nociception/orphanin FQ receptor: a target with broad therapeutic potential. Nat. Rev. 2008 Aug;7(8):694-710. 3. Lazzeri, M., Calò, G., Spinelli, M., et al. Daily intravesical instillation of 1 mg nociceptin/orphanin FQ for the control of neurogenic detrusor overactivity: a multicenter, placebo controlled, randomized exploratory study. J Urol. 2006 Nov;176(5):2098-102. 4. Reynolds, W., Fowke, J., & Dmochowski, R. The burden of overactive bladder on US public health. Current Bladder Dysfunct Rep. 2016 Mar;11(1):8-13. MR-08567