FibroGen Reports Pharmacologic Stabilization of Hypoxia-Inducible
Factor (HIF) Prevents Brain Tissue Damage and Preserves Motor Function
in a Preclinical Model of Transient Ischemic Stroke
South San Francisco, Calif. - Feb. 9, 2007 - FibroGen, Inc.
today announced that pharmacologic stabilization of hypoxia-inducible
factor (HIF) using the company's proprietary small molecule inhibitors
of HIF-prolyl hydroxylase (HIF-PH) prevented brain tissue damage and
preserved motor function in a preclinical model of transient ischemic
stroke. The data were presented in the late-breaking abstract session
held yesterday evening at the International Stroke Conference (ISC) 2007
(Poster # LB P15).
The neuroprotective potential of pharmacologic HIF stabilization was
previously demonstrated in a model of permanent ischemic stroke in which
a HIF-PH inhibitor, FG-4539, provided significant tissue protection in
the brain when administered up to 5 hours after permanent occlusion of
the middle cerebral artery. The same compound was also shown to induce
cytoprotective genes in the central nervous system (see company press
release dated February 17, 2006).
The data presented at ISC described results from two new studies using
FG-4539 in a model of transient ischemic stroke: a short-term study
(48 hours) to assess tissue damage and a long-term study
(28 days) to assess functional recovery.
Short-term infarct study
In the short-term study, the middle cerebral artery of test rodents was
occluded for 60 minutes to induce ischemic injury in the brain. FG-4539
was orally administered once at the time of reperfusion (when blood flow
to the brain was restored) or twice, at the time of reperfusion and
24 hours later. Both dosing regimens of FG-4539 resulted in
significant reductions in total ischemic damage, core infarct size,
and amount of edema (swelling) as assessed 48 hours post transient
occlusion.
Long-term recovery study
In a long-term study, the middle cerebral artery of test rodents was
occluded for 90 minutes, and animals were allowed to recover for
28 days. FG-4539 was orally administered at the time of reperfusion,
24 hours later, and then every other day for the duration of
the study. Sensorimotor assessments made during the recovery period
indicated that animals treated intermittently with FG-4539 exhibited
accelerated recovery in grip strength and tactile adhesion tests when
compared to controls.
"These are early but promising preclinical results suggesting that
pharmacological stabilization of HIF has the potential to protect neuronal
tissue from acute injury and promote recovery of motor function over
the long term in the setting of stroke," said David Y. Liu, Ph.D., Vice
President of Research at FibroGen. "We believe the beneficial effects
of HIF-PH inhibitors designed to confer neuroprotection may result from
their ability to activate multiple HIF-mediated mechanisms that the body
naturally employs in defense against tissue damage or injury, such as
erythropoietin. Future studies will explore different dosing regimens
to optimize the therapeutic benefit of HIF-PH inhibitors."
About Stroke
Approximately 15 million people worldwide suffer a stroke each year
resulting in death or cognitive deficits. Ischemic stroke accounts for
approximately 87% of all stroke cases and is caused by a clot obstructing
the flow of blood to the brain. Hemorrhagic stroke accounts for the
remainder of stroke cases and is caused by a blood vessel rupturing and
bleeding into the surrounding brain tissue. In either case, the brain
is deprived of oxygen and nutrients. As a result, numerous pathological
pathways are triggered leading to the propagation of neuronal cell
death from the initial site of neuronal damage. In ischemic stroke,
additional damage can occur from tissue reperfusion when blood flow is
restored after the clot dissolves, either on its own or with the aid of
a thrombolytic agent.
FibroGen HIF-PH Inhibitor Therapeutic Platform
FibroGen is engaged in the discovery and development of small molecule
inhibitors of HIF-PH for therapeutic benefit in multiple clinical
settings. Using distinct HIF-PH inhibitors with unique pharmacodynamic
profiles, FibroGen seeks to selectively harness and direct HIF-mediated
biological pathways in different tissues to address organ-specific tissue
damage and pathophysiologies. FibroGen's first two HIF-PH inhibitors in
clinical development, FG-2216 and FG-4592, are designed to selectively
stimulate HIF-mediated erythropoiesis for the treatment of anemia. As part
of a separate therapeutic program, FG-4539 was discovered and optimized
as a cytoprotective molecule using an extensive array of
in vitro and in vivo assays. FibroGen scientists
have designed numerous compounds with desirable pharmacodynamic profiles
for use in treating a variety of conditions associated with tissue damage
or injury. In the kidney, for example, administration of FG-4539 and other
FibroGen HIF-PH inhibitors protects kidney function in animal models
of ischemia reperfusion injury and radiocontrast nephrotoxicity. In
preclinical myocardial infarction studies employing coronary artery
ligation, treatment with FG-4539 reduces infarct size and preserves
heart function as was observed in previous studies using different
HIF-PH inhibitors.
About FibroGen
FibroGen, Inc. is a biotechnology-based drug discovery company using
its expertise in the fields of tissue fibrosis, connective tissue growth
factor (CTGF), and hypoxia-inducible factor (HIF) biology to discover,
develop, and commercialize novel therapeutics for fibrotic disorders,
diabetic complications, anemia, conditions associated with tissue damage
or injury, cancer, and other areas of unmet medical need. FibroGen also
develops and produces recombinant human collagens and gelatins using
unique production technology that provides the basis for FibroGen's
proprietary cosmetic dermal filler and biomaterials supply business.
For more information about FibroGen, Inc., please visit
www.fibrogen.com.
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Contact:
Laura Hansen 650-866-7828 or lhansen@fibrogen.com