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Pacylex Pharmaceuticals Reports Zelenirstat Disrupts Oxidative Phosphorylation in Cancer Cells at AACR 2024

Defines a second potential mechanism which may account for early signs of zelenirstat anti-cancer activity in the Phase 1 study
Key Takeaways
  • Zelenirstat is a dual-action drug targeting pro-survival signaling and OXPHOS through deregulation of mitochondrial complex I.
  • Stable disease was observed in eight (28%) patients in the Phase 1 study, mostly at the 210mg dose.
  • Progression free and overall survival were significantly better in patients receiving 210mg compared to those receiving lower doses.

Edmonton, Alberta, Canada April 8, 2024. Pacylex Pharmaceuticals Inc. (Pacylex) is a clinical-stage pharmaceutical company focused on the development of a new class of targeted therapies, N-myristoyltransferase inhibitors (NMTi) for the treatment of hematologic and solid tumor cancers. Today Pacylex announced that new data demonstrating that zelenirstat, a proprietary, potent, NMTi, reduces Complex I formation and oxidative phosphorylation in the mitochondria of cancer cells, will be presented at the American Association for Cancer Research (AACR) Annual Meeting from April 5-10, 2024, in San Diego, California. This new insight may help account for the effect zelenirstat had on refractory/ relapsed (r/r) cancers in a recent Phase 1 study whose results are also presented.

A poster will be presented describing the Company’s Phase 1 study safety results and efficacy signals, as well as evidence for profound disruption of Complex I formation in mitochondria of cancer cell with concomitant loss of oxidative phosphorylation. The Company’s CEO, Dr. Michael Weickert, will be available during the poster session and for one-on-one meetings. The details of the poster are below:

“The evidence that zelenirstat disrupts energy production in the mitochondria of cancer cells has profound implications for cancer treatment since mitochondrial oxidative phosphorylation is required for metastasis and cancer stem cell survival. These two processes represent the major causes of death from cancer and cancer relapses respectively.”, said Dr. Luc Berthiaume, CSO of Pacylex. “Coupled with our previous evidence that zelenirstat strongly disrupts cancer cell signaling, we have now established two myristoylation-related mechanisms to explain selective sensitivity of cancer cells to NMT inhibition.” 

  • For additional information, please visit www.pacylex.com.
  • For more information:
  • Pacylex Pharmaceuticals Contact: Michael J. Weickert
  • CEO, Pacylex Pharmaceuticals, Inc.
  • E: michael.weickert@pacylex.com
  • P: 650-218-1840
  • Twitter @Pacylex (https://twitter.com/pacylex
  • LinkedIn (www.linkedin.com/company/pacylex-pharma)
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About zelenirstat (PCLX-001)
Zelenirstat (formerly identified as PCLX-001) is a first-in-class, oral, small molecule NMTi being developed to treat patients with leukemia, lymphoma, and solid tumors. In animal models, zelenirstat selectively killed cancer cells in vitro and has been shown to regress hematologic malignancies and inhibit the growth of lung and breast cancer tumors. In AML models, zelenirstat killed leukemic stem enriched cell populations and allowed the regeneration and growth of normal bone marrow cells.

About zelenirstat Phase 1 and 2 studies
Pacylex completed the dose escalation phase of a Phase 1 multiple ascending dose safety, tolerability, and pharmacokinetics study on zelenirstat in r/r lymphoma and solid tumor patients (NCT04836195). A recommended Phase 2 dose was determined. Zelenirstat demonstrated an acceptable safety and tolerability profile, pharmacokinetics consistent with once daily oral dosing, and early signs of efficacy.

Zelenirstat is currently being studied in a Phase 2a open-label study designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and clinical activity of zelenirstat in patients with r/r B-cell non-Hodgkin Lymphoma (NHL) and a separate Phase 2a cohort in advanced r/r colorectal cancer who have progressed on all available standard therapies. 

About Pacylex Pharmaceuticals
Pacylex is a clinical-stage pharmaceutical company headquartered in Edmonton, Alberta, Canada, targeting hematologic and solid cancers with orally bioavailable NMT inhibitors. Zelenirstat is the lead drug in a new class of NMT inhibitors, enabling Pacylex to exploit NMTs as new clinical targets for cancer treatment. Pacylex is conducting a multi-center Phase 1/2a study in Canada in patients with R/R NHL and advanced solid tumors. The IND for a Phase 1 multiple ascending dose study in acute myeloid leukemia (AML) has been cleared and the FDA has granted zelenirstat both Orphan Drug Designation and Fast Track Designation for AML. The US Department of Defense is supporting the initial clinical investigation of zelenirstat in patients with AML. The Cure Cancer Foundation supported initial clinical studies through its World’s Longest Games. 

Forward-Looking Statements
This press release contains forward-looking statements and forward-looking information within the meaning of applicable securities laws, such as statements relating to future events or the Company’s future financial and operating performance, as well as the Company’s business plans, growth initiatives, and objectives and prospects. Generally, forward-looking statements and forward-looking information may be identified by the use of forward-looking terminology, including the words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “goal,” “expect,” “strategy,” “future,” “likely,” "proposed,” “scheduled,” “forecast,” “budget,” “could,” “would,” variations of such words of phrases and other similar expressions, or by the use of words or phrases which state that certain actions, events or results may, could, would, or might occur or be achieved. However, the absence of these words does not mean that a statement is not forward looking. Forward-looking statements and forward-looking information are subject to numerous factors, risks and uncertainties that could cause actual results to differ materially, including, but not limited to, the Company’s ability to successfully execute on its business plans and strategies, avoid delays in planned clinical trials, hire and retain key personnel, obtain appropriate or necessary governmental approvals to market potential products and obtain future funding for product development and working capital on commercially reasonable terms, changes in laws, and  general macroeconomic conditions, including economic slowdowns, recessionary risks, rising inflation and interest rates, and supply chain disruptions. Forward-looking statements and forward-looking information are based on the beliefs of management as well as assumptions made by and information currently available to management as of the date hereof, and none of the Company or its affiliates undertakes any obligation to update or issue revisions to any forward-looking statements or forward-looking information contained herein to reflect any future events or circumstances, except as required by law. The foregoing does not constitute an offer or solicitation to acquire any securities in the Company or any related or associated entity or affiliate. The information contained herein is not intended as legal, tax, financial or investment advice. Furthermore, the information contained herein may not be applicable to or suitable for an individual’s specific circumstances or needs.

Key Takeaways
  • Zelenirstat is a dual-action drug targeting pro-survival signaling and OXPHOS through deregulation of mitochondrial complex I.
  • Stable disease was observed in eight (28%) patients in the Phase 1 study, mostly at the 210mg dose.
  • Progression free and overall survival were significantly better in patients receiving 210mg compared to those receiving lower doses.
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The evidence that zelenirstat disrupts energy production in the mitochondria of cancer cells has profound implications for cancer treatment since m...
Luc G. Berthiaume, PhDChief Scientific Officer
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Contacts
Michael Weickert Ph.D
michael.weickert@pacylex.com
650-218-1840
Chief Executive Officer