One drug, multiple indications

Our drug, TRE-515, has a mechanism of action that impacts a wide range of bad-acting cells, reducing their ability to rapidly reproduce. This has the potential to diminish autoimmune flares and slow, or even stop, cancer growth. Our early-stage development pipeline priorities are data-driven, guided by preclinical and clinical progress as well as FDA insights and NIH funding.

One drug, multiple indications

Our drug, TRE-515, has a mechanism of action that impacts a wide range of bad-acting cells, reducing their ability to rapidly reproduce. This has the potential to diminish autoimmune flares and slow, or even stop, cancer growth. Our early-stage development pipeline priorities are data-driven, guided by preclinical and clinical progress as well as FDA insights and NIH funding.

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Development Status

Programs by development stage

Every program is built on the same drug and mechanism: blocking dCK to shut down the Salvage Pathway. Progress reflects the furthest stage reached to date.

Preclinical — Proof of Concept, IND Enabling
Clinical — Phase 1
Preclinical
Clinical
Proof of concept
IND Enabling
Phase 1
Oncology
Advanced solid tumors
TRE-515 Monotherapy
100%
100%
100%
100%
50%
50%
Prostate cancer
TRE-515 + Radiation
100%
100%
100%
100%
0%
0%
Non-small cell lung cancer
TRE-515 + KRAS inhibitor
50%
50%
0%
0%
0%
0%
Preclinical
Clinical
Proof of concept
IND Enabling
Phase 1
Autoimmune
Optic neuritis
TRE-515 Monotherapy
100%
100%
75%
75%
0%
0%
ADEM
TRE-515 Monotherapy
100%
100%
75%
75%
0
0
Multiple sclerosis
TRE-515 Monotherapy
100%
100%
75%
75%
0
0
Crohn’s Disease
TRE-515 Monotherapy
50%
50%
0%
0%
0%
0%
Lupus
TRE-515 Monotherapy
50%
50%
0%
0%
0%
0%
Preclinical
Clinical
Proof of concept
IND Enabling
Phase 1
Neurodegeneration
ALS
With Cedars-Sinai & St. John’s hospitals
100%
100%
* Fda expanded access trial
ALS
With Massachusetts General Hospital
25%
25%
* Fda expanded access trial
Development Status

Programs by development stage

Every program is built on the same drug and mechanism: blocking dCK to shut down the Salvage Pathway. Progress reflects the furthest stage reached to date.

Preclinical — Proof of Concept, IND Enabling
Clinical — Phase 1
Oncology
Advanced solid tumors
TRE-515 Monotherapy
Proof of concept100%
100%
IND Enabling100%
100%
Phase 150%
50%
Prostate cancer
TRE-515 + radiation
Proof of concept100%
100%
IND Enabling100%
100%
Phase 10%
0%
Non-small cell lung cancer
TRE-515 + KRAS inhibitor
Proof of concept50%
50%
IND Enabling0%
0%
Phase 10%
0%
Autoimmune
Optic neuritis
TRE-515 Monotherapy
Proof of concept100%
100%
IND Enabling75%
75%
Phase 10%
0%
ADEM
TRE-515 Monotherapy
Proof of concept100%
100%
IND Enabling75%
75%
Phase 10%
0%
Multiple sclerosis
TRE-515 Monotherapy
Proof of concept100%
100%
IND Enabling75%
75%
Phase 10%
0%
Crohn’s Disease
TRE-515 Monotherapy
Proof of concept50%
50%
IND Enabling75%
75%
Phase 10%
0%
Lupus
TRE-515 Monotherapy
Proof of concept50%
50%
IND Enabling75%
75%
Phase 10%
0%
Neurodegeneration
ALS
With Cedars-Sinai & St. John’s hospitals
Proof of concept0%
0%
IND Enabling75%
75%
Phase 1100%
100%
* Fda expanded access trial
ALS
With Massachusetts General Hospital
Proof of concept0%
0%
IND Enabling75%
75%
Phase 125%
25%
* Fda expanded access trial

Programs in detail

The lead focus is advanced solid tumors, with two featured combination programs. Autoimmune and neurodegeneration programs advance in parallel on the same mechanism.

Oncology

Clinical: Phase 1A

Advanced Solid Tumors

The ongoing lead program, a US-based, multi-site, Phase 1a, dose escalation trial, successfully reached the maximum tested dose, evaluating TRE-515 as a monotherapy in patients with advanced solid tumors.

Trial Identifier: NCT05055609

Safety
Well tolerated, with no dose-limiting toxicities in any cohort (40 mg to 1440 mg) during dose escalation.

Dose
Rapid oral absorption, over a > 6 hour plasma half-life supporting a once-daily capsule.

Benefit
Multiple patients showed disease control over 200 days, despite aggressive late-stage cancers.

47%
disease control
* 14/30 evaluable patients; RECIST v1.1
$2.0M
NCI grant funded

>35

patients dosed, dose escalation portion complete
Dose exploration and expansion currently underway

Patient One
Stephanie was the first person ever to receive TRE-515. She joined the Phase 1 trial when there was no patient experience with the drug to go on, and she openly shared her experience after months of treatment.

“There are even days that I forget I have cancer.”

“I am able to live more normally. I’m thankful this is an oral medication instead of an infusion. On a daily basis, I’m not as sick feeling, and there are even days that I forget I have cancer. I’m able to travel and drive. I don’t have to have caregivers waiting on me after chemo. With this drug, I feel good the majority of the time.”

Stephanie, first patient to receive TRE-515

* Individual experiences do not establish safety or efficacy

Autoimmune

Preclinical: Proof of Concept

Multiple Sclerosis, Optic Neuritis, Crohn’s Disease, and ADEM

TRE-515 modulates the immune-cell activation that drives disease, with significant improvement demonstrated in mouse models.

Amyotrophic Lateral Sclerosis

FDA Expanded Access Clinical Trial

ALS

Amyotrophic lateral sclerosis, aka Lou Gehrig’s disease

TRE-515 has been made available to ALS patients through the FDA Expanded Access pathway.

* Individual experiences do not establish safety or efficacy