Personalized prime editing as a platform for hepatic inborn errors of metabolism

Active Cooperative Agreement Awarded Last action

Award ID
U01TR005355
Recipient
Awarding agency
Obligated
$17,843,166

Award facts

Assistance listing
93.310 Trans-NIH Research Support
Completion date 54% complete
Funding agency
Office of the Director National Institutes of Health, Department of Health and Human Services
Place of performance
Philadelphia, PA 19104, USA

Award details come from USAspending.gov.

Description

Abstract
Inborn errors of metabolism (IEMS) are rare, devasting disorders arising from pathogenic variants in genes encoding enzymes of key biochemical pathways. The liver plays an important role in the pathogenesis of over 150 IEMS, often failing to metabolize a toxic metabolite that can injure secondary organs, such as brain. Liver transplantation is employed in some IEMS; however, its utility is limited by scarcity of donors and lifelong risk of post-transplant complications. To address the unmet medical need of IEM patients, we aim to develop a master protocol for the rapid development of personalized prime-editing therapies for severe, rare hepatic IEMS. We envision a platform regulatory framework where IND-enabling studies for a "leader" hepatic IEM prime-editing therapy also support programs for varied "follower" indications. The leader and follower therapies will differ only in patient-variant-specific guide RNA sequences. For our leader indication, we have selected phenylketonuria (PKU). In PKU, an autosomal recessive disorder, impaired phenylalanine (PHE) catabolism in the liver induces neurotoxic PHE accumulation. In our proof-of-concept studies, a single dose of an AAV8-based, R408W prime- editing therapy completely and durably normalized PHE levels in humanized PKU R408W mice. We will leverage our PKU R408W IND-enabling studies to accelerate development for our follower indications: ultra-rare, severe, neonatal urea cycle disorders (UCDS) and organic acidemias (OAS) that affect ≈1:20,000 births. Neonates with UCDS or OAS present with severe toxic accumulation of ammonia and/or organic acids. While liver transplantation can improve metabolic control, patients must grow to an appropriate size to receive a transplant. During this wait, most patients experience irreversible neurologic damage and episodes of life- threatening metabolic decompensation. We seek to develop just-in-time, personalized, liver-directed prime- editing therapies addressing the pathogenic variants identified through newborn screening at our large referral center. A platform regulatory approach is essential to develop therapies in time to meaningfully improve outcomes in this patient cohort who typically suffer significant early morbidity and mortality. Our primary objectives are to (1) establish a therapeutic platform, comprising a single prime editor and AAV delivery system, for numerous hepatic IEMS, and (2) streamline approvals through regulatory innovation, informed by stakeholder input and disseminated to the scientific community.

Transactions

Action Obligated Date
Amendment $3,924,785
Amendment $0
Amendment $2,710,325
Amendment $1,427,560
Amendment $1,427,560
Amendment $1,427,560
Amendment $2,748,908
Original award $2,748,908

Subawards

Subrecipient Amount Awarded
Case Western Reserve University IEM editing Becca Ahrens-Nicklas U01 $341,039
Franklin Biolabs, LLC $178,302
Case Western Reserve University Personalized prime editing as a platform for hepatic inborn errors of metabolism $30,877
Case Western Reserve University In her role as Co‐Investigator, Dr. Michie will lead the activities of the research team at CWRU, and will supervise the work of a Research Assistant. Dr.… $546,641
Aldevron, L.l.c Children’s Hospital of Philadelphia (“Client”) is seeking to contract with Aldevron, LLC to manufacture Compassionate Use mRNA-LNP Drug Product. Client,… $275,238
The Trustees Of The University Of Pennsylvania For the U01 application to NIH RFA-RM-24-001 titled “Personalized prime editing as a platform for hepatic inborn errors of metabolism, â€​ we will perform… $993,910
Franklin Biolabs, LLC Franklin will perform a rodent Toxicology study titled: “GLP Toxicology and Biodistribution Study of Novel LNPs by Intravenous Infusion in Rat”. b. Detailed… $486,110
Franklin Biolabs, LLC $385,985
The Trustees Of The University Of Pennsylvania IEM editing Becca Ahrens-Nicklas U01 $4,217,828
The Trustees Of The University Of Pennsylvania For the U01 application to NIH RFA-RM-24-001 titled “Personalized prime editing as a platform for hepatic inborn errors of metabolism, � we will… $4,217,828
Amplifybio LLC Scope of Services 1.1. Conduct of a study entitled AB002190 A 2-Week Intravenous Infusion Toxicity And Biodistribution Study of LNP.CPS1.Q335X in Cynomolgus… $602,000
Aldevron, L.l.c 1. Project Outline Analytical Method Development, mRNA LNP Drug Product (DP) • Analytical method development for mRNA DP Lipid analysis (i.e Lipid… $200,000
Show all 12

Quick answers

Who received award U01TR005355?

U01TR005355 was awarded to The Children's Hospital Of Philadelphia by National Center for Advancing Translational Sciences (National Institutes of Health) on September 20, 2024.

How much is award U01TR005355 worth?

$17,843,166 has been obligated on U01TR005355.

Which agency awarded U01TR005355?

National Center for Advancing Translational Sciences (National Institutes of Health) awarded U01TR005355, with funding from Office of the Director (National Institutes of Health).

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