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Palisade Bio Announces Positive Preclinical Data of Lead Program PALI-2108 at the 2024 Crohn’s & Colitis Congress

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Palisade Bio, Inc. presented positive preclinical data of its lead asset, PALI-2108, at the Crohn’s & Colitis Congress. The preclinical data showed that PALI-2108 is safe and well-tolerated, orally delivered, and colon-activated, with low systemic exposure. The company is advancing PALI-2108 for the treatment of moderate-to-severe ulcerative colitis (UC) towards a Phase 1 clinical study expected to commence in 2024. The preclinical studies demonstrated that PALI-2108 offers localized bioactivation, colon-specific distribution, similar target engagement to other PDE4 inhibitors, dose-dependent efficacy in a mouse UC model, and no systemic toxicity in dogs, with a large therapeutic window due to local activation.
Positive
  • PALI-2108 demonstrated safety and tolerability in preclinical studies
  • The drug is orally delivered and colon-activated, with low systemic exposure
  • The preclinical data supports the advancement of PALI-2108 for the treatment of moderate-to-severe ulcerative colitis
  • The drug offers localized bioactivation, colon-specific distribution, similar target engagement to other PDE4 inhibitors, and dose-dependent efficacy in a mouse UC model
  • The drug showed no systemic toxicity in dogs and has a large therapeutic window due to local activation
Negative
  • None.

Insights

The presentation of PALI-2108's preclinical data signifies a pivotal step in the development of new therapeutics for ulcerative colitis (UC), a chronic gastrointestinal disease. The preclinical success of PALI-2108, particularly its colon-specific bioactivation and reduced central nervous system (CNS) toxicity, positions it as a potentially significant advancement in the treatment of UC. This is particularly relevant given the limitations of current phosphodiesterase-4 (PDE4) inhibitors, which include CNS-related side effects and systemic distribution that often lead to discontinuation of therapy.

The large therapeutic window and local activation of PALI-2108 may reduce the risk of systemic toxicity, a notable improvement over existing treatments. Furthermore, the absence of CNS toxicity and emesis in animal models suggests a favorable safety profile. These characteristics could lead to better patient compliance and outcomes, addressing a critical gap in UC management.

It is important to note that while preclinical data is promising, the transition to human clinical trials will be the true test of efficacy and safety. The Phase 1 study commencement in 2024 will be a critical milestone for Palisade Bio, as it will provide the first insights into PALI-2108's performance in humans. Investors and stakeholders will be closely monitoring these developments, given the substantial market opportunity for new UC treatments.

From a market perspective, the development of PALI-2108 by Palisade Bio represents a strategic move to capture a share of the multi-billion-dollar market for inflammatory bowel disease treatments. The clinical remission rate for current therapies in UC is less than 20%, indicating a high unmet need for more effective treatment options.

Palisade Bio's focus on a precision medicine approach and the selection of potential responders could allow for more targeted and efficient treatment regimens. This could potentially position the company as a leader in personalized medicine within the UC market. Additionally, the oral delivery and colon activation of PALI-2108 offer a differentiating factor that could appeal to patients and clinicians seeking convenient and less invasive treatment options.

Investors should consider the potential market dynamics, such as the competitive landscape, patent protection, regulatory hurdles and reimbursement challenges that Palisade Bio will face. Success in these areas will be key to the commercial viability of PALI-2108 and its impact on the company's financial performance.

The pharmacological profile of PALI-2108 is noteworthy due to its innovative mechanism of colon-selective bioactivation. By incorporating a galactose-derived sugar moiety, PALI-2108 is designed to be minimally absorbed until activated by colonic bacteria, ensuring localized treatment. This is a significant departure from traditional systemic PDE4 inhibitors, potentially minimizing common side effects such as nausea and CNS-related events.

The high colon/plasma area under the curve (AUC) ratio exceeding 200 suggests a strong preference for the colon, which is an important consideration for a drug intended to treat UC. This pharmacokinetic characteristic could lead to a reduction in systemic side effects and an increase in drug efficacy within the target site. Additionally, the comparable target engagement with other PDE4 inhibitors indicates that PALI-2108 does not compromise on the pharmacodynamic aspect while offering a better safety profile.

Understanding the pharmacological nuances of PALI-2108 is essential for investors and stakeholders, as it underpins the drug's potential efficacy and safety in the intended patient population. The progress of PALI-2108 through clinical development will be closely watched for its potential to meet the pharmacological demands of UC treatment.

– Preclinical data demonstrated PALI-2108 to be safe and well tolerated

– PALI-2108 is orally delivered and colon activated allowing for local activity with low systemic exposure

– Company advancing PALI-2108 for the treatment of moderate-to-severe ulcerative colitis (UC) toward Phase 1 clinical study, expected to commence in 2024

Carlsbad, CA, Jan. 29, 2024 (GLOBE NEWSWIRE) -- Palisade Bio, Inc. (Nasdaq: PALI) (“Palisade” or the “Company”), a biopharmaceutical company focused on developing novel therapeutics for serious chronic gastrointestinal (GI) diseases, today announced the presentation of positive preclinical data of its lead asset, PALI-2108 at the Crohn’s & Colitis Congress, which was held on January 25-27, 2024 in Las Vegas, NV.

The preclinical data was presented in a poster titled, Local Bioactivation and Efficacy of PALI-2108: A Promising PDE4 Inhibitor Prodrug for Ulcerative Colitis Treatment. PALI-2108 is the Company’s orally administered, locally acting colon-specific phosphodiesterase-4B (PDE4B) inhibitor prodrug in development for patients affected by moderate-to-severely active ulcerative colitis (UC). The poster is available on the Scientific Publications page of the Company’s website.

Mitchell Jones, M.D., Ph.D., Chief Medical Officer of Palisade Bio, commented, “PALI-2108 continues to demonstrate promise as a novel therapy for UC, with colon-selective bioactivation, an expanded therapeutic window, reduced CNS toxicity, potent PDE4 inhibitory activity, and impressive efficacy in preclinical models. We are pleased with our growing body of evidence, including support for a precision medicine approach and the selection of potential responders, which validate the continued development of this program. We are working diligently to launch our Phase 1 study later this year, and we are eager to continue to gain experience on the potential of this groundbreaking PDE4 inhibitor prodrug therapy. The journey ahead holds great promise for advancing UC treatment, and we are committed to making a meaningful impact for patients.”

The results presented at the Crohn’s and Colitis Foundation include several preclinical studies of PALI-2108, a novel oral PDE4 inhibitor prodrug designed for the treatment of ulcerative colitis (UC). The Company’s research has focused on addressing the limitations of current PDE4 inhibitors, such as CNS toxicity and systemic distribution, which often lead to therapy discontinuation.

In preclinical studies, PALI-2108 demonstrated promising outcomes. In a DSS-induced UC mouse model, researchers observed a significant reduction in disease activity index (DAI) score over time compared to the control group. Notably, body weight loss was attenuated in specific dosage groups, showcasing the potential for targeted efficacy.

PALI-2108's unique design, incorporating a galactose-derived sugar moiety, allows for minimal absorption until cleaved by the colonic bacterium enzyme β-glucuronidase. This feature ensures localized bioactivation, leading to colon-specific distribution with limited systemic exposure, as confirmed by a tissue distribution study. The colon/plasma AUC ratio exceeding 200 further highlights PALI-2108's preference for the colon.

In addition, the Company’s research demonstrates colon-selective bioactivation in oxazolone colitis-induced mice, negligible plasma levels in duodenal and ileal tissue, and comparable target engagement with other PDE4 inhibitors. As well, a tolerated dose study in dogs revealed no CNS toxicity or emesis over effective doses, addressing a critical concern associated with oral administration.

“PALI-2108 is emerging as a promising candidate for UC therapy, offering localized bioactivation, expanded therapeutic window, and potent PDE4 inhibitory activity. We believe this innovative approach has the potential to revolutionize UC treatment and enhance patient outcomes,” added Dr. Jones.

In summary, results of the Company’s preclinical studies showed that PALI-2108 demonstrated:

  • Local bioactivation;
  • Colon-specific distribution;
  • Similar target engagement to other PDE4 inhibitors;
  • Dose-dependent efficacy in a mouse UC model; and
  • No systemic toxicity in dogs and large therapeutic window due to local activation.

Inflammatory bowel disease (IBD) represents a multi-billion-dollar market opportunity in need of innovative approaches, with current therapies achieving a clinical remission rate of less than 20% on average.

About Palisade Bio
Palisade Bio is a biopharmaceutical company focused on developing novel therapeutics for serious chronic gastrointestinal diseases. The Company believes that by using a targeted approach with its novel therapeutics it will transform the treatment landscape. For more information, please go to www.palisadebio.com.

Forward Looking Statements
This communication contains “forward-looking” statements for purposes of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements regarding the Company’s intentions, beliefs, projections, outlook, analyses or current expectations concerning, among other things: the extent of our cash runway; our ability to successfully develop our licensed technologies; estimates about the size and growth potential of the markets for our product candidates, and our ability to serve those markets, including any potential revenue generated; future regulatory, judicial, and legislative changes or developments in the United States (U.S.) and foreign countries and the impact of these changes; our ability to maintain the Nasdaq listing of our securities; our ability to build a commercial infrastructure in the U.S. and other markets; our ability to compete effectively in a competitive industry; our ability to identify and qualify manufacturers to provide API and manufacture drug product; our ability to enter into commercial supply agreements; the success of competing technologies that are or may become available; our ability to attract and retain key scientific or management personnel; the accuracy of our estimates regarding expenses, future revenues, capital requirements and needs for additional financing; our ability to obtain funding for our operations; our ability to attract collaborators and strategic partnerships; and the impact of the COVID-19 pandemic or any global event on our business, and operations, and supply. Any statements contained in this communication that are not statements of historical fact may be deemed to be forward-looking statements. These forward-looking statements are based upon the Company’s current expectations. Forward-looking statements involve risks and uncertainties. The Company’s actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties, which include, without limitation, the Company’s ability to advance its nonclinical and clinical programs, the uncertain and time-consuming regulatory approval process; and the Company’s ability to secure additional financing to fund future operations and development of its product candidates. Additional risks and uncertainties can be found in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022, filed with the Securities and Exchange Commission (“SEC”) on March 22, 2023, as well as the Company’s Quarterly Report on Form 10-Q, for the three and nine month periods ended September 30, 2023, filed with the SEC on November 9, 2023. These forward-looking statements speak only as of the date hereof and the Company expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in the Company’s expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based.

Investor Relations Contact
JTC Team, LLC
Jenene Thomas
833-475-8247
PALI@jtcir.com

Source: Palisade Bio


FAQ

What is PALI-2108?

PALI-2108 is a lead asset of Palisade Bio, Inc. designed for the treatment of moderate-to-severe ulcerative colitis (UC).

What were the results of the preclinical studies of PALI-2108?

The preclinical studies showed that PALI-2108 offers localized bioactivation, colon-specific distribution, similar target engagement to other PDE4 inhibitors, dose-dependent efficacy in a mouse UC model, and no systemic toxicity in dogs, with a large therapeutic window due to local activation.

When is the Phase 1 clinical study for PALI-2108 expected to commence?

The Phase 1 clinical study for PALI-2108 is expected to commence in 2024.

What market opportunity does PALI-2108 address?

PALI-2108 addresses the multi-billion-dollar market opportunity for innovative approaches in the treatment of inflammatory bowel disease (IBD), particularly ulcerative colitis (UC).

Palisade Bio, Inc.

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