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Ganaxolone Marinus Pharmaceuticals, Inc.

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<strong>Ganaxolone</strong><br />

<strong>Marinus</strong> <strong>Pharmaceuticals</strong>, <strong>Inc</strong>.<br />

Neurosteroid therapy for Epilepsy<br />

Epilepsy Pipeline Conference<br />

March 13, 2008


GABA A Receptor Binding and Site<br />

of Action of <strong>Ganaxolone</strong><br />

<strong>Ganaxolone</strong><br />

binding enhances<br />

chloride flux and<br />

promotes synaptic<br />

inhibition which<br />

accounts for the<br />

protective activity<br />

of the drug against<br />

seizures<br />

2


<strong>Ganaxolone</strong> –History and IP<br />

•<strong>Marinus</strong> <strong>Pharmaceuticals</strong> Licensed from<br />

Purdue Pharma<br />

•Historical Background<br />

–Neurosteroid with no hormonal activity<br />

–Efficacy in animal models of epilepsy<br />

–Good safety profile in animals and humans to<br />

date<br />

–Data from Inpatient DB study in Adults and OL<br />

Infantile Spasm study<br />

•IP Covering New Formulations Filed<br />

3


<strong>Ganaxolone</strong><br />

Development Challenges<br />

• Ongoing DB­PCB controlled flexible dose trials:<br />

–Infantile Spasms<br />

–Refractory adult partial onset seizures<br />

• Infantile Spasms study, if positive, will need a<br />

second fixed dose pivotal trial<br />

• Pilot data in Catamenial epilepsy will need to be<br />

quantified and replicated in Phase III trials<br />

• BID dosing of solid dosage form needed for<br />

Phase III adult trials –work underway<br />

4


Timelines<br />

•Top line results for both IS and APS<br />

studies in Q3/Q4 2008<br />

•Solid dose formulation performance and<br />

BID dosing study results in Q3 2008<br />

•Open label Extension Studies now set at<br />

1 year and will continue into early 2009<br />

•Efficacy/Safety analysis will define the<br />

forward path<br />

5


Differentiation Opportunities<br />

•Basic claim for partial seizures with an<br />

advantageous safety profile<br />

•Indication for infantile spasms<br />

–Evaluating development for improvement<br />

•May have advantages for women with partial<br />

seizures<br />

–Lack of reproductive toxicity seen<br />

–Catamenial mechanism<br />

•Potential efficacy in other indications such as<br />

PTSD, TBI, anxiety/depression… .. 6

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