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Mondobiotech Holding AG Company presentation

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Scientific Snapshot Information: DK-1000-01<br />

§� Pulmonary Arterial Hypertension (PAH) is a debilitating and<br />

often fatal disease which affects the small pulmonary arteries.<br />

PAH is characterised by a de-regulated biology of cells in the lung<br />

leading to a narrowing of the blood vessels (vasoconstriction),<br />

vascular smooth muscle cell proliferation, remodeling, and<br />

perivascular inflammation. As a consequence of this high<br />

resistance, an abnormally high blood pressure is built up in the<br />

lungs placing a strain on the right side of the heart, eventually<br />

leading to progressive right heart failure with a fatal outcome<br />

after a period of severe debilitation.<br />

• Panel A shows a normal heart<br />

• Panel B pulmonary hypertension.<br />

• RV, right ventricle; LV, left ventricle;<br />

• RA right atrium; LA, left atrium<br />

• Mechanism of Action:<br />

DK-1000 is a synthetically-produced peptide which acts via<br />

specific G protein-coupled receptors which are present in the<br />

lungs and peripheral tissues. These receptors are present on<br />

thymocytes, T cells, macrophages, monocytes, endothelial cells<br />

and vascular smooth muscle cells. DK-1000 is a potent vasodilator<br />

which also has inhibitory effects on smooth muscle cell<br />

proliferation, inflammation and platelet aggregation. DK-1000<br />

has potential to provide therapeutic benefit to PAH patients by<br />

lowering pulmonary arterial pressure, increasing cardiac output,<br />

and reducing inflammation. Despite the broad range of drugs<br />

which are used to treat PAH (usually in combinations) DK-1000<br />

has the potential to provide the combined pharmacological<br />

effects of a vasodilator and an anti-inflammatory in a<br />

monotherapy.<br />

§� Key data (Clinical PoC data):<br />

In clinical PoC, inhaled DK-1000 improves<br />

hemodynamic and prognostic parameters of PAH and leads<br />

to an increase in the distance achieved during a 6-minute<br />

walk test.<br />

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