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Translational development of novel CRISPR approach to treat genomic duplications

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 1R41AR082205-01A1
Agency Tracking Number: R41AR082205
Amount: $275,651.00
Phase: Phase I
Program: STTR
Solicitation Topic Code: NIAMS
Solicitation Number: PA22-178
Timeline
Solicitation Year: 2022
Award Year: 2023
Award Start Date (Proposal Award Date): 2023-08-01
Award End Date (Contract End Date): 2024-07-31
Small Business Information
1575 Tremont Street
Boston, MA 02120
United States
DUNS: 081066380
HUBZone Owned: No
Woman Owned: No
Socially and Economically Disadvantaged: Yes
Principal Investigator
 MONKOL LEK
 (203) 737-1091
 monkol.lek@yale.edu
Business Contact
 RICHARD HORGAN
Phone: (607) 215-6401
Email: rich@myofinitybio.com
Research Institution
 YALE UNIVERSITY
 
OFFICE OF SPONSORED PROJECTS P.O. Box 208327
NEW HAVEN, CT 06520-8327
United States

 Nonprofit College or University
Abstract

PROJECT ABSTRACT
The goal of this Phase I STTR project is to accomplish key milestones in commercializing a novel SaCas9
nickase-based system (CRD-002) to treat dystrophinopathies in order to restore the production of
healthy, endogenous full-length dystrophin protein otherwise compromised by duplication mutations.
Duchenne muscular dystrophy (DMD) is characterized by progressive muscle loss and cardiomyopathy
ultimately leading to death in the third decade of life. There is thus a strong rationale for mutation-specific
therapies that can restore endogenous full-length dystrophin in order to restore the entire function of the
dystrophin protein that cannot be achieved by current microdystrophin gene replacement therapy.
Duplication mutations are ideal candidates for mutation-specific correction as they are amenable to full-length
gene restoration by removal of duplicated exons to restore the normal reading frame. Pathogenic duplications
underlie 10% to 15% of DMD mutations, but there is no specific therapy for duplication mutations downstream
of exon 5. The Lek lab developed a novel single nickase approach that efficiently removes DMD duplications at
in vitro efficiencies comparable to nuclease approaches. Importantly, nickase produces a scarless edit at the
target site, whereas nucleases produce a characteristic insertion/deletion mutation. The novel exon 18-30
tandem duplication mouse model for DMD (Dup18-30), provides a valuable tool to test DMD human therapies.
Sequences in DMD exons 18-30 that are shared between the human and mouse genes will be targeted with this
novel nickase strategy to induce a scarless edit that restores the gene sequence without introducing frameshifts.
The objective of this Phase I STTR project is to characterize the efficacy and pharmacology of the novel single-
guide nickase strategy to remove duplications using human-mouse compatible targets for direct clinical
translation. Myos, Inc., develops and commercializes novel biomedical therapeutics to improve outcomes for
patients. This STTR project is a collaboration with Monkol Lek, Ph.D. of Yale University to optimize the CRD-
002 CRISPR nickase approach. Aim 1 is to characterize human-mouse compatible editing targets to identify
lead candidate for in vivo validation. This work will assess the in vitro editing efficiency of three candidate
CRISPR guides in human and mouse cell lines, and will validate the predicted target sites and characterize off-
target effects. Aim 2 is to perform a functional assessment of CRD-002 in the Dup18-30 mouse model. CRD-
002 packaged in rAAV9 will be injected systemically into Dup18-30 mice followed by molecular analysis of the
splice site, analysis of DMD protein sequence, and functional analysis of muscle structure.
Successful completion of this project will demonstrate the feasibility of using CRD-002 to restore full-length
dystrophin protein. A future Phase II project will support the manufacturing development and the pivotal GLP
toxicology study to support the submission of an IND for future clinical trials.

* Information listed above is at the time of submission. *

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