The Fox Focus Fall/Winter 2018 | Page 2

Research Two New Parkinson’s Drugs Approaching Market (continued from cover) DONOR-RAISED CAPITAL DRIVES PATIENT- RELEVANT RESULTS MJFF takes no IP position on the research it funds, evaluating ROI exclusively on the basis of potential to better address patients’ unmet medical needs. Foundation grants of $1.3 million and $1.5 million (respectively) funded early clinical trials of the inhaled levodopa and dissolvable apomorphine, and helped drugmakers secure hundreds of millions of dollars in additional investment to push the therapies through Phase II and Phase III clinical trials. Both are “rescue therapies,” designed to rapidly alleviate movement symptoms including tremor, stiffness and slowness during “off” times. The inhaled levodopa, to be marketed as “Inbrija,” was developed by biotech Civitas Therapeutics, which received MJFF grants in 2011 and 2013. After promising early results helped the company raise three rounds of capital totaling $121 million Civitas was acquired by biopharmaceutical company Acorda for $525 million in 2014. In a similar chain of events, biotech Cynapsus Therapeutics received MJFF grants for early trials of its apomorphine strip in 2012 and 2014. It went on to raise $99 million in follow- on funding (including its 2015 IPO) and was acquired by pharmaceutical company Sunovion for $624 million in 2016. DE-RISKING MOVES THE FIELD CLOSER TO CURES It is no exaggeration to say that since Michael started the Foundation, MJFF funding of more than $800 million in research has transformed Parkinson’s drug development. Today, Parkinson’s research represents tremendous opportunity to many companies and investors, and the pipeline is brimming with novel therapeutic approaches in development. MJFF support is propelling new treatments for Parkinson’s symptoms, as well as therapies that may slow, stop or even prevent the disease. A rich portfolio of strategies is taking aim at leading genetic targets: + San Francisco biotech Denali Therapeutics announced promising results from its Phase I clinical study of LRRK2 in healthy volunteers, and is now planning a Phase II trial in Parkinson’s patients. MJFF support also enables research on treatments approved for other conditions that show promise in Parkinson’s disease. After we supported Phase II trials of isradipine (a high blood pressure medication) and inosine (an antioxidant), the National Institutes of Health is funding ongoing Phase III trials to test these drugs’ efficacy in slowing Parkinson’s disease. MJFF'S ROLE EVOLVES WITH ROBUST PIPELINE While we continue to fund specific therapies, our non- financial resources are de-risking Parkinson’s research as a whole, attracting scientists and drug developers with the tools to pursue new therapies. Perhaps MJFF’s most valued contribution beyond funding is galvanizing a community of research volunteers. Our Foundation is gathering critical information to help researchers better understand Parkinson’s + Seven alpha-synuclein therapies disease and design better drug are now in clinical trials (three trials. Through large-scale studies such as the Parkinson’s received early grants from Progression Markers Initiative MJFF). After Foundation and the online Fox Insight, MJFF grants totaling $740,000, San is creating rich troves of data Diego biotech Neuropore signed a deal worth up to $460 on patients and their unique million with pharma firm UCB experience with Parkinson’s. Companies are using this data — to continue developing its all de-identified and available to therapeutic pipeline. qualified researchers — to learn + Cambridge biotech Lysosomal more about whom to enroll in Therapeutics received their studies and how to measure MJFF funding of $230,000 success, for example. to develop a drug against We are also providing accessible GBA dysfunction, which is laboratory tools for Parkinson’s associated with GBA gene mutations, the most common research, along with study recruitment materials and support. known genetic cause of These “therapeutic enabling” Parkinson’s. Allergan paid resources not only help companies for the right to acquire execute their studies, but also Lysosomal Therapeutics help tilt the odds in favor of their after Phase I trials of its drug. decision to pursue Parkinson’s The companies are currently drug development. analyzing trial data. 2 The Fox Focus