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Synergy Pharmaceuticals Obtains $5.64M Financing

Firm recently moved its only clinical candidate into Phase II/III for constipation. Synergy Pharmaceuticals completed a financing in which it raised gross proceeds of approximately $5.648 million. The proceeds will be used for working capital, to advance clini

Written by Peptide Therapy Guide Editorial Team
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This guide cannot diagnose a condition or recommend a personal treatment plan. Discuss medical questions with a qualified professional.

Firm recently moved its only clinical candidate into Phase II/III for constipation.

Synergy Pharmaceuticals completed a financing in which it raised gross proceeds of approximately $5.648 million. The proceeds will be used for working capital, to advance clinical development of lead candidate plecanatide, and to bring SP-333 into the clinic.

The financing took place through the sale of 2,657,882 units, each unit consisting of one share of common stock and one common stock purchase warrant. The warrants have a purchase price of $2.125 per unit. They are immediately exercisable at an exercise price of $2.75 per share and are exercisable for five years.

On October 24, Synergy reported that it had initiated dosing of patients in a Phase II/III trial of plecanatide to treat chronic idiopathic constipation (CIC). The drug has also completed a Phase I study in patients with irritable bowel syndrome with constipation.

Plecanatide is a member of a new class of essentially nonsystemic drugs called guanylate cyclase C (GC-C). It is a synthetic analog of uroguanylin, a natriuretic hormone that regulates ion and fluid transport in the GI tract. Orally administered plecanatide binds to and activates GC-C receptors expressed on epithelial cells lining the GI mucosa. This activates the cystic fibrosis transmembrane conductance regulator (CFTR) and leads to augmented flow of chloride and water into the lumen of the gut.

Activation of the GC-C receptor pathway is believed to facilitate bowel movement as well as produce other beneficial physiological responses including improvement in abdominal pain and inflammation. In animal models, oral administration of plecanatide promotes intestinal secretion and also ameliorates GI inflammation.

SP-333 is a second-generation GC-C agonist with the potential to treat gastrointestinal diseases such as ulcerative colitis. Synergy plans to file an IND application in the first half of 2012. SP-333 will be the second drug from Synergy’s portfolio of GC-C agonists to enter the clinic.

“SP-333, to our knowledge, represents the most stable GC-C agonist ever developed,” states Gary S. Jacob, Ph.D., president and CEO of Synergy Pharmaceuticals. “The stability of SP-333 to proteolytic degradation in simulated intestinal fluid suggests it to be an ideal GC-C agonist for exploring this class of drugs to treat inflammatory bowel diseases such as ulcerative colitis.”

SP-333 also is a synthetic analog of uroguanylin. Deficiency of this hormone is predicted to be one of the primary reasons for the formation of polyps that can lead to colon cancer as well as debilitating and difficult-to-treat GI inflammatory disorders such as ulcerative colitis and Crohn disease.

Orally administered SP-333 binds to and activates GC-C expressed on epithelial cells lining the GI mucosa, producing anti-inflammatory activity. In animal models, oral administration of SP-333 ameliorates GI inflammation by suppressing production of certain pro-inflammatory cytokines.

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01What you can do

You might want to take a friend or family member with you to the appointment to help you remember information. Before your appointment, make a list of: Symptoms and when they started. Include anything that makes symptoms worse or better. All medicines, vitamins, herbs and supplements that you or your child take. Include the doses. Family history, such as whether anyone in your family has cystic fibrosis. Treatment you or your child have had for CF, if any. Include what the treatment was and if it helped. Any other medical conditions and their treatments. Questions to ask your healthcare professional. Questions to ask may include: What is likely causing these symptoms? What kinds of tests are needed? What treatment do you recommend? I or my child have other health conditions. How will cystic fibrosis affect them? Are there any limits needed? Feel free to ask other questions during your appointment.

Source: www.mayoclinic.org ↗
02What Is Cystic Fibrosis?

Cystic fibrosis (CF) is a genetic disorder, which means you get it from your parents at birth. It affects your lungs, pancreas, and other organs. CF changes the way chloride (salt) moves through the cells of your body. This causes the mucus (which should be thin and slippery) in various organs to become thick and sticky. Over time, this thick mucus builds up inside your airways, making it hard to breathe. The mucus traps germs and leads to infections and inflammation. It can also cause severe, long-term damage to the lungs and lead to respiratory failure (inability to breathe normally) and death. In the pancreas, the thick mucus caused by CF prevents the release of digestive enzymes when you eat. This leads to malnutrition and poor growth. CF can also cause liver disease, reproductive problems, and cystic fibrosis-related diabetes (CFRD). More than 40,000 people in the U.S. live with CF. Doctors diagnose about 1,000 new cases each year. Today, more than half of the CF population is aged 18 or older, and new treatments have expanded the life expectancy by decades.

Source: www.webmd.com ↗
03What is cystic fibrosis? A Mayo Clinic expert explains

Learn more from pulmonologist Sarah Chalmers, M.D. Cystic fibrosis (CF) is a condition passed down in families that causes damage to the lungs, digestive system and other organs in the body. CF affects the cells that make mucus, sweat and digestive juices. These fluids, also called secretions, are usually thin and slippery to protect the body's internal tubes and ducts and make them smooth pathways. But in people with CF, a changed gene causes the secretions to become sticky and thick. The secretions plug up pathways, especially in the lungs and pancreas. CF gets worse over time and needs daily care, but people with CF usually can attend school and work. They often have a better quality of life than people with CF had in past decades. Better screening and treatments mean that people with CF now may live into their mid- to late 50s or longer, and some are being diagnosed later in life.

Source: www.mayoclinic.org ↗
04What is it used for?

A sweat test is used to diagnose cystic fibrosis (CF).

Source: medlineplus.gov ↗
05How Was It Studied for the Treatment of Cystic Fibrosis?

The effectiveness and safety of Alyftrek for cystic fibrosis was studied in two randomized trials (Trials VX20-121-102 and VX20-121-103). These studies compared Alyftrek to another standard treatment for cystic fibrosis ( elexacaftor /tezacaftor/ivacaftor). People in the studies first received elexacaftor/tezacaftor/ivacaftor for four weeks, then were assigned to continue this treatment or switch to Alyftrek for 52 weeks. Trial VX20-121-102 included 398 people with F508del-minimal function genotypes. The median (middle) age was 31 and 41% of people were female; most people in the study were White (97%), while 1% were Black or African American, and <1% were Asian. Trial VX20-121-103 included 573 people with F508del-F508del, F508del-residual function, F508del-gating, or other responsive mutations. The median age was 33.1 and 49% of people in the study were female. Most people were White (93%), 1% were Black or African American, and <1% each were Southeast Asian, other Asian, or American Indian/Alaska Native. The study found that Alyftrek was similar to elexacaftor/tezacaftor/ivacaftor in improving lung function (measured by forced expiratory volume in 1 second [FEV1 %]), with similar results seen in both studies. Additionally, Alyftrek led to greater reductions in sweat chloride, a key measure of CFTR function, in both studies. The results of these studies suggest that Alyftrek is a promising alternative to elexacaftor/tezacaftor/ivacaftor, offering similar lung function benefits and helping CFTR to work better. The safety profile of Alyftrek was similar to that of elexacaftor/tezacaftor/ ivacaftor . The most common side effects included worsening lung infections (28%), cough (23%), COVID-19 (22%), and the common cold (nasopharyngitis; 21%). Serious side effects were similar between groups, with 14% of people treated with Alyftrek and 16% of people treated with standard treatment experiencing severe reactions. High liver enzymes were slightly more common in the Alyftrek group, but overall safety findings were similar to those seen in other studies. Your results may differ from what was seen in clinical studies.

Source: www.webmd.com ↗
Research context

Read sources and limitations before applying a claim.

Research and Statistics: Who Has Cystic Fibrosis?

About 40,000 people are living with cystic fibrosis in the United States, and there are approximately 105,000 people with CF worldwide. (3) More than 75 percent of people with the disease are diagnosed by age 2, and more than half of all people living with cystic fibrosis are 18 or older. CF occurs predominantly in white populations, at a rate of 1 in 2,500 births. Between 2 and 5 percent of white people are carriers of the CFTR gene variant but have no overt clinical signs of disease. The disease is less common among African Americans, occurring at the much lower frequency of approximately 1 out of 17,000 births. (15) CF gene variants are most prevalent in persons of northern and central European ancestries or of Ashkenazi Jewish descent. They are rarely found in Native Americans, Asians, or native Africans. (16) CF is equally common among men and women, but women patients fare significantly worse than male patients with the disease. The median survival age for female CF patients is about three years younger than it is for men, but the reasons for the poorer survival rates among women are not completely understood. (17)

Source: everydayhealth.com ↗
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Peptide Therapy Guide Editorial Team

Editorial team for Peptide Therapy Guide.

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