Pipeline detail

FM101 (Glaucoma Treatment)
Classification Description
FM101
  • Novel target, orally available anti-inflammatory/fibrotic agents
  • On-going Phase 2a for glaucoma
Indication
  • Glaucoma
Unmet Needs
  • There are patients unresponsive or intolerable to standard of care due to the major side-effect such as pigmentation, burning sensation, and conjunctival congestion
  • Orally available glaucoma treatment with less of concern for safety would be unmet needs to be addressed.
Mechanism of Action
  • Anti-inflammatory/fibrotic effect mediated by cAMP inactivation via biased modulation
  • Regulate the level of inflammatory and fibrotic gene in Trabecular Meshwork(TM) tissue to widen the TM tunnel that has been narrowed, and facilitate outflow of aqueous humor(AH) to decrease Intraocular pressure (IOP).
  • Neuroprotective effect mediated by inhibition of caspases and VEGF
Efficacy
  • Neuroprotective effect in mouse retinal photoreceptor cells treated with cytotoxic agents
  • IOP reduction in DBA/2J mouse model
  • IOP reduction in Dexamethasone induced glaucoma mouse model
  • Anti-fibrotic effects confirmed in TM, a crucial tissue responsible for out flow facilitation of AH
Market
  • Compound annual growth rate (2022 – 2028): 3.2%
  • Glaucoma global market size: exceeded 5.5b$ in 2021 and expected to reach more than 7b$ by year 2028
Indication Glaucoma

Glaucoma, manifested by gradual vision loss due to the weakening of optic nerves caused by various reasons, such as increased intraocular pressure, is often asymptomatic. There are no current methods to restore the weakened nerves effectively. Therefore, clinical management of glaucoma is focused on prevention or delaying vision loss. These include laser, surgery and eye drops.

Unmet Needs

Currently, prostaglandin-based eye drop is being prescribed as the standard of care for glaucoma. However, It is inconvenient to administer, and side-effects related to active compounds or vehicles in eye drops, such as pigmentation, burning sensation, and conjunctival congestion, have been reported as unmet needs. Therefore, the development of a new drug that is (1) orally available, (2) safe, and (3) Neuroprotective would be of great necessity.

Inconvenience to take Medicine due to tremor (often in elderly patients)

Unresponsive (ex. Normal IOP)

Side-effect such as(pigmentation, burning sensation, and conjunctival congestion) Stop taking medicine Due to cosmetic problem

Mechanism of Action
  • Anti-inflammatory/fibrotic effect by inhibition of cAMP activation through A3AR biased modulation
  • FM101 controls level of the inflammatory and fibrotic genes in the trabecular meshwork(TM), alleviating swollen TM tunnel to increase the outflow of aqueous humor (AH) and eventually decreasing intraocular pressure.
  • Neuroprotection is mediated by the A3AR specific signaling pathway, which prevents vision loss.
Efficacy Steroid Induced ocular hypertension(OH) mouse model
Confirmation of anti-fibrotic effect in trabecular meshwork

Evaluation of fibrotic expression(fibronectin) level in TM tissues of OH mouse revealed that the TM tissues of the mice administered with FM101 manifest a similar level of fibrosis expression to the TM of the normal mice.

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IOP decreases upon oral administration of FM101

Oral administration of FM101 showed similar or superior efficacy in IOP decrease compared to marketed drugs (Xalatan, Acetazolamide)

  • Xalatan: Prostaglandin-based glaucoma eye drop treatment. Several adverse events have been reported
  • Acetazolamide: carbonic unhydrase inhibitor, orally availale. However, reported with major adverse event such as anuric renal failures.
- Congenital glaucoma (DBA/2J) mouse model Neuroprotective effect upon treatment of FM101

Through evaluation of the optic nerve head tissue section of DBA/2J mouse, it was confirmed that the optic nerve shape of FM101-administered rats was preserved at a level similar to that of normal rats.

  Supplementary MoA study on neuroprotective effect
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Market
  • Glaucoma treatment market size exceeded USD 5.5 billion in 2021 and is expected to witness over 3.2% CAGR from 2022 to 2028. The rising prevalence of glaucoma diseases and the growing demand for advanced therapeutic interventions are some of the major factors that facilitate market growth. According to the World Glaucoma Association, around 76 million people were suffering from glaucoma in 2020.