Diversified Scopes of Work (SOW) build on previous R&D efforts for identification of new candidate therapies to quickly commence clinical trials. Many agents approved for other uses have already been tested in humans, so detailed information is available on their pharmacology, formulation, and potential toxicity.
Ruxolitinib, a Jak 1/2 inhibitor, significantly reduced tumorigenesis in a PJS mouse model. Based on the Inventors' preclinical results, they expect Ruxolitinib to also reduce tumorigenesis in PJS patients. Other Jak inhibitors such as Itacitinib are also being engaged to reduce or stop polyposis and tumorigenesis.
Rapamycin (Sirolimus), an mTOR inhibitor, is a promising candidate in treatment and prevention of PJS polyps. PJS is caused by mutation of LKB1 gene which leads to increased activity of mTOR pathway.
Combo approach. Use the identified FDA approved compounds with Rapa and the mutation in cell lines and or animal models for treatment and repurposing.
Utilize mRNA approach. Intestine delivery pill identified. Develop a vaccine to recognize the mutation and stop formation of polyps. Checkpoint immunotherapy may also be considered as a combo therapy.
Stem cell therapy. Infuse corrected or donated stem cells to be proliferated as healthy T cells to supplement protein and correct deficiencies.
Gene therapy and editing. Repair mutated LKB1/STK11 tumor suppressor gene.
Liquid Biopsy. Lessen the burden of ongoing intensive screening and risks for patients.
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