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Helping drug companies pick winners
Clinicians form national network to identify promising new therapies for allergy and asthma

The AllerGen Network of Centres of Excellence has launched a new initiative that will fast-track the development of new asthma and allergy therapies, making Canada an attractive location for early-stage research and development (R&D).

Industry demand is growing for a unique Canadian service that could save drug companies hundreds of millions of dollars in R&D costs by identifying which medicines show promise for treating asthma and allergies – and which ones are duds.

Launched in 2005 with funding from AllerGen, the Clinical Investigator Collaborative (CIC) provides a "one-stop shop" for pharmaceutical and biotechnology companies to test early-stage molecules and compounds. The CIC has already completed three early-stage clinical trials with another three in line for 2007. Clients include Topigen Pharmaceuticals (Montreal), Boehringer Ingelheim Ltd. (Mississauga), IVAX Research (Miami), MedImmune (Frederick, MD) and Alexion Pharmaceuticals (Cheshire, CT).

"We're getting overwhelmed with the response from industry. There are even two studies we couldn't take on because we're too busy," says Dr. Paul O'Byrne, principal investigator for the CIC and Chair of Medicine at McMaster University.

Canada has broken new ground internationally with the AllerGen CIC – a unique consortium that pools the nation's collective expertise in allergy research to conduct early-stage clinical trials at McMaster, the University of Saskatchewan, University of Alberta, University of British Columbia and Université Laval. The CIC provides a cost-effective way to evaluate how well new molecular compounds treat inflammation in people's breathing passages.

But the CIC is about much more than clinical trials, stresses Dr. Judah Denburg, AllerGen's Scientific Director and CEO. With a broader focus on clinical investigation, Dr. Denburg says researchers will study the mechanisms of allergic disease, including what causes it, how it develops and how it persists. The CIC also assists with the development of research protocols, regulatory submissions, budget management, and the training of research assistants, graduate students and postdoctoral fellows.

"Our goal is not to turn Canada into a clinical trials machine. We're looking for something more comprehensive," says Dr. Denburg, whose Network brings together some 158 investigators and 83 trainees from across Canada. "The main purpose of CIC is to take the earliest frontier-breaking medicines for allergy and asthma, test them quickly, understand how they work and predict whether they will be right for big-scale market development."

For a fee, pharmaceutical companies work with the CIC to test therapies and molecules at multiple research centres, using "gold standard" scientific methods pioneered by Canadian researchers.

"If you have methods that aren't really well done or standardized, you might need 50 or 100 patients in the study," explains Dr. O'Bryne. "Using our model and multiple sites, we can produce reliable and reproducible results often with as few as 20 or 30 patients. It means we can do these studies with greater speed and efficiency, and that's what industry is really attracted by."

Another major benefit to companies is finding out early in the research cycle if a molecule or drug has potential. It can take 10 to 12 years to move a molecule from its early stage to regulatory approval. The CIC can let companies know within the first three to four years if the molecule works, saving them millions of dollars in development costs.
"The worst thing that can happen for companies is to push ahead with a big, very expensive development program that doesn't produce very much at the end of the day, and that often happens, unfortunately," says Dr. O'Byrne.

Researchers are in the process of analyzing data from the first three studies, and the results so far look promising (see sidebar article on TOPIGEN). The studies examined new molecules that have never been tested and new combinations of anti-inflammatories. One study has produced information on new DNA sequences that could help to reverse a patient's allergic response.

Dr. Denburg says the studies likely would not have happened without the CIC: "What will this mean for people with allergies and asthma? It will mean a better understanding of the medications they're getting, better medications, better treatments and possibly even cures."

www.allergen-nce.ca

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