policy impact one
Status of Clinical Stage AI-Derived Drugs
Insilico’s lead program in idiopathic pulmonary fibrosis, which recently entered PhIIa trials after a successful Ph1 with no safety concerns, is one of the first examples of a therapeutic program where AI serves as the focal point of each step in the drug discovery process, from target identification through molecular design and optimization.
Program (disease, modality, and target): Idiopathic pulmonary fibrosis (IPF), small molecule targeting TRAF2- and NCK-interacting kinase (TNIK)
Stage: PhIIa
How AI was used:
1. Target discovery: PandaOmics, an AI-driven target discovery platform that integrates multiple computational approaches to analyze multi-omics data (human tissue samples, GWAS data, scientific literature, etc), discovered TRAF2- and NCK-interacting kinase (TNIK) as a top candidate for a novel target in IPF. While TNIK had been previously linked to cancer, Insilico discovered for the first time its connection to key fibrotic pathways and cell types.
2. Molecular design: Chemistry42, a suite of models based on transformers, GANs and genetic algorithms, was used to generate selective/potent drug candidates to TNIK. A lead candidate was identified, and in a series of in vitro and in vivo experiments, was found to exhibit impressive antifibrotic activity. In cell-based assays, it blocked TGF-β-induced fibroblast activation and myofibroblast differentiation, key drivers of fibrosis. In animal models, it attenuated fibrosis in the lung, kidney and skin, demonstrating potential to treat a range of fibrotic disorders. Notably, the compound also reduced inflammation, which often precedes and promotes fibrosis.
Most recent readout: Positive first-in-human Ph1 in health volunteers1. Two randomized, double-blind, placebo-controlled studies evaluated the safety, tolerability and pharmacokinetics of the IPF drug. The results were encouraging, with the drug being generally well-tolerated with no major safety issues identified. The pharmacokinetic profile was favorable, with dose-dependent increases in exposure and a half-life suitable for once- or twice-daily dosing.
Next readout: PhIIa, study completion in 20262.