
Biopharmaceutical company Ablynx is developing Nanobodies® to treat a range of serious human diseases. Nanobodies are a novel class of antibody-derived therapeutic proteins. Because of their small size, unique structure and extreme stability, Nanobodies combine the advantages of conventional antibody therapeutics with the key features of small-molecule drugs. Zillion spoke with CEO and Chairman Dr Edwin Moses.
Ablynx was established as a spin-off
from the Free University of Brussels in
2001. “Biotechnology companies always
have to spend more money than they
make for many years, so our number
one priority was to raise money,” says
Dr. Moses. “After two initial financing
rounds, we raised another EUR 40
million in 2006, led by new investor
KBC, Belgium’s leading bank for private
and public equities.” The round was one
of the largest finance rounds in Europe
during 2006. A year later the company
went public on Euronext Brussels,
raising an additional EUR 85,2 million.
Ablynx is developing Nanobodies as
drug candidates. “Our bodies naturally
generate antibodies to protect us from
viruses and other invaders. Over the
last 20 years, the pharmaceutical
industry has begun to use these
antibodies as drug products. 20
products have already been approved.
These include multi million dollar
drugs,” Dr. Moses explains. In the early
1990s the existence of Nanobodies
was discovered. “Nanobodies have all
the interesting properties of antibodies:
they are target specific and they tend
to have few side effects.
Besides these
qualities, Nanobodies can penetrate
tissue very effectively because they are
smaller than antibodies – only one
tenth the size of a classic antibody.
They are also very stable, which means
you can boil them, cool them down
and they will reform. That stability
means that there is the potential to
deliver them through alternative routes
rather than just injection, such as orally
or by inhalation. That can’t generally
be done with classic antibodies.”
Nanobodies can also be produced very
quickly, because Ablynx’s method avoids
the need for construction and screening
of large libraries, and for lengthy and
unpredictable affinity maturation. “We
inject a protein that we are interested in
generating a nanobody against into a
llama. Six to eight weeks later the
immune system of the llama will have
produced Nanobodies to that protein.
We take a small blood sample, and
isolate and sequence those Nanobodies,
which we can then engineer ourselves.”

Another advantage is that Nanobodies
can be easily manipulated. “You can
for instance develop a nanobody for
one target and one for another target
and link them together, so you have a
combination drug in one molecule.”
While many biotech companies
concentrate on one or two disease
areas, Ablynx is developing a portfolio of Nanobody-based therapeutic
programmes in a number of major
disease areas, including inflammation,
thrombosis, oncology and Alzheimer’s
disease. Mr. Moses: “We look where
Nanobodies can be most effective and
we’ll develop a product for that,
irrespective of the disease.”
Ablynx’s lead development programme
ALX-0081 is a therapeutic nanobody
targeting von Willebrand Factor (vWF),
which will reduce the risk of thrombosis
in patients with acute coronary syndrome
(ACS) and thrombotic thrombocytopenic
purpura (TTP). Through its novel, highly
selective mode of action, ALX-0081
effectively prevents arterial thrombosis,
without interfering with the desired
haemostasis (wound heeling) in the
patient which results in less bleeding
complications. Pre-clinical in vivo and
clinical studies confirm that ALX-0081
has the unique potential to set a new
standard in anti-thrombotic therapy
In addition to developing a proprietary
pipeline, Ablynx has entered into a
number of partnerships. Partners
include Boehringer Ingelheim, Novartis,
P&G Pharmaceuticals and Wyeth. The
partnership with Wyeth involves a
collaboration to discover and develop
novel Nanobody-based therapeutics
against the tumour necrosis factor
alpha (TNF-alpha) protein and its
receptors that target diseases in
multiple therapeutic areas.
Ablynx has granted Wyeth exclusive
worldwide rights to Nanobodies targeting
the clinically validated target TNF-alpha.
Ablynx and Wyeth will collaborate to
advance these novel biologics through
preclinical development. Ablynx will
receive an initial payment, research
support and milestone payments.
Potential payments to Ablynx could
total up to USD 212.5 million for
the successful development and
commercialisation of multiple products.
In addition Ablynx will receive royalties
on product sales.
based on its immediate onset of action,
its ultra-high potency and significantly
improved safety compared to the
currently marketed therapies in the
form of dramatically reduced bleeding
complications.
Following the positive Phase I results
announced in December 2007, Ablynx
has initiated a double-blind, randomised,
placebo-controlled multiple dose Phase
Ib study in May 2008. The study is being
conducted in patients with stable angina
undergoing percutaneous coronary
intervention (PCI). The objectives of the
Phase Ib study are to determine safety
and tolerance when adding ALX-0081
to a standard anti-thrombotic regimen
in patients undergoing PCI and to
document biological and clinical
response to the therapy. Up to 64
patients with stable angina will be
recruited for this study. Ablynx aims to
start the process of Phase II development
of ALX-0081 by the end of 2008.
In addition to developing a proprietary
pipeline, Ablynx has entered into a
number of partnerships. Partners
include Boehringer Ingelheim, Novartis,
P&G Pharmaceuticals and Wyeth. The
partnership with Wyeth involves a
collaboration to discover and develop
novel Nanobody-based therapeutics
against the tumour necrosis factor
alpha (TNF-alpha) protein and its
receptors that target diseases in
multiple therapeutic areas.
Ablynx has granted Wyeth exclusive
worldwide rights to Nanobodies targeting
the clinically validated target TNF-alpha.
Ablynx and Wyeth will collaborate to
advance these novel biologics through
preclinical development. Ablynx will
receive an initial payment, research
support and milestone payments.
Potential payments to Ablynx could
total up to USD 212.5 million for
the successful development and
commercialisation of multiple products.
In addition Ablynx will receive royalties
on product sales.

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