MedPath

DNL343

Generic Name
DNL343
Drug Type
Small Molecule
CAS Number
2278265-85-1
Background

DNL343 is under investigation in clinical trial NCT05842941 (HEALEY ALS Platform Trial - Regimen G DNL343).

Eli Lilly and Alchemab Forge $415M Partnership for Novel ALS Antibody Therapy

• Eli Lilly has entered a $415 million licensing agreement with UK-based Alchemab Therapeutics for ATLX-1282, a first-in-class antibody therapy for amyotrophic lateral sclerosis (ALS). • The novel antibody was discovered using Alchemab's AI-powered platform that identified protective antibodies in individuals with genetic mutations for frontotemporal dementia (FTD) who remained healthy into old age. • Alchemab will conduct early Phase 1 trials before Lilly takes over further development and commercialization, leveraging its expertise in neurological conditions to advance the therapy.

IGM Biosciences Halts Autoimmune Programs, Imvotamab and IGM-2644, Following Disappointing Phase 1b Results

• IGM Biosciences has stopped the development of imvotamab and IGM-2644 after Phase 1b trials showed insufficient B cell depletion in rheumatoid arthritis and lupus patients. • The company is reducing its workforce by 73% to preserve cash and is exploring strategic alternatives, including a potential sale or merger. • Interim data indicated that imvotamab, a CD20 x CD3 bispecific antibody, did not meet the company's criteria for success in B cell depletion. • The decision marks a strategic shift for IGM, which initially focused on cancer therapies before pivoting to autoimmune disease research in 2024.

Tenvie Therapeutics Launches with $200M for Neurodegeneration Drug R&D; Sana Biotechnology Achieves Landmark in Type 1 Diabetes Transplant

• Tenvie Therapeutics, backed by Arch Venture Partners and others, debuts with $200 million to develop drugs targeting neurodegenerative diseases. • Sana Biotechnology's technology enables successful pancreatic islet cell transplant in a Type 1 diabetes patient without immunosuppression. • Jasper Therapeutics shares mixed Phase 1b/2a data on briquilimab for chronic spontaneous urticaria, leading to a stock decline. • Stoke Therapeutics finalizes plans for a Phase 3 trial of its experimental drug for Dravet syndrome, with data expected by 2027.

Denali Therapeutics' Tividenofusp Alfa Receives FDA Breakthrough Therapy Designation for Hunter Syndrome

• Denali Therapeutics' tividenofusp alfa (DNL310) has received Breakthrough Therapy Designation from the FDA for Hunter syndrome (MPS II). • The designation aims to expedite the development and review of tividenofusp alfa, a potential improvement over existing therapies. • Denali plans to submit a Biologics License Application (BLA) in early 2025 for accelerated approval of tividenofusp alfa. • Tividenofusp alfa is designed to address both neurological and physical symptoms of Hunter syndrome by crossing the blood-brain barrier.

Denali Therapeutics' ALS Trial Fails to Meet Endpoints, BofA Adjusts Stock Target

• Denali Therapeutics' DNL343, an eIF2B inhibitor, failed to meet primary and key secondary endpoints in a Phase 2/3 trial for amyotrophic lateral sclerosis (ALS) at 24 weeks. • BofA Securities reduced Denali's stock target to $30 from $34, removing DNL343 from their valuation model due to the uncertainty of the drug's future development. • Despite the trial setback, BofA remains optimistic about Denali's brain delivery platform and strong financial position, suggesting potential buying opportunities. • Denali anticipates submitting a BLA for tividenofusp alfa, a Hunter syndrome treatment, in early 2025, potentially transitioning to a commercial organization later that year.

Denali Therapeutics' DNL343 Fails to Meet Primary Endpoint in HEALEY ALS Platform Trial

• Denali Therapeutics' DNL343, an eIF2B agonist, did not meet the primary endpoint of slowing ALS disease progression in a Phase 2/3 trial. • The HEALEY ALS Platform Trial's Regimen G assessed DNL343's impact on disease severity and survival over 24 weeks compared to placebo. • While DNL343 was safe and well-tolerated, key secondary endpoints like muscle strength and respiratory function showed no significant difference. • Further analyses, including biomarker assessments, are planned for 2025 to explore potential subgroup benefits and long-term effects.

HEALEY ALS Platform Trial: Streamlining Drug Development for Amyotrophic Lateral Sclerosis

• The HEALEY ALS Platform Trial is pioneering a new approach to accelerate the development of effective treatments for amyotrophic lateral sclerosis (ALS). • By testing multiple drugs simultaneously using a shared infrastructure, the platform trial significantly reduces the time and cost associated with traditional clinical trials. • Initial results from the platform have led to two drugs, CNM-Au8 and pridopidine, advancing to Phase 3 testing based on promising trends in secondary outcome measures and biomarker data. • The collaborative effort unites patients, clinicians, scientists, and industry partners, fostering innovation and improving access to care across a network of over 70 sites.

Denali Therapeutics Announces Positive Clinical Updates and Financial Results for Q1 2024

• Denali Therapeutics reported positive two-year clinical data for tividenofusp alfa in MPS II, showing sustained normalization of heparan sulfate in CSF and improvements in clinical outcomes. • The company initiated a Phase 1/2 clinical trial for DNL126, an enzyme replacement therapy for children with MPS IIIA, with biomarker and safety data expected by the end of 2024. • Enrollment is complete in the Phase 2/3 HEALEY ALS Platform Trial for DNL343, an eIF2B activator being developed for the treatment of amyotrophic lateral sclerosis (ALS). • Denali completed a private investment in public equity (PIPE) financing with gross proceeds of $500 million and divested its preclinical small molecule portfolio.

Denali and Sanofi's ALS Drug, SAR443820, Fails to Meet Primary Endpoint in Phase 2 Trial

• Denali Therapeutics and Sanofi's investigational drug SAR443820/DNL788 did not meet the primary endpoint in the Phase 2 HIMALAYA trial for amyotrophic lateral sclerosis (ALS). • The primary endpoint was measured by change in the ALS Functional Rating Scale-Revised (ALSFRS-R), a tool used to assess the severity and progression of ALS. • Sanofi plans to present detailed efficacy and safety results from the HIMALAYA study at an upcoming scientific forum, while continuing to evaluate SAR443820 in multiple sclerosis. • This setback marks another challenge in the development of effective treatments for ALS, a neurodegenerative disease affecting thousands in the United States.

ALS Clinical Trial Landscape: Investigational Therapies Targeting Sporadic ALS

• Several clinical trials are underway for sporadic ALS, targeting TDP-43 pathology, STMN2 expression, and neuroinflammation. • Biogen's BIIB-105, AbbVie/Calico's ABBV-CLS-7262, Denali's DNL-343, and QurAlis' QRL-201 are among the therapies currently being evaluated in clinical trials. • Prilenia's Pridopidine and Clene's CNM-Au8 have completed Phase 2 trials, showing some positive trends in motor function and survival benefits, respectively. • The FDA is set to make a decision on Brainstorm Cell's NurOwn, a mesenchymal stem cell therapy, with an advisory committee meeting scheduled for September 27th.

MIROCALS Trial Results: Low-Dose IL-2 Shows Potential Benefit for Subset of MND Patients

• The MIROCALS trial testing low-dose interleukin-2 (IL-2) for motor neurone disease (MND) failed to meet its primary endpoint for the overall population, with results published in The Lancet on May 9, 2025. • Post-hoc analysis revealed a potential benefit for patients with slower disease progression, identified by low neurofilament levels, showing 18% higher survival rates and 23% decreased functional decline compared to placebo. • The UK MND Clinical Studies Group is currently evaluating the complex findings to determine next steps, with three MND organizations collaborating to expedite access to proven treatments.

Advancements in Neurology: From Hunter Syndrome to Alzheimer's Disease

Recent studies and trials in neurology have shown promising results across a range of conditions, including Hunter syndrome, Alzheimer's disease, and Dravet syndrome. Innovations in treatment and diagnostic tools are paving the way for more effective management of these complex conditions.
© Copyright 2025. All Rights Reserved by MedPath