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Boehringer Ingelheim and Tessellate Bio Form €500M Partnership to Target ALT-Positive Cancers

• Boehringer Ingelheim has secured global commercialization rights for treatments co-developed with Tessellate Bio targeting tumors dependent on alternative lengthening of telomeres (ALT), present in 10-15% of all cancers.

• The partnership, valued at over €500 million, aims to develop first-in-class oral precision therapies using synthetic lethality approaches for hard-to-treat cancers with poor prognosis and limited treatment options.

• Tessellate Bio has developed inhibitors of an undisclosed target essential for ALT-positive cancer cell growth, which induce DNA damage and cell death specifically in cancer cells while sparing healthy tissue.

Boehringer Ingelheim has entered into a significant collaboration agreement with Tessellate Bio to develop novel targeted therapies for cancers dependent on alternative lengthening of telomeres (ALT). The deal, valued at over €500 million, grants Boehringer global commercialization rights to treatments co-developed through this partnership.
The collaboration focuses on a mechanism present in approximately 10-15% of all cancers that currently lack targeted treatment options and are associated with poor patient outcomes. ALT allows cancer cells to overcome normal telomere shortening that typically limits cell replication, enabling unlimited proliferation of tumor cells.
"We look forward to working with Tessellate Bio's team of scientists to develop innovative cancer treatments based on their synthetic lethality approach targeting ALT positive tumors," said Lamine Mbow, Global Head of Discovery Research at Boehringer Ingelheim. "This new collaboration complements our oncology research portfolio and further reinforces our commitment to transforming the lives of people living with cancer."

Understanding the ALT Mechanism

In healthy cells, telomeres—protective caps at the ends of chromosomes—progressively shorten after each cell division, naturally limiting the number of times a cell can replicate. Cancer cells circumvent this limitation through various mechanisms, with ALT being one pathway that enables unlimited proliferation and is particularly prevalent in aggressive cancers.
Tessellate Bio has developed inhibitors targeting an undisclosed protein that plays a crucial role in enabling the uncontrolled growth of ALT-positive cancer cells. When this target is blocked, it leads to increased DNA damage, replication stress, and ultimately tumor cell death specifically in ALT-positive cancer cells, while healthy cells remain unaffected as they don't rely on this mechanism.

Financial Terms and Strategic Importance

Under the agreement, Tessellate Bio will receive near-term payments including an undisclosed upfront license fee, research funding, and technical milestone payments. The deal structure also includes downstream success-based milestones, bringing the total potential value to more than €500 million.
For Tessellate Bio, this represents their first pharmaceutical industry partnership. Andree Blaukat, CEO of Tessellate Bio, commented, "This is our first pharma collaboration, and we believe that Boehringer Ingelheim is the ideal partner to advance this innovative program to benefit patients with ALT positive cancers. The company has a proven commitment to oncology and the agreement aligns with our collaborative strategy for bringing new targeted treatment options based on the concept of synthetic lethality to patients across a wider range of cancers."

Advancing Synthetic Lethality in Oncology

The partnership positions Boehringer Ingelheim and Tessellate Bio as potential leaders in the evolving field of synthetic lethality—a promising approach in oncology that allows treatments to selectively attack cancer cells while sparing healthy tissue. This strategy has already shown success with PARP inhibitors in BRCA-mutated cancers, but experts believe much of the potential in this therapeutic space remains untapped.
The collaboration comes at a pivotal time when precision medicine is gaining momentum as the next frontier in cancer care. Beyond delivering more personalized and less toxic treatments, the industry is increasingly focused on addressing previously "undruggable" mutations and mechanisms—a goal that aligns with the synthetic lethality approach central to this partnership.

Potential Clinical Impact

The development of targeted therapies for ALT-positive cancers could represent a significant advancement for patients with limited treatment options. These cancers, which include subtypes of sarcomas, glioblastomas, and certain aggressive carcinomas, typically respond poorly to conventional therapies and are associated with rapid progression.
By targeting the specific vulnerabilities of ALT-dependent tumors, the oral precision therapies being developed through this collaboration aim to address a significant unmet medical need while potentially minimizing side effects compared to traditional chemotherapy approaches.
As the partnership progresses, clinical development timelines and specific cancer indications to be targeted first have not yet been disclosed.
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