David Mott, general partner at NEA, recalls a conversation he had at a conference 5 years ago with Dr. Eric Topol, director of the Scripps Translational Science Institute. Topol described how genomics advances were already making it possible to chop up big diseases into smaller ones. What if they could create an accelerator staffed with experienced drug developers who could perform fast validation of projects—or fast kill? Mott launched Cydan in April 2013 with $16 million from NEA, Pfizer Venture Investments, and Alexandria Venture Investments. In October 2013, Lundbeckfond Ventures, and Bay City Capital led an additional $10 million financing round with the prior investors.“The way science has evolved, we are beginning to understand these diseases at a genetic and molecular level,” says Mott. “We are trying to stop disease at its beginning. It is decreasing our expenses in drug development. It is changing its expense-to-risk ratio.”According to Mott, segmenting disease into separate subtypes is already being done in cancer, as with, for example, Crizotinib, an ALK inhibitor for non-small cell lung cancer that the FDA approved in 2011. “Lung cancer is not a single cancer but many different types of cancers that affect the lung,” says Mott. “There is a big crossover between rare genetic disease and targeted therapeutics in oncology.”Cydan will screen potential candidates from academic labs and patient foundations in the US and globally. According to Mott, once a compound is selected and passes a 12 month “de-risking” program, the money is already raised and a management team is in place, saving perhaps 6–12 months of downtime that would otherwise be spent in fundraising and setting up a startup infrastructure. The accelerator focuses on the crack between academic research and getting a company staffed and funded. “I think that crack is a very fruitful place to go drug hunting,” says Mott.“Patient foundations are very interested in Cydan’s model because we can ask key development questions that can enable rigorous go/no go decisions—and have capital on the table,” says Csimma. “They like the fact that we come to the table with a very objective approach because we are not asset centric.” Cydan looks for “assets” with well-characterized genetic etiology, usually animal data, or even clinical data in a different indication. Assets would also be backed up by global registries and natural history studies from patient foundations. Assets must provide meaningful clinical benefit for an unmet need and potential for an eventual spinout and/or expanded indications. Successful candidates can then transition smoothly to series A-supported development programs. The accelerator plans to launch up to five companies in 4 years. Cydan will also introduce early stage investors and academics or foundations.A year after their daughters’ diagnosis, the Spooners continue to work with doctors, including Dr. Virginia Kimonis in the division of Genetics and Metabolism at the University of California, Irvine, to research possible trial drugs. They are considering fundraising to support research opportunities. They are also working with the UMDF (United Mitochondrial Foundation) to stay informed about any drugs or therapies that become available for their disease and/or to treat similar symptoms. “We are not sure if our disease is progressive, so we are very concerned and needing to stay aware and open for treatments and hopefully one day a cure.” writes Christy Spooner.
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