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Astrodepressants Antidepressants Targeting Astrocytes Dr. Jimmy Stehberg June, 2019 Aleph Pharmaceuticals PROBLEMS WITH CURRENT ANTIDEPRESSANTS 50% of people with depression do not respond to current antidepressants. Current

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  1. Astrodepressants Antidepressants Targeting Astrocytes Dr. Jimmy Stehberg June, 2019 Aleph Pharmaceuticals

  2. PROBLEMS WITH CURRENT ANTIDEPRESSANTS § 50% of people with depression do not respond to current antidepressants. § Current antidepressants take 3 weeks to exert their effects, requiring the prescription of other drugs. § All drugs in the market target neurons, most of them off patent, but there are no drugs targeting other brain cells. § The newest drug, ketamine, has fast antidepressant effects, but many side effects Aleph Pharmaceuticals

  3. ASTROCYTES ARE A NOVEL TARGET FOR ANTIDEPRESSANTS Aleph Pharmaceuticals § Novel target within astrocytes. § Small molecule lead compound. § Fast-acting-effects within 10 minutes. § No measurable side effects. Aleph Pharmaceuticals

  4. CHANGING NEUROTRANSMITTER SIGNALS TO NEURONS § Astrocytes release transmitters into synapses. § These transmitters activate neurons. § Decreased release from astrocytes results in reduced neuron-to-neuron synaptic activity. Aleph Pharmaceuticals

  5. MARKET DATA “A $14 Billion Market”. § The US accounts for 40% of the antidepressant market. § 20 Million suffer from severe depression. § Market continues to grow, especially with the aging population, reaching 17% in people over 65 years. Aleph Pharmaceuticals

  6. COMPETITION DRUG TIME TO ATTAIN NOVELTY OF SIDE EFFECTS EFFECTS TARGET Serotonin transporter 3-4 weeks Not novel Low (SSRIs) Cyclic antidepressants 3-4 weeks Not novel High Monoamine oxidase 3-4 weeks Not novel High inhibitors (MAOIs) Serotonin and 3-4 weeks Not novel Moderate norepinephrine reuptake inhibitors (SNRIs) Ketamine 10 minutes Not novel High Aleph Pharma product 10 minutes Novel Low Aleph Pharmaceuticals

  7. TRACTION Aleph Pharmaceuticals § Funding: $700K in non-dilutive grants. § We have published 7 papers on the role of our target in psychiatric disorders, including depression, anxiety and memory. § We have setup active collaborations on this topic with several labs in Chile, Belgium, Germany and France. *US patent granted on a small molecule for use in depression: US 14/404.358 "Use of compounds that selectively modulate astrocytic release of substances…” Aleph Pharmaceuticals

  8. AN INTERNATIONAL SCIENTIFIC & BUSINESS TEAM Aleph Pharmaceuticals Investigators: Dr. Jimmy Stehberg CEO and in vivo models. § Dr. Felipe Simon ( in vitro screening). § Dr. Danilo González ( In sillico work; small § molecules). Outside collaborators: Fraunhofer IME, Germany. § UGhent, Belgium (Luc Leybaert ). § KULeuven, Belgium (Geert Butynck ). § UDD, Chile, (Mauricio Retamal ). § Advisors: Nancy Levy. § Francisco Chiang. § Aleph Pharmaceuticals

  9. TIMELINE Aleph Pharmaceuticals GMP Preliminary FDA (IND GLP, preclinical safety study Phase I Application) Oral formulation In humans US 2 year 1 year 6 months 3 months 2020 2018 2021 2022 Aleph Pharmaceuticals

  10. BOSTON § Partnerships for development. § Collaborations for further studies. § Funding. Aleph Pharmaceuticals

  11. Astrodepressants Antidepressants Targeting Astrocytes Dr. Jimmy Stehberg jstehberg@unab.cl Aleph Pharmaceuticals

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