Thiogenesis Announces Collaboration and Updates on Pediatric NASH Clinical Program

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San Diego, California--(Newsfile Corp. - August 20, 2024) - Thiogenesis Therapeutics, Corp. (TSXV: TTI) ("Thiogenesis" or the "Company") a clinical-stage biotechnology company developing disulfides that are precursors to thiol-active compounds and potent antioxidants targeting unmet pediatric diseases, today announced that it has signed a Collaborative Agreement with the University of California San Diego ("UCSD"). Thiogenesis will work with Jeffrey Schwimmer, M.D., as the Principal Investigator at UCSD, in a proposed Phase 2 clinical trial titled: "An Open Label, Controlled Clinical Trial to Evaluate the Efficacy and Safety of TTI-0102 in Pediatric Nonalcoholic Steatosis ("NASH")."

Pediatric NASH and TTI-0102

Pediatric NASH is a more severe form of pediatric Nonalcoholic Fatty Liver Disease ("NAFLD"). There are estimated to be well-over 1,000,000 children in the U.S. with pediatric NASH, for which there are no approved drugs or treatments. Pediatric NASH is often linked to obesity and occurs when there is inflammation and fat in the liver, additionally there may be complications from liver damage and scarring ("fibrosis").

Thiogenesis' lead compound, TTI-0102, is a prodrug that becomes active after oral administration, leading to a well-tolerated and sustained release of a previously approved active pharmaceutical ingredient cysteamine. Cysteamine was approved by other pharmaceutical companies to treat pediatric patients with nephropathic cystinosis for decades. As a result, TTI-0102 is eligible for the accelerated 505 (b)(2) regulatory pathway in the U.S. that allows for the inclusion of third-party safety data from the previously approved drug for the safety component of its Investigational New Drug ("IND") application with the U.S. Food and Drug Administration ("FDA"). Thiogenesis in collaboration with UCSD, is in the process of filing an IND with the FDA. The two critical mechanisms of action of TTI-0102 in potentially treating pediatric NASH are i) it increases intracellular glutathione and moderates oxidative stress which may reduce or prevent steatosis, and ii) it assists in fatty acid synthesis which has the potential to reduce fibrosis.

The proposed Phase 2 clinical trial is designed to treat 10 NAFLD patients with TTI-0102, ages 10-17 in a single center, open label trial, for a duration of 12 weeks. The primary objective will be to monitor for improvements in serum of alanine aminotransferase ("ALT") levels that is typically elevated in fatty liver patients.