THEME: "Experimental Challenges in Studies of Drug Discovery, Development and Lead Optimization"
Chair | Keynote Presenter | Neuropathix, Inc., USA
Title: Improving on Cannabinoids in Nature in Terms of Safety, Specificity, Bioavailability, and Efficacy
Dr. Kinney began his industrial career as a medicinal chemist at Wyeth, where he invented the unique NMDA antagonist perzinfotel that progressed to Phase II clinical trials for pain. At Magainin Pharmaceuticals, he was an inventor of squalamine, a shark-derived natural product that advanced to clinical trials. In 2000, he joined Johnson & Johnson, where he pursued drug targets for cardiovascular indications. He is Founder of IteraMed Consulting, a company focused on medicinal chemistry, drug discovery, and small business development. In this capacity he invented KLS-13019 for Kannalife Sciences, a company focused on cannabinoid therapeutics. Most recently, Dr. Kinney co-founded Enterin Inc., where he is leading the manufacturing of squalamine phosphate for Parkinson’s Disease.
Neuropathic pain remains a challenging
neurologic disorder that adversely affects quality of life and presents a large
unmet medical need. Chemotherapy-induced peripheral neuropathy (CIPN) is a
chronic, severely debilitating consequence of cancer therapy for which there
are no effective management strategies. Upwards of 80-97% of CIPN patients
reported using prescription opioids for this pain management. Mitochondrial
dysfunction, oxidative stress, and inflammation have all been implicated in
CIPN etiology. In a mouse model of paclitaxel-induced pain sensitivity, we have
previously reported that cannabidiol (CBD) is effective in preventing the onset
of this treatment consequence. Now a new
CBD analogue (KLS-13019) has been discovered in our laboratory that has
improved drug-like properties in comparison to CBD, while retaining
neuroprotective properties. Both CBD
and KLS-13019 were equi-effective and equi-potent following oral
administration. However, in the reversal studies, CBD did not attenuate
mechanical sensitivity when administered after CIPN was induced by paclitaxel
treatment. KLS-13019 significantly and dose-dependently attenuated tactile
sensitivity in the reversal paradigm and was more potent and effective than
treatment with morphine. Importantly, KLS-13019 also attenuated the reinforcing
properties of morphine in a mouse model of morphine self-administration. In
vitro, we have shown that KLS-13019 and CBD protect against paclitaxel-induced
oxidative stress in dorsal root ganglia cultures, and that a mechanism
underlying this neuroprotection is regulation of intracellular calcium via the
mitochondrial Na+/Ca++ exchanger-1 (mNCX-1). Our central hypothesis is that
administration of CBD or KLS-13019 preserves Ca2+ homeostasis by promoting
activity of the mNCX-1. Furthermore, our new data demonstrates that an
additional target is induced following paclitaxel treatment and contributes to
sensory neuron toxicity and inflammation that can be reversed by KLS-13019, but
not CBD. We predict bi-modal pharmacological effects of KLS-13019 that can both
increase viability of sensory neurons exposed to paclitaxel acutely and
decrease long-term neuroinflammation.