Never before in human history has science been so capable as now to pinpoint accurately and assuredly the root causes of human disease. The cellular aberrations that drive nearly all human disease are coming into clear focus, as are the alterations in the genetic code that often underlie pathology. If knowledge is power, then the revolution in understanding disease causation should have already ushered in a renaissance era of human health and welfare wherein precision medicines provide alleviation from the personal and societal burden of physiologic disfunction. Why has this biological promise not become medical reality? Why has the overarching goal of freely, rapidly, and predictably translating biological insights to disease elimination, or even amelioration, been so frustratingly elusive? What is the reason for the Actionability Gap between fundamental biology and precision medicine?
There is no single answer to these questions, but there is widespread agreement that the limitations of existing drug classes are among the most important contributors to the Actionability Gap. Monoclonal antibody drugs are unable to access the cell interior and therefore are limited in utility to the 10% of human disease drivers that are exposed to the bloodstream. Small molecule drugs can access the cell interior but lack the adhesive power needed to bind most human disease drivers. Taken together, these limitations leave the majority of human disease drivers beyond the reach of existing drug classes. So, a renaissance in targeting technology matching that in fundamental biology will be required to close the Actionability Gap.
FogPharma is leading the renaissance in targeting technology by developing a new class of drugs – HeliconTM peptides – that uniquely combine the broad targeting power of monoclonal antibodies with the cell-penetrating ability of small molecules. Helicon peptides hold the promise, not only to drug nearly all human disease drivers, but also to do so with unrivaled speed and scalability and to provide precision medicines with unrivaled specificity.
HeliconTM Peptides
FogPharma’s overarching mission is to usher in a world with no Actionability Gap, where disease biology, and likely medical impact, determine which human protein targets become drugged. FogPharma’s approach is deeply inspired by evolution, drawing upon biology’s own tried-and-true strategies for biomolecular recognition and membrane penetration. Our HeliconTM peptides combine the cell penetration capabilities of small molecules with the broad targeting power of biologics, allowing us to take aim at some of the most common yet elusive targets in cancer.
Our HeliconTM peptide technology is centered on constraining short chains of amino acids — polypeptides — in a specific folded shape known as an α-helical conformation, which confers upon them unique drug-like properties. The α-helical fold intrinsically cloaks the polarity of the peptide backbone, allowing sufficiently hydrophobic peptides to cross membranes and enter cells. Nature provides ample examples of the membrane compatibility of α-helices: they are the only structures ever observed in single-pass transmembrane proteins. In addition to aiding cell entry, this cloaking also allows HeliconTM peptides to evade rapid renal clearance and achieve long plasma and tissue residence times, providing pharmacokinetic profiles that enable sustained target coverage. The α-helical fold also prevents recognition by both proteases and the MHC proteins that are required for immune recognition, resulting in both greater stability and suppressed immunogenicity. Lastly – and crucially – α-helices are able to display a diverse array of sidechains along an extended interface, which allows them to bind many “undruggable” target proteins that are out of reach for small-molecule drugs. This combination of cell penetration, drug-like properties, and broad targeting ability make HeliconTM peptides uniquely suited to solving the druggability challenge in modern medicine.
Rapid, Multiplexed Drug Discovery
FogPharma aims not only to achieve near-universal druggability, but also to dramatically accelerate the speed and scalability of drug discovery. Here again, we draw inspiration from evolution, and combine it with recent advances in chemistry, biology, data science, and automation to create the foundations of a truly next-generation multiplexed and machine learning-enabled drug discovery engine. This engine exploits the polymeric nature of peptides to enable the rapid creation and testing of HeliconTM peptides in controlled mixtures, with no separation or purification, and deploys machine learning to rapidly derive new rules for design optimization. Using this multiplexing engine, small teams of FogPharma’s scientists are able to design, synthesize, and evaluate thousands of new peptides each week in both biochemical and cell-based assays, progressing early hits into leads in a matter of months.
In the 1970s, Steve Wozniak manually iterated through circuit board designs, hardware, and code to create his first computers by hand, eventually leading to the creation of the Apple I. Today, Apple’s engineers develop incomparably more powerful and sophisticated chips using highly automated software – no manual design required. Our aspiration is to follow the technology industry’s lead, push our multiplexing technology to its limits, and build the world’s fastest and most powerful drug discovery engine – one which can be deployed to address the needs of human medicine at an unprecedented scale.
Carbamate-stapled Peptides: The original constrained a-helix system originally invented in the Verdine Lab at Harvard, all-hydrocarbon-stapled peptides and the dual MDM2/MDM4 antagonist series of drugs derived therefrom, have given rise to the first stapled peptide to achieve proof-of-concept in humans, with ALRN-6924 presently in Phase II clinical development. Carbamate-stapled peptides greatly improve upon the original system, providing enhanced physical and pharmacologic properties, and enabling extensive structural variation of the staple itself to optimize affinity and cell-penetration.
The ProLockTM System: Our ProLockTM stapling system involves an N-terminal capping structure designed to cloak the amide bonds at the end of an α-helix. When incorporated into certain HeliconTM peptides, it can impart significant levels of oral bioavailability in rats.
GriptidesTM: FogPharma’s ultimate goal is to achieve Universal Druggability – the ability to create medicines to address any disease process for any patient. GriptidesTM consist of two tightly paired α-helices, and can engage even the most challenging targets with extraordinarily high affinity and specificity. For example, FogPharma’s RAS GriptidesTM target all Ras isoforms and the most common oncogenic mutants with an affinity below 250 pM.
Key Programs
β-catenin Program
FogPharma aims to discover and develop direct-acting antagonists of β-catenin. β-catenin is a key signaling hub in the Wnt pathway, which is activated by pathway mutations in nearly all colorectal cancers and a significant number of cancers of the liver, breast, prostate, endometrium and lung, among others. In these cancers, the activations are all upstream of or in β-catenin; our antagonists are expected to block all Wnt-driven cancers, irrespective of their specific pathway mutation.
The laboratory of our scientific advisory board member Dr. Thomas Gajewski showed that Wnt pathway activation also plays an important role in tumors going “cold”, avoiding invasion by cytotoxic T lymphocytes. β-catenin antagonist might be useful in two distinct and potentially synergistic ways; as an anti-oncogene to block tumor cell proliferation and as an immuno-oncology drug to promote tumor clearance by cytotoxic T cells. FogPharma is actively pursuing both of these indications in pre-clinical models.
β-catenin has multiple interacting partners and interference with any one of them may be therapeutically beneficial. FogPharma is developing multiple series of drugs, each of which binds β-catenin at a unique site and blocks a particular interaction. These series will be developed initially as single agents, but the company’s long-term goal is to use them in combination to stave off the emergence of resistance.
TEAD Program
FogPharma’s TEAD program aims to discover and develop molecules that directly disrupt YAP1/TAZ-TEAD binding using our proprietary HeliconTM Peptides. TEAD is a transcription factor that functions as the terminal effector of the Hippo pathway. The pathway is activated by interaction between TEAD and co-activator proteins of the YAP1 and TAZ family. The Hippo pathway is aberrantly activated via genetic alterations in multiple cancer types, from mesothelioma and squamous cell cancers to gliomas and sarcomas to tumors of the esophagus, endometrium, skin, and stomach.
Interactions between TEAD and YAP1/TAZ contribute to tumor growth, maintenance, and progression as tumor-intrinsic oncogenic drivers, and also provide resistance mechanisms to drug treatments, in addition to serving as regulators of immunity and tumor microenvironment leading to immunosuppression. A molecule to block TEAD binding to YAP1/TAZ would potentially provide benefit to patients as a single agent in tumors with oncogenic driver mutations, as a single agent or combination partner in drug resistance diseases, and as a combination partner by promoting antitumor immunity.
Several companies are developing molecules of TEAD-palmitoylation inhibitors to prevent activation of TEAD. These molecules do not block the already-activated pool of TEAD. FogPharma believes that it will be important to block both activation of TEAD and signaling via activated TEAD, and hence our drug modality is being specifically designed as, to our knowledge, the only precision medicine to provide a full blockade of all TEAD forms.
Publications
The role of β-catenin in tumor evasion of the immune response: Spranger, S, Bao, R, Gajewski, TF, Melanoma-intrinsic β-catenin signaling prevents anti-tumor immunity. Nature 2015, 523, 231-235.
Invention of stapled peptides: Schafmeister, CE, Po, J, Verdine, GL, An All-Hydrocarbon Cross-Linking System for Enhancing the Helicity and Metabolic Stability of Peptides. J. Am. Chem. Soc. 2000, 122, pp 5891–5892.
Griptides targeting Ras: McGee, JH, Shim, SY, Verdine, GL, Exceptionally high-affinity Ras binders that remodel its effector domain. J. BioI. Chem. 2018, 293, pp. 3265-3280.


























