Latest / The BioHub - by Avetix / Episode 127 - Ann Belien - Founder and CEO Rejuvenate Biomed
Transcript
- 0:06So welcome back to the episode of the Bio Hub.
- 0:08Today we're delighted to be joined by Anne Bellion, founder
- 0:11and CEO of Rejuvenate BioMed, a clinical stage biotech advancing
- 0:15combination therapies for healthy ageing and age-related
- 0:18diseases. Anne brings more than 20 years
- 0:21of drug development experience, including scientific and
- 0:24leadership roles at J&J. And in 2017 she'd founded
- 0:28Rejuvenate BioMed to translate Cutting Edge ageing science into
- 0:32real preventative treatments. So join us today as we'll talk
- 0:36through the healthy ageing space, the encouraging recent
- 0:40data, as well as operating as a Belgium based biotech.
- 0:43So Anne, thanks so much for coming on.
- 0:45How are you I'm. Doing fine.
- 0:48Thank you so much and yourself. Yeah, good, good.
- 0:51Yeah, it's a pleasure to have you on.
- 0:54So look, let's just let's just dive into a little bit about
- 0:57your journey through the field. So you have a career spanning
- 0:59more than two decades across academia and industry, from your
- 1:03PhD in neuro oncology to senior strategy roles at J&J.
- 1:09Can you just give us a bit of a run through your journey and how
- 1:12you got to where you are today? Yeah, sure, absolutely.
- 1:15So indeed in I'm a scientist from background, did a PhD in
- 1:21Switzerland, moved to Belgium where one of my professors was
- 1:25working at J&J and he kind of convinced me to join pharma
- 1:31because he knew that I had a big law for translational science.
- 1:35So during my PhD, I looked at at glioblastoma, a cancer cell line
- 1:42or cancer that was migrating on white matter, where the rest of
- 1:45the group was actually looking at white matter in invasion.
- 1:48So I was doing the opposite from what the rest of the group was
- 1:51doing. And looking back to my career,
- 1:53that seems to be like the red line.
- 1:55I always seem to be looking at things just a little bit
- 1:58differently than others do, which makes it very interesting
- 2:01for me. So what I did is when I moved
- 2:05back to Belgium in 2000, I joined Johnson and Johnson as a
- 2:09scientist in the discovery setting, where I had the
- 2:13pleasure and an honor to be in a team where we identified first
- 2:17aid DAC inhibitors and set up also some animal models.
- 2:21And I was very curious on what's going to happen with this
- 2:24compound now when it leaves discovery because having an idea
- 2:28and a discovery in, in a preclinical settling doesn't
- 2:30mean that you have a medication for a person, right?
- 2:33So I was able to learn about the preclinical elements that come
- 2:38into play, talks, ultimate talks, all those elements and
- 2:41then also the CMC side. And then I also wanted to be to
- 2:47learn a little bit more about clinical and regulatory because
- 2:50I'm way too curious to have or to go for a status quo.
- 2:55And I was allowed in to do a rotation to the US where I
- 2:58learned about those elements in the drug development area, a
- 3:02little bit more on the late development side, both CNS and
- 3:06oncology. Then I moved back to Belgium and
- 3:09I joined another company of the Johnson and Johnson companies
- 3:13because as you know, they have multiple companies within the
- 3:15organization where I focus much more on early development.
- 3:20And that's where I started to look at what do we do in
- 3:24discovery, What do we do early development, what do we do late
- 3:26development and streamline those elements.
- 3:29And it is there that I then sort of become a move more into
- 3:33strategic roles, including being part of the integration of one
- 3:39of the companies that were acquired, but then also again
- 3:42corve outs of another part of that company.
- 3:45And then I ended up in the Netherlands in the Johnson
- 3:49Prevention Center where we're focusing on prevention of non
- 3:53communicable diseases. Yeah and you you've obviously
- 3:56spent a big bulk of your career in large farmer.
- 4:00What inspired you to take the leap and, and and find found
- 4:03Rejuvenate BioMed in 2017 and and how did you find that
- 4:07initially going from from big pharma to to building something
- 4:10out from scratch? Oh, I like that question a lot
- 4:14because it's a, it's, it's a very personal reason why I
- 4:19decided to set up Rejuvenate Biomat.
- 4:21So what I noticed was that my father was of course aging and
- 4:25he was suffering from multiple age-related diseases at the same
- 4:29time. And each time when we tried to
- 4:31treat one of them, another one would just pop up.
- 4:34Being the only one in the pharma area in my family, everybody was
- 4:38looking at me like what's happening here?
- 4:41So I started to dive into the biology of aging and started to
- 4:45understand about the hallmarks of aging where we see that a lot
- 4:48of different mechanisms are not functioning anymore very well.
- 4:52And the older people, so especially the repair
- 4:55mechanisms, these go from DNA repair to mitochondrial health,
- 5:00cell cell communication, inflammation.
- 5:03And I started to think about this a little bit differently
- 5:06because normally we focus on one specific target.
- 5:10And I thought, what if we can now have an impact on multiple
- 5:13hallmarks simultaneously and then also on a specific disease.
- 5:17So really taking into account the fact that the older body
- 5:20does not function anymore optimally like it does in the
- 5:24younger body. I looked into that when I was
- 5:28still at J&J and got the opportunity to do a scientific
- 5:33assessment. That won't seem to be positive.
- 5:35But again, having a scientific idea doesn't mean that you have
- 5:38a business opportunity. So I also went through a boot
- 5:42camp and we identified that this actually was a very interesting
- 5:46business opportunity. But I, of course, was working at
- 5:50J&J and I always say it was not a golden cage.
- 5:54It was a golden space where I could move around freely.
- 5:58So for me, it was a very difficult decision, but I really
- 6:02wanted to make a difference. And yeah, having of course, my,
- 6:07my father, which is my everything, I really wanted to
- 6:11make that difference. And I took all the courage that
- 6:15I could find. And I did make the step into or
- 6:20to set up a biotech company. Nice.
- 6:23I love it when there's a personal story behind it.
- 6:25So yeah. And was there a particular gap
- 6:29that you saw in the biotech landscape at the time, both
- 6:32scientifically or strategically, that convinced you that this was
- 6:36the right moment to build a an ageing focus company?
- 6:39What was the many of the companies doing?
- 6:41I guess what you guys are doing at that point in time when you
- 6:44decided to set the company up? Yeah.
- 6:46So there was still a quite large gap in the sense that there was
- 6:49a huge amount of very, very good basic signs that happened.
- 6:53Done in the biology of aging or the geoscience, depending on the
- 6:58nomenclature. But the translation into
- 7:02something that can be used in humans was not there yet.
- 7:06That was one element that was definitely missing at that
- 7:10moment in time. Like how do you translate this?
- 7:12Because there is no condition called aging for which you have
- 7:16a regulatory trajectory. So how do you deal with these
- 7:19things? That was one element.
- 7:21The other one was more from biological perspective.
- 7:27Like normally when a disease hits a body, there is a specific
- 7:32target that is being impacted and then you go in and you fix
- 7:35the targets. In this case, you don't have one
- 7:39target, you have multiple targets and you have multiple
- 7:42pathways. So it's even more complicated
- 7:45than how we used to look at normal or established diseases.
- 7:52Then the second thing was if you go into a new space, which aging
- 7:55of course is 1 important element is that to do no harm rule.
- 8:01You don't want to develop something that can harm the
- 8:04people, especially in a new space where nothing has been
- 8:08developed yet. You have to go in there very,
- 8:10very, very carefully. So we decided to work with
- 8:14products from which we have human safety data at hand and
- 8:18then use those to generate new combinations that can have an
- 8:22impact on multiple pathways simultaneously, but at least be
- 8:25sure that we have safety at hand.
- 8:28That were a couple of the of the things that were at that moment
- 8:31definitely missing. But as I mentioned also a lot of
- 8:35unbelievable good research already had been done, so it was
- 8:38a good moment to come in and start to translate and.
- 8:41When you look at like the space that you're in now and I, I
- 8:44never like to use the word competitors because I think
- 8:47ultimately you're doing it for the patients.
- 8:49But like who are the companies that I guess you're competing
- 8:53against or doing similar sort of stuff to you?
- 8:55Who else is sort of in that space?
- 8:57Yeah. So the the interesting part is
- 8:59indeed, as you mentioned, it's not like a very competitive
- 9:02space because we're all new to it, because it is a new field
- 9:05and everybody's trying to apply their own knowledge to move
- 9:10forward. I think one thing that we all do
- 9:12in common is we do of course recognise that aging today is
- 9:16not and and condition for which you have a regulatory
- 9:21trajectory. So all of us have that long term
- 9:24vision of healthy aging in the back of our minds.
- 9:27But they're also looking and how can we in the short run really
- 9:32help patients that suffer from a specific disease and then
- 9:36generate all the data that we need to broaden them later to
- 9:40show that there is a general health impact and healthy aging
- 9:45impact. So that's one of the things that
- 9:47we do in common. In Europe, we don't have a lot
- 9:49of companies focusing on this space at this moment in time.
- 9:54US is a little bit more active I would say.
- 9:58So I think none of us really still has that claim of we
- 10:02develop a compound to ensure health ageing, but we all became
- 10:06very realistic and define specific disease area where we
- 10:10will focus on. And just so obviously the the
- 10:13space is still emerging as a, as what's recognised as a
- 10:16therapeutic category. Can you or how would you explain
- 10:19your disease agnostic approach to people who are used to
- 10:22thinking in terms of like one disease 1 drug?
- 10:26The way I try to explain it to people is that you can.
- 10:31So how we have been educated is of course to look at each organ
- 10:36separately, but not really looking too much about the cross
- 10:39talk between organs. Our whole health support system
- 10:45is structured that way. You have a cardiologist, you
- 10:48have somebody focusing on renal diseases, somebody focusing on
- 10:53lung. So that's how we are structured
- 10:55and that's how we are trained. So we are not used to look
- 10:59across organs. The way I explain why it is
- 11:02important to do that is by making a comparison with the
- 11:06mosaic of the world. If you look at the world and
- 11:09every country gets a specific color, you have a very beautiful
- 11:12mosaic. Now if you color that's those
- 11:16same countries with the language they are speaking, then you see
- 11:20that your mosaic becomes different and then you see that
- 11:22similar languages are being spoken in different parts of the
- 11:26world. That's a little bit how you now
- 11:28can look at the organs. So the organs are the countries,
- 11:31but for instance, mitochondrial health is important for every
- 11:35organ, cell cell communication is important for every organ.
- 11:39Inflammation is present everywhere.
- 11:42So if you now tackle those languages and you start to learn
- 11:46to speak the languages, you can reach so many more countries
- 11:49being the organs compared to just focusing on one element
- 11:53alone. That's probably the easiest way
- 11:56to explain it. Nice.
- 11:58And just to delve into the pipeline a little bit further.
- 12:01So your lead program, RGX 01 targets sarcopenia, a condition
- 12:07with no approval therapies today.
- 12:10Why did you choose to focus on muscle aging diseases first?
- 12:15So what we noticed as as you mentioned in the beginning, we
- 12:18are very disease agnostic. So we have a platform that helps
- 12:23us to identify compounds that can have an impact on multiple
- 12:27hallmarks simultaneously and then finds a way to link that
- 12:32specific combination to a specific disease.
- 12:35So the first exercise that we did when we looked at the
- 12:41hallmarks of aging, we saw that there was a combination product
- 12:45that potentially could have an impact on multiple hallmarks at
- 12:48the same time. To now address if there was an
- 12:51impact on health span, we looked and see elegance which are
- 12:55little worms and to see if indeed we had an improvement in
- 12:59health span with a combination product, we saw that we did have
- 13:03that and we noticed there an impact on the muscle.
- 13:06So the muscle fiber structure was much more conserved after
- 13:10treatment with RGX one versus non.
- 13:13That's kind of how we moved into that muscle field very quickly.
- 13:17Based on the activities that we could extrapolate, we saw that
- 13:23sarcopenia actually is fitting this age-related disease
- 13:30necessity. So it does fall in the category
- 13:33that we want to move into. We also know that it's very
- 13:37complex and sarcopenia has also hallmarks as we call it.
- 13:43So that means that you have a disturbance of the neuromuscular
- 13:45junction. That's the cross talk between
- 13:47the neurons and our muscles. You have a problem with
- 13:50mitochondrial health, so energy goes down.
- 13:54You have a problem with inflammation.
- 13:56So that means that you have a chronic inflammation status
- 13:58which is disturbing normal cell cell communication.
- 14:01And you had multiple of these elements.
- 14:03So it resembled a lot what actually happens when you are
- 14:07aging. So having a disease that you now
- 14:10can have a trajectory for from a regulatory perspective and that
- 14:15you can bring to the market to a specific field helps us to study
- 14:21healthy ageing. So that's how we came to
- 14:23sarcopenia. So the data basically drove us
- 14:27in that direction. Indeed, sarcopenia is a quite
- 14:31new disease. So when I started in 2017 or 16
- 14:35to look at at the first steps, sarcopenia was not very well
- 14:40understood yet. In the meantime, we understand
- 14:43that way much more. It's much more recognized.
- 14:46We see it in a lot of different situations.
- 14:49We typically talk about chronic sarcopenia.
- 14:52When we talk about sarcopenia loss, loss of muscle
- 14:55performance, it's mainly performance in the old
- 14:59generation. But what we also see that it can
- 15:02be induced and it can be induced because of another disease.
- 15:06So we call it disease induced sarcopenia.
- 15:09For instance, people who are suffering from COPD, their
- 15:13muscle is not doing very well. But it can also be induced for
- 15:17other reasons like treatment induced sarcopenia in obesity.
- 15:21The GLP ones are doing a marvelous job in getting people
- 15:25away from the obesity and also helping them with their general
- 15:29health. Unfortunately, there's one
- 15:31element and that's the the strong loss of the muscle that
- 15:35is also being in used. There's another situation where
- 15:38you can make a difference and there are several of those as
- 15:41well. So that's why sarcopenia is
- 15:44actually a very interesting disease because it has a quick
- 15:47win in acute settings where you can study it fast and you can
- 15:52develop the compound fast and bring it forward.
- 15:55On the other side, you can translate it very well to
- 15:57chronic sarcopenia since it is so multi mechanistic, you learn
- 16:03about a lot about the different mechanisms and all these
- 16:06mechanisms are also important in aging.
- 16:09So you have like a super win win win relationship by developing
- 16:13the compound now for sarcopenia, but also having the aging in the
- 16:17back of your mind. And just onto the data that you
- 16:20just mentioned, then what, what did you learn from that study
- 16:23and how does it shape your confidence going into into phase
- 16:27two trials? Right.
- 16:29So the first study that we did, we call the phase one study
- 16:33because we do it in healthy volunteers.
- 16:35But actually you can also call the phase two study.
- 16:40In that study we had 42 healthy volunteers which had allowed us
- 16:47or the CRO of course to have a full lack cost for two weeks.
- 16:53By having a full lack cost for two weeks, you induce acute
- 16:56sarcopenia. That means that you can also
- 16:59treat it. So we provided in a double-blind
- 17:02placebo-controlled randomized study the products to these
- 17:07people during the casting, but also during the four weeks after
- 17:11the casting. And what we noticed is that the
- 17:13people that were on RGXO 1, we're now outperforming the
- 17:18people that were taking the placebo at the level of muscle
- 17:21strength. So the regain of the strength
- 17:24after having lost it because of the immobilization was improved
- 17:28and the people that took RJX, so on.
- 17:31And the other thing that we noticed were very complex
- 17:34elements like radar velocity development and so on.
- 17:37But what I basically mean is if I would push you, are you able
- 17:41to put your leg in front of you fast enough but also generate
- 17:44enough strength to not fall? These data were already
- 17:47generated in that phase one study where we saw a clear
- 17:50difference between the RGXO one treated group and the non
- 17:55treated group that were very important clinical outcome
- 17:58parameters, which also confirmed what we had seen preclinically
- 18:02because preclinically in C elegans but also in killifish
- 18:06and also in two animal models, 2 mice models we saw had seen
- 18:10those data. The other thing that was
- 18:13important to us coming from that trial were mechanistic insights.
- 18:18So we knew that the compounds had the potential to work on a
- 18:22lot of different hallmarks. And So what we did in this study
- 18:26is we had muscle biops and I called them these healthy
- 18:30volunteers, very brave because they also gave us muscle biops
- 18:34before the cost, after the cost, at the end of recovery, we could
- 18:38see that with the model we induced the problem which is
- 18:41going down of mitochondrial health, going up of fibrosis and
- 18:45going up of inflammation and RGX, one could actually reverse
- 18:50back that problem and bring back down the inflammation, down the
- 18:55fibrosis and back up the mitochondrial health.
- 18:58So it means more energy, less information and less disturbing
- 19:04material in the environment. These were the biggest elements
- 19:08that we learned from the phase one study, as we call it here in
- 19:12Europe, even though it's it's more like a Phase 2.
- 19:15So those data actually allowed us to start the phase two study,
- 19:19the COPD study. So that study is already
- 19:23ongoing. We are already very, very
- 19:25actively enrolling. And here we study in people that
- 19:29suffer from COPD, the muscle integrity and the muscle
- 19:33strength. Here we are treating for six
- 19:35months, so it's a quite long period.
- 19:38These people are also coming back in on a regular base
- 19:43because we ask them to come back in so we can do all the
- 19:45assessments. But they sometimes also come
- 19:48back in because of an exacerbation.
- 19:50And that means that they need some additional bed rest, which
- 19:53is again detrimental for the sarcopenia, and it's pushing
- 19:56them even more in that sarcopenia angle.
- 20:00So those phase one days are actually already provided us a
- 20:04chance to move into phase two in the COPD study.
- 20:10As mentioned before, there are other opportunities as well.
- 20:13And what we would like to do is to look at obesity in older
- 20:17people because you don't want them to push them into the
- 20:21sarcopenia status to see if we can protect their muscle there.
- 20:25But there are some other opportunities on top of that.
- 20:28So having a compound and can protect muscle strength loss is
- 20:35having a lot of different applications for which it can be
- 20:38used not only within aging but also outside of the aging
- 20:43environment. And and that's what we of course
- 20:46like we want to have a solution for as many people as possible
- 20:50throughout the world. What I have seen unfortunately
- 20:54from first line is that if your muscle is deteriorating, you
- 21:00start to move less and you become an isolation.
- 21:03And that's also what happened to my father.
- 21:05So at a certain moment he became very sarcopenic.
- 21:08And that means that you are also losing your mental stimulations
- 21:12because you're not being social anymore.
- 21:14So it's it's a horrible situation to me in.
- 21:17And like as you look forward to the next sort of 12 to 24
- 21:21months, what are the next sort of key major milestones that
- 21:24you're most looking forward to both from the lead program
- 21:27perspective, but also the more broader company?
- 21:29What are some of the major and key milestones that you're
- 21:32you're most excited about? So we have 3 pillars within the
- 21:36company. We have our platform, We have
- 21:39our preclinical assets, which are currently in preclinical
- 21:42development. And then we have, of course,
- 21:43RGXO one, as you pointed out. So for RGXO One, end of 2026, we
- 21:49will have the data of the COPD study.
- 21:52So that's going to be a major, major milestone.
- 21:55We wish to also start the GLP one study in combination with
- 22:00RTX one to protect the muscle in that setting.
- 22:04Then from our preclinical assets, we are just are
- 22:08declaring a new compound, a new combination to move forward and
- 22:14early next year we want to nominate an additional new
- 22:20combination. And another indication.
- 22:23Then from the platform perspective, we're using the
- 22:25platform now a lot in house and we just made a new version of
- 22:30our platform. What we would like to do in the
- 22:33next 12 to 24 months is to make it more commercially available
- 22:38via collaboration settings because we developed the system
- 22:42out of necessity, not because we are a software group, but out of
- 22:46necessity because we want to identify compounds, link them to
- 22:50ageing, but also link them to age-related diseases.
- 22:53And we want to do that in a combination.
- 22:56So that means that we can have now a modular system that we can
- 23:00use for a lot of different reasons.
- 23:02We can help people to actually prioritize their compounds by
- 23:08generating new omics data that we can pour into the system.
- 23:12We can help people to repurpose compounds.
- 23:15So there's a lot of different things that we can do with our
- 23:17platform. So that are the three things our
- 23:20platform get us ready for collaborations, new preclinical
- 23:24compounds and ARCH X1, the data available for Phase 2.
- 23:29So the, I mean, the company's based in Belgium, which I think
- 23:32is seen as an increasing increasingly vibrant place for
- 23:36biotech for sure. If you if you just looking at
- 23:39like the pros and cons of being based in Belgium, Yeah.
- 23:42What have the pros been in terms of like how the company's grown?
- 23:46I guess what's been some of the challenges of building a a
- 23:48biotech team in in Belgium as well?
- 23:51I'll, I'll start with the challenge.
- 23:52The challenge is, of course, talent.
- 23:54You need to bring in talent as much as you possibly can.
- 23:58That's why the location in Belgium was for us also very
- 24:01important. So we're close to the
- 24:03university, but we are also located at the border of the
- 24:07Netherlands and Germany. So we have that international
- 24:10angle here, very locally available.
- 24:13Then there's definitely a lot of pros.
- 24:17One is the fact that the Belgian government is very good in
- 24:20funding. So we have here a system which
- 24:22is called Flyo that's on the flavour site where we are
- 24:25located. And you can send in proposals
- 24:29and then there is a contribution from the government in the money
- 24:32that you need to execute the project.
- 24:34It's not only the money that is important, but they have experts
- 24:37in place, so they help you also or they challenge you on the
- 24:41project. So they basically make you
- 24:43smarter and make sure that the project is really very well
- 24:46oriented and also translatable. The other point is that from a
- 24:53research perspective, of course, there's a lot of IP protection,
- 24:58which is here just as well as anywhere else.
- 25:00But from a research perspective, there is a little bit more
- 25:03freedom if you want to compare things, not of course if you
- 25:06want to develop them, but from a comparison perspective, we have
- 25:09more scientific freedom than you would have in in other places as
- 25:14well. On top of that, there's some tax
- 25:17incentives. Government is very supportive of
- 25:20any scientific work that goes on over here and helps us with
- 25:25that. We of course are also very small
- 25:28country and we do have here like almost every big farmer is
- 25:31represented in Belgium. So we also do have a lot of
- 25:35knowledge. So the the level of drug
- 25:37development and experience is really, really high.
- 25:41So we can really benefit from that as well.
- 25:44And this is just a question that we've we've finished with on the
- 25:47Bio hub. If you were to have dinner with
- 25:50any free people, past or present, who would you go from?
- 25:54Why? It doesn't necessarily need to
- 25:57be people in biotech, although it can be if you like.
- 26:01But yeah, three people you'd like to have dinner with.
- 26:03So there are a couple that I do have already dinner with.
- 26:05So I there's for instance, Roswell Schaumbach is one of
- 26:09these people. So, but on my wish list of
- 26:11people that are not accessible anymore, hope you don't like
- 26:14that is two people. One is Marie Curie, or I should
- 26:23say, and I had to, I have to to see that I pronounced it
- 26:26correctly. Maria Sklodoska.
- 26:29That's her original name, but everybody knows her, of course,
- 26:32that's Marie Curie. She is, of course, a female,
- 26:38which 100 years ago, she's exactly 100 years older than I
- 26:42am. She's not here anymore, of
- 26:44course, but and I admire her a lot because she was working in a
- 26:49in a period in time where it was not so obvious for women to go
- 26:53into science. On top of that, she was driven
- 26:56and very passionate because of a personal experience that she had
- 27:00with her sister and her mother. So when I'm reading through her
- 27:04background, I can understand a lot of the decisions that she
- 27:09made in her life. But I would, I really would love
- 27:13to just have a conversation with her to talk about what she went
- 27:16through, how she did it, how she overcame the challenges because
- 27:21there are so many, right, and how she dealt with that.
- 27:24So that definitely would be a person that I would love to have
- 27:28dinner with. And of course, my favorite
- 27:31person, my father would be wonderful if I could have a
- 27:35dinner with him again. But unfortunately, he's also not
- 27:38amongst us anymore. So yeah.
- 27:40Well, three brilliant answers there and thank, thanks so much
- 27:44for coming on and helping us out with this.
- 27:46It sounds like what you're building at the moment is super
- 27:48exciting. The progress that you've made
- 27:51recently has been great and I look forward to seeing that the
- 27:53next steps for you guys, which sounds like you're doing a a
- 27:57great job. So yeah, thanks again for coming
- 27:59on and helping us out with this. It was a pleasure.
- 28:01And. Thank you so much for having me
- 28:03and giving me the opportunity to talk about something that I
- 28:05love, that I breathe, and that I'm so passionate about.
- 28:08So thank you so much.