These are magnified images of nerve cells which have been treated with one of our neuroimmunophilin compounds. You can see that as the dose increases, so do the number of nerve processes. The production of these processes is the first step in nerve regeneration and is essential for normal nerve function.

Medical researchers have long dreamed of creating an elixir to rejuvenate damaged nerves, restoring memory to Alzheimer’s disease victims and movement to the paralyzed. Now, a chance finding may provide the greatest hope to date in the quest to restore life to injured nerve and brain cells.”

—Wall Street Journal (4/21/98)

Unfortunately, neurological disorders like Parkinson’s and Alzheimer’s disease have often been shrouded in a veil of silence. But, when former U.S. president Ronald Reagan was diagnosed with Alzheimer’s disease five years ago, the debilitating effects of this disease, and others like it, were finally given a voice. Today, there are over 4 million Americans who have Alzheimer’s disease, and recent admissions by public figures diagnosed with conditions like Alzheimer’s and Parkinson’s disease have made millions more aware of the prevalence of neurological illnesses.
   Until recently, new advancements in the field of neurological disorders—particularly those that challenged previous notions about the pliability of the nervous system—were once thought so far-fetched they could only be realized in one’s imagination. But, as recent research has revealed, there is growing evidence that cell rescue may be achievable.
   Using state-of-the-art drug design techniques, Guilford scientists and their academic and corporate collaborators have been instrumental in identifying and developing novel compounds that could one day turn the science fiction of nerve regeneration into a reality.
   The goal of Guilford’s neurotrophic research programs is simple: To advance the therapy of neurological disorders by developing completely novel and revolutionary disease-modifying therapies based on one critical hypothesis—the possibility that science could somehow jump-start damaged nerves and encourage their regrowth and recovery. The result has been a possible breakthrough in nerve therapy, founded on the discovery of compounds called neuroimmunophilin ligands.
   Neuroimmunophilin ligands are small organic molecules which, in animal models, have demonstrated an ability to actually regenerate nerves damaged by injury or disease, without any apparent effect on normal healthy nerves.
   To be clear, regeneration is not defined as something which creates new nerves, but rather a process of renewing and restoring surviving nerve cells to a state of improved function. Our objective is to aid in the recovery of diseased or damaged nerves by stimulating them to regrow and branch and re-establish critical connections with neighboring neurons. In so doing, we hope to one day foster the return of function or memory in conditions like Parkinson’s and Alzheimer’s disease.
   Previous nerve-regeneration compounds, including growth factors, proteins and peptides, could not pass readily into the brain and therefore could only be administered by direct injection into the brain. In contrast, Guilford’s small molecule neuroimmunophilin ligands can be taken orally and are capable of penetrating the brain via the bloodstream. Most importantly, because neuroimmunophilins target only damaged nerve cells, we expect that there will be fewer side effects than with earlier generations of drugs.
   Preclinical studies have been critical in establishing Guilford’s leadership position in the field. Studies with a variety of preclinical compounds have demonstrated marked effectiveness in promoting cell regeneration to correct damage caused by Parkinson’s disease and other serious neurological disorders. In the next year, in collaboration with Amgen, we hope to put these remarkable findings to an even greater test through the initiation of human clinical trials with our first neuroimmunophilin compound.

The Guilford-Amgen Partnership
With the initiation of our neuroimmunophilin ligand program, Guilford’s reputation as a front runner in the discovery and development of nerve regeneration therapeutics is well established. In 1997, we joined forces with industry leader Amgen Inc. to further advance our work in this field. Guilford granted Amgen worldwide rights to develop, manufacture and market our neuroimmunophilin ligands for up to ten target indications, including: Parkinson’s disease, Alzheimer’s disease, stroke, peripheral neuropathies, traumatic brain injuries, traumatic spinal cord injuries and multiple sclerosis. Under the terms of this industry-leading agreement, Guilford received $35 million which includes rights and equity payments, and will receive up to $13.5 million in research funding over a three-year period. The agreement also provides for up to $392 million of additional milestone payments based on successful development and regulatory approval of up to ten specified indications, as well as royalties from any product sales.
   Our landmark collaboration with Amgen continued to make progress in 1998, with Amgen selecting the first lead neuroimmunophilin compound, known as NIL-A, for clinical study. Initially developed for the treatment of Parkinson’s disease, NIL-A is part of a second generation of neuroimmunophilin compounds developed by Guilford and Amgen. Its potency and ability to infiltrate the brain is superior to previous neuroimmunophilin prototypes. Toxicology studies undertaken last fall, one of the final preclinical tests prior to commencement of human clinical testing, suggest that NIL-A will be well-tolerated.
   Guilford and Amgen are continuing to work toward unlocking the mysteries that have surrounded human neurodegenerative diseases. At present, we are conducting further research to explore the potential utility of neuroimmunophilin compounds in a number of serious neurodegenerative disorders. These include Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, stroke, peripheral neuropathies (e.g. diabetic neuropathy), and head and spinal cord injuries. Such disease-modifying agents, designed to slow down, stop or reverse disease progression, have the potential to revolutionize the treatment of neurological diseases as we understand them today.
   Through the effective application of cutting-edge technologies and a commitment to excellence, Guilford and Amgen stand at the threshold of an important breakthrough. With no drugs yet available which can change the course of most serious neurological disorders, our neuroimmunophilin program offers an exciting blueprint of what is yet to come.


Joan Chen
Senior Research Associate

David Limburg
Research Associate