OSTEOARTHR ITIS Wnt inhibitor shows potential as a DMOAD
SM04690
is now being evaluated
in human clinical trials
New research demonstrates that SM04690, a small-molecule inhibitor of the Wnt signalling pathway, has potential as a disease-modifying osteoarthritis (OA) drug (DMOAD). “SM04690 was able to induce chon- drocyte differentiation and regener- ate and protect cartilage both in vitro and in an OA animal model,” reports corresponding author Yusuf Yazici. Following the promising results of the preclinical studies, SM04690
is now being evaluated in human clinical trials.
“The Wnt pathway [has] a prominent role in OA
joints, including cartilage catabolism and regener- ation,” explains Yazici, “thus it is an attractive target for the develop- ment of a DMOAD.” SM04690 was devel- oped as a potent inhib- itor of the Wnt pathway that has sustained local residence in the joint.
In bone marrow-derived human mesenchymal stem cells (hMSCs), SM04690 induced chondrocyte differentiation and, under conditions designed to mimic cytokine-induced cartilage degeneration during OA progression, protected chondrocytes from catabolic breakdown.
The in vivo effects of SM04690 were then evaluated in rats with OA induced by acute cruciate ligament tear and partial medial meniscectomy (ACLT + pMMx). “The ACLT + pMMx model that we chose is a relatively severe model
or OA in rats and therefore [has] a high bar for success,” says Yazici. In this model,
a single intra-articular injection of SM04690 promoted cartilage growth and improved joint morphology.
Markers of matrix degra- dation were also reduced in SM04690-treated
rats compared with
vehicle-treated animals, suggesting potential cartilage protective effects. Altered expression of Wnt pathway genes and inhibition of the nuclear localization of β-catenin in cartilage confirmed the functional inhibition of Wnt signalling in the in vivo model.
The investigators have further studies planned to evaluate the effects of the drug on chondrocytes derived from patients with OA. In clinical studies, SM04690 was safe and well tolerated in a phase I clinical trial;
we now await data from a completed phase II trial.Adavivint