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Securities Exchange Act of 1934, as amended and the Private
Securities Litigation Reform Act of 1995 that are subject to risks
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statements are based on reasonable assumptions, you should be aware
that many factors could affect our actual financial results or
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materially from those in the forward-looking statements. These
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- The availability of additional capital on terms acceptable
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two lead product candidates;
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connection with our ongoing research and development activities;
- The results of our preclinical and clinical trials,
including the possibility that clinical trials do not replicate
the results of our preclinical studies to date;
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new business relationships and alliances; and
- The timing and volume of sales of products for which we
obtain marketing approval.
You should keep in mind that any forward-looking statement made
by us in this report speaks only as of the date of this report. We
have no duty to, and do not intend to, update or revise the
forward-looking statements in this report after the date of this
report.
What’s New at PolyMedix – May 2008
Thank you for taking the time to visit PolyMedix’s website, we
appreciate your interest. I am very happy and proud to tell you that
on May 8, 2008 we received a notice of no objection letter from
Health Canada for our Clinical Trial Application (“CTA”) for our
defensin mimetic antibiotic compound, PMX-30063. This notice of no
objection allows for the initiation of human clinical studies in
Canada. PMX-30063 is the first defensin mimetic antibiotic compound
cleared to enter human clinical trials for systemic use,
representing an entirely new class of antibiotic drugs. We believe
this is a very important milestone for PolyMedix and is our most
important achievement to date, as it allows for the start of human
clinical trials with our first compound. This novel antibiotic
compound represents a fundamental potential breakthrough in the
world of infectious diseases, and is the first small molecule
defensin mimetic cleared to enter clinical development intended for
the treatment of systemic infections, and the first and only such
compound which is designed to directly address the growing problem
of bacterial drug resistance.
In addition to the press release issued on May 9, we would like
to provide you with additional more detailed information on
PMX-30063, which is the subject of this “What’s New” update.
PMX-30063 Defensin mimetic antibiotic
Summary
PolyMedix has developed novel non-peptide anti-infective small
molecules and polymers. These compounds imitate nature and mimic the
activity of host defense proteins. Health Canada accepted our
Clinical Trial Application (or “CTA”) for PMX-30063 on May 8, 2008.
We believe PMX-30063 is the only systemic antibiotic being developed
which mimics the host defense proteins, and thus has a completely
different mechanism of action from other antibiotics: one that we
believe makes bacterial resistance less likely to develop than with
conventional drugs.
Based on pre-clinical laboratory studies conducted by PolyMedix
and others to date, PMX-30063 and other PolyMedix antibiotics:
- Have a unique mechanism of action which we believe makes
resistance unlikely to develop.
- Have activity against both Gram-positive and Gram-negative
bacteria, with a first clinical program with an intravenous (i.v.)
formulation to broadly target all Staph infections (pan-
Staph).
- Are bactericidal, not simply bacteristatic like many
other antibiotics
- Are faster acting than other antibiotics, bactericidal in
seconds to minutes
- Are active against drug-resistant bacteria, including
clinical isolates of multiple vancomycin resistant
Enterococcus (VRE) and methicillin resistant
Staphylococcus aureus (MRSA) strains
- Have shown excellent activity in animal studies, with
comparable to superior efficacy compared to vancomycin.
Background
The recent stories in the press over the past months regarding
outbreaks of drug resistant Staph (MRSA) infections serve as
an ominous reminder of the growing problem of drug resistant
bacterial infections. A publication by the Infectious Disease
Society of America in the journal Clinical Infectious
Diseases (2008; 46:155-164), published January 15, 2008, titled
“The Epidemic of Antibiotic Resistant Infections” starkly describes
the rapidly growing threat. The authors comment, “The ongoing
explosion of antibiotic resistant infections continues to plague
global and U.S. healthcare…..We are in the midst of an emerging
crisis of antibiotic resistance for microbial pathogens in the
United States and throughout the world. Epidemic antibiotic
resistance has been described in numerous pathogens in varying
contexts, including – but not limited to – a global pandemic of
methicillin-resistant Staphylococcus aureus infection.”
More and more bacterial infections are becoming resistant to
current drug treatments. According to the Association of
Professionals in Infection Control and Epidemiology (APIC), in a
statement dated February 14, 2008, “70% of infections may now be
resistant to antibiotics”.
We believe PMX-30063 is unique among antibiotics in being the
first small-molecule mimetic of host defense proteins being
developed for systemic use. Because it attacks bacteria with a
biophysical, rather than a biochemical, mechanism of action, we
believe is unlikely that resistance will readily develop to
PMX-30063. To the best of PolyMedix’s knowledge, we are the only
company currently working on antibiotic drugs of this nature. With
bacterial infection currently ranking as the fourth leading cause of
death in the U.S., and one of the fastest growing causes of death
(700% increase over the past ten years), we believe PMX-30063
represents a significant market opportunity and addresses a major
medical need.

The host defense proteins, such as the magainins, cecropins, and
defensins, are produced in all higher forms of life and provide a
first line of defense against bacterial infections. These defense
peptides are part of the nonhumoral response that keep humans from
rapidly succumbing to
infections. There are many different classes of natural host defense
peptides, most with 20-40 amino acids. Although host defense
peptides are composed of many different sequences, their
physicochemical properties are very similar. These peptides are
amphiphilic, having patially separated hydrophobic and charged
regions. Thus, they represent a “molecular Janus” having both a
hydrophobic face and a spatially opposing hydrophilic face. This
amphiphilic character, rather than the precise amino acid sequence,
is believed to be responsible for their antimicrobial activity.
PolyMedix has thus learned from nature in mimicking one of the
oldest and most effective immune system defenses, used by virtually
all higher life forms as their first line of defense against
bacterial infection.
These compounds have a highly unique mechanism of action:
directly lysing (disrupting) bacterial cell membranes. The
biophysical mechanism of action of PMX-30063 is completely
different from the biochemical mechanism of action of other
antibiotics. Thus, we believe it appears unlikely that bacterial
resistance can easily develop to this mechanism and to PMX-30063.

Proof of Principle
Based on pre-clinical laboratory studies conducted by PolyMedix
and others, PMX-30063 has demonstrated several critical
characteristics which we believe fundamentally and significantly
distinguish it from host defense proteins and other antibiotics. The
following results have not been achieved with the host defense
proteins, and demonstrate the utility of PolyMedix’s PMX-30063:
- Systemically active in animal models – compound dosed
intravenously achieves significant efficacy in multiple animal
disease models
- Significant selectivity for bacteria vs. human cells –
selectivity ratios of 100->10,000 compared with 10-20 for host
defense proteins
- Well tolerated in animals – acute doses demonstrate Maximal
No-Effect Doses with blood levels many times higher than
bactericidal concentrations.
- Good drug like properties – pharmacokinetics, half-life,
serum binding, and tolerability profiles characteristic of good
drugs.
- Ease of synthesis – a true small molecule, only 5 step
synthesis for PMX-30063 (unlike the 50-70+ steps for host
defense proteins).
These results have not been demonstrated with host defense
proteins, and were achieved in less than three years of research
from program initiation.
We expect that the first application of PMX-30063 will be an
injectable formulation for broad use against Staph infections
(pan-Staph - many forms of Staph, not simply MRSA).
The clinical indications for this include skin and soft tissue
structure infections, respiratory tract infections, urinary tract
infections, and complicated abdominal infections including
gynecological.
Specificity for bacteria – do not harm
mammalian cells
Antimicrobial peptides, and PMX-30063, take advantage of
differences in the composition of bacteria versus mammalian cells to
selectively bind to and attack their targets. Bacteria have more
negatively charged groups on the outer surface of their membranes
than mammalian cells. Bacterial membranes also lack cholesterol, an
essential component of all mammalian membranes. PolyMedix used de
novo design to design non-peptidic compounds that home in
on membranes that lack cholesterol and have a high degree of
negative charged phospholipids – thus, they are specific and
selective for bacterial cell membranes:

Moreover, PolyMedix’s computational technology has allowed us to
refine the Structure-Activity Relationship (SAR) of these compounds
and produce small molecule compounds which are both more potent and
more selective than natural host defense proteins. Selectivity
studies have been done against several mammalian cell types,
including mouse 3T3 cells, and human HepG2 (liver) and red blood
cells, with excellent selectivity for a number of compounds.
Representative data for the clinical leads are below:

Thus, compared with host defense proteins, PolyMedix’s compounds
are:
- Much smaller – 1/5 to 1/10 the molecular weight (500-950 vs.
6000)
- More potent – 50-100 times greater potency than natural host
defense proteins
- Much more selective and less toxic – indices 100 - >10,000
vs. 10 – 20, about 1,000 more selective for bacteria vs.
mammalian cells
- Are non-peptide small molecules vs. proteins –
PolyMedix compounds are completely synthetic, and thus
much easier and less expensive to synthesize
- PolyMedix compounds have good drug-like properties and are
useful for systemic administration, unlike the host defense
proteins
In Vitro Activity
PMX-30063 has demonstrated robust and selective in vitro
antibacterial activity. The bactericidal activity against some drug
resistant strains of human clinical isolates is summarized below.

The media often talks about “MRSA” or “drug resistant Staph”.
In actuality, there are hundreds of different strains of Staph
bacteria, and dozens of drug resistant forms. In our laboratory
studies we have examined the activity of PMX-30063 against 148
different types of Staph bacteria, including multiple strains
of Staphylococcus aureus (including MRSA), Staphylococcus
epidermidis, and Staphylococcus hemolyticus. We have
tested activity of PMX-30063 against 89 different drug-resistant
strains of Staph. The results are summarized below:

The data illustrated in the above table show that PMX-30063 (and
a related compound, PMX-30016) are effective against resistant
strains of Staph bacteria, and that the minimum inhibitory
concentration (MIC) of both compounds remains constant at
therapeutically relevant dose levels
regardless of the resistance profile of the Staph bacteria
strain. We believe these results both support our goal of initially
developing PMX-30063 as a treatment for broad Staph infections, as
well as demonstrate that the mechanisms by which Staph bacteria
become resistant to conventional antibiotics do not seem to affect
the activity of PMX-30063.
The antibiotic activity of PolyMedix’s compounds has been
replicated and confirmed by outside laboratories. These results from
this set of experiments show the PolyMedix antimicrobial compounds
have comparable potency to reference antibiotic drugs, and with
superior activity against certain multidrug-resistant bacterial
strains such as methicillin-resistant Staph. aureus (MRSA)
and vancomycin resistant Enterococcus.
Animal Efficacy Studies
PMX-30063 has been tested for efficacy in vivo in mouse (dosing
by i.v. bolus) and rat (dosing by i.v. infusion) thigh burden models,
a widely used and accepted animal model for evaluating antibacterial
activity of preclinical compounds.
Methods
In the mouse model, neutropenic mice are inoculated in the
posterior thigh muscles with S. aureus ATCC13709 (3 x 105
inoculum) and then treated with compound by single i.v. bolus
administration. Bacterial quantitation is done at 4 or 24 hours post
infection/treatment by aseptically removing the thigh muscles,
homogenizing and plating serial dilutions of the homogenate.
Vancomycin, dosed optimally (10 mg/kg, s.c.) is used as the positive
control.
The antimicrobial activities of PMX-30063 in the mouse and rat
model are robust at multiple time points. Studies (examples shown
below) show that PMX-30063 (right) and PMX-30016 are comparably to
more efficacious than vancomycin, with maximal efficacy of a
99.99%-99.999% reduction in bacterial counts with only two
injections:

PMX-30063 has also been tested in animal models against MRSA,
with comparable efficacy, as shown below:

Systemic infection: sepsis
In the following experiments, a systemic infection, sepsis, was
produced in animals by administration of a lethal dose of Staph
aureus by intraperitoneal (i.p.) injection. In this experiment
two i.v. bolus doses of PMX-30063 or PMX-30016 were given, with the
following representative results:

This sepsis model is considered a robust infection, as the bacteria
spread throughout the body. This important result demonstrates that
PMX-30063 is able to reach any compartment of the body wherever the
bacteria may be resident, and was able to be completely effective
against systemic sepsis infection with only two doses.
Experimental Data – Lack of Susceptibility
to
Bacterial Drug Resistance
To experimentally measure the development of resistance (or the
lack thereof) by bacteria to the antimicrobial activity of the
PolyMedix antibiotic compounds, Staph. aureus has been
exposed serially in the presence of sub-lethal concentrations of
PMX- 0063, as well as other related compounds PMX-30006, PMX-70004,
PMX-10072, and PMX-10066. This is the socalled serial passage
broth micro-dilution method that is a gold standard in the industry
and is widely used to measure the development of resistance to many
common antibiotics. As positive controls, two widely used
fluoroquinolone antibiotic drugs were included in the assay,
ciprofloxacin (Cipro) and norfloxacin. Bacteria, including Staph.
aureus, readily develop resistance to conventional antibiotics
in this experimental model.
The experiment is done by growing bacteria in the presence of
increasing concentrations of an antibiotic drug (either a PolyMedix
compound or a positive control). The culture tube containing the
highest concentration of drug where bacterial growth is seen after
24 hours is selected and the bacteria are re-passaged with a fresh
dilution series of compound. This process is repeated every 24 hours
for 16 passages and the MIC (minimum inhibitory concentration, the
lowest dose required to kill the bacteria) is noted at every passage.
The development of resistance is indicated by a progressive increase
in the MIC over time (passages). Conventional antibiotic drugs
typically show significant bacterial resistance developing after 3-5
passages. The host defense proteins have been studied in this model
and show no resistance even at up to 16 passages.
S. aureus was passaged in the presence of sub-MIC
concentrations of the PolyMedix compounds and control antibiotics
for 17 passages and the results are shown below. Resistance is
readily observed for both ciprofloxacin and norfloxacin (as early as
passage 3), with a greater than 100-fold increase in MIC, whereas no
consistent increases in MIC values are apparent for the PolyMedix
compounds. We believe these results are very encouraging, and
experimentally demonstrate the low likelihood of resistance
developing to our compounds. These results have now been replicated
in two outside laboratories (in addition to PolyMedix’s laboratories),
with the experiments now having been done 14 times.

This serial passage study has also been performed specifically
with PMX-30063 against MRSA, with the results shown below:

The lack of susceptibility to drug resistance of PMX-30063
directly addresses one of the most serious problems, and one of the
greatest commercial opportunities, in medicine. We believe our
antibiotic compounds may be the first for which bacterial resistance
is unlikely to develop. These results have also been replicated by
an outside academic collaborator, also demonstrating a lack of drug
resistance when testing an oral pathogen, Staphylococcus
saprophyticus.
Current Development Status
The GLP (Good Laboratory Practices) compliant toxicology, safety
pharmacology and genotoxicity studies for PMX-30063 have been
completed, which indicate that an effective therapeutic index for
PMX-30063 may be achieved.
Health Canada accepted the CTA application for PMX-30063 on May
8, 2008. The first Phase I studies will include -
| (i) |
A single dose study of
healthy volunteers receiving PMX-30063 at various dose
levels (Phase 1A) and |
| (ii) |
A multi-dose study of
healthy volunteers who receive PMX-30063 at various dose
levels (Phase 1B). The primary endpoint for the two
Phase 1 studies will be a safety assessment. |
PolyMedix hopes to commence dosing and clinical studies as soon
as is possible. Additional clinical and other studies will be
required to obtain regulatory approval to commercially sell
PMX-30063, and to obtain FDA approval in the U.S. and other
countries.
Future Clinical Plans
The first formulation of PMX-30063 which is being developed is an
intravenous form, for use in serious infections in hospitalized
patients. The first clinical indication planned to be pursued for
PMX-30063 is pan-Staph – that is, to broadly target Staph
infections, including multiple strains of Staphylococcus aureus,
Staphylococcus epidermidis, and Staphylococcus hemolyticus.
Staph infections are one of the more common infections treated in
hospitals, of a total estimated 7 million patients treated annually
in hospitals for infections.
Staph infections can take a number of forms, including –
- Complex skin and soft tissue structure infections
- Respiratory infections, such as pneumonia and bronchitis
- Urinary tract
- Abdominal and gynecological
SBIR Grant Support
PolyMedix has received a total of four SBIR grants (out of four
applied for – a 100% success rate) to support the development of
these novel antibiotic agents: animal studies of biomimetic
antibiotic agents; therapeutic development of biomimetic antibiotic
agents; study of activity against biowarfare pathogens; and
development of a sanitizing hand lotion.
The SBIR to support development of an antibiotic drug is an
Advanced Technology SBIR, for which PolyMedix has received
approximately $3 million to date. All grant objectives have been
successfully completed, with all goals met.
Future Development
PolyMedix hopes to develop both PMX-30063 and other
defensin-mimetic antibiotic compounds for additional uses, including:
- Ophthalmic formulation – PolyMedix has developed and tested
an ophthalmic formulation of PMX-30063 for ocular (eye)
infections. It is hoped to initiate clinical studies of this
ophthalmic compound once additional financing is secured.
- Oral formulation – PolyMedix has started testing of an oral
non-absorbed formulation of PMX-30063 for serious
gastrointestinal infections such as Clostridium difficile
and Shigella. It is hoped to continue testing and
development of an oral formulation once additional financing is
received.
- Antimicrobial polymers and oligomers for biomaterials
applications. These polymer and oligomer biomaterials
(PMX-50003, PMX-70004) are structurally distinct from PMX30063
but are amphiphilic and share the same basic mechanism of action
as PMX-30063 drug. However they are easily synthesized and can
be economically produced in large quantities. Advantages of the
polymers and oligomers being used for biomaterial applications
include:
- A unique mechanism of action which we believe makes
bacterial resistance unlikely to develop
- Potent, broad spectrum activity against over 150 both
Gram-positive and Gram-negative bacteria
- Rapidly bactericidal in minutes
- Polymer synthesis appears straightforward
- Active against drug-resistant bacteria, including clinical
isolates of multiple VRE and MRSA strains
- Non-toxic to skin and eye in preliminary testing
- Long lasting antimicrobial effect
- Do not need to leech from material to exert their effects –
makes the material itself inherently antimicrobial
Antimicrobial polymers can be used for materials applications to
create self-sterilizing surfaces and develop bactericidal products,
such as paints, plastics, personal care products, and textiles.

Antimicrobial plastics and other materials have been developed.
Here, a bactericidal PolyMedix polymer was incorporated into medical
grade PVC catheter tubing, which was then exposed to E.coli.
Results show a robust antibacterial effect:



Bibliography
Scientific publications and presentations at scientific
conferences related to PMX-30063 and PolyMedix’s antibiotic program
include:
Som, A., Vemparala, S., Ivanov, I. and Tew G.N.. 2008. Synthetic
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