Maipl Therapeutics

MA-4604 · Oral FP receptor antagonist

A first-in-class, non-hormonal medicine for primary dysmenorrhea

Menstrual pain is driven by prostaglandin F2α (PGF2α) acting on the FP receptor in the uterus. MA-4604 blocks that signal selectively, without suppressing the other prostaglandins the body depends on.

Intrauterine pressure · mmHgSchematic
ischemic pain range 150 75 0 0 min 20 min
In primary dysmenorrhea, excess PGF2α produces strong, frequent uterine contractions that restrict blood flow and cause cramping pain. MA-4604 is designed to block this signal at its receptor.
45–95%

of women of reproductive age report menstrual pain, depending on the population studied.

PGF2α

is the prostaglandin most closely linked to the uterine contractions behind dysmenorrhea.

No approved

drug selectively targets the PGF2α pathway, despite decades of industry effort.

Lead indication

Primary dysmenorrhea is common, disabling, and under-treated

Primary dysmenorrhea is cramping menstrual pain with no underlying pelvic disease. It typically begins in adolescence and recurs every cycle for years. Severe cases cause missed school and work.

Today's options have real limits:

  • NSAIDs block all prostaglandins at once. Many women get only partial relief, and frequent use carries gastrointestinal, kidney and cardiovascular risks.
  • Hormonal contraceptives work by changing the cycle, which doesn't suit women who are trying to conceive or who prefer to avoid hormones.

A selective, non-hormonal drug that targets the cause of the cramping could help the many women these options leave behind.

Step 1
Progesterone falls before menstruationThe endometrium releases arachidonic acid.
Step 2
PGF2α is overproducedLevels are higher in women with dysmenorrhea.
MA-4604
FP receptor blockedThe signal is stopped at its receptor on uterine muscle.
Step 3
Uterine contractions intensifyPressure rises and blood flow drops.
Step 4
Ischemia and cramping painPain nerves become sensitized.

Platform

Selective FP antagonists, licensed from Ferring Pharmaceuticals

The prostaglandin receptors are a closely related family, which has made selective drugs hard to find. Our lead compounds solve that problem.

Science

High PGF2α signaling drives disease in the uterus, lung and other organs. Blocking only this pathway should work better, and more safely, than broad prostaglandin suppression.

Chemistry

Our medicinal chemistry team overcame the selectivity problem across this receptor family, producing a potent lead candidate and backup compounds.

Pharmacology

The compounds have been characterized with standard pharmacology studies and with models specific to PGF2α-driven disease.

Potency
Sub-nanomolar inhibition of the PGF2α pathway in rodent and human systems
Selectivity
More than 100-fold selective for the FP receptor over other prostaglandin receptors
Route
Pharmacokinetic profile suited to oral dosing
Safety
Clean profile in extensive in vitro safety assessments
Efficacy
Preclinical activity shown in in vitro, ex vivo human tissue and in vivo models

Pipeline

One mechanism, a lead indication, and a clear path to expand

We are advancing MA-4604 in primary dysmenorrhea first, then plan to extend it to other conditions where PGF2α drives disease.

Program Indication
DiscoveryPreclinicalPhase 1Phase 2
MA-4604 Primary dysmenorrheaLead
MA-4604 EndometriosisExpansion
FP antagonist Pre-term birthExpansion
Completed or under way Planned

Team

Drug developers with experience from discovery to the clinic

Yong Yue
Yong Yue, PhDPresident and CEO
Aritro Sen
Aritro Sen, PhDChief Scientific Officer
Lilian Alcaraz
Lilian Alcaraz, PhDChief Business Officer
Brian Bernick
Brian Bernick, MDStrategic Advisor
Patricia Oliver-Shaffer
Patricia Oliver-Shaffer, PhDCMC
Tim Tracy
Tim Tracy, PhDClinical Pharmacology

Supported by experienced consultants in medicinal chemistry, CMC, ADME/DMPK, business development and HR.

Scientific Advisory Board

Frank F. Tu
Frank F. Tu, MD, MPHClinical Professor, Obstetrics and Gynecology, University of Chicago; Endeavor Health
Darryle Schoepp
Darryle Schoepp, PhDFormer Senior VP and Head of Neuroscience, Merck & Co.; former VP, Eli Lilly

Contact

Partnering, investment and research collaboration

We welcome conversations with investors, pharmaceutical partners and clinical researchers.

LocationScarsdale, New York, USA