Millions of reasons to get it right

Targeting inflammatory bowel disease one patient at a time

About Ensho Therapeutics

Ensho means inflammation, flame, or glow in Japanese and reflects our deep desire to deliver breakthrough oral therapies to patients with inflammatory diseases.

We are advancing a potential best-in-class oral, small molecule α4β7 inhibitor, known as NSHO-101, that could be transformational for treating patients suffering from inflammatory bowel disease (IBD). α4β7 inhibition is a mechanism that has already been shown to be safe and effective by a commercially available biologic, but unmet needs remain and no approved oral α4β7 inhibitors currently exist. 

For the millions of patients who suffer from IBD, we hope to extinguish their inflammation and provide relief from this difficult-to-treat disease.

Quiet the Fire Within

Chronic inflammation is a hallmark of IBD, ultimately damaging the gastrointestinal tract.

IBD is characterized by debilitating symptoms, including abdominal pain, diarrhea, and weight loss that greatly impact quality of life. Because IBD frequently begins in early adulthood, often between the late teens and mid-30s - the years most associated with education, career development, and family formation - the disease can carry a disproportionate burden on quality of life and economic productivity.

The most widely prescribed medications to address the symptoms of IBD are biologics, which require cumbersome infusions and / or injections and can lead to non-adherence.

For these young adults with high demands on career, family, and social obligations, an effective and safe oral therapy could provide a more convenient and promising treatment option: one that better fits their lifestyles. 
 

Breaking the Efficacy
Ceiling in the Treatment of IBD

The approval of biologics, including an α4β7 blocking antibody, has improved outcomes, but the majority of patients do not achieve or maintain remission – commonly referred to as the “efficacy ceiling.” Many patients experience persistent symptoms and / or develop intolerance to, or experience side effects from, their treatment regimens. There is a push to move beyond current therapies and provide more transformational treatments, including combination therapy, to potentially improve the overall outcomes for patients with IBD. Combining the right orthogonal mechanisms of action has the potential of additive efficacy without overlapping side effects. This approach is currently being studied in a number of ongoing Phase 2 trials. 

Ensho’s goals are to provide an oral alternative to biologic treatments and to break through the efficacy ceiling in combination with other oral mechanisms of action. Our drug candidate, NSHO-101, is designed as a potential best-in-class once-daily, oral therapy that has the potential to be the preferred oral alternative to biologic therapy, with additional potential to act as the anchor of choice for oral fixed-dose combination therapy.

New transformational treatments are needed for IBD


transformational treatments

Adapted from Raine et al., Gastroenterology (2022).

α4β7 inhibition is one of the most validated immune-trafficking targets in IBD

α4β7 is a cell surface receptor that helps regulate the migration of immune cells to the intestine and plays a key role in controlling inflammatory responses. It binds to mucosal addressin cell adhesion molecule-1 (MAdCAM-1), which is expressed on the luminal side of endothelial cells and is upregulated in response to inflammation. This interaction facilitates the transport of leukocytes and recruitment of effector lymphocytes to the gut mucosa in IBD. Because MAdCAM-1 is found primarily in the gut, this localized action provides immune cell inhibition where it is most relevant, potentially minimizing side effects and preserving overall immune cell function. 

Decades of research validate α4β7 inhibition as an anti-inflammatory mechanism in IBD.  This research has been further substantiated by the approval of a safe and efficacious commercially available antibody, vedolizumab. Yet, there are no approved orally administered α4β7 inhibitors. That’s where NSHO-101, our oral, selective, small molecule inhibitor of α4β7 can play a role.

NSHO-101: A potential best-in-class oral α4β7 inhibitor

NSHO-101 is a, highly potent, selective, small molecule α4β7 inhibitor with a potential best-in-class profile optimized for convenient once daily oral administration – a profile designed to enable combination therapy with other mechanisms of action. 

NSHO-101 was acquired from EA Pharma, a subsidiary of Eisai, Ltd. and Ajinomoto, based on robust Phase 1 data that demonstrated greater than 90% α4β7 receptor occupancy at trough with QD dosing

We substantially improved NSHO-101’s tablet formulation to enable convenient and combinable once daily dosing, which is currently being confirmed in a Phase 1 healthy volunteer study. Planning for Phase 2 clinical development is underway.

Leadership

Our leadership team includes a seasoned team of executives with decades of experience in the discovery, development, and launch of inflammation & immunology agents as well as the management of biotechnology companies in the inflammatory disease and IBD space including oral a4b7 small molecules.

Gerhard Hagn, PharmD
Chief Executive Officer

Danielle Fry, JD
Chief Operating Officer and Chief Legal Officer

Tory Trippe
Vice President, Head of Finance and Corporate Development

Matthew R. Warr, PhD
Senior Vice President, Research & Head of Biology

Andy Whitney, PhD
Chief Scientific Officer