# Dianomi Therapeutics - Using Mineral Coated Microparticles as an Improved Sustained Delivery Method of Anakinra for Treatment and Prevention of Gout with a Single Injection

> **NIH NIH R41** · DIANOMI THERAPEUTICS, INC. · 2020 · $251,880

## Abstract

Project Summary
 Gout is a prevalent inflammatory arthritic disease that affects 8.3 million people in the US. As current treat-
ments are often inadequate, the impact of gout on the economy is a substantial burden. Gout develops when
excessive levels of uric acid accumulate in tissue and form crystalline deposits in various joints, causing excru-
ciating pain and inflammation. Without treatment, the disease can lead to more frequent and protracted poly-
arthritis attacks that eventually result in permanent joint damage. Gout flares are typically treated via NSAIDs,
colchicine, or corticosteroids, but >60% of gout patients suffer co-morbidities or drug contraindications that pre-
clude use of these first line therapies. Interleukin-1 (IL-1) is a pro-inflammatory cytokine indicated as a key
player in mediating gout. Current IL-1 receptor inhibitors (like anakinra), do not share the same contraindica-
tions with first line therapies and offer an alternative treatment strategy to reduce inflammation and joint dam-
age caused by gout. However, while anakinra treatment shows favorable results in otherwise recalcitrant gout
flares, its utility is limited as a subcutaneous and intra-articular injectable due to its short half-life (20 min-4hrs),
rapid clearance, and high concentrations required (100 mg/day). A method to effectively deliver anakinra, to
reduce the severity of gout flares and prevent further attacks would significantly reduce the rate of outpatient
visits, hospital admissions, and overall economic burden resulting from this disease.
 To overcome the limitations of current delivery platforms, Dianomi Therapeutics (Madison, WI) has devel-
oped a mineral coated microparticle (MCM) for sustained protein delivery that maintains protein activity, stabi-
lizes protein structure, and has a high protein loading capacity, which will increase efficacy, decrease cost of
treatment, improve patient satisfaction and compliance, improve safety, and reduce side effects through sus-
tained delivery. In this Phase I STTR, we will demonstrate the feasibility of our approach by (1) engineering
MCMs to release active anakinra in synovial fluid and demonstrate sustained delivery of a therapeutic dose
following a single intra-articular injection of rats, and (2) explore the traditional dose requirements of anakinra
used to ameliorate symptoms and reduce occurrences of arthritic gout flares. Successful completion will lead
to Phase II trials using our protein delivery platform. The proposed studies will also suggest that approved ther-
apeutics for treatment of inflammatory pathologies, extending beyond anakinra and gout, can be more effec-
tively delivered using Dianomi Therapeutics’ MCM delivery method.

## Key facts

- **NIH application ID:** 10154475
- **Project number:** 1R41AR078063-01A1
- **Recipient organization:** DIANOMI THERAPEUTICS, INC.
- **Principal Investigator:** Connie S. Chamberlain
- **Activity code:** R41 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $251,880
- **Award type:** 1
- **Project period:** 2020-09-01 → 2022-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10154475

## Citation

> US National Institutes of Health, RePORTER application 10154475, Dianomi Therapeutics - Using Mineral Coated Microparticles as an Improved Sustained Delivery Method of Anakinra for Treatment and Prevention of Gout with a Single Injection (1R41AR078063-01A1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10154475. Licensed CC0.

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