# Manufacture of an intracerebroventricular Enzyme Replacement Therapy for CLN1 Batten Disease

> **NIH NIH SB1** · COLLABORATIONS PHARMACEUTICALS, INC. · 2024 · $1,840,246

## Abstract

Summary
The neuronal ceroid lipofuscinoses (NCLs) are a group of incurable neurodegenerative storage disorders
primarily affecting the brain and the retina of children and young adults, leading to dementia, blindness, epilepsy,
and early death, with a prevalence of approximately 1.5 to nine per million population (1.3 to 7 per 100,000 live
births). The infantile onset form CLN1 disease is caused by mutations in the CLN1/PPT1 gene, which codes for
the lysosomal enzyme palmitoyl-protein thioesterase-1 (PPT1) resulting in a reduction or absence of enzyme
activity. CLN1 disease usually presents between 6 and 24 months of age and there are 2-3 children with this
form identified each year and currently 24 known children with CLN1 in the US, 11 in Brazil and at least 10 in
the UK (with likely many more undiagnosed). There are currently no treatments available other than palliative
therapies and the disease is fatal. Human recombinant PPT1 (rhPPT1) expressed in CHO cells has been
previously reported to modify disease phenotypes following a single intrathecal (IT) and intravenous (IV)
administration in PPT1 deficient mice (Ppt1-/-). After successful completion of our Phase I SBIR in which we
exceeded our milestones monthly intracerebroventricular (ICV) administration of rhPPT1 produced statistically
significant treatment effects in Ppt1-/- mice, such as rescue of more than 60% PPT1 enzyme activity decreased
secondary enzyme levels, decreased the loss of neurons in all regions of brain and spinal cord and improved
gait and rotarod results. The CLN1 ERT data clearly pointed to ICV dosing as ideal for future studies, which is
also a preferred route according to physicians. Our Phase II SBIR has enabled us to 1. Prepare our quality
documents, 2 identify a CDMO (STC Biologics) who has manufactured our GLP quality protein for preIND toxicity
studies in rat. 3. Submitted a preIND request to the FDA (with the assistance of RTI International,). We now
propose in this project 1. production of GMP protein (with STC Biologics), 2. Continued development of quality
procedures, 3. Prepare a clinical trial protocol (with assistance from CTI Clinical Trial Services, Inc.), 4 and
submit an IND (with assistance from RTI). These collaborations will enable us to cost effectively and more rapidly
translate this potential treatment to the clinic that can potentially save the lives of children living with this
devastating disease. We have already obtained an Orphan Drug Designation and rare pediatric disease
designation from the FDA for rhPPT1 as a biological product for a “rare pediatric disease” which offers several
benefits in future upon FDA approval, including marketing exclusivity for 7 years and the potential to obtain a
rare pediatric disease voucher and thus provide a return on investment (current value ~$100 M). We are engaged
with CLN1 families and we are now well positioned to continue the development of this potential treatment for a
devastating disease. This propos...

## Key facts

- **NIH application ID:** 10821940
- **Project number:** 1SB1NS135733-01
- **Recipient organization:** COLLABORATIONS PHARMACEUTICALS, INC.
- **Principal Investigator:** SEAN EKINS
- **Activity code:** SB1 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,840,246
- **Award type:** 1
- **Project period:** 2024-03-08 → 2026-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10821940

## Citation

> US National Institutes of Health, RePORTER application 10821940, Manufacture of an intracerebroventricular Enzyme Replacement Therapy for CLN1 Batten Disease (1SB1NS135733-01). Retrieved via AI Analytics 2026-06-12 from https://api.ai-analytics.org/grant/nih/10821940. Licensed CC0.

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