# Novel Plasmodial Surface Anion Channel Inhibitors as Antimalarial Drugs

> **NIH NIH R44** · MICROBIOTIX, INC · 2020 · $991,947

## Abstract

Summary/Abstract
The overall objective of this project is to develop new, potent, selective antimalarials that act through a novel
mechanism of blocking the plasmodial surface anion channel (PSAC), a previously unexploited and highly
conserved plasmodial target. Human malaria is caused by five species of protozoan parasites in the genus
Plasmodium. It is estimated that there are more than 200 million clinical cases of P. falciparum malaria and over
445,000 deaths annually, with the majority of the deaths occurring in sub-Saharan Africa. The malaria parasites,
most importantly P. falciparum, require two hosts, which are humans and female Anopheles mosquitoes.
Disease is transmitted to humans from the bite of an infected mosquito. There are no effective vaccines available
to prevent malaria, but several small molecule treatment options exist, such as chloroquine (CQ) and artemisinin.
CQ, once the mainstay of malaria treatment, has lost much of its efficacy because of mutations that confer
resistance. Resistance to artemisinin-based therapy is now appearing in Southeast Asia. New small molecule
drugs, especially those working on new targets that may be less susceptible to acquired resistance, are
desperately needed. PSAC is a newly discovered essential antimalarial target which was validated by gene
identification experiments. The channel is produced by the parasite and inserts into the infected erythrocyte
membrane. It was demonstrated by Dr. Sanjay Desai, NIH, that PSAC inhibitors, discovered by high-throughput
screening, kill parasites by direct action on this channel. In preliminary studies, Dr. Desai, developed and applied
a screen for PSAC inhibitors using a sorbitol transport assay, that resulted in the identification of several
chemotypes that displayed inhibitory potencies (K0.5 PSAC block) in the nanomolar range. Compounds also
inhibited plasmodial growth with low nanomolar potencies (IC50). One of the “hit compound” chemical scaffolds
were chosen for medicinal chemistry optimization based on their potency, low cytotoxicity, tractability of synthesis
and overall favorable in vitro “drug-like” ADME results. The first, MBX 2366, was subjected to SAR evaluation
in a Phase I SBIR project. Compounds in this series demonstrated efficacy, low toxicity and excellent in vitro
ADME properties. The Phase II project focused on lead optimizing and scale-up chemistry as well as further
mechanism of action studies and demonstrated good in vivo pharmacokinetics and toxicology studies and,
notably, proof-of-concept efficacy in the humanized mouse model of P. falciparum infection. The proposed
Phase IIB project will finalize compound optimization, including murine efficacy studies to be completed by
Medicines for Malaria Venture (MMV), select a preclinical candidate and then conduct IND-enabling preclinical
studies to advance a compound to the clinic. The preclinical candidate will be synthesized to a 1 Kg scale. The
interdisciplinary approach, which will m...

## Key facts

- **NIH application ID:** 9838138
- **Project number:** 5R44AI100339-06
- **Recipient organization:** MICROBIOTIX, INC
- **Principal Investigator:** Michelle M. Butler
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $991,947
- **Award type:** 5
- **Project period:** 2012-09-21 → 2021-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9838138

## Citation

> US National Institutes of Health, RePORTER application 9838138, Novel Plasmodial Surface Anion Channel Inhibitors as Antimalarial Drugs (5R44AI100339-06). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9838138. Licensed CC0.

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