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Volume 04

Journal of Clinical Infectious Diseases & Practice

ISSN: 2476-213X

Rare Diseases Congress 2019

June 17-18, 2019

June 17-18, 2019 | Berlin, Germany

9

th

World Congress on

Rare Diseases and Orphan Drugs

Red blood cell-encapsulated enzymes: An innovative therapeutic approach to overcome challenges of

enzyme replacement therapies for rare diseases

Emmanuelle Cecile Dufour

Erytech Pharma, USA

M

any inborn errors of metabolism (IEM) disorders are due to defects in single genes encoding key metabolic

enzymes. In most cases, clinical manifestations of these disorders are driven by the over-abundance of a

metabolite or the scarcity of an essential metabolite. Though rare, IEM disorders can have devastating consequences

for patients and their families. While some Enzyme Replacement Therapies are commercially available for a few IEM

disorders, the clinical benefits of these approaches are often outweighed by the emergence of hypersensitivity and

the rapid clearance of enzymes. Therefore, there is a high need for better tolerated and longer-acting replacement

enzymatic activity to alleviate the burden of IEM disorders. RBCs are the most abundant cell type in the human

body and their biology is characterized by a long lifespan and access to all tissues and organs. Thanks to their

biocompatibility and shielding properties, they can serve as a circulating bioreactor when loaded with enzymes.

ERYTECH is a leader in RBC therapeutics. Its ERYCAPS® platform enables the encapsulation, at industrial scale,

of active drug substances inside RBCs using hypotonic loading, which has been shown to maintain all the RBC

functionalities. ERYTECH has demonstrated that RBC-encapsulated enzymes exhibit substantially improved

in

vivo

performance vs. non-encapsulated enzymes, including extended enzymatic activity. Results from two early

programs using enzyme-loaded RBCs in

in vivo

models for Arginase-1 Deficiency and Classical Homocystinuria

will be presented. These promising results combined with ERYTECH’s extensive clinical experience with RBC

therapeutics, support the possibility that RBC-loaded enzymes may provide superior safety and efficacy as compared

with traditional ERT approaches for the treatment of IEM disorders.

Recent Publications

1. Gay F, et al. (2017) Methionine tumor starvation by erythrocyte-encapsulated methionine gamma-lyase activity

controlled with per os vitamin B6. Cancer Med. 6(6):1437-1452.

2. Bourgeaux V, et al. (2016) Drug-loaded erythrocytes: on the road toward marketing approval. Drug Des Devel

Ther. 10:665-76.

3. Thomas X and Le Jeune C (2016) Erythrocyte encapsulated l-asparaginase (GRASPA) in acute leukemia. Int J

Hematol Oncol. 5(1):11-25.

Emmanuelle Cecile Dufour, J Clin Infect Dis Pract 2019, Volume 04