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4E Therapeutics is developing a pipeline of non-opioid therapeutic assets to target pain.

We currently have 3 areas of focus:

Phase

Discovery

IND-Enabling

Phase 1

Phase 2

Phase 3

Neuropathic Pain
4ET1103

IND-Enabling Completed

50%
Migraine Pain
4ET2124

IND-Enabling

30%
Acute Pain
MNK-eIF4E

Discovery

11%
Neuropathic Pain

4E Therapeutics has completed our medicinal chemistry optimization program in which over 150 proprietary, small molecule MNK inhibitors were synthesized and evaluated, leading to the discovery of a cohort of peripherally-restricted, orally-bioavailable compounds.

Phase

Discovery

IND-Enabling

Phase 1

Phase 2

Phase 3

4ET1103

Selected as lead compound

IND-Enabling Completed

50%

Having met our stringent preclinical safety and efficacy criteria, 4ET1103 is highly efficacious in multiple animal models of pain and is well-tolerated in rodents and dogs. Significantly, 4ET1103 blocks evoked MNK activity in human dorsal root ganglion neurons from organ donors, underscoring its translational potential.

4ET1103 has completed IND-enabling studies and IND application to be submitted Q4 2023.
Migraine Pain

4E Therapeutics research shows that the MNK-eIF4E signaling pathway is implicated in migraine, and that disrupting this pathway is a promising strategy for inhibiting migraine pain.

Phase

Discovery

IND-Enabling

Phase 1

Phase 2

Phase 3

4ET2124

Selected as lead compound

IND-Enabling

30%

Building upon these discoveries, 4E is developing small molecule MNK inhibitors into next generation drugs for the treatment of migraine. 4ET2124 has been selected as a clinical candidate for the treatment of migraine pain, with 4ET2104 positioned as backup. Both compounds have excellent in vitro safety profiles and are efficacious across multiple animal models of migraine.

4ET2124 and 4ET2104 are ready to begin IND-Enabling studies.
Acute Pain

Peripherally restricted MNK inhibitor

Phase

Discovery

IND-Enabling

Phase 1

Phase 2

Phase 3

MNK-eIF4E Signaling Pathway

Discovery

11%

Our approach employs non-brain penetrant small molecules to selectively inhibit MNK. Peripherally-restricted therapeutics are advantageous because they are devoid of central-nervous-system side effects, such as impaired cognitive function and physical dependence.

A lead compound will be selected in 2024.

Publications

The Journal of Neuroscience

August 2, 2017
The MNK–eIF4E Signaling Axis Contributes to Injury-Induced Nociceptive Plasticity and the Development of Chronic Pain
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Trends in Neurosciences

February 01, 2018

Translational Control Mechanisms in Persistent Pain

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The Journal of Neuroscience

January 16, 2019
Nociceptor Translational Profiling Reveals the Ragulator-Rag GTPase Complex as a Critical Generator of Neuropathic Pain
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Biological Sciences

September 23, 2019
MNK-eIF4E signalling is a highly conserved mechanism for sensory neuron axonal plasticity: evidence from Aplysia californica
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Neuropsychopharmacology

October 07, 2019
Reversal of peripheral nerve injury-induced neuropathic pain and cognitive dysfunction via genetic and tomivosertib targeting of MNK
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Pharmacological Reviews

January, 2021
Pharmacological Manipulation of Translation as a Therapeutic Target for Chronic Pain
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3800 N. Lamar Blvd.
Suite 200
Austin, Texas 78756