WASHINGTON As the threat of biological terrorism has become more immediate and
concern about new strains of pathogens has increased, the U.S. Defense Advanced
Research Projects Agency has responded by accelerating efforts to find new
medicines that will reduce and perhaps eliminate the threat of anthrax and
many other dangerous agents, scientists and U.S. officials said recently (see
GSN, July 16).
An array of five DARPA-supported initiatives have the potential to take
anthrax off the table as a weapon because we can treat it and prevent it, said
John Carney, program manager for DARPA Unconventional Pathogen
Countermeasures, which oversees the initiatives.
Although the program is intended to develop medicines that would primarily
protect soldiers, the general U.S. population could face the same pathogens and
benefit from the same initiatives, officials said.
Somebody who is serious about an attack using biowarfare drugs could, and
probably will, engineer resistance to our major antibiotics, said David
Perry, chief executive officer of Anacor one of the five companies
involved in the DARPA program. Its not that hard, frankly. The bacteria they
use will be resistant to the antibiotics we have on hand. The governments
emergency policy is to have a basket of antibiotics stockpiled.
Agency officials have told Congress that they hope to submit several
investigational new drugs for Food and Drug Administration approval within two
years, Carney said. The agency is also closely considering the possibility of
developing a single antibiotic to defeat several pathogens.
One drug for all bugs, Carney said.
For example, one antibiotic Anacor is developing might be a triple-header,
said Lucy Shapiro, director of Stanford Universitys Beckman Center for
biomedical researchand an Anacor cofounder. The drug has shown promise
for use against the plague, tularemia and anthrax, she said.
Initiatives and Goals
While the pathogen countermeasures project began before the Sept. 11
terrorist attacks on New York and Washington, officials are now trying to speed
the process.
Timelines are difficult to predict in pharmaceutical work, Carney said. He
noted, however, that the urgency is greater now and that the agency is being
aggressive.
Another participant echoed Carneys assessment.
I think certainly DARPA feels a sense of urgency that is reflected down to
the scientific level, said Stephen Benkovic, the other Anacor cofounder
and a Pennsylvania State University professor.
Anacor is building on the work of Shapiro and Benkovic, whose research has
led to a new class of drugs that inhibit certain pathogenic enzymes, including
those found in anthrax and tularemia. The two scientists, who also sit on the
companys scientific advisory board, believe that the recently founded company
is making good progress toward developing a single drug that could defeat
several dangerous agents.
We began to accelerate as the situation darkened, Benkovic said, referring
to the terrorist attacks and the U.S. war on terrorism. We would like to take
it as far as we can, as quickly as possible, he added.
Anacor announced a $21.6 million contract Oct. 29 from DARPA and the U.S.
Army Medical Research and Materiel Command to develop antibiotics for use
against anthrax, tularemia and other infectious diseases. After initial success
with test-tube experiments, the companys researchers are currently taking their
enzymes into animal testing.
Vince Fischetti, a professor who specializes in bacterial pathogenesis
and immunology at New Yorks Rockefeller University, is in the second year of
another leg of the DARPA-sponsored effort to develop an enzyme that will target
anthrax without causing side effects in other systems in the human body. He has
worked with the agency before and has sat on its scientific advisory board for
four years.
DARPA is funding a clinical trial to test the new enzyme in animals,
Fischetti said. Researchers plan to finish animal testing within a year, and if
it is successful, human testing could be complete in two years, he said.
If all goes well, the government could have this medicine stockpiled in under
five years, and Fischetti said he imagines that it could happen in three to
four.
DARPA is also working with Genesoft in the San Francisco Bay area and
PharmAthene and Critical Therapeutics in the Boston area.
Though the five initiatives work toward similar goals, they are not in a
competition, Carney said. Each has sufficient funding and its own milestones to
reach, he added.
At the end of the day, they will either succeed or fail on their own
characteristics, Carney said.
Academia Meets the Military
The pathogen countermeasures contracts represent a significant infusion of
top scientific minds into the world of national security, according to Shapiro.
DARPA was very instrumental in taking this out of academia and into a real
corporate setting neither Steve [Benkovic] or I had the ability or desire to
run a company, she said.
Shapiro applauded the risks that the program has taken to support fledgling
scientific efforts. Anacor, which grew from the research of Shapiro and
Benkovic, is now well poised to produce important new medicines, Carney said.
The antibiotics being developed in Anacors Palo Alto facility in California
might become the first new class of antibiotics since 1978, according to Perry.
While Anacor officials said they anticipate that a commercial application
will emerge from their work the compound has also proven effective against
common bugs such as streptococcus and staphylococcus Shapiro said they hope to
develop a drug that is much more effective than Cipro in treating anthrax.
If you want to break barriers and develop the new penicillin, you have to
take chances, Shapiro said. Im not telling you we have penicillin we dont
but we might, she added.
Keeping in Touch
Mixing scientists and national security experts is not always a completely
smooth process, Carney said. It is important to not merely fund the projects
and walk away, he said.
Each week, agency officials conduct either a phone conference call or a
face-to-face meeting with representatives from each project. The agency also
hosts annual meetings to bring efforts together and share ideas and research.
The annual meetings bring all of the projects together as a forum it
creates a community, Carney said. The meeting of the different scientists
creates a useful social network and offers participants different vantage
points on how to attack a problem, he added. Representatives from the Pentagon
and the FDA as well as alumni from former DARPA projects have attended the
meetings in the past. The most recent meeting was held in February, and the
next is scheduled for April 2003.
During the meetings, academics are given a slot of time to present their
work, and Carney asks them to pay attention to practical applications as well as
general scientific progress. Because some scientists are unaccustomed to
displaying the practical facets of their work, Carney has mandated that the
first five slides of every presentation focus on real world application and
business matters.
Although DARPAs efforts are not conventional, they are needed to provide new
solutions to urgent concerns, Carney said. The agencys mandate is to
disruptively change the way technology is used and to look far forward into
the future, he added.
The scientists involved in the project agreed that novel treatments must be
found for chemical and biological agents.
If the next attack is a resistant organism, we would have no way to kill
that organism, Fischetti said. Its a capability we dont have right now, he
added.
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