Safety Analyses Lead Sangart to Move Ahead with ‘Oxygen Therapeutic’

Encouraging results in a second mid-stage trial of an oxygen-carrying compound has prompted San Diego’s Sangart to draw on an additional $50 million from Leucadia National (NYSE: [[ticker:LUK]]), a diversified New York holding company that is Sangart’s majority owner.

Sangart, which has been developing the compound to counter traumatic blood loss, says the additional funding (from convertible warrants held by Leucadia) represents the second half of a $100 million Series G round that Sangart closed just over a year ago. The company, founded in 1998 to advance work on a blood substitute begun by the late Robert M. Winslow, says it has raised more than $280 million since inception.

The biopharmaceutical company avoids referring to its lead product as a blood substitute, however. Rather, Sangart calls MP4OX an “oxygen therapeutic,” an oxygen-carrying molecule that has been modified from human hemoglobin and pegylated so the compound can reach oxygen-starved tissue before releasing its O2 cargo.

The company says it was encouraged to press forward following interim safety analyses done by an independent data monitor committee. Sangart says the committee unanimously recommended that Sangart’s Phase 2b trauma study involving MP4OX should continue without modification. The experimental compound is being used to help perfuse and oxygenate tissues at risk from the effects of acute blood loss and hemorrhagic shock.

Sangart CEO Brian O’Callaghan told me during a Memorial Day call that proceeds of the deal will be used to fund the company’s continuing operations and to complete the mid-stage trial, which is expected to conclude near the end of this year. Sangart also plans to break ground in Cork, Ireland, for construction of a new commercial manufacturing facility.

The company still must proceed to late-stage trials, but if all goes according to plan, Sangart plans to first seek approval for its compound from European regulators.

Sangart has designed its MP4 molecule to work much like human hemoglobin. The company also uses its MP4 molecule to deliver precise amounts of carbon monoxide to help stabilize the hemoglobin of patients with sickle cell disease. O’Callaghan said the additional funding also will help Sangart advance its experimental MP4CO product for treating sickle cell disease. “The sickle cell program is now in the clinic, and catching up fast to the MP4 program,” O’Callaghan said.

MP4CO is designed to carry carbon monoxide, which at low doses can reduce inflammation and have other beneficial effects for people with sickle cell anemia. As O’Callaghan once told me, “small amounts of carbon monoxide have an un-sickling effect.” Once the carbon monoxide therapy had the intended effect, the MP4OX would be used to oxygenate the lungs and to carry oxygen to tissues.

Author: Bruce V. Bigelow

In Memoriam: Our dear friend Bruce V. Bigelow passed away on June 29, 2018. He was the editor of Xconomy San Diego from 2008 to 2018. Read more about his life and work here. Bruce Bigelow joined Xconomy from the business desk of the San Diego Union-Tribune. He was a member of the team of reporters who were awarded the 2006 Pulitzer Prize in National Reporting for uncovering bribes paid to San Diego Republican Rep. Randy “Duke” Cunningham in exchange for special legislation earmarks. He also shared a 2006 award for enterprise reporting from the Society of Business Editors and Writers for “In Harm’s Way,” an article about the extraordinary casualty rate among employees working in Iraq for San Diego’s Titan Corp. He has written extensively about the 2002 corporate accounting scandal at software goliath Peregrine Systems. He also was a Gerald Loeb Award finalist and National Headline Award winner for “The Toymaker,” a 14-part chronicle of a San Diego start-up company. He takes special satisfaction, though, that the series was included in the library for nonfiction narrative journalism at the Nieman Foundation for Journalism at Harvard University. Bigelow graduated from U.C. Berkeley in 1977 with a degree in English Literature and from the Columbia University Graduate School of Journalism in 1979. Before joining the Union-Tribune in 1990, he worked for the Associated Press in Los Angeles and The Kansas City Times.