Cardiometabolic Disorders
Apitegromab for obesity
We are investigating apitegromab to inform the development of SRK-439, a novel investigational selective inhibitor of latent myostatin optimized for the treatment of cardiometabolic disorders, including obesity. Strong clinical and preclinical evidence for apitegromab in SMA indicates that our approach has the potential to maintain muscle mass, while minimizing adverse effects.
Currently, there are no therapies that are intended to preserve muscle while targeting weight loss, yet maintaining muscle is critical to overall health and metabolic function. Scholar Rock is leveraging our scientific platform’s muscle-targeted approach to investigate its effects on preserving lean muscle mass and improving metabolic health in people during and after treatment with obesity therapies such as those that target GLP-1 and GIP.
While recently approved therapies for obesity are experiencing rapid uptake, up to 40% of the total body weight loss caused by therapies that target GLP-1 and GIP may be attributed to loss of lean mass.1, 2 Preserving lean muscle mass during and after obesity treatment is important to promote long-term metabolic benefits, sustainable weight management and health outcomes.
Myostatin is a protein growth factor expressed primarily in skeletal muscle, which functions to restrict muscle mass and growth. When myostatin is activated, it works with other growth factors and hormones to inhibit muscle growth. Our investigational therapies, including apitegromab and SRK-439, are designed to selectively inhibit pro- and latent myostatin to support muscle growth and function.
Clinical Trials
EMBRAZE
EMBRAZE is a randomized, double-blind, placebo-controlled Phase 2 proof-of-concept trial evaluating apitegromab’s ability to safely preserve lean muscle mass in adults on GLP-1 receptor agonist therapy for obesity.
Expanded Access Policy
SRK-439 for obesity
Results from the EMBRAZE trial will inform the development of SRK-439, a novel investigational, preclinical muscle-targeted therapy designed to support healthier weight management and lean muscle preservation during and after treatment with obesity therapies such as those that target GLP-1 and GIP. Muscle plays a key role in cardiometabolic disorders and healthy weight management. Based on preclinical data, SRK-439 has the potential to support healthier weight management by preserving lean muscle mass during weight loss. Preclinical data also demonstrates greater potency of SRK-439 compared to an anti-ACTRII antibody, which could translate to a lower target dose of SRK-439 that is administered subcutaneously and potentially best-in-class profile.
While recently approved therapies for obesity are experiencing rapid uptake, up to 40% of the total body weight loss caused by therapies that target GLP-1 and GIP may be attributed to loss of lean mass.3, 4 Therapies that can maintain muscle mass, while enhancing body fat loss, could potentially offset the muscle loss often associated with obesity treatment and help improve cardiometabolic health. Strong clinical and preclinical evidence in SMA indicates that our approach has the potential to maintain muscle mass, while minimizing adverse effects.
SRK-439 is an investigational myostatin inhibitor that binds to pro- and latent myostatin with high affinity and is selective for myostatin. Myostatin is a protein growth factor expressed primarily in skeletal muscle, which functions to restrict muscle mass and growth. When myostatin is activated, it works with other growth factors and hormones to inhibit muscle growth. Our approach selectively targets the latent, or inactive, forms of myostatin to block its activation and subsequent signaling in the muscle.
We are advancing SRK-439 towards investigational new drug (IND)-enabling studies.
- Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384(11):989-1002.
- Jastreboff AM, et al Tirzepatide Once Weekly for the Treatment of Obesity. NEJM 2022; 387 (3): 205-216.
- Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384(11):989-1002.
- Jastreboff AM, et al Tirzepatide Once Weekly for the Treatment of Obesity. NEJM 2022; 387 (3): 205-216.