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  Pipeline and Business Strategy

Pipeline

Cara's most advanced drug candidate in development, CR665, is a highly specific kappa opioid agonist with physical properties that ensure an unprecedented level of selectivity for kappa receptors located on peripheral nerves. Therapeutic indications for “peripherally-restricted” kappa agonists include, but are not restricted to, post-operative pain and ileus associated with abdominal surgery, pancreatitis pain, dysmenorrhea, labor pain, and irritable bowel syndrome. In addition to their utility as analgesics, kappa agonists have been recognized to possess unique anti-inflammatory actions which may be useful in the treatment of diseases such as rheumatoid arthritis. CR665 has completed clinical Phase 1a studies and is moving into Phase 2a studies and is currently undergoing proof-of-concept Phase 2a trials.

Cara is also developing molecules that selectively modulate peripheral CB2 receptors. CB2 receptors are found predominantly in peripheral tissues, particularly immune cells such as leukocytes and mast cells, which have been shown to be involved in pain and inflammatory responses. This approach follows the same logic outlined for the development of peripherally acting kappa opioids, which is to develop novel pain medications without the side effects associated with brain receptor activation.Peripheral CB2 receptor modulators will be developed as a novel therapeutic approach for neuropathic pain, a condition currently without consistently effective therapies. Cara's lead CB2 compounds are currently in preclinical development.

Cara's screening technology, referred to as GPCR DimerScreen™ , is designed to specifically and selectively identify molecules interacting with GPCR dimers and thus allows for the discovery of compounds with new pharmacological properties at identified dimeric drug targets. Cara will focus on the identification of new chemical entities to modulate dimeric receptor drug targets relevant for the treatment of pain and inflammation. This novel approach provides a competitive advantage in drug discovery to Cara since it offers opportunities for “first-in-class” therapeutics that could dramatically alter standard treatment of these conditions.

Business Strategy

Cara is strategically focused on identifying business partners with a shared vision of providing optimal pain management therapies which minimize drug-related side-effects and address the unmet medical needs of millions of patients worldwide.

The company is identifying strategic partnerships that:
(i) provide clinical development and marketing expertise to enhance the commercial potential of Cara drug candidates, and/or
(ii) provide drug discovery and development expertise which complement those available at Cara

In October 2006 Cara successfully completed a collaborative agreement with Ferring Pharmaceuticals to identify novel analgesic drug candidates targeting a peripheral receptor.

In January 2006, Cara entered into a worldwide licensing agreement with Alza Corporation, a Johnson & Johnson company, for Cara’s novel peripherally-acting pain drug candidate, CR665.



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