Since the 1930s, we have known that Omega-3 fatty acids are essential for our normal development and health. Researchers in the 1970s conducted a seminal study of the Greenland Intuits who consumed large amounts of fat from their seafood. Epidemiologists found that even with this large fat intake, the Intuit tribesmen had incredibly low levels of cardiovascular disease. The high levels of Omega-3 fatty acids in the Intuit’s diet was thought to have reduced blood pressure, atherosclerosis, triglycerides, and heart rate. Additional population studies (Japan, Denmark, US Indian tribes) confirmed the Intuit data, linking Omega-3 to improved cardiovascular health.
The importance of a diet high in Omega-3 content has become increasingly important, as dietary habits have shifted over the last century. Omega-6 and Omega-3 are types of essential fatty acids – meaning we cannot make them on our own and have to obtain them from our diet. Omega-3 is typically found in the fat of cold-water fish, while Omega-6 is found in soy, corn, sunflowers, and other oils. Omega-6 and Omega-3 have opposing effects, as Omega-6 fatty acids tend to increase inflammation, blood clotting, and cell proliferation, while those from Omega-3 fatty acids decrease those functions.
Many nutrition experts believe that before we relied so heavily on processed foods, humans consumed Omega-6 and Omega-3 fatty acids in roughly equal amounts. Today, we consume so many foods containing partially hydrogenated soybean oil and high fructose corn syrup, that the dietary ratio of Omega-6 to Omega-3 fatty acids is estimated to be >>20:1.
The Omega-6:Omega-3 dietary imbalance may explain the rise of such diseases as asthma, coronary heart disease, many forms of cancer, autoimmunity, and neurodegenerative diseases - all of which are believed to stem from inflammation in the body. The imbalance between Omega-6 and Omega-3 fatty acids may also contribute to obesity, depression, dyslexia, hyperactivity, and even violent behavior.
The biotech and pharma community is now actively looking into programs that could help restore the balance of Omega-6 to Omega-3 levels.
Neutraceutical companies have been selling Omega-3 supplements at health stores for decades. These products are typically of relatively poor quality, with little Omega-3 actually in them (now there some recent exceptions). Reliant Pharmaceuticals, a venture-backed startup funded by Bay City Capital, Versant Ventures, and Invemed, launched the first commercial pharma program in 1999. Crude fish oil contains only ~30% Omega-3 and Reliant sought to isolate the active ingredient of Omega-3, which was thought to be associated with one, or both, of its constituent molecules - eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). As it turned out, Reliant found it incredibly challenging to isolate EPA and DHA and locate the active ingredient. In the end, the company gave up on producing a composition of matter patent, instead choosing a manufacturing method patent to produce Omega-3 at 90% purity (mixture of EPA and DHA). Reliant would launch their FDA-approved drug, Lovaza (initially called Omacor), in 2005 and was later acquired by GSK in December 2007 for $1.65B. In 2009, Lovaza had sales of $1B.
The Reliant experience highlights both the promise and challenge of Omega-3 drug development. It is still unknown whether it is best to take EPA alone, DHA alone, or a mix of both (and if so at what ratio). Some clinical data links EPA to improved cardiovascular health, while DHA has been linked to improved visual and neuro function. Further clinical studies will need to be conducted to uncover which ingredient is most efficacious for a particular indication.
How Omega-3 works is not the only challenge drug development companies have to tackle. Dosing is a huge problem with Omega-3 as patients typically have to take at least 1 gram of the drug every 8 or so hours for it to work. Patients have to take “horse pills” just to get enough Omega-3 in their bodies to make a difference. That requires a lot of bulk drug material and isolation of Omega-3 from fish is not particularly scalable as fish populations around the globe are dwindling and quota restrictions induce seasonality challenges to manufacturing. Either new sources of Omega-3 need to be created, or dosing has to be decreased while maintaining efficacy.
To address manufacturing and dosing challenges, a number of interesting university startups and corporate development programs have been launched recently. The second half of this blog entry contains an accounting of some of the more interesting / promising companies.
UNIVERSITY SPINOUTS
Algisys: Is a Virginia Tech spinout from the lab of Dr. Zhiyou We. Algisys is developing a proprietary strain of algae that can produce large quantities of EPA. Existing algae technologies are limited to DHA production, and Algisys believes it has overcome scaling issues that have plagued competitors in developing algae strains capable of producing large quantities of EPA.
Aurora Algae: Is a UC Berkeley spinout from the lab of Dr. Krishna Niyogi. Aurora grows its proprietary algae strain in man-made ponds, allowing open pond growth, which requires less capital equipment than other techniques. The company was originally focused on biofuels, but with Omega-3 valued at over $1,000 per ton, the company has added a large neutraceutical program. Aurora believes it can grow algae at unparalleled scale, owning to the company’s “Raceway Track” strategy. Raceway ponds, shaped like horse tracks, are lined with plastic or cement and are only 20-35 cm deep to ensure adequate exposure to sunlight. Paddlewheels provide motive force and keep the algae suspended in the water. The ponds are supplied with water and nutrients, and mature algae are continuously removed at one end. It is unknown whether Aurora is focusing on EPA or DHA, or both.
Catabasis Pharmaceuticals: Is a Harvard spinout from the lab of Dr. Steven Shoelson that is focused on addressing dosing challenges with Omega-3. Catabsis seeks to create an Omega-3 + salicylate drug conjugate. Salicylate, like Omega-3, has been shown to have anti-inflammatory properties but requires very high dosing (~4mg / day). By linking Omega-3 (DHA and EPA) to salicylate, Catabasis believes it can dramatically lower the amount of dose required for each drug and increase overall drug efficacy. Catabasis seeks to development anti-inflammatory products in the areas of diabetes, irritable bowel disease, lipid disorders, and cardiovascular disease.
CORPORATES
Martek Biosciences Corporation: Specializes in isolating DHA from fish oil. Martek is publicly traded, with a market cap of around $300 million. The company has started to develop its own algae program and patented two fermentable strains of microalgae that produce oils rich in DHA. A similar patented process was developed for a fungus that produces oil rich in arachidonic acid, ARA. Both DHA and ARA are important nutrients for infant development, while DHA has health benefits that extend throughout life.
Ocean Nutrition: Ocean Nutrition controls 70% of the world’s DHA and EPA production. The company is located on the Nova Scotia coast in Canada, and leverages the nearby fishing grounds to produce its Omega-3 products. GSK and many other neutraceutical companies source their raw Omega-3 material from Ocean Nutrition.
Solae Soy Company: Solae was formed in 2003 and is a subsidiary of Dupont. In 2007, Solae formed a joint venture with Monsanto to generate Omega-3 from soybeans. Monsanto genetically modified the soybean genome by inserting two genes - one from a plant related to primrose and another from a fungus. The modified soybeans will the produce stearidonic acid (SDA), which is converted to EPA in the body. Soybeans are ubiquitous in modern day diets, so people could increase their Omega-3 levels without changing any of their dietary behaviors.