Despite Challenges, Congestive Heart Failure Draws A Crowd

Across the industry, cardiovascular R&D budgets are shrinking, and in some cases, practically disappearing. Some large companies are de-emphasizing the cardiovascular space, citing factors ranging from the size and high expense of clinical trials to the challenge of proving benefit when most experimental therapies are tested in tandem with current standards of care. Nonetheless, for those companies still willing to venture into the cardiovascular arena, congestive heart failure (CHF) offers a huge, lucrative indication to pursue. Several start-up firms are targeting CHF and related conditions by a variety of mechanisms, including polymer therapeutics, microRNA targeting and gene therapy. In this issue, we profile four such start-ups: miRagen Therapeutics, NellOne Therapeutics, Phrixus Pharmaceuticals and Sorbent Therapeutics.

Across the industry, cardiovascular R&D budgets are shrinking, and in some cases, practically disappearing. Some large companies, including Pfizer Inc. and AstraZeneca PLC, are de-emphasizing the cardiovascular space, citing factors ranging from the size and high expense of clinical trials to the challenge of proving benefit when most experimental therapies are tested in tandem with current standards of care. Smaller firms face their own challenges, including finding investors willing to take a risk that compounds can be differentiated – and hopefully sold – without too significant an investment.

Nonetheless, for those companies still willing to venture into the cardiovascular arena, congestive heart failure (CHF) offers a huge, lucrative...

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