Trethera Secures $2.3M NIH Grant for Prostate Cancer Drug-Radiation Combo Study

Metastatic castration-resistant prostate cancer claims 70% of patients within 5 years of diagnosis; globally 40,000 deaths annually.
Seven out of ten men experience no clinical benefit from current treatment.
Current FDA-approved radiation therapies for metastatic castration-resistant prostate cancer show only a 29.8% response rate.
Mark

So Trethera got $2.3 million to test a drug called TRE-515 against prostate cancer. What makes this different from what's already being used?

Mimi

The existing radiation therapies only work for about three in ten patients. TRE-515 is designed to work alongside radiation by blocking an enzyme cancer cells need to repair DNA damage. The idea is to trap the cancer cells so they can't recover.

Luke

That's the theory. But this is preclinical work—mouse models. We don't know yet if it will translate to humans or if there are side effects we haven't seen.

Mimi

True, but the NIH peer review panel noted the drug showed no toxicity in dose escalation studies so far. That's encouraging.

Mark

Why did the FDA give it Fast Track designation at the same time?

Mimi

Fast Track is for drugs addressing serious conditions with unmet medical need. Metastatic castration-resistant prostate cancer kills seven in ten patients within five years. There's clearly unmet need.

Luke

But Fast Track doesn't mean the drug works. It just means the FDA will review it faster if the data warrants it. The real test is whether the preclinical work pans out and then whether human trials show benefit.

Mark

What's the timeline looking like?

Mimi

The grant funds preclinical testing to inform future clinical trials. So we're probably looking at years before patients could access this, assuming everything works.

Luke

And that's assuming the combination approach actually prevents resistance, which is what they're testing. It's a promising hypothesis, but it's still a hypothesis.

Mark

How many people are we talking about who might eventually benefit?

Mimi

Globally, 1.5 million men are diagnosed with prostate cancer each year. Not all develop the metastatic resistant form, but it's a significant population with very few good options.

  • Metastatic castration-resistant prostate cancer kills 70% of patients within five years, and the best available targeted radiation therapies fail to help seven out of ten men who receive them.
  • TRE-515 works by blocking the enzyme cancer cells rush to activate when radiation damages their DNA — effectively closing the escape hatch that allows tumors to recover and resist treatment.
  • Within weeks of each other, both the NIH and the FDA signaled serious confidence in this approach: a $2.3 million research grant and a Fast Track designation arrived in rapid succession, a dual validation rarely seen at this stage.
  • NIH peer reviewers cited strong preliminary data, noted the drug has shown no toxicity in dose escalation studies, and suggested the combination will likely prove the concept that TRE-515 and radiation can prevent resistance.
  • Preclinical testing in mouse models is now underway, with results designed to build the evidentiary foundation needed to advance toward human clinical trials — the moment when laboratory logic must meet human biology.

In the long struggle against cancers that outlast every treatment devised for them, a Los Angeles biopharmaceutical company has drawn federal attention and funding for a strategy that targets not the tumor directly, but the metabolic machinery cancer cells depend on to survive radiation's damage. The National Institutes of Health has awarded Trethera Corporation $2.3 million to test TRE-515 — a drug that starves cancer cells of the DNA building blocks they need to repair themselves — alongside radiation therapy for metastatic castration-resistant prostate cancer, a disease that claims seven in ten patients within five years. The grant arrives weeks after the FDA granted the same drug Fast Track designation, a rare convergence of institutional confidence that suggests this approach may be more than promising.

Trethera Corporation, a biopharmaceutical company founded by UCLA scientists and based in Los Angeles, has received a $2.3 million Small Business Innovation Research grant from the National Institutes of Health to test its lead drug candidate against one of oncology's most resistant diseases. The target is metastatic castration-resistant prostate cancer — a form of the disease that has stopped responding to hormone therapy and spread beyond the prostate, leaving patients with few options and a grim prognosis: seven in ten will not survive five years.

The drug, TRE-515, operates on a specific metabolic logic. Cancer cells rely on an enzyme called deoxycytidine kinase to gather the molecular components needed to build and repair DNA. When radiation strikes a tumor, the cancer cell's first instinct is to activate that repair pathway. TRE-515 blocks it — leaving the cell damaged, unable to recover, and unable to replicate. CEO Dr. Ken Schultz described the approach as exploiting a metabolic vulnerability to extend survival for patients who have exhausted conventional options.

The grant's significance is amplified by its timing. Less than a month before the NIH award, the FDA granted TRE-515 Fast Track designation for the same indication. The two decisions together represent an unusual convergence of federal confidence. NIH peer reviewers cited strong preliminary data, flagged the drug's commercial potential, and noted it had produced no toxicity in dose escalation studies — a meaningful signal at this stage of development.

The urgency behind the research is grounded in hard numbers. Globally, prostate cancer claims more than 40,000 lives annually. For men whose disease reaches the metastatic castration-resistant stage, the FDA-approved targeted radiation therapies that represent the current standard of care carry only a 29.8 percent response rate. Dr. Michael Shepard, a Lasker Prize laureate on Trethera's scientific advisory board, called the disease devastating and suggested a first-in-class drug paired with radiation could redefine how it is treated.

The grant will fund preclinical work in mouse models, generating the data needed to justify advancing toward human trials. Trethera is also developing TRE-515 for autoimmune diseases and holds FDA orphan drug designation for two neurologic conditions. The preclinical results will determine whether the scientific reasoning that has drawn federal attention can survive contact with biological complexity — and whether patients may one day benefit from it.

Trethera Corporation, a Los Angeles-based biopharmaceutical company, has secured $2.3 million in federal funding to pursue an unconventional approach to one of cancer's most lethal forms. The National Institute of Health awarded the Small Business Innovation Research grant to test TRE-515, the company's lead drug candidate, in combination with radiation therapy against metastatic castration-resistant prostate cancer—a disease that kills seven in ten patients within five years of diagnosis.

The strategy rests on a specific metabolic vulnerability. TRE-515 works by blocking deoxycytidine kinase, an enzyme that cancer cells depend on to build DNA. When radiation damages a cancer cell's genetic material, the cell must scramble to gather the molecular building blocks needed for repair. By shutting down that pathway simultaneously, the drug and radiation work in concert to trap cancer cells in a state they cannot recover from. The company's chairman and CEO, Dr. Ken Schultz, framed the grant as validation of this reasoning. "Combining TRE-515 with precision-guided radiation therapies aims to exploit a metabolic vulnerability in prostate cancer cells and extend survival for patients who have few viable options," he said in a statement.

The timing of the award carries particular weight. Less than a month earlier, the FDA granted TRE-515 Fast Track designation for the same indication—a rare dual validation that signals serious scientific interest from both federal agencies. The NIH peer review panel, in its written assessment, noted "strong preliminary data" supporting TRE-515 as an effective and specific inhibitor of the target enzyme, and suggested the combination approach "will likely lead to proof of concept that combining TRE-515 with radiation will be an effective approach for preventing resistance." Reviewers also flagged the drug's commercial potential and noted it had shown no toxicity in dose escalation studies.

The need is substantial. Globally, 1.5 million men receive a prostate cancer diagnosis each year, with over 40,000 deaths annually. For those whose disease becomes resistant to hormone therapy and spreads beyond the prostate—the metastatic castration-resistant form—options narrow sharply. The FDA-approved targeted radiation therapies that have reshaped treatment in this space carry a 29.8 percent response rate. That statistic inverts to a stark reality: seven out of ten men experience no clinical benefit from these treatments. Dr. Michael Shepard, a Lasker Prize laureate serving on Trethera's scientific advisory board, called the disease "devastating" and suggested that a novel first-in-class drug paired with radiation "could redefine treatment."

The $2.3 million grant will fund preclinical testing of TRE-515 combined with standard-of-care radiation in mouse models of metastatic castration-resistant prostate cancer. The work is designed to generate the evidence needed to move toward human trials. Trethera was founded by UCLA scientists and remains privately held. The company is also developing TRE-515 for autoimmune diseases and has received orphan drug designation from the FDA for two neurologic autoimmune conditions. The preclinical work now underway will either strengthen the case for clinical advancement or reveal obstacles that need solving before patients can be enrolled.

Combining TRE-515 with precision-guided radiation therapies aims to exploit a metabolic vulnerability in prostate cancer cells and extend survival for patients who have few viable options.
— Dr. Ken Schultz, Chairman and CEO of Trethera
A novel, first-in-class drug such as TRE-515, paired with radiation, could redefine treatment for this devastating disease.
— Dr. Michael Shepard, Trethera Scientific Advisory Board member and Lasker Prize Laureate
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