Programs

Our lead candidate, REN001, is a potent and selective agonist of the peroxisome proliferator-activated receptor delta (PPARδ) that has been shown to increase transcription of genes involved in mitochondrial function and increase fatty acid oxidation, and promote formation of new mitochondria.

REN001 Overview

We are developing REN001 to modulate genes critical to metabolism and generation of ATP, which is the primary source of energy for cellular processes.

We believe REN001 could benefit patients with genetic mitochondrial myopathies who experience weakness, fatigue, cramping and wasting of muscle due to the mitochondria’s inability to produce adequate levels of ATP.

One Approach, Multiple Diseases

REN001 is being developed in two rare diseases, primary mitochondrial myopathies (PMM) and long-chain fatty acid oxidation disorders (LC-FAOD). 

We continue to explore other diseases where REN001 may provide benefit. We intend to establish REN001 as the standard of care for multiple rare diseases affecting the mitochondria.

Pipeline

Clinical Trials

We completed a Phase 1b clinical trial of REN001 in patients with PMM and myopathy with mitochondrial DNA (mtDNA) mutations. The primary objective of the trial was to evaluate the safety and tolerability of REN001, and we also included measures of clinical outcome such as exercise tests and symptom questionnaires. REN001 was generally well tolerated with no drug related serious adverse events (SAE) observed. Improvements were observed in exercise tests and symptoms questionnaires.


We are currently enrolling patients into the STRIDE study. STRIDE is a global, randomized, double-blind, 6-months, placebo-controlled clinical trial designed to assess the efficacy and safety of REN001 administered orally once daily to patients with primary mitochondrial myopathies (PMM). 

Learn more at https://www.pmmstudy.com/.


We are also enrolling patients into the STRIDE Ahead study. STRIDE Ahead is a 24-month open-label study of REN001 in PMM patients.

Reneo conducted an open-label Phase 1b clinical trial in adult patients with LC-FAOD. The primary objective of the trial was to evaluate the safety and tolerability of REN001 in the LC-FAOD patient population, and we also explored multiple clinical outcomes. Results from this study are pending.

We also conducted a non-interventional, international study in adult patients with LC-FAOD to better understand disease characteristics of patients (FORWARD study). We evaluated patients prospectively with exercise tests and symptom questionnaires. Results from this study are pending.

Reneo has completed an open-label Phase 1b clinical trial in adult patients with McArdle disease. The primary objective of the trial was to evaluate the safety and tolerability of REN001 in the McArdle patient population, and also explore multiple clinical outcomes such as muscle symptoms, physical function, and work productivity. REN001 was generally well tolerated with no drug related serious adverse events (SAE) observed. An increase in fatty-acid oxidation was observed, a finding that is consistent with the prior Phase1b PMM clinical study and supports the rationale for the PMM program. 

Expanded Access Policy

Reneo is committed to developing promising new therapies to address the unmet medical needs of patients suffering from rare and seriously debilitating diseases. We are currently enrolling patients in a late-stage clinical trial for the treatment of Primary Mitochondrial Myopathies (PMM) and completed enrollment in an early-stage study for Long-Chain Fatty Acid Oxidation Disorders (LC-FAOD). Our goal is to provide access to our medicines at the appropriate time and taking into consideration all the potential risks and all the potential benefits to the patients. We believe enrollment in our ongoing clinical trials is the safest and most effective way of achieving this goal. We do recognize that some patients will not be eligible to take part in our clinical trials and may wish to access our drugs in development through expanded access. Currently, we do not have the resources available to offer expanded access use of our investigational medicines to patients who have not previously received REN001. We encourage all patients and physicians who are interested in accessing our investigational medicines to visit the clinical trial section of our website to find out about our open studies for enrollment


Reneo may revise this expanded access policy in the future. Additionally, the posting of this policy by Reneo does not serve as a guarantee of access to any specific investigational new drug by any individual patient. If you have any questions, please contact us.