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`PCT/USZOOBIOO 1 602
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`CLAIMS
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`1.
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`A method of evaluating neuroprotective properties of at least one test
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`compound, the method comprising:
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`a) contacting a cell with the at least one test compound,
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`b) determining whether the Nrf2 pathway is upregulated in the cell,
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`c) determining whether the at least one test compound slows or prevents at
`least one of demyelination, axonal loss, and neuronal death, and
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`d) selecting the test compound as a candidate for treating neurodegeneration
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`in a neurological disease if 1) the Nrf2 pathway is upregulated and,
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`optionally,
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`e) further determining whether at least one of demyelination, axonal loss, and
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`neuronal death are prevented or slowed by the compound.
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`2.
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`The method of claim 1, wherein the neurological disease is a
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`demyelinating disease.
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`3.
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`The method of claim 2, wherein the demyelinating disease is multiple
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`sclerosis.
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`4.
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`The‘method of claim 1, wherein the cell in step a) is contacted with a
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`plurality of test compounds.
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`5.
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`The method of claim 1, wherein the Ner pathway upregulation is
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`determined by the levels of expression or activity of NQO1.
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`6.
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`The method of claim 1, wherein the Nrf2 pathway is upregulated by at
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`least 30% as indicated by one or more of the following parameters:
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`Biogen Exhibit 2105
`Mylan v. Biogen
`IPR 2018-01403
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`Biogen Exhibit 2105
`Mylan v. Biogen
`IPR 2018-01403
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`Page 1 of 3
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`Agent Ref. 08201 .0077—00304
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`PCT/USZOOBIOO 1 602
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`i) expression levels of at least one of endogenously produced and
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`exogenously introduced Nrf2;
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`ii) at least one of subcellular localization and nuclear translocation of Nrf2;
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`iii)
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`the expression level of at least one gene under control of Nrf2;
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`iv)
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`the level of Ner binding to the Nrf2-binding DNA element ARE;
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`v)
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`the stability of Nrf2/Keap1 complexes; and
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`vi) modification levels of at least one protein selected from Keap1 and other
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`Nrf2/Keap1-associated proteins.
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`7.
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`The method of claim 6, wherein the at least one gene under control of
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`Nrf2 is an Nrf2-regulated reporter gene in an artificial reporter construct.
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`8.
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`The method of claim 1, further comprising comparing the level of Ner
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`pathway upregulation by the at least one test compound with the level of Ner pathway
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`upregulation by at least one comparator compound.
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`9.
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`The method of claim 8, wherein the at least one comparator compound is
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`selected from dimethyl fumarate and monomethyl fumarate.
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`10.
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`The method of claim 1, wherein the at least one test compound has the
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`structure of Formula I.
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`11.
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`The method of claim 1, wherein the at least one test compound is
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`selected from fumaric acid, its salts, and fumaric acid derivatives.
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`12.
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`The method of claim 1, wherein the at least one test compound is
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`chosen from FTY 720, ABT—874, GSK683699, NeuroVax, MLN 1202, interferon y,
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`TysabriTM, Rituxan, TV 5010, NBl-788, MBP8298, Cladribine, Teriflunomide,
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`Temsirolimus, and Laquinimod.
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`Agent Ref. 08201 .0077-00304
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`PCTI U $2008/001 602
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`13.
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`A method of treating a mammal having a neurological disease,
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`comprising:
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`a)
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`selecting a test compound according to the method of any one of claims
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`1-10, and
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`b)
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`administering the selected test compound a mammal in need thereof,
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`thereby treating neurodegeneration in the mammal.
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`14.
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`A method of treating a mammal having a neurological disease by
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`combination therapy, the method comprising:
`a) administering to the mammal a therapeutically effective amount of at
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`least one first compound that upregulates the Ner pathway, and
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`b) administering a therapeutically effective amount of at least one second
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`compound that does not upregulate the Ner pathway.
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`15.
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`The method of claim 14, wherein the at least one first compound is
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`selected from fumaric acid, its salts, and fumaric acid derivatives.
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`16.
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`The method of claim 13 or 14, wherein the neurological disease is a
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`demyelinating disease.
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`17.
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`The method of claim 16, wherein the demyelinating disease is multiple
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`sclerosis.
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