Key facts
- Nobelpharma's English pipeline table (heading dated March 2026) lists NPC-31 (P092 maleate) for prion disease at phase PI/II, status in preparation, with Gifu University as partner and marketing approval timing TBD.
- US patent 9809563 covers a crystalline maleic acid salt of an anti-prion compound; inventor Kazuo Kuwata, first assigned to Gifu University, assignment to Nobelpharma recorded 2022-02-11; priority 2014-02-10, filed 2015-02-03, granted 2017-11-07.
- The patent says the salt dissolves well enough in water to be made as an injection and reports a cell-culture IC50 of about 0.46 micromolar; a distribution study cited there found more radioactivity in cerebrum and cerebellum than in blood. Whether the patent compound is the one named NPC-31 is not stated in the text read.
- Kuwata's 2025 Japanese-language article says the chaperone binds normal prion protein, crosses the blood-brain barrier when given into a peripheral vein, has an IC50 near 500 nM against one strain, clears from blood within a week yet stays in brain with a half-life over one month, and that preclinical work is finished with a trial to start shortly.
- Nobelpharma's project manager told the July 2025 CJD Foundation conference that several essential non-clinical studies were done and that clinical studies were expected to start probably the next year; no trial was listed.
- A one-slide Nobelpharma PDF dated 14 July 2025 is titled as a P092 kick-off meeting with Dunn Regulatory; only metadata could be read, so its content and Dunn Regulatory's role are unverified.
- Earlier lineage: the same group reported in 2007 that GN8, found by computer screening against PrPC hot spots, lowered abnormal prion protein in cells and modestly lengthened survival of infected mice; GN8 was proposed to act as a chemical chaperone. The link from GN8 to NPC-31 is not stated in any opened source.
- Searches of the Japanese registry and the web found no registered NPC-31 trial; the only prion drug record seen in jRCT was Ionis ION717, a different drug. The registry itself was not queried directly.
Timeline
- 2007Kuwata group publishes GN8 and the hot-spot chaperone concept in PNAS.
- 2014Priority date of the maleate salt patent.
- 2017US patent 9809563 granted.
- 2022Patent assignment to Nobelpharma recorded.
- 2025Nobelpharma speaks at the CJD Foundation Family Conference; slide file dated 14 July 2025.
- 2025Kuwata's trial-start article goes online on J-STAGE.
- 2026Pipeline table shows NPC-31 phase I/II in preparation.
Last checked 1 November 2026
Sources for this page
- Nobelpharma: Research and development pipeline (English)
- US9809563B2: Maleic acid salt of anti-prion compound, method for producing the same and pharmaceutical composition of the same
- Kuwata K. (2025) Start of a clinical trial for a prion disease drug administrable by peripheral vein. Shinkei Chiryogaku 42(3):220-225
- CJD Foundation: Drug development
- CJD Foundation 2025 conference slide PDF: Nobelpharma (NPC-31)
- Kuwata et al. 2007, Hot spots in prion protein for pathogenic conversion (PNAS 104:11921)
- jRCT2031230574: Phase 1/2a study of intrathecal ION717 in prion disease (Japan registry record)
- Web search: jRCT and Japanese-language searches for NPC-31 / Nobelpharma prion trial