BioAge Presentation (Longevity Summit, 2025): NLRP3, Apelin Targets

Here are some of the slides from the BioAge presentation at the Longevity Summit in December last year. BioAge raised over $200 Million in their IPO a little over a year ago.

There are a number of companies working on clinical trials for NLRP3 inhibitors (and these are expected to be important longevity drugs in the future if they pass phase 3 clinical trials). Another company working in this area is discussed here: The Immuno-Neuro Dialogue: A 5-Point Playbook for Rewiring the Aging Brain - #3 by RapAdmin

Note: You can click on any image below to make it larger and then you can move through the entire presentation with just your arrow keys.























BioAge Announces Additional Positive Interim Phase 1 Data for BGE-102, a Novel Brain-Penetrant NLRP3 Inhibitor, Demonstrating Potential for Best-in-Class hsCRP Reduction in Participants with Elevated Cardiovascular Risk

January 12, 2026

First BGE-102 MAD cohort completed in obese individuals with elevated hsCRP receiving 120 mg QD; demonstrated rapid and profound reduction in inflammatory markers

BGE-102 achieved 86% reduction in hsCRP at Day 14, with 93% of participants reaching normalized levels (<2 mg/L)

BGE-102 demonstrated significant reductions in IL-6, a key driver of systemic inflammation and cardiovascular risk, and fibrinogen, an independent predictor of cardiovascular events

BGE-102 was well tolerated with a favorable safety profile

Patent issued covering additional composition of matter and novel NLRP3 binding site

Full Phase 1 data, including additional MAD cohorts in obese participants with elevated hsCRP, anticipated 1H 2026; Phase 2a study on track to initiate in 1H 2026

EMERYVILLE, Calif., Jan. 12, 2026 (GLOBE NEWSWIRE) – BioAge Labs, Inc. (Nasdaq: BIOA) (“BioAge”), a clinical-stage biopharmaceutical company developing therapeutic product candidates for metabolic diseases by targeting the biology of human aging, today announced additional positive interim data from the ongoing Phase 1 clinical trial evaluating BGE-102, a potent, structurally novel, orally available, brain-penetrant small molecule NLRP3 inhibitor being developed for the treatment of patients with cardiovascular risk factors.

In a multiple ascending dose (MAD) cohort of participants with obesity (BMI 32–42) and elevated baseline inflammation (hsCRP >3 mg/L), BGE-102 120 mg once daily achieved an 86% median reduction in high-sensitivity C-reactive protein (hsCRP) at Day 14. Notably, 93% of BGE-102-dosed participants (13 of 14) achieved hsCRP levels below 2 mg/L—the clinically recognized threshold for reduced cardiovascular risk.

These findings build on positive interim data announced in December 2025 from SAD and initial MAD cohorts, which demonstrated that BGE-102 was well tolerated, achieved dose-proportional pharmacokinetics supporting once-daily dosing, and produced 90-98% suppression of IL-1β at Day 14 trough. Those data also confirmed high brain penetration, with cerebrospinal fluid (CSF) concentrations exceeding the IC90 at doses of 60 mg and above.

“We are very encouraged by these results, which support the potential for BGE-102 to deliver injectable-like inflammation reduction in an oral therapy designed for primary care, the clinical setting where most cardiovascular risk is managed and where oral medicines are preferred by patients and physicians,” said Kristen Fortney, PhD, CEO and co-founder of BioAge. “Chronic inflammation is now recognized as a major driver of cardiovascular disease—on par with cholesterol—yet it remains far less commonly treated. An 86% reduction in hsCRP, with 93% of participants reaching levels associated with reduced cardiovascular risk, positions BGE-102 as a potential best-in-class oral therapy to directly address inflammation. These findings support our plans to advance BGE-102 into a Phase 2a study in the first half of this year.”

Key findings from the MAD cohort in patients with obesity and elevated hsCRP

Rapid and profound hsCRP reduction

  • BGE-102 achieved 83% median reduction in hsCRP (from a median baseline of 4.85 mg/L) at Day 7 and 86% at Day 14
  • 93% of participants (13/14) on BGE-102 achieved hsCRP <2 mg/L at Day 14; 71% (10/14) reached ≤1 mg/L
  • Rapid onset of effect: 86% of BGE-102-dosed participants (12/14) achieved hsCRP levels <2 mg/L at Day 7; 71% (10/14) reached ≤1 mg/L
  • hsCRP is the most widely used marker of inflammatory cardiovascular risk; levels below 2 mg/L are associated with reduced risk of cardiovascular events

Significant IL-6 reduction

  • BGE-102 achieved a 44% median reduction in serum IL-6 at Day 14
  • CSF IL-6 decreased in the two participants with elevated baseline levels, consistent with BGE-102’s high brain penetration
  • IL-6 is a key upstream driver of hsCRP production and a validated marker of cardiovascular risk

Significant fibrinogen reduction

  • BGE-102 achieved a 30% reduction in fibrinogen at Day 14
  • Elevated fibrinogen has been shown to be an independent predictor of cardiovascular events and thrombotic risk

Potent IL-1β suppression, consistent with strong target engagement

  • In the ex vivo whole blood stimulation assay, BGE-102 achieved 93% suppression of IL-1β at trough (Day 14, pre-dose)
  • IL-1β is directly downstream of NLRP3 and drives production of IL-6 and CRP, key markers of cardiovascular risk

Safety and tolerability

  • BGE-102 continued to be well tolerated
  • Adverse events were infrequent, mild to moderate in severity, and self-limited, with no dose-dependent pattern observed
  • No dose-limiting toxicities observed

Additional figures and data from the ongoing Phase 1 study are available in the Company’s corporate presentation at https://ir.bioagelabs.com/.

“The substantial reductions in hsCRP, IL-6, and fibrinogen we observed in participants with obesity and elevated inflammation demonstrate that BGE-102 potently suppresses the NLRP3-driven inflammatory cascade in a clinically relevant population,” said Paul Rubin, MD, Chief Medical Officer of BioAge. “These data provide strong rationale for advancing into our planned Phase 2a study, where we will evaluate BGE-102’s effects on a range of key inflammatory biomarkers over a longer duration in patients with elevated cardiovascular risk.”

Phase 1 study design

The ongoing Phase 1 study is a randomized, double-blind, placebo-controlled trial in healthy volunteers and participants with obesity. Part 1 evaluated single ascending doses at four dose levels (10, 30, 60, and 120 mg); Part 2 to date has evaluated multiple ascending doses administered once daily for 14 days in healthy volunteers (60 and 120 mg) and in participants with obesity and elevated hsCRP (120 mg QD cohort complete; two lower-dose QD cohorts ongoing). Pharmacodynamic effects were evaluated by assessment of serum biomarkers including hsCRP, IL-6, and fibrinogen, as well as an ex vivo whole blood stimulation assay measuring IL-1β suppression.

Anticipated milestones for BGE-102 in cardiovascular disease

  • 1H 2026: Completion of Phase 1 trial with full data readout, including two additional MAD cohorts in obese participants with elevated hsCRP
  • 1H 2026: Initiation of Phase 2a proof-of-concept study in patients with obesity and cardiovascular risk factors. The trial is planned to enroll approximately 100 patients randomized 1:1 to BGE-102 monotherapy or placebo for 12 weeks. The anticipated primary endpoint is percent change in hsCRP. The trial will also assess inflammatory and metabolic biomarkers, and will include liver MRI.
  • 2H 2026: Phase 2a data readout

Background on BGE-102 and NLRP3

BGE-102 is a potent, orally available, brain-penetrant small molecule NLRP3 inhibitor being developed for diseases of inflammation including elevated cardiovascular risk. BGE-102 represents a structurally novel class of NLRP3 inhibitors developed by BioAge with a unique mechanism and binding site. NLRP3 is a key driver of age-related inflammation that has been implicated in a broad range of diseases, including cardiovascular disease, neurodegeneration, and metabolic disorders.

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Presentation coming on Youtube for this company and product:

An earlier talk by BioAge:

BioAge Labs is a clinical-stage biopharmaceutical company leveraging human aging biology to develop therapies that target metabolic decline, chronic inflammation, and body composition. Learn more at https://bioagelabs.com/

Gemini Pro AI Summary and Analysis:

Here is the rigorous summary and adversarial peer review of the provided transcript.

A. Executive Summary

The speaker, representing BioAge, outlines the company’s “human-first” platform for drug discovery, contrasting it with the high failure rate (95%) of animal-based aging research. Their core thesis is that longitudinal data from human biobanks (spanning 50+ years) allows for the identification of targets that distinguish “successful agers” from those with chronic disease.

The presentation focuses on their lead asset, BGE-102, a novel oral inhibitor of the NLRP3 inflammasome. BioAge positions this drug not as a broad anti-aging compound initially, but as a treatment for metabolic disease and obesity. The speaker presents pre-clinical (mouse) data claiming BGE-102 monotherapy achieves weight loss parity with Semaglutide (Ozempic), and when combined with GLP-1 agonists, doubles the weight loss effect. The company aims to initiate Phase 2 trials for obesity in 2026, positioning BGE-102 as an oral alternative or adjunct to current injectables. Additionally, collaborations with Eli Lilly and Novartis focus on “Exerkines”—molecular mimetics of physical exercise.


B. Bullet Summary

  • The Translation Gap: 95% of drugs that work in preclinical animal models fail in humans because model organisms do not age biologically the same way humans do.
  • Human-First Platform: BioAge relies on millions of data points from >10,000 humans tracked over 50 years to identify molecular correlates of longevity.
  • The Statin Model: The strategy is to approve drugs for narrow disease indications (like obesity) and then label-expand into broad preventive aging measures, similar to how Statins evolved.
  • Target Identification: The platform identified NLRP3 activity as negatively associated with human lifespan and positively associated with cardiovascular disease.
  • Mechanism of Action: BGE-102 is a best-in-class, brain-penetrant, oral NLRP3 inhibitor designed to dampen chronic inflammation caused by cellular stress and nutrient excess.
  • Efficacy Claim (Monotherapy): In diet-induced obese mice, BGE-102 demonstrated dose-dependent weight loss comparable to Semaglutide.
  • Efficacy Claim (Synergy): Combining BGE-102 with a GLP-1 agonist doubled the weight loss compared to the GLP-1 alone in mice.
  • Market Positioning: BioAge aims to capitalize on the shift from injectable to oral obesity treatments, solving for patient preference and cold-chain logistics.
  • Novartis Collaboration: A partnership focused on “Exerkines”—proteins like Apelin (APJ receptor) secreted during exercise that mediate metabolic benefits.
  • Exercise Mimetics: The goal is to rank genes based on their ability to mimic the physiological benefits of exercise for metabolic health.
  • Timeline: Phase 1 safety data is imminent; Phase 2 proof-of-concept for obesity is scheduled for 2026.

D. Claims & Evidence Table (Adversarial Peer Review)

Role: Longevity Scientist & Peer Reviewer.

Claim from Video Speaker’s Evidence Scientific Reality (Best Available Data) Evidence Grade Verdict
“BGE-102 causes weight loss equal to Semaglutide.” Diet-induced obese mouse model data (Aqua vs Orange line). Translational Gap. Murine metabolism differs vastly from humans (e.g., reliance on brown adipose tissue). While NLRP3 inhibition improves insulin sensitivity, claiming distinct weight loss parity with GLP-1s in humans is premature. D (Mouse Only) Speculative
“NLRP3 levels negatively correlate with lifespan.” Internal proprietary human biobank data. True. Chronic sterile inflammation (“Inflammaging”) via the NLRP3 inflammasome is a well-documented driver of multimorbidity and reduced healthspan. Create et al., 2020 B (Observational) Strong Support
“Combination with GLP-1 doubles weight loss.” Mouse synergy data. Plausible Mechanism. GLP-1s target satiety/gastric emptying. NLRP3 inhibitors target adipose inflammation and insulin resistance. Different pathways suggest potential synergy, but “double” is a bold quantitative claim. D (Pre-clinical) Plausible (with caveats)
“Exerkines can mimic exercise benefits.” Novartis collaboration / Apelin data. Contentious. While specific molecules (Irisin, Apelin) are released during exercise, replicating the systemic, multi-organ stress adaptation of exercise via a single pathway has historically failed. D (Mechanistic) Speculative
“Human data prevents translational failure.” Historical argument. Generally True. Validating the target in humans is superior to validating in mice. However, validating the molecule (safety/efficacy) still faces standard clinical attrition rates. E (Industry Logic) Strong Support

E. Actionable Insights (Pragmatic & Prioritized)

Top Tier (High Confidence)

  • Exercise is the Gold Standard: The speaker explicitly states exercise is the “number one proven indication.” Until “Exerkines” are FDA-approved, Zone 2 and resistance training remain the only validated method to activate the Apelin/APJ pathways naturally.
  • Manage Inflammation: The core thesis validates that chronic inflammation (NLRP3) drives metabolic aging. Reducing inflammatory load via diet (low sugar/processed foods) and stress management is the current behavioral equivalent of BGE-102.

Experimental (Risk/Reward)

  • Inflammasome Modulation: While BGE-102 is experimental, compounds like Curcumin and Quercetin have been shown to inhibit the NLRP3 inflammasome in in vitro and animal studies, though with much lower potency and bioavailability.
  • Oral GLP-1 Watch: Monitor the development of oral GLP-1 agonists (like Orforglipron). If BioAge’s thesis holds, combining these with anti-inflammatories could be the future standard of care.

Avoid

  • Mouse-Model Hype: Do not assume that because a drug causes massive weight loss in mice, it will do the same in humans. The “browning of fat” mechanism often seen in mice rarely translates effectively to adult humans.

H. Technical Deep-Dive

The NLRP3 Inflammasome
The speaker references NLRP3 as a sensor for “nutrient excess.”

  • Mechanism: NLRP3 is an intracellular sensor that detects danger signals (DAMPs), including uric acid crystals, amyloid beta, and crucially, ceramides and fatty acids associated with obesity.
  • Activation: Once triggered, NLRP3 assembles into a multiprotein complex (the inflammasome) which activates Caspase-1.
  • Output: Caspase-1 cleaves pro-IL-1β and pro-IL-18 into their active proinflammatory forms. This drives systemic inflammation, blocking insulin signaling receptors in adipose and muscle tissue, creating a vicious cycle of insulin resistance and weight gain.

Exerkines & The Apelin Pathway
The collaboration with Novartis focuses on “Exerkines.”

  • Definition: Signaling moieties released by skeletal muscle (myokines), liver (hepatokines), and adipose tissue (adipokines) in response to acute exercise.
  • Target: Apelin is an exerkine that decreases with age. It binds to the APJ receptor. Restoring Apelin levels in old mice has been shown to reverse sarcopenia (muscle loss) and improve mitochondrial function. BioAge is betting that drugging the APJ receptor can chemically simulate this “youthful” muscle state.

I. Fact-Check Important Claims

Claim: “Statins were approved for a narrow indication and became preventative.”
Fact Check: True.
Lovastatin was approved in 1987 specifically for hypercholesterolemia. Over decades, data regarding plaque stabilization and pleiotropic anti-inflammatory effects led to widespread use for primary prevention of CVD, serving as the business model for BioAge’s strategy.

Claim: “95% of drugs that look good in preclinical trials fail in humans.”
Fact Check: True.
The overall probability of success (POS) for a drug entering Phase 1 to reach approval is widely estimated between 5-10%, with failure rates in neurology and aging-related indications often being even higher due to poor model translation.


Source: https://x.com/DrSamuelBHume/status/2011514816389922920?s=20

Original article (paywalled):

https://www.nature.com/articles/d41573-026-00009-5

Fat Cells Break the “Brakes” on Inflammation by Flooding Mitochondria with DNA Building Blocks

In a major study published this week in Science, researchers at UT Southwestern have decoded the precise molecular chain reaction linking obesity to chronic, life-shortening inflammation. For years, we have known that obesity triggers the NLRP3 inflammasome—a protein complex often called the “fire alarm” of the immune system—driving conditions from diabetes to liver fibrosis. However, the how remained a mystery. This team identified the culprit: a breakdown in SAMHD1, an enzyme that acts as a gatekeeper for cellular DNA building blocks (dNTPs).

In lean individuals, SAMHD1 keeps dNTP levels low, preventing accidental DNA synthesis where it doesn’t belong. The researchers discovered that obesity forces the phosphorylation (inactivation) of SAMHD1 in macrophages. This causes a flood of dNTPs to leak into mitochondria via specific transporters (PNC1/2). Once inside, these building blocks fuel uncontrolled, “dirty” synthesis of mitochondrial DNA (mtDNA). This newly made DNA is highly susceptible to oxidation; when it inevitably rusts (oxidizes), it acts as a potent toxin that triggers the NLRP3 inflammasome, spewing inflammatory cytokines like IL-1 beta throughout the body.

The takeaway? Your fat tissue isn’t just storing energy; it is actively rewriting the metabolic rules of your immune cells, forcing them to manufacture toxic DNA that keeps your body in a perpetual state of emergency. By blocking the transport of these DNA building blocks into mitochondria, the team completely reversed metabolic inflammation in obese mice—without them losing a gram of weight.

Source: