Science
SK Channel – A Novel target for atrial fibrillation
Atrial fibrillation is the most common arrhythmia, affecting millions worldwide and driving a major unmet need for safer, more effective therapies.
Our approach is built on a genetically validated target: SK channels, small-conductance Ca²⁺-activated potassium channels that play a key role in regulating the atrial heart rhythm.
Several studies have provided genetic validation of the SK channel target by showing strong associations between genes encoding the different subtypes of the channel and AF in humans. Specifically, small changes in the DNA that increase SK expression are strongly associated to AF in human genome wide association studies.
Ellinor et al, 2010, Ellinor et al, 2012, Christophersen et al, 2017.
Why SK Channel Inhibition Matters
Current atrial fibrillation treatments often fall short, with limited efficacy and significant safety concerns. By inhibiting SK channels, we aim to restore normal rhythm through a first-in-class mechanism that prolongs atrial refractoriness – a key marker of antiarrhythmic efficacy. This approach is designed to deliver meaningful clinical benefit while minimizing risks associated with conventional therapies.
Atria, cardiomyocyte (green), endothelial cells or collagen (yellow)
Safety is central to our innovation. Existing antiarrhythmic drugs are frequently associated with significant safety concerns, particularly the risk of proarrhythmia, which often necessitates comprehensive screening before prescription. Our key differentiator is improved safety by avoiding detrimental ventricular effects. A low risk of proarrhythmia reduces the risk to patients and removes key barriers for clinicians when considering treatment options.
Translating Science into Impact
In a phase 2 trial, our 1st generation compound AP30663 demonstrated robust cardioversion of atrial fibrillation to sinus rhythm – the first clinical proof of concept for this novel mechanism. Read the publication here.
Atria, cardiomyocyte (purple), endothelial cells (yellow), cell nuclei (blue)