PIPELINE

One molecule. A disciplined sequence.
Every expansion earned by data.

The first wedge is chosen for interpretability, not market size. CSA-AKI produces clean proof. That proof earns the franchise.

MARY1
Cardiac Surgery-Associated AKI

Lead program · Core proof of concept

Predictable injury window, risk-enriched KDIGO 2–3 cohort, serial PK/PD sampling, and utilization-linked endpoints now accountable under CMS TEAM. Both prophylactic and treatment dosing strategies are supported by preclinical data — a flexibility no prior CSA-AKI program has had.

Preclinical ✓

IND-enabling

Phase 1

Ph 1b/2a

MARY1
Kidney Transplant — Delayed Graft Function

First data-contingent follow-on

DGF occurs in 20–40% of deceased donor kidney transplant recipients. A second time-anchored IRI setting where exposure–PD–recovery coherence from CSA-AKI can be replicated. Activated only after Gate 3 clears.

IND

Phase 1

Ph 1b/2a

Contingent on CSA-AKI PoC

MARY1
AKI→CVD Prevention

First data-contingent follow-on

Day 30 preclinical antifibrotic signature supports the biological rationale. Pursued only after recovery and durability signals in the acute settings justify expansion.

Phase I

Phase 2

Phase 3

Contingent on CSA-AKI PoC

FINANCING ASK

$46–83M Seed / Series A over 36 months

IND → First-in-Human exposure and renal PD → interim CSA-AKI Proof of Concept. DGF is the first data-contingent follow on if CSA-AKI gates clear. Capital deployment is tranche-gated to milestone achievement.

Full development plan and capital deployment details

The diligence package includes gate definitions, workstream breakdown, and vendor execution plan.