Why TRE-515 Matters. A New Frontier.
Trethera’s first-in-class drug, TRE-515, is leading the way by focusing on the salvage pathway – a key metabolic process essential for the growth of diseased cells in cancers, autoimmune diseases, and inflammatory disorders.



What is the Salvage Pathway?
The salvage pathway supports the rapid growth of abnormal cells by supplying materials for faster cell division. The salvage pathway is upregulated by abnormal cells in diseases like cancer, MS, lupus, and Crohn’s but is less active in healthy adult cells. By blocking abnormal cell division, TRE-515 may impact multiple diseases with fewer side effects.
Salvage Pathway and dCK Activation in Diseases
The de novo and salvage pathways create deoxyribonucleoside triphosphates (dNTPs) for DNA replication. Deoxycytidine kinase (dCK) is the rate-limiting enzyme in the salvage pathway. In cases of rapid and aberrant cell proliferation, such as cancer and autoimmune diseases, the salvage pathway and dCK are activated.

The History of Trethera & TRE-515
Blocking dCK in the salvage pathway builds on over a decade of research discoveries.
UCLA (2009-2020)
- dCK inactivation alters T & B cell development (2009)
- dCK knockout mice live normal healthy lives (2012)
- Targeting dCK effective in T cell cancer models (2014)
- Pilot Studies Screen Potential dCK inhibitors (2014-2015)
- PET and plasma biomarkers measure dCK activity (2016)
- TRE-515 selected for development and Company formed (2017-2020)
Trethera (2021-Today)
- FDA twice grants TRE-515 Orphan Drug Status (2021)
- Angel investors fund Seed Rounds (2021-2023)
- Manufactured drug capsules for clinical trials (2021-Today)
- First patient ever dosed with a dCK inhibitor (2021)
- Lupus, Crohn's, MS indications discovered (2021-Today)
- Patent issued for US market exclusivity to 2041 (2022)
- Global industry leaders join advisory boards (2021-Today)
- NIH grants over $7M in non-dilutive funding (2021-Today)
- Data presented at major medical conferences (2017-Today)
- Anti-tumor activity seen in Cancer patients (2022-Today)