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Novel Therapeutics:

Handshake Bio: Avidity-Based Biologics That Selectively Target Toxic Amyloid Conformations

Marc I. Diamond, M.D.

  • Professor, UT Southwestern
  • Founder (Handshake Bio)

Jaime Vaquer-Alicea, Ph.D.

  • Assistant Professor, UT Southwestern
  • Founder

The Diamond Lab

Handshake is addressing amyloid diseases by targeting the toxic (pathological) conformations of proteins that drive conditions like Alzheimer’s, ALS, Parkinson’s, and Type 2 Diabetes, rather than targeting all forM.S. of the protein indiscriminately.

The platform uses proprietary cell-based biosensors and binder discovery to detect, validate, and engineer conformation-selective biologics against tau, TDP-43, α-synuclein, and IAPP while sparing native functional proteins.

In ALS-relevant models, the lead TDP-43 program is an AAV9-delivered RING–VHH gene therapy designed to ubiquitinate and degrade TDP-43 aggregates, restoring function and protecting cells.

In Alzheimer’s/tauopathy models, the lead anti-tau antibody program (MD5.1) reduced tau burden and limited long-range propagation in mice, supporting a disease-modifying mechanism.

Handshake presents as a scalable platform across central and peripheral amyloidoses and is positioning prograM.S. for development candidate selection and IND progression, supported by a planned Series A raise.

Stage 3: Lead Optimization & Preclinical PoC