Electra Therapeutics has raised $183 million in series C financing to propel its lead drug candidate ELA026 into a pivotal Phase II/III trial and expand its portfolio of therapies targeting signal regulatory proteins (SIRP) in immune-driven diseases and cancer.The financing follows the start of patient dosing in SURPASS, a global pivotal study of ELA026 for secondary haemophagocytic lymphohistiocytosis (sHLH), a rare and often fatal hyperinflammatory condition with few treatment options. It can be triggered by malignancy, infection, autoimmune disease or immunotherapy.There's no FDA-approved therapy specifically for the sHLH, but current treatments include broad immunosuppression with steroids and chemotherapy, as well as anti-cytokine therapies.Snuffing out inflammation firestormELA026 is a monoclonal antibody that binds to SIRP on immune cells, and works by selectively depleting the pathological myeloid cells and T lymphocytes driving the cytokine storm that underlies sHLH."What we're doing here is we're essentially…putting, very rapidly, a blanket over this firestorm by taking out these principal cells that drive this inflammation," CEO Kathy Dong told FirstWord. ELA026 is "very targeted and it allows…the rest of your immune system to recover, so there's the efficacy of being rapid and potent, but there's the safety benefit of not [having] this broad, indiscriminate suppression of your immune system."The candidate has earned FDA breakthrough therapy status and a PRIME designation from the European Medicines Agency.Promising early dataIn an earlier Phase Ib study, 100% of adult patients with malignancy-associated HLH survived to eight weeks following frontline treatment with the drug, compared to a rate of roughly 50% reported for available therapies in historical benchmarks. Additionally, all patients achieved clinical response by the four-week mark and all were discharged from hospital. Biomarker data also indicated a rapid reduction in inflammation consistent with clinical improvement, according to Electra."We are very impressed by the compelling clinical data the Electra team has generated for ELA026 in sHLH," said Thomas Geninatti of Nextech, which co-led the round along with EQT Life Sciences.New backers Sanofi, HBM Healthcare Investments and Mubadala Capital also contributed, alongside existing investors such as Redmile Group, New Leaf Venture Partners, Westlake BioPartners, Cormorant Asset Management, Blue Owl Capital, and RA Capital. The company raised $84 million in a series B round nearly four years ago."These encouraging results provide validation for targeting SIRP as a novel mechanism and position Electra to expand its application across immunology and oncology," Geninatti added.Blood cancersThe company's next steps will focus on completing global enrollment for SURPASS, and also exploring ELA026's potential in certain blood cancers. Hyperinflammation in sHLH is triggered by an underlying condition, and the most prevalent of these is malignancy. According to Dong, investigators in the Phase Ib study in sHLH observed cases where ELA026 may have had an anti-tumour effect in treating the underlying cancer."An area where we're seeing a really compelling signal is T cell malignancy," she said. "So here again, ELA026 is depleting the activated T cells, and the tumour cells themselves can be depleted with our drug." The company is planning to initiate a study of ELA026 in haematologic malignancy next year.It is also advancing a second candidate, ELA822, which selectively targets activated T lymphocytes, into clinical testing for "broad application" across immunology and inflammation disorders.