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Precision Intracellular Delivery™ Platform

MITOFORGE™

MitoForge is the key to cure Mitochondrial Metabolic Dysfunction

Chronic and Rare Diseases

2018

Founded

San Francisco

Headquarters

Clinical-stage

Biopharmaceutical

Our approach

Existing therapies treat symptoms.

We're built to Restore cellular health.

4 +

Leading Indications

Most cardiovascular medicines manage the downstream consequences of heart failure — resistance in the vessels, fluid buildup, strain on the pump. MITOFORGE is designed to work further upstream, on the cell's own energy supply.

A useful way to think about it: the heart is a pump, the circulatory system is its plumbing, and the mitochondria are its power plant. When mitochondria are starved of oxygen and produce less ATP, the pump loses shape and function — even while the plumbing is being treated. Correcting the upstream, unifying bioenergetic defect is the basis of a precision medicine approach to these diseases

The platform

A modular, peptide-directed delivery system

MITOFORGE targets a single, upstream defect — mitochondrial metabolic dysfunction — using four core components that work together to reach the right cells and release payload where it’s needed.
Targets the tissues and organs affected by mitochondrial metabolic dysfunction.
Designed for preferential delivery to selected cells.
Built for stability in circulation and controlled intracellular payload release.
Supports both small-molecule and biologic payloads on the same delivery backbone

Key Leadership

Built by operators who've done this before

Our scientific advisory board — including former Heart Failure Society of America presidents — has directly shaped our Phase 2 study design and clinical protocol.

Michael Kokesh, J.D.

Co-Founder, President & CEO

Co-founder of ViCardia Therapeutics. Four-time founder/executive of VC-backed medtech and healthcare companies, twice serving as CEO — including one completed IPO. Former CEO of the Ischemia Research and Education Foundation, a cardiovascular research institute at UCSF.


Education University of Colorado Boulder · UC Law San Francisco
Track record 4x VC-backed company builder

“MitoForge is the key to treating mitochondrial metabolic dysfunction across chronic and rare disease.”

Therapeutic areas

One bioenergetic pathology, expressed across many diseases

Because mitochondrial dysfunction is a unifying pathology, the platform’s modular architecture extends from our lead cardiovascular program into a broader set of tissue-directed opportunities.

Cardiovascular

Restoring mitochondrial function in heart failure and cardiovascular disease.

Rare mitochondrial disorders

Expanding impact across genetically defined mitochondrial diseases.

Neurodegeneration

Targeting mitochondrial dysfunction in selected neurologic diseases.

Cardio-renal syndrome

Treating mitochondrial dysfunction across the heart–kidney axis.

Metabolic disease

Correcting the metabolic deficit upstream of insulin resistance.

Muscle atrophy in microgravity

Exploring mitochondrial support for muscle and cardiac performance in long-duration spaceflight.

Target tissue rationale: heart, muscle and cerebrovascular endothelium (CNS) are post-mitotic — mitochondrial DNA damage accumulates over time rather than diluting through cell division, which is what makes these tissues a natural fit for the platform.

Therapeutic areas

One bioenergetic pathology, expressed across many diseases

Because mitochondrial dysfunction is a unifying pathology, the platform’s modular architecture extends from our lead cardiovascular program into a broader set of tissue-directed opportunities.

Cardiovascular

Restoring mitochondrial function in heart failure and cardiovascular disease

ADHF · HFrEF / HFpEF · Stage B pre-heart failure

Neurodegeneration

Targeting mitochondrial dysfunction in selected neurologic diseases.

Parkinson’s · Alzheimer’s · ALS · Huntington’s

Metabolic disease

Correcting the metabolic deficit upstream of insulin resistance.

Type 2 diabetes · MASH · MASLD

Rare mitochondrial disorders

Expanding impact across genetically defined mitochondrial diseases.

Friedreich’s Ataxia · Barth Syndrome · MELAS

Cardio-renal syndrome

Treating mitochondrial dysfunction across the heart–kidney axis.

CKD · Cardio-renal syndrome

Muscle atrophy in microgravity

Exploring mitochondrial support for muscle and cardiac performance in long-duration spaceflight.

Muscle atrophy · Cardiac deconditioning

Target tissue rationale: heart, muscle and cerebrovascular endothelium (CNS) are post-mitotic — mitochondrial DNA damage accumulates over time rather than diluting through cell division, which is what makes these tissues a natural fit for the platform.