V4Cure is a French biotech company developing a new generation of peptide-based therapies derived from animal venoms.
Founded in 2023, V4Cure is a spin-off from the CEA (French Alternative Energies and Atomic Energy Commission) and aims to address severe cardio-hepato-renal diseases for which no safe or effective treatments currently exist.
By harnessing the extraordinary therapeutic potential of peptides within animal venom, V4Cure is creating first-in-class treatments for life-threatening and neglected conditions such as refractory ascites and polycystic kidney diseases.
Venom peptides: a unique and underutilized source of innovation
Over millions of years, animal venoms have evolved to precisely target vital physiological systems such as the nervous or cardiovascular systems to immobilize prey or deter predators. These same pathways are often implicated in human diseases, making venom-derived molecules a powerful starting point for drug discovery.
V4Cure draws on over 10 years of CEA research and one of the world’s most comprehensive venom peptide libraries. Our proprietary discovery platform allows us to identify their properties and then to create new therapeutic peptides that are both highly selective and safer than small molecules. All our therapeutic peptides are synthetically produced.
Our lead target is the vasopressin-2 receptor (V2R), a key regulator of water retention involved in several serious diseases, including cirrhotic ascites, heart failure and polycystic kidney diseases.
V4C-232, a first-in-class solution for patients with no alternatives
V4Cure’s lead candidate, V4C-232, is a first-in-class, venom-derived V2 receptor antagonist that induces aquaresis—excretion of water without sodium loss—without the liver toxicity seen in previous drugs targeting this pathway.
Refractory ascites: a severe condition with very limited therapeutic options, affecting millions of patients worldwide
To establish a strong market entry, we are targeting first refractory ascites in cirrhosis, a severe condition with no approved drug treatments and minimal competition. Today, patients must undergo repeated hospital procedures to drain the accumulated fluid, or resort to invasive interventions such as shunt placement or liver transplantation. Yet, access to transplants is limited: only around half of eligible patients actually receive one. This pressing therapeutic gap underscores both the clinical urgency and market potential of V4C-232.
Beyond ascites, blocking the V2 receptor is a clinically validated strategy for treating polycystic kidney disease (PKD), a group of rare genetic disorders that progressively impair kidney function. Building on this, we are advancing V4C-232 as a second indication for PKD.
V4C-232 offers a biologically derived, safer alternative with the potential to improve patient outcomes and set a new standard of care in both indications. V4Cure holds exclusive global rights to two patent families covering V4C-232’s use in both refractory ascites and PKD.
On a larger scale, our drug could address unmet medical needs in conditions associated with fluid retention for which no effective therapeutic solution currently exists.
To optimize clinical use, V4C-232 is being developed as an injectable formulation, well-suited to hospital settings. This enables precise dosing, rapid treatment initiation, and better compliance, helping to accelerate regulatory approval and establish V4Cure as a leader in V2 receptor-targeted therapies.
A clear strategy to reach clinical proof of concept
V4Cure’s business model focuses on advancing drug candidates through Phase 2 clinical proof of concept, then licensing them to pharmaceutical partners for late-stage development and commercialization.
Our current priority is to demonstrate the clinical efficacy of V4C-232 in hospitalized patients with refractory ascites, with first-in-patient data expected from a Phase 1b trial in 2027.
V4C-232 has all the pre-clinical proof of concept, and is now ready to advance the following roadmap:
- Complete regulatory toxicity studies in 2 species for clinical trial application (CTA) filing
- Regulatory filings (IND/CTA) in 2026
- Clinical first-in-human Phase 1/1b trials to finalise by the end of 2027
- Application to the Orphan Drug Designation for refractory ascites
- Clinical proof of concept in refractory ascites Phase 2 by 2028, together with the regulatory filings (IND/CTA) for PKD
Funding progress and upcoming milestones
V4Cure is raising a €1.5M pre-Series A round to complete regulatory toxicity studies required for clinical trial authorization. Combined with €2M in non-dilutive funding, this will support the initiation of Phase 1/1b clinical trials in 2027, with results expected in 2028.
A pipeline with significant expansion potential

While V4C-232 is V4Cure’s first clinical asset, our discovery platform supports the development of a broad pipeline of venom-derived peptides, including candidates targeting metastatic renal cancer & cardiovascular diseases.