corporate presentation...2021/01/13 · corporate presentation 39th jp morgan healthcare conference...
TRANSCRIPT
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ReCode TherapeuticsCorporate Presentation39th JP Morgan Healthcare ConferenceJanuary 2021
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NON-CONFIDENTIAL
FIRST-IN-CLASS TARGETED, GENETIC MEDICINES FOR RESPIRATORY DISEASESPowered by Best-in-Class, Non-Viral LNP Delivery Platform
NON-VIRAL LNP PLATFORMBEST-IN-CLASS & NEW CLASS
4 Proprietary Classes of LNPs
• SORT LNPs – Best-in-Class with Tissue-Specific Delivery
• Engineered for Gene Delivery or Editing
• Broad Range of Therapeutic Cargos
Well Positioned to Execute
• Series A, $80M – March 2020• Strong Patent Protection (2035 plus)• Scalable Manufacturing
• Proven Management Team, Top Industry Investors and Advisors
CAPABILITIES
THERAPEUTIC PROGRAMS FOCUSED ON HIGH, UNMET NEEDS
FIRST-IN-CLASS
Genetic Respiratory Diseases
• Primary Ciliary Dyskinesia (PCD)
• Cystic Fibrosis (CF)
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Experienced Drug Development Leadership and Industry Advisors
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DAVID LOCKHART, PhDCEO & President
VLADIMIR KHARITONOV, PhDSenior Vice President, CMC
BRANDON WUSTMAN, PhDSenior Vice President of R&D
MICHAEL TORRES, PhDVice President, R&D, Texas Site Head
MANAGEMENT
BOARD OF DIRECTORS SCIENTIFIC ADVISORS and KOLs
DAVID LOCKHART,PhDReCode Therapeutics
MICHAEL TORRES, PhDReCode Therapeutics
HELEN S. KIM,MBAVida Ventures
PETER THOMPSON,MDOrbiMed
ED HURWITZ, JD, MBAMPM Capital
RA SESSION IITaysha Gene Therapies
ARTHUR JOHNSON,PhDProfessor Emeritus, Texas A&M
DANIEL SIEGWART,PhDAssociate Professor, UTSW
PHILIP THOMAS, PhDProfessor, UTSW
JULIE EASTLAND, MBACFO & COO
ROBERT BRIDGES, PhDProfessor, RFUM
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• RE-DOSABLE, TITRABLE
• NO AAV-RELATED SAFETY ISSUES
• LARGE PAYLOAD CAPACITY
• BROAD PAYLOAD DIVERSITY
• TARGETS SPECIFIC TISSUES AND CELLS
• SCALABLE MANUFACTURING
Best-in-Class and NEW Class of Non-Viral LNPs Customizable to Enable Targeted Delivery of Genetic Medicines
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ReCode’s LNPs enable precise gene replacement, silencing, and correction
ADVANTAGES DIFFERENTIATED
5-COMPONENT SORT TECHNOLOGY DELIVERS BEYOND THE LIVER
Lungs LiverSpleen
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MODALITY TARGET DELIVERY DISCOVERY PRECLINICAL PHASE 1/2 (SAD/MAD/OLE)
PCDPrimary Ciliary Dyskinesia
mRNA DNAI1 Inhaled
mRNA PCD gene 2 Inhaled
mRNA PCD gene 3 Inhaled
tRNA PCD nonsense Inhaled
CFCystic Fibrosis
tRNA CFTR Inhaled
mRNA CFTR Inhaled
Gene Correction
CFTR(F508del) IV; Lung-SORT
Platform Non-Viral LNPs Various
Organs/Tissues IV; Various
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Therapeutic Focus on Genetic Respiratory DiseasesAddress Underlying Genetic Cause in High Unmet Need Diseases with Potential to Transform Patient Lives
Primary endpoint (change in FEV1) with potential to demonstrate rapid improvement applies to current leads and future PCD and CF programs
IND in 2022
IND in 2022
Indications with established endpoints and clear path to human POC and approval
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Lead Therapeutic ProgramsPCD and CF
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PCD: Addressing High Unmet Need with ReCode Solutions
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Targeted Delivery: Epithelial cells of the lower airways
Repeated delivery of DNAI1 mRNA to the epithelial cells of the conducting airways (e.g., trachea, bronchi, and bronchioles).
Cells targeted by LNP-formulated mRNA delivered as an aerosol using existing methods and devices.
DNAI1 is a component of the ciliary axoneme required for ciliary beating
DNAI1 mutations impair ciliary activity and result in loss of mucociliary clearance (MCC)
The SolutionThe Cause
Challenges
• Gene editing & gene therapy approaches not well-suited: ⎼ Frequent cell turnover (half-life of weeks to months)⎼ Basal (stem) cells difficult to access⎼ Need broad coverage with a single administration to
a diseased lung with accumulated mucus
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Rescued human DNAI1-deficient ciliated cells
Repeat administration well tolerated
Cellular uptake in the presence of mucus
Normal beat frequency recovered
Synchronized wave-like motion restored
Activity comparable to normal controls
Ciliary Function Restored in Human Cells and Delivered to the Lung as an Inhaled Aerosol
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Green: Acetylated alpha-tubulin (microtubules)
Red: HA tagged DNAI1
Human DNAI1 knock-out cells treated with a single dose of formulated DNAI1-HA and immuno-stained with anti-acetylated tubulin and anti-HA 72 hrs after dosing.
DNAI1 incorporated into cilia of human respiratory epithelial cells
Well Tolerated
Single administration, escalating dose well tolerated
Expression levels constant with repeat dosing
Histopathology Results Show No Findings
Whole-body images of mice treated with luciferase mRNA formulated in a ReCode LNP and nebulized using an
Aerogen mesh nebulizer
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PCD and CF Have Clear and Similar Paths for Clinical Development and Approval Endpoints
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Same primary endpoints, same clinical sites & PIs, similar paths to approval *Phase 1/2 study could be the basis of drug approval
Phase 1/2 Study*Indication / Inclusion criteria Primary Outcome Measures
− Safety and tolerability− Absolute change in percent predicted
FEV1
PCD Lead mRNA Program− Adults− Pathogenic mutation in DNAI1− FEV1 between 40% and 90%
Placebo Low Dose
High Dose
SAD ∙● MAD (6 mo.) ● OLE (6 mo.)
CF Lead tRNA Program− Adults− CFTR mutation R553X, R1162X, or G542X − FEV1 between 40% and 90%
− Safety and tolerability− Absolute change in percent predicted
FEV1
Placebo Low Dose
High Dose
SAD ∙● MAD (3 mo.) ● OLE (9 mo.)
Precedent for clinical path established by approved drugs for CF
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CF Therapeutic ProgramFirst-in-Class tRNA Program Targets Subset of the CF Population with No Approved Therapy
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CF Patients with Nonsense Mutations Do Not Benefit FromApproved Therapies
Currently No approved drugs to treat patients with CFTR nonsense mutations
Global CF patients by mutation/genotype
WW Prevalence 70-100K*
*Patients identified and tracked through global CF registry (CFTR2.org database)
**Patient cells with R116X mutation not available; expected that NanoCorrector should work for all arginine nonsense mutations
Global Patient Population with Nonsense Mutations
Mutation *Number of patients Addressed by lead tRNA
G542X 3,475 Yes(demonstrated)
W1282X 1,552 No
R553X 1,298 Yes (demonstrated)
R1162X 612 Yes(expected**)
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Development Path
Development Path
Potential to be First-in-Class for targeted subset of patients
• tRNA program focuses on a subset of ~5% of patients who do not adequately respond to currently approved drugs
• Trial endpoints well established based on approved therapies
Prevalence
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Addressing High Unmet Need in CF
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tRNA NanoCorrectors Restore Full-length Functional CFTR ProteinCF patients with nonsense (premature stop) mutations have no therapeutic options (~5% of CF patients)
The SolutionThe Need
The Challenges
⎼ Delivery to the right cells in the airway epithelium ⎼ Specificity of read-through: consistent amino acid
insertion and recognition of true stops
Full-length functional protein
Gln Val Arg Val lle
NanoCorrector tRNAs “read through” the stop mutation and restore full-length functional protein
NormalGO
Truncated non-functional protein
Gln Val
Arg
Gln Val Arg Val lle
Wild-type mRNA
mRNA with nonsense mutation (C to U
resulting in “STOP”)
Restored full-length protein
LNP + tRNALead program (tRNA) supported by a $3.4M Therapeutic Development Award by the Cystic Fibrosis Foundation (since 2017)
Repeated delivery of tRNA to the epithelial cells of the conducting airways using existing inhaled aerosol delivery methods and devices
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tRNA Restores CFTR Function in Patient-derived Cells
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G542X/F508del hBEs(1) tRNA restores function in human bronchial cells (hBEs) derived from
patients with G542X and R553X nonsense mutations
Restores current in hBEs comparable to that seen with Lumacaftor (VX-809)
R553X/F508del hBEs
1 Heterozygote cell line from patients with G542X and F508del alleles: tRNA is affecting G542X while Lumacaftor is affecting F508del.
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Non-Viral LNP Delivery Technology
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ZNPsZwitterionic amino lipid (ZAL)
lipid nanoparticles
CSALCationic quaternary ammonium
sulfonamide amino lipid
dLNPsDegradable and ionizable amino dendritic
lipid nanoparticles
Selective ORgan Targeting(SORT LNPs)
Utilizes organ targeting (SORT) molecules to redirect LNPs
• Hybrid 3-component LNPs; multi-organ tropism• Optimized for structured cargos such as tRNA and mRNA;
nebulized delivery to lungs
• Traditional 4-component LNPs with programmed degradability
• Optimized for RNA delivery and gene editing in the liver
• In vivo POC with repeated administrations shown for a broad range of targets
• Novel 5-component LNPs
• Tissue-specific delivery• Optimized for delivery of RNA,
gene editing agents, and protein delivery in the lungs and spleen (IV), muscle and brain (local).
Proprietary LNP Platform Based on Decades of Research and Deep Understanding of Lipid ChemistryPlatform Includes Thousands of Novel Lipids
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Delivery Differentiator: SORT LNPs Deliver a Broad Range of Payloads to Specific Tissues and Cell Types
16Cheng et al. Nature Nanotechnology 2020, 15, 313.
• Preferential delivery to lung cells• Rescue of CFTR chloride transport in hBEs• Delivery of CRISPR/Cas9 to endothelium and
epithelium via IV administration
• Delivery of CRISPR/Cas9 to the spleen• Editing in T cells, B cells, and macrophages• Editing observed in lymphatic tissue
• Gene editing in liver hepatocytes (>95%)• Complete knockout of PCSK9 (serum & tissue)• Delivery of Epo, Klotho and IL-10 mRNA
Exemplary Results (in vivo and in vitro)
Delivery of Luciferase mRNA
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Heart
Lungs
Liver
Spleen
Kidneys
PBSLung-specific
SORT LNPLiver-specific
SORT LNPSpleen-specific
SORT LNP
Delivery of CRISPR / Cas9 to tdTom Reporter Mice • Novel 5-component LNPs with unique
biodistribution and packaging properties
• Standard 4-component LNP technology limited to liver delivery
• SORT LNPs utilize novel in vivo mechanisms to access other tissues and cell types
• Applicable for gene editing by IV administration of Cas9 mRNA or protein (plus sgRNA and donor DNA)
Proprietary SORT Platform Enables Tissue-specific CRISPR/Cas9 Gene Editing
17Cheng et al. Nature Nanotechnology 2020, 15, 313.
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SORT unlocks the future of genetic medicinesImproved Lung Delivery: IV delivery to the lung epithelium bypasses mucus and may further improve delivery in patients with impaired lung functionOpportunities for Curative Therapies: Editing of long-lived stem cells (e.g., basal epithelial cells in the airways)
SORT Delivery - Potential to Transform Treatment of CF
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Long-term Mid-termNear-term
Initial focus on patients with nonsense mutations using a tRNA read-through therapy
CF tRNA for nonsense mutation population
Broaden CF franchise with mRNA platform
Potentially address the entire CF patient population with mutation-agnostic mRNA therapy
Enable durable CF gene correction with SORT
Transform CF landscape using Selective ORgan Targeting (SORT) delivery of gene editing components to progenitor (basal) cells for a long-lasting CFTR correction
NEAR-TERM FOCUS
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Differentiated Non-Viral LNP Technology Delivers Diverse Cargos Beyond the Liver
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ReCode Translate Bio Generation BioArbutus, Acuitas, Arcturus, BioNTech, CureVac, Ethris,
Genevant, Moderna
liver extrahepatic liver extrahepatic liver extrahepatic liver extrahepatic
RNA mRNA, siRNA, miRNA tRNA Gene editingco-delivery of Cas9 mRNA + sgRNA +/- donor DNA
Gene editingCas9 RNPs* +/- donor DNA Gene therapylarge DNA constructs Class of LNPs 3-, 4-component LNPs,5-component SORTs1,2 3-, 4-components LNPs
1 ligand conjugated LNPs for cell targeting 4-component LNPs
1Can be delivered as an inhaled aerosol2Thousands of proprietary lipids available
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Opportunity and Milestones
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ReCode Integrated Platform
Broad Therapeutic and Delivery Platform Enables Partnering Opportunities Outside of Genetic Respiratory Disease
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Applicable Disease Areas
Genetic respiratory diseases
Chronic inflammatory lung disease, Pulmonary fibrosis
CNS (including gene editing)
Gene therapy targets requiring repeated administration
Immunodeficiency & autoimmune diseases
Immuno-oncology
In vivo CAR T-cell therapies
Infectious disease/vaccines
Liver fibrosis and cirrhosis
Metabolic disorders
Muscular dystrophies
Reactivation of tumor suppressors (oncology)
Diverse Cargo TypesCRISPR(RNA or
protein)/Cas
mRNA, tRNA, siRNA, miRNA
mABs, other proteins
Small molecules
Administration Route
IV
Inhaled aerosol
Intramuscular
Intrathecal
Target Organs/Tissue
Lungs
Spleen
Lymphatic Tissue
Liver
Brain / CNS
Muscle
LNP Classes3-component ZALs &
CSALs
4-component dendrimer (dLNPs)
5-component SORT
RECODE’s Focus
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Key Upcoming Milestones
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Primary Ciliary Dyskinesia - DNAI1 Therapeutic Program Estimated Timing
PCD – Formulation Selection in NHPs 1H 2021
PCD – Clinical Candidate Selection 2H 2021
PCD – IND-enabling Tox Studies 2H 2021 / 1H 2022
Platform Technology
SORT: Biodistribution and Tolerability Studies in NHPs 1H 2021
SORT: Delivery to Other Organs and Tissues; Gene Editing in Basal Cells Ongoing
Cystic Fibrosis Therapeutic Programs
CF – tRNA Formulation/Nebulization Optimization 2H 2021
CF – mRNA Formulation Selection 1H 2021
CF – Clinical Candidate Selection 2H 2021
CF – IND-enabling Tox Studies 2H 2021 / 1H 2022
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ReCode Delivering the Future of Genetic Medicines
CapabilitiesAbility to Deliver
• Drug Development Expertise
• Scalable Manufacturing
• Seasoned Management Team and Industry-leading Investors and Advisors
ProgramsFirst-in-Class
• Genetic Medicines for Patients with High Unmet Needs
• Drug Development and Approval Paths Clear
• Platform Technology to Expand Solutions for PCD and CF… and Beyond!
PlatformBest-in-Class, NEW Class
• Proprietary Non-viral LNP Technology [SORT]
• Targeted Delivery
• Diverse Cargos, Mixed Cargos
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A Differentiated Therapeutic Company
Delivering the Future of Genetic Medicines
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Thank You!
ReCode Therapeutics Corporate PresentationSlide Number 2Experienced Drug Development Leadership and Industry AdvisorsBest-in-Class and NEW Class of Non-Viral LNPs �Customizable to Enable Targeted Delivery of Genetic MedicinesTherapeutic Focus on Genetic Respiratory Diseases�Address Underlying Genetic Cause in High Unmet Need Diseases with Potential to Transform Patient Lives�Slide Number 6PCD: Addressing High Unmet Need with ReCode SolutionsCiliary Function Restored in Human Cells and Delivered to the Lung as an Inhaled AerosolPCD and CF Have Clear and Similar Paths for Clinical Development and Approval EndpointsSlide Number 10CF Patients with Nonsense Mutations Do Not Benefit From�Approved TherapiesAddressing High Unmet Need in CFtRNA Restores CFTR Function in Patient-derived Cells�Slide Number 14Proprietary LNP Platform �Based on Decades of Research and Deep Understanding of Lipid Chemistry�Platform Includes Thousands of Novel Lipids�Delivery Differentiator: SORT LNPs Deliver a Broad Range of Payloads to Specific Tissues and Cell Types�Proprietary SORT Platform Enables Tissue-specific CRISPR/Cas9 Gene Editing�SORT Delivery - Potential to Transform Treatment of CFDifferentiated Non-Viral LNP Technology Delivers Diverse Cargos Beyond the Liver Slide Number 20Broad Therapeutic and Delivery Platform Enables Partnering Opportunities Outside of Genetic Respiratory DiseaseKey Upcoming MilestonesSlide Number 23Slide Number 24Thank You!