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HARNESSING B-CELLS FOR CANCER IMMUNOTHERAPYLeslie ChongManaging Director & Chief Executive OfficerOctober 2018
DevelopingCancerImmunotherapies
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Notice: Forward Looking Statements
Any forward looking statements in this presentation have been prepared on the basis of a number of
assumptions which may prove incorrect and the current intentions, plans, expectations and beliefs about
future events are subject to risks, uncertainties and other factors, many of which are outside Imugene
Limited’s control. Important factors that could cause actual results to differ materially from any assumptions
or expectations expressed or implied in this brochure include known and unknown risks. As actual results may
differ materially to any assumptions made in this brochure, you are urged to view any forward looking
statements contained in this brochure with caution. This presentation should not be relied on as a
recommendation or forecast by Imugene Limited, and should not be construed as either an offer to sell or a
solicitation of an offer to buy or sell shares in any jurisdiction in which it would be a contravention of
applicable law.
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Experienced Management & Board
§ Meeting milestones
§ Successful M&A activity
Imugene B-cell Vaccine Pipeline
Broadened and strengthened clinical
programs globally, including U.S. and
European centres
§ HER-Vaxx milestones of Phase 1b
recruitment completed; Phase 2
activity commenced
§ B-Vaxx Phase 2 ongoing
§ KEY-Vaxx pre-clinical work started
Synergistic Technology Licensed from Ohio State University and The Mayo
Clinic
Full spectrum of indications and
targets to choose from, including
checkpoint inhibitors and combination
therapies
EXECUTIVE SUMMARY
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Leslie Chong (Sydney, Australia)Managing Director & Chief Executive Officer• Over 20 years of oncology experience in Phase I – III of clinical program
development• Leadership role involvement in two marketed oncology products• Previously Senior Clinical Program Lead at Genentech, Inc., in San
Francisco
A TEAM WITH A TRACK RECORD IN DRUG DEVELOPMENT
Dr Axel Hoos (Philadelphia, U.S.A.)Non-Executive Director• Senior Vice President and Head of Oncology at GSK• Former Medical Lead for Yervoy, the first survival improving medicine in
Immuno-Oncology• Chairman of the BoD of the Sabin Vaccine Institute• Co-Chair of the Cancer Immunotherapy Consortium Think-Tank
Paul Hopper (Sydney, Australia)Executive Chairman• International & ASX biotech capital markets experience particularly in
immuno-oncology & vaccines• Former Chairman of Viralytics, Founder & Director of Prescient, Founder
of Imugene & Polynoma LLC, former Director pSivida, Somnomed & Fibrocell Science
Dr Mark Marino (California, U.S.A.)Chief Medical Officer• Over 28 years of experience in drug development• Former CMO of Cytori, Head of Clinical Pharmacology at Eisai and Roche,
Head of Research and Early Development at Mannkind, VP Clinical Development at Daiichi
Mr. Charles Walker (Brisbane, Australia) Non-Executive Director• Experienced listed biotech CEO and CFO (ASX;ACL and ASX:IMU)• Experienced in financial markets including executing 55 international tech
corporate transactions• Clinical experience includes managing pipeline of drugs in all stages form
discovery, through to Phase III to launched products
Dr Nick Ede (Melbourne, Australia)Chief Technology Officer• Over 25 years peptide vaccine and drug development• Former CEO Adistem, CEO Mimotopes• VP Chemistry Chiron (now Novartis), Research Fellow CRC Vaccine
Technology
Dr Anthony Good (Sydney, Australia)Vice President of Cl inical Research• Over 20 years global clinical development experience.• Integral to the development of significant new medicines including Viagra,
Revatio, Lipitor, and Somavert. • Ex Pfizer Global Research and Development, Ex Covance Clinical Services.
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IMUGENE SCIENTIFIC ADVISORY BOARDProf Pravin KaumayaOhio State University, U.S.A.
• Prof of Medicine Department of Obstetric Gynecology at Ohio State
University
• Research focus in tumour immunology, mechanisms of tumour cell-immune
cell interactions, and immune mechanisms
• Research focus on fields of vaccine with emphasis on peptide vaccines for
cancer
Prof Peter SchmidBarts Cancer Institute, Queen Mary University of London
• Medical Oncologist
• Expertise in breast and lung cancer, cancer immunotherapy and early drug
development
• Leads the Centre of Experimental Medicine at Barts Cancer Institute
Dr Neil Segal
Memorial Sloan Kettering Cancer Center, U.S.A.
• Medical Oncologist
• Expertise in GI, Colon, Pancreatic cancers
• Active clinical immuno-oncology researcher
• Clinical lead in several trials using PD-L1 inhibitors
Prof Tanios BekaiI Saab
Mayo Clinic, U.S.A.
• Professor of College of Medicine and Science
• Program Co-Leader, GI Cancer, Mayo Clinic Cancer Center
• Medical Director, Cancer Clinical Research Office (CCRO)
• Senior Associate Consultant, Mayo Clinic AZ
Prof. Ursula Wiedermann-Schmidt
Medical University of Vienna, Austria
• Co-inventor of HER-Vaxx
• Professor of Vaccinology at Medical University of Vienna
Prof. Josep Tabernero
Vall d’Hebron, Barcelona, Spain
• President of European Society for Medical Oncology (ESMO)
• President of the Medical Oncology Department at the Vall d’Hebron
• Director of the Vall d”Hebron Institute of Oncology (VHIO)
Dr Yelina Janjigian
Memorial Sloan Kettering Cancer Center, U.S.A.
• Medical Oncologist
• Expertise in esophageal and stomach (gastric) cancer
• Active in GI clinical trials testing combinations of Her-2 and checkpoint
inhibitor therapies
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Imugene develops vaccines to boost and direct the body’s immune system to specifically target and attack cancer cells.
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A BETTER WAY TO MAKE ANTIBODIES TO TREAT CANCER?
In a facility:
For example, Merck’s PD-1 inhibitor Keytruda
Using B-cells in your body
Teaching B-cells to make antibodies using peptide
antigens
VS
B-cells are cells in the
human body that
naturally produce
millions of antibodies
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HER-Vaxx MIMOTOPE: MECHANISM OF ACTION
B-Cell
B-cell Activation
HER-VaxxAntibody Secretion
Via helper T-cells
HER-Vaxx attacks the same target as the the world’s largest selling breast cancer drug Herceptin
Peptides “mimic” the
epitope
TumorCell
HER-2/neu3Peptides
HER-VaxxImmunotherapy
EPITOPE = Antibody
Binding Site
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CURRENT PHASE 1B/2, IN GASTRIC CANCER
2H, 2017 : Phase 1B
Patients Enrolled
2H, 2018: Phase 1B Recruitment Completed 1H, 2019: Commence Phase
2
1H, 2020: Interim Phase 2
Data Available
Phase 1b Lead-in Phase 2
• Open label
• ~Up to 18 patients in 3 cohorts of up to 6 pts per
cohort
• Combination with chemo/cisplatin
• Endpoints:
- Recommended Phase 2 Dose of HER-Vaxx
- Safety: any HER-Vaxx toxicity
- Immunogenicity (anti-HER-2 antibody titres)
• Open label
• ~70 patients from sites in Asia
• Combination with chemo
• Randomized
• Primary Endpoints:
- TBD PFS and/or OS
- (cont. on Ph1b results)
• Secondary endpoint:
- Immune response
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WORLDWIDE EXCLUSIVE LICENSE
Six patent families,
22 patents
Ongoing Her-2 clinical trial
(Phase 2)
IND ready PD-1 clinical trial
(Phase 1)
Six additional clinical candidates
Her-1, Her-2, Her-3, VEGF, IGF-1R CD28
Three year R&D contract with
access to Ohio translational labs
Access to experience and expertise with Prof. Pravin Kaumaya and team
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STRATEGIC AQUISITION
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80710.2217/FON.11.60 © 2011 Future Medicine Ltd ISSN 1479-6694
part of
Future O
nco
log
y
Future Oncol. (2011) 7(7), 807–810
The combination of different vaccine and thera-peutic strategies to target specific molecular path-ways that are dysregulated in tumors may create clinical breakthroughs for safe and efficacious cancer cures.
Today in the USA, over half a million can-cer patients will die and the financial costs are exorbitant, running to over US$200 billion, a burden that is shared by patients and society as a whole. Unmet need across the cancer market is high, with most therapies conferring low levels of specificity and high toxicity. Therefore, there is a great need for innovative technologies that address these discrepancies. A potentially power-ful line of defense against cancer that provides the opportunity to train the immune system to efficiently recognize and kill tumor cells would be highly significant in the field of personalized medicine. An ideal cancer treatment should be highly specific and have sufficient affinity to tar-get systemic tumors at multiple sites in the body while discriminating between normal and can-cerous cells. In this regard, antigen-specific can-cer immunotherapy and immune targeting of the tumor neovasculature represent two attractive strategies for cancer prevention and treatment.
Molecular-targeted therapies provide marginal benefits
Immunotherapy in the form of antibodies and cytokines has become a fixture in our arma-menterium of cancer treatments because of their potential as a safer and nontoxic alternative to present-day treatments. Many therapeutic modal-ities targeting receptor tyrosine kinases (RTKs) and downstream molecular pathways have been devised, and most outstanding among these are the EGF receptor (ErbB) and VEGF receptor (VEGFR) families of kinases [1–3]. Many agents include therapeutic antibodies to RTK ligands
or the receptors themselves and small-molecule inhibitors that target the intracellular kinase domains of RTKs [4–6].
“…antigen-specific cancer immunotherapy and immune targeting of the tumor neovasculature represent
two attractive strategies for cancer prevention and treatment.”
On the one hand, many of the blockbuster US FDA-approved monoclonal antibody (mAb) therapies targeting HER-2 (trastu-zumab [Herceptin®; Genentech, CA, USA]), EGF receptor (cetuximab [Erbitux®; Imclone, NJ, USA]) and VEGF (bevacizumab [Avastin®; Genentech]) have significant toxicities, includ-ing cardiac dysfunction and congestive heart failure [7–9], and many patients on these drugs demonstrate disease progression due to develop-ment of resistance. Unfortunately, mAbs also suffer from a number of limitations including the frequency of treatments, associated costs, lim-ited duration of action and undesired immuno-genicity. On the other hand, clinically available small-molecule tyrosine kinase inhibitors (TKIs) include lapatinib (dual targeting EGF receptor and HER-2), sunitinib (targeting VEGFR1, VEGFR2, PDGF receptor [PDGFR], KIT and FLT3) and sorafenib (targeting VEGFR2, VEGFR3, Raf, PDGFR, KIT and RET). TKIs including sunitinib and sorafenib can cause tox-icities in cancer patients. These inhibitors target multiple pathways including VEGFR, PDGFR and KIT. The toxicities associated with these TKIs may be due to the concomitant inhibition of several pathways. In addition, tumors even-tually become resistant to TKIs in almost all treated patients. Furthermore, these drugs are
Could precision-engineered peptide epitopes/vaccines be the key to a cancer cure?
“Combination cancer vaccines with peptide mimics have the potential to treat existing cancer
and prevent its recurrence.”
Pravin TP KaumayaThe Ohio State University, Department of Obstetrics & Gynecology, Suite 316 Medical Research Facility, 420 W. 12th Ave., Columbus, OH 43210, USA n [email protected]
Edito
rial
Keywords
n angiogenesis n cancer vaccine n HER-2 n peptide therapy n peptidomimetics n VEGF
For reprint orders, please contact: [email protected]
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PROF PRAVIN KAUMAYA & DR TANIOS BEKAII SAAB
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PRE-CLINICALCLINICAL DEVELOPMENTPROGRAM
DISCOVERY/PRE-CLINICAL ID OF CANDIDATE
HER-Vaxx (HER2)
B-Vaxx (HER2)
KEY-Vaxx (PD-1)
Her-2 & PD-1 Combo
PHASE 1
Combination:Her-1; Her-2; Her-3; IGF-1R
Her-1 (EGFR)
Her-3
IGF-1R
VEGF
Combination (numerous)
PD-1/PDL-1
PROGRAM
PHASE 2
CLINIC OR CLINIC READY
DISCOVERY PIPELINE
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IMUGENE PIPELINE
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ACQUIRED HER-2 VACCINE (B-Vaxx): ENCOURAGING PHASE 1 TRIAL RESULTS
-80%
-60%
-40%
-20%
0%
20%
40%
60%
80%
100%
120%
140%
160%
% m
axim
al c
hang
e in
SPD
from
bas
elin
e
dose level 1dose level 2dose level 3dose level 4
*
*
* *
*
†
* *
✭Best Response† PR* SDPD if not indicated
Phase Ib Immunotherapy Trial with a Combination of Two Chimeric (Trastuzumab-like and Pertuzumab-like) HER-2 B Cell Peptide Vaccine emulsified in ISA720 and nor-MDP Adjuvant in Patients with Advanced Solid Tumors, Immunological Response and Clinical Outcome. Tanios Bekaii-Saab, Daniel H. Ahn,Christina Wu, Robert Wesolowski, Amir Mortazavi, Maryam Lustberg, Jeffrey Fowler, Bhuvaneswari Ramaswamy, Lai Wei, Jay Overholser and Pravin T.P.Kaumaya.Cancer Discovery 2018 manuscript in preparation
✭10 out of 24 patients had stable disease & 1 out of 24 patients had partial response; 1 patient had PFS at 40+ months
No toxicity observed
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Monoclonal antibody immunotherapies Keytruda® (Merck) and
Opdivo® (BMS) targeting PD-1 sold USD$3.8B and $4.9B, respectively, in 2017.
Whilst acknowledging the rapid rise in clinical trials involving PD-1 and their combination with other treatments*, a PD-1 B-cell vaccination approach
represents a paradigm shift in cancer immunotherapy.
.
In industry-recognized mouse cancer models (colon cancer), the PD-1 targeting B-cell
vaccine is more superior than the gold standard mouse
PD-1 monoclonal antibody (used in preclinical model testing for
Keytruda and Opdivo).
* Tang etal. Comprehensive analysis of the clinical immuno-oncology landscape, Annals of Oncology, 2017
The combination of the PD-1 vaccine with the acquired Phase II Her-2 vaccine
significantly inhibits tumor growth c/w mAb control in a Her-2+ model of
colon cancer.
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WHY SELECT AND TARGET PD-1 FOR B-CELL VACCINATION?
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PD-1/HER-2 VACCINE COMBINATION ACTIVE IN MODEL OF COLORECTAL CANCER WITH NO SIGNS OF TOXICITY
0%
39%
65%
90%
0% 20% 40% 60% 80% 100%
Control (PBS)
PD-1 mAb
PD-1 vaccine
PD-1 vaccine plus Her-2 vaccine
% Cancer growth inhibition in Colorectal cancer model§ All mice vaccinated over a period of 9 weeks showed no signs of scruffiness, lesions, and lethargy
§ Organs (spleen, liver, heart, lung, kidney, and tumor) from the Balb/c mice vaccinated with combination peptides (HER-2 and PD-1) were collected from mice and submitted for analysis
§ No significant lesions were noted in any of the organs submitted for histologic evaluation.
§ There were also no overt biochemical abnormalities noted.
Inhibition of cancer growth 16 days after infusion of cancer cells
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PD-1 “KEY-VAXX” VACCINE PHASE 1 DEVELOPMENT PATH 2018-2019
PD-1 candidate vaccine
Identified May, 2018
CMC manufacturing
2019: Commence Phase 1
OBD
Dose Finding
Signal Seeking
Cohort 3
*Safety *Immunogenecity
*Tumor PD
Expansions AssumptionProposed Adaptive Phase 1/2 PD-1 Vaccine Design
3 - 6
3 - 6Cohort 2
Cohort 1
3 - 6
Formalpre-clinical
Finalise regulatory IND submissions
Indication Expansion(12-20 patients)
Expansion
Indication Expansion(12-20 patients)
Proof of Concept
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FINANCIAL SUMMARY
Market Cap (31/Jul/18): $79.2M AUD, $58.9M USD
Ordinary Shares: 3.559 billion
12 month price range: 1.3 cents – 3.9 cents AUD
Avg daily volume:9.5M shares (April-July 2018)
Investment to Date:~$42.5M (public)~$ 5.5M (VC)
Cash & Equivalents:$25.8M(as at 31 July 2018)
No. of Shares % Capital
Private Portfolio Management 240,906,746 6.69%
Platinum Asset Management 165,986,536 4.61%
Dr. Nicholas Smith 86,000,000 2.39%
J P Morgan Nominees Australia Limited
79,957,741 2.22%
Paul HopperExecutive Chairman
75,678,722 2.10%
ASX:IMU
Top 5 shareholders (as at July 2018)
Options on issue (as at July 2018)
No. of options Exercise Price Expiry
Listed:(IMUOA)
242.5M $0.026 30/11/2020
Listed:(IMUOB)
248.3M $0.04 30/11/2021
Unlisted: 79.5M $0.024* 09/03/2020*
Total: 570.3M $0.03* 01/07/2020*
* Average
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Experienced Management & Board
• Meeting milestones
• Successful M&A activity
Imugene B-cell Vaccine Pipeline
Broadened and strengthened clinical
programs globally, including U.S. and
European centres
• HER-Vaxx milestones of Phase 1b
recruitment completed; Phase 2
activity commenced
• B-Vaxx Phase 2 ongoing
• KEY-Vaxx pre-clinical work started
Synergistic Technology Licensed from Ohio State University and The Mayo
Clinic
Full spectrum of indications and
targets to choose from, including
checkpoint inhibitors and
combination therapies
EXECUTIVE SUMMARY
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• Experienced management & board: Meeting milestones and successful M&A activity
• Imugene B-cell vaccine pipeline: Broadened and strengthened clinical programs globally,
include U.S. and European centres
• HER-Vaxx milestones of Phase 1b recruitment completed; Phase 2 activity commenced
• B-Vaxx Phase 2 ongoing
• KEY-Vaxx pre-clinical work started
• Synergistic technology licensed from Ohio State University and The Mayo Clinic: Full
spectrum of indications and targets to choose from, including check point inhibitors and
combination therapies
EXECUTIVE SUMMARY
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