targeted therapeutics...sel120 specifically targets stat5+/cd34+ aml cells and induces...
TRANSCRIPT
Targeted therapeuticsat the forefront of oncology
October 2019
INVESTOR PRESENTATION
2
These slides and the accompanying oral presentation contain forward-looking statements
and information. Forward-looking statements are subject to known and unknown risks, uncertainties,
and other factors that may cause our or our industry’s actual results, levels or activity, performance
or achievements to be materially different from those anticipated by such statements. The use
of words such as “may”, “might”, “should”, “could”, “will”, “expect”, “plan”, “anticipate”, “believe”,
“estimate”, “project”, “intend”, “future”, “potential” or “continue”, and other similar expressions are
intended to identify forward looking statements. For example, all statements we make regarding
(i) the initiation, timing, cost, progress and results of our preclinical and clinical studies
and our research and development programs, (ii) our ability to advance compounds into,
and successfully complete, clinical studies, (iii) the timing or likelihood of regulatory filings
and approvals, (iv) our expectations regarding our ability to obtain and maintain intellectual property
protection for our product candidates, (v) our expectations regarding our ability to grow, are forward
looking.
All forward-looking statements contained in this presentation are based on management's good-faith
belief and reasonable judgment based on current information, and these statements are qualified
by important risks and uncertainties, many of which are beyond our control, that could cause
our actual results to differ materially from those forecasted or indicated by such forward-looking
statements.
We undertake no obligation to publicly update or revise any forward-looking statement, whether
as a result of new information, future events or otherwise, except as required by law.
This presentation is not, and nothing in it should be construed as, an offer, invitation
or recommendation in respect of Ryvu Therapeutics securities, or an offer, invitation
or recommendation to sell, or a solicitation of an offer to buy, any of the securities in any jurisdiction.
Neither this presentation nor anything in it shall form the basis of any contract or commitment.
The presentation describes the business of Ryvu Therapeutics, biotechnology company publicly listed
on the Warsaw Stock Exchange (“Company”) and a focused oncology drug discovery and development
company.
Some financial data in this presentation are preliminary and used for demonstration purpose only.
They are approximate and current as of the date hereof and may be adjusted on or prior
to the completion of the process.
Accordingly, no representation or warranty, express or implied, is made or given by or on behalf
of the Company, or any of its directors and affiliates or any other person, as to, and no reliance should
be placed for any purposes whatsoever on, the fairness, accuracy, completeness or correctness of,
or any errors or omissions in, the information contained herein or any other information, whether
written or oral, transmitted or made available to you herewith. Neither the Company, its management,
officers or employees nor any other person accept any legal responsibility whatsoever for any loss
howsoever arising from investment activities based on the indicative financial data or any use
of the materials contained in this presentation. This presentation is not intended to be relied upon
as advice to investors or potential investors and does not take into account the investment objectives,
financial situation or needs of any investor. Investors should base their investment decisions
on the basis of full audited statements of Ryvu Therapeutics S.A.. The information contained in these
materials has not been independently verified and is subject to verification, completion and change
without notice.
Note on the presentation and forward looking statements
Ryvu builds a new generation of oncology therapies based
on most up to date understandingof cancer biology using smart and resolute clinical strategies
Our mission
4
Clinical stage biopharmaceutical company developing novel small molecule therapies addressing high value targets in precision oncology
* Ryvu Therapeutics according to announced intent to split ** Maximum non-dilutive research funding if all projects succeed according to the current research plans and grant contracts
• Fully-owned lead asset, first-in-class CDK8 inhibitor for blood cancers and solid tumors SEL120, first patient dosed in September 2019.
• First-in-class dual PIM/FLT3 inhibitor SEL24/MEN1703 for blood cancers partnered with Menarini currentlyin Phase 1/2 studies.
• All clinical trials of SEL24 and SEL120are conducted in the U.S.
• Self-development of SEL120
• Robust discovery engine addressing targeted cancer therapies and immunooncology
• Expected one new pre-clinical candidate per year for self development or partnering
TWO PROJECTS IN CLINICAL TRIALS HIGH VALUE UPSIDE
ASSETS STRATEGY
• Listed on the Warsaw Stock Exchange (WSE:RVU)
• $204M market capitalization
• ~$20M* in cash and short-term investments
• >$25M** in grant funding secured until 2023
• >150 employees
MATURE CORPORATE GOVERNANCE
CORPORATE
5
Broad pipeline addressing emerging targets in oncology
6
Corporate milestones
• First patient dosed with SEL120 in first indications (AML and HR-MDS) – September 2019
• Completed the regulatory process of the splitof Ryvu (oncology) and Selvita (drug discoveryand development services) segments
• $10.5M non-dilutive grant funding received for discovery and Phase I development of a synthetic lethality program
• SEL24 - ASCO and EHA posters First ever clinical posters on Ryvu programs
ACHIEVED IN 2019
• Partnering deals in the pre-clinical pipeline
• One new pre-clinical candidate from internal discovery
• SEL24 - data from Phase 1 Dose Escalation Study
• SEL120 – interim data from Phase 1b study
• Differentiated data from pre-clinical programs
ANTICIPATED IN THE NEXT 12 MONTHS
7
Management team with deep science background
PAWEL PRZEWIEZLIKOWSKI, MSc, MBA
CEO and Founder
KRZYSZTOF BRZOZKA Ph.D., MBA
CSO
SETAREH SHAMSILI M.D., Ph.D.
CMO
LUIGI STASI Ph.D.
Director of Chemistry
PETER LITTLEWOOD Ph.D.
Director of DMPK
TOMASZ NOCUN, MSc, MBATOMASZ RZYMSKI Ph.D., MBAMATEUSZ NOWAK Ph.D., MBA KAMIL SITARZ Ph.D.
Director of R&D Operations
MONIKA DOBRZANSKA Ph.D.
Portfolio Management Director Director of Biology Director of Research FinancingDirector of Early Discovery & Innovation
8
Supervisory Board assembling industry veterans and financing experts
RAFAL CHWAST
MSc
COLIN GODDARD
Ph.D.
AXEL GLASMACHER
M.D.
TADEUSZ WESOLOWSKI
Ph.D.
PIOTR ROMANOWSKI
M.D. Ph.D., CHAIRMAN
JARL ULF JUNGNELIUS
M.D.
THOMAS TURALSKI
Board Member and CFOat the New Style group.
Past: VP and CFO at Comarch, responsible for financial supervision of group’s subsidiaries, raising capital throughthe stock exchange. CEO of the Association of Stock Exchange Issuers, and member of the Capital Market Council.
CMO at NOXXON Pharma. Past: VP of Clinical Research and Development, Solid Tumors at Celgene. Contributed to Abraxane®, Alimta®, Gemzar®and Revlimid®.
BOD: Isofol Medical, Biovica, Oncopeptides, Monocl.M.D. from Karolinska Institutet.
Independent consultant.Past: Senior VPand Head of the Clinical R&D Hematology Oncology at Celgene.Worked on: Revlimid®, Idhifa® and Vidaza®.
Research and teaching at University Hospital in Bonn.
BOD: 4D Pharma.Medical advisory: Oncopeptides.
Chairman and CEO of BlinkBio. Past: CEO of OSI Pharmaceuticals for 12 years: Tarceva ® development & launch, through to $4 billion acquisition by Astellas.
BOD: Mission Therapeutics and Endocyte.
PhD in cancer chemotherapy and post-doc at the NCI, Bethesda, MD.
Partner at PwC
Past; Partner at McKinsey & Company and Board Member in the banking sector
MD, PhD (cancer genetics) from Medical Academy of Gdansk, Poland; PhD (cell cycle regulation) from University of Cambridge, UK.
Portfolio Manager leading investment team at Revidea Ventures.
Past: 11yrs at Perceptive Advisors responsible e.g. for investment in Myogen, Morphosys and Pharmacyclics and Acerta Pharma, where he was a member of the founding team as well as BOD.
Graduate of Columbia University.
Highly experienced investor and manager.
Past: Founder and CEO of PROSPER, for more than 17 years one of the leading pharmaceutical distributors in Poland.
BOD: Neuca, wholesale distributor of pharmaceuticals.
9
Scientific advisory board assembles expertise across hematology, oncology and precision medicine
GREG NOWAKOWSKI M.D.
Mayo Clinic
RALF-DIETER HOFHEINZ M.D.
Mannheim University Hospital
HEINZ-JOSEF LENZ M.D.
University of Southern California
PRZEMYSLAWJUSZCZYNSKI M.D., Ph.D.
CEZARY SZCZYLIK M.D., Ph.D.
ECZ Otwock, Poland
MICHAEL SAVONA M.D.
Vanderbilt University
ALWIN KRAEMER M.D.
University of Heidelberg Warsaw Institute of Hematology & Transfusion
CLINICAL COLLABORATIONS OR ASSOCIATIONS CLINICAL COLLABORATIONS OR ASSOCIATIONS CLINICAL COLLABORATIONS OR ASSOCIATIONS
10
First therapeutic area of focus: acute myeloid leukemia
0% 20% 40% 60% 80% 100%
Lowest survival among all blood cancers
26% of patients surviving 5 years after
the diagnosis
Second most common leukemia type in adults
Highest incidence in the older adults
(3–4 persons per 100,000 individuals)
Median age at diagnosis: 67 years
About 30% of people with AML have a mutation
(internal tandem duplication) in the FMS-like
tyrosine kinase 3 (FLT3) gene. This FLT3 gene
mutation is linked with a less favorable prognosis.
5 – Year Relative Survival Rate
Media
nAge
at
Dia
gnosi
s
2,800
83,000
Incidence scale
AML
MDS
MM
CML NHLCLL
MPNs
HL
ALL (Age 20+)
ALL (Age<20)
Source: Leukemia & Lymphoma Society, 2018
11
Clinical landscape: small molecule targeted therapiesfor acute myeloid leukemia
CDK8
FLT3
Dual PIM/FLT3
PIM
IDH1 or IDH2
Other
Phase 1/2 Phase 3 Approved
12
SEL120: Highly selective CDK8 inhibitor with broad potential
in multiple indications
• Unique mechanism of action with recognized
promise
• Excellent PK/PD profile
• Strong single agent activity and high selectivity
• Good margin of safety in animal models
• Potential as a single agent or in combination
• Compelling efficacy in AML patient-derived
xenografts
• Applications in broad populations and resistant
disease
BREAST CANCER
COLORECTAL CANCER
SOLID TUMORS
HR-MDS
AML
BLOOD CANCER
LYMPHOMA
ALL
DIAMOND-BLACKFAN ANEMIA
SOLID TUMORS
SEL120
13
SEL120: Active U.S. IND in AML and HR-MDS,
first patient dosed in September 2019
SEL120 as “first in class” demonstrates therapeutic potential via several mechanisms of action
Direct cytotoxicity (induction of apoptosis)
Eradication of Leukemic Stem Cells (LSC) known to be responsible for tumor relapse activity in AML
Project has received $3.25 M from
Leukemia & Lymphoma Society
Therapy Acceleration Program (TAP)
SEL120 presents different features comparedto current treatments
Can be given to patients independently of mutational status
Can be safely and effectively combined with standard-of-care chemo (e.g. Ara-C), as well as, with recent emerging compounds (e.g. venetoclax) Potential to expand to additional
indications in oncology and rare diseases
Data readout from Phase 1b expected in 2021
14
CDK8 KINASE
• Inhibition of CDK8 activity with SEL120 selectively targets leukemic
cells, spearing normal blood cells
• CDK8 inhibition in leukemia cell results in cell death
and differentiation
• SEL120 can repress increased levels of anti-apoptotic proteins
and induce lineage commitment genes in cancer cells
• Promising novel therapeutic target in multiple indications across blood
cancers and solid tumors1
• CDK8 and its paralog CDK19 are part of the Mediator kinase module
which translates signals from enhancers to promoters, playing
a central role in oncogenic transcription2
• CDK8 regulates activity of STAT5 which drives expression
of genes essential for identity, survival and drug resistance
of cancer cells3
1 Philip S., et al., J Med Chem. 2018 Jun 28;61(12):5073-5092 2 Pelish HE, et al. Nature. 2015;526:273–6 3 Bar-Natan M., et al. JAKSTAT. 2012;1(2):55-64
SEL120: potential role of CDK8 in AML treatment
CDK8 INHIBITION FOR AML TREATMENT
15
Excellent on-target activity of SEL120 in AML cell model
Radiometric ATP activity CDK8 assay
Differential cytotoxicity in AML
SEL120 CDK8i
CDK8i#2
pSTAT1/pSTAT5+ DISCRIMINATE RESPONDER/NON-RESPONDER
U.S. patent granted in 2017
Excellent molecular profile and on-target activity of SEL120 in AML cell modelSpares CDK2, CDK4, CDK6, CDK7, CDK9, etc.
LOW nM AFFINITY TO CDK8
AND HIGH SELECTIVITY
16
SEL120 specifically targets STAT5+/CD34+ AML cellsand induces differentiation in leukemic stem cells
STAT5 AND LSC GENE SIGNATURES DISCRIMINATE RESPONDER/NON-RESPONDERS EFFICACY AND LINEAGE COMMITMENT IN CD34+ AML LSC
AML LSC model (CD34+, CD96+, CD123+, CD38-)
SEL120
c o n t r o l
S E L 1 2 0 - 3 4 A 5 u M
S E L 1 2 0 - 3 4 A 1 , 6 7 u M
S E L 1 2 0 - 3 4 A 0 , 5 6 u M
S E L 1 2 0 - 3 4 A 0 , 1 8 u M
S E L 1 2 0 - 3 4 A 0 , 0 6 u M
S E L 1 2 0 - 3 4 A 0 , 0 2 u M
S E L 1 2 0 - 3 4 A 0 , 0 0 7 u M
0 5 1 0 1 5
0
1 1 06
2 1 06
3 1 06
4 1 06
T E X , S E L 1 2 0 - 3 4 A
d a y s
th
eo
re
tic
al
ce
ll n
um
be
r
17
Single agent efficacy of SEL120 in vivo
• Favorable PK enables once daily oral administration or less frequently
• Efficacy in vivo correlates with inhibition of specific CDK8 biomarkers pSTAT1/STAT5
Radiometric ATP activity CDK8 assaySINGLE AGENT EFFICACYIN CD34+ AND PSTAT5+ AML MODELS IN VIVO
SINGLE AGENT EFFICACYIN CD34- AND P STAT5+ AML MODELS IN VIVO
18
Complete regression with SEL120 in CD34+ AML patient-derived xenografts
PDX cells
COMPLETE REGRESSION(PERIPHERAL BLOOD)
HEMATOLOGIC RECOVERY(BONE MARROW)
REDUCED SPLENOMEGALY
Research performed at:
NSG mice
17 days latency Daily treatment 29/30 days
Bo
dy
wei
ght
(g)
Vehicle / SEL12046mg/kg
Leukemia burden analysis
19
Strong synergy of SEL120 with venetoclax in vivo
potential for overcoming resistance
Compelling potential for SEL120in combination with venetoclax at low concentrations
SEL120/venetoclax COMBO-CELLULAR SYNERGY SCORES
COMBENEFIT
Control ABT199 SEL120
MV4-11 xenograft
Potentially addressing treatment resistant disease through indirect MCL-1 downregulation in cancer cells
20
Selected additional indications for SEL120 in oncologyand well-understood orphan blood disease
* Small Molecule Screens Identify CDK8-Inhibitors as Candidate
Diamond-Blackfan Anemia Drugs – Lund University, Jun Chen, MD,
PhD – Presentation at ASH 2018
MANTLE CELL LYMPHOMA DIAMOND BLACKFAN ANEMIA*WILMS’ TUMOR
BREAST CANCER
21
Potential medical need for SEL120 in AML patients
FIT PATIENTS
FIRST LINE
UNFIT PATIENTS
MUTATION-DRIVEN NO RELEVANT MUTATIONS MUTATION-DRIVENNO RELEVANT MUTATIONS
RELAPSED/REFRACTORY
Intensive InductionChemotherapy
Aggressive SalvageChemotherapy
Intensive Induction Chemotherapy + Targeted Therapy
Targeted Therapy
Low IntensityTherapy
Low Intensity Therapy or Targeted Therapy
Targeted TherapyLow Intensity
Therapy
SEL120MONOTHERAPY
SEL120+ TARGETED THERAPY
SEL120+ LOW INTENSITY
THERAPY
SEL120+ TARGETED THERAPY
22
SEL120: Plans for Phase 1 – first patient dosed in September 2019
Study title: A Phase 1b Study of SEL120 in Patients with Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndrome
PRIMARY OBJECTIVES:• To assess safety and tolerability of SEL120 in patients with AML or HR-MDS • To determine the recommended dose of SEL120 in patients with AML or HR-MDS
SECONDARY OBJECTIVES:• To evaluate the pharmacokinetics of SEL120 in patients with AML or HR-MDS • To evaluate the preliminary anti-leukemic activity of SEL120 in patients with AML or HR-MDS
EXPLORATORY OBJECTIVE:• To evaluate the pharmacodynamics of SEL120 in patients with AML or HR-MDS
2019 2020 2021
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Ph1 Dose EscalationSite activation Expansion: Sequential or Combined Treatment
IND ACTIVE
INVESTIGATOR MEETING
SITE INITATION VISITS
FIRST PATIENT DOSED
FINAL CLINICAL STUDY REPORT
23
SEL24/MEN1703 is a differentiated,first-in-class PIM/FLT3 dual kinase inhibitor
• PIM and FLT3 are oncogenes involved in AML
• Dual targeting creates potential for broader activity,
more durable responses than selective FLT3
inhibitors such as gilteritinib
• Potential for treating patients that have relapsed
on selective FLT3 inhibitors - PIM kinases are largely
responsible for the development of resistance
to FLT3 inhibitors
• SEL24/MEN1703 is in Phase 1/2 stud at five major
cancer centers in the U.S.
• Menarini is planning expansion to 40 sites in U.S.
and Europe
CLINICAL RATIONALE
• Developed by Ryvu up to initiationof clinical studies and out-licensing
• Partnered globally with Menarini in 2017
• Menarini is fully responsible for clinical development and funds translational research at Ryvu
• $5.6M – upfront payment
• $104M – total potential value of milestones& refund of R&D costs
• Up to double digit royalties for Ryvu from
VALUE THROUGH GLOBAL DEAL WITH MENARINI
24
Simultaneously targeting FLT3 and PIM may provide improved efficacyand durability over narrowly targeted agents
SEL24/MEN1703 VS PIM INHIBITOR AZD1208 AND FLT3 INHIBITOR QUIZARTINIB IN AML CELL LINES
SEL24/MEN1703 AZD1208 Quizartinib Cytarabine SEL24/MEN1703 AZD1208 Quizartinib Cytarabine
MV-4-11 (FLT3-ITD positive)
GI50(µM)
GI50(µM)
Dual PIM/FLT3 inhibitor
SEL24/MEN1703
Selective PIM inhibitor
Selective FLT3 inhibitor
Quizartinib
AZD1208(*)
0,
0,4
0,8
1,2
1,61.6
1.2
0.8
0.4
0,
0,175
0,35
0,525
0,7
0,875
0.7
0.525
0.35
0.175
MOLM-16 (FLT3-ITD negative)
25
Potent efficacy of oral SEL24/MEN1703 in models
of multiple AML subtypes
FLT3-ITD POSITIVE FLT3-ITD NEGATIVE
MV-4-11 MOLM-16MOLM-13 KG-1
BID – twice a day, QD –once a day
26
55th ASCO Annual Meeting 2019 poster presented on June 3rd
“CLI24-001: First-in-human study of SEL24/MEN1703, an oral dual PIM/FLT3 kinase inhibitor,
in patients with acute myeloid leukemia” (abstract #256995)
SEL24/MEN1703 ASCO and European Hematology Association Conference Abstracts Released on May 15 and May 16, 2019 – expansion to 40 clinical sites planned
24th EHA Meeting 2019 poster presented on June 14th
“CLI24-001: First-in-human study of SEL24/MEN1703, an oral dual PIM/FLT3 kinase inhibitor,
in patients with acute myeloid leukemia” (abstract PF281)
EHA Abstract/Poster summary:
• Study was initiated in 2017 as the first clinical trial testing a dual PIM/FLT3 inhibitor in patients with AML regardless of the FLT3 status
and potentially able to overcome FLT3 inhibitor resistance
• Aim of the study: determine the recommended Phase 2 dose (RP2D), the PK profile and the single agent activity in R/R or newly diagnosed
AML patients
• As of May 2019, n=22 patients were treated and the study is currently completing the dose escalation part
• Cohort expansion at the recommended Phase 2 dose (RP2D) is planned to confirm the safety profile and assess single agent activity
at approximately 40 sites in the U.S. and EU.
27
On-going Phase 1/2 study of SEL24/MEN1703
Study locations
28
Broad early discovery pipeline addressing major cancer-related molecular pathways
Synthetic lethality
Immunoncology & immunometabolism
Novel targets
• Novel targets and attractive fast follower programs
• Deep expertise focused on novel immunokinases, helicases, ATPases
• Challenging scaffold proteins
• Excellent know how from hit ID to clinical candidate
• Strong medicinal chemistry division
• Discovery engine to generate one new clinical candidate per year
FOCUS ON NOVEL TARGETS THAT LEVERAGE IN-HOUSE EXPERTISE
29
Cancer Metabolism and Immunometabolism platforms addressmechanisms of evasion of immune response
• Adenosine signaling pathway is one of key metabolic
pathways that regulate tumor immunity
• Adenosine is an immunosuppressive metabolite used
by tumors to escape immunosurveillance
• Adenosine signaling through A2A and A2B receptors
expressed on immune cells dampens immune responses
in inflamed tissues
• Dual targeting of A2A/A2B should result in enhanced
immunostimulatory responses
HIGH ADENOSINE CONCENTRATION IS HIGHLY SUPPRESSIVE OF AN ANTI-TUMORAL IMMUNE RESPONSE
30
Adenosine A2A/A2B antagonist cancer immunometabolism projectdeveloped at Ryvu
Efficacious in the following functional immunoassays in vitro
• Cytokine release in CD3+, CD4+ and CD8+ Tcells
• NK cell killing
• Cytokine release in moDC (effects specific to A2B modulation)
• Macrophage polarization
Strong in vivo efficacy demonstrated
IP protected by patent applications
• >800 compounds synthesized
• Straightforward and well-established synthetic routes
• Orthogonal backup series in progress
Adenosine signaling through A2A and A2B receptors
expressed on immune cells dampens immune responses
in inflamed tissues
Very potent in high-adenosine unlike clinical competitors,
resulting from long receptor residence time
Clean off-target panel
Favorable ADME
profile:
• Excellent oral PK
• No brain
penetration
• No CYP or hERG
inhibition
RYVU HAS DEVELOPED DUAL A2A/A2B PICOMOLAR INTRACELLULAR CAMP INHIBITORS
WITH PICO-/LOW NANOMOLAR POTENCY IN FUNCTIONAL IMMUNOASSAYS
31
Ryvu’s A2A/A2B antagonists are more potent than available competitors’ molecules and show additive effect with anti-CTLA4 antibodies
RVU lead 1
RVU lead 2
RVU lead 3
Arcus ref.
CPI-444
AZD 4635
Compound IC50 [nM]
RVU lead 1 0.6
RVU lead 2 1.3
RVU lead 3 1.5
Arcus ref. ~640
CPI-444 ~8 400
AZD 4635 > 10 000
Compounds activity in human whole blood
Ryvu’s adenosine antagonists show
significant antitumor efficacy
in combination with immune checkpoint
inhibitors:
B16: cold tumor model, insensitive to PD1
immunotherapy is sensitized by SLV
compound
CT26: >90% TGI in combination with
anti-CTLA4 Ab
32
Preclinical differentiation of dual A2A/A2B antagonist candidate
Dual A2A/A2B hi ADO T-cells hi ADO Dendritic cells hi ADO
✓ ✓ ✓ ✓
✓ ✗ ✓ ✓
✗ ✓ ✓ ✗
33
Ryvu immuno-oncology platform: targeting STING and HPK1 to convert resistant tumors into cancers sensitive to treatment
STING
HPK1
RYVUIMMUNO-METABOLISM PLATFORM
INHIBITORY CHECKPOINT INHIBITORS
EARLY STAGE FIRST-IN-CLASS IO PROGRAMS
MISSION OFIMMUNO-ONCOLOGY
PLATFORM
BREAK IMMUNOSUPPRESSION
IMMUNE DESERT TUMORS INFLAMED TUMOR
ACTIVATE IMMUNE RESPONSE
RYVU IMMUNO-ONCOLOGY
PLATFORM
STING (STIMULATOR OF INTERFERON GENES)
Adaptor protein that plays an important role
in the activation of type i interferons in response
to cytosolic nucleic acid ligand
TARGET IMMUNE CELLS POPULATION
FOR STING AGONISTS:
Antigen presenting cells – dendritic cells
and macrophages in particular
Sting agonists mobilize immune system promoting
cancer neoantigens presentation by dendritic cells,
CD8+ T cells activation and sensitize resistant
tumors to therapy
34
Next generation small molecule, direct STING agonists in immuno-oncology
EFFICACY IN VIVO – ADDITIONAL POTENTIAL FOR SYSTEMIC ADMINISTRATION
Unique small-molecule chemical structure of Ryvu STING agonistsprovides competitive differentiation and potential for systemic administration
• STING agonists kill malignant cells,
acting to generate a cancer-specific
therapeutic vaccine
• Transform cold, resistant tumors
to treatment sensitive, hot cancers
• Unlock the potential of checkpoint
inhibitors and other therapies
• Directly bind to human and mouse STING proteins
• Unique structure unrelated to known cyclic dinucleotide STING agonists
• Covers all patient populations –active in cyclic dinucleotide refractory STING variants
• Ongoing optimization towards systemic administration
WELL-RECOGNIZED POTENTIALOF STING AS A THERAPEUTIC TARGET
HIGHLY DIFFERENTIATEDPROPERTIES
• In vivo efficacy in systemic dosing and potency in antigen presenting immune cells on par with the most potent publicly disclosed preclinical STING agonists (GSK)
• Outperform clinical dinucleotide agonists
• Ongoing optimization towardspre-clinical candidate
HIGHLY IMMUNOGENICCANDIDATE COMPOUNDS
35
SEL312 - 3992
SEL312-3992 60 nMGKS 60 nM
Ryvu compounds outperform clinical-stage competitors;
as potent in vitro as the most potent available small molecule STING agonist (GSK)
Binding of agonists developed by RyvuPromotes arrangement of STING close conformationSimilar to cyclic dinucleotides
hSTING WT CO-CRYSTAL WITH 2’,3’-cGAMP (2’,3’-cGAMP STRUCTURE SHOWN, RYVU DATA)
OVERLAY OF TWO hSTING WT CO-CRYSTALS WITH SEL312-2627 AND SEL312-2687 (LIGAND STRUCTURES INTENTIONALLY REMOVED) BMDC: MURINE DENDRITIC CELLS (BONE MARROW-DERIVED DENDRITIC CELLS)
CD86
CD
80
48.3
18.0 10.9
86.1
8.98
89.6
8.25
90.5
EC50 26 nMEC50 17 nM
IFNβ TNFαEC50 12 nM
IFNβ
EC5029 nM
TNFα
ADU-S100
RYVU STING AGONIST
ADU-S100 5 μM
GSK REFERENCE
CONTROL
FTS (THERMAL SHIFT ASSAY)
RYVU COMPOUNDS ARE POTENT INDUCERS OF MATURATION OF DENDRITIC CELLS AND CO-STIMULATION PROPERTIES
RYVU HAS DIRECT MOUSE AND HUMAN STING AGONISTS BINDING TO CYCLIC DINUCLEOTIDE-REFRACTORY STING
HAPLOTYPES
36
Ryvu Synthetic Lethality Platform
The first project: selective SMARCA2 inhibitors in non-small cell lung cancer
SYNTHETIC LETHALITY DISCOVERY PLATFORMSWI/SNF COMPLEX MUTATIONS ARE LINKED TO MULTIPLE CANCER TYPES
SMARCA4 - SIXTH THE MOST MUTATED GENE IN NSCLC
Project involves synthetic lethality of SMARCA2 inhibition
in SMARCA4 loss-of-function tumors
• Well-defined target population in non-small cell lung cancer
6-11% patients have SMARCA4 mutations
• Potential indication expansion into tumors with SWI/SNF
complex mutations or SMARCA4 mutations
• ~70 man-years invested in internal SL platform
• Multiple programs on novel targets on-going
First-in-class SMARCA2/BRM inhibitors have been identified
(Araujo et al., 2015)
37
Financial results – Ryvu (Selvita Oncology segment, exc. NodThera)
2018 and H1 2019
$ million 2018 H1 2019
Revenues 9.7 4.6
Partnering 2.6 0.5
Grants 7.1 4.1
Costs 16.6 10.2
EBIT -6.9 -5.6
EBITDA
(without impact of MSSF 16) -5.8 -4.9
CAPEX -4.3 -4.6
> 80 PhDs> 150 employees
# of employees
> $20MCash position October 2019:
38
Ryvu investment highlights and near term milestones
• Developing novel small molecule therapies that address
emerging targets in oncology
• Targeting kinases, synthetic lethality, immune response
and immuno-metabolism pathways
• Validation from strategic collaborations
• Partnership options for early stage candidates
• Limited cash burn thanks to non-dilutive grants and cost-efficient
discovery platform, significant resources located in Poland
• Potential milestone payments and royalties
from partnered programs
• Steady generation of differentiated candidates
4Q2019
CRO spin-out completion
4Q2019
new pre-clinical
candidate selection
SEL24/MEN1703
Phase 1 data (2020)
NEA
R T
ER
M M
ILESTO
NES:
SEL120
Phase 1 interim data (2020)
Partnering deals
in the early pipeline
Pawel PrzewiezlikowskiChief Executive Officer
Ryvu Therapeutics S.A.www.ryvu.com
Contact data
Appendix
41
What sets Ryvu apart
• Mix of wholly-owned and partnered programs
• Potential first-in-class, clinical stage candidates
• Diverse kinase, synthetic lethality, immuno-oncologyand immunometabolism programs
• Strong early data relative to competitors
• 80 Ph.D.- level scientists
• History of identifying molecules
with differentiated properties
• Plan to generate one new clinical
candidate per year
• Platforms, by design, address key
challenges of current treatments
• Focus on internal development
and partnering
BROAD, DIVERSIFIED PIPELINE IN SMALL MOLECULE ONCOLOGY
• Driven by breakthrough science
• Global partnerships with Menarini
and Merck KGaA
• Research validated by Leukemia
& Lymphoma Society
• Efficient R&D organization
• Secured non-dilutive financing
with follow-on opportunities
HIGH THROUGHPUTDISCOVERY ENGINE
SCIENTIFIC AND ORGANIZATIONAL EXPERTISE
42
Successful Ryvu spin-out company, NodThera
<8.6%OWNED BY RYVU
Discovery and development of next generation
NLRP3 inflammasome inhibitors
PIONEERING DEVELOPMENT IN THE FIELD OF INFLAMMASOME/NLRP3 BIOLOGY
First Ryvu deal in the
immunology area
NodThera Ltd. was launched
in 2016 by Epidarex Capital,
based on research conducted
at Ryvu since 2012
Focused on the treatment
of diseases driven by chronic
inflammation
Productive medicinal chemistry
platform
Addressing inflammation
and fibrosis that drive NASH
In June 2018 NodThera
announced closing
of $40M Series A
The financing was co-led
by Sofinnova and 5AM Ventures,
with further participation from
Epidarex Capital and F-Prime
Capital Partners
No
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