the immuno-oncology company - jefferies group bv.pdf · the immuno-oncology company battling cancer...

25
The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015

Upload: others

Post on 03-Jun-2020

5 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

The Immuno-Oncology CompanyBATTLING CANCER WITH BISPECIFIC ANTIBODIES

NON-CONFIDENTIAL

20 May 2015

Page 2: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015

COMPANY SNAPSHOT

Blue-chip Investors

Raised $ 60 M in VC funding

Lead therapeutic: start of clinical trials in Feb 2015.

Bispecific antibody-based, technology platform – partnership with ONO pharmaceutical

Pipeline: 5 Immuno-Oncology therapeutics in clinical trials by Q2/18

HQ Utrecht, The Netherlands - 38 employees

NON-CONFIDENTIAL

Adapted from Bispecifics Antibody Therapeutics Market (2014 Roots Analysis)

Bispecific Antibody Leader

Page 3: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

CURRENT PIPELINE – Q2 2015

Drug Targets disease Discovery IND enabling Phase I/II

MCLA-128

HER2 x HER3Solid

tumors

MCLA-117

CD3 x CLEC12A

AML

MCLA-122

EGFR x HER3Solid

tumors

MCLA-134

PD1 x TIM-3Solid

tumors

MCLA-xxx

iMOD x iMOD.

Solidtumors

MCLA-yyy

Cancer stem cell targets

Solid tumors

for outlicensing

Not disclosed AID Partnered ONO PHARMACEUTICAL

AID = autoimmune disease

Page 4: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

PIPELINE Q1 2015 → Q2 2018

Drug Targets disease 2015 2016 2017 2018

MCLA-128 HER2 x HER3Solid

tumors

MCLA-117 CD3 x CLEC12A AML

MCLA-122 EGFR x HER3Solid

tumors

MCLA-134 PD1/PD-L1 x YYYSolid

tumors

MCLA-xxx iMOD x iMODSolid

tumors

MCLA-yyycancer stem cell

target combinationsSolid

tumors

for outlicensing

Single agent

Combination

Single agent

Combination

Phase I/II

Clinical batch Mfg & non clinical safety studiesDiscovery

Tox batch Mfg

optional

mezz proceeds IPO proceeds

Page 5: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

STRATEGY – WHY BISPECIFIC ANTIBODIES

Large target combination

space

Improved specificity/targeting

Novel mode of action

Attractive pharmaco-economics

Functional screening

Developability

Page 6: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015

MISSION & OVERALL STRATEGY

Develop differentiating therapeutics to cure cancer patients

Bispecific antibodies (Biclonics®) that kill tumor cells and recruit the immune system for prolonged survival

NON-CONFIDENTIAL

revive T cells to kill

T cell

CTLA-4

PD-1

TIM-3

LAG-3

BTLA

VISTA

CD28

OX40

GITR

CD137

CD27

HVEM

? ?

T cell Tumor cell

activate/recruite T cells to kill

Fc-silenced

kill the tumor (stem) cell

Tumor cell

ADCC-enhanced

Page 7: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

DISCOVERY AND DEVELOPMENT OF BICLONICS®

phage displayMeMo® transgenic mouseCommon light chain (cLC)

Human antibodies

stability: > 60 passagesyield: > 1 g/Lscalability: 2000 Lformulation: standard

ManufacturabilityStability like IgG

normal pK in mice/cynobehaviour like IgG in antibody stress tests

Biclonics®: full length IgG human bispecific

antibodies

CHO

CH3: > 99% pure Biclonics®

Fc region engineering ®

Dependable IgG format with true platform

characteristics

CH2: Fc-silencing

Fc-silencing

ADCC-enhanced

Low fucosylation: enhanced ADCC

cLC cLC

Page 8: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

PRODUCT STRATEGY - ONCOLOGY

Cancer stem cells

Kill the cells that cause relapse and

are resistent to most therapies

Target combinations of

growth factor receptors for

ADCC-enhanced tumor cell killing

Receptor tyrosine kinases

Activate T cells irrespecive of specificity to

selectively kill tumor cells

T cellretargeting

Modulate immune checkpoint

molecules to unleash tumor-specific T cells

Immune-modulation

Page 9: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Steps in Biclonics® discovery:• generation of high quality panels of common light chain human monoclonal antibodies

• functional screening of > 1000 Biclonics® for lead panel identification

• final lead selection after multiple in vitro assays and in vivo animal models

CONFIDENTIAL

BICLONICS® DISCOVERY PROCESS - OVERVIEW

6/1/2015 9

Target pair for immunization and phage selections

Functional screening in cell-based assays

Production of ~1000 different Biclonics®

Lead Biclonics®

selection

Generation of large panels of human antibodies

9-12 months

for functional screens

1.

2.

3.

1 June 2015 9

Page 10: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Functional screening of thousands of different Biclonics® supports the identification of differentiating therapeutics

20 May 2015 NON-CONFIDENTIAL

DISCOVERY STRATEGY – FUNCTIONAL SCREENING

-60

-40

-20

0

20

BxPC3 ligand independent assay

BxPC3 EGF + HRG dependent assay

% n

orm

alized

cell g

row

th

Cell growth

stimulation

inhibition

Biclonics® with superior inhibition of cell growth

Functional screen of 750 Biclonics® for inhibition/ stimulation of cancer cell growth (EGFR x HER3)

Best in class anti-cancer drug

without heregulin

heregulin

Page 11: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

MCLA-128 (HER2 x HER3)KEY PRECLINICAL DATA

20 May 2015

NON-CONFIDENTIAL

Page 12: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015 NON-CONFIDENTIAL

MCLA-128 FOR TARGETED THERAPY IN SOLID TUMORS

MCLA-128: HER2 x HER3 Biclonics® for HER2+ solid tumors

First-in-Human Study:

first patient dosed on February 03, 2015

High unmet medical need designed to overcome inherent and acquired resistance to HER2-targeted therapies

Attractive clinical development phase I/II design is focused on biomarker defined patient populations and yields early safety and efficacy data

Unique mode of action dual action: blocks HER2/HER3-driven growth and escape; enhanced ADCC for immune effector cell engagement

Tumor cell

NK cell

Page 13: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

In contrast to trastuzumab + pertuzumab and HER3 monoclonal antibodies, MCLA-128 completely inhibits heregulin-driven cancer cell growth.

20 May 2015 NON-CONFIDENTIAL

MCLA-128: UNIQUE MODE OF ACTION

% heregulin -driven growth

0

1

2

3

4

Erk1

/2

Akt

se

r47

3

Akt

th

r30

8

Fold

ch

ange

in p

ho

sph

ory

lati

on

SKBR-3 cell line stimulated with heregulin

heregulinT + PMCLA-128

N87 HER2-amplified cell line stimulated with heregulin

LJM 716

MM 121

AMG-888

Page 14: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

In contrast to trastuzumab + pertuzumab, MCLA-128 inhibits the growth of cell lines resistant to HER-2 targeted therapies • JIMT-1 is an aggressive breast cancer line resistant to lapatinib, trastuzumab +

pertuzumab and T-DM1).

20 May 2015

MCLA-128: UNIQUE MODE OF ACTION

0 20 40 600

50

100

Days

Percen

t su

rviv

al

NON-CONFIDENTIAL

MCLA-128: > 80% reduction in tumor size

mice dosed 4qw @ 2.5 mg/kg

0 20 40 60

100

1000

Vehicle

MCLA-128

Trastuzumab

+ Pertuzumab

Days

Tu

mo

r v

olu

me (

mm

3)

MCLA-128: > 50% survival after 60 days

vehicle

MCLA-128

T + P

vehicle

MCLA-128

T + P

Page 15: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

MCLA-117 (CD3 x CLEC12A)KEY FACTS – DATA - DIFFERENTIATION

20 May 2015

NON-CONFIDENTIAL

Page 16: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Tumor (stem) cell

CD3

20 May 2015

BICLONIC® ENGAGERS FOR IMMUNOTHERAPY

MCLA-117: CD3 x CLEC12A Biclonics® for AML

High unmet medical need little change in standard treatment in 40 years; no cure available; increasing patient population

Rapid iv administration and IgG-like dosing schedules; attractive clinical development

superior to antibody fragments; eligible for Orphan Drug Designation ( EU/US); high chance of break-through designation (FDA);

Unique mode of action retargeting T cells via novel AML target with restricted tissue expression; kills tumor (stem) cells

NON-CONFIDENTIAL

T cell AML blastFirst-in-Human Study:

Q1, 2016

Page 17: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

a myeloid differentiation antigen only expressed on certain blood cells

present on 95% of newly diagnosed and relapsed AML

selective expression on AML tumor stem cells

• not present on normal hematopoetic stem cells

• not present on red blood cell and platelet precursor cells

20 May 2015

CLEC12A – RESTRICTED TISSUE EXPRESSION

NON-CONFIDENTIAL

100

75

50

25

0AML BM Normal BM

% C

LEC

12

AC

D3

4+C

D3

8-

cells

%

rBM

CLEC12A expression on AML stem cells

Page 18: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015

MCLA-117 EFFICIENTLY MEDIATES AML TUMOR CELL KILLING

Recruits and activates T cells to lyse CLEC12A -expressing autologous AML tumor cells.

MCLA-117 induces antigen-specific T cell activation and proliferation

NON-CONFIDENTIAL

CFSE

Ctrl IgG

CD3 IgG

TT x CD3

Ctrl Biclonics®

MCLA-117

Biclonics®

Total T cells CD8 T cellsCD4 T cells

Ctrl IgG

CD3 IgG

CD3xTTctrl Biclonics®

MCLA-117Biclonics®

Total T cells CD4 T cells CD8 T cells

CSFE

cou

nts

T cell AML blast

Page 19: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Specific and efficient lysis of a patient’s AML tumor cells by low numbers of T cells present in primary samples

T cell population expands as a result of MCLA-117

20 May 2015

MCLA-117 EFFICACY IN PRIMARY AML MATERIALS (I)

NON-CONFIDENTIAL

CLEC12A

Isotype

CLEC12A expression on AML blasts

CD3

CD

34

CD3

CD

34

Day 0

Day 10ctrl Biclonics®

Day 10 MCLA-117

93%

5%

81%

16%

1%

96%

T cell expansion

Tumor cell killing

Page 20: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Biclonics® for immunomodulationUNCOVERING THE RIGHT TARGET COMBINATIONS FOR DIFFERENTIATING THERAPEUTICS

20 May 2015

NON-CONFIDENTIAL

Breakthrough of the Year

2013

Time

Ove

rall

surv

ival

control

Immunotherapy combinations

standard of care

immunotherapy

Improving survival of cancer patients

‘Lifting the curve’

Page 21: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

What target combination will trump?

• increase frequency and/or duration of responses in patients

• manageable toxicity (autoimmunity)

Merus - three different approaches based on Biclonics®:

• block two checkpoint inhibitory pathways

• block a checkpoint inhibitory pathway and provide a costimulatory signal

• target an overexpressed signalling receptor & an immunomodulatory pathway

20 May 2015 NON-CONFIDENTIAL

BICLONICS® IN CANCER IMMUNOTHERAPY

T cell

PD-1

TIM-3

CTLA-4

LAG-3

BTLA

VISTA

OX40

CD28

GITR

CD137

CD27

HVEM

? ?agonistic blocking

PD-1 x TIM-3

PD-1 x OX-40

Page 22: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

dual targeting of 2 antigens on the same cell leads to improved target selectivity over normal tissues

• that express only one target or express low levels of targets (same cell)

• over-expression of a tumor target may direct bispecific to the tumor environment

20 May 2015 NON-CONFIDENTIAL

BISPECIFIC - MONOVALENCY

combination A B

tumor + +

normal + -

Tumor cell

Normal cell

overexpression A B

tumor +++ +

normal + +

Normal cell

Tumor cell

targeting A B

tumor +++ +

normal + +

T cellTumor

cell

favorable toxicity profile compared to a combination of antibodies ??

Page 23: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

20 May 2015

A UNIQUE MODULAR DISCOVERY STRATEGY

PD-1 centric

NON-CONFIDENTIAL

BBB

TIM-3 AAA

CCC

iMOD targets

ZZ

EGFR ZZ

ZZ

RTK targets

PD-L1 centric

Antibody panels are combined in the Biclonics® format for functional screening

• antibody panels for 6 IMOD targets generated and 4 more planned for 2015

• screen in functional assays for differentiating activities of Biclonics ongoing with current focus on PD-1 and PD-L1 centric approaches (one arm = PD-1 or PD-L1)

Reporter cell line

Exhausted T cells

(HIV, Miha)

TILS

Lead

Functional screens

Page 24: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Unique technology suite

• human bispecific antibodies based on the proven IgG format

• high throughput functional screening for the identification of bispecific antibodies with unique functional properties

• manufactured using industry standard processes

• predictable in vivo behavior associated with IgG format

20 May 2015 NON-CONFIDENTIAL

HIGHLIGHTS

T cell AML blast

Tumor cell

A pipeline of differentiating therapeutics in oncology

• modes of action that can not be achieved with conventional therapeutic antibodies

• recruitment of the immune system for unprecedented tumorcell killing

An extremely attractive investment opportunity

Page 25: The Immuno-Oncology Company - Jefferies Group BV.pdf · The Immuno-Oncology Company BATTLING CANCER WITH BISPECIFIC ANTIBODIES NON-CONFIDENTIAL 20 May 2015. 20 May 2015 ... Attractive

Thank you for your attentionTON LOGTENBERG

CEO

20 May 2015

NON-CONFIDENTIAL