150914_CLS-Corp
Transcript of 150914_CLS-Corp
-
8/11/2019 150914_CLS-Corp
1/53
!"#$"%&"' )*+,
Engineered T cell therapies
A new paradigm in oncology
-
8/11/2019 150914_CLS-Corp
2/53
This communication expressly or implicitly contains certain forward-lookingstatements concerning Cellectis SA and its business.
Such statements involve certain known and unknown risks, uncertainties andother factors, which could cause the actual results, financial condition,
performance or achievements of Cellectis SA to be materially different from anyfuture results, performance or achievements expressed or implied by suchforward-looking statements.
Cellectis SA is providing this communication as of this date and does notundertake to update any forward-looking statements contained herein as a
result of new information, future events or otherwise.
Cellectis proprietary information.
Not to be copied, distributed or used without Cellectiss prior written consent.
FORWARD LOOKING STATEMENT
!"#$"%&"' )*+, 2
-
8/11/2019 150914_CLS-Corp
3/53
Brief introduction to Cellectis
-
8/11/2019 150914_CLS-Corp
4/53
!"#$"%&"' )*+,
Cellectis in brief
Discovery and development in engineered T cell therapy for oncology Paris France
NYSE Alternext Paris (ALCLS)
27.9 M shares outstanding (32.5 fully diluted) - !319 M market cap1
73 employees
Corporate
Technologies
Products 12 programs one preclinical proof of concept
Lead product: UCART19 allogeneic T cell for ALL and CLL
Phase I planed for Q3 - 2015
Partnerships Series of agreements since inception with recurrent revenues
An alliance with Servier on UCART19 and 5 targets in solid tumorsAn alliance with Pfizer on 15 targets in oncology
Engineered T cell CAR 5thgeneration immunotherapy
Nuclease based genome engineering TALEN, meganucleases
Proprietary electroporation technologies PulseAgile
>120 patents granted and over 355 patent applications
4
Subsidiary 1 fully owned subsidiary: Cellectis plant sciences in New Brighton, MN (14 FTE)
1August 29, 15 2014
-
8/11/2019 150914_CLS-Corp
5/53
Core technology
-
8/11/2019 150914_CLS-Corp
6/53
-
8/11/2019 150914_CLS-Corp
7/53
!"#$"%&"' )*+,
GENE SPECIFIC
AT A SAFE HARBOR LOCUSFOR GENECOMPLEMENTATION
AT THE GENE LOCUS
TALEN cut DNA at a unique target site(30 base pairs recognition site)
Induce an opening in DNA to allowsequence insertion, deletion and/or repair
Pioneer and leader in genome engineering: core technology
7
-
8/11/2019 150914_CLS-Corp
8/53
A new paradigm in the treatment of cancer
-
8/11/2019 150914_CLS-Corp
9/53
!"#$"%&"' )*+,
CAR T cells the 4thgeneration of mAb technology
Anti-CD3
Anti-tumor
Ag
TCR/CD3
Naked Ab Ab-DrugConjugate
Bi-specific CAR T cell
9
-
8/11/2019 150914_CLS-Corp
10/53
-
8/11/2019 150914_CLS-Corp
11/53
!"#$"%&"' )*+, 11
Immunotherapy breakthrough with CAR T cells
Diseases Patientstreated
CR2
N (%)PR3
N (%)Patientsresponding4
N (%)
CLL 32 7 (22%) 8 (25%) 15 (47%)
ALL 22 19 (86%) NC NC
Results from pilot trials testing CTL019 for CD19+ malignancies(UPenn/Novartis)1 presented at ASH 2013
1 Results communicated at ASH, December 20132 CR: complete remission3 PR: partial remission4 CR+PR
CARs in the clinics: the numbers!
33 ongoing clinical trials with CARs (all autologous)! Over 300 patients recruited! Impressive results on liquid tumors are changing the paradigm of cancer
treatment
-
8/11/2019 150914_CLS-Corp
12/53
!"#$"%&"' )*+,
Cellectis platform the 5thgeneration of mAb technology
Anti-CD3
Anti-Tumor Ag
TCR/CD3
Naked Ab Ab-DrugConjugate Bi-specific CAR T cell
12
Cellectis
EngineeredCAR T cell
First focus on:
"Allogeneic cells: by removing capacity for alloreactivity
" Enhance cell engraftment (resistance to chemotherapy)
" Enhance T cell potency (checkpoint inactivation)
-
8/11/2019 150914_CLS-Corp
13/53
!"#$"%&"' )*+,
Cellectis revolutionizing T cell CAR adoptive immunotherapy
13
1. Best in class gene editing technology: TALEN
2. Proprietary CAR platform technology
3. A cGMP manufacturing process
4. Broad preclinical and clinical portfolio with proprietary innovative features
5. Reduced time to market
6. Contained costs of goods
The 6 key features of Cellectis T cell adoptive immunotherapy platform
-
8/11/2019 150914_CLS-Corp
14/53
!"#$"%&"' )*+, 14
Cellectis engineered T cells for improved clinical outcomes
1 Allogeneic, non alloreactive Off the shelf product
2 Resistant to chemotherapy Compatible with SoCUse in combination therapies
3 Resistant to lymphodepleting agents Enhanced engraftment
4 Resistant to tumor inhibition Enhanced efficacy
5 Suppressed cross T cell reaction Better suited for specific tumors
6 Bispecific Ab enabled T cells For a combinatorial use
Enhancing the potential of T cells through genome engineering
The future of T cell therapies is in genome engineering
-
8/11/2019 150914_CLS-Corp
15/53
!"#$"%&"' )*+,
Cellectisbest in class technology
Current CAR T cell therapies : autologous Good efficacy with no GvHD and no rejection
Significant patient to patient variability
High cost of goods and complex logistics
Major limitations in market access
Allogeneic treatment: off-the-shelf frozen pharmaceutical product
Fixed dose and superior efficacy
Cost effective GMP manufacturing process (70-80% gross profit range)
Broad market access Risk mitigation through suicide receptor
Strong IP position on process and TALEN
Cellectis allogeneic CAR T cell platform
15
-
8/11/2019 150914_CLS-Corp
16/53
!"#$"%&"' )*+,
scFvs targeting different epitopesscFvs with variable affinities
Multiple hinge/transmembrane structures
Co-stimulatory domain (CD28 vs 41BB)
Key considerations for the optimal CAR
Tuning up CAR development
12
-
8/11/2019 150914_CLS-Corp
17/53
!"#$"%&"' )*+,
CD123 CAR: reaching the targetImpact of the hinge domain length on CAR activity
long hinge medium hinge short hingeNegative Control
!" !$ "%&'
(
)* +,-./0 +12
long hinge
medium hinge
short hinge
14
-
8/11/2019 150914_CLS-Corp
18/53
!"#$"%&"' )*+,
Plasmamembrane
1stgenerationCAR
2ndgenerationCAR
3rdgenerationCAR
Cellectis proprietarymultichain CAR
18
The next generation CARs: multichains multiply potentials
-
8/11/2019 150914_CLS-Corp
19/53
!"#$"%&"' )*+,
*-
+*-
)*-
.*-
,*-
/*-
0*-
123 456 %7 456 , 8 9':$ :7 456 ;;
34564789:4,;64
-
8/11/2019 150914_CLS-Corp
20/53
!"#$"%&"' )*+,
*
-
8/11/2019 150914_CLS-Corp
21/53
!"#$"%&"' )*+,
Glucocorticoid resistant T cells by genome editing
100
200
GR TALENCTL
ND D ND D
50
76%indels
500
2 Gy irradiated
NSG mice
Human
T cells
GR TALENelectroporation
T cell injection
Analysis of GR genecleavage effciency
10 days 2 weeks
dailydexamethasone
treatment
Mice sacrificed
GR
GAPDH
TALEN- + +
Dex - - +
Purification ofhuman T cells fromspleen
Analysis of GRexpression byWestern blot:
In vivo, GR TALEN-treated T cells resist to glucocorticoid treatment
Only GR-negative cells survive in vivodexamethasone treatment
Engraftmentanalysis
5 days
21
-
8/11/2019 150914_CLS-Corp
22/53
!"#$"%&"' )*+, 22
Resistance to standard of care: fludarabine resistant T cells
Inactivation of deoxycytidine kinase enables CD19 CAR T cells to resist to Fludarabine andClofarabine
Cmax
oral i.v.
Cmax
)@$(& A+B C
- + -
D A9=. ED A9=.
+74 GE H*I
J8
A9=. 3,.8 (K
mutatedalleles
wt alleles
-
8/11/2019 150914_CLS-Corp
23/53
!"#$"%&"' )*+,
Overcoming checkpoint inhibition:
PD-1 inactivation overcome suppressive impact of PDL-1
23
Cytotoxicity assay
Targetcelllys
is(%)
Targetcelllysis(%)
CAR/PD1-KO T Cell have improved cytotoxic capacityagainst PDL-1 expressing cells
PD-1 KO in T cells in a local solution to a local problem
-
8/11/2019 150914_CLS-Corp
24/53
!"#$"%&"' )*+,
A solid IP foundation
24
Patents on the process! TALEN! Electroporation (Cytopulse)! Methods on engineering of allogeneic T cells
Patent applications protecting first product (UCART19)
Patent applications protecting the platform and further products! Specific CARs! Multisubunit CARs! Bispecific/multispec CARs! Engineering methods for allogeneic T cells!
Modular allogeneic T cells to be used with bispecific antibodies
Cellectis proprietary or in licensed IP on Process/Products
-
8/11/2019 150914_CLS-Corp
25/53
GMP-compatible manufacturing process
-
8/11/2019 150914_CLS-Corp
26/53
!"#$"%&"' )*+,
Our platform: towards a universal adoptive T cell immunotherapy
Off-the-shelf (TCR disruption1)
Avoiding GvHD
CAR expression to redirect T cells totumor antigens
Suicide gene for safety
Other gene editing
Engineered
1 Knock-out by using TALEN2 Allogeneic CAR T cell targeting CD19+ malignancies
" For UCART192- CD52 disruption1toprevent destruction by high risk CLL mAb
Alemtuzumab therapy" Other gene disruptions/mutations in further
programs
SG SG
Enhance killer T cells by genome engineering
26
-
8/11/2019 150914_CLS-Corp
27/53
!"#$"%&"' )*+,
HealthyDonor
ApheresisFrozen PBMC
Patients
109 T cells 109 T cells
Efficiency >70%
2 x 109T cells100X
2x 1011 T cells
Double KO Efficiency >50%
1 x 1010 CAR+TCR-T cells>40% CD52KO
Off the shelfcell therapy product
27
Qualifyingtesting
ActivationT cells
D0
Transduction
D3
ElectroporationTALEN mRNA
D5
Cell Separation
D17
An established cost effective manufacturing process platform
!A robust process designed for cGMP compatibility
!
A short manufacturing cycle (< 20 days)
-
8/11/2019 150914_CLS-Corp
28/53
!"#$"%&"' )*+,
UCART19 - Consistency of manufactured product
28
Cell surface phenotype
Expansion /transduction intra and inter process robustness
Cell expansionTransduction efficiency
CD45RA
CD62L
-
8/11/2019 150914_CLS-Corp
29/53
!"#$"%&"' )*+,
Cellectis proprietary technology for TALENTMelectroporation
29
Proprietary large volumeelectroporation chamber
Electroporation system Proprietary cGMPElectroporation buffer
Proprietary PulseAgile electroporation waveform
A series of high voltage, short duration pulses followed
by lower voltage, longer duration pulses
" High transfection efficacy
" High cell viability
V
time
-
8/11/2019 150914_CLS-Corp
30/53
!"#$"%&"' )*+,
Simultaneous inactivation: TCR#and CD52
CD52
TCR/CD3
Simultaneous inactivation rates of TCR and CD52 over 50% of triple KO
+1LC 97A)+M
TALEN mRNA electroporation" development and optimization of TALEN targeting TCR#and CD52" optimization of proprietary electroporation process for T cell transfection
30
-
8/11/2019 150914_CLS-Corp
31/53
!"#$"%&"' )*+,
C. June trial (UPenn)41BB-!CAR in CLL, ALL
" CR with 1.1x109CAR T cells
" PR* with 5.8x108CAR T cells
" CR with 1.4x107CAR T cells
M. Sadelain trial (Memorial Sloan Kettering)
CD28-!CAR in adult ALL
" Patients received approximately 1-3x108cells
High productivity foreseen for Cellectis' process
One donor109cells
1010UCART19 cells
Treatment of1000 patients with
107cells per treatment
31
Cellectis process
! Contained manufacturing COGs (
-
8/11/2019 150914_CLS-Corp
32/53
!"#$"%&"' )*+,
Fast track from target choice to lead selection: 6 - 7 months
32
CHOICE OF TUMOR ASSOCIATED ANTIGEN(S)(TAA)
CAR DESIGN
Design and constructionof candidate CARs
CAR T CELL ENGINEERINGFirst tests on CAR T cell
GO/NO GO
In VitroAssay
development/ Target cell
engineering
5-6 months
1 month
TIMELINESUCART PROGRAM
CHOICE OF
ATTRIBUTES ANDNUCLEASE DESIGN 1
IN VITRO ASSAYS
Functional in vitro tests on target cellSelection of lead CAR
IDENTIFICATION OF TAA-SPECIFIC MAB(S) OROTHER LIGANDS
-
8/11/2019 150914_CLS-Corp
33/53
Lead product UCART19
-
8/11/2019 150914_CLS-Corp
34/53
!"#$"%&"' )*+,
# UCART19 first product for CLL and ALL
" Preclinical development ongoing with in vivo POC established
" Manufacturing process established, fully cGMP compatible Q4 2014
"Alliance with UCL in place for first in man studies
# Phase I Q3 2015
" Clinical Development plan in place
UCART19 development status: where we stand
34
-
8/11/2019 150914_CLS-Corp
35/53
!"#$"%&"' )*+,
Cellectis UCART19 cells induce CD19+ cell destruction in vitro
NT CAR
CD19
CD19
CD19
CD19
CD3 CD3
CD3CD3
SupT1-CD19 cells
SupT1-CD19 cells
SupT1 cells SupT1 cells
T cells transduced with vectorencoding Cellectis CD19 CAR
35
Efficient CAR-induced destructionof CD19+ target cells
-
8/11/2019 150914_CLS-Corp
36/53
!"#$"%&"' )*+,
UCART19 CAR: superior in vitro cytolytic capability
36
Target cell lysis by Cr51release
Benchmarked againstFMC63-41bb-zeta CAR (used by UPENN)
@+*
*
+*
)*
.*
,*
/*
0*J*
=*
.*K+ +/K+ =K+ .K+
>?
:F#"
CB+.0))
:F#"
CB+.0),%celllysis Benchmark CAR
Ctx CAR final version
Effector:Target
@/
*
/
+*
+/
)*
)/
.*
.*K+ +/K+ =K+ .K+
>?
:F#"
CB+.0))
:F#"
CB+.0),
%celllysis
Effector:Target
Benchmark CAR
Ctx CAR final version
@+*
*
+*
)*
.*
,*
/*
0*
J*
=*
.*K+ +/K+ =K+ .K+
>?
:F#"
CB+.0))
:F#"
CB+.0),
%celllysis
Effector:Target
Benchmark CAR
Ctx CAR final version
RAJI (CD19 positive Burkitts lymphoma cells)SUPT1-CD19
SUPT1CD19 negative cells
CD19 expressing cells
UCART19 CAR exhibits comparable/higher cytolytic capability than benchmarkCAR on target cells
-
8/11/2019 150914_CLS-Corp
37/53
!"#$"%&"' )*+,
PMA/Iono
TCR!+
CD52+
K562(CD19-)
Stim.:
CD107A
+ + -
-Daudi
(CD19+)
- +"CD19-CAR:
NT CAR
TCR#+CD52+
NT CAR
TCR#KO
CD52KO
TCR"& CD52 double KO does not impact in vitro activity of the CAR
In vitro antitumor reactivity is comparable in wt or CD52/TCR KO cells
TCR!KO
CD52KO
FSC
Daudi(CD19+)
37
-
8/11/2019 150914_CLS-Corp
38/53
!"#$"%&"' )*+,
wt cellsTCR- cells
Activation marker: CD25
wt cells TCR- cells
nostimulation
+ TCRstimulation
No functional T cell receptor for GvHD
Activation marker: CD69
TCR-deficient cells cannot
be activated via TCR
38
-
8/11/2019 150914_CLS-Corp
39/53
!"#$"%&"' )*+,
Anti-tumor potency UCART19 / benchmark CAR
1.44 Gy
Daudi
Non modified
1.44 GyDaudi
UCART19
Day 0
Day 1
Day 2
Day 3
Day 4
1.44 Gy
Daudi
Benchm. CAR
Day 4Before
T cells
treatment
Day 7
Day 21
1.44 Gy
Daudi
UCART19
1.44 Gy
Daudi
CAR
1.44 Gy
Daudi
Benchm. CAR
5/5tumor progression
5/5 3/3 5/5 5/5 5/5
Tumor model: 1x106Daudi-Luc cells injected in NOG micemice treated with 4x106CAR T cells
Tumor cells elimination
39
-
8/11/2019 150914_CLS-Corp
40/53
!"#$"%&"' )*+,
UCART19 cells eradicate lymphoma in vivo inpresence of lymphodepleting mAb
In collaboration with Dr. Martin Pule, University College London
40
Raji
18 h
3days
13days
alemtuzumabRaji
UCART19
alemtuzumabRaji
Day -1
Day 0
Day +1
6/6tumor
progression
6/6tumor
progression
6/6 CR5/7 CR2/7 PR
RajiUCART19
-
8/11/2019 150914_CLS-Corp
41/53
!"#$"%&"' )*+,
TCR-deficient T cells do not induce GvHD in vivo
Mean body weight
G2, fresh non modified T cells
G4, mock transfected T cells
G3, non modified T cells, cultured 15 days
G5, TCR# -/- T cells
G1, No T cells
! GvHD development, associated with body weight loss, in all mice injected with non modified T cells
! With TCR-deficient T cells: no clinical symptoms of GvHD observed
NOG mice irradiated (2.5 Gy) 1 day before T cell injection (i.v., 30x106 cells)
41
-
8/11/2019 150914_CLS-Corp
42/53
!"#$"%&"' )*+,
Exploratory Phase I/IIadult refractory ALL
Phase I/IIaRescue therapyin adult relapsed
ALL
Phase IIbRescue therapyin adult relapsed
ALL
Paediatric Investigational Plan
ALL : 2nd& 1stcomplete
remissionconsolidation
therapy
42
UCART19 clinical development overview
Market. Auth
ExploratoryPhase I/IIrescue therapy high
risk CLL
Phase I/IIaconsolidation
therapy inrelapsed CLL
CLL Rescue therapy inRefractory relapsed
CLL in second lineMRD+ consolidation
Therapy
UCART19 Clinical Development: CLL
UCART19 Clinical Development: ALL
Phase IIB(confirmatory)consolidation
therapy inrelapsed CLL
Extension to any B-lymphomas
-
8/11/2019 150914_CLS-Corp
43/53
!"#$"%&"' )*+, 43
Phase I early results providing solid rationale for GO/ NO GO decision" Tumor burden lysis at day 8-15" Safety profile (cytokine release syndrome)
Low capital investment versus protein manufacturing" cGMP manufacturing for Cellectis products in 200-300sqm facility
sufficient for initial clinical phases
Short manufacturing cycle < 20 days (w/o release testing)
Cost effective" Contained manufacturing COGs (
-
8/11/2019 150914_CLS-Corp
44/53
Roll out in liquid and solid tumor indications
-
8/11/2019 150914_CLS-Corp
45/53
-
8/11/2019 150914_CLS-Corp
46/53
!"#$"%&"' )*+,
Broad CAR T cell pipeline(1)
46
(*) Subject to an exclusive worldwide option agreement with Servier (S2-S6, targets undisclosed)(**) Target under Pfizer-Cellectis joint research effort
UCART19 (*)
UCART123
UCARTCS1
UCART38 (**)
S-2 (*)S-3 (*)
S-4 (*)
S-6 (*)
S-5 (*)
Q3 2015
Q3 2014
Q2 2015
Q1 2015
Q1 2015
Q2 2015
Q3 2015
Q3 2015
! CD19+ B cell malignancies
!Acute myeloid leukemia (AML)
! Multiple myeloma (MM)
! Multiple myeloma (MM)
Discovery Preclinical Phase I
(1) Not including 15 targets in Pfizer alliance
Q2 2015
-
8/11/2019 150914_CLS-Corp
47/53
!"#$"%&"' )*+,
On March the 7th
, Cellectis has entered into an alliance with Servier
" Scope: development of UCART19 in B-cell malignancies 5 other candidates in solid tumors
" Responsibilities: Cellectis will be responsible for the R&D of certain candidates through the end of clinical
phase I. Servier may exercise an exclusive worldwide option for each candidate developed under
the agreement. Upon exercising each option, Servier will be responsible for taking over clinical
development, registration and commercialization of each product.
" Financials:
Upfront payment of $10 million Up to $140 million for each of the six candidates potentially developed, spread over
various milestones in the development and commercialization phases. In addition, Cellectis will receive royalties on the sales of commercialized products.
Alliance with Servier
47
-
8/11/2019 150914_CLS-Corp
48/53
!"#$"%&"' )*+,
On June the 18th, Cellectis has entered into an alliance with Pfizer
" Scope: development of CAR-T cell therapies in oncology
15 Pfizer targets 12 Cellectis targets
" Exclusivity: For 4 years, Cellectis will not enter into another preclinical CAR-T alliance in oncology
No exclusivity on each Cellectis product once IND filed
" Responsibilities: Both companies work together on preclinical research for 15 Pfizer targets and 4 Cellectis targets (the
other 8 Cellectis targets are developed outside the alliance). Each company is responsible and has all worldwide rights for clinical development and commercialization
of any product directed at its own targets. Pfizer has right of first refusal on the products directed at the 4 Cellectis targets developed in the alliance.
" Financials: Upfront payment of $80 million Up to $185 million for each product targeting a Pfizer target potentially developed, spread over
various milestones in the development and commercialization phases.
In addition, Cellectis will receive royalties on the sales of commercialized products.
" Equity: Pfizer purchased about 10% of Cellectis capital through newly issued shares at a price of !9.25 per
share.
Alliance with Pfizer
48
-
8/11/2019 150914_CLS-Corp
49/53
Financials & Conclusion
-
8/11/2019 150914_CLS-Corp
50/53
!"#$"%&"' )*+,
Ad hoc world class scientific & medical Advisory Board of key opinion leaders in oncology
and cell therapy: Professor Ton Schumacher
Professor Alain Fischer
Professor Vronique Leblond
Professor David Linch
Professor Herv Dombret
Consultants:
Christopher A. Bravery, PhD (for Pharm. Assesor MHRA)
Paul Chamberlain, PhD (former Reg. Specialist Amgen, former Director Drug Dev.Prog. MDS)
Mickael Kamarck (former President Merck Biologicals and vaccines)
Dr. Bruce Burlington, M.D. (former president Wyeth regulatory affairs)
Best-in-class expertise for development
50
-
8/11/2019 150914_CLS-Corp
51/53
!"#$"%&"' )*+, 51
Shareholding structure built to foster growth
Breakdown of capital as of August 29, 2014(27,9 million shares*)
# !319 M market capitalization (August 29, 2014)
# Significant increase in liquidity
! 220,000 shares traded / day in 2014 YTD
! 105,000 shares traded / day in 2013! 20,000 shares traded / day in 2012! 16,000 shares traded / day in 2011 Founders: 7,2%
International float: 42,3%
BPI: 11,3%
Family offices: 15,1%
*32.5 million on a fully diluted basis
Pfizer: 10,0%
# Shareholding structure in line with the growthstrategy
# Float of ~ 56 %
French float: 14.1%
-
8/11/2019 150914_CLS-Corp
52/53
!"#$"%&"' )*+, 52
Management team & board of directors
MANAGEMENT
# Andr Choulika, Chairman and CEO
# David Sourdive, Executive Vice PresidentCorporate Development
# Mathieu Simon, Executive Vice President
#
Thierry Moulin, Chief Financial Officer
# Philippe Duchateau, Chief Scientific Officer
# Philippe Valachs, Company Secretary
BOARD OF DIRECTORS
#Andr Choulika Ph.D.
# David Sourdive Ph.D.
# Mathieu Simon M.D.
# Laurent Arthaud
#Annick Schwebig M.D.
# Pierre Bastid
#Alain Godard
# Roger J. Hajjar M.D.
-
8/11/2019 150914_CLS-Corp
53/53
?LEMN O3F Cellectis8 rue de la Croix Jarry75013 ParisFrance
www.cellectis.com
Tel. : +33 (0) 1 81 69 16 00