Bringing Breakthrough Pioneering Therapies to Patients ... · Focused on the discovery and the...
Transcript of Bringing Breakthrough Pioneering Therapies to Patients ... · Focused on the discovery and the...
Bringing Breakthrough Pioneering Therapies to Patients with Life-Threatening Diseases
Corporate Presentation
December 2017
Disclaimer
In addition to historical facts or statements of current condition, this presentation contains forward-looking statements, includingstatements about the potential safety and feasibility of CYAD-01 cell therapy, including current and planned preclinical and clinical trials forCelyad’s product candidates; the clinical and commercial potential of these product candidates and the adequacy of Celyad’s financialresources; Celyad’s intellectual property portfolio, including plans related thereto; Celyad’s expectations regarding its strategiccollaborations and license agreements with third parties, including Novartis, Celdara Medical, and Dartmouth College, and the potentialimpact of such collaborations on Celyad’s future financial condition; and Celyad’s expected cash burn, which reflect Celyad’s currentexpectations and projections about future events, and involve certain known and unknown risks, uncertainties and assumptions that couldcause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These forward-looking statements are further qualified by important factors and risks, which could cause actual results to differ materially from those in theforward-looking statements, including risks associated with conducting clinical trials; the risk that safety, bioactivity, feasibility and/orefficacy demonstrated in earlier clinical trials or preclinical studies may not be replicated in subsequent trials or studies; risks associated withthe timely submission and approval of anticipated regulatory filings; the successful initiation and completion of clinical trials, including itsclinical trials for CYAD-01; risks associated with the satisfaction of regulatory and other requirements; risks associated with the actions ofregulatory bodies and other governmental authorities; risks associated with obtaining, maintaining and protecting intellectual property,Celyad’s ability to enforce its patents against infringers and defend its patent portfolio against challenges from third parties; risks associatedwith competition from others developing products for similar uses; risks associated with Celyad’s ability to manage operating expenses; andrisks associated with Celyad’s ability to obtain additional funding to support its business activities and establish and maintain strategicbusiness alliances and business initiatives. A further list and description of these risks, uncertainties and other risks can be found in Celyad’sU.S. Securities and Exchange Commission (SEC) filings and reports, including in its Annual Report on Form 20-F filed with the SEC on April 4,2017 and subsequent filings and reports by Celyad. Given these uncertainties, the reader is advised not to place any undue reliance on suchforward-looking statements. These forward-looking statements speak only as of the date of publication of this document. Celyad expresslydisclaims any obligation to update any such forward-looking statements in this document to reflect any change in its expectations withregard thereto or any change in events, conditions or circumstances on which any such statement is based, unless required by law orregulation.
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Focused on the discovery and the development of specialized cell-based therapies to target cancer
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• Novel and proprietary CAR-T platform targeting treatment of solidand hematological tumors
• Lead candidate, CYAD-01 (CAR-T NKG2D), currently enrolling in THINK trial in 7 indications
• CAR-T NKG2D target validated with first complete response in AML
• Unique expertise in cell manufacturing
• Strong IP position
• Partnerships with first-class corporate, academic institutions
Stress ligands, the making of an ubiquitous CAR-T
CD19-CAR-T CYAD-01 CAR-T
• Derived from a
(murine) antibody
• 2nd generation CAR-
T signaling
• scFv targeting
specific cancers
• Derived from
human NK receptor
• Similar primary and
secondary signaling
• NKG2D receptor
targeting stress
signals present on
most cancers
scFv
CD8TM
CD28
CD3ζ
NKG2D
DAP10
CD3ζ
SIGNAL 2
SIGNAL 1
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NKG2D binds to 8 stress induced ligands, expressed in a broad range of cancer indications
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Expression of at least one of NKG2D ligands:
• Triple negative breast: 88%
• Colorectal: 88%
• Ovarian: 68%
• Bladder: 78% of the primary tumors and 100% of the metastases
• Pancreatic: 86%
• NSCLC Lung: 92% (100% non-squamous NSCLC)
Dulphy N., Toubert A. et al. 2017. Unpublished data. Celyad 2017. Unpublished data, IHC.
Beyond direct cell killing, inducing multi faceted attack on the tumor
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CYAD-01
DIRECT TUMOR CELL KILLING
ANTI-NEOANGIOGENEIC EFFECT DRIVEN THROUGH TARGETING OF TUMOR ENDOTHELIAL
CELLS EXPRESSING NKG2D LIGANDS
RELEASE OF THE IMMUNOSUPPRESSION OF THE TUMOR MICROENVIRONMENT
ADAPTIVE IMMUNE RESPONSE: SPECIFIC ANTITUMOR RESPONSE POST CYAD 01 TREATMENT
Lonez et al. 2017 BMJ Open 7:e017075.
Blood vesselsTumor cells
Immunosuppressive cells
Host Immune cells
CYAD-01 preclinical models showing activity with multiple injections and without pre-conditioning
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MULTIPLE MYELOMALYMPHOMAOVARIAN CANCER
Zhang et al., 2007 Cancer Res; 67: (22)Barber et al. 2009 J Immunol. 183(4):2365-72 Barber et al., 2011 Gene Ther. 18(5):509-16
Safety Phase I
▪ 1 administration▪ No lymphodepletion▪ Low sub-therapeutic
doses▪ Hematological tumors
(AML/MM)
2015 2016
• Run at Dana Farber Cancer Institute• CYAD 01 is safe at the dose levels tested• One r/r AML Patient at highest dose (3x107) showed normalization of all
hematologic parameters for 6 months
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FIM Phase I Study: CYAD 01 is safe and shows early signs of activity
THINK Trial
▪ Seven advanced refractory tumor indications:
Hemato: Acute Myeloid Leukemia, Multiple Myeloma
Solid: Ovarian, Colorectal, Pancreatic, Bladder, Triple Negative Breast cancer
▪ Global development: EU and USA
▪ Safety and clinical Activity: CYAD-01
o 3 dose levels (3x108,1x109 and 3x109)
o 3 administrations for each patient
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▪ 3 administrations▪ No lymphodepletion▪ Hematological & solid
tumors
2016 Q2-2018
Apheresis
1st CYAD-01 (D1)2nd CYAD-01 (D2)
3rd CYAD-01 (D3)
End safety
D1 D15 D29
Tumor assessment
D43 D57D-21
Washout period
13 weeks w/o any other non-investigational cancer therapy
THINK Study (THerapeutic Immunotherapy w/ NKG2D-based therapy)
D-35
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1st CYAD-01D1
3rd CYAD-01D29 M6M3
Tumor evalD57
Safety evalD43
2nd CYAD-01D15Apheresis
Pat 101-501-AML
Pat 202–501-AML
Pat-101-502-AML
DL1 (3x108/dose)
DL2 (1x109/dose)
PD
MLFS MLFS Allo-HSCT
CRi
Allo-HSCT Allogeneic hematopoietic stem cell transplantationCRh Complete remission with partial hematologic recoveryCRi Complete remission with incomplete hematologic recoveryMLFS Morphological leukemia-free stateSD with HI Stable disease with hematologic improvementPD Progressive diseaseOOT Patient left trial to undergo another therapy
Source: Electronic Case Report Forms, as reported by Investigators
SD with HI
Dose escalation Heme: 3 activities in the first 3 AML patients
OOT
OOT
Preliminary take away from AML patients in THINK
• Clinical activity of CYAD-01 reported in 100% patients dosed (n=3)
• Blast reduction in BM in all patients up to and including at least the third injection
• Hematological parameters improving
• No safety concerns (low grade CRS, no neurotoxicity)
➢ Next steps in THINK: Complete Dose level 2 and 3; Expansion cohort according to ORR
• Half-way through dose level 2 (1x109)
• End of dose study expected end Q1 2018
• Patient data submitted for scientific publication
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CYAD-01 in AML, the path to registration(s)
AML SoC
Increase Durability Through Multiple
Injections
Enhance engraftment and
expansion
Increase immediate potency through
debulking
Broaden patient population
THINK
Standard CAR-T preconditioning
regimen to induce lymphodepletion
AML preconditioning
Combination with 2nd line standard of care
chemotherapy regimen
SIBLINKDonor-derived CYAD-01
infused in patients in remission post allo-graft
First FOCUS ON AML in Hematological
Tumors
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Boosting potency:
• Expansion
• Tumor debulking
Prolong durability
AML is a large unmet medical need, distinct from B cell malignancies
CD
19
mal
ign
anci
es
AML
• 21.380 NCY• 26.9% 5 Y Survival
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ALL
• 5.970 NCY• 68.2% 5 Y Survival
DLBCL
• 27.650 NCY• 53% 5 Y Survival
THINK trial (solid arm); promising early results at first dose level
• Two out of three metastatic colorectal cancer patients reported as “stable disease” up to 3-months follow-up*
• No toxicity signals to date
➢ Next steps: Higher doses, longer follow-up + SHRINK and LINK
* Median progression free survival in these patients under standard of care is between 1.9 and 3.2 months(e.g. Regarifinib or trifluridine/tipiracil).
Sources: Grothey et al., 2013 Lancet. 381(9863):303-12; Li et al., 2015. Lancet Oncol. 16(6):619-29;Moriwaki et al., 2017. Oncologist. 2017 Sep 11.
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CYAD-01 in CRC, the road to CAR-T in solid tumors
CRC + SOC(SHRINK)
Prolong durabilitythrough multiple
injections
Enhance engraftment and
expansion
Increase potency through debulking
Favor tumor homing
THINK
Standard CAR-T preconditioning regimen
CRC preconditioning
1st line standard of care chemotherapy regimen
for metastatic CRC
LINK
Local infusion in hepatic artery for primary liver
metastasis of CRC
First FOCUS ON CRC in Solid
Tumors
Boosting potency through:
• Expansion
• Tumor debulking
• Homing
Prolong durability
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CYAD-01 Updated Clinical Development Plan
2017 2018 2019
Study FPFV End of enrolment
Intermediate results from dose escalation phase
Study results
ASCO Deadline ASH DeadlineAACR Deadline
ASCO ASH AACR
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SIBLINK
THINK CRC
THINK AML
SHRINK
LINK
CRC preconditioning
AML preconditioning
AML SOC
Manufacturing autologous cell therapies – delivering the promise
• Automation and closing of the manufacturing chain
• Automating manufacturing and QC
• Automating release
• Reducing COGS and infrastructure needs
• Towards a fully automated point of care manufacturing system
• Reducing logistical burden
• Overhauling the value chain
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Closing and automating the manufacturing chain
PARADIGM SHIFTING AUTOMATION:
• For centralized and decentralized cell manufacturing based upon cartridge culture system and multiple parallel processing capability
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Vector is added to the CPU through a slot in the door (shown in blue) at the beginning of the transduction process.
The cartridge is loaded onto the CPU trolley first. It comprises of all components required for completing the process.
Bulk reagents consist of 6 individual components that are
assembled onto the cartridge as part of setup
CYAD-101: Making allogeneic options feasible
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• Engineered for CYAD-01 (NKG2D-based CAR-T cell)
• Alloreactivity controlled through co-expression of an inhibitory peptide (termed a T cellreceptor inhibitory molecule – TIM) to reduce TCR-signaling and thereby reduce GvHD.
05/12/2017
Abrogation of GvHD by the expression of TIM8 in allogeneic T cells
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0 2 0 4 0 6 0
0
5 0
1 0 0
D a y s p o s t in fu s io n
Su
rv
iva
l (%
)
D o n o r T c e lls
D o n o r T IM 8 T c e lls
N o T ce lls
0 5 1 0 1 5 2 0 2 5
1 0 7
1 0 8
1 0 9
1 0 1 0
1 0 1 1
D a y s p o s t in fu s io n
Bio
lum
ine
sc
en
ce
(ph
oto
ns
/ s
ec
/ m
m2
)
C o n tro l
tC D 1 9 T c e lls
T IM 8 .N K R 2
* *
Vehicle tCD19 TIM8.
CYAD-101
The expression of TIM8 inhibits xGvHD in the NSG mouse
CYAD-101
Tumor growth (orthotopic colorectal tumor in NSG mice) isdecreased following treatment with CYAD-101
Summary: Towards CAR T leadership
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NKG2D platform;Leveraging Stress Ligands
based CAR-T
Autologous Cell Manufacturing Paradigm shift
Allogeneic CAR T Cell Therapy
Building on early signals
Improving outcomes
Process Development
Improved yields and CoGs
Strong IP position
Patents concerning TCR knockdown in CAR T cell therapy providing
exclusivity in the field
Towards BTD/PRIME in AML and CRC
Execution
Continuing Development Plan
Broaden indications beyond AML and CRC
Automation
Making Autologous Cell Therapies feasible and cost effective
Allogeneic NKG2D Platform
Development of TIM8-CYAD 01 (CYAD-101)
Towards Point of Care Processing
Enabling large indications
Allogeneic TIM Platform
Developing broad based Allogeneic CAR –T products
Corporate partnerships
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• July 11th 2016: Celyad grants exclusive license to ONO for the development and commercialization of allogeneic CYAD-01 T-cell immunotherapy in Japan, Taiwan and Korea (=10% of the worldwide pharmaceutical market)
• License in exchange for $12.5M upfront, $300M inpotential milestones and double-digit royalties
• May 2nd, 2017: Celyad grants to Novartis a non-exclusive license for its allogeneic TCR-deficientCAR-T cells patents for two undisclosed targets
• Deal value: $96 million. Celyad to receive upfront, development and commercial milestones payments and single digit royalties
• Celyad retains all rights to grant further licenses to third parties for the use of allogeneic CAR-T cells. Deal can be turned into exclusive license
Financial snapshot
Cash Position:
• €40 million as of September 30, 2017
• Enabling company’s activities through the first half of 2019
Ticker: Nasdaq (CYAD), Euronext Paris & Euronext Brussels (CYAD.BB)
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Management team
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1 2 3
4 5
7 8
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1. Christian Homsy, CEO2. Patrick Jeanmart, CFO3. Jean-Pierre Latere, COO4. Frédéric Lehmann, VP Clinical Development & Medical Affairs5. David Gilham, VP R&D6. Georges Rawadi, VP Business Development & IP7. Philippe Dechamps, Chief Legal Officer8. Philippe Nobels, Global Head Of Human Resources
Thank you
BELGIUMCelyad SAAxis Business ParkRue Edouard Belin, 2B-1435 Mont-Saint-Guibert+32(0) 10 39 41 00
USACelyad Inc.Seaport East 2 Seaport LaneBoston, MA. 02210+1 857-990-6900
www.celyad.com
Contact: [email protected]