INO-4800: A vaccine for the prevention of COVID-19 · 2020. 10. 16. · •INO-4800 was generally...
Transcript of INO-4800: A vaccine for the prevention of COVID-19 · 2020. 10. 16. · •INO-4800 was generally...
INO-4800: A vaccine for the prevention
of COVID-19Sept 2020
:INO
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Forward-Looking Statements
This presentation includes statements that are, or may be deemed, “forward-looking statement,” within the meaning of Section 27A of the Securities Act of 1933, as amended. All statements, other
than statements of historical facts, included in this presentation regarding our strategy, future operations, future financial position, future revenue, projected costs, prospects, plans and objectives of
management are forward-looking statements. In some cases, you can identify forward-looking statements by terms such as “may,” “might,” “will,” “objective,” “intend,” “should,” “could,” “can,”
“would,” “expect,” “believe,” “anticipate,” “project,” “target,” “design,” “estimate,” “predict,” “opportunity,” “proposition,” “strategy,” “potential,” “plan” or the negative of these terms and similar
expressions intended to identify forward-looking statements.
You should not place undue reliance on these forward-looking statements. Forward-looking statements include, but are not limited to, statements about: the timing and success of preclinical studies
and clinical trials; the ability to obtain and maintain regulatory approval of our product candidates; the scope, progress, expansion and costs of developing and commercializing our product
candidates; our expectations regarding the amount and timing of our expenses and revenue; the sufficiency of our cash resources, plans for the use of our cash resources and needs for additional
financing; our ability to adequately manufacture our product candidates; our ability to obtain and maintain intellectual property protection for our product candidates; our expectations regarding
competition; the size and growth of the potential markets for our product candidates and the ability to serve those markets; the rate and degree of market acceptance of any of our product
candidates; our anticipated growth strategies; the anticipated trends and challenges in our business and the market in which we operate; our ability to establish and maintain development
partnerships; our ability to attract or retain key personnel; our expectations regarding federal, state and foreign regulatory requirements; regulatory developments in the United States and foreign
countries and other factors that are described in the “Risk Factors” and “Management's Discussion and Analysis of Financial Condition and Results of Operations” sections of our Annual Report on
Form 10-K for the year ended December 31, 2019 and Form 10-Q for the quarter ended March 31, 2020, which have been filed with the Securities and Exchange Commission (SEC) and are
available on the SEC's website at www.sec.gov.
In addition, the forward-looking statements included in this presentation represent INOVIO's views as of the date hereof. INOVIO anticipates that subsequent events and developments may cause
its views to change. However, while INOVIO may elect to update these forward-looking statements at some point in the future, the company specifically disclaims any obligation to do so, except as
may be required by law. These forward-looking statements should not be relied upon as representing INOVIO's views as of any date subsequent to the date of this presentation.
Third-party industry and market information included herein has been obtained from sources believed to be reliable, but the accuracy or completeness of such information has not been
independently verified by, and should not be construed as a representation by, INOVIO. The information contained in this presentation is accurate only as of the date hereof. “Inovio” and the Inovio
logo are trademarks and service marks of INOVIO. All other trademarks, service marks, trade names, logos and brand names identified in this presentation are the property of their
respective owners.
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FIRST to Show Complete
Response in Phase 1 w/2 PD-1s
for Head and Neck Cancer (MEDI0457)
FIRST dMAb™ Plasmid in Phase 1 for Zika (INO-A002)
FIRST to Show Clearance of
High-Risk HPV 16/18 in Phase 2b Trial (VGX-3100)
FIRST DNA Medicine in Phase 3
Clinical Trials (VGX-3100 for Precancerous Cervical Dysplasia)
In Vivo Immune Responses for “Off-the-Shelf” Speed, Efficiency
Extensive Patent PortfolioProtecting Technology Platform
Safe and Robust Immune Responses in More Than 2,000 Patients
Precisely Designed Plasmids Delivered Through Proprietary Smart Device
INOVIO is at the forefront of a new decade of DNA Medicines
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EFFICACY
• Generation of broad and robust immune
responses B and Killer T cell responses
• Generation of neutralizing antibodies
• Generate immune responses in an elderly
population
• Multi-antigen immunotherapy/protection offered
in a single vial
• First to demonstrate clinical efficacy of a DNA
vaccine combined with delivery technology
• Multiple published reports of protection
(MERS, Lassa, Influenza, Ebola, Zika) in
preclinical animal studies
• No Anti-Vector immunity generated, unlike viral
vector vaccines
• May serve as a universal booster
• Stable at room temperature (25°C) for >1 year
and at 37°C for >2 months
• Favorable cold chain needs for vaccine
transportation vs competitive MoAs
• DNA product stored in optimized buffer for > 5
years refrigerated storage (2-8°C)
BREADTH OF
IMMUNE RESPONSESTABILITY OF PRODUCT
SAFETY PROFILE DURATION OF RESPONSE SPEED TO MARKET
• Immune responses detected 3 years post
immunization
• Demonstration of protection 12 months+
following immunization in preclinical studies
• Over 2,000 subjects treated in the clinic with
INOVIO DNA + delivery technology, resulting in
over 6,000 doses of DNA delivered
• Agile design of vaccine candidate
• Rapid and scalable manufacturing
• Harness established regulatory platform
• 100M 1mg doses in 2021, target of 200M+ in
2022
INOVIO’s DNA Medicines Platform is uniquely positioned to address
COVID-19
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OPTIMIZED PLASMID DESIGN AND DELIVERY TECHNOLOGY
PRECISELY
DESIGNED PLASMIDS(SynCon®)
PROPRIETARY
SMART DEVICE(CELLECTRA®)
IN VIVO
Precision medicine designed to identify and
optimize the specific DNA antigen combatting
the virus or tumor
Triggers natural production of T-cells
and immune response within the
patient's own cells
Enables enhanced cellular delivery overcoming
a key limitation of other approaches such as
mRNA
Our proprietary technology is optimized through plasmid design and
delivery technology
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6.Protective antibodies and killer T
cells produced by immune system
against diverse strains of a virus
or cancer
INOVIO DNA medicines power a patient’s immune system to generate functional
antibodies and killer T cells in vivo to fight cancer and infectious disease
DNA
Medicine
Sequence 1 EMEKIVLLFAIV…SL
Sequence 2 AMESIVLLFAIV…SL
AMEKIVILLFAIV…SK
AMEKIVILLFAIV…SL
Sequence X
Consensus
4.Insert SynCon sequence for each
selected antigen into a separate
precisely designed plasmid
5.Manufacture DNA medicine
and deliver into muscle or skin
using CELLECTRA® proprietary
smart device
Antigen
Y
Antigen Y
Strain X
Strain 2
Antigen
Y
Strain 1
3.Create optimal Consensus
Sequence for the selected
antigen
1.Identify diverse
strains/variants of a
target virus or cancer
2.Assess gene sequence
of selected antigen(s) from
chosen strains/variants of
the virus or cancer
DNA
Medicine
The technology powers a potent antigen specific immune response
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Our technology has been leveraged across various therapeutic areas
in 15 clinical programs
INTERNALLY FUNDED EXTERNALLY FUNDED
PRODUCT INDICATION ANTIGEN PRECLINICAL PHASE 1 PHASE 2 PHASE 3 PARTNER/COLLABORATOR/FUNDER
VGX-3100
Precancerous Cervical Dysplasia (HSIL)
HPV 16 E6, E7/
HPV 18 E6, E7(China; INOVIO maintains global rights)
Precancerous Vulvar Dysplasia (HSIL)
Precancerous Anal Dysplasia (HSIL)
INO-3107 Recurrent Respiratory Papillomatosis (RRP)HPV 16 E6, E7/
HPV 11 E6, E7
MEDIO457Head & Neck Cancer HPV 16 E6, E7/
HPV 18 E6, E7Cervical, Anal, Penile, Vulvar Cancers
HPV-TARGETED
IMMUNO-ONCOLOGY (NON HPV-ASSOCIATED)
INO-5401 Glioblastoma Multiforme (GBM)
INO-5151 Prostate Cancer
PENNVAX-GP HIV Gag, pol, env
INO-4201 Ebola Glycoprotein
INO-4700 (GLS-5300) MERS Spike
INO-4600 (GLS-5700) Zika Glycoprotein
INO-4500 Lassa Fever Glycoprotein
INO-4800 COVID-19 (Coronavirus) Spike
INFECTIOUS DISEASES (NON HPV-ASSOCIATED)
dMAbTM (DNA-ENCODED MONOCLONAL ANTIBODIES)
INO-A002 Zika Glycoprotein
INO-4800: A DNA vaccine in response to the COVID-
19 outbreak
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Inovio has engaged with multiple partners to rapidly accelerate
access to a COVID vaccine, including:
Scale
We are part of a global effort to advance the development of a COVID
vaccine
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Building on Prior Experience
Leveraging experience in developing
a MERS Vaccine
Acting on promise of INO-4800
Robust and rapid response in early
preclinical and clinical studies
Addressing EUA and Expanded Use
INO-4800 target profile meets EUA and
expanded use regulatory requirements
INOVIO’s development is founded on promising early data, regulatory
agency engagement, and prior experience
• Robust and rapid humoral and T cell responses
in animal studies
• Protection demonstrated in murine and NHP
challenge studies. ACE-2 blocking, pseudovirus
neutralization, and IgG detected in BAL
• 100% of Phase 1 trial participants demonstrated
overall immunological response rates based on
preliminary data assessing humoral (binding and
neutralizing) and T cell immune responses
• INO-4800 was generally safe and well-tolerated
in all participants in both cohorts through week 8
of Phase 1 trial
• Targeting at least 70% efficacy defined as the
absence of confirmed symptomatic COVID-19
disease
• Generation of antigen specific memory immune
responses to vaccine (CD4+/CD8+ T cells,
Bab/Nab titers), expected to meet EUA
requirements
• Immune system response for earlier strain of
virus as well as the mutant variant (D614G) that
has emerged
• Duration of response target > 1 year
Preclinical
• 100% protection from clinical disease in primate
model after 2 immunizations
• 75% protection after a single immunization
• Strong cellular and humoral responses after 1 or 2
doses (NHP, camels and mice)
Clinical
• Phase 1 (US) and Phase 2 (Korea) data generated
• 76% seroconversion after single immunization
• Over 80% seroconversion after two immunizations
• Strong and broad cellular responses noted at
all time points
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Preclinical PackageCompleted Phase I and Rapid Advancement
into Phase 2 / 3
Generating preclinical (immunogenicity &
neutralization assay) package along with animal
challenge data that supports the clinical
program and enables potential EUA
Completed human Phase I studies to demonstrate
safety, tolerability, and immunogenicity
and rapidly advanced into Phase 2/3 clinical
studies in 2020
Achieve INO-4800 licensure using dual strategy of emergency use authorization (EUA) and traditional approval
pathway through:
We have set forth an accelerated strategy for our COVID-19 Program
Manufacturing Capacity Global Partnerships
Expanding manufacturing capacity aimed at
delivering 100M 1mg doses in 2021, target of
200M+ in 2022
Expanding global partnerships to enable further
manufacturing scale up and Generate additional Phase
1 supportive data outside of the US (Korea & China)
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Rapid design of INO-4800
Isolation of virus
Virus sequence
published
Zhu, N et al.
2020 NEJM
Control INO-4800
Gene Optimization Algorithm
Spike protein
Cloned into expression vector
Spike protein is the main target of
neutralizing antibodies
• Considered a key component for
vaccines
• Codon and RNA optimized
INOVIO completed rapid DNA vaccine targeting of SARS-CoV-2 Spike
Protein to develop INO-4800
INO-4800 instructs expression of Spike protein
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DECEMBER 2019 JANUARY 10/11, 2020JANUARY 10 -
JANUARY 23, 2020JANUARY 23, 2020 MARCH 2020 MARCH 12, 2020
INOVIO coronavirus experts
learn about a novel
coronavirus (SARS-CoV-2)
which caused an outbreak of
respiratory disease in Wuhan,
China now referred to as
COVID-19
INOVIO designs DNA vaccine
INO-4800 in three hours
after receiving the genetic
sequence late in the evening
on 1/10 using its proprietary
DNA medicines platform
technology.
INOVIO coronavirus experts
race to manufacture INO-
4800 and begin preclinical
testing and clinical trial
design
INOVIO receives a grant of up
to $9 million from the
Coalition for Epidemic
Preparedness Innovations
(CEPI) to fund ongoing
preclinical and initial clinical
development of INO-4800
Ongoing preclinical studies,
including challenge studies;
human trial doses prepared
for clinical trials in the U.S.,
China and South Korea;
large-scale manufacturing
plans developed.
INOVIO announces $5
million grant from the Bill &
Melinda Gates Foundation
to accelerate the testing and
scale up of the INOVIO’s
proprietary smart device
CELLECTRA® 3PSP
MARCH 26, 2020APRIL 6 - APRIL 23,
2020MAY 20, 2020 JUNE 2020 SEPTEMBER 2020 ONGOING
INOVIO announces the
Department of Defense (DoD)
awarded Ology Bioservices
an $11.9 million contract
INOVIO announces initiation
of Phase 1 human clinical
trial in the U.S.
U.S. study fully enrolled 40
healthy volunteers; study sites
are the University of
Pennsylvania and a clinic in
Kansas City, MO
Preclinical data (in mice and
guinea pigs) published in
peer-reviewed journal
Nature Communications
Phase 1 trail expanded with
80 additional participants
INOVIO receives $71 million
from DOD to scale up
manufacture of CELLECTRA
INOVIO announces positive
interim Phase 1 data for INO-
4800 (6/30)
Human clinical trials begin in
South Korea
Phase 2/3 trials expected to
begin*
Human clinical trials expected
to begin in China*
INO-4800 COVID-19 DNA
vaccine production and
scale up underway*, with
100M 1mg doses in 2021,
target of 200M+ in 2022
Our COVID-19 DNA Vaccine INO-4800 development timeline began in
December 2019
Clinical trials and preclinical challenges studies continue
*Pending appropriate guidance and external funding
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Outbreak Setting (EUA) Long Term Use
Product
Description
INO-4800 consists of a DNA plasmid that encodes for SARS-CoV-2 Spike glycoprotein in combination with CELLECTRA® intradermal Delivery Device
Preservative-free, use within 6 hours of opening; 2-8˚C –shelf-life 5 years; Room Temp (15-25˚C) – shelf-life 1 year, and compliant with WHO multi-dose policy on multiple
ingress. Anticipated VVM30 designation. Long term storage of SSC formulated bulk at 2-8C.
Use & Indication Active immunization of at-risk persons in an area of an on-going outbreak to curtail an
outbreak
Active immunization of at-risk persons in affected areas of the world extended to
populations to prevent symptomatic disease caused by SARS-Cov2 infection
Target Population Civilian health care and frontline workers in epidemic regions
Military including health care and front line personnel and other high risk populations
At risk elderly population (>65year old)
Outbreak population and:
At-risk population 18 years and older
Pediatric population
Target countries Countries at risk for COVID-19 transmission
Efficacy Outbreak & LT: 70% efficacy^ defined as the absence of confirmed symptomatic COVID-19 disease (primary endpoint).
Generation of antigen specific memory immune responses to vaccine (persistent memory CD4+/CD8+ T cells; persistent Bab/Nab titers)
Immune system response generated for earlier strain of virus as well as the mutant variant (D614G) that has emerged with greater infectivity
Onset of immune
response
70% or greater overall immune response rate at 2 or 4 weeks following completion of primary vaccination series
Duration of protective response: Target > 1 year
Dosing & schedule One 1.0 mg Intradermal (ID) injection of INO-4800 followed by electroporation (EP) at Day 0 and Week 4 using the CELLECTRA ® 3PSP device
Drug Product delivered via ID injection (i.e. Mantoux) followed by in vivo ID- EP.
Safety/Tolerability Local reaction: local pain, mild swelling, tenderness, redness immediately after dosing; mild tenderness for several days.
No systemic and related serious adverse events.
Safe for use in both SARs-CoV-2 seronegative and seropositive populations
Inovio’s DNA COVID-19 vaccine (INO-4800) target profile meets both
EUA and expanded use requirements
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Rapid Initiation of Clinical Trial: 83 days from plasmid design
to clinical testing and completing enrollment (17 working days)
• An open label study design - 40 healthy volunteers – to
gain preliminary assessment on safety, tolerability and
immunogenicity
• Utilize historical experience with clinical trial sites to
quickly complete start-up activities
• Front load preparatory activities at the operational level for
subjects to be dosed as soon as the clinical investigational
product is available
• Motivated study sites and volunteers
• Supportive DSMB members to make rapid decisions
We rapidly initiated our Phase 1 clinical trial with 40
healthy volunteers in April
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• INO-4800 was generally safe and well-tolerated in all
participants in both cohorts through week 8
• All eleven reported adverse events (AEs) were grade
1 in severity, and most were local injection site
redness. There were no reported serious adverse
events (SAEs)
• No Anti-Vector immunity generated; potential for use
as universal booster
Excellent Safety Profile Robust Complete Immune System Response
• 100% of Phase 1 trial participants demonstrated
overall immunological response rates
• Provided protection in both mouse and NHP
challenge studies
• The only vaccine to demonstrate long-term
protection in non-human primates challenged with
SARS-CoV-2 virus 13 weeks from vaccination
• NHP vaccination generated antibodies neutralizing
both the earlier strain of virus as well as the mutant
variant
• Memory T and B cell responses resulted in reduced
viral loads and faster viral clearance in macaques'
lungs and nasal passages
...and successfully demonstrated an excellent safety profile and
immune system response in both clinical and preclinical data
&
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We are working towards rapidly kicking off our Phase 2 / 3 study to further substantiate immune response and safety
PHASE 2/3 STUDY
Rapid start to strive for interim efficacy
results in July 2021
Study protocol being developed to assess the efficacy
for prevention of COVID-19 in healthy adults over 18
with high risk of exposure to SARS-CoV2 with expected
start in September and full data read out in July 2022
BUILD ON POSITIVE PH1 DATA
Publication of Phase 1 full data set
anticipated August 2020
Phase 1 trial is ongoing with the following
data anticipated:
● Safety and immunogenicity of 0.5mg
dose in a 2-dose regimen (Days 0,
28) at age groups of 18-50, 51-64
and 65+ years
● Safety and immunogenicity of 1.0
and 2.0mg doses in expanded age
groups of 51-64 and 65+ years
EX-US STUDIES
Robust expansion of trials to
address global needs
Collaborations formed with Advaccine in
China, as well as IVI in Korea to a build
global consortium for joint clinical
development. CEPI to support Korean
Phase 1/2a trial, Korean IND okay to
proceed and a Phase 1 study in China
planned to start in August 2020.
Inovio is working closely with the FDA and other partners to rapidly kick off late stage human
trials to further substantiate immune response and safety
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3Clinical Development Strategy for INO-4800
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Hypothesis
INO-4800 delivered ID followed by EP using CELLECTRA® 2000 in healthy volunteers will be well tolerated, exhibit an acceptable safety profile and result in
generation of immune responses to SARS-CoV-2.
Primary Objectives Primary Endpoints
• Safety and tolerability
• Cellular and humoral immune
response
• Optimal dose selection
Primary Safety Endpoints:
• All adverse events (AEs), Administration site reactions, AEs of special interest (AESIs)
Primary Immunogenicity Endpoints:
• Antigen-specific antibody titers by binding assays, Antigen-specific cellular immune response
Exploratory Objectives Exploratory Endpoints
Expanded immunological profile of T
and B cell immune response
• Additional assessment of T and B cell numbers
• Neutralization response
• Assessment of T and B cell molecular changes by measuring immunologic proteins and mRNA levels of genes of
interest at all weeks as determined by sample availability
Phase 1 trial is ongoing with the below data anticipated
• Safety and immunogenicity of 0.5mg dose in a 2-dose regimen (Days 0, 28) at age groups of 18-50, 51-64 and 65+ years
• Safety and immunogenicity of 1.0 and 2.0mg doses in expanded age groups of 51-64 and 65+ years
• Only small of grade 1 safety events observed after both doses
Publication of Phase 1 full data set anticipated August/September 2020
Overview, objectives, and status of the Phase 1 in human study for
INO-4800
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3PSP design
Development supported in part by
MCDC DoD funding and from CEPI
3 mm
GFP expression appearing in multiple skin-resident cell
types following ID delivery with EP
INO-4800 leverages Inovio’s proprietary dermal DNA delivery system
CELLECTRA® 3PSP
3PSP - CELLECTRA-3P technology in a hand-held
portable device
• Light weight
• Simple two button user interface
• Audio- Visual indication of device and treatment status
• Designed for ease of deployment
• Suitable for stockpiling
• Uses rechargeable AA batteries as a power source for ease of
shipping and charging
• 100 treatments on a single charge
• Single use disposable array with safety cap
Demonstrated robust humoral and cellular
immune responses in the clinic
• Ebola synDNA vaccine (EBOV-001)
• Zika synDNA vaccine (ZIKA-001)
• HIV synDNA vaccine (HVTN 080/098)
• MERS Vaccine (INO-4700)
• Lassa Vaccine (INO-4500)