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IMMUTEP LIMITED — AGM Information 2018
Nov 15, 2018
65122_rns_2018-11-15_ab62d3a0-6b24-45f0-9839-01e90c818824.pdf
AGM Information
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The global leader in developing LAG-3 therapeutics
CEO Presentation Annual General Meeting November 2018
(ASX: IMM, NASDAQ: IMMP)
Notice: Forward Looking Statements
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The purpose of the presentation is to provide an update of the business of Immutep Limited ACN 009 237 889 (ASX:IMM; NASDAQ:IMMP). These slides have been prepared as a presentation aid only and the information they contain may require further explanation and/or clarification. Accordingly, these slides and the information they contain should be read in conjunction with past and future announcements made by Immutep and should not be relied upon as an independent source of information. Please refer to the Company's website and/or the Company’s filings to the ASX and SEC for further information.
The views expressed in this presentation contain information derived from publicly available sources that have not been independently verified. No representation or warranty is made as to the accuracy, completeness or reliability of the information. Any forward looking statements in this presentation have been prepared on the basis of a number of assumptions which may prove incorrect and the current intentions, plans, expectations and beliefs about future events are subject to risks, uncertainties and other factors, many of which are outside Immutep’s control. Important factors that could cause actual results to differ materially from assumptions or expectations expressed or implied in this presentation include known and unknown risks. Because actual results could differ materially to assumptions made and Immutep’s current intentions, plans, expectations and beliefs about the future, you are urged to view all forward looking statements contained in this presentation with caution.
Additionally, the INSIGHT investigator sponsored clinical trial described in this presentation is controlled by the lead investigator and therefore Immutep has no control over this clinical trial. This presentation should not be relied on as a recommendation or forecast by Immutep. Nothing in this presentation should be construed as either an offer to sell or a solicitation of an offer to buy or sell shares in any jurisdiction.
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2018 Summary
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Strong operational and financial progress
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Continued focus on LAG-3 immunotherapy
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Progressed the development of four LAG-3 based product candidates for cancer and auto immune disease
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Reported encouraging interim data for lead product candidate, IMP321 (‘efti’) from TACTI-mel trial
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| Ticker | ASX: IMM; NASDAQ: IMMP |
|---|---|
| Ordinary Shares / ADR | 71% / 29% |
| Market Cap(12 Nov 18) | A$136M |
| Securities on Issue(12 Nov 18) |
3.1 billion ordinary shares 8.8 million issued ADRs 1 ADR equals 100 ordinary shares |
- Committed partnerships with five of the world’s largest pharmaceutical companies - Merck (MSD), Novartis and GSK, plus Merck (Germany) and Pfizer, along with Eddingpharm (EOC) in China
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Highlights of past 12 months
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Corporate
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Name change to Immutep to reflect new focus on LAG-3 immunotherapeutics
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Sound financial management
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ASX Placement and SPP raising A$13.16 million
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R&D cash rebates received from Australian & French schemes
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Presentations at SITC, World Immunotherapy Congress, ASCO, Cambridge Healthcare Institutes I-O Summit, Immuno-Oncology Congress conferences
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Board changes
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4 new patents granted
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Highlights of past 12 months
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R&D
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TACTI-mel Phase I expanded to a fourth cohort due to encouraging interim data & positive safety review
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Additional AIPAC Phase IIb clinical sites opened and commenced treating patients for randomised phase, recruitment of 160 patients (Nov 16, 2018)
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IND application submitted with FDA granted
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TACTI-002 Phase II trial preparations (trial protocol, selecting clinical sites)
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INSIGHT (Investigator Initiated Trial study) recruiting patients, Frankfurt, Germany
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Pre-clinical study successfully completed (IMP761)
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Highlights of past 12 months
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Collaborations
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New collaboration & supply agreement with Merck & Co (US), adding a new Phase II trial
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Novartis added another three Phase II trials for LAG525 (from IMP701 antibody)
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Milestone payments from Novartis and EOC Pharma
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GSK completed Phase I study of GSK2831781 (from IMP731 antibody)
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CYTLIMIC ongoing clinical research (efti as part of product)
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IND in China granted for EOC & start of Phase I
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Partnership & ARC Linkage grant with Monash University
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New clinical trial collaboration & supply agreement with Merck KGaA, (Germany) and Pfizer Inc
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Key Financials FY18
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| Revenue and other income FY18 | A$7.4M (FY17: A$4.2M) | Includes milestone payments from Novartis and EOC Pharma |
|---|---|---|
| G&A Expenses FY18 | A$7.2M (FY17: A$4.3M) | Increase due to financings and non cash expenses |
| R&D and IP Expenses FY18 | A$10.0M (FY17 A$7.5M) | Increase due to advancement of clinical development work for efti and pre-clinical work on IMP761; expanded IP activity |
| Net Loss FY18 | A$12.7M (FY17 A$9.4M) | The increase was mainly due to the non cash expenses |
| Net cash (outflows) from operating activities |
A$7.8M (FY17 A$8.5M) | Lower net cash outflow compared to FY17 |
| Cash and cash equivalents at the end of the year |
A$23.5M (FY17 A$ 12.2M) | Improved financial position compared to end of FY17 |
| Cash in Bank | A$21.1M (31 Oct 18) | Cash runway through to end of CY19 with continued focus on disciplined cash management |
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LAG-3 Therapeutic Landscape Overview
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Immutep is the leader in developing LAG-3 modulating therapeutics
| Program | Eftilagimod Alpha (IMP321) | Eftilagimod Alpha (IMP321) | LAG525 (IMP701) | LAG525 (IMP701) | GSK2831781 (IMP731) | GSK2831781 (IMP731) | Relatlimab | Relatlimab |
|---|---|---|---|---|---|---|---|---|
| Phase1 Preclinical Phase2 Latestage Total estimated patients Company 425 4 trials 3 trials 1 trial 1 trial 906 6892 BMS 9 trials 2 trials 10trials 67* 1trial 1 trial |
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| Program | MK4280 | BI 754111 | REGN3767 REGN3 |
TSR-033 TSR |
MGD013 MGD013 |
INCAGN02385 | FS-118 | SYM022 |
| Indicates one product; size indicates stage of development, green = product either developed by Immutep or under license from Immutep Indicates No. of patients on trials Phase1 Preclinical Phase2 Pivotal Total estimated patients Company Phase 1 Preclinical Phase2 Pivotal Company Incyte Corp. 55 51 F-Star Symphogen A/S Armo Biosciences 2 trials 243 Macrogenics 1 trial 1 trial 1 trial 1 trial 379 B.I. Merck & Co. Inc. 546 260 1 trial 1 trial Regeneron/ Sanofi Tesaro 30 734* 1 trial 2trials Program IMP761 AM003 1 trial Xencor XmAb-22841 |
Sources: GlobalData, company websites, clinical trials.gov, and sec.gov
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Information as of November 5, 2018, includes planned and completed trials, includes trials where the company may not be the sponsor
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Program Update
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Oncology and Autoimmune Pipeline (AGM 2017)
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Oncology and Autoimmune Pipeline*
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Program Preclinical Phase I Phase II Late Stage Commercial Rights/Partners
AIPAC
2019
(Chemo-IO Combo)
Eftilagimod Alpha TACTI-002(1) 2019/2020 § Global
(LAG-3lg or IMP321), (IO-IO Combo) Rights
APC activating INSIGHT-004(2),(3),(5)
fusion protein 2019/2020
(IO-IO Combo) § Chinese
Rights
TACTI-mel
2018/2019
(IO-IO Combo)
INSIGHT (2)
2018/2019
(In situ Immunization)
IMP731
(DepletingAB) Autoimmune Diseases(4) § Global Rights
IO-IO Combo: solid tumours
IMP701 IO-IO Combo: solid tumours + blood cancer Global
(AntagonistAB) Chemo-IO combo: metastatic breast cancer § Rights
IO-IO Combo: melanoma (5)
IMP761 Autoimmune Global
(AgonistAB) Diseases § Rights
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Notes
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(3) In combination with BAVENCIO® (avelumab).
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Actual timing of data readouts may differ from expected timing shown above. (1) In combination with KEYTRUDA® (pembrolizumab) in non-small cell lung carcinoma (“NSCLC”) or head and neck carcinoma (“HNSCC”); clinical trial is currently planned and not active.
(4) Reflects completed Phase I study in psoriasis and anticipated Phase II trial in ulcerative colitis. (5) Clinical trial is currently planned and not active.
- (2) INSIGHT Investigator Initiated Trial (“IIT”) is controlled by lead investigator and therefore Immutep has no control over this clinical trial.
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Lead Program Eftilagimod Alpha (IMP321) Update
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Opportunities for Eftilagimod Alpha
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Eftilagimod has the potential to be an ideal combination candidate in oncology therapy that could improve the prognosis for patients
Eftilagimod Key Characteristics (based on current data):
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First in class MHCII agonist
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Excellent safety profile and encouraging efficacy data thus far
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Potential for use in various combination settings (e.g. IO, chemo, vaccines or in situ immunisation)
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Estimated favorable (low) cost of goods based on current flat dosing regimen and manufacturing process
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Eftilagimod Alpha in MBC (AIPAC) (chemo-immunotherapy)
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AIPAC trial (Phase IIb): Active Immunotherapy PAClitaxel, MBC patients, different EU countries
| AIPAC trial (Phase IIb): A ctiveI mmunotherapyPAC litaxel, MBC patients, different EU countries |
AIPAC trial (Phase IIb): A ctiveI mmunotherapyPAC litaxel, MBC patients, different EU countries |
AIPAC trial (Phase IIb): A ctiveI mmunotherapyPAC litaxel, MBC patients, different EU countries |
|---|---|---|
| Arm 1_, 113_patients_: paclitaxel + IMP321 Phase IIb, multinational, randomised, double-blind Safety-run in, 15 (6+9) patients, 2 cohorts<< Stage 2 Arm 2, 113_patients_:_ paclitaxel + placebo Run-in: recommended Phase II dose (RP2D) Stage 2: Efficacy (PFS) |
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| Primary Objective Run-In: Recommended Phase II dose (RP2D) Stage 2: Efficacy (PFS) of paclitaxel + IMP321 vs. paclitaxel + placebo Other Objectives Anti-tumor activity, safety and tolerability, pharmacokinetic and immunogenic properties, quality of life of IMP321 plus paclitaxel compared to placebo Patient Population Advanced MBC indicated to receive 1st line weekly paclitaxel Treatment Run-in: Paclitaxel + IMP321 (6 or 30 mg) Arm 1: Paclitaxel + IMP321 (30 mg) Arm 2: Paclitaxel + Placebo Countries NL, BE, PL, DE, HU, UK, FR → overall 30+ sites Status Report (August 2018) ✓Safety run-in completed successfully ✓Randomised phase started early 2017 with the RP2D (30 mg) ✓Interim-data of safety run-in presented at ASCO 2017 ✓To-date, efficacy and safety data in-line with historical control group/ prior clinical trials (Brignone et al Journal Translational Medicine 2010, 8:71) ✓Regulatory approval to conduct trial in 7 EU countries ✓Over 30 sites actively recruiting patients ✓Mid-point of patient enrolment reached (June 2018) |
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| Primary Objective |
Run-In: Recommended Phase II dose (RP2D) Stage 2: Efficacy (PFS) of paclitaxel + IMP321 vs. paclitaxel + placebo |
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| ✓Safety run-in completed successfully ✓Randomised phase started early 2017 with the RP2D (30 mg) ✓Interim-data of safety run-in presented at ASCO 2017 ✓To-date, efficacy and safety data in-line with historical control group/ prior clinical trials (Brignone et al Journal Translational Medicine 2010, 8:71) ✓Regulatory approval to conduct trial in 7 EU countries ✓Over 30 sites actively recruiting patients ✓Mid-point of patient enrolment reached (June 2018) |
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| Other Objectives |
Anti-tumor activity, safety and tolerability, pharmacokinetic and immunogenic properties, quality of life of IMP321 plus paclitaxel compared to placebo |
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| Patient Population |
Advanced MBC indicated to receive 1st line weekly paclitaxel | |
| Treatment | Run-in: Paclitaxel + IMP321 (6 or 30 mg) Arm 1: Paclitaxel + IMP321 (30 mg) Arm 2: Paclitaxel + Placebo |
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| Countries | NL, BE, PL, DE, HU, UK, FR → overall 30+ sites | |
| • Primary read out expected in 2019 |
- Primary read out expected in 2019
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Efti (IMP321) in Melanoma TACTI-mel (IO combination) – Trial Design
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TACTI-mel = Two ACTive Immunotherapeutics in melanoma
Recommended Phase I, multicenter, 24 patients, Efti (IMP321) + Phase II dose, open label, 4 cohorts of 6 patients anti-PD-1 (Keytruda[] ) safety and dose escalation tolerability
| Primary Objective |
Recommended dose for Phase II with efti (IMP321) + pembrolizumab Safety + tolerability |
|---|---|
| Other Objectives |
PK and PD of IMP321, response rate, time to next treatment, PFS |
7 sites in Australia
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Part A: efti (IMP321) at 1, 6 and 30 mg s.c. every 2 weeks starting with cycle 5 of pembrolizumab
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Status: recruitment completed; interim results reported • Part B: efti (IMP321) at 30 mg s.c. every 2 weeks starting with cycle 1 of pembrolizumab
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Status: recruitment completed; data
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expected Q4
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Pembrolizumab (Keytruda) 2 mg/kg every 3 weeks i.v. part A and B
preliminary data, status 17th August 2018
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Efti (IMP321) – Clinical Development TACTI-002 Trial Design
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TACTI-002; a basket trial: Two ACTive Immunotherapeutics in different indications
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Efti (IMP321) + Pembrolizumab Simon 2 stage; 3 Phase II, multiResponse rate; PFS, OS, (Keytruda[] ) for 12 months + indications; up to 110 max. of 12 months national (EU + US PK, Biomarker; Safety pts + AUS), open label and tolerability pembrolizumab monotherapy
| 12-15 sites in Europe / US / Australia • IND in the U.S. granted in July 2018 • Study start expected early 2019 • First data expected mid 2019 Status Report |
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| Primary Objective |
Response rate (iRECIST) | |
| Other Objectives |
Safety, PFS+OS, PK, exploratory biomarker analysis |
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| Patient Population |
Part A: 1stline NSCLC, PD-X naive Part B: 2nd line NSCLC, PD-X refractory Part C: 2nd line HNSCC, PD-X naive |
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| Treatment | 30 mg Efti (IMP321) s.c. 200 mg Pembrolizumab i.v. |
Notes
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NSCLC – non-small-cell lung cancer, HNSCC – head and neck squamous cell cancer, DMC – data monitoring comittee, PFS – progression free survival, OS – overall survival, PK – pharmacokinetics, PD-X – any PD-1 or PDL-1 treatment
Collaboration and Supply Agreement
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In September 2018, Immutep entered into clinical trial collaboration and supply agreement with Merck KGaA, Darmstadt, Germany and Pfizer Inc., to evaluate the combination of Immutep’s lead immunotherapy product candidate eftilagimod alpha (“efti” or “IMP321”) with avelumab*, a human antiPD-L1 IgG1 monoclonal antibody, in patients with advanced solid malignancies
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The planned clinical evaluation will be an amendment to the existing INSIGHT Phase I clinical trial and will evaluate the safety, tolerability and recommended Phase II dose of efti when combined with avelumab in patients with advanced solid malignancies
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The Institute of Clinical Cancer Research, Krankenhaus Nordwest GmbH in Frankfurt, Germany (“IKF”) will be the sponsor of the clinical trial and it will be conducted under the existing protocol of the ongoing INSIGHT clinical study. Prof. Dr. Salah-Eddin Al-Batran, the lead investigator of INSIGHT and member of Immutep’s clinical advisory board, will continue to be the lead investigator of the trial
Notes
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- Avelumab is under clinical investigation for treatment of solid malignancies and has not been demonstrated to be safe and effective for these uses. There is no guarantee that avelumab will be approved for solid malignancies by any health authority worldwide
Eftilagimod Alpha Partnerships
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Milestone and royalty bearing partnership for Immutep
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Chinese IND for IMP321 granted in Dec 2017 -> USD1m milestone paid to Immutep
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EOC, an Eddingpharm spin-off holding the Chinese rights for IMP321
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Phase I program in MBC expected to start
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Spin off from NEC, Japan. Est. Dec 2016; aims to develop cancer drugs discovered by artificial intelligence
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• Multiple Material Transfer Agreements
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Clinical research ongoing with efti as part of their product
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Strategic supply partnership for the manufacturing of eftilagimod alpha
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Through WuXi, Immutep was first company ever to import and use a Chinese manufactured biologic in a European clinical trial
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IMP761 (Autoimmune Diseases)
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IMP761 – Agonist mAb
Key Characteristics
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Humanised IgG4 monoclonal antibody
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First and best in class LAG-3 agonist mAb
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Mechanism of action: temporarily switches off LAG-3 positive chronically activated T-Cells
Development Activities
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IMP761
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In vitro/ in vivo studies completed (cynomolgus monkey)
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Cross-reactivity studies completed
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CHO cell line development for GMP production started in Q3
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2018
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Outlook
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Outlook
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Immutep is optimistic for the new financial year, expecting to report multiple clinical news flow items and milestones in FY19 and beyond.
Clinical
TACTI-mel final data: H2 2019 (updates beforehand)
TACTI-002 early 2019 start in different countries TACTI-002 first data from mid 2019 onwards
IMP761 preclinical data: 2019; development updates INSIGHT (avelumab): start in Q.I 2019; first data mid 2019 INSIGHT updates/data from study: throughout 2019
AIPAC first progression free survival data (metastatic breast cancer trial): H2 2019
Other
Potential milestone payments from clinical partners as trials progress Continued expansion of patent portfolio Continued regulatory interaction
Ongoing business development activities
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Thank you!
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