AI assistant
IMUGENE LIMITED — Investor Presentation 2017
Jan 8, 2017
65124_rns_2017-01-08_e14a32bb-f6e3-481e-8b0f-fcbe6502ea5f.pdf
Investor Presentation
Open in viewerOpens in your device viewer
==> picture [227 x 41] intentionally omitted <==
ASX:IMU
B Cell Based Antibodies for Immuno-Oncology
Leslie
Chong Chief
Executive
Officer 09-‐January-‐2017
1
Notice: Forward Looking Statements
==> picture [92 x 279] intentionally omitted <==
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 Imugene Limited’s control. Important factors that could cause actual results to differ materially from any assumptions or expectations expressed or implied in this brochure include known and unknown risks. As actual results may differ materially to any assumptions made in this brochure, you are urged to view any forward looking statements contained in this brochure with caution. This presentation should not be relied on as a recommendation or forecast by Imugene Limited, and should not be construed as either an offer to sell or a solicitation of an offer to buy or sell shares in any jurisdiction.
==> picture [90 x 16] intentionally omitted <==
2
What Does Imugene Do?
We are developing cancer immunotherapy drugs based on antibodies
==> picture [90 x 16] intentionally omitted <==
3
IMU’s Value Proposition
- ü Promising
science
with
impeccable
provenance in
the
hottest
area
of
cancer
today
– immuno oncology
==> picture [206 x 111] intentionally omitted <==
- ü Broad
Pipeline:
HER-‐Vaxx &
Mimotopes
ü Breast
Cancer
clinical
trial
complete
&
on
the
cusp
of recruitment
on
our
second
Phase
1b/2
clinical
trial
in gastric
cancer
-
ü Tight
share
register
with
leading
Fund
Manager, Platinum
Asset
Management -
ü Frequent,
rich,
quality
news
flow
ahead -
ü Axel
Hoos Sr.
VP
of
immuno – oncology
at
GSK,
plus team
with
successful
track
record
in
drug development -
ü Low
market
cap
-‐ undervalued
against
ASX
peers
==> picture [90 x 16] intentionally omitted <==
4
Imugene Operates in the most Promising area of Oncology Today…
==> picture [170 x 209] intentionally omitted <==
Imugene is
an
immunotherapy
company
developing B-‐cell
based
vaccines
in
the
most
promising
area
of oncology
today
– IMMUNO-‐ONCOLOGY
==> picture [152 x 194] intentionally omitted <==
==> picture [212 x 36] intentionally omitted <==
==> picture [196 x 126] intentionally omitted <==
==> picture [190 x 122] intentionally omitted <==
==> picture [173 x 176] intentionally omitted <==
==> picture [238 x 124] intentionally omitted <==
==> picture [217 x 128] intentionally omitted <==
==> picture [90 x 16] intentionally omitted <==
5
What is Cancer Immunotherapy?
-
Immunotherapy
is
the
treatment
of cancer
with
substances
or
drugs
that stimulate
the
patient’s
immune response
– known
as
active immunisation -
Unlike
chemotherapy, immunotherapy
drugs
do
not
target the
cancer
directly -
Immunotherapy
helps
the
patient’s own
immune
system
recognise & attack
cancer
cells -
Typical
immune
responses
are: – B
Cells
making
antibodies
to
attack the
cancer -
T
Cells
developed
by
the
thymus
to attack
the
cancer
B
Cell
Antibody
T
Cell
==> picture [129 x 410] intentionally omitted <==
==> picture [90 x 16] intentionally omitted <==
6
Two Compelling Antibody Programs and Commercial Opportunities
Imugene’s Pipeline
B
Cell
Peptide
technology
Peptides
produced
via computer
aided
programs: HER-‐Vaxx Vaccine
Peptides
identified
via mimotope technology
**Building
on
the
multi-‐levels
of
your
own
immune
system**
-
Identification
of
cancer
targets
for
variety
of
cancer
indications -
Immune
responses
from
conjugates
and
adjuvants -
B-‐Cell
Peptide
vaccines
against
checkpoint
targets
==> picture [90 x 16] intentionally omitted <==
7
What is an Antibody? A key Defense of the Immune System
Antibodies – Large
Y-‐shaped
protein.
They
are
exquisitely
made to
attach
themselves
to
a target
sitting
on
an
invading
organism
==> picture [61 x 64] intentionally omitted <==
There
are
2
ways
to
make
antibodies
In
a
factory
==> picture [188 x 124] intentionally omitted <==
For
example, Roche’s
Herceptin
Using
B
cells
in
your
own
body
==> picture [35 x 34] intentionally omitted <==
==> picture [32 x 32] intentionally omitted <==
==> picture [97 x 101] intentionally omitted <==
==> picture [5 x 25] intentionally omitted <==
==> picture [33 x 33] intentionally omitted <==
B
Cells – are
like
little
antibody factories
producing
millions
of antibodies
against
cancer
targets
==> picture [90 x 16] intentionally omitted <==
8
Advantages of B-Cell Based Antibodies
| Issue | B-Cell Immunotherapy | Monoclonal Antibodies |
|---|---|---|
| Safety | • Stimulates the immune system to produce natural Abs, potentially safer, as demonstrated by HER-Vaxx |
• Synthetic Ab, with side effects (including ventricular dysfunction, CHF, anaphylaxis, immune mediation) |
| Efficacy | • Polyclonal Ab response reduces risk of resistance and potentially increases efficacy |
• Monoclonal Ab - single shot |
| Durability | • Antibodies continuously produced a lasting immune response to inhibit tumor |
• Half life up to 12 days sometimes less |
| recurrence | ||
| Usability | • Potentially low numbers of vaccinations required per year |
• Requires regular infusion |
| Cost | • Low cost of production enables greater pricing flexibility facilitating combinations and opening up additional markets |
• Expensive course of treatment >USD100K per year in the US |
B-‐Cell
Vaccines
offer
a
unique
opportunity
to
intervene
at
multiple
points
in
the
immune
system and
create
immune
memory
which
enhances
durability
of
response.
==> picture [90 x 16] intentionally omitted <==
9
A Mimotope Produces a Copy of an Antibody
-
A
mimotope is
a
small
molecule,
often
a
peptide,
which
mirrors
the
structure
of
an epitope,
the
specific
target
an
antibody
binds
to.
Because
of
this
property
it
induces an
antibody
response
similar
to
the
one
elicited
by
the
epitope. -
A
mimotope causes
your
B
cells
to
produce
an
antibody
copy
of
the
antibody
you want
to
“mimic” -
Potential
tool
for
selecting
novel
vaccine
candidates
against
a
variety
of
tumors -
Greatly
extends
IMU’s
oncology
franchise
and
pipeline. -
Monoclonal
antibody
market
currently
at
US$60bn
annually -
December,
2016
progressed
the
mimotope platform
with
filing
of
4
new
patent applications
==> picture [39 x 41] intentionally omitted <==
==> picture [116 x 102] intentionally omitted <==
==> picture [90 x 16] intentionally omitted <==
10
HER-Vaxx is a peptide vaccine being developed for HER2[+] gastric cancer
==> picture [227 x 41] intentionally omitted <==
ASX:IMU
11
HER-Vaxx: Mechanism of Action – How it Works
==> picture [667 x 446] intentionally omitted <==
----- Start of picture text -----
P6
3
Peptides
P4
Tumor
Cell
P7
HER-‐Vaxx
Antibody
Secretion
HER-‐2/neu
B-‐cell
Activation
Via
helper
T-‐cells
HER-‐Vaxx attacks
the
HER-‐Vaxx B-‐Cell same
target
as
the
Immunotherapy
the
world’s
largest
selling
breast
cancer
drug
Herceptin
----- End of picture text -----
12
Phase 1 in Breast Cancer, Completed at Medical University of Vienna
==> picture [167 x 278] intentionally omitted <==
Design
-
10
patients -
All
late
stage
breast
cancer patients -
HER-‐2
+/++ -
Life
expectancy4
months -
• Conducted
at
Medical University
of
Vienna
**Clinical
Endpoints**
-
❶ Safety
and Tolerability -
❷ Immunogenicity: antibodies and cellular
responses
Results
-
Patients
developed
anti-‐HER-‐2
antibodies -
Induction
of
cytokines
(Th1
biased;
IFNγ) -
Induction
of
memory
T
&
B
cells
post vaccination -
Reduction
in
T
reg cells
post
vaccination, indicating
strong
vaccine
response -
Antibodies
induced
displayed
potent
anti-‐ tumor
activity -
Promising
results
-‐ Patients
were
end
stage and
not
primary
target
group -
Reviewed
in
Peer
Publication
==> picture [65 x 313] intentionally omitted <==
==> picture [90 x 16] intentionally omitted <==
13
- Wiedermann et.
al.,
Breast
Cancer
Res
Treat.
2010
Feb;119(3):673-‐83.
HER-Vaxx Has Been Considerably Optimised Since Phase 1a
==> picture [106 x 67] intentionally omitted <==
----- Start of picture text -----
Ph1b/2
Formulation
----- End of picture text -----
**First
Generation**
- Three
separate
B
Cell epitopes
delivered
in virosomes (used
in Phase
1a).
Second Generation
-
incorporated the three B Cell epitopes into a single 49-mer peptide
-
2x increase in antibody response in vivo compared to three
-
single epitopes (extended patent life to 2030)
Third Generation
-
changed the delivery system from virosomes to CRM197 (which gave CD4 T-Helper response), and added a montanide adjuvant
-
20x increase in antibody response in vivo (potentially
-
extends patent life to 2036)
==> picture [90 x 16] intentionally omitted <==
14
HER-Vaxx Has Been Significantly Enhanced by the Carrier System and Adjuvant
Her-2/neu specific IgG kinetic, after last immunization
==> picture [634 x 200] intentionally omitted <==
----- Start of picture text -----
1.60
1.40
1.20
1.00
0.80 3 w. after 3 doses vacc.
0.60 8 w. after 3 doses vacc.
0.40 16 w. after 3 doses vacc.
0.20 6 mo. after 3 doses vacc.
0.00 Pre-immunization
10 25 50
OD
----- End of picture text -----
P467-CRM-Montanide (µg)
In the mouse model the new formulation sees circulating antibodies maintained for 6 months which equates to many years in humans.
==> picture [90 x 16] intentionally omitted <==
15
Phase 1b/2, in Gastric Cancer
==> picture [92 x 279] intentionally omitted <==
==> picture [206 x 279] intentionally omitted <==
**Phase
1b
lead-‐in Phase
2**
-
Open
label- Open
label
- Open
-
•
-
~18
patients
in
3
cohorts ~68
patients
from
sites of
up
to
6
pts
per
cohort in
Asia -
•
-
Combination
with
chemo Combination
with
chemo -
•
-
Endpoints: Randomized – Recommended
Phase
2 • Primary
Endpoints: -
Dose
of
HER-‐Vaxx – -
– Overall
Survival Safety:
any
HER-‐Vaxx – Progression-‐Free
Survival -
toxicity
-
•
-
Immunogenicity
(anti-‐ Secondary
endpoint: HER-‐2
antibody
titres)) – Immune
response
✓ 08-‐Nov,
2016:
Phase
1b/2
Commences Q1,
2017:
Patient
Enrolled Q1-‐Q2,
2017:
Early
Patient
Data
Available Q3
2017:
Interim
Ph1b
Patient
Data
Available Q4
2017:
Final
Ph1b
Patient
Data
Available
==> picture [90 x 16] intentionally omitted <==
16
Huge Gastric Market Opportunity
-
Gastric
cancer
is
the
second
leading
cause
of
cancer mortality
in
the
world
&
its
management,
especially in
advanced
stages,
has
evolved
relatively
little -
• ~20%
patients
with
metastatic
gastric
cancer
are HER-‐2
positive -
Surgery,
chemotherapy,
radiation
&
Herceptin
are the
key
treatments -
In
many
countries,
particularly
Asia,
chemotherapy such
as
capecitibine and
5-‐FU,
is
the
standard
of care,
not
Herceptin -
Asia
is
the
largest
market
for
gastric
cancer
globally
==> picture [121 x 121] intentionally omitted <==
==> picture [72 x 63] intentionally omitted <==
Chemotherapy
==> picture [118 x 80] intentionally omitted <==
Monoclonal
antibody
==> picture [90 x 16] intentionally omitted <==
17
2015 Big Pharma Antibody Deals
20%
of
the
top
10
Big
Pharma deals
in
2015
were
in
the
antibody
space
Top
ten
2015
licensing
transactions
by
announced
total
size
| Licensee | Licensor | Total Size | Upfront | Subject | Stage | Primary | ||
|---|---|---|---|---|---|---|---|---|
| (US $M) | (US $M) | Rx Area | ||||||
| 1 | Sanofi | Hanmi | $4,266 | $445 | Sanofl to develop Hanmi's Portfolio (specifically 3 | Reformulation | Endo/Meta | |
| assets) of long-acting diabetes treatment | ||||||||
| 2 | AstraZeneca | lonis | $4,090 | $65 | Discovery and development of antisense therapies | Discovery | Diversified | |
| (fka Isis) | for cardiovascular, metabolic and renal diseases | |||||||
| 3 | Vertex | CRISPR | $2,625 | $75 | Vertex and CRISPR to use CR1SPR-cas9 gene editing | Discovery | Diversified | |
| technology to discover and develop new treatment | ||||||||
| for genetic diseases | ||||||||
| 4 | Gilead | Galapagos | $2,075 | $300 | Gilead Sciences to develop and commercialize | Phase II | Al/lnflam | |
| Galapagos' filgotlnlb against rheumatoid arthritis | ||||||||
| 5 | Pfizer | Heptares | $1,890 | Undisclosed | Heptares and pfizer to develop novel drugs targeting | Discovery | Diversified | |
| GPCR against multiple therapeutic indications | ||||||||
| $350M up-front Phase 1 |
6 | BMS | Five Prime | $1,740 | $350 | BMS to develop and commercialize Flve Prime's CSFlR antibody program, including FPA-008 for immunology and oncology |
Phase I | Diversified |
| 7 | Sanofi | Lexicon | $1,730 | $300 | Sanofi to develop and commercialize Lexicon's | Phase III | Endo/Meta | |
| sotagliflozin against diabetes, with an option to | ||||||||
| license | ||||||||
| 8 | Amgen | Xencor | $1,702 | $45 | Amgen to develop and commercialize Xencor's | Preclinical | Diversified | |
| bispecific cancer immunotherapy and inflammation | ||||||||
| programs | ||||||||
| $640M up-front Phase 1 |
9 10 |
Sanofi Ultragenyx |
Regeneron Arcturus |
$1,665 $1,570 |
$640 $10 |
PD-1 inhibitor and other new immuno-0ncology antibodies, with an option Arcturus and Ultragenyx to discover and develop |
Phase I Discovery |
Cancer Diversified |
| mRNA therapeutics using UNA Oligomer chemistry | ||||||||
| and LUNAR nanoparticle delivery platform |
==> picture [90 x 16] intentionally omitted <==
18
What Could an IMU Deal Look Like? Top
20
Licenses
with
Upfront
Payments
$50m
| Licensee | Licensor | Upfront($M) | Equity($M) | Stage | Rx Area |
|---|---|---|---|---|---|
| Sanofi | Regeneron | $640 | Phase I | Cancer | |
| Celgene | Med Immune / AZ | $450 | Phase III | Cancer | |
| Sanofi | Hanmi | $445 | Reformulation | Endo/Meta | |
| Bristol-Myers Squibb | Five Prime | $350 | Phase I | Diversified | |
| Astellas | lmmunomic | $300 | Discovery | Al/lnflam | |
| Gilead | Galapagos | $300 | $425 | Phase II | Al/lnflam |
| Sanofi | Lexicon | $300 | Phase III | Endo/Meta | |
| Medlmmune / AZ. | Innate | $250 | Phase II | Cancer | |
| Allergan | Merck | $250 | Phase II | Neurology | |
| Novartis | Aduro | $200 | $25 | Preclinical | Cancer |
| Celgene | Juno | $150 | $850 | Phase II | Diversified |
| Celgene | Nurix | $150 | Discovery | Diversified | |
| MerckKGaA | lntrexon | $115 | Discovery | Cancer | |
| Celgene | Lycera | $105 | Phase I | Cancer | |
| Janssen | Hanmi | $105 | Phase I | Endo/Meta | |
| Bayer | lonis (fka ISIS) | $100 | Phase II | Cardiovascular | |
| DiaVax | Cityof Hope | $100 | Phase I | Viral Infection | |
| Bayer | lonis (fka ISIS) | $100 | Phase II | Hematologic | |
| Merck | NGM | $914 | $106 | Preclinical | Endo/Meta |
| Vertex | Parion | $80 | Phase II | PuIm/Resp |
==> picture [90 x 16] intentionally omitted <==
Highlights
indicate
Phase
I
Licensing Source:
Thomson
Reuters
11
Jan
16,
“Life
Sciences
Dealmaking 2015”
19
Valuation and Licensing Deals in Immuno-Oncology
| Valuation of Companies Licensing Deals Company Valuation (USDm) Development Stage of lead drug Agios Pharmaceuticals, Inc. $1.829 Phase 3 Karyopharm Therapeutics, Inc. $288 Phase 2 Dicerna Pharmaceuticals, Inc. $68 Phase I Immune Design Corp. $167 Phase 2 Heat Biologics, Inc. $14 Phase 2 Loxo Oncology, Inc. $514 Phase I Epizyme, Inc. $597 Phase 2 Kite Pharma, Inc. $2,609 Phase 1/2 Idera Pharmaceuticals, Inc. $185 Phase 1/2 Ignyta, Inc. $213 Phase 1/2 Inovio Pharmaceuticals, Inc. $716 Phase 2 Five Prime Therapeutics, Inc. $1.150 Phase I OncoMed Pharmaceuticals,Inc. $387 Phase 2 Mean $672 |
|
|---|---|
| Licensing Deals | Licensing Deals |
| Licensing Deals | Upfront (includes equity& cash)USDm |
Milestone payments (USDm) |
Upfront Payment as % ofTotal |
Total deal size |
|---|---|---|---|---|
| High | 999.8 |
1835 | 100% |
2,012.3 |
| Mean | 87.6 | 433 | 22.9% | 514.6 |
| Median | 35.0 | 309 | 10.3% | 363.5 |
| Low | 1.0 | 0 | 0.7% | 1.0 |
The average total deal size is $514.6m, and the median deal size is $363.5m
==> picture [200 x 24] intentionally omitted <==
==> picture [90 x 16] intentionally omitted <==
20
Sample News Flow in the next 12 Months
==> picture [208 x 152] intentionally omitted <==
-
ü Patent
filings
on
mimotopes (2H,
2016) -
ü Patients
dosed
in
the
Phase
1b/2
trial
in
gastric cancer
(1H,
2017) -
ü Recruitment
progress
and
interim
Phase
1b/2
data (1H,
2017)
==> picture [224 x 158] intentionally omitted <==
ü First
mimotope drug
candidate
identified
(1H, 2017)
ü Preclinical in
vivo/vitro results
(2H,
2017) ü Final
Phase
1b/2
trial
readout
(2H,
2017)
HER-‐Vaxx mimotope
==> picture [90 x 16] intentionally omitted <==
21
IMU broadens pipeline with acquisition from Baker IDI
==> picture [324 x 115] intentionally omitted <==
ü Exclusive
agreement
with
Baker
IDI
ü Oncology
rights
to
develop
a
portfolio
of
small
molecule
arginine modulators
for
cancer
treatment
ü Arginine
is
a
critical
amino
acid
for
the
health
of
cancer
fighting
T-‐cells
and depletion
of
it
limits
the
effectiveness
of
T-‐cells
to
fight
tumors ü Baker
IDI
compounds
increase
the
availability
of
arginine
in
the
cellular environment
ü Minimal
cost
and
resources
required
for
POC
in
2017
ü New
patent
filed
to
protect
compounds
in
the
field
of
cancer
and
immuno-‐ oncology,
including
combination
with
checkpoint
inhibitors
==> picture [90 x 16] intentionally omitted <==
22
A Team with Track Record in Drug Development
==> picture [72 x 72] intentionally omitted <==
==> picture [72 x 72] intentionally omitted <==
==> picture [72 x 72] intentionally omitted <==
**Leslie
Chong**
_Chief
Executive
Officer_
-
Over
19
years
of
oncology
experience
in
Phase -
I
-‐ III
of
clinical
program
development -
Leadership
role
involvement
in
2
marketed -
oncology
products -
Previously
Senior
Clinical
Program
Lead
at Genentech,
Inc.,
in
San
Francisco
**Dr Axel
Hoos**
_Non-‐Executive
Director_
-
Currently
Vice
President
Oncology
R&D
at GlaxoSmithKline -
Previously
Clinical
Lead
on
Ipilumimab at -
Bristol-‐Myers
Squibb -
Co-‐Director
of
the
think-‐tank
Cancer Immunotherapy
Consortium; Imugene is
his only
Board
seat
worldwide
**Paul
Hopper**
_Executive
Chairman_
-
International
&
ASX
biotech
capital
markets
experience particularly
in
immuno-‐oncology &
vaccines -
Chairman
of
Viralytics,
Director
of
Prescient, -
Founder
of
Polynoma LLC,
former
Director
pSivida, Somnomed &
Fibrocell Science -
Head
of
Life
Sciences
Desk
&
Australia
Desk
at
Los Angeles-‐based
investment
bank,
Cappello Group
==> picture [72 x 72] intentionally omitted <==
==> picture [72 x 72] intentionally omitted <==
==> picture [72 x 72] intentionally omitted <==
Prof
Ursula
Wiedermann Chief
Scientific
Officer
-
Co-‐inventor
of
Her-‐Vaxx;
inventor
of -
mimotope platform
technology -
Professor
of
Vaccinology at
Medical
University of
Vienna
**Dr Nick
Ede**
Chief
Technology
Officer
-
Over
25
years
peptide
vaccine
and
drug development -
Former
CTO
Consegna,
CEO
Adistem Ltd,
CEO Mimotopes P/L,
COO
EQiTX Ltd
(ZingoTX & VacTX) -
VP
Chemistry
Chiron
(now
Novartis),
Research Fellow
CRC
Vaccine
Technology
**Dr Anthony
Good**
_Clinical
Program
Manager_
-
Over
15 years
oncology
&
immunology experience
in
global clinical development programs.
Integral
to
the development
of
significant
new
medicines including
Viagra,
Revatio,
Lipitor, Selzentry and
Somavert. -
Ex Pfizer
Global
Research
and
Development, Covance
Clinical
and
Periapproval Services and
Western
Sydney
University
==> picture [90 x 16] intentionally omitted <==
23
Business Strategy and Partnering Opportunities
2017 2017-‐2018
2017-‐2018?
==> picture [184 x 83] intentionally omitted <==
----- Start of picture text -----
Phase
1b
Gastric
Study
----- End of picture text -----
==> picture [136 x 84] intentionally omitted <==
----- Start of picture text -----
Big
Pharma?
----- End of picture text -----
License
/Partner
==> picture [90 x 16] intentionally omitted <==
24
Our Stock
ASX:IMU, ISIN: AU000000IMU9
| Market Cap | $32.5M AUD, $23.5M USD |
|---|---|
| (22/Dec/16) | |
| Ordinary Shares 12 month price range |
2.17 billion 0.7 cents – 2.1 cents AUD |
| Avg daily volume | 10.5M shares (last three months) |
| Investment to Date | ~$12.2 m |
| Cash & Equivalents | $3.82M as of 22/Dec/2016 |
Options on issue (as at Dec. 2016)
| No of options | Exercise Price | Expiry | |
|---|---|---|---|
| Listed (IMUO) | 371,166,262 | $0.015 | 31-Mar-17 |
| Unlisted | 49,000,000 | $0.0173* | 30-Oct-17* |
| TOTAL | 420,166,262 | $0.0155* | 18-May-17* |
Substantial holders (as at Dec. 2016)
| No. of Shares | % Capital | |
|---|---|---|
| Platinum Asset | 213,846,553 | 9.88% |
| Management | ||
| Webinvest Pty Ltd | 101,000,000 | 4.66% |
| National Nominees Limited |
66,424,732 | 3.07% |
| Tisia Nominees | 65,666,666 | 2.39% |
| Sarah Cameron | 51,817,073 | 1.39% |
- Average
==> picture [90 x 16] intentionally omitted <==
25
IMU’s Value Proposition
- ü Promising
science
with
impeccable
provenance in
the
hottest
area
of
cancer
today
– immuno oncology
==> picture [206 x 111] intentionally omitted <==
- ü Broad
Pipeline:
HER-‐Vaxx &
Mimotopes
ü Breast
Cancer
clinical
trial
complete
&
on
the
cusp
of recruitment
on
our
second
Phase
1b/2
clinical
trial
in gastric
cancer
-
ü Tight
share
register
with
leading
Fund
Manager, Platinum
Asset
Management -
ü Frequent,
rich,
quality
news
flow
ahead -
ü Axel
Hoos Sr.
VP
of
immuno – oncology
at
GSK,
plus team
with
successful
track
record
in
drug development -
ü Low
market
cap
-‐ undervalued
against
ASX
peers
==> picture [90 x 16] intentionally omitted <==
26
Contact
Leslie
Chong Chief
Executive
Officer [email protected] +61
458
040
433
==> picture [227 x 41] intentionally omitted <==
ASX:IMU
27
Appendix
==> picture [90 x 16] intentionally omitted <==
28
Imugene Science Advisory Board
Christoph Zieliniski
MD
-
Director, Clinical Division of Oncology and Chairman, Department of Medicine at Medical University Vienna, Austria.
-
Coordinator of the Comprehensive Cancer Center at Medical University Vienna and the General Hospital in Vienna, Austria.
-
President, Central European Cooperative Oncology Group (CECOG).
Ursula Wiedermann
MD, PhD
-
Chief Science Officer
-
Professor of Vaccinology and Head of the Institute of Specific Prophylaxis and Tropical Medicine of the Medical University Vienna.
-
Speaker of the newly founded Centre for Geographic Medicine at the Medical University Vienna
Neil Segal
MD, PhD
-
Oncologist at the Memorial Sloan Kettering Cancer Center.
-
He holds a Doctorate of Medicine and Philosophy from University of the Witwatersrand in South Africa.
Yelena Janjigian
MD
-
Medical
oncologist
at
the
Memorial
Sloan
Kettering
Cancer -
Specializes
in
the
treatment
of
malignancies
of
the
gastrointestinal
tract, including
esophagus
and
stomach
cancers.
==> picture [90 x 16] intentionally omitted <==
29
Phase Ia Study Design*
Administration & Readout Schedule
==> picture [390 x 166] intentionally omitted <==
----- Start of picture text -----
D0 D28 D56 D84
----- End of picture text -----
==> picture [17 x 61] intentionally omitted <==
==> picture [56 x 64] intentionally omitted <==
Blood draw
Vaccination with 10μg of each peptide antigen
**Patient
inclusion criteria**
-
Metastatic breast cancer
-
HER2
+,
++ -
ER/PR
pos. -
Life
expectance >
4
mo
**Primary
endpoint**
- Safety &
Tolerability
Secondary endpoint
-
Immunogenicity
-
Specific antibodies
-
Cellular responses
-
Breast
Cancer
Res
Treat.
2010
Feb;119(3):673-‐83.
==> picture [90 x 16] intentionally omitted <==
30
Patient Characteristics – Ages 55-84 *
| Patient ID | Age | Metas. disease since | Prior chemotherapy | Current antihormonal therapy |
|---|---|---|---|---|
| 1 | 55 | Oct. 2006 | no | Anastrozol |
| 2 | 66 | May 2004 | yes (1 adj) | Fulvestrant |
| 3 | 84 | Mar. 1999 | no | Anastrozol |
| 4 | 79 | Sept. 2003 | no | Anastrozol |
| 5 | 67 | Apr. 2004 | no | Fulvestrant |
| 6 | 69 | Sept. 2004 | no | Anastrozol |
| 7 | 60 | Aug. 2002 | yes (3 met) | Fulvestrant |
| 8 | 76 | Apr. 1999 | no | Fulvestrant |
| 9 | 63 | Jun. 2006 | yes (1 met) | Exemestan |
| 10 | 70 | Apr. 2008 | No | Anastrozol |
==> picture [90 x 16] intentionally omitted <==
- Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
31
Safety and Tolerability – Few Grade 1 Local Reactions, None Systemic*
| Patient ID | Local vaccination reaction grade | Systemic grade | 3/4 | toxicity |
|---|---|---|---|---|
| 1 | 1 | no | ||
| 2 | 0 | no | ||
| 3 | 0 | no | ||
| 4 | 1 | no | ||
| 5 | 1 | no | ||
| 6 | 0 | no | ||
| 7 | 0 | no | ||
| 8 | 0 | no | ||
| 9 | 1 | no | ||
| 10 | 0 | no |
- Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
==> picture [90 x 16] intentionally omitted <==
32
Phase 1 Secondary Endpoint – Immunologic Responses
Cellular responses show Th2 profile
==> picture [524 x 266] intentionally omitted <==
----- Start of picture text -----
80 3
70
60 1 2 3 4
2
50
40 185 kDa
30 1
20
10
0 0
pre- post- pre- post- pre- post- kappa IgG lambda IgG
P4 P6 P7
140 P<0.05 800 800
120 700 700
600 600
100
500 500
80
400 400
60
300 300
40 200 200
20 100 100
0 0 0
pre- post- pre- post- pre- post-
eptide ab titer
p
H er-2/neu ab titer increase
pg/ml pg/ml
α γ
IL-2 pg/ml TNF- IFN-
----- End of picture text -----
-
8/ ~~10 developed significant anti-p~~ ep ~~tide antibody levels~~
-
In
all
but
one
the
antibodies
were
also
directed
against
Her-‐2/neu -
The
majority
also
showed
a
4-‐fold
increase
in
influenza
titres (HI) -
Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
==> picture [90 x 16] intentionally omitted <==
33
Reduction in Regulatory T Cells*
==> picture [567 x 289] intentionally omitted <==
----- Start of picture text -----
pre-vaccination post-vaccination
p=0.033 Data.026
10.0 p=0.007 60.841.06 29.788.32 65.780.86 25.797.58
7.5 Pat 01
5.0
1 0 [0] 10 [1] 10 [2] 10 [3] 10 [4] 10 [0] 10 [1] 10 [2] 10 [3] 10 [4]
10 [0] 10 [1] CD25 PE10 [2] 10 [3] 10 [4]
2.5
2.29 6.21 1.31 4.36
64.26 27.24 73.22 21.10
0.0
pre- post- pre- post- Pat 02
patients normal donors
10 [0] 10 [1] 10 [2] 10 [3] 10 [4] 10 [0] 10 [1] 10 [2] 10 [3] 10 [4]
0.77 2.51 0.94 2.12
• 87.16 9.56 88.74 8.20
Significantly
higher
number
of
Normal
CD4+Foxp3+
regulatory
T
cells
in
tumour patients
than
healthy
controls donor
•
Vaccination
significantly
reduced
T
reg CD4+CD25+
cells
in
both
groups
p
CD4+Foxp3+
%CD4+CD25+Foxp3+
----- End of picture text -----
-
Vaccination
significantly
reduced
T
reg cells
in
both
groups -
Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
==> picture [90 x 16] intentionally omitted <==
34
Excellent Immunogenicity, even at low dose, and in Patients ages up to 84 years, with no Cardiotoxicity
Antibody and cellular responses in human
| Pat. 1 2 3 |
# | Peptide- specific ab P4, P6, P7 ↑ ↑↑ ↑ ↑ ↑ ↑ ↑ ↑ |
HER2- specific ab ↑ ↑ ↑ (+/-) |
Infl. HIT - ↑ - |
IL-2, IFNγ, TNF - - - ↑ ↑ ↑ ↑ - - |
T reg ↓ ↓ ↓ |
|---|---|---|---|---|---|---|
| 4 5 |
↑ ↑ ↑ ↑ ↑ ↑ |
↑ ↑ |
↑ ↑ |
- ↑ ↑ ↑ ↑ ↑ |
↓ ↓ |
|
| 6 7 8 9 10 |
- - - ↑ ↑ ↑ ↑ ↑ ↑ ↑ +/- +/- - - - |
- ↑ ↑ (+/-) ↑ - |
- ↑ ↑ ↑ - |
↓ ↓ ↓ - - - ↑ ↑ - ↑ ↑ ↑ +/- ↓ +/- |
↓ ↓ ↑ ↓ ↓ |
-
Strong
immunogenicity
in
8/10 patients
in
Phase
1
study
with 10
μg of peptide antigen -
Good
correlation
with
cellular responses
(cytokines) -
Safe
and
well
tolerated,
in particular
no
cardiotoxicity -
Protective
efficacy
of
peptides demonstrated
in
preclinical tumor
model
in
mice
showing delay
of
onset
and
reduced tumor
growth
HER-Vaxx breast cancer vaccine – Phase 1 trial 10 μg group
- Breast
Cancer
Res
Treat.
2010
Feb;119(3):673-‐83.
==> picture [90 x 16] intentionally omitted <==
35
Tumor Growth Inhibition in vivo *
Time to disease progression
Days after randomization
Preclinical study with tetanus toxoid–conjugated peptide antigens
d
65 d
170 d
235
-
Prolonged
time
to disease
progression -
Immunization of c-‐neu transgenic mice (recognized HER2
cancer model)
with tetanus toxoid-‐conjugated peptides P4,
P6
and P7 -
Vaccinated animals show significant delay in
tumor onset and reduced growth kinetics -
Co-‐administration
of IL-‐12 further improves the vaccine performance -
Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
==> picture [90 x 16] intentionally omitted <==
36
No toxicity, in Particular No Cardiotoxicity
Rat cardiomyocytes
==> picture [348 x 240] intentionally omitted <==
-
Repeat
dose
toxicity
study
with TT-‐conjugated
peptides
in
mice -
Repeat
dose
toxicity
study
with HER-‐Vaxx
in
rats -
Local
tolerability
&
immuno-‐ genicity
study
with
HER-‐Vaxx
in rabbits -
In
vitro
toxicity
study
with purified
serum
from
immunized animals
on
rat
cardiomyocytes
In vitro toxicity study on rat cardiomyocytes
- Breast Cancer Res Treat. 2010 Feb;;119(3):673-83.
==> picture [90 x 16] intentionally omitted <==
37
Contact
Leslie
Chong Chief
Executive
Officer [email protected] +61
458
040
433
==> picture [227 x 41] intentionally omitted <==
ASX:IMU
38