corporate presentation · corporate presentation february 2020 non-confidential. freeline.life 2 a...
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Corporate presentation
February 2020Non-confidential
freeline.life
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A fully integrated next generation modular systemic AAV gene therapy company
• Rationally designed next generation capsid
• Cutting edge proprietary CMC platform (Quality, Scale, COGS)
• Clinical and Commercial GMP supply
Functional cures and broad pipeline enabled by high protein expression
High quality potent liver targeted platform
• Lead program in Hemophilia B completing pivotal dose selection
• Second program in Fabry Disease in the clinic
• Gaucher and Hemophilia A in IND-enabling studies
• Cutting edge research enabling reach outside monogenic diseases
Strong Executive team with depth and breath of expertise
• Spanning from Research to Clinical translation and approvals
• Deep CMC and Manufacturing experience
• Strong financial position with $200 mm raised to date and $65 mm on hand
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AAV8 / Mammal / FIX
Current systemic AAV platforms cannot access high protein levels
Estimated therapeutic levels
Inflammatory disorders and
beyond
LSDs – Fabry, Gaucher,
others
Consistent cures in
HaemophiliaPro
tein
pro
du
ced
(p
mo
l/m
l/h
r)
3
freeline.life
40% activity assumes Padua
Estimates of therapeutic levels for different endogenous proteins are shown
40% FIX activity level
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AAV8 / Mammal / FIX
Estimated therapeutic levels
Inflammatory disorders and
beyond
LSDs – Fabry, Gaucher,
others
Consistent cures in
HaemophiliaPro
tein
pro
du
ced
(p
mo
l/m
l/h
r)
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freeline.life
Freeline’s proprietary AAVS3 capsid delivers next generation performance
4.3%
24.3%
0%
10%
20%
30%
AAV8 AAVS3
% G
FP p
osi
tive
hu
man
cel
lsAAVS3 high tropism for the human liver verified in
preclinical studies
40% activity assumes Padua
Estimates of therapeutic levels for different endogenous proteins are shown
Dane A et al; abstract 2197, ASH 2018
40% FIX activity level
Programme ResearchIND enabling
studiesPhase 1/2 Next Milestone
Patient No(US & EU5)
Worldwide rights
Haemophilia B FLT180a
Dose Selection 9,000
Fabry FLT190 and
FLT191
Results from dose escalation
9,000
GaucherFLT200 and
FLT201CTA/IND 6,000
Haemophilia A FLT210
CTA/IND 38,000
Undisclosed inflammatory
disordersCandidate Selection 50,000 – 200,000
Proprietary pipeline with two programs in the clinic and two more entering within 24 months
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Haemophilia: epidemiology source: World Federation of Hemophilia 2018.
Fabry Disease epidemiology sources: Metchler et al 2012; Spada et al 2016; Fabry Register; Fabry Outcome Survey; Waldek et al 2009; Deegan et al 2006.
Gaucher Disease epidemiology: Nalysnyk et al 2016; Weinreb et al 2008 & 2013; Charrow et al 2000; National Gaucher Foundation; Orphanet; NIH Technology Assessment Panel on Gaucher; Poorthuis1999; Stirnemann et al 2012; Puopetova2010; Mehta et al 2006.
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Management team of experienced leaders in gene therapy, CMC and rare disease development
Freeline Management Team
Chris HollowoodExecutive Chairman
Amit NathwaniFounder and Chief Scientific Adviser
Markus HörerFounder and Chief Technology Officer
Brian SilverChief Financial Officer & Corporate Development
Jan ThirkettleChief Development Officer
Natalia MisciattelliSVP Strategy
Duncan WhitakerVP Intellectual Property
Romuald CorbauSVP Research
Ged ShortSVP Clinical & Regulatory
Julia P Gregory Non-Executive Director Board of Directors
Chris Hollowood Executive Chairman
Amit Nathwani Founder & Chief Scientific Adviser
Martin Andrews Non-Executive Director
Jeffrey Chodakewitz Non-Executive Director
freeline.life
Catapult Manufacturing
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Transatlantic organization with footprint in major biotech centres
United Kingdom
United States
Germany
~180 FTEs covering Research, Clinical Development, Process Development, Analytics and GMP Manufacturing
CMC Development & Analytics LabsMunich, Germany
Germany
Corporate OfficeNew York City, NY
ManufacturingBoston, MA
United States
United KingdomHeadquarters & Research Labs Stevenage Bioscience CatalystStevenage, UK
Catapult Manufacturing & QC LabsStevenage, UK
In Vivo LabsLondon Bioscience Innovation CentreLondon, UK
CMC Development & Analytics Labs
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Headquarters & Research Labs
Clinical programs
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Patients, physicians and payers all want the most effective gene therapy for Haemophilia B
• Confidence in a lifetime cure• No need for ERT top up in
any circumstances
Patient aspiration: Parity with general
population
HCP aspiration: Reduction in disease
burden
• Complete relief of clinical symptoms
Payer aspiration: Improved treatment
at lower cost
• Completely eliminate need for expensive and burdensome ERT
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Our Haemophilia B adaptive design has allowed us to find to the therapeutic window
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Objective: To assess the safety and efficacy of systemic administration of FLT180a in adult patients with severe Haemophilia B
Enrolment criteria: Haemophilia B patients aged >=18 years with FIX activity levels <2%; Lack of neutralising antibodies to AAVS3; >50 exposure days to FIX and no history of inhibitors; Normal liver function; No evidence of active Hepatitis B, C, or HIV infection
Assessments: Safety; FIX activity level (one stage clotting assay); Exogenous FIX concentrate usage; Bleeding frequency
Low
do
se
Mid
do
se
Hig
h d
ose
Adaptive study design: Allowing titrating to target range between 50 – 150 % FIX
Low dose
4.5e11 vg/kg
Mid dose
1.5e12 vg/kg
High dose
3e12 vg/kg
Lower doses
Final Phase 1/2 dose expansion of patients
Initially 2 patients were evaluated in each of 2 cohorts
freeline.life
7.5e11 vg/kg
Lower Mid
9.75e11 vg/kg
Not needed
Prophylactic immunosuppression with Corticosteroids + Tacrolimus Transaminitis Strategy
Haem B Low Dose cohort 1 (4.5e11) patients 1 and 2 have shown stable expression over time at 66 and 74 weeks
Patient 1 (low dose)
0
50
100
150
200
250
300
350
0
10
20
30
40
50
60
70
80
90
100
0 56 112 168 224 280 336 392 448 504 560 616 672
ALT
Fact
or
IX
Days after Infusion
Pt 2 FIX (Central)
Pt 2 ALT
0
50
100
150
200
250
300
350
0
10
20
30
40
50
60
70
80
90
100
0 56 112 168 224 280 336 392 448 504 560 616 672
ALT
Fact
or
IX
Days after Infusion
Pt 1 FIX (Central)
Pt 1 ALT
Patient 2 (low dose)
Patient 1 (low dose)
Steroid Prophylaxis
Steady state mean 40% +/-5.5 for cohort 1
Prophylactic prednisolone from week 6-12, 60 mg tapered
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Confidential
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EAHAD 2020 presentation shows progress towards dose expected to provide patients with full normalization of Factor IX
Immune management : 1. low dose 4.5e11 vg/kg : Prophylactic corticosteroids. 2. mid dose 1.5e12 vg/kg: Prophylactic corticosteroids & Tacrolimus for breakthrough transaminitis. 3. lower dose 7.5e11 vg/kg: Prophylactic corticosteroids & Tacrolimus for breakthrough transaminitis . 4. lower mid 9.75e11 vg/kg: Prophylactic corticosteroids and tacrolimus
Normal range
2540 37.5 43.5
0
50
100
150
200
Wk3 Wk26 Wk52 Wk78
Mean Factor IX Activity1 (%)Weeks – 3, 26, 52 and 78
Mean Factor IX Activity1 (%)Weeks – 3 and 26
130.0
160.0
0
50
100
150
200
Fact
or
IX A
ctiv
ity
(%)
Fact
or
IX A
ctiv
ity
(%)
Wk3 Wk26
1. Low dose- 4.5e11 vg/kg 2. Mid dose - 1.5e12 vg/kg
25.5 32.0
0
50
100
150
200
Wk 3 Wk 26
Mean Factor IX Activity (%)at Weeks 3 and 26
109.0
0
50
100
150
200Mean Factor IX Activity1 (%)
at Week 3 only
Wk 3
3. Lower dose- 7.5e11 vg/kg 4. lower Mid- 9.75e11 vg/kg
Confidential
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• Transaminitis was associated with decreased FIX expression in two patients
• Tacrolimus appears to be effective in controlling transaminitis and subsequent loss of FIX expression
• No evidence of neutralising anti-FIX antibodies
• No evidence of infusion reactions
• Evidence of FIX expression in all 8 patients
treated with FLT180a
• Stable FIX activity levels at ~ 40%
maintained for >18 months in the lowest
dose cohort
• Adaptive trial design used to identify dose
required for normal FIX activity levels with
minimal toxicity
• Current focus is to expand Dose level 4
(9.75e11 vg/kg) to establish safety and
efficacy based on early encouraging data
Safety Efficacy
Results of dose finding trial including immune prophylaxis allows continued enrolment for FLT180a
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Patients, physicians and payers all want the most effective gene therapy for Fabry Disease
Patient aspiration: Freedom from
disease progression
HCP aspiration: Reduction in disease
burden
• Effective treatment of clinical manifestations through high GLA levels
• Opportunity for earlier intervention
• Potential for tolerization
Payer aspiration: Improved treatment
at lower cost
• Completely eliminate need for expensive and burdensome ERT
freeline.life
• Confidence in a lifetime cure
• No need for ERT top up
Fabry Phase 1/2 study MARVEL-1 design allows rapid escalation to the therapeutic dose
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Low dose
0.75e12 vg/kg
Mid dose
1.5e12 vg/kg
High dose
4.5e12 vg/kg
Assessments: Safety and GLA Level Response – 2 week
Initially 1-3 patients per cohortPatients previously treated with ERT
Low
do
se
Mid
do
se
Hig
h d
ose
3 previously ERT untreated patients (PUPs) evaluated
Objective: To assess the safety and efficacy of systemic administration of FLT190 in adult patients
Dose completion with 3 patient from chosen dose
Adaptive Study Design
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FLT190 leads to reversal of kidney and heart disease in GLA KO male mice
WORLD symposia 2019: Jey Jeyakumar et al. Liver-directed gene therapy corrects Fabry disease in mice
FLT190 vector genome pseudo-typed with AAV8 in GLA KO mice; Dose: 2e12 vg/kg. Error bars: mean ± SD
Time point: 16-week disease development prior to treatment; analysis 14 weeks post-treatment. Gb3/Lyso-Gb3 data (n=4, 2 males and 2 females)
Kidney GLA activity Heart GLA activity levels
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Confidential
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Clinical trial for FLT190 is underway and first patient at low dose showed positive signal
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1.2
1.6
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Pla
sma
GLA
(n
mo
l/h
r/m
l)
Days post infusion
• First patient dosed at low dose of vector• Infusion well tolerated
• A sustained 3 to 4-fold increase in plasma αGLA activity achieved by week 4 that has persisted through Week 20
• Two SAEs: transaminitis, myocarditis.
• Further patients to be dosed as part of the dose escalation strategy
Early pipeline
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In vivo FLT200 results in uptake into tissues affected in GD patients
FLT200 has been pseudo-typed with AAV8
N a i v e R C - 0 4 - 2 6
1 06
1 07
1 08
1 09
GC
as
e a
ctiv
ity
(
RF
U)
P = 0 . 0 0 0 1
Serum
12 weeks post-infusion 2x1012vg/kg
FLT200
FLT2
00
Freeline has the only Haem A construct that fits in the 4.7KB capacity of an AAV capsid
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freeline.lifeConfidential
Company A Company B Company C Company D
CMC
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Freeline’s iCellis based manufacturing platform delivers highest quality and potency at competitive cost
Upstream in AAV is
paramount
Purity and Quality at
scale
• Downstream processing (DSP) cannot eliminate unwanted packaged DNA
• iCellis is a commercial platform that allows adherent systems at scale
• Adherent cells have higher cell specific productivity than suspension
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Maximised purity
Freeline’s know-how
adds to quality
• Proprietary split plasmid system drives quality and safety
Rep & helper genes
Cap & expression
cassette
DSP
DSP
Unwanted DNA
1 2
0100200300
Mammalianadherent
Mammaliansuspension
3x
E1A % impurity / vg
Capacity secured for pipeline from tox through commercialisation
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Clinical Supply
Commercial Supply
Analytics & Process
Development
GMP manufacture(iCELLis® 500)
Munich, Germany
Tech
no
logy tran
sfer
Stevenage, UK
Cambridge, MA, US
Seneffe, Belgium
Portsmouth, UK
Toxicology Engineering
Conclusion
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PROGRAM 2021
Haemophilia BFLT180a
Gaucher
FLT200/201
2020 2022
Haemophilia A
FLT210
Fabry Disease
FLT190/191
• B-AMAZE dose selection
• Type B meeting
• ECLIPSE enrolment
• GLP Tox• Process Development
• Dose escalation
• RMAT & PRIME
submissions
• ODD (US& EU)
• GLP Tox• Manufacturing • CTA Submission
• Phase 3 started
• Process validation
• Antibody removal study
• CTA / IND• Phase 1/2 start
• 1 year data
• Regulatory path to
market
• Dose selection
• Phase 1/2 start • Initial results• Dose selection
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EOP2: End of Phase 2
RMAT: Regenerative Medicine Advanced Therapy Designation
• Phase 3 complete
• Dose selection
• Phase 3 started
• Phase 3 started
Within 24 months Freeline will have 4 programs in the clinic
Addressable market
Lowest dose, lowest COGS, broadest market opportunities, largest market sizes
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Freeline’s platform creates value across all key strategic domains
freeline.life
Efficacy Highest safe protein levels
Pipeline Rich set of potential targets to develop 5
Durability Best long term coverage
SafetyLowest dose for necessary expression
=> low level unwanted DNA
Addressable market
Lowest dose, lowest COGS, broadest market opportunities, largest market sizes
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Freeline’s platform creates value across all key strategic domains
freeline.life
Efficacy Highest safe proteins levels
Pipeline Rich set of potential targets to develop 5
Durability Best long term coverage
SafetyLowest dose for necessary expression
=> low level unwanted DNA
Thank you