targeted immunotherapies to treat cancer … · to treat cancer and infectious diseases ... global...
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TARGETED IMMUNOTHERAPIES
TO TREAT CANCER
AND INFECTIOUS DISEASES
Corporate strategy & portfolio presentation
July 2016
Safe Harbor Statement
This presentation contains forward-looking statements, which are subject to numerous risks anduncertainties, which could cause actual results to differ materially from those anticipated. There can be noguarantee that (i) the results of the Phase 2b part of the TIME trial will be predictive of future results withTG4010, (ii) regulatory authorities will agree with the Company’s further development plans for TG4010, or(iii) the Company will find a development and commercialization partner for TG4010 in a timely manner andon satisfactory terms and conditions, if at all. The occurrence of any of these risks could have a significantnegative outcome for the Company’s activities, perspectives, financial situation, results and development.The Company’s ability to commercialize its products depends on but is not limited to the following factors:positive pre-clinical data may not be predictive of human clinical results, the success of clinical studies, theability to obtain financing and/or partnerships for product development and commercialization, andmarketing approval by government regulatory authorities.
For a discussion of risks and uncertainties which could cause the Company's actual results, financialcondition, performance or achievements to differ from those contained in the forward-looking statements,please refer to the Risk Factors (“Facteurs de Risque") section of the Document de Référence, available onthe AMF website (http://www.amf-france.org) or on Transgene’s website (www.transgene.fr). Forward-looking statements speak only as of the date on which they are made and Transgene undertakes noobligation to update these forward-looking statements, even if new information becomes available in thefuture.
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Company Snapshot
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Phase 3 Biopharmaceutical Company Focused on the Development of Active Viral Immunotherapy Products for the Treatment of Cancer and Infectious Diseases
Immuno-engineering of viral vectors• Flexibility and adaptability of our innovative platforms
• Opportunities: combinations with traditional and novel (immune checkpoint inhibitors) therapies
Diversified and advanced
PIPELINE
Committed to create VALUE
Oncolytic immunotherapy (Pexa-Vec)• Phase 3 trial initiated in Jan 2016 in HCCImmunotherapeutic vaccine (TG4010)• Phase 3-ready in NSCLC • Phase 2b data published in Lancet Oncology in Dec 2015Additional combination trials and clinical projects• Data expected in 2017
Support and stability provided by reference shareholder, Institut Mérieux
Partnering / collaboration opportunities
Strong expertisefrom RESEARCH
to CLINIC
Strengthened* Management Team Solid Experience in Biopharmaceutical Industry
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Philippe Archinard, PhDChairman and Chief Executive Officer
Eric Quéméneur, PhDExecutive VP and Chief Scientific Officer
Christophe Ancel, PharmDVP Quality and Qualified Person
Maud Brandely*, MD, PhDChief Medical Officer
Jean-Philippe DelVP Finance
Thibaut du Fayet, MBAVP Marketing, Alliance and Project Mgt
John Felitti*, JD, MBAGeneral Counsel and VP Legal
Hemanshu Shah, PhD, MBAVP Corporate Development and Medical Affairs
Engineered for multiple applications
in Oncology & Infectious Diseases
THERAPEUTIC VACCINES (TV)
Expression of tumor or viral antigens to stimulate a specific immune response
ONCOLYTIC VIRUSES (OV)
Selective replication in tumor cells and cell lysis, with boosting of immune responseTargeted delivery of therapeutic payloads
MVA ADENO ONCOLYTIC VV
3 safe and versatile viral platforms
Transgene's Proprietary Technology has Generated Clinical Products Strong Competitive Position in Immunotherapy
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TG4010 Pexa-Vec*
*in-licensed from SillaJen
TG6002TG1050 TG4001
Activate immune response and deliver functional molecules / therapeutic payload into the tumor environment
• Demonstrated safety and tolerability (700 patients treated)
• Potential synergies with existing and future SOC: chemotherapies, radiotherapies, ICIs, antivirals, etc.
Transgene’s Products are Excellent Candidates for Combinationwith Immune Checkpoint Inhibitors (ICIs)
6*Chen and Mellman – Immunity July 2013
Active Immunotherapeutics (Vaccines and oncolytics)
ICIsActive immunotherapeutics
Therapeutic vaccines
Oncolytics
• TG4010 Phase 3 ready, in combination with chemotherapy
• TG4010 Preparing Phase 2 trials in combination with ICIs in NSCLC
• Pexa-Vec Phase 3 on going and preparing Phase 2 trials in combination with ICIs in HCC and other solid tumors
• TG6002 Planning first-in-humans trial in solid tumors
• TG1050 Completing ongoing first-in-humans Phase 1 trial
• TG4001 Planning Phase 2 trials in combination with ICI
On-going Activities
Diversified Immunotherapy Development PipelineKey Programs with a Focus on Combination Trials
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Product IndicationsPre-
clinical
Clinical Phase
1 2 3
ONCOLOGY
TG4010(MVA-MUC1-IL2)
Non-small cell lung cancer
Pexa-Vec(VV-TK-GM-CSF)
HepatocellularcarcinomaOther solidtumors
TG6002(VV-TK-RR-FCU1) Solid tumors
INFECTIOUS DISEASES
TG1050(Ad5-HBV)
Chronic hepatitis B
TG4001(MVA-HPV-IL2)
HPV induced cancer
+ chemotherapy
+ ICI
+ ICI
+ sorafenib
+ antiviral
+ ICI
Targeted active immunotherapy to treat MUC1-expressing solid tumors
TG4010 Cancer Immunotherapy:Phase 3 Ready in Non-small Cell Lung Cancer
• Promising Phase 2b:
Progression-free survival (PFS)
Overall survival (OS)
Response rate
• Plans for additional trials advancing
• Mechanism of action and safety profile = flexibility for combination with other therapies
• Multiple drivers of exclusivity into late 2020s, early 2030s
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MUC 1: tumor associated antigen (TAA)Most relevant TAA
Modified Vaccinia Virus (MVA) Non propagative virus: immunogenic vector
Injection site expressed:Cytokine stimulating T-cell response
* GlobalData, NSCLC Forecast & Market Analysis, 2013
• Target:
MUC1 positive tumors
• Indication: Non-small cell lung cancer (NSCLC) = large unmet medical need, large market opportunity
Global NSCLC therapeutics market $5.7 billion in 2012 and projected to reach $7.5 billion by 2022*
TG4010Proof of concept demonstrated in NSCLC(in combination with chemotherapy)
TG4010 Historical Clinical Development Plan
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Test TG4010 combi with chemo Feasibility, safety, and
efficacy signal
Confirmed efficacy signalIdentification of TrPAL, a potential
biomarker of TG4010 efficacy
Pivotal phase 2B/3 study Confirmation of activity in
patients with low TrPAL in phase 2B part
TG4010.05
TG4010.14
TG4010.09
09
05
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3 CONSECUTIVE TRIALS IN COMBINATION WITH FIRST LINE CHEMOTHERAPY: 245 NSCLC PATIENTS TREATED WITH TG4010 (435 ENROLLED)
TG4010MoA TrPAL BIOMARKER: 75% of population
• Biologically defined subpopulation of immune cells: activated NK and NKT cells
• Characterized by retrospective analysis in the TG4010.09 study
• Responding patients with non-elevated TrPal levels: 75% of population
• Finding reproduced prospectively in the TG4010.14 study
• Correlates with established markers of systemic inflammation (LDH, CRP) but superior in predicting outcome in vaccinated patients
• Technically based on a widely available technology (flow cytometry)
• Minimally invasive (blood based), short turn-around time
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TrPAL BIOMARKER: % OF LYMPHOCYTES CLASSIFIED AS CD16+/CD56+/CD69+ BY A REAL-TIME AND MINIMALLY INVASIVE ASSAY
TG4010: Phase 2b Portion of Phase 2b/3 TIME TrialRandomized, Double-blind, Multi-center Trial
• Primary endpoint: PFS (to prospectively confirm TrPAL biomarker)• Secondary endpoints:
Overall Survival Overall Response Rate Duration of response Safety
1. TrPAL=triple positive activated lymphocytes: CD16+CD56+CD69+ cells at baseline2. TG4010/placebo administered subcutaneously on Day 1 of 1st cycle, then weekly for 6 weeks, then once every 3 weeks
until progression/discontinuation3. 21-day cycle; 4-6 cycles; type of chemotherapy (with or without bevacizumab) depends on tumor histology and
physician choice
222 Stage IV NSCLC patients• PS 0,1• MUC1+• No prior
chemo
TG4010 (108 pfu)2
+ chemotherapy3
placebo2
+ chemotherapy3
RANDOMIZED
NON
PD
Maintenancetherapy
(pemetrexed or erlotinib or
bevacizumab) + TG4010 or placebo
normalTrPAL1
(170)
highTrPAL1
(52)
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TG4010: Phase 2b TIME Trial ResultsResponse Rate and Duration of Response
12Quoix, E. et al. Results of the phase IIb part of TIME study evaluating TG4010 immunotherapy in stage IV non-small cell lung cancer (NSCLC)patients receiving first line chemotherapy. ASCO Annual Meeting2015
TG4010 Placebo
Non-squamous, low TrPAL (n)
ORR
Median duration of response (wks)
61
39.3%
43.1
66
30.3%
18.1
TG4010: Phase 2b TIME Trial ResultsForest Plot for PFS & OS
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PFS (Progression-free Survival) OS (Overall Survival)
TG4010: Phase 2b TIME Trial Results Target Population for Phase 3: Non-squamous, Low TrPAL
Quoix, E. et al. TG4010 Immunotherapy plus Chemotherapy as First Line Treatment of Advanced NSCLC: Phase 2b Results. 16th Wo rldConference on Lung Cancer. September 2015.
40%
19%
30%
12%
Presentation Number: Presentation Title – Presenting Author
PFS (months) OS (months)
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TG4010 Phase 2b TIME Trial
Key Findings Significant improvements in PFS and OS Improved response rate and longer duration of response Even greater efficacy in patients with low levels of TrPAL cells at baseline
→ potential biomarker Activity in patients having <5% of tumor cells expressing PD-L1
→ supports rationale for combining TG4010 with PD-1/PD-L1 checkpoint inhibitors Patients displaying anti-Muc1 CD8+ lymphocytes exhibit extended survival Excellent safety profile
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Data published in The Lancet Oncology in
December 2015
MANY PUBLICATIONS IN HIGH IMPACT FACTOR SPECIALIZED JOURNALS BETWEEN 2011 AND 2015
TG4010 Development PlanKey Next Steps
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Initiate exploratory Phase 2 trials in NSCLC in combination with ICIs
TG4010 + ICI + chemo1st lineNSCLC
TG4010 + nivolumab2nd lineNSCLC
Preparations underway
First combination trial expected to start early H2 2016
• Collaborations with major cancer centers in Europe and US
• Initiation not subject to partnering
Preliminary results expected in 2017
• Phase 3 in first-line HCC underway, SPA with FDA
• 1s t patient enrolled
• HCC*: 780,000 new cases and 745,000 deaths worldwide EU 28: 54,000 new patients and 51,000 deaths
USA: 33,000 new patients and 26,000 deaths
• Severe disease with late stage diagnosis
• Transgene owns development and commercialization rights in Europe
• Exploratory combination trials underway, with additional studies planned
Pexa-Vec Oncolytic Immunotherapy:Phase 3 Trial for Advanced Liver Cancer Initiated
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3 pronged complementary mechanisms of action
Global HCC market expected to grow to over $950 million by 2018**
* 2015 forecast, Globocan2012** GlobalData, Liver Cancer Report, 2010
Oncolytic immunotherapy to treat solid tumorsIn-licensed from SillaJen
Pexa-Vec
Deletion in the thymidine kinase gene Enhance replication selectivity and safety
Kirn DH, et al. Nature Reviews, Cancer. 2009
Lead indication: hepatocellular carcinoma (HCC)
Cancer cell oncolysis
Tumor vascular shutdown
Active immunotherapy (virus spreads to neighbors)
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1
2
3
Vaccinia Virus
Expression of GM-CSF
Trigger immune response
Pexa-Vec: Key Phase 2 Clinical Trial ResultsClinical Activity Demonstrated in Multiple Trials
• 30-patient dose-finding Phase 2 trial in HCC (80% of patients first-line)
Proof of concept for MOA: active immunotherapy
OS results - high dose versus low dose
► Median OS: 14.1 (high dose) vs. 6.7 months (low dose)
► Hazard Ratio = 0.39
► p = 0.020
Nature Medicine, Volume 19, Issue 2, February 2013
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More than 10 trials with >300 patients treated with Pexa-Vec in variety of tumor types, including liver, colorectal and kidney
Pexa-Vec: Development Plan
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Phase 3 trial (PHOCUS) in first-line HCC initiated under SPA with FDA
• Pexa-Vec + sorafenib versus sorafenib
• First patient enrolled in January 2016
• Target enrollment: ~600 patients in Europe, North America and Asia
• Orphan drug designation granted
• Development partnership with SillaJen
Two exploratory trials initiated by Transgene in 2015
• Trial in breast cancer and soft tissue sarcoma in combination with cyclophosphamide (funded by INCa and sponsored by Bergonié Institute)
• Neo-adjuvant study in cancer patients to further validate Pexa-Vec mechanism of action (sponsored by University of Leeds)
Additional exploratory combination trials with ICIs planned for 2016
• Pexa-Vec + nivolumab in advanced HCC
• Pexa-Vec + ipilimumab in advanced solid tumors
TG1050: Immunotherapeutic to Treat Chronic Hepatitis B First-in-humans Trial Underway
International, randomized safety and dose-finding study in patients currently being treated with standard-of-care antiviral therapy (tenofovir or entecavir)
Primary objectives ; evaluate safety and tolerability of TG1050 administered in single and multiple doses and determine dose and schedule of administration for further development
Broad preclinical combination program with new treatment modalities (siRNA, Nucleocapsid inhibitors, …)
Intend to enter into co-development partnership
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Large unmet medical need
> 240 million people have chronic liver infections; >780,000 deaths/yr
Overall cure rate = only ~3% of cases
HBV market >$1.2B for major markets (2013)*; expected to grow significantly
* Datamonitor, Forecast Insight: Hepatitis B, 2010
Solid scientific and preclinical package
Gut. 2014 Nov 26, doi: 10.1136/gutjnl-2014-308041
Hepatology, 2013, (58) S1, 222A–22
First-in-human (Phase 1) trial initiated in 2015 1st safety read-out expected July 2016
Viral vector (adenovirus 5) expressing three HBV antigensTG1050
TG4001 for HPV induced cancers in combination with ICIs
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Active immunotherapy productTG4001Repositioned to address unmet advanced HPV caused cancer, including Head & Neck tumors
Already evaluated in clinic (Phase 2B, n=206)• In patients with high grade cervical intra-epithelial neoplasia
grade 2 or 3 associated with high risk HPV infection
Data represent a strong POC • Complete disease regression rate: 5x superior in HPV16
patients vs placebo• Viral clearance rate: 4x superior vs placebo• TG4001 was well tolerated
One of the very few drugs targeting HPV+ sub-population and combined with ICI
Phase 2 trial to be initiated in combination with ICI
Target population
• Incurable HPV+ solid tumors including Oropharyngeal squamous cell carcinoma & cervical
• Incurable locally advanced and/or metastatic solid tumors with progression after definitive local treatment or in 1s t line chemotherapy
Severe disease, better therapeutic options needed
• Prevalence Europe/US/Japan: ~12k patients (2015)
• 26%* of overall head & neck tumors are HPV+, o/w: 68 %* of oral cavity tumors are HPV16+ 87%* of oropharyngeal tumors are HPV16+ 69%* of laryngeal tumors are HPV16 +
Modified Vaccinia Virus AnkaraNon propagative virus: immunogenic vector
HPV-16
E6 E7
IL-2 Locally co-expressed:T-cell stimulatory cytokine
HPV16 E6 & E7 antigens: tumor associated antigen (TAA)
*source: Kreimer et al. 2005; meta-analysis
TG6002 New Generation of Oncolytic Virus against Solid Tumors
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Armed oncolytic Pox virus (VV) designed to selectively replicate in and destroys cancer cells while leaving normal cells/tissues unharmed
TG6002
First-in-humans trial to be initiated in Q1 2017
• Opportunity to explore TG6002 with 5-FC in a Phase 1 trial on glioblastoma under a INCa grant with Pr J-Y. Delattre (la Pitié Salpétrière)
• Open label, dose escalation, IV administration
• Mainly designed to assess safety
Pre-clinical data in an orthotopic glioblastoma model in mice
U87MG ; TG6002 IV + 5FC
Suicide geneFCU1
Non-toxicprodrug
5-FC
Toxic drug5-FU
Prodrugactivating
enzyme
Cell
death
Bystandereffect
Vaccinia Virus
• Armed with a suicide gene FCU1 which will convert the non-toxic prodrug 5-FC into the cytotoxic compound 5-FU
molecular chemotherapy
• Double deletion of genes to enhance tumor replication-selectivity
viral oncolysis
Research strategyTowards Targeted Multi-functional Viruses
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Transgene has the ability to shift towards “all-in-one“ immunotherapeutics that integrate all the factors of an efficient anti-tumor therapy: selectivity, for the tumor microenvironment, multiplicity of targets and mechanisms
Ab scFv
Cytokine, chemokine
enzyme
Selective replicationin tumor cells (TK-RR-)
Intracellular expression of various transgenes and delivery in the tumor microenvironment
Release of active payloads for bystander and/or abscopal
effects1 2
3
A safe approach: no risk for nuclear integration
UP TO 25 KB INSERTIONUP TO 5 DIFFERENT CASSETTES
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"all-in-one" VV
Tumor cellEngineering recombinant VV: fast, efficient & versatile process
AACR 2016: poster presentation of pre-clinical results with three oncolytic VV, each containing a different form of a PD-1 blockerNovel oncologic platforms being exploredMultiple collaborations around the world
Cell Lysis
FinancialsNew Funding + Reduced Cash Burn
BALANCE SHEETAt March 31, 2016:
Cash and cash equivalents: € 23.5 million
NEW FUNDING
EIB loan: €20 million in 2016
Institut Mérieux committed funding: ~€10 million
To be drawn during 2016
CASH FLOWCash burn for the 12 months ended December 31, 2015: € 34.8 million
Cash burn guidance for 2016: ~€ 35 million
RESTRUCTURINGTotal cost: ~€ 7.5 million (mainly in 2016)
Annual savings forecast: >€ 15 million as of 2016
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Sufficient Cash to Fund Operations through 2017
FINANCIAL STRATEGY~€30 Million in New Funding Secured in January 2016
• €20 million loan obtained from European Investment Bank (EIB)
Part of IDFF (Infectious Disease Finance Facility) program
Five-year loan to be released in two tranches at Company’s request
Principal and interest repayable beginning in fourth year of loan
• ~€10 million in committed funding from Institut Mérieux
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Funding represents support and validation of Transgene strategy and continuation of commitment by reference shareholder
OWNERSHIP STRUCTUREAt end of May 2016
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52%
30%
18%
RetailInvestors
Institutional Investors
Institut Mérieux
38.5 million shares outstanding+ 1.1 million options and free shares
CAC all shares,CAC all-tradable,CAC health care,CAC mid & small,CAC pharma. & bio., CAC small,Next biotech.
Expected 12 months MilestonesPipeline Offers Multiple Partnering/Collaboration Opportunities
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Preliminary results from ongoing and planned clinical trials in H2 2017
TG4010
• Initiate combination trials in NSCLC in combination with ICIs
− With nivolumab in 2nd line NSCLC, in the US
− With ICI in 1st line setting, in Europe
Pexa-Vec
• Initiate Phase 2 trial with nivolumab in first-line HCC
• Initiate Phase 2 trial with ipilimumab in advanced solid tumors
• TG1050: Preliminary safety results from Phase 1 trial
• TG6002: Initiate first-in-humans (Phase 1) trial
• TG4001: Initiate Phase 2 clinical trial with anti-PD1/PDL1
Immunotherapies for cancer and infectious diseases
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400 Boulevard Gonthier d’Andernach - Parc d’Innovation - CS80166 - 67405 Illkirch Graffenstaden Cedex France
Tél.: + 33 (0)3 88 27 91 21 Fax.: + 33 (0)3 88 27 91 11 www.transgene.fr
CONTACT
Lucie Larguier, Director Corporate Communication and Investor Relations