Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
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FIGHTING CANCER WITH CUTTING EDGE SCIENCE Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR™ Candidates August 2018 www.centurionbiopharma.com NON-CONFIDENTIAL
Centurion BioPharma Highlights Our albumin companion diagnostic (ACDx) is a ground breaking companion diagnostic in the preclinical stage that is being developed to work in conjunction with our albumin binding drug conjugates called LADRTM (linker activated drug release) ACDx enhances the value of our pipeline because it enables a personalized medicine approach in development Personalized medicine: by utilizing ACDx to select the optimal solid tumor patients for treatment, consistent impressive response rates and outcomes can be attained with treatment by LADRTM across solid tumor types (tumor agnostic development) Centurion BioPharma filed US provisional patent application for ACDx in July 2018 FIGHTING CANCER WITH CUTTING EDGE SCIENCE 1
Centurion BioPharma Contents OUR VISION: Personalized Medicine with Solid Tumor-Agnostic Treatment Targeting solid tumors utilizing albumin ACDx (albumin companion diagnostics) introduction ACDx proof of concept LADRTM (linker-activated drug release) mechanism Pre-clinical LADRTM data Pipeline Milestones Management team FIGHTING CANCER WITH CUTTING EDGE SCIENCE 2
Vision and Development Strategies for ACDx + LADRTM OUR VISION: Personalized Medicine with Solid Tumor-Agnostic Treatment Study ACDx and LADRTM to work in conjunction in solid tumors LADRTM has demonstrated broad utility across solid tumor types (lung, breast, ovarian, skin, head & neck) ACDx identifies tumors eligible for treatment with LADRTM By identifying optimal patients with ACDx, LADRTM treatment will consistently deliver impressive response rates and outcomes to a broad group of solid tumor patients Build tumor- Easily train Establish Attain agnostic oncologists treatment blockbuster development on the globally revenue plan technology FIGHTING CANCER WITH CUTTING EDGE SCIENCE 3
LADRTM Targeting Tumors with Albumin as a Drug Carrier 1. Accumulation in tumor tissue due to the EPR effect (enhanced permeability and retention) 2. Prolonged circulatory retention 3. Improved tolerability allows for higher doses Effective tumor targeting using albumin as a drug carrier FIGHTING CANCER WITH CUTTING EDGE SCIENCE 4
Companion Diagnostic: ACDx (albumin companion dx) When positively screened with ACDx, patients will have an very Goal high response rate when treated with LADRTM. ACDx is an imaging test that identifies albumin uptake in tumors. By determining if albumin is in the tumor and how it is What is distributed in the tumor, we can determine if treating with ACDx? LADRTM (an albumin binding drug conjugate) is appropriate. This is personalized medicine that is highly valued by oncologists. Uses Single Photon Emission Computed Tomography (SPECT), commonly used by oncology practices throughout the world. How is ACDx ACDx will be a new product sold in a vial to oncology and used? radiology practices. It can be a reimbursed drug and procedure that will be very attractive to oncology practices. 6
ACDx has potential to transform solid tumor treatment OUR VISION: Personalized Medicine with Solid Tumor-Agnostic Treatment ACDx creates value when working as a companion diagnostic with LADRTM Improve Identify eligible Improve probability of Rationale for Justification for patients for outcome of breakthrough payer premium treatment clinical trials status and reimbursement pricing approval FIGHTING CANCER WITH CUTTING EDGE SCIENCE 7
Molecular Imaging – how ACDx will be developed and utilized Companion Imaging Diagnostic SPECT: Single Photon Emission Computed Tomography Advantages: • Clinically widely used • Straightforward clinical translation • Unlimited penetration depth 8
Preclinical SPECT/CT Imaging with 111In-C4-DTPA Establish methodology in two human tumor xenograft models Tumor type: LXFL 529 (NSCLC) OVXF 899 (ovarian cancer) Study outline: Bilateral implantation TV ~100‒300 mm3 (left and right flank) 4 mice ~40 min ~2 min FIGHTING CANCER WITH CUTTING EDGE SCIENCE 9
ACDx results in tumor-bearing nude mice (LXFL 529) Representative 2D SPECT/CT images of a tumor-bearing nude mouse Visualization and quantification of albumin uptake by tumors FIGHTING CANCER WITH CUTTING EDGE SCIENCE 10
ACDx results in tumor-bearing nude mice (LXFL 529) Representative 3D SPECT/CT image after 72 h Distinct accumulation of albumin in the tumors Kidneys are visible as the organs of elimination FIGHTING CANCER WITH CUTTING EDGE SCIENCE 11
ACDx results in tumor-bearing nude mice (OVFX 899) Representative 2D SPECT/CT images of a tumor-bearing nude mouse FIGHTING CANCER WITH CUTTING EDGE SCIENCE 12
ACDx results in tumor-bearing nude mice (OVFX 899) Representative 3D SPECT/CT image after 72 h Distinct accumulation of albumin in the tumors Kidneys are visible as the organs of elimination FIGHTING CANCER WITH CUTTING EDGE SCIENCE 13
ACDx for Personalized Medicine • Continue development to a first clinical trial so that cancer patients can be identified as prime candidates for albumin-based drug therapy High responding cancer patients to LADRTM treatment Clinical SPECT/CT Imaging 14
LADRTM Platform Overview Goal: accumulate drug in the tumor and minimize systemic toxicity 1 2 3 1. Ultra High Potency 2. Cleavable Linker 3. Targeting Drug Payload • Novel linker keeps the • Ensures rapid and • Payloads are 10-1,000 highly potent drug selective binding to times more potent than payload inactive until the circulating serum albumin standard anti-cancer conjugate reaches the • Serum albumin transports agents tumor the LADR™ drug to the • Similar to those used for • The linker is then cleaved tumor ADCs (auristatins, which activates the maytansinoids) payload FIGHTING CANCER WITH CUTTING EDGE SCIENCE 15
LADR™ Mechanism of Action Cytotoxic Albumin Agent Linker 2 1 Rapid and specific binding to circulating 3 Cytotoxic albumin Agent Linker Drug-linker conjugate is infused Tumor cells 4 Albumin transports drug to the tumor and surrounding microenvironment Linker dissolves in the acidic (low pH) environment and releases the drug payload FIGHTING CANCER WITH CUTTING EDGE SCIENCE 16
Albumin as a Drug Delivery Vehicle Albumin Most abundant protein in human blood plasma Major source of essential amino acids (“fuel″) for cancer cells Localizes at tumor through the Enhanced Permeability and Retention Effect (EPR) effect and macropinocytosis Serves as a transport molecule for metabolites, hormones, and nutrients Long half-life (20 days) FIGHTING CANCER WITH CUTTING EDGE SCIENCE 17
AACR Poster: LADR-7, LADR-8 FIGHTING CANCER WITH CUTTING EDGE SCIENCE 18
AACR Poster: LADR-7, LADR-8 FIGHTING CANCER WITH CUTTING EDGE SCIENCE 19
LADR-7, 8 efficacy and toxicity LADR-7 • NSCLC: CR 100% • Melanoma: CR 79%, PR 14% • Ovarian: CR 36%, PR 50% LADR-8 • NSCLC: CR 30%, PR 0% • Ovarian: CR 53%, PR 13% • Durable responses averaged 60-90 days • Demonstrated statistically significant superiority over the control group and parent compound • Highly effective, even in large tumors starting at 270-380 mm3 • No toxicity findings to prevent from moving forward in IND enabling studies FIGHTING CANCER WITH CUTTING EDGE SCIENCE 20
AACR Poster: LADR-9, LADR-10 FIGHTING CANCER WITH CUTTING EDGE SCIENCE 21
AACR Poster: LADR-9, LADR-10 FIGHTING CANCER WITH CUTTING EDGE SCIENCE 22
LADR-9, 10 efficacy and toxicity • Statistically significant anti-tumor activity of in: • Lung, breast, ovarian, renal cell, head & neck • Durable responses averaged 60-90 days • Demonstrated statistically significant superiority over the control group and parent compound • Highly effective, even in large tumors starting at 350 mm3 • No toxicity findings to prevent from moving forward in IND enabling studies FIGHTING CANCER WITH CUTTING EDGE SCIENCE 23
LADR™ vs. ADCs: targeting, manufacturing and cost of goods LADRTM ADC’s Broad solid tumor targeting Target selection is limited to Very high revenue potential the gene expression Manufacturing simplicity vs. antibodies Small molecule manufacturing Lower costs, less risk Low cost of goods vs. antibodies Better profit margin >30 different targets being Pricing flexibility pursued for solid tumors Br J Cancer. 2016 Feb 16; 114(4): 362–367. FIGHTING CANCER WITH CUTTING EDGE SCIENCE 24
Centurion BioPharma Pipeline Four albumin binding ultra high potency LADR™ candidates ready for IND enabling studies Companion diagnostic – identifies patients to treat LADR™ Albumin Binding Drug Preclinical Phase 1 Phase 2 Conjugates Auristatin Program LADR-7: AE-Keto-Sulf07 LADR-8: AE-Ester-Sulf07 Maytansinoid Program LADR-9: PP072 LADR-10: FN296 Companion Diagnostic – ACDx (albumin companion dx) identifies patients across solid tumor types FIGHTING CANCER WITH CUTTING EDGE SCIENCE 25
Centurion BioPharma Milestones Event Completion Date File one or more LADRTM patent applications Q4 2017 Initiate activities for GMP manufacturing of LADRTM linkers Q4 2017 Nominate one or more candidates for advancement into Q1 2018 IND enabling studies Present preclinical data on LADRTM candidates at AACR ‘18 1H 2018 Begin LADRTM pharma partnering discussions 1H 2018 File patent application for companion diagnostic 3Q 2018 Deal completion date in 2H and close By Dec 31, 2018 Partnership will determine next steps on pre-IND mtg, studies and filing FIGHTING CANCER WITH CUTTING EDGE SCIENCE Represents a completed milestone 26
Experienced Management Team Eric Curtis, CEO and President Felix Kratz, Ph.D., Vice President Drug Discovery Mr. Curtis brings 25 years of life science leadership Dr. Kratz is a medicinal chemist with more than 25 years experience, specializing in oncology and orphan of pertinent experience in the preclinical development of diseases. He was instrumental in the US and global anticancer drugs, prodrugs and protein conjugation development and commercialization of Votrient®, chemistry and profound knowledge of translational Doxil®, Velcade®, Benlysta®, Tykerb® and research from the laboratory to the clinic. He has Adempas®. Prior to joining Centurion, Mr. Curtis successfully transferred aldoxorubicin from bench to served in senior leadership roles as President and COO bedside Dr. Kratz graduated in Chemistry from the of CytRx Corporation, President, U.S. Commercial at University of Heidelberg with Magna Cum Laude. He Aegerion Pharmaceuticals, VP and GM – Rare Disease established the Division of Macromolecular Prodrugs at Business Unit at Bayer Healthcare, VP and global the Tumor Biology Center Freiburg. He has authored commercial leader at GlaxoSmithKline, and roles of approximately 260 scientific publications, book articles increasing responsibility at Centocor/J&J. and proceedings and is the inventor of over 20 patents and patent applications. Anna Warnecke, Ph.D., Sr Director Drug Discovery John Caloz, Interim Chief Financial Officer Dr. Warnecke is a medicinal chemist with more than Mr. Caloz served as Chief Financial Officer of 15 years of relevant experience in the preclinical Occulogix, Inc, a NASDAQ listed, a medical therapy development of oncology prodrugs. Prior to joining company, Chief Financial Officer of IRIS International Centurion, Dr. Warnecke served as the Head of Inc., a Chatsworth, CA based medical device Chemistry in the Division of Macromolecular manufacturer. He served as Chief Financial Officer of Prodrugs, Tumor Biology Center. Dr. Warnecke San Francisco-based Synarc, Inc., a medical imaging completed her Ph.D. at the Department of company, and SVP, Finance and Chief Financial Macromolecular Chemistry, University of Freiburg, Officer of Phoenix International Life Sciences Inc. with a thesis entitled “Maleimide-functionalized Water-Soluble Derivatives of Clinically Established Anticancer Drugs.” 27
Summary Centurion BioPharma is a private oncology company focused on transformational oncology treatment Our vision for ACDx and LADRTM is a personalized medicine, solid tumor agnostic development plan LADRTM and the ACDx companion diagnostic represent significant pipeline value Highly experienced leadership team Novel LADRTM technology platform has applicability in oncology and potentially other disease states Goal – a Centurion BioPharma major strategic alliance to be closed by end of 2018 FIGHTING CANCER WITH 28 CUTTING EDGE SCIENCE
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