STEM CELL REGENERATIVE MEDICINE - COMPANIES AND IN AUSTRALASIA Snapshot of Stem Cell and Regenerative Medicine Companies in Australasia - AusBiotech
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STEM CELL AND REGENERATIVE MEDICINE COMPANIES IN AUSTRALASIA Snapshot of Stem Cell and 6th Edition Regenerative Medicine 2020 Companies in Australasia
INDEX Foreword .........................4 Transforming Research into Real Solutions - AusBiotech .........................6 Companies Australian-based Stem Cell and Regenerative Medicine Companies Cynata .........................9 Mesoblast .........................10 Orthocell .........................11 Regeneus .........................12 Clinical Trials .........................14 Directory of Stem Cell .........................18 and Regenerative . Medicine Companies 2
ABOUT THIS SNAPSHOT This is the sixth version of the snapshot, a list of companies was formulated, largely compiled from information that was publicly available. A questionnaire was sent out to relevant company representatives, and the information was compiled into the Snapshot. The information contained within this Snapshot is up to date and relevant as of 20th October 2020. The publication was launched at AusBiotech + Invest 2020 (28th October— 30th October 2020). The sixth edition of the Snapshot highlights key regenerative medicine companies and contains details of current clinical trials run by cell therapy companies in Australiasia (page 14). Disclaimer: The information contained in the Snapshot of Stem Cell and Regenerative Medicine Companies in Australia: October 2020 is intended solely for general information. This publication must not be relied upon as a substitute for medical, investment or other professional advice. You are encouraged to speak with the relevant contacts provided in the Snapshot for further information. This Snapshot should not be read as reflecting the policies of the NSW Stem Cell Network, its Executive, officers or members. Nor does the Snapshot represent an endorsement of the processes, procedures and technologies described therein. The NSW Stem Cell Network does not accept any liability arising in any way from information contained in this publication, including by reason of negligence for errors or omissions in the information. Only companies that have agreed to be published in the Snapshot were included and, any liability resides with them. 3
FOREWORD 2020 has been a most unusual year. COVID-19 has meant that there have been significant physical restrictions as attempts are made to prevent the spread of this contagious virus. On the other hand, it has placed regenerative medicine (RM) in a unique position with the possibility of using stem and amniotic epithelial cells to treat those who are infected and in intensive care with acute respiratory distress. Three Australian entities, Mesoblast, Cynata and the Hudson Institute of Medical Research, have ethics approval to trial their cell products for this purpose. Other organisations around the world also have approval to test their cell products to try and save the lives of those afflicted with the virus. Within Australia, there are over 200 clinical trials currently registered involving stem cell therapies, and many innovative projects that are in the research phase. Often in these therapies, stem cells are used to directly replace damaged cells or tissue, or to recruit surrounding cells to repair tissue or organs which have regenerative potential. Blood disorders are the lead disease treated by stem cell transplantation with more than 300 unrelated haemopoietic donor transplants in Australasia annually. Corneal transplants using limbal stem cells are growing in popularity and graft versus host disease resistant to conventional drugs is now being increasingly treated with mesenchymal stem cells. Slightly peripheral to this, but growing at a rapid rate are CAR-T cell therapies, especially for treatment of haemopoietic tumours. Internationally, especially In the commercial space there are a growing number of stem cell and regenerative medicine products being tested in clinical trials, for example, for treatment of diabetes, osteoarthritis, multiple sclerosis, stroke, macular degeneration, spinal cord lesions and certain types of cancer. Details of current clinical trials of stem cell and regenerative medicine therapies by Australian companies can be found on pages 14- 16. .Japan, United Kingdom, United States, Canada and China have all invested significantly into stem cell and RM research and development. The growing number of clinical trials registered in Australia and worldwide reflect ongoing efforts to expand the use of cell therapies to a broader range of conditions. The Australian Government has added its weight to this effort, with a $150 million 10-year Australian Stem Cell Therapies Mission, funded by the Medical Research Future Fund. 4
Some of these funds were distributed this year to Australian researchers for treatment of Parkinson’s disease, age related macular degeneration, leukaemia, epilepsy and fatty liver disease. And to nurture companies wishing to progress medical technologies from Proof of Concept to the stage where venture capital might provide developmental funds, there are the Biomedical Translation Bridge Program and BioMed Tech Horizons Program funded by the Department of Industry, Science, Energy and Resources. This year, also, for the first time, the Centre for Commercialisation of Regenerative Medicine (CCRM) Australia introduced the National Regenerative Medicine SuperPitch, to connect startups and others with early stage projects to venture capitalists. The NSW Stem Cell Network has nurtured the stem cell and regenerative medicine communities for the past 18 years to grow and advance research and development in these areas. The Network has over 600 members around Australia including clinicians, researchers, policy developers, members of Government, lawyers, ethicists, students, patients and companies, who are all passionate advocates working together for the growth of the stem cell industry. With this Report, our intention is to elevate commercialisation of stem cell and regenerative medicine companies in Australia. In this Snapshot we provide details current regenerative medicine and stem cell companies and manufacturers some of whom are licensed by the TGA, and are carrying out controlled clinical trials registered with an appropriate entity. We highlight some of Australia’s leaders in stem cell and regenerative medicine with company information and pipeline projects on pages 9 - 12. Professor Bernie Tuch Tamara Treleaven NSW Stem Cell Network NSW Stem Cell Network Director Manager Professor Tuch is an endocrinologist, non-executive Director of the biotechnology company Living Cell Technologies Ltd, and a Director of Sydney Cell Therapy Foundation Pty Ltd. Tamara Treleaven is a Clinical Embryologist, Ph.D candidate and the Manager of the NSW Stem Cell Network. 5
TRANSFORMING RESEARCH INTO REAL SOLUTIONS Regenerative medicine has the potential to revolutionise the treatment of injuries and disease, and Australia is primed to secure a more prominent share of the global RM market, which is estimated to be worth AU$120 billion by 2035[1]. Australia is investing in creating a world-class RM ecosystem with internationally-recognised basic and translational research, a clinical trials framework and clinical centres. This growing ecosystem has seen the number of cellular therapy or RM companies in Australia double over the last two years. Australia has been a front-runner due to its research output in the RM field, and has seen commercial success in the area with companies such as PolyNovo and Regeneus achieving international success this past year. The RM industry is further bolstered by over 30 up-and-coming, small to medium enterprises (SMEs) as profiled in this document. Together they represent a burgeoning industry in the Australian biotechnology space with a market capitalisation of over $3 billion that can further be bolstered by the commercialisation of the newer technologies emerging from research. Growing role of RM and need for regulatory pathways to expedite products to market. The RM landscape in Australia has changed since the first CAR-T therapy was approved by the Australian regulator at the end of 2018. The number of organisations developing new therapies in Australia has increased and with a growing pipeline of therapies that multinationals may bring to Australia, the focus on regulatory and reimbursement conditions is expected to increase in the next five years. RM therapies are fundamentally different from more common medicinal products as they generally have longer than average development times, more stringent manufacturing requirements, and a limited shelf-life for products. Treatments and technologies within this area can also be disparately different from one another. For example, a CAR-T therapy is vastly different from a cell scaffold. This impacts many areas of the development pathway, including regulatory approvals and classifications. AusBiotech is working actively with Therapeutic Goods administration, the Australian regulator for therapeutic products, to enhance knowledge of cell and gene therapies and expedite pathways for approval. Research and Development (R&D) incentives in Australia. A cornerstone for innovation in Australia is the R&D Tax Incentive; this Incentive actively supports innovative local companies with their R&D and attracts companies from around the world to bring their R&D to Australia. Start-up innovation companies, especially biotechnology companies that trade at a loss, are the biggest 2020 beneficiaries from the Tax Incentive’s 43.5% refundable component. The legislation also benefits large innovative companies by reducing the cost of conducting eligible R&D activities in Australia, making Australia a more competitive location for conducting biomedical and pharmaceutical R&D and clinical trials. 6
Other incentives and programes available in Australia include: Medical Research Futures Fund (MRFF) focusses on ongoing health and medical research in Australia which, in July 2020, was valued at $20 billion.From the year 2022, fund dividends (approx. $650 million a year), will focus on translatable discoveries. Since establishment in 2015, the MRFF has funded over 450 projects worth more than $1.1 billion, including the following: Biomedical Translation Fund (BTF) available to selected early-stage companies developing promising biomedical products or services. Valued at $500 million; through co-investment by the Australian government via the MRFF ($250 million) and private sector capital ($250 million). Biomedical Translation Bridge (BTB) and BioMed Tech Horizons (BMTH) programmes are MRFF initiatives supporting development of new technologies to the proof-of-concept stage and through to commercialisation. They are administered by the industry growth centre for the medtech and pharma sector, MTPConnect. Recent projects approved under these programmes help to unlock key health challenges, and include research into breakthrough treatments, diagnostics, and ultimately, a vaccine in the fight against COVID-19. AusBiotech’s commitment to regenerative medicine. AusBiotech, as the national peak body for Australian biotechnology, has a focus on providing funding and partnership opportunities for Australian companies and recognises RM as an area of innovation and opportunity.Part of its role is to listen carefully to Australia’s companies commercialising RM, so it can champion advocacy on what’s needed to achieve success, and to foster a supportive community that is dedicated to continuous learning. Global growth is facilitated through the AusBiotech Regenerative Medicine Advisory Group (RMAG), helping companies to navigate the sector, and collaborating with international bodies in Japan (FIRM) and Korea (CARM), with the aim to facilitate cross-border partnerships. Several success stories from such collaborations have led to new RM technologies entering the Asia-Pacific market. AusBiotech showcases these RM successes as well as Australian and international best practice at its national conference held each year in October. To support its members to seek alternative financing sources and partnerships for their commercialisation needs, AusBiotech provides opportunities for SMEs to raise funds through pitching to investors at its flagship investment event, Australia Biotech Invest & Partnering. It also offers early-stage project owners the opportunity to pitch to these same investors at the Early Stage Investment Forum. Australia’s goal is to translate more RM research into the clinic, and beyond to reach patients – a laudable goal, for a thriving new industry, as Australia recovers from the COVID-19 pandemic. Lorraine Chiroiu Chief Executive Officer, AusBiotech [1] Regenerative Medicine Opportunities for Australia, MTP Connect, October 2018 7
AUSTRALIAN BASED COMPANIES
Cynata Therapeutics Ltd is a clinical stage company developing a proprietary therapeutic stem cell platform technology, Cymerus™, which arose from the University of Wisconsin-Madison, a world leader in stem cell research. Cymerus addresses a critical shortcoming in existing methods of production of allogeneic mesenchymal stem cells (MSCs) for therapeutic use: the ability to achieve consistent economic manufacture at commercial scale without reliance upon multiple donors. There is extensive interest in the development of MSCs as therapeutic agents, in light of their ability to secrete bioactive molecules such as cytokines, chemokines, and growth factors, in addition to their immunosuppressive and immunoregulatory properties. There are currently over 1000 clinical trials of MSCs, covering an extremely wide range of therapeutic indications, including haematological, cardiovascular, orthopaedic, gastrointestinal and autoimmune disorders, among others. However, there are very major limitations in conventional methods of MSC production including the dependence upon multiple donors, the variability between donors, the relative scarcity of MSCs in adult tissue, and the low proliferative capacity of adult stem cells compared to pluripotent stem cells. Cynata believes that the Cymerus technology addresses these issues, uniquely placing Cynata to capitalise on the flourishing field of stem cell therapeutics. The Company has been covered in highly favourable equity research analyses published by Baillieu Holst, BBY, SeeThru Equity, H.C. Wainwright and Shaw & Partners. In 2019 the Company executed a global license agreement with FUJIFILM in respect of CYP-001, Cynata’s first therapeutic product, which has shown highly promising efficacy in a Phase 1 clinical trial in graft-versus-host disease (GvHD). FUJIFILM is a major participant in the regenerative medicine sector and the second largest shareholder in Cynata, behind Fidelity, with around 7% of the shares. PRODUCT PIPELINE Cynata is the world leader in developing iPSC-derived cell therapy products. Following excellent results in a Phase 1 clinical study, the Company has commenced a clinical trial in patients with severe complications of COVID-19. A phase 3 clinical trial is expected to commence in 2H20 in osteoarthritis in association with the University of Sydney and similarly a Phase 2 trial of CYP-001 in GvHD is expected to commence also in 2H20 through the partnership with FUJIFILM. A Phase 2 clinical trial in critical limb ischemia (CLI) has been approved by UK and Australian regulatory bodies. The Phase 1 clinical trial results in GvHD provide a sound foundation for further development in numerous other indications, such as those in which MSCs from other sources have previously been investigated. Cynata has also reported clear efficacy in pre-clinical proof-of-concept studies with its Cymerus MSC products in models of cytokine release syndrome (CRS), CLI, diabetic wounds, myocardial infarction, asthma, idiopathic pulmonary fibrosis, sepsis, acute respiratory distress syndrome (ARDS) and in GvHD. Cynata is pursuing a vigorous partnering agenda in order to fully exploit its outstanding cell therapy platform. LATEST NEWS Cynata has successfully completed a two-year follow up of patients in the Phase 1 clinical trial with its first Cymerus therapeutic MSC product, CYP-001, in acute steroid resistant (GvHD). The study met all endpoints, demonstrating an excellent safety profile and a very clear indication of efficacy in this challenging condition. Data from this study has been published in Nature Medicine, providing important endorsement of Cynata’s Cymerus technology. A Phase 2 trial in GvHD is expected to commence in 2H20. In addition, the Company has commenced the MEND clinical trial in COVID-19 patients and expects the SCulPtor Phase 3 trial in osteoarthritis to commence during the latter half of 2020. CEO: Dr Ross Macdonald Established in Australia in 2011 ABN: 98 104 037 372 Status: PUBLIC (ASX:CYP) www.cynata.com CONTACT Dr Ross Macdonald P: +61 (0) 412 119343 9
MESOBLAST Mesoblast is using its proprietary technology platform to develop and commercialize innovative allogeneic cellular medicines to treat complex diseases resistant to conventional standard of care and where inflammation plays a central role. The Company’s portfolio of Phase 3 product candidates comprises RYONCIL™ (remestemcel-L) for steroid-refractory acute graft versus host disease (acute GVHD), remestemcel-L for the treatment of moderate to severe acute respiratory distress syndrome (ARDS) due to COVID-19 infection, REVASCOR® for advanced chronic heart failure and MPC-06-ID for chronic low back pain due to degenerative disc disease. Mesoblast also has a promising emerging pipeline of product candidates and next generation technologies. Innovative technology platform enables scalable manufacturing Mesoblast’s novel allogeneic product candidates are based on rare (approximately 1:100,000 in bone marrow) mesenchymal lineage cells that respond to tissue damage, secreting mediators that promote tissue repair and modulate immune responses. Mesenchymal lineage cells are collected from the bone marrow of healthy adult donors and proprietary processes are utilized to expand them to a uniform, well characterized, and highly reproducible cell population. This enables manufacturing at industrial scale for commercial purposes. Another key feature of Mesoblast’s cells is they can be administered to patients without the need for donor–recipient matching or recipient immune suppression. Mesoblast has proprietary technology that facilitates the increase in yields necessary for the long-term commercial supply of its product candidates, and next generation manufacturing processes using xeno-free technologies and three-dimensional bioreactors to reduce labour, drive down cost of goods and improve manufacturing efficiencies. Robust Intellectual Property Estate Mesoblast has an extensive patent portfolio with over 1,100 patents and patent applications across 82 patent families, and patent terms extending through 2040. These patents cover composition of matter, manufacturing, and therapeutic applications of mesenchymal lineage cells, and provide strong commercial protection for our products in all major markets, including the United States, Europe, Japan and China. Licensing agreements with JCR, Grünenthal, Tasly and Takeda highlight the strength of Mesoblast's extensive intellectual property portfolio covering mesenchymal lineage cells. Mesoblast will continue to use its patents to prosecute its commercial rights as they relate to its core strategic product portfolio. When consistent with the Company’s strategic objectives, it may consider providing third parties with commercial access to its patent portfolio. Evidence-based Science and Translational Medicine Mesoblast’s approach to product development is to ensure rigorous scientific investigations are performed with well-characterized cell populations in order to understand mechanisms of action for each potential indication. Extensive preclinical translational studies guide clinical trials that are structured to meet stringent safety and efficacy criteria set by international regulatory agencies. All trials are conducted under the continuing review of independent Data Safety Monitoring Boards comprised of independent medical experts and statisticians. These safeguards are intended to ensure the integrity and reproducibility of results, and to ensure that outcomes observed are scientifically reliable. Global Operations Mesoblast has locations in Australia, the United States and Singapore and is listed on the Australian Securities Exchange (MSB) and on the Nasdaq (MESO). Chief Executive: Dr. Silviu Itescu Established in Australia 2004 ABN: 68 109 431 870 Status: Public www.mesoblast.com info@mesoblast.com 10
Orthocell Ltd (ASX:OCC) is a regenerative medicine company dedicated to the development of products for the repair human tendon, bone, nerve and cartilage injuries. Orthocell’s two lead products are CelGro®, a naturally derived collagen medical device for tissue repair, and Ortho-ATI™, a world-leading cellular therapy for the treatment of chronic tendon injury. Products CelGro® is a platform technology that can be used in multiple clinical indications. CelGro® has distinct advantages over existing tissue repair scaffolds, particularly with respect to its mechanical strength and ease of use, and the quality of tissue repair. CelGro® is approved in Europe for various dental bone and soft tissue applications, including dental implant procedures. CelGro®’s ability to support rapid, high-quality bone regeneration has been demonstrated by trial data and clinical experience from our network of referring clinicians. Orthocell is currently evaluating the performance and safety of CelGro® in clinical trials for nerve and tendon repair. Orthocell’s first-in-class Ortho-ATI™ (Autologous Tenocyte Implantation) facilitates healing of damaged tendons that have failed to respond to existing therapies, addressing a significant unmet clinical need. Ortho-ATI™ uses the patient’s own tendon-derived cells to stimulate tendon regeneration. Orthocell’s clinical program for Ortho-ATI™ includes tendon repair in the elbow, shoulder and hip. Ortho-ATI™ is manufactured at Orthocell’s GMP-licensed laboratory and has been used to treat over 500 patients in Australia, Singapore and Hong Kong. Latest News Orthocell recently announced some exciting preliminary results from the CelGro® nerve regeneration trial. Participants experienced an 83% improvement in muscle power, allowing them to return to work, sport and to perform everyday activities like dressing and picking up their children. These results further validate the quality of tissue repair reported in our guided bone regeneration trial, and evidence of CelGro®’s flexibility of use in multiple indications. Orthocell intends to expand its regulatory approval for CelGro® to Australia, the US and Europe in bone, nerve and tendon repair. Orthocell’s most recent annual quality survey indicated that 82% of patients were ‘satisfied’ to ‘extremely satisfied’ with how Ortho-ATI® relieved symptoms (i.e. chronic pain) and improved ability to perform everyday activities at home and at work. Orthocell is well-advanced in preparing an application to the FDA for approval Ortho-ATI™ in the US market, and close to completing recruitment in a clinical trial comparing Ortho-ATI™ to steroid injection for the treatment of rotator cuff tendinopathy. This trial is a collaboration with DePuy Synthes Products Inc., part of the Johnson & Johnson group of companies. CEO: Paul Anderson Established in Australia in 2006 ABN: 57 118 897 135 Status: Public www.orthocell.com.au CONTACT: Paul Anderson P: +61 411 861 626 paulanderson@orthocell.com.au 11
REGENEUS Regeneus Ltd is a clinical stage regenerative medicine company developing a portfolio of novel cellular therapies or the global pain market. The Company is listed on the ASX under ticker code RGS. Regeneus’ product pipeline is underpinned by two proprietary novel allogeneic stem cell platforms: · Progenza - Derived from expanded allogeneic mesenchymal stem cells (MSCs) from human adipose tissue and contains the bioactive secretions of the cells Sygenus – Allogeneic MSC secretion used as a topical application for the treatment of inflammatory skin conditions such as acne and wound healing MSCs are the body’s natural healing and repair cells. They target diseases and secrete a diverse variety of bioactive factors, including cytokines and growth factors that are responsible for reducing inflammation, promoting tissue repair and reducing scarring. Rather than treating the symptom, MSCs look to regenerate and cure. PRODUCT PIPELINE The Company is focused on the commercialisation of its lead platform technology Progenza for osteoarthritis (OA), ith a view to complete a Phase 2 clinical trial and license the technology in Japan. A successful Phase I trial showed Progenza met primary safety endpoints as well as demonstrate efficacy in significantly reducing knee pain and improving cartilage volume. Recent pre-clinical data have shown Progenza demonstrated positive results for the treatment of allodynia, a condition in which pain occurs from what is normally non-pain stimulation of the skin. The Sygenus platform technology has shown to be safe and tolerable in human safety studies, and in high doses shown to be more potent and longer lasting than morphine in terms of Its analgesic effects. LATEST NEWS Regeneus has undergone a recent strategic review focused on the commercialisation of Progenza to treat OA. The Company’s partnership model eans it works with leading university and research bodies to assist with the on-going pre-clinical and clinical development of Progezna and Sygenus. The Company has strong IP coverage in key markets including the US, China, Japan and Europe for both platform technologies. Regeneus is supported by a management team with a strong track record of developing and licensing novel regenerative medical technologies. Regeneus CEO: Leo Lee Established in Sydney, Australia in 2007 ABN 13 127 035 358 www.regeneus.com.au CONTACT Investor Relations | WE Buchan E: regeneus@we-buchan.com P: +61 2 9237 2805 12
CLINICAL TRIALS Clinical trial registries (clinicaltrials.gov, anzctr.org.au) were accessed BEFORE 01/10/2020. This is not an exhaustive list of studies. HREC: Human Ethics Research Committee; MPC(s): mesenchymal progenitor cell(s); MSC(s): mesenchymal stem cell(s); N/A: not applicable.
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COMPANY DIRECTORY
COMPANY CONTACT WEBSITE Avita N/A www.avitamedical.com w ww ww.avitamedical.com ww +61 3 8572 2500 Cartherics info@cartherics.com www.cartherics.com Cell Therapies +61 3 8559 7310 www.celltherapies.com.au Pty Ltd admin@celltherapies.com.au Clinical Stem Cells N/A www.clinicalstemcells.com Cryosite N/A www.cryosite.com CSL N/A www.csl.com.au COMPANY CONTACT PROFILE Cynata +61 (0) 412 119343 www.cynata.com Therapeutics ross.macdonald@cynata.com Eppendorf N/A www.eppendorf.com In Vitro 1300 552 003 www.Invitro.com.au Technologies daina.elliott@invitro.com.au Living Cell N/A www.lctglobal.com Technologies Magellan N/A www.magellanstemcells.com.au Melbourne Stem N/A www.melbournestemcellcentre.com Cell Centre 18
COMPANY CONTACT WEBSITE +61 3 9639 6036 Mesoblast www.mesoblast.com Miltenyi Biotec +61 (0) 405 399 959 www.miltenyibiotec.com Orthocell +61 (0) 411 861 626 www.orthocell.com.au paulanderson@orthocell.com.au PeproTech ofir@peprotechasia.com www.clinicalstemcells.com +61 2 9499 8010 Regeneus sandra.mcintosh@regeneus.com.au www.regeneus.com.au Scientifix Pty Ltd nikki@scientifix.com.au www.scientifix.com.au COMPANY CONTACT PROFILE STEMCELL 1800 060 350 www.stemcell.com Technologies cyndy.nauer@stemcell.com Sydney Cell Therapy sctf@optusnet.com.au N/A +61 (0) 411 461 604 Foundation Terumo BCT N/A www.terumobct.com Thermofisher N/A www.thermofisher.com.au 19
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