VBL Therapeutics Company Presentation - NASDAQ: VBLT
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Forward-Looking Statements To the extent that statements contained in this presentation are not descriptions of historical facts regarding Vascular Biogenics Ltd., they are forward- looking statements reflecting management’s current beliefs and expectations. Forward-looking statements are subject to known and unknown risks, uncertainties, and other factors that may cause our or our industry’s actual results, levels of activity, performance, or achievements to be materially different from those anticipated by such statements. You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” “intends,” or “continue,” or the negative of these terms or other comparable terminology. Forward- looking statements contained in this presentation include: (i) the timing of the commencement, progress and receipt of data from pre-clinical studies and clinical trials; (ii) the timing of the commencement, progress and receipt of data from any other clinical trials that we conduct; (iii) our plans for future trials, efficacy or clinical utility of our product candidates; (iv) our plans for future trials; (v) the scope of protection we establish and maintain for intellectual property rights covering our product candidates and our technology; (vi) our ability to obtain and maintain regulatory approval for our product candidates and the timing or likelihood of regulatory filings and approvals for our product candidates; (vii) expectations relating to the commercialization of our product candidates; and (viii) estimates of our expenses, future revenues, capital requirements and our needs for additional financing. Various factors may cause differences between our expectations and actual results, including unexpected safety or efficacy data, unexpected side effects observed during preclinical studies or in clinical trials, lower than expected enrollment rates in clinical trials, changes in expected or existing competition, changes in the regulatory environment for our drug candidates and our need for future capital, the inability to protect our intellectual property, and the risk that we become a party to unexpected litigation or other disputes. You should read our filings with the Securities and Exchange Commission, including the Risk Factors set forth in our Annual Report on Form 20-F for the year ended December 31, 2020 and our other filings with the Securities and Exchange Commission, completely and with the understanding that our actual future results may be materially different from what we expect. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons why actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes available in the future. 2
Why Invest in VBL Therapeutics NOW? Our Technologies Team Data Three first-in-class cutting-edge Strong management and Overall survival benefit observed platform technologies in oncology & seasoned board members, across four clinical trials. Our OVAL inflammation, ranging from gene- committed to leading the Phase 3 study for VB-111 showed therapy, through oral molecules to company to success. response rate of ≥58% in an interim monoclonal antibodies. analysis. Lead Asset Validation Upside Phase 3 registration enabling study International clinical and business Multiple catalysts expected on the underway in ovarian cancer, an unmet collaborations, along with strong way to potential commercialization medical need. Additional indications are academic and governmental of VB-111 for multi-billion $ markets. in clinical development for solid tumors. support. 3
VB-111: Gene Therapy Program in Solid Tumors, Addressing Major Unmet Needs Cutting Edge • Safe • Efficient • Convenient 4
VB-111: Innovative Gene Therapy for Solid Tumors VB-111 uses a viral vector to deliver a DNA code that is specifically activated in cancer environment. Once activated, it leads to potent attack on solid tumors and their metastases: VB-111 uses a dual mechanism of action, which combines vascular disruption with induction of local anti-tumor immune response. • One of the only systemic cancer treatments in the world shown to recruit the immune system to `cold` tumors. • Well tolerable, physician- and patient- friendly treatment 5
VB-111 Induces Immunotherapeutic Effect Associated with Clinical Response in Platinum-Resistant Ovarian Cancer A BRCA 2 mutation carrier with recurrent platinum resistant Ovarian Cancer, that was previously treated by 3 prior lines including paclitaxel, carboplatin, ipilimumab, IL-2, bevacizumab & olaparib, clinical responses and immunologic effect after treatment with VB-111 and paclitaxel A Phase 3 patient under the open-label protocol: (later modified to be double-blind) Shapira-Frommer et al., 2019 (SGO) 6
VB-111 is Turning `Cold` Tumors `Hot` Baseline, Before VB-111 Treatment Post 1st Dose Post 3rd Dose Shapira-Frommer et al., 2019 (SGO) 7
VB-111 Shows Overall Survival Benefit Across Multiple Tumor Types Phase 2: Phase 1 “all comers” study: 8
VB-111 is a Unique Gene Therapy for Solid Tumors Phase 2b study in Glioblastoma Brain following survival benefit in Phase 2a Survival benefit observed in Phase 2 Thyroid Melanoma Proof of concept achieved in Lung multiple solid tumors (Phase 1) Liver Phase 3 registration study following survival benefit observed in Phase 2 Phase 2 study in colorectal cancer GI Ovary 9
VB-111 is Currently Studied in 3 Solid Tumor Indications Platform Candidate Program Area Preclinical Phase 1 Phase 2 Phase 3 Status Partner/collaborator Above 80% Vascular Ovarian Cancer (prOC) Registration Enabling Study (OVAL) enrolled Targeting VB-111 (Japan only) System (ofranergene (VTS™) obadenovec) Colorectal Cancer Nivolumab Combo Recruiting (gene therapy) Recurrent Glioblastoma Investigator Initiated Recruiting 10
OVAL: Randomized, Controlled, Double-Blind Phase 3 Registration Enabling Study in Platinum-Resistant Ovarian Cancer • International study • Clinical collaboration with the • Activity successfully demonstrated in interim analysis, with response rate ≥ 58% * • Dual primary endpoint: PFS and OS • Successfully meeting either PFS or OS primary endpoints expected to be sufficient for submitting Over 320 patients randomized a BLA for potential full FDA approval (as of Sep 17, 2021) * Arend et al., Gynecologic Oncology 2021 Feb 23;S0090-8258(21)00151-7. GOG Foundation, Inc., is an independent international non-profit organization whose mission is dedicated to transforming the standard of care in gynecologic oncology. 11
OVAL: Key Milestones Interim DSMC DSMC DSMC DSMC PFS OS Analysis Review Review Review Review Readout Readout Expected Expected Expected 1Q 2020 3Q 2020 1Q 2021 3Q 2021 1Q 2022 2H 2022 2023 60 patients 100 patients ~ 200 patients > 320 patients evaluable for with follow up CA-125 ≥ 3 months Potential BLA Filing 12
Response Rate in Platinum-Resistant Ovarian Cancer VB-111 Chemotherapy *** Checkpoint Inh.*** PARP Inh. *** Angiogenesis Inh. *** 69 70 58 * 60 53.3 ** 50 ORR 40 (%) 30 30 27 20.9 21.4 20 17 15.9 15 12 8.3 10 6.5 6.1 3.7 0 VB-111 + Taxol VB-111 + Taxol Doxil Topotecan Gemcitabine Taxol Alimta Opdivo Keytruda Bavencio Lynparza Zejula Cediranib Avastin Avastin+Taxol (fever) * VB-111 RR (CA-125) of 58% was seen in our Phase1/2 study, despite poor prognostic features in heavily pre-treated population in which 48% of patients had a platinum free interval of less than three months, and 52% previously received anti-angiogenic medications (Arend et al., Gynecologic Oncology 157 (2020) 578–584). ** Post-hoc analysis of the AURELIA study (Poveda et al., J Clin Oncol. 2015 Nov 10;33(32):3836-8.) *** Summary data on available therapies tabulated and made available by The Clearity Foundation 13
Potential Competitive Advantages of VB-111 in Ovarian Cancer Compared to Approved Therapies VB-111 can be a game-changer in this market, with the potential to prolong survival without compromising safety or tolerability 14
VB-111: Safety Profile • Over 300 patients were exposed to VB-111 in completed clinical trials • VB-111 has been well tolerated; discontinuation rate due to AE is low • Most common AEs are fever, chills and fatigue • Reported by 44%, 30% and 40% of subjects respectively • Usually mild-moderate. Only 5% of fever cases are grade 3 • Occur on the day of treatment and resolve within 24 hours • Respond well to antipyretic medications, are tolerable and do not trigger treatment discontinuation • SAE profile is characterized by events common to the studied indications regardless of treatment • GBM studies: Neurologic conditions (seizures, confusion, weakness, hemiparesis, speaking difficulties) • Ovarian Cancer studies: Intestinal obstruction, intestinal perforation, ascites, pleural effusion • Thromboembolic events common in cancer: leg thrombosis, pulmonary embolism • Bleeding events in tumor location • It is difficult to determine if above SAEs are related to baseline condition, or study medications: VB-111/paclitaxel/ bevacizumb • Ongoing, blinded, Phase 3 study OVAL has enrolled over 320 patients • OVAL is monitored by an independent DSMC that continuously reviews unblinded data and confirms patient safety is maintained. No safety signals were identified in all reviews so far. 15
VB-111 Potential Market Opportunities Indication Global Cancer Estimated New Estimated Deaths in Estimated Global Incidence 1 Cases in 2020 (US) 2 2020 (US) 2 Market Value (7MM*) Ovarian cancer 313,959 21,750 13,940 $6.7 Bn in 2028 3 Brain/CNS tumors 308,102 23,890 18,020 $2.3 Bn in 2028 4 Colorectal cancer 1,931,590 147,950 53,200 $10.7 Bn in 2028 (7MM* + China) 5 • 7MM = US, France, Germany, Italy, Spain, UK, Japan Source: 1. WHO 2. National Cancer Institute, SEER data 3. GlobalData 4. DelveInsight 5. GlobalData 16
Corporate 17
VBL’s GMP Manufacturing Facility • Commercial scale gene therapy designated facility (20,000 sq. ft.) • Large-scale capacity of 1,000 liters • Facility was audited by the Israeli MOH and European QP • Recently, the U.S. FDA authorized clinical use of VB-111 batches produced in our facility; an important step on the way to potential commercialization 18
We have a Strong Pipeline of Cutting-Edge Therapies for Cancer and Immune-Inflammatory Diseases Platform Candidate Program Area Preclinical Phase 1 Phase 2 Phase 3 Status Partner/collaborator Above 80% Vascular Ovarian Cancer (prOC) Registration Enabling Study enrolled Targeting VB-111 (Japan only) System (VTS™) (ofranergene obadenovec) Colorectal Cancer Nivolumab Combo Recruiting (gene therapy) Recurrent Glioblastoma Investigator Initiated Recruiting IND enabling VB-601 Anti-inflammatory Anti-MOSPD2 studies (mAbs) VB-611 Immuno-oncology 19
2021-2022 Expected Catalysts The OVAL study is event-driven. Timing of top-line results depends on # of events. Interim DSMC DSMC DSMC Completion of analysis review review review recruitment; DSMC Review PFS readout – 2H 2022 OS readout – 2023 2020 2021 2022 Successful Enrollment Dosing in Preliminary IND Preliminary Completion of Pre-IND in VB-111 investigator- readout of Submission readout VB-111 Study Meeting with NCI-sponsored sponsored VB-111 trial VB-601 VB-111 in FDA on Phase 2 study Phase 2 study in colon study in rGBM VB-601 in colorectal of VB-111 in cancer rGBM cancer rGBM 20
Financial Snapshot Cash Balance (June 30, 2021): Market Cap (July 31, 2021): $57.2 M ~$135 M Outstanding Shares (July 31, 2021): Fully diluted capital (July 31, 2021): 62,068,457 87,196,191 No Debt • Our current cash is expected to fund our operations to year-end 2023, beyond clinical readout in the OVAL study and all the way to BLA. • We plan to use our cash to support and enable our development activities and specifically for: • Advancement of the OVAL study towards BLA submission • Advancing VB-601 to First-in-Human • Working capital 21
Strong Management Team with Extensive Experience in Drug Development Dror Harats, MD Chief Executive Officer Chairman of the IRB Sam Backenroth Chief Financial Officer Erez Feige, PhD, MBA Vice President, Business Operations Tami Rachmilewitz, MD Vice President, Clinical Development Eyal Breitbart, PhD Vice President, Research and Operations Naamit Sher, PhD Vice President, Drug Development and Regulatory Amos Ron Corporate Secretary 22
Among Our Scientific Advisory Board Members Gynecologic Bradley J. Monk, MD Publications Oncology Gynecologic Jonathan A. Ledermann, MD Publications Oncology (UK) Timothy F. Cloughesy, MD Neuro-Oncology Publications Patrick Y. Wen, MD Neuro-Oncology Publications Immunology Publications Ruth Arnon, PhD 23
Professional Board of Directors with Extensive International Experience in the Pharma Industry Marc Kozin Chairman Ruth Alon Shmuel (Muli) Ben Zvi, Ph.D. Ron Cohen, MD Alison Finger Dror Harats, MD CEO Chairman of the IRB David Hastings Michael Rice Bennett Shapiro, MD 24
Summary: The VBL Therapeutics Opportunity for Significant Value Creation • Biopharma company developing first-in-class therapies • Strong expertise in oncology and immunology • Novel platform technologies addressing major unmet needs • Over 350 patents granted worldwide Multiple milestones on the way to potential commercialization Phase 3 asset VB-111 has blockbuster potential Cutting-edge technologies with external validation Nasdaq: VBLT Clear capital focus Public biopharma company, GMP Based in Modiin, Israel Gene therapy Facility 25
Thank You ! Nasdaq: VBLT • ir@vblrx.com 26
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