PART 2: PRODUCT PIPELINE
Investor & Press Presentation Paris, 11th March 2009
PART 2: PRODUCT PIPELINE Investor & Press Presentation Paris, - - PowerPoint PPT Presentation
PART 2: PRODUCT PIPELINE Investor & Press Presentation Paris, 11th March 2009 Cautionary note regarding forward-looking statements This presentation contains forward-looking statements referring to the planned clinical testing and
Investor & Press Presentation Paris, 11th March 2009
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New Management New Strategy Portfolio Refocus €34.9m capital increase Positive results Phase I/II CBCL/CTCL trial (TG1042) Promising TG4010 phase IIa results in solid tumors
€14.3m raised (warrants
exercised)
Launched phase IIb trial
in NSCLC (TG4010)
Positive phase II results
in HPV trial (TG4001)
Partnership with Roche €100m capital increase Launch of Phase I in
HCV (TG4040)
Recruitment for Phase II
trial in NSCLC and CBCL €18m OSEO grant – Biomarker program Phase IIb NSCLC trial for TG4010 meets primary endpoint Start of partnership discussions for TG4010 franchise Phase II CBCL trial meets primary endpoint Seeking partner for TG1042 franchise Positive Phase I preliminary results from HCV trial France (TG4040) Launch 2nd phase I trial for HCV (TG4040) in Canada
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Non Small Cell Lung Cancer
► Indication Preclinical Phase I Phase II Phase III Partnership Strategy TG1042
(Ad-IFNγ)
Cutaneous B Cell Lymphoma
TG4040
(MVA-HCV)
Chronic Hepatitis C Treatment of precancerous lesions
by the HPV virus Currently seeking a Partner Seeking partnership in broader onco- dermatological franchise. Sole development up to proof of concept
TG4001/R3484
(MVA-HPV-IL2)
TG4010
(MVA-MUC1-IL2)
TG4023
(MVA-FCU1)
Metastatic Colerectal Cancer Hepatocarcinoma Sole development up to proof of concept
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immunogenic vector tumoral antigen cytokine adjuvant
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Pancreatic Cancer - Advanced
Colorectal Cancer – Advanced Stage IV
Breast Cancer – Advanced
NSCLC IIIA unresectable
Disease burden, recent drug approvals Annual Incidence (EU / US / Japan)
Selection of potential Sub-indications
Unmet Need
Addressable Population Prostate Cancer – Early Stage I & II Prostate Cancer – Hormone Refractory Breast Cancer – Early Stage 0, I, II NSCLC IIIB/IV
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NSCLC Incidence data (ww) - 2008
223 233 67 829 US Europe Japan Other
Source : Globocan, National Cancer Institute, L.E.K. interviews & analysis
No of Patients, 000
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NSCLC NSCLC Recurrence Stage IA Stage IA Stage II Stage II Stage IIIA Stage IIIA Stage IIIB Stage IIIB Surgery Surgery Chemoradiation Return to Tx path Return to Tx path Yes No TIP 1 2nd Line Treatment (Tarceva, Alimta, Taxotere) Platinum-based Chemotherapy + bevacizumab (~30-40% of patients eligible for bevacizumab ) Surgery Surgery Surgery Surgery Platinum-based Adjuvant Chemotherapy + Radiation Observation with follow-up Observation with follow-up Recurrence Supportive/ Palliative Care Supportive/ Palliative Care Yes No Observation with follow-up Observation with follow-up TIP 3 Resectable Cancer Resectable Cancer Unresectable Cancer Unresectable Cancer 3rd Line Treatment (Tarceva, Taxotere) TIP 5 TIP 2 Stage IB Stage IB Surgery Surgery TIP 4 Stage IV Stage IV Performance Status = 0-2 Performance Status = 0-2 Performance Status = 3-4 Performance Status = 3-4
Chemotherapies Chemotherapies Targeted therapies / Add-on Targeted therapies / Add-on Avastin / Genentech TG4010/ Transgene Erbitux / Merck Gemzar/ Taxol/ Navelbine/ Alimta
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25% 20% 10% 45%
Adenocarcinomas: Glandular cell non- anaplastic carcinomas including bronchial carcinoïds Incidence Small cell anaplastic carcinomas (SCLC): Agressive and invasive Early metastasis Large cell carcinomas: Same outcome as adecarcinomas NSCLC SCLC Squamous cell carcinomas: Epidermoid and non-anaplastic carcinomas Incidence
squamous cell carcinoma and large cell carcinoma
may in some cases be similiar
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Gemzar/Alimta (Ely Lilly) Erbitux (Merck) Navelbine (Pierre Fabre) Taxol (Bristol Myers)
Ref: Scagliotti study (JCO July 2008), FLEX study (ASCO 2008), ECOG4599 retrospective analysis (JTO 2008 suppl #4)
Avastin (Genentech) Erbitux (Merck) Gemzar/Alimta (Ely Lilly) Navelbine (Pierre Fabre) Taxol (Bristol Myers) Gemzar (Ely Lilly) Navelbine (Pierre Fabre) Erbitux (Merck) Taxol (Bristol Myers) Other therapies Current chemotherapies
Other therapies Current chemotherapies
' (%) *'' (&)
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Phase IIa Exploratory Phase IIb Partnership Phase III Lung & other Indications Registration Commercialization 2002 - 2005 2006 - 2008 2009
Cancer
Non Small Cell Lung Cancer
trials
Assess efficacy
with chemotherapy in patients with advanced NSCLC
gemcitabine / cisplatine
in progress
Indication of efficacy in different settings. Decision to make POC study in first line treatment of NSCLC in combination with chemotherapy
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TG4010.09: TIME TO PROGRESSION IN ALL POPULATION 2 4 6 8 10 12 14 16 18 20 22 Time To Progression (months) 0% 50% 100% Fraction of Patient Population Not Progressing Complete Censored Arm1: TG4010 + CT Arm2: CT ALONE n=148 HR= 0.72 [95% CI : 0.51 - 1.03] Log-Rank test*: p=0.08
*stratified for tumor stage and PS at baseline.
med surv = 5.2 mos [95% CI: 4.0 - 5.9] n=74 med surv = 5.9 mos [95% CI: 5.4 - 6.5] n=74
TG4010.09: TIME TO PROGRESSION IN PATIENTS WITH NORMAL aNK LEVELS 2 4 6 8 10 12 14 16 18 20 22 Time To Progression (months) 0% 50% 100% Fraction of Patient Population Not Progressing Complete Censored Arm1: TG4010 + CT Arm2: CT ALONE n=101 HR= 0.58 [95% CI : 0.38 - 0.88] Log-Rank test*: p=0.007
med surv = 4.7 mos [95% CI: 3.4 - 6.2] n=53 med surv = 6.3 mos [95% CI: 5.7 - 7.3] n=48
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TG4010.09: PATIENTS WITH NORMAL aNK LEVELS 5 10 15 20 25 30 35 40 Survival (months) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Frac tion of Patient Population Surv iving ARM 1: TG4010 + CT ARM 2: CT ALONE n=101 HR=0.58 [95% CI: 0.35-0.94] p=0,02 Complete Censored med surv = 17,05 mos (n=48) med surv = 11,3 mos (n=53) TG4010.09: ALL POPULATION, ARM1 vs ARM2 5 10 15 20 25 30 35 40 Survival(months) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% F rac tion of Patie nt Population Surv iv ing ARM 1: TG4010 + CT ARM 2: CT ALONE n=148 HR=0.88 [95% CI: 0.60-1.30] p=0,438 Complete Censored med surv = 10.7 mos (n=74) med surv = 10.3 mos (n=74)
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HR: 0.88 [95%CI: 0.60-1.30] 10.3 months 10.7 months Whole study population Median Survival HR: 0.58 [95%CI: 0.35-0.94] Large biomarker program ongoing aimed at defining mode of action, and contribute to Phase III design 11.3 months 17.1 months Patients with normal level of activated NK cells at baseline* Not statistically significant difference (p= 0.06) 38% 56% Patients with normal level of activated NK cells at baseline* Not statistically significant difference (p=0.08) 28% 42% Whole study population Response Rate HR: 0.58 [95%CI: 0.38-0.88] – (p=0.007) 4.7 months 6.3 months Patients with normal level of activated NK cells at baseline* HR: 0.72 [95%CI: 0.51-1.03] – (p=0.08) 5.2 months 5.9 months Whole study population Time to Progression Statistically significant difference (p=0.008) 28% 54% Patients with normal level of activated NK cells at baseline* Primary end point met 35% 43% Whole study population Progression Free Survival at 6 months Classical vaccination reactions. Quality of Life not statistically different between arms N/A Good (most related adverse events are injection site reaction and asthenia) Safety
Comments Control Arm
(chemo) n=74
Experimental Arm
(TG4010 + chemo) n=74
Safety & Efficacy
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*Patients with normal level of activated Natural Kill Cells at baseline represent 101
experimental arm and 53 in the control arm
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immunogenic vector Non structural antigens of the HCV virus
Combination with pegylated interferon alpha and ribavarin
◼ 48 weeks of treatment ◼ Effective in only 50% of genotype 1 cases ◼ Major side effects
FINAL RESULTS Q2 2009 FINAL RESULTS EXPECTED END 2009
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Additional Results
(March 2009)
► Good safety: All studied doses were safe and well tolerated ► viral load reduction (0.5 log10 to 1.4 log10) in 6 out of 15 patients ► encouraging preliminary immunological analysis PHASE I CANADA ► 24 patients ► Relapsers after SCT ► Escalating doses ► 3 initial injections ► 1 boost after 6 months EXTENSION PHASE I ► 27 patients ► Earlier boosts at 2 and 4 months ► With more advanced liver disease (2N<ALT<5N) PHASE I FRANCE ► 15 patients ► Treatment naive ► Escalating dose ► 3 initial injections ► Boost injection at 6 months at highest dose Interim Results (March 2009): Good Safety
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immunogenic vector antigens cytokine adjuvant
◼ Prevention of uterine cancer through the treatment of severe precancerous cervical lesions (CIN2/3) caused by HPV16 virus ◼ HPV infection: common sexually transmitted disease ◼ 900,000 new cases of women with severe lesions are diagnosed each year (EU/US) ◼ 50% a target for TG4001/R3484 ◼ Potential in other genotypes related to type 16. Exploratory studies to be conducted on CIN1 positive women and patients with cervical cancer
◼ Spontaneous clearance in less than a year (70% of cases) ◼ CIN2/3 lesions treated via surgery
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Phase IIa Phase IIb Phase III Filing Registration Commercialization
Further payments tied to sales targets Up to €195m in various indications Progressive double digit royalties on sales Commercial supply of vaccines to Roche Payment of additional development milestones Signature April 2007, €23m Payment
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E1°E3° - deleted vector Gene expressing IFNγ
developed countries
new cases per year
and steadily increasing
Chemotherapy
EU/US
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Phase II Step 2 Filing / Registration Commercialization 2000 - 2005 2006 2008 Phase I/II Preparation Phase II Phase II Step 1 2009
► 33 patients ► CTCL ► CBCL
PHASE II Step 1
RESULTS Nov. 2008
► 13 patients ► CBCL RESULTS
► Good safety ► Response rate CTCL: 46% (n=26) ► Response rate CBCL: 100% (n=5) ► Primary end
point met ► Response rate: 10 out of 12 evaluable patients ► Good safety ► DSMB conclusion positive
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carcinomas (HCC)
colorectal cancer (mCRC)
HCC and mCRC patients and prolong survival of inoperable patients
Immunogenic vector Suicide Gene *FCU1 = Bifunctional chimeric enzyme (Cdase;UPRTase) FCU1 converts the prodrug 5-FC (5-Fluorocytosine) into 5-FU (5-Fluorouracil)
immunogenic vector
suicide gene
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What is 5-FU? ► Chemotherapy with strong clinical practice background (since 1957) ► Remains the cornerstone of chemotherapy ► It is low in efficacy and high in toxicity ► Short half life > need for continuous infusion ► No oral administration of 5-FU Product Rationale for TG4023: ► TG4023 aims at delivering 5-FU in the tumor ► It aims to improve 5-FU efficacy while abrogating its systemic toxicity ► Targets all solid tumors accessible to IT injections in combination with lower dose chemotherapy ► New option for patients with non-operable tumor/metastases ► New option for patients non eligible for local ablation techniques ► New option for patients after chemo. failure 5-FU (IV, IP, IHA)
* *
5-FC (oral, IV) TG4023 (IT)
Systemic Toxicity of 5-FU No systemic toxicity of 5-FU High intra-tumoral concentration
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Phase IIa Exploratory Phase IIa Phase III Partnership Phase IIb
TG4010 (NSCLC): TG4040 TG4010 (NSCLC) TG4001/R3484 (HPV) TG4010 (NSCLC) TG4023 (HCC & mCRC): TG4040 (HCV): TG1042 (onco- dermato): TG4040 (HCV):
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Phase II median survival data TG Annual results Phase I (France) and next steps Phase II final results Phase IIb launch Expected partnership Phase I entry & strategic positioning Phase I results extension (France) Update strategic positioning Final results phase I Canada Expected entry into phase II
Contacts