Corporate presentation...2019/07/08 · Corporate presentation July 2019 Confidential freeline.life...
Transcript of Corporate presentation...2019/07/08 · Corporate presentation July 2019 Confidential freeline.life...
Corporate presentation
July 2019
Confidential
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Freeline is a leading clinical stage gene therapy company focused on liver expression for chronic systemic diseases
Proprietary capsid with best-in-class liver transduction profile, allowing for high protein expression levels
Robust pipeline with goal of filing a new IND every year– Fabry Disease program to start dosing 2019– Gaucher and 4th program (undisclosed) to initiate IND enabling studies in 2019– Good progress on research programs for chronic inflammatory diseases
World leading founder and executive team with extensive track record in gene therapy, clinical translation, early and late stage development and global drug approvals
£120m+ raised to date in Series A and B predominantly from Syncona
Industry leading CMC platform at commercial quality and scale, supported by advanced analytics and in-house manufacturing capabilities
Haemophilia B program in phase 1/2 demonstrating activity levels allowing for normalisation of FIX activity levels
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Amit NathwaniFounder & ChiefScientific Officer
Brian Silver Chief Financial Officer & Corporate Development
Markus HörerFounder & Chief Technology Officer
Ged ShortSVP Clinical & Regulatory
Jan ThirkettleChief Development Officer
Natalia MisciattelliSVP Strategy
Duncan WhitakerVP Intellectual Property
Jane WhitrowVP Business Operations
Romuald CorbauSVP Research
Executive team includes experienced leaders in gene therapy, manufacturing and clinical development
Lyndsay TelakisDirector HR
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Successful expansion of global footprint and organisation
130 FTEs covering research, clinical development, process development, analytics and GMP manufacturing
CMC Development & Analytics LabsMunich, Germany
Germany
Corporate Offices, New York, USA
United States
United Kingdom
HQ & Research Labs Stevenage, UK
Manufacturing & QC Stevenage, UK
Animal LabsLondon, UK
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Our technology builds upon the pioneering liver expressing gene therapy in Haemophilia B
NEJM 2011 and 2014
Prof. Amit Nathwani
First to prove long-term sustainable expression of systemic AAV gene
therapy in humans
0.0 0.5 1.0
0
2
4
6
Years
% F
IX a
cti
vit
y
Low (N=2) Mid (N=2) High (N=6)
First generation FIX gene therapy(NEJM 2011 and 2014)
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Prof. Amit Nathwani
First to prove long-term sustainable expression of systemic AAV gene
therapy in humans
Our technology builds upon pioneering liver expressing gene therapy in Haemophilia B
Next Generation
Improve construct with the aim of achieving higher protein expression
Aim for functional cure/normalisation
Create foundation for broad pipeline
Limitations of First Generation constructs
Field set out to replicate the results of Prof. Nathwani with constructs very similar to his original construct:
▪ No change in protein level compared to original construct
▪ Not extendable to pipeline across indications due to low protein levels achieved
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ITR Promoter Gene Intron ITR
Capsid (S3) Cassette Gene
AAVS3 is a novel, human-selective liver tropic capsid with a high transduction efficiency of human hepatocytes
Best in class liver specific promoter Optimised intron
Codon-optimised geneUtilise gain-of-function mutations, when feasible
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Our best in class capsid is the foundation of our pipeline
Expression = Cassette x Gene x Capsid
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FRG xenograft mouse model, chimeric human mouse liver model
Dose: 4e12 vg/kg
Source: Poster presented at ASH 2018 – “Preclinical Evaluation of an Engineered AAV Capsid in Non-Human Primates for the Treatment of Haemophilia B”4.3%
24.3%
0%
10%
20%
30%
40%
AAV8 AAVS3
% G
FP p
osi
tive
hu
man
cel
ls
P<0.05
AAVS3 high tropism for the human liver verified in animal studies
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The strength of our proprietary capsid allows continuous development of broad pipeline
Proprietarycapsid
Other diseases treatable by protein replacement
or enhancement
Haemophilia
Lysosomal storage disorders
Chronic inflammatory diseases
Liver directed protein replacement
for monogenic disorders
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Program Research IND enabling studies Phase 1/2 Next Milestone WW Rights
Haemophilia B FLT180a
Results from next dose cohort
H2 2019
Fabry Disease FLT190
First human dose2019
Gaucher DiseaseFLT200
Initiation of IND enabling studies
UndisclosedHaematology
Initiation of IND enabling studies
UndisclosedInflammation
Lead candidate selection
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Proprietary and balanced pipeline with two programs in the clinic by 2019
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FLT180a - Haemophilia B
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Normal blood coagulation occurs in people with FIX activity between 50 and 150%
Normal coagulation >60% needed to ensure coverage during surgery or trauma
Normal50 – 150%
Mild haemophilia 5 – 40%
Prolonged bleeds >15% needed to prevent joint bleeds
Frequent spontaneous bleedsMod/SevHaemophilia <5%
FIX activity %
Uijl et al. 2011. Analysis of low frequency bleeding data: the association of joint bleeds according to baseline FVIII activity level. Haemophilia (2011), 17, 41–4
WFH Guidelines on the management of haemophilia table 7.1 and 7.2
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Normal blood coagulation occurs in people with FIX activity between 50 and 150%
Normal50 – 150%
Mild haemophilia 5 – 40%
Prolonged bleeds >15% needed to prevent joint bleeds
Frequent spontaneous bleedsMod/SevHaemophilia <5%
FIX activity %
Uijl et al. 2011. Analysis of low frequency bleeding data: the association of joint bleeds according to baseline FVIII activity level. Haemophilia (2011), 17, 41–4
WFH Guidelines on the management of haemophilia table 7.1 and 7.2
Freeline has the potential to deliver the first and only AAV gene therapy capable of normalising FIX levels
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Patients and physicians want normal factor activity levels
World Federation of Hemophilia (WFH). Guidelines on the management of haemophilia table 7.1 and 7.2
KoL advisory board WFH May 2018
Cowen and company 21st annual therapeutics conference topical wrap up.. Equity research 2018
Haemorrhage type
WFH Min. FIX level
Best practice
CNS 60 %100% FIX level by bolus injection followed by continuous infusion maintained at 100% for a week after surgery
Maintain the level over 80% for a further period until discharge.
Throat and neck 60 %
Gastrointestinal 60 %
Joint 40 %
Surgery 60 %
Cowen physician panel October 2018 reported 60% of specialists would like to see gene therapy leading to Factor IX levels within the normal range (50%-150%)
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B-AMAZE is an open label Phase 1/2 study of FLT180a in Haemophilia B
Sponsor: UCL
1 hour infusion
6 months follow up
Long term follow-up in separate protocol
Dose 6e11 equals 4.5e11 with Ph3 standard
Dose 2e12 equals 1.5e12 with Ph3 standard
Prophylactic steroids from week 6 (1st cohort) or week 4 (2nd cohort)
Objective: To assess the safety and efficacy of systemic administration of FLT180a in adult patients with severe haemophilia B
4.5e11 vg/kg (N=2)
Low dose
1.5e12 vg/kg
Mid dose
Adaptive trial design
3e12 vg/kg
Higher dose
7.5e11 vg/kg
Lower dose
Enrolment criteria
▪ Haemophilia B patients aged >=18 years with FIX activity levels <2%
▪ Lack of neutralising antibodies to AAVS3
▪ >50 exposure days to FIX and no history of inhibitors
▪ Normal liver function
▪ No evidence of active Hepatitis B, C, or HIV infection
Assessments
▪ Safety
▪ FIX activity level (one stage clotting assay)
▪ Exogenous FIX concentrate usage
▪ Bleeding frequency
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With FLT180a at a low dose of 4.5e11 stable expression levels of 42-49% were achieved from week 14
Dose 6e11 vg/kg equals 4.5e11 vg/kg with Ph3 standard
Prophylactic prednisolone week 6-12, 60 mg tapered
Source: ASH 2018 Oral Presentation by Prof. Nathwani: “A Single Intravenous Infusion of FLT180a Results in Factor IX Activity Levels of More Than 40% and Has the Potential to Provide a Functional Cure for Patients with Haemophilia B”
FIX activity level % ALT (IU/l)
Weeks post vector infusion
Pt 1: 42%
Pt 2: 49%
Pt 2
Pt 1
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No spontaneous bleeding episodes during 9 and 6 months, respectively, of observation
pre-GT post -GT0
50000
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250000F
IX C
on
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sa
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IU/ 9 m
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Ble
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/9 m
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Prophylactic infusion Day 2
Cut finger, no FIX infusion
pre-GT post -GT0
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FIX
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ag
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Patient 1 Patient 2
FIX usage
Number of bleeds
pre-GT post -GT
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Ble
ed r
ates
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/6 m
on
ths
Dose 6e11 vg/kg equals 4.5e11 vg/kg with Ph3 standard
Prophylactic prednisolone from week 6-12, 60 mg tapered
Source: ASH 2018 Oral Presentation by Prof. Nathwani: “A Single Intravenous Infusion of FLT180a Results in Factor IX Activity Levels of More Than 40% and Has the Potential to Provide a Functional Cure for Patients with Haemophilia B”
Pre -GT Post -GT Confidential
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Clinical superiority
Rapid progression
Clear regulatory pathway
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FLT180a has the potential to be the first Haemophilia B gene therapy to provide normalisation of FIX levels
B-AMAZE Phase 1/2 data points to first gene therapy providing normalisation in haemophilia B
Optimised development plan with ongoing natural history study
and use of surrogate endpoint allows for rapid progression to market
Potential qualification for accelerated regulatory review FDA Draft guidance for industry. Human Gene Therapy For Haemophilia –July 2018
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FLT190 – Fabry disease
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The manifestations of Fabry Disease are broad and debilitating with significant unmet needs
Disease characteristics
– X-linked – men and women
– Alpha-galactosidase A (GLA) deficiency
– Accumulation of globotriaosylceramide (Gb3) primarily in vascular wall
– Affects a range of organs
– Renal and cardiac failure most common cause of morbidity
– Stroke is a common feature
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ERTs may stop progression but do not heal organ damage
High use of pain medicines due to peaks and troughs in ERT
Ab development limiting treatment response
Treatment barrier high leading to advanced disease
ERTs do not prevent stroke
Role of high expressing gene therapyUnmet needs
Prevent disease progression Rapid Gb3 clearance -> improved renal function
Elimination of pain and GI symptoms
High expression level expected to lead to tolerization
Earlier and simple interventionbefore organ damage
Stroke risk likely to be reduced
Continuous high expression gene therapy holds potential for better treatment outcomes than ERTs
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FLT190 leads to reversal of kidney disease in GLA KO mice
Jeyakumar et al. Liver-directed gene therapy corrects Fabry disease in mice. Molecular Genetics and Metabolism 2019 Feb;126(2): Page S1, Poster #180
FLT190 vector genome pseudo-typed with AAV8 in GLA KO mice; Dose: 2e12 vg/kg. Error bars: Mean ± SD
Time point: 16 week disease development prior to treatment; analysis 14 weeks post-treatment. Gb3/Lyso-Gb3 data (n=4, 2 males and 2 females)
Kidney GLA activity
Fa
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y U
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Fa
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at e
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i l d t y
pe
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1 0 0 0 0
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K i d n e y G b 3
Gb
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g/m
g t
ot
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ro
te
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15000
wtTreatedUntreated
Kidney Gb3
Gb
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g/m
g t
ota
l pro
tein
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i ld
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pe
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5 0
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K i d n e y L y s o - G b 3
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so
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b3
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g/m
g t
ot
al p
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Lyso
-Gb
3(n
g/m
g to
tal p
rote
in)
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150
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wtTreatedUntreated
EM x5000
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…as well as reversal of heart disease in GLA KO mice
Jeyakumar et al. Liver-directed gene therapy corrects Fabry disease in mice. Molecular Genetics and Metabolism 2019 Feb;126(2): Page S1, Poster #180
FLT190 vector genome pseudo-typed with AAV8 in GLA KO mice; Dose: 2e12 vg/kg. Error bars represent mean ± SD
Time point: 16 week disease development prior to treatment; analysis 14 weeks post-treatment. Gb3/Lyso-Gb3 data (n=4, 2 males and 2 females)
Fa
br
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Fa
br
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at e
d
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i l d t y
pe
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0
1 0 0 0
2 0 0 0
3 0 0 0
H e a r t G b 3
Gb
3
(n
g/m
g t
ot
al p
ro
te
in
)
Gb
3(n
g/m
g t
ota
l pro
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1000
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Heart Gb3
Fabry U
T
Fabry T
reate
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Wild
types
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Heart Lyso-Gb3
Lyso
-Gb3
(ng/
mg
tota
l pro
tein
)Ly
so-G
b3
(ng/
mg
tota
l pro
tein
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5
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Heart Lyso-Gb3
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wtTreatedUntreated
wtTreatedUntreated
Heart GLA activity levels
EM x5000
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Strong preclinical data
High performing manufacturing process
Phase 1/2 ready for FHD 2019
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FLT190 ready for first human dose in H1 2019
In-vitro and in-vivo data support achievement of therapeutic levels in humans
CMC building on learnings from Haemophilia B programme
MARVEL1 Phase 1/2 ready for dosing 2019
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Platform technologies
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Freeline has addressed the multiple steps to building a gene therapy platform delivering high systemic expression
Cassetteoptimisation
Gain-of-function
Humanoptimised
capsid
Product potency and quality
ScalableCMC process
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Our differentiated AAV manufacturing platform provides flexibility in readiness for commercial demands
SPEED TO GMP
Class-leading pipeline progression from candidate selection to GMP
manufacture and commercialisation
MAXIMISED POTENCY
High product potency achieved through optimised cell line, plasmids and transfection system
AGILE SUPPLY
Single manufacturing platform meets demand from tox to commercial with
low cost of goods
HIGHEST QUALITY
Quality built-in to product using proprietary technology and supported by world class analytics
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Multiple value creating milestones with two programs in the clinic in 2019
2018PROGRAM 2019H1 H2
2020
Haemophilia BFLT180a
Fabry DiseaseFLT190
Gaucher FLT200
B-AMAZE results
B-AMAZE cohort 1 results at ASH 2018
EOP2 meetings
Ph 3 enrolment
Preclinical data WORLD 2019
FPFV MARVEL1
CTA approved for MARVEL1 (Ph 1/2)
MARVEL1 initial clinical results
Complete dose escalation PTPs
Lead candidate selection
FHD Ph 1/ 2IND enabling studies initiated
EOP2: End of Phase 2
FHD: First Human Dose
PTPs: Previously Treated Patients
Generation of multiple candidates
ASGCT: CMC platform presentations