CytRx (CYTR) Corporate Presentation€¦ · december 2018 non-confidential . nasdaq: cytr. fighting...
Transcript of CytRx (CYTR) Corporate Presentation€¦ · december 2018 non-confidential . nasdaq: cytr. fighting...
Corporate OverviewDecember 2018
Non-Confidential
NASDAQ: CYTR
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CytRx Safe Harbor StatementTHIS PRESENTATION CONTAINS FORWARD-LOOKING STATEMENTS THATINVOLVE CERTAIN RISKS AND UNCERTAINTIES. ACTUAL RESULTSCOULD DIFFER MATERIALLY FROM THOSE PROJECTED IN THE FORWARD-LOOKING STATEMENTS AS A RESULT OF THE RISK FACTORS DISCUSSEDIN CYTRX REPORTS ON FILE WITH THE U.S. SECURITIES AND EXCHANGECOMMISSION INCLUDING, BUT NOT LIMITED TO, THE REPORTS ONFORM 10-Q FOR THE QUARTER ENDED SEPTEMBER 30, 2018.
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Centurion BioPharma Corp Wholly-owned subsidiary of CytRx
Corporation (NASDAQ: CYTR)
Private oncology pre-clinical stage company
Discovered and owns full rights to LADR™ (linker activated drug release) and new companion diagnostic
Laboratory facilities and drug discovery team located in Freiburg, Germany
Administrative location in Los Angeles, CA
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Centurion BioPharmaHighlights
Albumin companion diagnostic (ACDx) is a ground breaking companion diagnostic in the preclinical stage that is being developed to work in conjunction with LADRTM
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
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Vision and Development Strategies for ACDx + LADRTM
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
OUR VISION: Personalized Medicine with Solid Tumor-Agnostic Treatment
Build tumor-agnostic
development plan
Easily train oncologists
on the technology
Establish treatment globally
Attain blockbuster
revenue
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Companion Diagnostic: ACDx (albumin companion dx)
ACDx is an imaging test that identifies albumin uptake in tumors. By determining if albumin is in the tumor, we can
determine if treating with LADRTM (an albumin binding drug conjugate) is appropriate. This is personalized medicine that is
highly valued by oncologists.
What is ACDx?
How is ACDxused?
Uses Single Photon Emission Computed Tomography (SPECT), commonly used by oncology practices throughout the world. ACDx and LADR will be a products sold to oncology practices.
Goal When positively screened with ACDx, we believe patients will have a very high response rate when treated with LADRTM.
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ACDx has potential to transform solid tumor treatment
OUR VISION: Personalized Medicine with Solid Tumor-Agnostic Treatment
Identify eligible patients for treatment
Improve outcome of clinical trials
Improve probability of breakthrough
status and approval
Rationale for payer
reimbursement
Justification for premium pricing
ACDx creates value when working as a companion diagnostic with LADRTM
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Preclinical SPECT/CT Imaging with 111In-C4-DTPAEstablish 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
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~40 min
~2 min
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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 ofelimination
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LADRTM Platform Overview
2. Cleavable Linker• Novel linker keeps the
highly potent drug payload inactive until the conjugate reaches the tumor
• The linker is then cleaved which activates the payload
3. Targeting• Ensures rapid and
selective binding to circulating serum albumin
• Serum albumin transports the LADR™ drug to the tumor
1. Ultra High Potency Drug Payload
• Payloads are 10-1,000 times more potent than standard anti-cancer agents
• Similar to those used for ADCs (auristatins, maytansinoids)
Goal: accumulate drug in the tumor and minimize systemic toxicity
1 2 3
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Albumin as a Drug Delivery Vehicle Albumin Most abundant protein in human blood plasma Transport molecule Long half-life (20 days) Major source of essential amino acids (“fuel″) for cancer cells Localizes at tumor
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Mechanism of LADRTM Conjugates
Drug-linker conjugateis infused
Tumor cells
Albumin transports drug to the tumor and surrounding
microenvironmentLinker dissolves in the acidic (low pH) environment, releasing the drug payload
Rapid and specific binding to
circulating albumin
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CytotoxicAgent Linker
CytotoxicAgent Linker
Albumin
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Preclinical LADRTM data shows impressive efficacy Three poster presentations at AACR 2018
Robust anti-tumor activity in multiple tumor types
Impressive survival in multiple tumor types
Durable responses averaged 60‒90 days
Demonstrated statistically significant superiority over the control group and parent compound
Highly effective even in large tumors with starting volumes of 270‒380 mm3
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AACR Poster: Efficacy LADR-7, 8
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AACR Poster: Efficacy LADR-9, 10
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Personalized Medicine
• Continue ACDx development to a first clinical trial so that cancer patients can be identified as candidates for an albumin-binding drug conjugate (LADRTM)
Clinical SPECT/CT Imaging
We expect high response rates toLADRTM
treatment when patients are selected utilizing ACDx
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Centurion BioPharma CorpPipeline
Preclinical Phase 1 Phase 2
LADR™ Albumin Binding Drug Conjugates
Auristatin ProgramLADR-7: AE-Keto-Sulf07LADR-8: AE-Ester-Sulf07
Maytansinoid ProgramLADR-9: PP072LADR-10: FN296
ACDx - Companion Diagnostic –patient identification across solid tumor types
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Momentum is building for cytotoxin + immunotherapy in oncology
Combining immunotherapy and cytotoxins is clearly becoming the 'wave of the future' for the treatment of cancer and Big Pharma are leading these breakthroughs
Immunotherapy and cytotoxin combinations represent a significant opportunity for the Centurion pipeline because our innovative platform can significantly improve the way cytotoxin therapy performs with immunotherapy
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Immunotherapy and Cytotoxin Combinations Have Enormous Promise
On October 30, 2018, the Food and Drug Administration approved pembrolizumab (KEYTRUDA®, Merck & Co. Inc.) in combination with carboplatin and either paclitaxel or nab-paclitaxel as first-line treatment of metastatic squamous non-small cell lung cancer (NSCLC).
First positive Phase III study results for a cancer immunotherapy combination in breast cancer, with Tecentriq® (Genentech/Roche) plus nab-paclitaxelSource: www.gene.com
Source: www.fda.gov
Centurion’s ground-breaking innovation in cytotoxin therapy can improve efficacy even further with immunotherapy combinations
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CytRx can build value with potential milestone/royalty payments along with our Centurion pipeline
OrphazymeMilestones
and Royalties
Orphazyme (“ORPHA.CO”): $120M in potential milestones + royalties on Arimoclomol (currently
undergoing clinical trials in 4 indications)
Centurion BioPharma
Pipeline
NantCellMilestones
and Royalties
NantCell: $343M in potential milestones + royalties on Aldoxorubicin
Oncology personalized medicine: companion diagnostic + treatment
Centurion BioPharma is a wholly-owned subsidiary of CytRx
20Source:www.orphazyme.com/presentations/company presentation
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CytRx value – Orphazyme milestones and royalties
OrphazymeMilestones
and Royalties
Orphazyme: $120M in milestones + royalties on Arimoclomol
• Orphazyme to engage with FDA and EMEA to determine path to making arimoclomol available in NPC
• Niemann-Pick is a high unmet need• Orphan drugs traditionally have a high price• Potential near term timing of payments to CytRx• In addition to NPC, ongoing clinical trials in Sporadic Inclusion
Body Myositis (sIBM), Gaucher Disease and ALS
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CytRx value – NantCell milestones and royalties
NantCellMilestones
and Royalties
NantCell: $343M in milestones + royalties on Aldoxorubicin
• Dr. Patrick Soon-Shiong is a South African/American surgeon, entrepreneur, and philanthropist. He is chair of NantWorks, LLC (which is the owner of NantCell), executive director of the Wireless Health Institute at the University of California at Los Angeles, and an adjunct professor of surgery at UCLA.
• NantCell, LLC licensed aldoxorubicin from CytRx in July 2017. As part of the license, NantCell made a strategic investment of $13 million in CytRx common stock at a price of $6.60 per share
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CytRx partnered Pipeline with NantCell - Aldoxorubicin
Preclinical Phase 1 Phase 2 Phase 3
2nd-Line Soft Tissue Sarcoma
2nd-Line Small Cell Lung Cancer
Combo with ifosfamide – STS
Combination Trials with Immunotherapy
Pancreatic Cancer
Squamous Cell Carcinoma
Triple-Negative Breast Cancer
Ph 2 – Fully enrolled; NantCell has IND
Ph 1b/2 – On going
Ph 1b/2 – On-going
Ph 1b/2 – NantCell has IND
Ph 3 – Completed; NantCell has IND
Ph 1b/2 – On-going
• Studied in over 600 patients with a favorable safety profile• Ongoing trials in combination with immunotherapies and cell based
therapies
Aldoxorubicin
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CytRx value – Centurion BioPharmapipeline
Centurion BioPharma
Pipeline
Oncology personalized medicine: companion diagnostic + treatment
Albumin companion diagnostic (ACDx)identifies tumors eligible for treatment with LADRTM
LADR (linker activated drug release) albumin binding drug conjugatesLADR-7LADR-8LADR-9LADR-10
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2017
Recent and Upcoming Catalysts
2018
1Q17: Met with the FDA for aldoxorubicin as a treatment for STS
2Q17: Oral presentation of aldoxorubicin Phase 3 STS data at ASCO
2Q17: Present updated Phase 1b/2 results from combination trial of aldoxorubicin and ifosfamide in advanced sarcomas at ASCO
3Q17: Announced global strategic alliance for aldoxorubicin with NantCell
4Q17: Regain Nasdaq listing compliance
4Q17: File patent applications for LADRTM
drug candidates
4Q17: Initiate activities for GMP manufacturing of LADRTM linkers
Represents a completed milestone
1Q18: NantCell initiated Ph 1b/2 combination clinical trial in metastatic pancreatic cancer and in advanced squamous cell carcinoma
1Q18: Nominate one or more ultra-high potency LADRTM conjugates for clinical development
2Q18: NantCell initiated Ph 1b/2 combination clinical trial in triple negative breast cancer
1H18: Begin partnership discussions for high potency LADRTM conjugates
1H18: Present data on LADRTM conjugates at major scientific meeting
3Q18: File patent application for companion diagnostic
By Dec 31, 2018: Goal - Strategic transactioncompletion date and close
Strategic transaction will determine next steps with pre-IND meeting, studies and filing of IND for first-in-human study with LADRTM drug conjugate and ACDx diagnostic
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Financial Summary 9/30/18 Cash Position No Debt
Shares Outstanding 33.6M
Options Weighted-average strike price: $10.67 2.7M
Warrants
Weighted-average strike price: $7.90 0.7M Including: NantCell warrant at $6.60; expires 01/2019 0.5M
Fully-Diluted Share Count 37.0M
$24.7M
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Conclusion
CytRx can build value with the following: Orphazyme $120M in potential milestones + royalties
NantCell $343M in potential milestones + royalties
Centurion BioPharma oncology personalized medicine pipeline Albumin companion diagnostic (ACDx)
Albumin binding drug conjugates (LADRTM-7, LADRTM-8, LADRTM-9, LADRTM-10)
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