Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for...

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Anil Singhal, President and CEO June 2019 Off-The-Shelf, Engineered Gamma Delta γδ T cell Therapy for Oncology

Transcript of Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for...

Page 1: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Anil Singhal, President and CEO June 2019

Off-The-Shelf, Engineered Gamma Delta γδ T cell Therapy for Oncology

Page 2: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Adicet Bio: Two Compelling Platforms for Cell Therapy

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• Founded in 2015 with $51M Series A funding - 60 employees

• Potent off-the-shelf, engineered γδ T cell therapy for oncology and other indications

• Proprietary intracellular tumor-selective targets from TCR-L platform for treatment of solid tumors

• IND for ADI-001 planned in Q4’19 for non-Hodgkin’s lymphoma and CLL

• Robust, cost-effective, cGMP-compliant manufacturing from healthy donors

• Strategic collaboration with Regeneron

• Experienced leadership team and top tier investors

Leading the Next Generation of CAR-T Therapies

Page 3: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Our Goal: Improve Cancer Immunotherapy

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• Autologous CAR-T have demonstrated remarkable efficacies in heme malignancies, however..

• Cumbersome, high manufacturing cost of patient-specific therapies

• Current therapies are compromised by patient’s immune system dysfunction

• Existing cell therapies present challenging safety profiles

• Loss of target from current cell therapies leading to relapses

• Unsuccessful treatment of solid tumors due to lack of selective targets

Engineered γδ T Cells Solve Key Challenges of Current Cellular Therapies

Page 4: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Adicet Advantages

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γδ T Cells: The Foundation of Superior ‘Off-The-Shelf’ T Cell Therapies

• Allogeneic without gene editing

• Bind tumor antigen without MHC complex

• Highly potent against solid and liquid tumors

• Provide both innate and adaptive immunity

• No risk of GvHD

• Actively traffic to solid tumors and tissues

• Potent γ-IFN production

• Able to redose on demand

NCRs

DNAM-1

NKG2D

Engineered TCR(defined specificity)

Engineered CAR (defined specificity)

γδ T cell

γδTCR

γδ T cells express multiple tumor-recognizing receptors

Page 5: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

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Godder et al. 2007 Meraviglia et al. 2017

Improved Disease Free ProgressionColorectal Cancer

γδ T cell hi

γδ T cell lo

γδ T cell hi

γδ T cell lo

γδ T cell lo / IFNγ lo

Pan-Cancer: Improved Overall Prognosis

Gentles et al. 2015

Post-HSCTImproved Survival

Overall Survival

Improving Cancer Immunotherapy

γδ T Cells Strongly Correlate with Positive Clinical Outcomes

Page 6: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Building a Broad Pipeline in Cancer

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Program Indication Discovery Target Optimization

Preclinicalγδ cells

Manufacturing & IND-enabling

studies

InitiatePhase 1

CD20 NH Lymphoma IND filing 4Q’19 1Q’20

UT1 Melanoma

UT2 Solid Tumors

UT3 Multiple Myeloma

UT4 Solid Tumors

UT5 Prostate Cancer

UT6 Solid Tumors

ADI-001

UT: Undisclosed Targets Derived from TCR-L platform

Page 7: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

ADI-001 Cells Potently Kill Multiple Lymphoma Cell Lines in vitro

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• Innate and CAR-mediated activity of γδ T cells is superior to published results of competitor products

• CD20 CAR potentiates innate tumor recognition and killing

• Effective killing of HLA-Class 1 null (Daudi) cells

• Effective killing of cell lines expressing low CD20 levels

Raji*(~54,000 CD20 /cell)

Daudi*(>50,000 CD20 /cell)

Mino*(>90,000 CD20/cell)

WILL-2*(<1000 CD20 /cell)

CD20 CAR Vδ1 cells Un-engineered Vδ1 cells* Adicet Study

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Page 8: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

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ADI-001 Cells Effectively Control Aggressive Lymphoma Tumors in Mice

• γδ T cell treatment initiated* at T=0, s.c. tumor volume ≥ 200mm3

• 2nd generation CD20 CAR-modified γδ T cells effectively control multiple disseminated (iv) and localized (sc) tumors

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Page 9: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Subcutaneous Raji Tumor Growth*

ADI-001 Cells Effectively Control Secondary Challenge Tumors

• Control of secondary tumor challenge strongly indicates persistence, potency & lack of exhaustion

1o Tumor Challenge 2o Tumor Challenge

Mice with no / low tumor burden at Day 55-60 were rechallenged with tumor

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Page 10: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

CD20 CAR γδ T Cells Proliferate in Response to Activation in Tumors

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Blood

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T cell Proliferation

Day 2 Post-treatmentCAR-T γδ

Substantial target-mediated proliferation of CD20 CAR γδ T cells in localized lymphoma tumors at 6 days post treatment

Page 11: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

CD20 CAR γδ T Cells Proliferate in Response to Activation in Tumors

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Blood

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T cell Proliferation

Day 2 Post-treatmentCAR-T γδ

Day 6 Post-treatment CAR-T γδ

Substantial target-mediated proliferation of CD20 CAR γδ T cells in localized lymphoma tumors at 6 days post treatment

T cell Proliferation

Page 12: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

CD20 CAR γδ T Cells Proliferate in Response to Activation in Tumors

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Blood

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Liver

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T cell Proliferation T cell Proliferation

Day 2 Post-treatmentCAR-T γδ

Day 6 Post-treatment CAR-T γδ

Day 6 Post-treatment CAR-T αβ

Substantial target-mediated proliferation of CD20 CAR γδ T cells in localized lymphoma tumors at 6 days post treatment

Blood

Spleen

Liver

Tumor

Bone marrow

T cell Proliferation

Page 13: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

• No GvHD observed in mice treated with γδ cells

• No gene editing required to overcome GvHD

• Deaths in the αβ CAR T cell group due to GvHD

Intravenous Raji Tumor in SRG-15 Mice†*

Absence of GvHD with ADI-001 Cells

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αβ CART cells CAR γδ T cellsTumor alone

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†SRG-15 mice express human IL-15 transgene* Adicet study

Page 14: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

• Robust activation using Adicet’s γδ TCR mAbs

• Viral transduction

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Selection of Optimal Healthy Donors Manufacturing Process < 1 Month Batch Sizes of 2E11 Cells

• Large-scale closed-system perfusion bioreactor-based expansion

• Excellent post cryopreservation viability & function

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~1000s of doses per batch

Able to selectively expand different γδ T cell subsets

Simplify for Robustness, Partner for Capability and Capacity

Adicet Advantages: Robust, Large-Scale Manufacture of γδ T Cells

Page 15: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Clinical Development of ADI-001

• Target product profile of ADI-001 (CD20 CAR γδ T cells derived from healthy donor)⎼ Highly effective (ORR, PFS/OS) in CD20 expressing NHL and CLL

⎼ No GvHD

⎼ Significantly lower CRS

• Phase 1 Study⎼ NHL, CLL patients relapsing from 2 or more prior lines of treatment

⎼ 2-3 cohorts for dose escalation/safety

⎼ Up to 30 patients at the selected dose

⎼ Single treatment with ADI-001

• Pivotal study likely in DLBCL and/or MCL

Page 16: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

ADI-001 Timeline

GMP Manufacturing initiated: 4Q’18

Pre-IND meeting Q1’ 2019

• IND filing: 4Q’19

• Phase 1 initiation: 1Q’20

• Clinical data: 1H’21

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Page 17: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

TCR-Like monoclonal antibodies (TCRL)

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Page 18: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Adicet Advantages: Unlocking the Intracellular Proteome

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CHALLENGE

SOLUTION

• Lack of disease-specific cell surface targets in solid tumors (80% of proteins are intracellular)

• Ability to target disease-specific intracellular proteins highly expands the target pool

• Unlikely to express on normal cells• TCR-Like (TCR-L) antibodies are specific to

peptide-MHC complexes and have multiple applications– Mimic TCR specificity with mAb affinity– scFv for chimeric antigen receptors for cellular

therapy– Bispecific T-cell engaging antibodies

Page 19: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Tyrosinase TCR-Ls Effectively Control Melanoma Growth

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• Tyr CAR γδ T cells effectively controls subcutaneous growth of melanoma cell line

• Tyr-CD3 bispecific antibodies effectively control subcutaneous growth of melanoma cell line

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Page 20: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Additional Opportunities for Adicet Platform Technologies

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• Potential to treat severe infectious disease with γδ T cells

• Potential to eradicate autoreactive B-cells with CAR γδ T cells

• Growing portfolio of internally-validated tumor-specific TCR-like antibody targets

– Able to develop TCR-like antibodies as T cell engaging antibodies

Page 21: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Strong IP Portfolio: 11 Patent Families Worldwide

Patent portfolio on γδ T cell technologyComposition of matter for engineered γδ T cells

Selective expansion of γδ T cell populations and compositions thereof

Family of patents on TCRL technologyTCRL technology and use in cancer, viral infection, and autoimmune disease

Specific TCRL Antibodies and their targets

Class I major histocompatibility complexes

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Page 22: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Key Terms of the Collaboration with Regeneron in Oncology

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Structure of the agreement: • Multiple targets • REGN has option to license a defined number of product

candidates at IND̶ REGN optioned products: Adicet has option to co-

develop/co-commercialize OR receive royalties

• Adicet products: royalties to REGN

γδ T cells engineered with CARs and TCRs for oncologyGenerate a pipeline of liquid and solid tumor product candidates

Five year research collaboration; Initiated 7/2016

Page 23: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Adicet: Leader in CAR and TCR Engineered γδ T cells

Company γδ Subtype Engineering Partner Stage (engineered ACT)

Vδ1

Adicet δ1 CAR/TCR Regeneron FPI 1Q2020

Gamma Delta/Lymphact δ1 no Takeda preclinical

TC Biopharm δ1 not clear UDublin (2019) FPI 2H2019?

non-

Vδ1 Adicet δ2, δ3 CAR/TCR Regeneron FPI 2020

TC Biopharm δ2 CAR bluebird bio Ph 1Incysus δ2 TMZ-R UAlabama FPI 2H2019

Immatics δ2 TCR MDACC preclinical

• Other players, not directly competing with Adicet, include: Gadeta (αβT, autologous), Phosphogam (Vδ2), American Gene Technologies (viral activation of Vγ9Vδ2 cells), potentially Universal Cells/Adaptimmune

Page 24: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Experienced Team with Proven Track Record

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Stewart Abbot, Ph.D.Chief Scientific and Operating Officer

Brian HoganChief Financial Officer

Anil Singhal, Ph.D.President and CEO

Page 25: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Investment Opportunity

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• Potent off-the-shelf, engineered γδ T cell therapy for oncology and other indications

• Proprietary targets derived from TCR-L platform for treatment of solid and liquid tumors

• Robust, cost-effective, cGMP-compliant manufacturing from healthy donors

• IND for ADI-001 planned in Q4’19 for non-Hodgkin’s lymphoma and CLL

• Strategic collaboration with Regeneron

• Experienced leadership team and top tier investors

Leading the Next Generation of CAR-T Therapies

Page 26: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Back up

C o n f i d e n t i a l U s e O n l y26

Page 27: Off-The-Shelf, Engineered Gamma Delta γδ T cell …...Adicet Bio: Two Compelling Platforms for Cell Therapy 2 • Founded in 2015 with $51M Series A funding - 60 employees • Potent

Engineered γδ T Cell Product Development Timeline

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Program Indication 2019 2020 2021 2022 2023 2024

ADI-001 NH Lymphoma

ADI-002 Oncology

ADI-003 Oncology

Phase 1

Phase 2 / Pivotal BLA filingIND

Preclinical

Phase 1IND

IND

Phase 1

Preclinical

Phase 2 / Pivotal