Bolt Biotherapeutics, Inc. (BOLT) Q1 2024 Earnings Report, Transcript and Summary

Good afternoon, and welcome to the Bolt Biotherapeutics Strategic Update Conference Call. At this time, all participants are in a listen only mode. After the speakers’ presentation, we will conduct a question-and-answer session. Instructions will be given at that time. As a reminder, this call may be recorded. I would now like to hand the call over to Willie Quinn, incoming Chief Executive Officer of Bolt Biotherapeutics. Please go ahead, sir.

Thank you, and good afternoon, everyone. This afternoon, we issued our first quarter 2024 financial results and business update, which outlines the topics we plan to discuss today. You can access the press release by going to the Investors and Media section of our website at www.boltbio.com. I am joined today by Randy Schatzman, outgoing Chief Executive Officer and Edith Perez, outgoing Chief Medical Officer. I am also joined by some newly promoted members of Bolt's senior leadership team, including Michael Alonso, Co-Founder of Bolt and newly promoted Senior Vice President of Research and Dawn Colburn, newly promoted Senior Vice President of Clinical Development. Before we begin, I'd like to remind everyone that during this call, we will be making forward-looking statements that are subject to a number of risks and uncertainties. These may cause our actual results to differ materially, and I encourage you to read our SEC filings for more details on these risks and uncertainties. You are cautioned not to place any undue reliance on these forward looking statements and Bolt disclaims any obligation to update such statements. To start, I'd like to thank everyone for joining us today. As you all know, we don't normally have earnings calls but we decided it would be a good idea to have a call today to clearly communicate our new vision for Bolt. On today's call, we will provide details regarding strategic pipeline and leadership changes as well as reviewing our progress during the first quarter. We believe these strategic changes will enable us to optimize the company's operations, maximize shareholder value and most importantly, deliver meaningful benefit to the many patients with cancer who could benefit from more effective treatment options. I'd like to start the call by addressing our decision to discontinue development of BDC-1001. And for that, I'd like to call on my colleague, Dr. Edith Perez. As one of the foremost experts on HER2 positive breast cancer, Edith helped us navigate this landscape and recruit a stellar group of investigators. Edith?

Thank you, Willie. I am proud of the work that we've done to establish that our Boltbody immune stimulating antibody conjugates or Boltbody ISACs can be safely delivered and can produce antitumor activity in patients with metastatic solid malignancies. I am grateful for the collaboration with world leading investigators who understood and understand the promise of the ISAC approach, and I want to thank them and their patience for all they have done to help advance the scientific understanding of how this brand new platform of biotech may ultimately improve cancer care. We continue to build upon that foundation with our next generation ISAC programs. We have decided to discontinue all development BDC-1001 and will work with our investigators to achieve an orderly shutdown of our trials. Deciding to discontinue a program is never easy, especially when one sees signs of activity and evidence supporting our proposed mechanism of action. However, we have limited resources and most focused resources on our product candidates that have the highest potential. We set out to reproduce a 30% overall response rate that we saw in BDC-1001's dose escalation trial, and we did not see that in the Phase 2 portion of the program. However, the clinical activity of BDC-1001 along with the significant advances in our next generation ISAC technology have encouraged us to shift resources to our clouding 18.2 targeting next generation ISAC program and our ongoing Phase 1 study of our Dectin-2 agonist antibody. With these changes, I have decided to transition to an advisory role and hand over the reins to Dawn Colburn, who is being promoted to Senior Vice President of Clinical Development. Dawn Colburn joined Bolt in 2023, bringing over two decades of experience in oncology clinical development. Prior to joining Bolt, she was Vice President of Clinical Science at Agenus and Arcus Biosciences, where she built and led the clinical science organization and the non-small cell lung cancer development strategy at both organizations. I am happy that both clinical programs are in good hands, and I look forward to continuing to work with Dawn and the team in the advisory role. And with that, I'll now hand over the call to Randy. Randy?

Thank you, Edith. Bolt will now be shifting away from BDC-1001 and prioritizing BDC-3042 and BDC-4182, our next gen ISAC targeting Claudin 18.2, which incorporates five years of advancement in ISAC design parameters. In conjunction with the strategic refocusing, the company will be reducing its workforce by approximately 50%. As a result of these actions, we expect to extend our cash runway into the second half of 2026, which enables us to achieve clinical data on our next generation ISAC and our Dectin-2 program with our existing resources. As part of this refocusing, we've also made leadership changes that will best serve the company's path moving forward. My colleague Willie Quinn, both longstanding Chief Financial Officer will be stepping in as Chief Executive Officer. Willie has been a strong leader at Bolt since joining the company four years ago with expertise in executing operational and financial strategies, driving corporate growth and raising capital. He's been an invaluable partner to myself and to both Board of Directors and overseeing all aspects of the company. We anticipate a seamless transition and I look forward to transitioning into a strategic advisory role and continuing to be involved in that capacity. Along with these changes, we're also reducing the size of both Board by two directors. Bolt Founder Ed Engleman is stepping down from the Board of Directors and into a position on our Scientific Advisory Committee. Dr. Engleman founded the company in 2015 to expand on his pioneering work in cancer immunotherapeutics and myeloid biology conducted at Stanford University. We're glad that he will be able to continue to be a resource for us here at Bolt. Dr. Richard Miller has also decided to not stand for reelection when his term expires in June. Dr. Miller has served on our board since 2017, and we are grateful for his drug development perspective over the years. Finally, I want to thank all the dedicated and talented employees who will be leaving as part of this realignment. It's been a true pleasure to work with you for these past five years. With that, I'd like to pass the call back to Bolt's incoming Chief Executive Officer, Willie Quinn, to provide an overview of the company's strategy and platform. Willie?

Thank you, Randy. Before I start, I want to thank all Bolt's employees and particularly Randy, Edith, Ed and Richard for their leadership in advancing the company to where we are today. While our priorities are shifting, our mission remains the same, to leverage the power of the immune system to find better ways to treat cancer. This is not an easy path and drug development is inherently risky, but we are making progress. Our understanding of the relation between the immune system and tumor microenvironment continues to improve, and our ISAC platform is dramatically better than it was only a few years ago. As a reminder, at Bolt, we are developing product candidates with the goal of training a patient's own immune system to recognize and eliminate their cancer. We do this by focusing on the tumor microenvironment, which almost always contain some myeloid cells. Myeloid cells, such as Macrophages and Dendritic Cells are part of what is called the innate immune system. Their function is to recognize molecular patterns unique to pathogens such as bacteria, fungi and viruses. Our product candidates find ways to use this system to train the body to mount an immune response targeted at the cancer. We have three clear priorities going forward, BDC-3042, BDC-4182 and our collaborations. We believe BDC-3042, a first-in-class agonist antibody that reawakens myeloid cells so they can attack tumor cells, has broad application across many tumor types, and we are encouraged that BDC-3042 seems safe and well tolerated in the Phase 1 dose escalation thus far. In today's call, you will also hear more about BDC-4182, the first next generation Boltbody ISAC to advance into IND enabling studies. BDC-4182 targets Claudin 18.2 and has very promising preclinical data. Finally, we are committed to supporting our collaboration partners, Genmab and Toray, and look forward to providing details on some of those exciting programs later this year. With that, I would like to turn the call over to Dawn Colburn, our Senior Vice President of Clinical Development to discuss BDC-3042 in greater detail.

Thank you, Willie. Turning now to BDC-3042. BDC-3042 is the first-in-class Dectin-2 agonist monoclonal antibody that reprograms tumor associated macrophages to attack tumor cells. Dectin-2 gene expression is elevated in tumor associated macrophages across a broad range of solid tumor types. The ongoing first in human clinical study is currently evaluating BDC-3042 in patients with six types of metastatic or unresectable cancer, including triple-negative breast cancer, colorectal cancer, clear cell renal cell carcinoma, head and neck cancer, non-small cell lung cancer and ovarian cancer. The study starts with dose escalation of BDC-3042 as a single agent to evaluate the safety determine the recommended Phase 2 dose. BDC-3042 has advanced through the first three dose escalation cohorts without any dose limiting toxicities and the fourth dose level cohort is fully enrolled. BDC-3042 has been well tolerated to date. We anticipate providing an update on enrollment and safety in the latter half of this year. I'd like to now hand it off to Michael Alonso, our Senior Vice President of Research to provide an overview of BDC-4182.

Thank you, Dawn. I'm happy to join the call today to explain why we are so excited about our next generation Boltbody ISAC platform and about our Claudine 18.2 Boltbody ISAC in particular. As a reminder, an ISAC is comprised of a tumor targeting antibody and an immune stimulating payload. Over the last several years, we have continued to advance our Boltbody ISAC technology and have come to appreciate the importance of the antibody, the weaker, the payload and the combination of the three. We have developed next generation ISAC with enhanced potency and activities that have the potential to deliver superior efficacy with acceptable safety. We have generated preclinical data showing that our next generation Boltbody ISAC can provide better efficacy than naked antibodies and even better than cytotoxic antibody drug conjugates or ADCs. We have also generated antitumor activity in preclinical models with lower antigen density, tumor models where our first generation ISAC underperformed. I'll now turn to our exciting new program that we are unveiling today, BDC-4182, which targets Claudin 18.2. Claudin 18.2 is a protein that is expressed in the stomach epithelial and in healthy cells, it is somewhat hidden in the transmembrane type junction. In cancers, such as gastric and pancreatic cancer, expression of Claudin 18.2 is significantly elevated. Claudin 18.2 in these tumors is also localize the surfaces that are more readily accessible to biologics and acceptor cells, thereby providing an expression pattern that makes for an excellent target for ISAC. We have incorporated the learnings of BDC-1001 into our next generation ISAC and designed BDC-4182 with enhanced potency and activity. We are excited by the preclinical data generated to date, indicating that next generation Claudin 18.2 ISAC have superior antitumor activity relative to MMAE based ADCs and can deliver antitumor activity in models with low Claudin 18.2 antigen density. BDC-4182 has advanced to IND enabling activities supported by preclinical results demonstrating potent antitumor activity, induction of immunological memory with epitope spreading and importantly, an acceptable safety profile. With that, I'll turn the call back over to Willie for closing remarks. Willie?

While it was a difficult decision to pivot away from our first generation ISAC BDC-1001, we are guided by the strong principle of doing what will ultimately be best for patients. And in this case, that means learning from the data and turning our resources towards our clinical candidate BDC-3042 and our next generation ISAC platform. I'd like to reiterate excitement we have for our pipeline going forward. We are steadfast in our mission of generating breakthrough immunotherapies for patients with cancer, teaching the innate immune system to recognize and kill multiple tumor types. We have a focused pipeline centered on both proven platform technology as well as improvements that have been further validated by our external collaborations with Genmab and Toray. For our clinical stage program, BDC-3042, we will plan to share a safety and enrollment update on the Phase 1 dose escalation trial in the second half of this year, and we are advancing BDC-4182 towards initiating a clinical trial in 2025. We have a refreshed and prioritized corporate strategy and are adequately capitalized to achieve our upcoming program milestones into the second half of 2026. Bolt, at its core, is committed to innovative, groundbreaking science and I am proud of the progress we have made in advancing such differentiated technology in order to bring positive change to the oncology treatment landscape in the future. We will now open the call up for Q&A, for which we will have available our SVP Clinical Development, Dawn Colburn, our SVP Research, Michael Alonso and myself. Operator?

[Operator Instructions] And our first question comes from Jeffrey La Rosa with Leerink Partners.

I'd like to talk more about this ask you more about the Claudin 18.2 ISAC and can you elaborate more on why and how it is more potent than the first gen platform? Is it just a matter of it being a more potent TLR7/8 agonist? Why you're still confident in TLR7/8 agonist and there's other innate stimulants? And I guess, part of the HER2 experience with 101 was really a fierce competitive landscape with high bars with some of the other HER2 mechanisms there. It's pretty similar with Claudine 18.2 with ADCs and T-cell engagers there. How do you think this will play out differently competitively versus the HER2 experience and sort of just kind of talk more about target selection in general, how that plays into, how you select your new ISAC programs and relative to what else is out there?

Jeff, those are great questions. This is Willie. And I would like to turn it over to Michael to address those. I think we have some good answers.

Perfect. Thanks. I think first and foremost, BDC-1001 certainly demonstrated that ISAC can be safely delivered to patients, elicit immune activation in the patient tumors and produce meaningful clinical benefit. We've taken these learnings and made several design improvements with the next generation ISACs that lead to enhanced activation of the immune system that we expect will increase the antitumor activity in patients, including those with tumors expressing lower levels of target antigen as we have seen in our preclinical model. Now more specifically, as it relates to the ISAC and the design improvement, we've certainly made improvements to the potency of the TLR7/8 agonist. We've also made improvements to the antibodies such that we are seeing enhanced phagocytosis and activation of the myeloid cells, and we have some optimization of the conjugation chemistry. And I think by optimizing these features with our common design principles, we've certainly produced ISACs that are much more potent than what we observed with BDC-1001 preclinically, and have seen some compelling antitumor activity in our preclinical models. As it relates to why TLR7/8 versus some of the other immune agonists that are out there, I think from the big picture standpoint, we still prefer TLR7/8 as they are endosomally located and can deliver robust activation of the innate immune system. Their expression profiles in human nicely covers platinocytoid, dendritic cells as well as monocytes macrophages and dendritic cells, which are all cells that when activated can lead to a robust innate immune response that will translate then to the adaptive immune response and get some compelling T-cell immunity.

Not to interrupt, but I think the other component that is interesting from a competitive landscape perspective, which is something that we didn't have in the HER2 landscape is a look versus cytotoxic ADCs and maybe you could talk a little bit about that too?

Yes. So moving into the competitive landscape, we certainly are paying attention to the landscape, notably with what's out there or what's about to be out there with the trastuzumab, the naked antibody and its activity in patients with high Claudin 18.2 expression, but also what's coming next in some of the early phase clinical trials. And that's a lot of what we've been seeing is the antibody drug conjugates with the MMAE payloads. We've taken, we've made the cytotoxic ADCs in-house and have compared them to the ISAC in syngeneic tumor models with high expression or with medium expression of Claudin 18.2. And we certainly see that the ISAC's perform superior to them at least in our early models that we've assessed to date. So, we're certainly positioning ourselves to face the competition and we expect that our differentiated mechanism will provide clinicians with some interesting options as it relates to immune stimulation and the potential for durable immune responses. And I think your last question was on target selection for the next generation ISAC and I'll spend a little bit of time just for Claudin, right? So why are we interested in Claudin 18.2? I think I touched on that a bit. It's certainly been validated now experience with trastuzumab. The expression profile of Claudin 18.2 is also quite compelling and as much in healthy tissues, it's restricted to the tight junctions in the gastroesophageal. And then during tumor genesis or as the cancer progresses, you see it losing some of the cell polarity and then being more readily accessible to biologics. So we're thinking about the next generation ISAC that are significantly more potent than the first generation ISAC, while still having safety in mind, very specific expression of the tumor targeting antigen can certainly lead to a compelling hypothesis to test in the clinic and that's what we're excited to do.

And Jeff, I'll just end by pointing out that we also just uploaded a new corporate presentation, which is available on our website. And it does include a few slides on the preclinical data that we've generated for BDC-4182. So encourage you to take a look at that and obviously we're happy to have follow-up conversations.

Our next question comes from Stephen Willey with Stifel.

I guess maybe just a follow-up on the prior question and maybe a little bit more specifically. Can you talk about the differentiation of the payload on 4182 relative to 1001, I guess specifically as it pertains to the skew of TLR7 versus 8 agonism. If I remember correctly, I think 1001 was skewed more towards TLR7. Should we assume that in this being more potent you've driven that skew more towards 8?

So again, I'll let Michael jump in on that. And I do think we have some good slides that also speak to that but I'll let him answer the question.

Yes. I think aside from getting into how far is it skewed one way or another, I would say that the payload that we're utilizing for BDC-4182 is significantly more potent on both TLR7 and TLR8 relative to what we utilize for BDC-1001. And I think what's important and you can reference the corporate deck on Slide 20, when you go through these data is that as you transition from the first generation linker payload to the second generation linker payload, our goal is to still activate the innate immune system, which includes the myeloid cells and the plasmacytoid dendritic cells. And what we've learned is that as you climb down the antigen ladder, i.e., if you target tumors with lower antigen density, you see significantly enhanced antitumor activity with the next generation ISAC's, not just on quadrant, but also on HER2, TROP2 and CEA, relative to the first generation. So we are delivering significantly more activity, be it in-vitro in our preclinical models, but also in-vivo in our tumor models.

And then just with respect to 3042, can you just, I guess, maybe speak to your level of confidence that you'll be able to see monotherapy activity with this agent in dose escalation or even dose expansion? And can you give us any inclination as to kind of what your preclinical data tells you about at what dose level you would expect to maybe see some potential efficacy just based upon the exposures that you're starting to achieve at any given dose level?

We are very excited about 3042, and I'll hand it over to Dawn to just talk a little bit about the status of where we are in the clinic there. And then either she can talk a little bit about mechanism or Michael can jump in as needed. Dawn?

So for a program like 3042, we don't yet know what we will see in the clinic during our dose escalation experience. We are hopeful that we will start seeing some activity at some of the dose levels coming up. But it's still very early days and pretty low doses that we're administering to these patients. The preclinical models lead us to believe that we should see monotherapy activity here. And I think it will just need to be borne out in the clinic as to whether or not we will actually see monotherapy activity with this agent. And I'll hand it over to Michael to speak to sort of dose expectations.

I think Dawn said it perfectly. I think we are in the range, where we are starting to get very interested in the clinical doses and we'll know more as we get to those patients.

Our next question comes from Michael Schmidt with Guggenheim.

I have two questions. The first one on BDC-1001. Yes, I'm just curious what sort of the trigger was to drop the program? I thought you just had recently initiated the use of expansion cohorts. Was it data from one or more specific cohorts that did not meet the bar? How do we and what are learnings from the BDC-1001 experience?

We definitely tried to make this decision as early as we could in light of the other interesting programs we have, because we wanted to make sure that our precious resources were going in the very best place possible. But it's always a difficult decision, especially when you're seeing signs of clinical activity and you think you might have a program, but you're weighing that against the competitive landscape and what else you could do. And maybe I'll just hand it over to Dawn a little bit, who is a lot closer to the BDC-1001 program and kind of the nitty-gritty. And we're not necessarily going to give patient by patient details, but I think she can give you a better sense of where we were and how we came to that decision.

Certainly. Just to remind folks, when we set out to do the expansion cohorts, what we were trying to do is actually reproduce the data that we saw in our dose escalation portion of the first BDC-1001 clinical trial. And that produced a 29% or 30% overall response rate in a mixed group of heavily pretreated patients. So we opened expansion cohorts with a bar of 30%. And quite frankly, we didn't see that in some of the initial cohorts. And so that's why we took the tough decision to go ahead and discontinue the program at this time to give us the runway to look at these other assets that we have. We still continue to believe very strongly in our ISAC technology. And just to remind folks, we do -- we have seen interesting biomarker data and clinical activity from the dose escalation. It was very safe and well tolerated and we will be actually publishing the totality of our dose escalation data in combination with a lot of biomarker data in an upcoming manuscript.

And on 3042 targeting TAMs, I guess, what is the most compelling argument for targeting Dectin-2? And are there any other examples out there of therapies targeting TAMs that could help to derisk this mechanism clinically?

We love talking about BDC-3042, because we do think, we have a unique first in class mechanism. I'm going to hand it over to Michael to talk a little bit more about that target and our decision to go there.

I think for targeting Dectin-2, it's got a couple of things going forward. One is a pattern recognition receptor that when agonized can repolarize some of the tumor supportive macrophages and convert them into the tumor destructive macrophages. From an expression standpoint, Dectin-2 is actually quite interesting because it is elevated in tumor associated myeloid cells, which include macrophages and other cell types. And its expression is relatively modest in the rest of the body such that you can get some nice tumor targeting with the BDC-3042 and that's why we're excited about this program. Certainly, from other TAM targeting agents that are out there, we're certainly aware of the previous strategies geared mostly towards depleting some of these tumor associated macrophages, and we believe very much in redeeming these cells and reprogramming them such that they can really fight for us rather than against us in the tumor. I would say some of the interesting ones, there are certainly CD40 agonists that have had some early compelling clinical activity that were really hampered or hindered rather by some of the potential toxicity of targeting CD40 such that it has pretty broad expression in the periphery, and across the body. So that's why we think the targeting of Dectin-2, which is more specific to the tumor is compelling.

Thank you. There are no further questions. I could turn the call back over to Willie Quinn for any further remarks.

Thank you. So this has been an emotional day for us as you can imagine. And we thank you all for joining us today. We look forward to keeping you updated on our programs and hope to talk to you again soon. Thank you.

Thank you for your participation. This does conclude the program. You may now disconnect. Everyone, good day.