Tom Davis
Analyst · Aegis Capital. Please proceed
Thanks, Anthony. So as a recap on Slide 6, glembatumumab vedotin is an antibody conjugate that targets and binds to gpNMB, a specific protein that is expressed in a range of cancers. In breast cancer, gpNMB has been shown to promote the migration, invasion and metastasis of the disease. It is also highly expressed in triple-negative breast cancers where it is associated with increased risk of recurrence. As an ADC, glemba is designed to release the potent cytotoxin MMae upon internalization into gpNMB-expressing tumor cells. The METRIC study, as outlined on Slide 7, is a 300-patient Phase 2 study in patients with metastatic triple-negative breast cancer that overexpresses gpNMB. In this indication, overexpression is defined as greater than or equal to 25% of tumor cells testing positive as determined by immunohistochemistry. The primary endpoint of the study is progression-free survival, or PFS. Patients are randomized 2:1 to either glemba or to Xeloda, also known by the generic name capecitabine, as a comparator. Xeloda, while routinely used in this patient population given the lack of options, has a limited impact, with the PFS ranging from 1.7 to 2.5 months in the published literature. On Slide 8, we present results from our previous Phase 2 study EMERGE. In the subset of patients with triple-negative disease and high gpNMB expression, a PFS of 3.5 months for glemba compared to 1.5 months for investigators’ choice was observed. It’s important to note that the patients in EMERGE were much more heavily pretreated than the patients in METRIC and as such, we would anticipate a greater PFS in the METRIC study, assuming glemba performs consistently. While the success of the study will be driven by the primary endpoint of progression-free survival, the sum of the data, including the secondary endpoints of response rate, overall survival, duration of response and safety, will be an important in assessing whether the results suggest a clinically meaningful benefit. As Anthony alluded to, we have seen a consistent improvement in the rate of enrollment in METRIC over the last 6 months. Now on Slide 9, we implemented a number of initiatives to increase awareness of glemba and the METRIC study, including broad-based physician outreach initiatives and expansion into Europe. Those efforts have had a meaningful impact. And assuming the current rate of enrollment continues we believe enrollment will be completed by the end of September 2017. The study is event driven with the events being PFS, which is defined as the time from randomization to the earlier of disease progression or death due to any cause. The study calls for 203 events for a valuation of the primary endpoint. As we get closer to that number, we will be able to predict the timing for data with greater accuracy. But it’s fair to assume that we would have top line results from the study roughly six months to eight months after completing enrollment. By that time, we should also have a pretty good handle on glemba’s potential activity in metastatic melanoma. Glemba performed well in the single agent setting here, with 11% response rate, a 52% disease control rate and a median duration of response of six months in patients with primarily stage 4 metastatic melanoma who had failed both checkpoint inhibitor therapy and if appropriate, a BRAF/MEK targeted therapy. Preclinical data reported from Seattle Genetics suggest that the anti-tumor activity of MMAE may be enhanced when combined with immune activators or checkpoint inhibitors. Microtubule- depolymerizing cytotoxic agents such as MMAE have been shown to convert tumor residents’ tolerogenic dendritic cells into active antigen-presenting cells. This presents a great opportunity for us to build on the positive monotherapy results. As such, we have added two new cohorts to the melanoma study, a glemba plus varli arm, which is nearing completion of enrollment and should have data this fall and a glemba plus checkpoint inhibitor arm, including either Opdivo or Keytruda. Both arms continue to be conducted in patients who have failed prior checkpoint therapy. There has been a lot of investigator enthusiasm for this study given the lack of treatment options for patients who progressed after checkpoint therapy. Given this, we are hopeful we will complete enrollment to the glemba checkpoint arm by year end 2017, but we will have a more accurate prediction once we have some initial accrual experience. As Anthony mentioned, Celldex has long-standing history with working with academic and government collaborators to answer key questions within our programs. This provides nice third-party perspective and allows us to develop a better understanding of our programs beyond the data from our internally sponsored efforts. We have a collaborative relationship with PrECOG, a research network established by the NCI funded Eastern Cooperative Oncology Group, or ECOG, as many of you may know them. They are conducting an open label, Phase 1/2 study in patients with unresectable Stage 3b or 4 gpNMB expressing advanced metastatic squamous cell carcinoma of the lung who have progressed on prior platinum based chemotherapy. The initial phase of this study opened to enrollment in April 2016 and is ongoing. We have also entered into a CRADA with the National Cancer Institute under which NCI is sponsoring tow studies of glembatumumab vedotin, one in uveal melanoma and one in osteosarcoma. The uveal melanoma study is a single arm open label study in patients with locally recurrent metastatic uveal melanoma and is currently open to enrollment. Initial data from this study will be presented at the International Society of Ocular Oncology conference later this month. The osteosarcoma study is a single arm, open label evaluation of adolescent and adult patients with recurrent or refractory osteosarcoma. The study had a two stage design with the pre-specified activity threshold necessary in the first stage to progress enrollment to the second stage. While there was some activity in this indication, the study did not meet the relatively high threshold required to progress to stage 2 and therefore decision has been made not to enroll additional patients. We expect the data from this study will be presented by the investigators from the NCI at a future medical meeting. Next in the pipeline is varlilumab on Slide 10. Varli is a fully human monoclonal antibody that binds to and activates CD27, a critical co-stimulatory molecule in the immune activation cascade. Varli is thought to work primarily by stimulating T cells, an important component of a person’s immune system to attack cancer cells. Restricted expression and regulation of CD27 enables varlilumab specifically to activate T cells, resulting in an enhanced immune response with potential for a very favorable safety profile. As outlined on Slide 11, varli was initially studied as a single agent to establish the safety profile and assess immunologic and clinical activity in patients with cancer. But we believe the greatest opportunity for varlilumab and likely most, if not all of the immune activators is in combination with other agents. We conducted the broad Phase 1 combination program for varli across multiple indications to look at safety and dosing. We feel very comfortable with varli’s safety profile in combination with the range of other drugs. Varli has generated very little toxicity despite showing clear immunologic activation and clinical activity. We have decided to focus our Phase 2 efforts on the glemba/varli study in melanoma and on our collaborative Phase 2 study of varli and Opdivo, which is covered on Slide 12. The varli/Opdivo study is enrolling patients across five indications; 18 patients with colorectal cancer, 54 with ovarian cancer, 54 with head and neck squamous cell carcinoma, 25 with renal carcinoma and 20 with glioblastoma. This study includes multiple dosing schedules in the ovarian and head and neck cohorts. We believe it will complete enrollment across all cohorts in the Phase 2 portion of the trial in the first quarter of 2018 and we will work with BMS to present data at a future medical meeting. That said, data, including clinical activity from the Phase 1 portion of the trial, will be presented mid-year. Given the advancement of varli into a multi-tumor Phase 2 study with BMS, including in renal cell carcinoma, and efforts to identify areas of cost containment, we have decided not to advance the varlilumab/Tecentriq and the varlilumab/ sunitinib combination studies in renal cell carcinoma to Phase 2. Both of these studies completed Phase 1 enrollment and we plan to present data at a future medical meeting. Beyond the varli combinations with Opdivo across a variety of tumors and with glemba in melanoma, varli has significant interest in the field and we are collaborating with investigators regarding investigator sponsored studies that will likely initiate later this year. CDX-0158 on Slide 13 was a driving factor in our interest in Kolltan. 0158 is a humanized monoclonal antibody designed to inhibit KIT activation in tumor cells and mast cells. KIT is expressed in many tumor types, including gastrointestinal stromal tumors or GIST, sarcomas, small cell lung cancer, melanoma, AML and mast cell leukemia. It is also expressed on mast cells and has been implicated in asthma and neurofibromatosis. We are focusing on initially developing CDX-0158 for the treatment of GIST. Targeting KIT in GIST isn’t new. Three drugs currently approved to treat GIST, Gleevec, Sutent and Stivarga are all small molecules that inhibit KIT that innate and acquired resistance develops due to drug resistant KIT mutations. In fact, the single greatest predictor of lack of response to the drugs currently approved for GIST is the presence of additional KIT resistant mutations, which have been found to occur in a majority of patients over time. There is a high unmet medical need for new effective therapies that inhibits signaling despite these mutations and 0158 appears to be in that category. 0158 could be an important driver for these patients. CDX-0158 is designed to uniquely prevent KIT activation by inhibiting both receptor dimerization and ligand binding. We believe this mechanism could be effective even in tumors harboring the most common resistant mutations to Gleevec, Sutent and Stivarga. CDX-0158 has demonstrated preclinical activity versus the most common KIT mutations in human GIST, including treatment of mastocytoma in a canine model, which has been validated by other KIT inhibitors. A Phase 1 dose escalation study in patients with advanced refractory GIST and other KIT positive tumors opened to enrollment in December of 2015 to determine the maximum tolerated dose, recommended dose for further study and characterize the safety profile. Enrollment is ongoing. Upon completion of Phase 1 and assuming a successful outcome, we plan to develop CDX-0158 in patients with refractory GIST given the significant unmet need for these patients. There are also combination opportunities for CDX-0158 in immuno-oncology in the future. Preclinical data represented at AACR last year demonstrating synergy when 0158 is combined with checkpoint inhibitors. Now on Slide 14, the second clinical asset we acquired from Kolltan is CDX-3379, a monoclonal antibody designed to block the activity of ErbB3, also known as HER3. It is a receptor tyrosine kinase that belongs to the epidermal growth factor receptor or EGFR family. ErbB3 is believed to be an important receptor regulating cancer cell growth and survival. It is expressed in many cancers, including head and neck, thyroid, breast, lung and gastric cancers as well as melanoma. 3379 has the mechanism of action that sets it apart from other drugs in development in this class. And again, may play an important role in overcoming resistance to therapy. 3379 locks the receptor in an inactive state, which prevents both ligand independent and ligand dependent ErbB3 signaling. Additionally, it has an engineered Fc region designed to prolong its half life, resulting in a very favorable pharmacological profile compared to published data for other anti- ErbB3 monoclonal antibodies. There are other anti- ErbB3 candidates in development that we believe that 3379’s unique dual mechanism of action, high affinity and prolonged half life gives it the potential to be best in class. 3379 also has the potential to enhance antitumor activity and/or overcome resistance in combination with other targeted and cytotoxic therapies to directly kill tumor cells. Tumor cell death and the ensuing release of new tumor antigens has the potential to serve as a focus for combination therapy with immuno-oncology approaches even in refractory patients. On Slide 15, a Phase 1a/1b study was conducted by Kolltan, including a single agents dose escalation portion and combination expansion cohorts. Data from the expansion cohorts were presented at ASCO last year. The single agent dose escalation portion of the study did not identify an MTD and there were no dose limiting toxicities. The most common adverse events included rash and diarrhea and were predominantly grade 1 or 2. Four combination arms across multiple tumor types evaluated 3379 with several drugs that target EGFR, HER2 or BRAF. They include combinations with Erbitux, Tarceva, Herceptin and Zelboraf. Patients had advanced disease and were generally heavily pretreated and refractory to the combination agent. Across the combination arms, the most frequent adverse events were diarrhea, nausea, rash and fatigue. In the Erbitux arm, there was one complete response in a patient with head and neck cancer. This patient had been previously treated with Erbitux and was clearly refractory. In the Zelboraf arm, there were two partial responses in patients who had lung cancer, one of whom had been previously treated with Taflinar and was considered refractory. Additional patients across both arms also experienced stable disease. Although early, we find that the combination data in refractory patients promising, a meaningful clinical activity, especially responses are very rarely seen in this patient population. As such, we are currently exploring plans for advancement into Phase 2. CDX-014 or 14 is next on the pipeline and is covered on Slide 16. This is a human monoclonal ADC that targets T cell immunoglobulin and mucin domain 1 or TIM-1. TIM-1 expression is up regulated on several cancers, most notably renal cell and ovarian carcinomas. It is associated with a more malignant phenotype of renal cell carcinoma and tumor progression. TIM-1 has restricted expression in healthy tissues, making it amenable to an ADC approach. The TIM-1 antibody is linked to MMAE using Seattle Genetics proprietary technology. The ADC is designed to be stable in the bloodstream that release MMAE upon internalization into TIM-1 expressing tumor cells, resulting in a targeted cell killing effect. CDX-014 has shown antitumor activity in preclinical models of ovarian and renal cancer. In July 2016, we announced that enrollment had opened in a Phase 1/2 study of CDX-014 in patients with clear cell or papillary renal carcinoma. The Phase 1 dose escalation portion of the study is evaluating cohorts of patients, receiving increasing doses of CDX-014 to determine the maximum tolerated dose and the recommended dose for further study. We anticipate the Phase 1 dose escalation portion of the study will complete enrollment by year end 2017, rounding out a busy year for us. With that, I will turn the call over to Chip for a review of the financials.