Paul Stoffels
Analyst · Brian Abrahams from RBC. Please go ahead
Thank you, Thad, and happy to work again together and work with the teams. Here you see a slide summarizing our vision and mission statement. At Galapagos, we want to transform patients' outcome to life changing science and innovation, aiming at bringing more years of life and quality of life. In order to achieve this, we go for groundbreaking signs with an entrepreneurial spirit and a collaborative mindset. At the R&D Day back in November '22, we introduced the course that we have set out for the Company in order to unlock significant value. On this slide, you see a snapshot of how we have been executing on the transformation of the Company over the last 18 months. We continued to roll out a commercial organization in Europe for our first product, the Jyseleca. In mid-'22, we announced the acquisition of CellPoint and AboundBio propelling us into the space of next-generation CAR-T therapeutics. We refocused the R&D organization on two therapeutic areas: immunology and oncology. And late last year and early this year, we presented encouraging initial safety and efficacy data on the two CD19 CAR-T trials in relapsed refractory NHL and CLL in point of care setting with our Cocoon platform. In parallel, we accelerated the discovery portfolio both in small molecules and biologics. And we also announced and completed the restructuring of our discovery activities. We transitioned the Romainville discovery activities to NovAliX in France. Let's move on to our pipeline as it stands today. As mentioned, the pipeline is refocused on two therapeutic areas: immunology and oncology. I will come back on some of the programs in more detail below. In summary, in immunology, unfortunately, the Phase 3 trial in Crohn's disease did not bring us the results we had hoped for. But we have RA and you see on the market with a registrational trial in AxSpA out of the gates now. We are progressing our TYK2 in dermatomyositis and SLE and aim to start a patient study with our CD9 CAR-T 5101 this year in severe refractory lupus. Meanwhile, we are working on multiple exciting preclinical targets that we are eager to push forward if we see a best-in-class potential. In oncology, we made good progress with the CD19 programs. I will come back on that later. We plan to start BCMA program in multiple myeloma with 5301 after the summer. Meanwhile, with AboundBio as well as via external collaborations that we intend to close we keep working on next-generation CAR-T and leverage our point-of-care Cocoon platform for those. Here is a reminder of our progress with TYK2 3667, we initiated the Phase 2 trial in dermatomyositis and dosed our first patients with top line results expected in 2025. We also progressed 367 in a lupus trial, and we opened the first 30 centers that are in the process of screening patients and there, the top line are resulted -- the top line results are expected in 2026. Now let's move to oncology. Today, the approved CAR-T products are manufactured to central production, which has several limitations. For example, product needs to be frozen and needs to be shipped. As mentioned, with the acquisition of CellPoint last year, we pivoted into cell therapy with a point-of-care solution striving for infusion of fresh cells -- a fresh cell product with a seven-day vein-to-vein time in a decentralized setting close to the patient. Here, you see a picture of that many of you've seen before, of the Cocoon point-of-care solution. We have exclusive license from hematological cancers with Lonza for the Cocoon in the point-of-care setting, allowing us to invest in that platform and give -- provide global access to hospitals. The teams are further optimizing the CAR-T production process and automating the quality release testing, simplifying the point-of-care manufacturing on site. Today, only a small portion of patients that are eligible for CAR-T received a treatment, high unmet need cancer patient populations that are not helped today would benefit from CAR-T therapy. These are patients with fast progressing cancers that can be held by quick access in the seven-day vein-to-vein time as well as patients with poor prognosis or with Kansas for which no standardized treatment strategy is available today. And as mentioned before, within the pool of patients that have been found eligible for CAR-T treatment, we see that today only 10% to 20% receive CAR-T products due to barriers in terms of logistics, manufacturing, limiting access to the products. Our aim is to increase the addressable patient population, leveraging the point-of-care model. Let's move to the programs update on our CD19 CAR-T trials. Here you see the design of the CD19 CAR-T Phase 1/2 trial in relapsed refractory NHL. This is a basket trial recruiting patients with diffuse large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma and marginal zone lymphoma. Encouraging initial results have been communicated on seven patients with an overall response rate of 86% and a complete response rate in all of the 86% of the overall responders. Only mild ICANS and CRS were reported and the median vein-to-vein time for administration was seven days. This quarter, we made an important progress in our Phase 1 trial in NHL. We decided to recruit additional patients to generate larger data sets for specific subpopulations of patients with high unmet medical needs. This allows us to build a robust package in support for our pivotal study. We submitted an abstract to a future scientific conference and plan to provide updated safety and efficacy data on the NHL for the year-end. The Phase 2 expansion part of the NHL study is already open and we are actively dosing the first patients in indolent lymphoma as well as in mantle cell lymphoma in those cohorts. We selected our first U.S.-based point-of-care manufacturing site and tech transfer activities have started. We are preparing an IND submission, which we'll plan to submit in the first half of '24. Here you see the design of the CD19 Phase 1/2 trial in relapsed/refractory CLL. Earlier this year, we announced encouraging initial results on seven patients with an overall response rate of 100% and a complete response rate of 86%. Advanced CLL and especially patients with riskless transformation remain a high met unmedical need patient subgroup. And as announced earlier this year, we are encouraged by the initial safety and efficacy results. No CRS above grade 3 and no ICANS were reported and mentioned the median vein-to-vein time was seven days for this initial patient population. The first half of the year, we made important progress in our CLL clinical trial, and we are now closing to complete the Phase 1 recruitment with the last patient identified. In the first half of 2024, we aim to initiate a Phase 2 dose expansion part of the study, and we established the recommended Phase 2 dose based on the safety profile efficacy observed. As for the NHL study, we submitted an abstract to a future scientific conference and plan to provide updated safety and efficacy data under CLL trial before the year-end. Now over to our discovery portfolio, last year, we implemented a new operating model and R&D strategy with a goal to accelerate innovation and rebuild our product pipeline to achieve shorter time to patients. We build on strong therapeutic area expertise in immunology and added oncology, bringing in new top talent and capabilities. Additionally, to complement our internal discovery, we are combining internal and external innovation. We now apply a best-in-class target approach going through transformational products in high unmet medical needs. The research teams have performed an internal exercise and identified and selected a set of targets and indications in immunology and oncology. We can now build on both our expertise in small molecules enter innovative biology discovery platforms with the team of AboundBio. For immunology, on the cell therapy front, we have nominated a preclinical candidate that is a fully human CD19 CAR-T targeting a unique epitope and with differentiated binding kinetics. And the small molecule teams identified over five targets across several immune indications that fit with our renewed approach and -- that are currently in different stages of print clinical development -- preclinical development, sorry. For oncology, the team of about identified over five targets across hematology and solid cancer indications and multiple differentiated armoring strategies have been set forward alongside a multi-targeting approach. We certainly see an opportunity to leverage our small molecule expertise in oncology, which ties in with our aim to deliver precision medicine. A review of the landscape has been done, and the teams have identified five targets across cancer types. Our aim is again to nominate the first clinical candidate from the Discovery portfolio in '24. So this concludes my review of R&D with the strategic change we made over the last 12 months. And now, I hand it over to Thad.