Bassil Dahiyat
Analyst · Leerink Partners. Your line is open
Thank you, Hannah, and good afternoon, everyone. This afternoon we will discuss the advances in our internally developed XmAb programs and the selection of two additional bispecific oncology candidates for development. We also signed a strategic collaboration with Novartis in June, in which we will share the costs and collaborate on our lead bispecific oncology candidates XmAb’s 14045 and 13676, while retaining full U.S. commercial rights to both programs. As part of our agreement with Novartis, we received $150 million upfront payment, which strengthens our balance sheet and provides us cash through at least the end of 2019. We look forward to next year, when we anticipate announcing initial data readouts for our pilot Phase 2 trial of XmAb5871 in IgG4-Related Disease, our Phase 1 subcutaneous formulation trial for XmAb7195 and our Phase 1 trial of XmAb14045 in acute myeloid leukemia. These data will provide important insights, as we determine the path forward for each of our compounds. And having a stronger balance sheet, we afford us greater flexibility to increase our development activity, extend our runway or both. Now, with that I’ll turn to XmAb5871, our first-in-class monoclonal antibody that targets CD19 with its variable domain and uses our proprietary XmAb immune inhibitor Fc domain to target FcγRIIb, a receptor that inhibits B-cell function. 5871 is currently in Phase 2 clinical studies for the treatment of IgG4-Related Disease or IgG4-RD and system lupus erythematosus or SLE, two diseases with strong rationale for B-Cell inhibition high unmet need. We believe we have the opportunity to be at the forefront in providing a treatment option to the estimated 40,000 patients suffering from IgG4-RD in the United States, and to the estimated 240,000 patients of afflicted with SLE in the U.S. We remain on track to report top line data from IgG4-RD study in the first-half of 2017 and top line data from our SLE trial in 2018. Now, as a remainder, the IgG4-RD study is a Phase 2 open-label pilot study designed to address control of disease activity with every other week IV administration of 5871. This trial’s plan to enroll approximately 15 subjects for up to 24-weeks of treatment, and the primary endpoint is to evaluate the effect on the IgG4-RD responder index to measure treatment activity. Our SLE trial of the Phase 2 randomized double blind placebo-controlled study, which uses a novel trial design to evaluate the ability of 5871 to maintain the improvement in disease activity after a short course of intra-muscular steroid therapy, and in the absence of immunosuppressant therapy. We believe this trial design will enable us to assess the effect of 5871 on SLE disease activity with a shorter time to endpoint and with fewer patients compared to the standard SLE trial design. Approximately, 90 SLE patients will be enrolled for up to 24 weeks with a one-to-one randomization of 5871 to placebo. Now additionally, in July, we initiated dosing of subjects in a bioequivalence trial with a subcutaneous formulation of 5871. Establishing subcu delivery of 5871 will provide a simple and more flexible option for patients and for doctors. Then we expect to announce initial data from this study in 2017. Now, turning to XmAb7195, which is our antibody that targets IgE with its variable domain and uses an identical XmAb immune inhibitor Fc domain as 5871. 7195 has three distinct mechanisms of action producing IgE levels. It sequesters free IgE to block IgE signaling, it suppresses B-cell differentiation into IgE secreting plasma cells and it enables the rapid clearance of IgE from the circulation, because of its high FcγRIIb binding and the subsequent breakdown of IgE in the liver. Now, in May, we announced complete data results from our Phase 1a trial of 7195, which showed a rapid reduction of serum IgE and high IgE atopic patients and a potent suppression of free IgE below the level of detection. Including from single doses in 75% of high IgE subjects and five of six high IgE subjects dosed at 0.6 milligrams per kilogram. Now, moreover, 7195 was generally safe and well tolerated. We did see transient asymptomatic thrombocytopenia at doses greater than 2 milligrams per kilogram and Moderate urticaria was reported in some subjects with an apparent correlation of dose with frequency of occurrence. Now we believe 7195’s ability to effectively reduce IgE levels gives the compound potential in a range of allergic diseases, including allergic asthma and food allergy. Now, we plan to initiate a multi-dose Phase 1 study with the subcutaneous formulation of 7195 later this year and to report initial data in the first-half of 2017. Now, I’ll turn to our growing XmAb bispecific oncology pipeline. In June, we announced a strategic collaboration with Novartis to develop and commercialize our lead bispecific candidates XmAb’s 14045 and 13676. We look forward to partnering with Novartis, a leader in immuno-oncology space to advance these programs to clinical development and are especially pleased of retaining U.S. commercialization rights to both programs. I will provide more detail in a few minutes on this collaboration. But first, I want to talk about our bispecific antibody platform. As we’ve discussed previously, at the core of our bispecific program is a novel XmAb Fc domain. It’s a scaffold for two or potentially more different antigen binding domains. The result of using this Fc domain is a single molecule that combines two targets simultaneously. Now, by using this plug-and-play approach, we developed uniquely flexible platform that lets us rapidly create candidates by combining any two binding domains, while maintaining full-length antibody properties, such as favorable in vivo half-life and simple manufacturing. We believe it is this flexibility that differentiates our bispecific programs from others in the field. Now, our lead programs 14045 and 13676 are tumor-targeted T-cell engaging antibodies, they bind to and activate T cells for highly potent and targeted killing of malignant cells by binding a tumor antigen on one arm of the bispecific antibody and binding a CD3 on the other arm. We expect to initiate clinical trials for 14045 which targets CD123 on acute myeloid leukemia cells and for 13676 which targets CD20 on malignant B-cells both later this year. Now at our Analyst Day in June, we announced a selection of two additional bispecific antibodies to take forward to the clinic. The first is 18087, which targets SSTR2 and CD3 for the treatment of neuroendocrine tumors and we expect to initiate clinical testing for this compound in 2017. The second new compound is XmAb20717, which targets PD-1 and CTLA-4 for potential use in multiple oncology settings. Now, 20717 is our first bispecific antibody to simultaneously engage two T cell checkpoint targets to activate T cells against different tumor types. Now, we believe this dual checkpoint approach and these dual checkpoint bispecific antibodies have the potential to be better than combination therapies by improving selectivity and by eliminating the need for multiple checkpoint antibodies to be administered. And we plan to initiate trials for XmAb20717 also in 2017. I’ll also give a brief update on our partnerships. As I mentioned a few moments ago, we started working with Novartis on the development of 14045 and 13676. In addition the collaboration with them goes beyond these two programs. We’ll also apply our XmAb bispecific Fc domain to Novartis antibodies in four different Novartis antibody programs, for one of those programs we may elect to share in cost and U.S. profits in lieu of U.S. royalties too. In addition, Novartis will receive a non-exclusive license to use our other XmAb FC technologies, specifically our Cytotoxic, Xtend and immune inhibitor Fc domains in up to 10 molecules. Now, like our other partnerships that leverage the plug-and-play nature of our XmAb domain, this additional portion of our collaboration with Novartis, broadens the impact of our technology with little to no research commitment by Xencor. We’re eligible for up to $2.4 billion in milestones, if all programs are successful and for low double-digit royalties on ex-U.S. sales for XmAb’s 14045 and 13676 and for mid-single-digit royalties on worldwide sales for the Novartis programs for our bispecific platform. Now, with Novartis, there are now nine pharmaceutical companies and the NIH currently using our Fc technology to advance novel drug candidates that include our bispecific structure Fcs, our higher cytotoxicity, our longer half-life and our improved stability molecules. Now, with that, I’ll pass the discussion over to John.