Paul A. Moore
Analyst · LifeSci Capital
Thank you, Sabeen. I'm pleased to share updates from our R&D pipeline, where we continue to see strong momentum, particularly with the IND clearance of ZW251. As Sabeen touched on, we are encouraged by the clinical progress observed to date with our lead ADC candidate, ZW191, which demonstrates early signs of translational alignment between preclinical predictions and clinical outcomes. We believe these early data from the ZW191 provide a strong foundation and confirms our confidence in the therapeutic potential of our proprietary topoisomerase 1 inhibitor payload, ZD06519. This alignment has reinforced our decision to advance ZW251 into the clinic. 251 incorporates the same foundational elements as 191, including our topoisomerase 1 inhibitor payload and optimized antibody framework, but it's specifically engineered to address hepatocellular carcinoma, a disease with high unmet medical need and few effective targeted therapies. What we think makes GPC3 particularly attractive from a therapeutic standpoint is its expression profile. It is highly expressed in the majority of HCC tumors while exhibiting minimal expression in normal adult tissues. This tumor selective expression reduces the risk of off-target effects and supports a favorable therapeutic index for GPC3 targeted therapies. As you can see from the panel on the left-hand side of this slide, GPC3 is overexpressed in more than 75% of HCC tumors while showing limited expression in normal tissues, confirming as a compelling candidate for selective ADC targeting. Importantly, GPC3 is expressed during fetal development, but is largely silenced and healthy adult tissue. This fetal -- oncofetal expression pattern provides a unique window for tumor targeting without disrupting normal adult physiology. Prior studies have demonstrated the successful accumulation of anti-GPC3 antibodies in patient tumors, validating GPC3's accessibility and relevance as a therapeutic target. While glypican-3 or GPC3 has attracted attention across the industry, it's important to note that most of the exploration to date has been in the context of other therapeutic modalities. We are among the first to systematically advance GPC3 as a target for antibody drug conjugates. With ZW251, we've taken a thoughtful translationally grounded approach to unlocking the potential of this target using our proprietary ADC platform. Now turning your attention to the panel in the middle of the slide. As mentioned previously, 251 incorporates a moderately potent bystander active topoisomerase 1 inhibitor payload, ZD06519, enabling us to deliver higher protein doses compared to those employing more potent camptothecin derivatives such as exatecan-based ADCs. This, we believe facilitates enhanced target engagement and tumor penetration, especially important in tumors with lower heterogeneous GPC3 expression, an important consideration for achieving therapeutic impact across a wider patient population. At its core, 251 consists of a humanized IgG1 monoclonal antibody that binds GPC3 with high specificity and affinity. Importantly, this antibody demonstrates a desired cross-reactivity in both human and nonhuman primate models, which is critical for translational relevance and safety assessments. Preclinical studies have demonstrated that once bound, the antibody is internalized into GPC3 expressing tumor cells, initiating intracellular delivery of the cytotoxic payload. Our goal was to optimize the balance between safety and efficacy in a patient population often complicated by liver dysfunction. As you can see on the panel on the far right of this slide, preclinical studies have demonstrated that 251 at DAR4 delivers compelling breadth of antitumor activity across diverse HCC models compared to a DAR8 ADC control. This activity is also observed in models with variable glypican-3 or GPC3 expression. Importantly, this lower DAR will potentially provide additional flexibility in clinical dosing, which I have mentioned is critical in HCC where liver impairment can significantly impact treatment tolerability. I'd like to also briefly touch on the preclinical and safety and PK data we've generated for 251, which strongly supports our clinical development plan. In our nonhuman primate studies, 251 exhibited dose proportional pharmacokinetics as measured by total antibody levels. This is an important indicator of predictable drug behavior, which helps inform both dose selection and exposure modeling as we move toward first-in-human studies. From a safety standpoint, 251 was well tolerated across all dose groups, including doses up to 120 mg per kg. We observed no mortality, no adverse clinical signs and no significant effects on body weight or food consumption throughout the study period. Taken together, these studies -- these results support a compelling tolerability profile and suggest that 251 may be suitable for higher dosing levels in humans and potentially higher levels than we've been able to achieve with 191, which is designed at a DAR8. These findings give us strong confidence as we prepare for clinical entry. We believe 251 is well positioned to offer differentiated safety and efficacy balance compared to other ADCs in development. Looking ahead, we believe growing data sets supporting our ADC platform could accelerate time to clinic for new assets like 251 and also maximize the broader therapeutic impact of our technology across tumor types. And we would like to remind you that ZW220, our NaPi2b targeted ADC in DAR format utilizing our 519 payload remains IND ready. We remain committed to advancing both 191 and 251 with scientific rigor, and we look forward to sharing additional data at peer review medical conferences in the future. Moving on now to another potential first-in-class candidate from our preclinical pipeline, ZW1528. As you may recall from our R&D Day, 1528 is our first nominated product candidate from our autoimmune and inflammatory pipeline, a bispecific targeting an antibody targeting IL-4 receptor alpha and IL-33 for the treatment of respiratory diseases, including chronic obstructive pulmonary disease and asthma. Our initial therapeutic focus for 1528 is COPD, a difficult-to-treat condition that remains poorly controlled in a large proportion of patients despite existing therapies. The high prevalence of uncontrolled disease and recurrent exacerbations underscores the need for more effective mechanism-based approaches. Chronic inflammation plays a key role in driving COPD disease pathology characterized by dysregulation of both type 2 and non- type 2 immune responses in the lung, leading to chronic airway injury, inflammation and tissue remodeling. The design of 1528 is grounded in the biology of these pathways and informed by the limitations of current treatments. As shown on the middle panel of this slide, ZW1528 is designed to simultaneously block key inflammatory pathways, specifically targeting IL-33 and IL-4 and IL-13. These cytokines are known to play central roles in early inflammation and disease progression. IL-33 is a pro-inflammatory cytokine, closely linked to epithelial stress, immune activation and structural lung damage. Meanwhile, IL-4 receptor alpha signaling is a primary driver of type 2 inflammation, which perpetuates disease activity and exacerbations in a substantial portion of patients. On the right-hand side of the slide, in preclinical studies, ZW1528 is shown to reduce lung inflammation in a murine model of type 2 inflammation with activity comparable to dupilumab. Specifically, mice with humanized IL-4 receptor alpha challenged with house dust mite to induce type 2 lung inflammation were treated with ZW1528, resulting in a marked decrease in lung tissue pathology, including alveolar wall thickening, bronchial hyperplasia and inflammatory cell infiltration. Flow cytometry analysis of lung immune cells revealed reduced eosinophilic infiltration and a rebalancing of alveolar macrophage populations, which was also associated with reduced serum IgE levels as well as reduced expression of key type 2 cytokines, IL-4 and IL-5 in lung tissue, confirming the molecules blockade of type 2 inflammatory responses, matching the activity of the dupilumab [ BRCA ] that was also tested in the same experiment. The ability of 1528 to also block non-type 2 responses by virtue of the anti-IL-33 specificity is then evident from the ex vivo analysis of COPD patient PBMC as shown by reduced interferon gamma positive NK cells. This reduction in cytokine response is comparable, if not greater to that achieved by an analog of itepekimab, a benchmark clinical anti-IL-33 mAb. Not surprisingly, dupilumab had no effect in blocking this type 1 response. Mechanistically and by design, ZW1528 demonstrates robust inhibition of both IL-4 receptor alpha and IL-33-mediated signaling. To evaluate the ability of 1528 to block both pathways simultaneously, in vitro studies using human epithelial cells responsive to both the IL-4 receptor and IL-33 pathway activation were performed and showed 1528 potently blocked IL-4/IL-33 combination induced CCL2 gene expression, outperforming the reverse achievable with monoclonal benchmark therapies in their combination. These findings validate the rationale for our design of ZW1528 and support its therapeutic potential across a range of airway inflammatory conditions. By targeting 2 nonredundant upstream pathways with a single molecule, 1528 offers a potentially comprehensive approach to disease modulation, something single pathway or combination approaches have struggled to achieve. Before I conclude, I wanted to touch on recent high-profile readouts from peers, which have renewed focus on the role of IL-33 in COPD. While some recent competitor trials did not meet their primary endpoint in both of their 2 randomized registration studies, we believe it's important to contextualize these results carefully. The consistency of IL-33 targeting across multiple large studies supports this biological relevance in COPD. The mechanism remains valid, but there are critical questions around trial design, patient selection and we observed lower-than-expected exacerbation rates across the broader population that remain to be answered. We look forward to seeing the full data set, which will be key in understanding which particular subpopulations did, in fact, derive benefit, something that could guide future trial strategies. Also, unlike these programs that solely target IL-33, 1528 blocks both IL-4, IL-13 via IL-4 receptor alpha and the alarmin cytokine IL-33. We believe this simultaneous colocalized blockade allows us to modulate both type 2 inflammation and epithelial-driven immune activation, offering potentially broader and more durable disease control in COPD as well as other inflammatory indications such as asthma. The evolving competitive landscape, including recent trial readouts, continues to inform our thinking around patient selection, trial design and biological targeting, and we're incorporating these insights as we advance ZW1528 towards an expected non-U.S. regulatory filing submission in the second half of 2026. We look forward to presenting more data on ZW1528 at the European Respiratory Society Conference in September. To wrap up, we remain focused on innovation and disciplined execution across our R&D pipeline, and we're committed to meeting our ultimate goal, improving the standard of care for patients with serious unmet medical needs. With that, I will hand it over to Ken to conclude today's call and open up the call for Q&A.