actualizing the untapped potential of the innate immune …...immune system affimed’s approach to...

27
Actualizing the Untapped Potential of the Innate Immune System Affimed’s Approach to Advancing Immuno-oncology

Upload: others

Post on 26-Mar-2020

4 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

Actualizing the Untapped Potential of the Innate Immune SystemAffimed’s Approach to Advancing Immuno-oncology

Page 2: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

2CONFIDENTIAL

This presentation and the accompanying oral commentary contain “forward-looking” statements that involve substantial risks and uncertainties. All statements other than statements of historical facts contained in this presentation and the accompanying oral commentary, including statements regarding our future financial condition, business strategy and plans and objectives of management for future operations, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “believe,” “will,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “might,” “approximately,” “expect,” “predict,” “could,” “potentially” or the negative of these terms or other similar expressions.

Forward-looking statements appear in a number of places throughout this presentation and the accompanying oral commentary and include statements regarding our intentions, beliefs, projections, outlook, analyses and current expectations concerning, among other things, the value of our ROCK® platform, the safety and efficacy of our product candidates, our ongoing and planned preclinical development and clinical trials, our collaborations and development of our products in combination with other therapies, the timing of and our ability to make regulatory filings and obtain and maintain regulatory approvals for our product candidates our intellectual property position, our collaboration activities, our ability to develop commercial functions, expectations regarding clinical trial data, our results of operations, cash needs, financial condition, liquidity, prospects, future transactions, growth and strategies, the industry in which we operate, the trends that may affect the industry or us and the risks uncertainties and other factors described under the heading “Risk Factors” in Affimed’s filings with the Securities and Exchange Commission.

Forward-looking statements involve known and unknown risks, uncertainties, assumptions and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Forward-looking statements represent our management’s beliefs and assumptions only as of the date of this presentation. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons why actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes available in the future.

Forward-Looking Statements / Cautionary Note

Page 3: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

3CONFIDENTIAL

Every Patient Deserves More Options. Every Patient Deserves Another Chance.

The first patient to receive AFM13 to treat CD30+ lymphoma with cutaneous presentation

Page 4: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

4CONFIDENTIAL

Adaptive Immunity, Second Line of Defense

Our Innate Cell Engagers Fully Leverage the Innate Immune System

Targeting both the innate and adaptive immune systems may provide more opportunities for durable responses and a cure for cancer

Initiation of adaptive response

Tumor killing Tumor killing

NK cellTumor cell

Macrophage

T cell

Tumor cell

Dendritic cellCD16A receptor

CD16A receptor

AFFIMED’S FOCUS EXISTING IMMUNOTHERAPIES

Innate Immunity, First Line of Defense

Page 5: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

5CONFIDENTIAL

A Team of Innate Immunity and Antibody Engineering Experts Dedicated to Delivering Meaningful Therapeutics

*"Pro forma" includes net proceeds from equity offering received in November 2019. “Financial assets” comprises short-term deposits.**Based on an exchange rate of 1.1006 as of November 13, 2019.

HQ, headquarters

• Versatile innate cell engagers targeting hematologic and solid tumors

• First company with a clinical stage innate cell engager

PRODUCTS

• Collaborations based on proprietary CD16A engager capabilities and innateimmunity expertise

• Genentech, Merck (MSD), MD Anderson Cancer Center, Columbia University, Leukemia & Lymphoma Society

PARTNERSHIPS

• Fit-for-purpose ROCK® platform generates customizable innate cell engagers with proprietary CD16A target

PLATFORM

• Nasdaq listed since 2014(NASDAQ: AFMD)

• ~90 employees in Heidelberg (HQ), Munich, New York

• Pro forma cash, cash equivalents, financial assets* of ~€106M/$116M** (September 30, 2019); cash runway at least into Q4 2021

CORPORATE FACTS

Page 6: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

6CONFIDENTIAL

Our Pipeline: Versatile Innate Cell Engagers Targeting Hematologic and Solid Tumors

Affimed Programs

Partnered Programs

CD30-positive T-cell lymphoma

Peripheral T-cell lymphoma

Transformed mycosis fungoides

Hodgkin lymphoma (post BV and post anti-PD-1)

AFM13 (Tumor Target CD30)

Solid tumors

AFM24 (Tumor Target EGFR)

Multiple Myeloma

AFM26 (Tumor Target BCMA)

Hodgkin lymphoma (post BV)

BV, brentuximab vedotinPD-1, programmed cell death protein 1NK, natural killer

CD30-positive lymphoma

AFM13 + adoptive NK cells

AFM28 and AFM32 (Tumor Targets Undisclosed)

Genentech (Tumor Targets Undisclosed)

Multiple Programs

Undisclosed

AFM13 + anti-PD-1

Preclinical Phase 1 Phase 2

EGFR, epidermal growth factor receptor BCMA, B-cell maturation antigenIND, investigational new drug application

Registration Directed, FPFV 4Q/19

POC, Enrolling

POC, FPFV 4Q/19

POC, Enrollment Completed

POC, IND Cleared

POC, Enrollment Completed

IND Cleared

Pre-IND

Pre-IND

Pre-IND

Page 7: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

7CONFIDENTIAL

We Harness the Body’s First Line of Defense to Give Patients More Options

We’re developing new treatment options for patients in need

Engaging the innate immune system holds

promise for solid tumors

Monotherapy shows engaging the innate immune system has promise as a treatment in the fight

against cancer

Activating the innate immune system can trigger an adaptive immune

response

Bringing adoptive NK cells to tumor cells can help address the challenge of a dysfunctional immune

system

We activate the innate immune system to fight cancer

Page 8: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

8CONFIDENTIAL

Our Innate Cell Engagers Power a Multitude of Opportunities

I-O, immuno-oncology

Innate cell engagers have the potential to enhance the magnitude and quality of innate immune cell responses through monotherapy or combinations.

Combinations with innate cell engagers also present promising therapeutic approaches when fortification or activation of the immune system is needed.

Adoptive NK & CAR-NK Cell

Combinations

Combinations w/ Other I-O Agents

Innate Cell Engagers

Monotherapy

Next-gen Candidates to Address Unmet Needs

Adoptive NK & CAR-NK Cell Combinations

Combinations w/ Other I-O Agents

Page 9: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

9CONFIDENTIAL*Based on AFM13 clinical studies.

A Fit-for-Purpose Platform & Unique Binding Domain Enable Us to Build Patient-Specific Therapeutics

The Fit-for-Purpose ROCK® Platform generates innate cell engagers customized to specific tumor targets.

Our current engagers bind to innate immune cells (natural killer cells and macrophages) via the proprietary CD16A-binding domain, while binding simultaneously to specific tumor cells.

CD16A target

Tumor target

Clinicalsigns of efficacy &

ADCC*

Evidence of tolerable

safety profile*

High affinity binding of

CD16A

New epitope on CD16A

Proprietary target

ADCC, antibody-dependent cellular cytotoxicity

Page 10: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

10CONFIDENTIAL

Genentech Invested in Affimed's Innate Cell Engager PlatformAchieved two milestones and received payments in Q2 and Q4 2019

$96M Upfront, near term funding

$5B Potential milestones, plus royalties

Our strategic partnership was driven by our unique CD16A binding domain, expertise in innate immunity and depth of antibody engineering expertise

“This collaboration is based on Affimed’s

innate immune cell drug discovery and

development expertise and our team’s deep

understanding

of cancer immunology.”

James Sabry, M.D., Ph.D., Global Head of Partnering, Roche

$$ Received 2 milestone payments in 2019

Page 11: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

11CONFIDENTIAL

Treatment with AFM13

Innate Cell Engagers in Hematologic Tumors

CD16A target

CD30target

Page 12: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

12CONFIDENTIAL

AFM13 Offers Unique Approach for Patients With CD30+ Lymphoma

*Based on AFM13 preclinical and clinical studies. TMF, transformed mycosis fungoidesR/R, relapsed/refractoryPTCL, peripheral T-cell lymphoma

First-in-class innate cell engager that has shown promise as a novel treatment option for patients with CD30+ lymphomas

Innate Cell Engager

AFM13

Monotherapy

Offers a new option for hard-to-treat patients with CTCL (TMF) and R/R PTCL

Next-gen Candidates to Address Unmet Needs

Preclinical data show promising signs of potential efficacy when used in combination with adoptive NK cells*

Adoptive NK & CAR-NK Cell Combinations

Shows promising signs of broad clinical development potential in augmenting other I-O therapies, such as PD-1 inhibitors*

Combinations w/ Other I-O Agents

Page 13: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

13CONFIDENTIALHL, Hodgkin lymphomaCTCL, cutaneous T-cell lymphoma

We Are Focused on Accelerated Approval in Indications With High Unmet Need

• Lack of standard of care in R/R – very high unmet need

• Given lack of therapeutic options, AFM13 could establish a new standard of care for a large portion of R/R patients

• Potential for small trial and accelerated timelines for transformed mycosis fungoides

• The goal of the study is to position AFM13 as the preferred therapy for transformed mycosis fungoides

• Emerging vacuum of effective options in R/R as current therapies move to earlier lines

• Expand into multiple settings with mono and combination approaches

CTCL

PTCL

HL

Co

mm

erci

al O

pp

ort

un

ity

Unmet Need

We are strategically focusing on indications that have high unmet need and allow us to bring AFM13 to market as quickly as possible

CTCL~200eligible patients

HL~1600eligible patients

PTCL~2600eligible patients

HL: ~1,600 2L patients, R/R to 1L chemotherapy and/or radiotherapyPTCL: ~3,750 2L patients, R/R to 1L chemotherapy and/or radiotherapy, ~35% CD30+CTCL: ~500 2L patients, R/R to 1L skin-directed and/or systemic therapies, ~35% CD30+

Page 14: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

14CONFIDENTIAL

AFM13 monotherapy in R/R CD30+ lymphoma

AFM13 Monotherapy Shows Promising Signs of Efficacy, Including the Potential to Induce Complete Response

ASCT, autologous stem cell transplant PR, partial responseORR, objective response rate

AFM13 followed by ASCT in TMF

Responses were observed in lymph nodes, skin and peripheral blood

Results

Cohort Disease Toxicity Response

1 S-ALCL, Alk (-) No AE PR

TMF No AE POD

C-ALCL Rash (G4)Skin Infection (G3)

CR

2 MF IRR (G1) SD

TMF IRR (G1) SD

TMF Skin Infection (G3)IRR (G1)

Not assessed

3 TMF No AE PR

S-ALCL, Alk (-) No AE PR

MF No AE POD

4 TMF No AE PR

Principal Investigator: Ahmed Sawas, MD, Columbia University Medical Center, New York, NY.A Sawas et al. ASH 2018 Abstract 2908.

Response: Lymph nodes (PET-CT)

50% ORR including 1 CR and 4 PRs

POD, progression of diseaseCR, complete responseSD, stable disease

Page 15: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

15CONFIDENTIAL*Koehl et al. Oncoimmunology, 2015; Bachanova et al. Blood, 2014; Curti et al. Blood, 2014;Rubnitz et al. Journal of Clinical Oncology, 2010; Miller et al. Blood, 2005; Romee et al. Science Translational Medicine, 2016.

AML, Adult acute myeloid leukemia

Combination With Adoptive Transfer of Innate Immune Cells Could Enhance Immune Response

+ AFM13

Collaboration with MDACC aims to overcome hurdles posed by traditional NK cell therapies

Limitations of adoptive NK cell

transfer include limited

persistence and lack of

redirection

Adoptive NK cell transfer has

demonstrated ability to induce

remissions in patients with AML*

Studies across tumor indications

suggest prevalence of NK cells is

associated with beneficial

outcomes

Page 16: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

16CONFIDENTIAL

Innate Cell Engagers With Adaptive Immunotherapies Produce High Response Rates and May Bridge Patients to Other Lines of Therapy

*Data cutoff date: 10 May 2019.Ansell et al. 15-ICML 2019, Abstract 128.

MTD, maximum-tolerated dose

Phase 1b Trial*: • AFM13 in combination with Merck’s Keytruda®

(pembrolizumab)• Total of 30 patients• MTD not reached in Part 1; highest dose employed

in Part 2/Extension• 24 patients evaluable in highest dose cohort

Overview: • Combination was well tolerated, no new/worsening

safety signals vs known safety profiles of each agent alone

• Deepening of responses over time in multiple patients

• Patients previously transplant ineligible transitioned to transplant after achieving an objective response

R/R Hodgkin Lymphoma Efficacy Results

Highest Dose (N=24): 88% ORR, 42%/46% CR rate (local/central read)

Best Response, Tumor Volume

Change in tumor volume measured by CT-scan, efficacy (ITT) population (N=30)

Page 17: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

17CONFIDENTIAL

Current Development Informs Future Opportunities

CHOP, cyclophosphamide, hydroxydaunorubicin, oncovin, prednisone CHP-BV, brentuximab vedotin in combination with cyclophosphamide, doxorubicin, and prednisone

Current Development Plans Future Opportunities (2021 – 2025)

AFM13 + aNK

(Ph 1b)

AFM13 + pembro in post-BV/ anti-PD-1-naive

(Ph 1b)

AFM13 + aNK

(Ph 2 registration directed)

AFM13 + chemo in 1L PTCL (Ph 3)

AFM13 + aNK vs CHOP or CHP-BV in 1L PTCL

(Ph 3 confirmatory)

AFM13 + pembro in 2/3L (Ph 3)

AFM13 + aNK in post-BV/anti-PD-1 (Ph 2)

AFM13 + aNK in peri-transplant (Ph 3)

CD30+ Lymphoma

T-cell Lymphoma

Hodgkin Lymphoma

AFM13 in R/R PTCL and TMF (Ph 2 and Ph 2 registration

directed)

Pembro, pembrolizumab

Page 18: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

18CONFIDENTIAL

AFM13 Shows Promise to Provide Meaningful Benefit to Patients as Mono- and Combination Therapy

✓ Promising response rates as mono- and combination therapy with anti-PD-1 in R/R patients with CD30+ lymphomas

✓ Preclinical studies show synergistic effect in combination with adoptive NK cells

✓ Favorable emerging safety profile

✓ A total of 8 patients were bridged to transplant

✓ Initiated Phase 2 trial with monotherapy in PTCL and TMF (potential for accelerated approval in PTCL)

Achievements

• Phase 1 trial with AFM13 + adoptive NK cells in CD30+ lymphomas, sponsored by MDACC

• Development opportunities in earlier lines of therapy

• Business development strategy focused on securing a development and commercialization partner

Upcoming Milestones and Opportunities

Page 19: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

19CONFIDENTIAL

Treatment with AFM24

Innate Cell Engagersin Solid Tumors

CD16A target

EGFRtarget

Page 20: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

20CONFIDENTIAL

We’re Leveraging the Role of CD16A Binding Affinity to Build New Treatment Options in Solid Tumors

1. Musolino et al. Journal of Clinical Oncology. 26, 1789-96 (2008). 2. Rugo et al. ASCO 2019.

High binding affinity to CD16A is associated with better outcomes

AFM24 is an EGFR-targeted innate cell engager with higher binding affinity to CD16A

• Significantly higher ORR and PFS have been seen in HER2+ metastatic breast cancer patients homozygous for CD16A 158V (V/V) treated with trastuzumab1

• Recently, margetuximab, with 4-5x enhanced affinity to CD16A vs trastuzumab, also demonstrated 1.8 months’ improvement in PFS2

• AFM24 has 5-fold higher affinity to CD16A than margetuximab, regardless of CD16A polymorphism

• Enhanced binding properties could lead to enhanced outcomes in EGFR-expressing solid cancers

CD16A target

EGFR target

AFM24

Trastuzumab in HER2+ mBC

Page 21: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

21CONFIDENTIAL

KOLs Consider AFM24 to Be a Compelling I-O Agent That Has the Potential to Address a Broad Set of EGFR-expressing Tumors

AFM24 Indication Triage SummarySource: ClearView Analysis.

PI, priority indicationKOL, key opinion leader

• Physicians expressed interest in the role of NK cells in tumors known to be immunogenic and responsive to I-O therapy

• There is evidence supporting the importance of ADCC in multiple solid tumor types; KOLs cited the contrast between the success of HER2-targeted antibodies and failures of HER2 TKIs

16 Priority Indications Explored

Page 22: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

22CONFIDENTIAL

AFM24 (CD16A/EGFR) Has the Potential to Disrupt the Treatment Paradigm for Patients With EGFR-Expressing Tumors

Kluge et al. AACR 2019, Abstract 559 mAb, monoclonal antibodyMOA, mechanism of actionADCP, antibody-dependent cellular phagocytosis

✓ Opportunity for improved outcomes

• Efficacy of current therapies rely on mAb inhibition of EGFR signaling, which can be associated with side effects

✓ Differentiated antibody profile

• New MOA with preclinical data showing increased activation of ADCC and ADCP vs cetuximab

• Little IgG competition• High affinity binding to CD16A

AFM24 holds the promise of: Based on preclinical data:

✓ Opportunity for more tolerable side effect profile

• Side effects of current EGFR-targeting mAbs can lead to dose interruptions and discontinuations, resulting in potential lowered therapeutic efficacy

✓ An effective therapy against EGFR-resistant tumors

• Mutations in the EGFR pathway limit use and effectiveness of EGFR mAbs

✓ Positive toxicity profile

• No toxicities observed in 2 independent cynomolgus toxicity studies (Potentially due to a much lower inhibition of signaling)

✓ Cytotoxicity regardless of mutation

• Strong cytotoxic activity against EGFR-expressing tumor cell lines, including wild type, KRAS or BRAF mutated

Page 23: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

23CONFIDENTIAL

A Multipronged Clinical Development Strategy Designed to Deliver AFM24 to Those Patients With Few Options

Physician Interviews; ClearView Analysis.

Initial Opportunities Future Potential

3L All-comers

3L All-comers

3L All-comers

2L Mutation Agnostic

2L All-comers, Wild Type and Those With Mutations

2L Post-anti-PD-1 or 2L Post-TKI

2L Regardless of PD-1 Eligibility

1L Mutation Agnostic Opportunities

Colorectal Cancer

Non-small Cell Lung

Cancer

Priority Indication 3

Priority Indication 4

Page 24: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

24CONFIDENTIAL

AFM24, a New Mode of Action to Initiate Innate Immunityin EGFR+ Solid Tumors, Such as CRC, NSCLC, and Others

✓ Demonstrated potent cell killing capabilities (ADCC and ADCP) in preclinical studies

✓ Potential for greater efficacy in tumor types with EGFR mutations/resistance

✓ Differentiated safety profile in cynomolgus toxicity studies

✓ IND cleared in October 2019

Achievements

• Initiating Phase 1/2a study of AFM24 monotherapy in H1 2020; preliminary safety and efficacy data expected in 2020

• Broad development opportunity as new MOA in addressing non-responsive patients, e.g., KRAS-mutant patients

• Potential for innate/adaptive I-O combinations enhancing efficacy in major solid tumor types

Upcoming Milestones and Opportunities

Page 25: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

25CONFIDENTIAL

Key Milestones

Page 26: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

26CONFIDENTIAL

Upcoming Anticipated Milestones

*Investigator-sponsored trial conducted by MDACC.

2019 2021 20222020

AFM13

Initiated registration-directed Ph 2 study in PTCL and POC

study in TMF in Q4

Update on progress (study initiation) of AFM13+aNK

cells*

POC data in PTCL and TMF

Safety and initial efficacy update of AFM13+aNK cells*

Progress update in PTCL and TMF

POC data for AFM13+aNK cells*; if positive, initiate reg.

study

LPI and top line data in PTCL

AFM24 IND cleared in Q4Phase 1 FPFV, preliminary

safety and first efficacy dataInitiate enrollment of dose

expansion cohorts; POC dataPOC data in multiple EGFR+

indications

AFM28 & AFM32

Preclinical development AFM28 IND filing planned AFM32 IND filing planned

GNEReceived two milestone payments (Q2 and Q4);

Final target selected

Pending program progression, potential for

milestone payment

Pending program progression, potential for

milestone payment

Pending program progression, potential for

milestone payment

Page 27: Actualizing the Untapped Potential of the Innate Immune …...Immune System Affimed’s Approach to Advancing Immuno-oncology. ... business strategy and plans and objectives of management

Thank you