6-Months Report 2020 Conference Call
7 August 2020
Forward looking statements disclaimer
All of the information herein has been prepared by the Company solely for use in this presentation. The information contained in this presentation has not been independently verified. No representation, warranty or undertaking, express or implied, is made as to, and no reliance should be placed on, the fairness, accuracy, completeness or correctness of the information or the opinions contained herein. The information contained in this presentation should be considered in the context of the circumstances prevailing at that time and has not been, and will not be, updated to reflect material developments which may occur after the date of the presentation. The Company may alter, modify or otherwise change in any manner the content of this presentation, without obligation to notify any person of such revision or changes.
This presentation may contain certain forward-looking statements and forecasts which relate to events and depend on circumstances that will occur in the future and which, by their nature, will have an impact on the Company's business, financial condition and results of operations. The terms
"anticipates", "assumes", "believes", "can", "could", "estimates", "expects", "forecasts", "intends", "may", "might", "plans", "should", "projects", "will",
"would" or, in each case, their negative, or other variations or comparable terminology are used to identify forward-looking statements. There are a number of factors that could cause actual results and developments to differ materially from those expressed or implied in a forward-looking statement or affect the extent to which a particular projection is realised. Factors that could cause these differences include, but are not limited to, implementation of the Company's strategy and its ability to further grow, risks associated with the development and/or approval of the Company's products candidates, ongoing clinical trials and expected trial results, technology changes and new products in the Company's potential market and industry, the ability to develop new products and enhance existing products, the impact of competition, changes in general economy and industry conditions and legislative, regulatory and political factors. While we always intend to express our best judgment when we make statements about what we believe will occur in the future, and although we base these statements on assumptions that we believe to be reasonable when made, these forward-looking statements are not a guarantee of our performance, and you should not place undue reliance on such statements. Forward-looking statements are subject to many risks, uncertainties and other variable circumstances. Such risks and uncertainties may cause the statements to be inaccurate and readers are cautioned not to place undue reliance on such statements. Many of these risks are outside of our control and could cause our actual results to differ materially from those we thought would occur. The forward-looking statements included in this presentation are made only as of the date hereof. We do not undertake, and specifically decline, any obligation to update any such statements or to publicly announce the results of any revisions to any of such statements to reflect future events or developments.
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Key investment highlights
Innovative T cell-based immunotherapies with broad cancer applicability
Novel DC vaccine focused on inducing T cell responses to cancer Existing partnerships & global business development opportunities
Continuous technology innovation and growing IP portfolio
Management team with complementary experience and skills
Prof. Dolores J. Schendel
CEO & CSO
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Key information
Company | Listing |
Martinsried, near Munich, Germany | Frankfurt Stock Exchange (MDG1) |
~140 employees | ~24.6 m shares outstanding |
~€39.9 m cash* | ~€130 m market cap** |
COVID-19 Situation Update | Outlook |
Personnel
Work from home and on-site staffing, no infection to date
Partner Programs
Uninterrupted R&D activities
Clinical Trials
No delays in patient recruitment, manufacturing, regulatory
*As of 30 June 2020; **At closing 4 August 2020; HSCT: Hematopoietic stem cell transplantation
MDG1011 Phase I/II trial dose escalation readout by end Q1 2021
Ongoing MDG1021 Phase I trial in patients post allo-HSCT with relapsed hematological cancers
MAGE-A4TCR-T to enter Phase I (bluebird bio)
DC vaccine detailed data Phase I/II results in H2 2020
Publication of preclinical data at conferences
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TCR-T vs. CAR-T cells
TCR-Ts offer more target options, power, sensitivity and control
Chimeric antigen receptor (CAR)
Tumor cell
Surface proteins only
~30% of human proteome as targets
High target density per cell required for effective CAR-Ttriggering
Often toxicity against healthy cells (e.g. B cells)
T cell receptor (TCR)
Tumor cell
Both surface & intracellular proteins
100% of human proteome as targets
Very low target density per cell sufficient for effective TCR-Ttriggering
Many targets available with great
tumor cell - healthy cell discrimination
HLA-dependent recognition adds specificity
HLA: Human leukocyte antigen, molecule that presents peptides to be recognized by TCRs | 5 |
Innovation & technology differentiation
Safety & activity
Natural TCRs without mutations for higher safety
PD1-41BB switch receptor to enhance TCR-T function
Controllable TCR through on-off switch (iM-TCR)
Diversity & specificity
Multiple epitopes for one HLA
Multiple HLAs for one antigen HLA class I and class II epitopes
Epitope safety via in silico and in vitro tools
Drug product process development
Monoclonal transgenic TCR-Ts
Steppingstones to full automation and fully closed process
Proprietary and evolving GMP production process
Proprietary SIN-RV vector system
Suicide switch studied for drug product elimination
Optimization towards next-generationTCR-Ts
PD-1: Checkpoint inhibitor; 4-1BB: Activator of T cells; iM-TCR: inducible Medigene TCR; HLA: Human leukocyte antigen, molecule that presents antigens to TCRs; | 6 |
SIN-RV:Self-inactivating retrovirus | |
Growing immunotherapy pipeline
TCR-T
Project | Target | Preclinical | Phase I | Phase II | Partner |
MDG1011 | AML, MDS | |||||||||
(PRAME) | ||||||||||
MDG1021 | Post-HSCT relapse | |||||||||
(HA-1) | ||||||||||
MDG10XX | Solid tumors | |||||||||
(undisclosed) | ||||||||||
bluebird bio | Undisclosed | |||||||||
(MAGE-A4) | ||||||||||
Synovial sarcoma, | ||||||||||
Cytovant | ||||||||||
MM, solid tumors | ||||||||||
(CVT-TCR-01) | ||||||||||
(NY-ESO-1) | ||||||||||
DC
DC vaccine | AML | ||||||||||||||
(WT-1 / PRAME) | |||||||||||||||
Cytovant | AML | ||||||||||||||
(CVT-DC-01) | (WT-1 / PRAME) | ||||||||||||||
PRAME, HA-1,MAGE-A4,NY-ESO-1, WT1: Tumor antigens; | Completed; | Ongoing; | In preparation | 7 | |||||||||||
MDG1011 - Phase I/II trial design
Phase I
(+3)
(+3)
(+3)
(+3)
Up to 1x107
5x106 1x106
1x105
Single defined dose of TCR-transduced T cells/kg
Open-label,multi-center study, 3+3 dose escalation design, up to 4 cohorts
Primary endpoints: Safety at 3 months and MTD
Dose ranges from 100,000 to 10,000,000 TCR-transduced T cells per kg body weight
Single administration via i.v. infusion
DSMB review after each dose cohort
Phase II
40 treated + 40 control patients
Approx. 2 indications to be carried into Phase II
40 HLA-A*02:01 and PRAME positive patients to be treated with MDG1011 (20 per indication)
40 HLA-A*02:01 negative and PRAME positive patients serve as control groups (20 per indication)
MTD: Maximum tolerated dose; DSMB: Data safety monitoring board; https://www.clinicaltrialsregister.eu/ctr-search/trial/2017-000440-18/DE | 8 |
MDG1021 - Phase I trial design
Dose-escalation portion
(+3)
(+3)
(+3)
3x106
1x106 0.3x106
Patients with relapsed or persistent hematogical
malignancies after allo-HSCT w/wo DLI
3+3 design with at least 9 patients
Dose 1: 0.3x106 HA-1TCR-transduced T cells per kg body weight
Dose 2: 1x106 HA-1TCR-T cells/kg
Dose 3: 3x106 HA-1TCR-T cells/kg
Assessment of safety, feasibility and preliminary efficacy
Dose-expansion portion
20 patients in an expansion group at the selected dose of MDG1021
DLI: Donor lymphocyte infusion | 9 |
MDG1021 - Treating relapse or persistence after HSCT
Remaining tumor cells
HA-1+
Patient
Allo-hematological stem cell transplantation
HA-1-
Donor
Tumor
Relapse / persistence
Vector
HA-1-specific TCR
Protective
HA-1TCR-Ts
Adoptive transfer of HA-1TCR-Ts eliminates residual tumor cells
Retrieval of donor T cells
Donor-derived
HA-1TCR-Ts
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Partnerships validate Medigene's technologies
bluebird bio
6 TCR discovery projects for defined antigen/HLA combinations
Worldwide development and commercial rights and exclusive license for IP
Clinical development of first TCR lead for MAGE-A4/HLA-A2 expected to start in 2020
MDG eligible for R&D funding, development, regulatory and sales milestones and tiered, up to double digit % royalties
6 TCRs
Roivant / Cytovant
Research-stage TCR specific for the target
NY-ESO-1; clinical indications chosen
DC vaccine program for AML
Discovery projects for 2 further TCRs tailored for
Asian population
Regional license rights for Greater China, South
Korea and Japan
MDG eligible for R&D funding, development, regulatory and sales milestones and tiered, up to double digit % royalties
DCs and 3 TCRs
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Financial review and outlook
H1 2019 | H1 2020 | Guidance 2020 | |
Total revenues | €5.6 m | €3.7 m | €7-9 m |
R&D expenses | €10.9 m | €11.7 m | €24-29 m |
EBITDA loss | €8.5 m | €11.3 m | €19-27 m |
Liquid assets and time deposits as of 30 June 2020 amounted to ~€39.9 m
Medigene has sufficient financial resources to fund business operations until the end of 2021
No milestone payments or cash inflows are included from existing or future partnerships or transactions
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Key development milestones in 2020
Clinical trials
- Topline data on Phase I/II DC vaccine trial (2-years-treatment)
- H1 2020 entered Phase I clinical development of MDG1021 in post-HSCT relapsed patients
Q4 2020 complete dosing of three dose cohorts in MDG1011 Phase I dose escalation trial in AML and MDS bluebird bio to start Phase I clinical trial of MAGE-A4 TCR
Pre-clinical
- Characterization of new TCR candidates
Optimization of future TCR therapies for solid tumors
Business development
Continue pre-clinical development with bluebird bio and Roivant / Cytovant
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Contact
Dr. Gary Waanders | Dr. Anna Niedl |
VP Investor Relations | Director Investor Relations |
g.waanders@medigene.com | a.niedl@medigene.com |
+49 89 2000 3333 01 | +49 89 2000 3333 01 |
Medigene AG | T +49 89 2000 33 0 |
Lochhamer Str. 11 | F +49 89 2000 33 2920 |
82152 Planegg / Martinsried | investor@medigene.com |
Germany | www.medigene.com |
© Medigene AG
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MediGene AG published this content on 06 August 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 07 August 2020 07:23:11 UTC