Creating Novel Oral Biologics
Forward-looking statements
This presentation contains forward-looking statements that involve substantial risks and uncertainties. All statements other than statements of historical facts contained in this presentation, including statements regarding our future financial condition, results of operations, business strategy and plans, and objectives of management for future operations, as well as statements regarding industry trends, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as "estimate," "intend," "may," "plan," "potentially" "will" or the negative of these terms or other similar expressions.
We have based these forward-looking statements largely on our current expectations and projections about future events and trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking statements are subject to a number of risks, uncertainties and assumptions, including, among other things: the timing of the initiation, progress and potential results of our preclinical studies, clinical trials and our research programs; our ability to use and expand our technology platform to build a pipeline of product candidates; uncertainty of developing biologic therapeutics; our ability to advance product candidates into, and successfully complete, clinical trials; the timing or likelihood of regulatory filings and approvals; our estimates of the number of patients who suffer from the diseases we are targeting and the number of patients that may enroll in our clinical trials; the commercializing of our product candidates, if approved; our ability and the potential to successfully manufacture and supply our product candidates for clinical trials and for commercial use, if approved; future strategic arrangements and/or collaborations and the potential benefits of such arrangements; our anticipated use of our existing resources; our estimates regarding capital requirements and needs for additional financing and our ability to obtain additional capital; the sufficiency of our existing cash and cash equivalents to fund our future operating expenses and capital expenditure requirements; our ability to retain the continued service of our key personnel and to identify, hire and retain additional qualified personnel; the implementation of our strategic plans for our business and product candidates; the scope of protection we are able to establish and maintain for intellectual property rights, including our technology platform, product candidates and research programs; our ability to contract with third-party suppliers and manufacturers and their ability to perform adequately; the pricing, coverage and reimbursement of our product candidates, if approved; and developments relating to our competitors and our industry, including competing product candidates and therapies. These risks are not exhaustive. New risk factors emerge from time to time and it is not possible for our management to predict all risk factors, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in, or implied by, any forward-looking statements. You should not rely upon forward-looking statements as predictions of future events. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance or achievements. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this presentation.
This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and growth and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions, and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk.
This presentation concerns product candidates that are under clinical investigation and which have not yet been approved for marketing by the U.S. Food and Drug Administration (FDA). It is currently limited by federal law to investigational use, and no representation is made as to its safety or effectiveness for the purposes for which it is being investigated.
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Novel, targeted oral | Enhanced efficacy | Platform technology |
biologic product candidates | and safety profiles | generating wealth of new |
product candidates |
Company Summary
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CLINICAL-STAGE Phase 2 biopharma developing oral biologics; deep pipeline of oral biologic assets (proteins, peptides, Mab)
AMT-101 (Oral IL-10Fusion): Enrolling comprehensive Phase 2 clinical program in IBD and RA
AMT-126 (Oral IL-22Fusion): IND/CTA filing in H2 2020; focusing on diseases associated with epithelial barrier defects
NOVEL ORAL BIOLOGICS PLATFORM and CMC capabilities to
drive pipeline and long-term growth
WORLD CLASS Management, Board of Directors, Science and Clinical Advisory Boards
Active Transport Across the Intestinal Epithelium Barrier
- Exploit nature's method of infection by engineering microbial transport molecules
- Trafficking domain is derived from Cholix protein, that is secreted by Vibrio cholerae, and combined with a therapeutic payload
- Active, rapid, transport across GI submucosa
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AM T C ARRIER
hIL - 2 2
AMT Pipeline of Oral Biologic Therapeutics
Immunology & Inflammation
Metabolism
GI
Research
AMT-101
Oral IL-10
AMT-126
Oral IL-22
Oral hGH
Oral GLP-2
Multiple
Research | Preclinical | Phase I | Phase II | Phase III | Next Key Milestone |
Phase 2 FPI (8/27/20) | |||||
Ulcerative Colitis - biologic naïve and experienced | |||||
Ulcerative Colitis - combination therapy with anti-TNFα | Phase 2 FPI (2020) | ||||
Pouchitis | Phase 2 FPI (2020) | ||||
Rheumatoid Arthritis - combination therapy with anti-TNFα | Phase 2 FPI (H1 2021) | ||||
GI Barrier Repair | IND/CTA Filing (2020) |
Hormone Deficiency
Intestinal Rehab
Undisclosed
AMT maintains worldwide rights to all product candidates and research programs.
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AMT-101
Oral GI-SelectiveIL-10 Fusion
Immunology and Inflammation
AMT-101
- Oral, GI-selectiveonce-daily biologic
- Unique product profile with potential use as single agent or in combination
- Targeting large markets including IBD and peripheral immune disorders
- Initiated comprehensive Phase 2 program in multiple UC populations and RA
- Data readouts expected to begin in H2 2021
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Oral IL-10 Fusion Biologic
AMT CARRIER | AMT CARRIER | |
hIL-10
Interleukin-10(IL-10):
- Clinically-ValidatedInflammation Target
Agonist Immunomodulator
- Down-regulatesT cell proliferation
- Inhibits NLRP3/inflammasome-mediated activation
- Induces Treg differentiation (Tr1)
- Promotes tissue repair mechanisms
Clinical efficacy in IBD with systemic rhIL-10
(SAEs: anemia and thrombocytopenia due to systemic administration)
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UC Remains an Unmet Need: New Therapies are Needed
UC TREATMENT BY SEVERITY
MILD | MODERATE | SEVERE |
5-ASA
Steroids, Immunosuppressants
AMT-101
1 L Biologics
2L Biologics / IMs
AMT-101 is in Phase 2 clinical trials in moderate-to-severe UC patients
- Single agent for biologic naïve and experienced patients
- Combination therapy for patients on treatment but still experiencing symptoms
AMT-101 has Broad Potential in the >2mm Patient UC Market 1,2
1Crohn's and Colitis Foundation of America: The Facts about Inflammatory Bowel Diseases. November 2014 | 10 |
2Burisch, J et al. The Burden of Inflammatory Bowel Disease in Europe, Journal of Crohn's and Colitis (2013) 7, 322-337. |
Oral AMT-101 Improved Colonic Histopathology and Efficacy in Murine Model of UC
Representative Histology
No Disease: | Disease: | Disease: |
Naïve | Placebo Treated | AMT-101 Treated |
- Naïve - Intestinal crypts showing normal tissue architecture
- Placebo - Immune cell infiltration-driven crypt destruction
- AMT-101Treated - Tissue/crypt architecture resembles naïve
Oxazolone murine model of ulcerative colitis.
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In NHP Model, AMT-101 Led to a Robust Systemic PD Response with Minimal Systemic Exposure
Minimal Systemic PK | Robust Systemic PD | |||
with Oral Administration | with Oral Administration | |||
AMT-101(IL-10) administration: PO (oral), SC (subcutaneous), IV (intravenous); LLOQ (lower level of quantification)
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Completed
Successful Phase 1a/b Trial for AMT-101
Phase 1a HV SAD
- Healthy Volunteers
- 6 dose levels: 1, 3, 10, 30, 60, 120 mg
• Placebo-controlled 4:2 | AMT-101 was well-tolerated in all doses |
with no differences in TEAEs observed | |
Single Ascending Dose | between active and placebo |
36 Healthy Volunteers |
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Phase 1b UC MAD
- Adults with Active UC
- 14-daytreatment period
- 4 dose levels:1, 3, 10, 30 mg
- Placebo-controlled3:1
Multiple Ascending Dose
16 UC Patients
Trends of improvement in objective
measures of disease activity including fecal calprotectin, CRP, central read histology in only 14 days of treatment
No IL-10 related AEs as previously seen w/ systemic administration
Informs Phase 2 dose selection
Changes in Fecal Calprotectin (FCP) and C-Reactive Protein (CRP) Were Observed After 14 Days of Oral Treatment with AMT-101
Patients with Baseline FCP > 150 ug/g
ExpressionFCPinChange Baselinefrom | 250% |
200% | |
150% | |
100% | |
50% | |
0% | |
% | -50% |
Mean | |
-100% | |
1 mg | 3 mg | 10 mg | 30 mg | PBO |
(n=2) | (n=2) | (n=3) | (n=2) | (n=3) |
Placebo adjusted mean reductions of 44% and 27% in the 1 mg and 3 mg dose groups
Patients with Baseline CRP > 5mg/L
1 mg | 3 mg | 10 mg | 30 mg | PBO |
(n=2) | (n=2) | (n=2) | (n=1) | (n=4) |
ExpressionCRPinChange | Baselinefrom | 10 |
0 | ||
-10 | ||
-20 | ||
-30 | ||
-40 | ||
-50 | ||
-60 | ||
% | -70 | |
-80 | ||
Mean | ||
-90 | ||
Local gut delivery of IL-10 may result in localized as well as systemic immunomodulatory effects
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Histopathology Improvement in UC Patients After 14 Days of Treatment with AMT-101
Blinded central read
AMT-101
6/10 patients on active showed a reduction in total Geboes score
PLACEBO
0/2 patients had a reduction in total Geboes score
Baseline | 15 | AMT-101 for 14 days |
3 | ||
Geboes | Geboes | |
score | score |
Images: 10 mg dose patient
Geboes score1: 0 (normal) to 22 point scale.
1B. Lemmens, et al. May 2013.
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Enrolling Comprehensive Phase 2 Plan for Oral AMT-101
UC Monotherapy | UC Combination Therapy with anti-TNFα | ||
• Moderate-to-severe UC patients | • Moderate-to-severe UC patients | ||
• ~100 patients: biologic naïve and experienced | • ~30 patients: biologic naïve | ||
• 12-week oral daily dosing | • 8-week oral daily dosing | ||
• Randomized 2:1 to receive oral AMT-101 or placebo | • Randomized 1:1 to receive oral AMT-101 or placebo in | ||
• Primary endpoint: Reduction in components | combination with adalimumab | ||
of the Mayo Score at week 12 | • Primary endpoint: Reduction in components of the Mayo Score | ||
at week 8 |
Pouchitis | RA Combination Therapy with anti-TNFα | ||
• Chronic pouchitis patients | • Patients with active RA who had an inadequate response to anti- | ||
• ~20 patients: biologic naïve and experienced | TNF therapy | ||
• 12-week oral daily dosing | • ~20 patients: biologic experienced | ||
• Randomized 1:1 to receive high or low dose of AMT-101 | • 12-week oral daily dosing | ||
• Co-Primary endpoint: Histologic and symptomatic improvement | • Randomized 1:1 to receive oral AMT-101 or placebo in | ||
combination with adalimumab | |||
• Primary endpoint: Safety and tolerability of AMT-101 and | |||
improvement in disease severity at week 12 |
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AMT-101 Has the Potential to Treat a Broad Range of Inflammatory Diseases
Psoriatic
Arthritis
RA
Crohn's
Compelling Option in Today's Environment
- Immunomodulator; not an immunosuppressor
- Non-systemic:clean safety profile allowing early use in treatment and in combination therapy
- Rapid response in patients after 14 days therapy1
- Local and systemic disease therapeutic potential
- Once daily oral tablet
UC
Psoriasis
Pouchitis
1. AMT-101 Phase 1b data
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AMT-126
Oral GI-SelectiveIL-22 Fusion
Immunology and Inflammation
AMT-126 | Oral IL-22 Fusion Biologic |
- Oral, GI-selective daily biologic targeting repair of epithelial damage
hIL-22 | CARRIER |
- Unique product profile with potential as single agent or in combination
• Demonstrated target engagement, efficacy, and safety in preclinical studies
- Potential to target indications including celiac, GI inflammation, GvHD and other diseases
- On track to file IND/CTA in 2020
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IL-22: Supporting Barrier Function Throughout the Body
INTESTINAL EPITHELIAL CELLS
- Increased antibacterial defense
- Enhance protection of stem cells against damage
PANCREATIC CELLS
- Increased protection against damage
- Inhibition of autophagy
- Enhance islet cell proliferation
SYNOVIAL FIBROBLASTS
- Elevated RANKL expression
- Increased production of monocyte-attracting chemokines
RESPIRATORY EPITHELIAL CELLS
- Increased antibacterial defense
- Enhanced proliferation
- Raised production of granulocyte-attracting chemokines
EPIDERMAL KERATINOCYTES
- Increased antibacterial defense
- Retarded differentiation and cornification
IL-22 | • Elevated migration and tissue remodeling |
HEPATOCYTES
- Increased acute-phase protein production
- Increased protection against damage
- Elevated liver progenitor cell proliferation
Modified from Sabat et al, NRDD (2014) | 20 |
Epithelial Barrier Alterations in GI Tissue can Result in Serious Pathophysiologic Outcomes
PAT H O L O G I E S
- Loss of epithelial barrier integrity
- Enteric toxins entry
- Mucosal inflammation and tissue destruction
- Uncontrolled immune response
I N D I C AT I O N S
- Celiac disease
- IBD (UC, CD)
- GvHD
- IBS
- Food allergies
- T1, T2 Diabetes
- NAFLD, NASH
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Oral AMT-126 Demonstrated Efficacy in GI Inflammation Model
Body Weight Change | Hemoccult | Stool Consistency | |||
(dextran sulfate sodium)
STUDY DAY | STUDY DAY | STUDY DAY |
Oral dosing of AMT-126 reduced DSS-induced weight loss and fecal hemoccult, and improved stool consistency in a murine DSS-induced UC model
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AMT Technology Platform
AMT Oral Platform Can Deliver a Wealth of New Products
AMT CARRIER
+
AMT Carrier+Payload
1
2
Proteins Peptides Antibodies RNA
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GI TISSUE SELECTIVE
- Localized to the lamina propria
- Enhanced efficacy from direct access to target cells
- Improved safety due to minimal drug in blood
SYSTEMIC DISTRIBUTION
- Passes through GI tissue to the bloodstream
- Native, unmodified products
- Efficacy similar to injectables
- Improved safety with daily oral dosing
NEURAL
Oral Route Provides a
Significant Benefit
The gut is the primary site of convergence of core biology axes that impact virtually every organ system
IMMUNOLOGY | ENDOCRINOLOGY |
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Multiple Disease Pathways Targeted by AMT Oral Platform
GI Targeted → Local GI Disease
- UC, Crohn's, Celiac
- Short bowel syndrome
- Motility-disorders
- Fibrosis
- GIST, CRC
GI Targeted → Distal Disease
- Rheumatoid Arthritis
- Psoriatic Arthritis
- Multiple Sclerosis
- Allergy
- Parkinson's Disease
Bloodstream Targeted → Systemic Disease
- NASH, Liver Disease
- Rare Disease
- Obesity
- Diabetes
- Growth Hormone Deficiency
- Cancer
- Hemophilia
- Psoriasis, Atopic Dermatitis
- Rheumatoid Arthritis, SLE
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Corporate Summary and Highlights
Talented Executive Team from Pioneering Organizations
MANAGEMENT TEAM
Tahir Mahmood, PhD | Randall Mrsny, PhD | Liz Bhatt | Bittoo Kanwar, MD | Shawn Cross |
CEO, Co-founder & Director | CSO, Co-founder & Director | Chief Business & Strategy Officer | Chief Medical Officer | Chief Financial Officer |
Amgen, Scripps, Kythera | Genentech, University of Bath | Gilead, Achaogen, Eli Lilly | Protagonist, Gilead, UCSF | JMP Securities, Deutsche |
(UK), ALZA | Bank, GT Biopharma |
BOARD OF DIRECTORS (Non-Executive)
Helen Kim - Chairman | Graham Cooper | David Lamond | Aaron VanDevender, PhD |
Managing Director, Vida Ventures | Former CFO, Receptos | President, En Pointe | Chief Scientific Consultant at Founders Fund |
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Robust Internal Capabilities for Efficient and Nimble Operations and Multi-Product Pipeline Development
Discovery Biology & Research
Protein Sciences
Drug Product & Formulation
Development
GMP Biologics Manufacturing
QC Lab
Analytical Sciences
Clinical Development &
Operations
Regulatory Affairs
Project Management
Finance & Planning
Strategy & Market Planning Business Development
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Company
Summary and
Highlights
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AMT-101(Oral IL-10Fusion): Enrolling comprehensive Phase 2 clinical program in IBD and RA
UC Monotherapy (FPI August 27, 2020)
- UC Combination Therapy with anti-TNFα (2020)
- Pouchitis (2020)
- RA Combination Therapy with anti-TNFα (H1 2021)
- Phase 2 data readouts (beginning H2 2021)
AMT-126(Oral IL-22Fusion): Focusing on diseases associated with epithelial barrier defects
- IND/CTA filing (2020)
NOVEL ORAL BIOLOGICS PLATFORM and CMC capabilities to drive a deep multi-product pipeline of oral biologic assets (proteins, peptides, Mab)
STRONG BALANCE SHEET
- $163.3mm in cash and cash equivalents (as of June 30, 2020)
- IPO: $177.0mm gross proceeds (June 2020)
Creating Novel Oral Biologics
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Applied Molecular Transport Inc. published this content on 01 October 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 26 October 2020 21:24:06 UTC