WELCOME
Genmab's
2020 Capital
Markets Day
November 13, 2020
Webcast Live from Utrecht and Princeton
Forward Looking Statement
This presentation contains forward looking statements. The words "believe", "expect", "anticipate", "intend" and "plan" and similar expressions identify forward looking statements. All statements other than statements of historical facts included in this presentation, including, without limitation, those regarding our financial position, business strategy, plans and objectives of management for future operations (including development plans and objectives relating to our products), are forward looking statements. Such forward looking statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by such forward looking statements. Such forward looking statements are based on numerous assumptions regarding our present and future business strategies and the environment in which we will operate in the future. The important factors that could cause our actual results, performance or achievements to differ materially from those in the forward looking statements include, among others, risks associated with product discovery and development, uncertainties related to the outcome of clinical trials, slower than expected rates of patient recruitment, unforeseen safety issues resulting from the administration of our products in patients, uncertainties related to product manufacturing, the lack of market acceptance of our products, our inability to manage growth, the competitive environment in relation to our business area and markets, our inability to attract and retain suitably qualified personnel, the unenforceability or lack of protection of our patents and proprietary rights, our relationships with affiliated entities, changes and developments in technology which may render our products obsolete, and other factors. Further, certain forward looking statements are based upon assumptions of future events which may not prove to be accurate. The forward looking statements in this document speak only as at the date of this presentation. Genmab does not undertake any obligation to update or revise forward looking statements in this presentation nor to confirm such statements to reflect subsequent events or circumstances after the date made or in relation to actual results, unless required by law.
Confidential. © Genmab 2020
Today's Speakers
Jan van de Winkel | Judith Klimovsky | Anthony Pagano | Anthony Mancini |
President & CEO | EVP & CDO | EVP & CFO | EVP & COO |
Tahi Ahmadi | Kate Sasser | David Satijn | Rob de Jong |
SVP, Head of Oncology | CVP, Translational Research | VP, New Antibody Products | Dir. Antibody Research & Tech. |
Confidential. © Genmab 2020
Delivering on Our Promise: Today's Agenda
On the Road to 2025: Evolving into a Fully Integrated Biotech
Jan van de Winkel
Our Strong Financial Foundation
Anthony Pagano
Innovation Powerhouse: Building on Our World-Class R&D Capabilities
Judith Klimovsky
Innovation in Action: Next-Generation Proprietary Technologies
Rob de Jong, David Satijn
Delivering on our Promise - Potential First-in-ClassDuoBody-PD-L1x4-1BB (GEN1046)
Tahi Ahmadi, Kate Sasser
Evolving into a Fully Integrated Biotech
Anthony Mancini, Tahi Ahmadi, Judith Klimovsky
Beyond 2020: Genmab's Journey is Just Beginning
Jan van de Winkel
LIVE Q&A
Confidential. © Genmab 2020
On the Road to 2025: Evolving Into a Fully Integrated Biotech
Our Core Purpose, Strategy & Vision Guide Our Work
Core Purpose | Our Strategy | Vision | ||
To improve the lives of patients | Focus on Core Competence | By 2025, our own product has | ||
by creating & developing innovative | transformed cancer treatment and | |||
antibody products | Turn science into medicine | we have a pipeline of knock-your- | ||
Build a profitable & successful biotech | socks off antibodies | |||
Confidential. © Genmab 2020
The Genmab Difference
Integrated Innovation Powerhouse Transforming Cancer Treatment
Strong pipeline of 1st-in-class /best-in-class potential therapies
Match in-house expertise with strategic partnerships
Proprietary technologies allow us to build a world-class pipeline
Deep insight into antibody biology & disease targets
Growing capabilities in four international locations
Confidential. © Genmab 2020
Innovation Powerhouse: Pipeline
Four Transformative Waves have Shaped Development of Biopharmaceutical industry
R.J. Deshales, Nature 2020; 580: 329-338
Confidential. © Genmab 2020
Innovation Powerhouse: Successful Network of Collaborations
Supporting Our Vision & Broadening Differentiated Antibody Pipeline
Partner of | Approved |
Medicines | |
Choice | Created by |
Genmab |
1 | 2 |
1
3
H. Lundbeck A/S | 1 |
2
1Janssen Biotech, Inc.; 2Novartis; 3Horizon Therapeutics | Confidential. © Genmab 2020 |
Our Strong
Financial
Foundation
Anthony Pagano, Executive Vice President & Chief Financial Officer
Strong Foundation
Robust pipeline built on Genmab tech
Partnerships with innovators and industry leaders across the value chain
Focused and disciplined approach to capital allocation
Strong financials to invest in growth opportunities
Confidential. © Genmab 2020
Growing Recurring Revenues
$1.5B
$0.8B
$0.5B | |||||||||
$0.3B | $0.2B | $0.7B | |||||||
$220M | $0.3B | ||||||||
$80M | |||||||||
2016 | 2018 | 2020e | |||||||
Recurring | Non-Recurring | ||||||||
Recurring revenues up ~9x over last five years
3 Products driving near term Revenue Growth
- DARZALEX® is transforming MM Treatment
- 2 Potential Blockbuster Products Launched in 2020 - Kesimpta® and TEPEZZA®
Significant cash flows to invest in building our business
*2020e based on Genmab collected consensus, ** Recurring revenue defined as royalties and sales of own products, USD 1 = DKK 6.5
Confidential. © Genmab 2020
On the Path to Reaching Our 2025 Vision
Successful track record | Genmab profile today |
Strategy
2025 Vision
Focus Areas
Progress
- Focus on core competence
- Turn science into medicine
- Build a profitable and successful biotech
SUSTAINED
EXECUTION
By 2025, our own product has transformed cancer treatment and we have a pipeline of knock-your-socks-off antibodies
BUILDING FULLY
INTERGRATED BIOTECH
INNOVATION
POWERHOUSE
Confidential. © Genmab 2020
2 potential near-term Genmab owned product launches
Imperative to invest
Remain focused and disciplined
Strong Rationale to Invest
Retain 50%+ ownership of products
Own Development and
Commercialization
Driving | Build Team and | |||
better | Capabilities to | |||
outcomes | Succeed | |||
for | ||||
Patients | Capture Greater | |||
Value | ||||
Confidential. © Genmab 2020
Focused on Execution
Investing for today and tomorrow
Building Our Capabilities
Research | Development | Commercialization | |||
Track record of success and | Scaling up to expand from | Step change in our business | |||
investing for tomorrow | early | to late stage | |||
▪ State of the art facilities | ▪ Clinical development & operations | ▪ Leadership team in place | |||
▪ Novel technologies and formats | ▪ Disease area expertise | ▪ Focused on U.S. and Japan | |||
▪ External innovation | ▪ Medical affairs and Regulatory | ▪ Building expanded team | |||
Enabling functions to support growth | Data Sciences to drive insights across | ||||
& manage risk | the value chain | ||||
Confidential. © Genmab 2020
Investing for Today and Tomorrow
Top Priorities for Today
- Filing and launch of tisotumab vedotin
- Rapid acceleration and maximization of epcoritamab
- Expansion of DuoBody-PD-L1x4-1BB
- Standing up U.S. and Japan commercialization organizations
Investing for Tomorrow
- Progress earlier stage pipeline
- Generate next wave of innovative IND candidates
- Maximize current technologies & stay at cutting edge of antibody science
- Focused investment in adjacent technologies & external innovation
Confidential. © Genmab 2020
Partnerships with Industry Leaders and Innovators
Strong Foundation
Generating significant cash flows today and more shots on goal moving forward.
Near-term pipeline
Maximizing our ability to get our pipeline products to more patients and faster.
Future Growth
Being a networked company is part of our DNA. Will continue to seek partnerships that bolster our internal strengths.
Confidential. © Genmab 2020
Strong Revenue Growth Anticipated the Next 5 Years
Recurring Revenue spilt and growth*
***
$1.9B | ||
$0.7B | ||
2020e | 2025e | 2025e |
DARZALEX® | Kesimpta® | TEPEZZA® |
Amivantamab Genmab Near-term Launches
Recurring revenues from existing products anticipated to grow ~2.5x
Amivantamab filing expected in Q4
Potential for 2 near-term launches from our pipeline
- Tisotumab vedotin in cervical cancer
- Epcoritamab in B-cell malignancies
*2020e -2025e based on Genmab collected consensus, ** Recurring revenue defined as | ***Potential additions to Recurring Revenues | |
royalties and sales of own products, USD 1 = DKK 6.5 | Confidential. © Genmab 2020 |
Summary
- Strong foundation with significant growth opportunities
- Clear path to reach our 2025 Vision
- Two potential near-term product launches
- Focused and disciplined investment approach
Confidential. © Genmab 2020
Innovation Powerhouse:
Building on Our World-Class R&D Capabilities
Judith Klimovsky, Executive Vice President & Chief Development Officer
Delivering On Our Promise Throughout Our Journey 2025 Vision
Products on the market
Strategic
Partnerships
Develop proprietary tech
First programs in the clinic
Confidential. © Genmab 2020
Delivering On Our Promise
Investing in the Breadth & Depth of our Pipeline
25
20
15
10
5
0
Total Products in Clinical Development: 23 | Proprietary* Products - Latest Dev. Stage: 8 | |||||||||||||||||||||
9 | ||||||||||||||||||||||
8 | ||||||||||||||||||||||
7 | ||||||||||||||||||||||
6 | ||||||||||||||||||||||
5 | ||||||||||||||||||||||
4 | ||||||||||||||||||||||
3 | ||||||||||||||||||||||
2 | ||||||||||||||||||||||
1 | ||||||||||||||||||||||
0 | ||||||||||||||||||||||
Total Indiv. Prod. | ||||||||||||||||||||||
2016 | 2017 | 2018 | 2019 | 2020 | ||||||||||||||||||
2016 | 2017 | 2018 | 2019 | 2020 | Phase 1 | Phase 1/2 | Phase 2 | *Genmab owned ≥50% | ||||||||||||||
Confidential. © Genmab 2020 |
Innovative Clinical Pipeline
Genmab Proprietary* and Partnered Products: Most Advanced Development Phase
Phase 1 | Phase 1/2 | Phase 2 | Phase 3 | Approved | ||||
•DuoBody-CD40x4-1BB1 | •Epcoritamab2 | •Tisotumab vedotin7 | ||||||
•DuoHexaBody-CD372 | •DuoBody-PD-L1x4-1BB1 | |||||||
•DuoBody-CD3x5T42 | •Enapotamab vedotin | |||||||
•HexaBody-DR5/DR5 | ||||||||
•Talquetamab3 | •Mim86 | •Teclistamab3 | •Amivantamab3 | •Daratumumab3 | ||||
•JNJ-637091783 | •Camidanlumab tesirine8 | •Ofatumumab10 | ||||||
•JNJ-638980813 | •PRV-0159 | •Teprotumumab11 | ||||||
•JNJ-675712443 | ||||||||
•JNJ-702189023 | ||||||||
•HuMax-IL84 | ||||||||
•Lu AF824225 |
*Products where Genmab has ownership of at least 50%
1 50/50 co-development with BioNTech; 2 50/50 co-development with AbbVie; 3 Development by Janssen; 4 Development by BMS; 5 Development by Lundbeck; 6 Development by Novo Nordisk; 7 50/50 co-development with
Seagen; 8Development by ADC Therapeutics; 9 Development by Provention Bio; 10 Development by Novartis; 11
Development by Horizon Therapeutics | Confidential. © Genmab 2020 |
Delivering On Our Promise
Solid Science - Data Driven & Integrated
Confidential. © Genmab 2020
Growing in an Integrated Fashion
Partnerships & Collaborations
Discovery / | Technology | Product |
Partnerships & | ||
Academic | ||
Collaborations | Collaborations | |
Collaborations | ||
H. Lundbeck A/S
H. Lundbeck A/S
Confidential. © Genmab 2020
Continue to Build in an Integrated Fashion
Clinical | Pharmacology |
Operations | |
Medical
Affairs
Confidential. © Genmab 2020
Innovation
in Action:
Next Generation Proprietary Technologies
Rob de Jong, Director Antibody Research & Technology
Natural Immunity Inspires Innovative Technologies and Products
The power of our immune system inspires us
We are curious to understand basic immunological principles
We translate this to innovative technologies
We create differentiated antibody products
Confidential. © Genmab 2020
DuoBody® Technology: Bispecific Antibodies
Inspired by Nature - Designed for Success
DuoBody® Discovery
- Bispecific IgG antibodies compatible with any IgG antibody sequence and subclass
- DuoBody® molecules retain prized IgG1-like stability
- CD3 arm and inert backbone available
- Enables creation of huge combinatorial DuoBody® lead panels in the therapeutically applied format
DuoBody® Development
- >10 clinical programs active
- Ample large scale manufacturing experience
- Technology transferred to multiple CMO's
- Adopted by multiple collaboration partners
Confidential. © Genmab 2020
HexaBody® Technology: Potentiated Antibodies
Antibodies designed to work as a team
HexaBody® Product Design
- IgG1 antibodies that self-organize at the cell surface only after target binding
- IgG hexamerization can elicit agonistic target signaling or potentiate immune effector functions
- Target signaling does not depend on crosslinking by the recruitment of immune cells
HexaBody® Development
- Clinical experience available
- Large scale manufacturing experience was gathered at multiple CMO's
- Compatible with standard IgG manufacturing processes
Confidential. © Genmab 2020
DuoHexaBody® Technology: Potentiated Bispecific Antibodies
Bispecific antibodies designed to work as a team
DuoHexaBody® Product Design
- DuoHexaBody® technology combines the dual targeting of bispecific antibodies with the potentiation of IgG hexamerization
- DuoHexaBody® enables multiple mechanisms of action to contribute to maximize the potency of therapeutic compounds
- Clinical and manufacturing experience is gathered within the DuoHexaBody-CD37 development program
Confidential. © Genmab 2020
Antibody Platforms Provide a Portal to Target Space
Different target combinations impose specific molecular requirements
Individual Targets | Target Combinations | |
DuoBody® | DuoHexaBody® |
ClassicalHexaBody®
Antibodies
AntibodyHexElect®
Combinations
Confidential. © Genmab 2020
Innovation in Action:
Next Generation Product Candidates
David Satijn, Vice President, New Antibody Products
Cell-Cell Trans Communication Can Be Mimicked By Bispecific Antibodies
Protein-protein interactions on the surface of different cells can induce and transmit a communication signal
Confidential. © Genmab 2020
Cell-Cell Trans Communication Can Be Mimicked By Bispecific Antibodies
- Cell-celltrans communication can be mimicked by bispecific antibodies
- Applied for different product applications
Confidential. © Genmab 2020
The DuoBody® Technology is a Proven Platform for High- Throughput Bispecific Antibody Library Generation and Screening
Standard BsAb discovery process | DuoBody® discovery process |
- Hundreds, thousands of DuoBody® variants can be screened and tested
- Enables the generation of large libraries and the selection of the best candidate
Confidential. © Genmab 2020
Agonistic Activation of T-Cells by HT Functional and Unbiased DuoBody® Library Screening of Multiple IO Targets
- Multiple different IO targets and antibody panels belonging to the B7/CD28 and TNF/TNFR families have been tested functionally and unbiased in DuoBody® transactivation screen
- DuoBody-CD40x4-1BBwas one of the hits identified from thousands of DuoBody® variants
Confidential. © Genmab 2020
Functional Screening of Different CD3 DuoBody® Affinity Variants for T-Cell Mediated Kill of Malignant B-Cells
CD19
CD20
CD22
CD25
CD37
CD40
CD74
CD72
CD79b
CD122
CD138
- B-celltargets and high and low affinity CD3 antibodies generated a library of several hundred of DuoBody® molecules
- Epcoritamab, containing high affinity CD3 and CD20 arms, was selected from functional screening
Confidential. © Genmab 2020
Identification of Novel Products for the Tumor Specific Activation of Innate Immune Cells Benefit From DuoBody® Library Screening
Cells of the innate immune system such as macrophages and natural killer cells can also be targeted in a tumor specific way using the DuoBody®.
Confidential. © Genmab 2020
Delivering on
Our Promise:
Potential First-in-ClassDuoBody-PD-L1x4-1BB (GEN1046)*
Tahi Ahmadi, Senior Vice President, Head of Oncology
Kate Sasser, Corporate Vice President, Translational Research
*50/50 Development with BioNTech
Mechanism of Action of GEN1046
GEN1046 is a first-in-class, next generation, checkpoint immunotherapy designed to enhance T-cell and NK cell function through conditional 4-1BBco-stimulation, while simultaneously blocking the PD-L1 axis.
GEN1046 enhances proliferation and cytokine production of activated T-cells, activates immune cells in the tumor-draining lymph nodes, and induces tumor regression in vivo.
Confidential. © Genmab 2020
GEN1046 Safety Trial in Patients with Malignant Solid Tumors (NCT03917381)
Phase 1
Dose Escalation
N = 61
All STs
Cycle
Q3W
1200 mg
800 mg
400 mg
200 mg | |
140 mg | RP2D |
100 mg
Phase 2a
Dose Expansion
N = Up to 40 per cohort
EC1: NSCLC <2-4L p. ICI
EC2: NSCLC <2-4L ICI n.
EC3: Urothelial Ca <2-4L p. ICI
EC4: Endometrial Ca <2-4L ICI n.
EC5: TNBC <2-4L CPI n./p. ICI
EC6: SCCHN <CPI n./p. ICI
EC7: Cervical Ca <2-4L ICI n.
80 mg | Study Endpoints | |||||
Safety and Tolerability | ||||||
50 mg | ||||||
PK/PD | ||||||
25 mg | ||||||
Anti-Tumor Activity | ||||||
Biomarkers | ||||||
https://clinicaltrials.gov/ct2/show/NCT03917381 | Confidential. © Genmab 2020 |
Dose Escalation Patient Demographics
Dose Escalation Cohort | All patients | |
N=61 | ||
Median age, years (range) | 59 (23, 79) | |
Age group, n (%) | ||
<65 years | 44 | (72.1) |
≥65 years | 17 | (27.9) |
Female, n (%) | 28 | (45.9) |
Cancer type, a n (%) | ||
Colorectal cancer | 12 | (19.7) |
Ovarian cancer | 9 (14.8) | |
Pancreatic cancer | 6 | (9.8) |
NSCLC | 6 | (9.8) |
Other | 28 | (45.9) |
Median number of prior regimens, (range) | 3 (1-11) | |
Prior treatment with PD-(L)1 inhibitor, n (%) | 23 | (37.7) |
- A total of 61 patients were enrolled in the dose escalation part of the trial
-
Patients were heavily pretreated, receiving a median (range) of 3 (1-11) treatments; nearly 40% had received prior
PD-(L)1 treatment
Confidential. © Genmab 2020
Safety Profile
TEAEs occurring in ≥10% of patients
TRAEs occurring in ≥10% of patients
All patients | ||||
Dose Escalation Cohort | N=61 | |||
All grades, n (%) | Grade 3, n (%) | Grade 4, n (%) | ||
Any TRAE | 43 (70.5) | 15 | (24.6) | 3 (4.9) |
TRAEs in > 10% of patients, by preferred term | 16 (26. 2) | 6 | (9.8) | 0 |
Transaminase elevation | ||||
Hypothyroidism | 11 (18.0) | 0 | 1 (1.6) | |
Fatigue | 8 (13.1) | 1 | (1.6) | 0 |
- The most common treatment- related adverse events were transaminase elevations, hypothyroidism and fatigue.
- Treatment-relatedtransaminase elevations occurred in 26.2% of patients. 9.8% of patients had grade 3 transaminase elevations
- There were no patients with Grade 4 transaminase, or treatment-related bilirubin increases
- MTD has not been reached
Confidential. © Genmab 2020
Anti-Tumor Activity - Dose Escalation
Data cut-off: September 29, 2020. Post-baseline scans were not conducted for five patients. aMinimum duration of response (5 weeks) per RECIST v1.1 not reached.
bPR was not confirmed on a subsequent scan.
NE, non-evaluable; NSCLC, non-small cell lung cancer; PD, progressive disease; PD-(L)1, programmed death (ligand) 1; PR, partial response; SD, stable disease; SoD, sum of diameters; uPR, unconfirmed partial response.
Disease control was achieved in 65.6% patients, including 4 partial responses in TNBC (1), ovarian cancer (1), and ICI-pretreated NSCLC (2) patients
Click toadd text
Dose levellevels
Dose level
Confidential. © Genmab 2020
Anti-Tumor Activity - ICI-R/R NSCLC Expansion
As of October 12, 2020, 24 patients were enrolled in expansion cohort 1, which includes patients with NSCLC with progression on or after ICI therapy
- 12 patients had post-baseline scans; six patients were still on treatment with GEN1046, six patients discontinued
- Preliminary efficacy in 12 patients who could be objectively assessed showed two patients who achieved confirmed PR, one with unconfirmed PR, and four patients with SD.
Data cut-off: October 12, 2020.
*Denotes patients with ongoing treatment. aPR was not confirmed by a subsequent scan.
Includes all patients who had at least one post-baseline tumor assessment (schedule is every 6 weeks), and thus could be assessed for clinical benefit; 6 of 12 patients are still on treatment.
BOR, best overall response; ICI, immune checkpoint inhibitor; NA, not available, NE, non-evaluable; NSCLC, non- small cell lung cancer; PD, progressive disease; PD-(L)1, programmed death (ligand) 1; PR, partial response; RECIST, Response Evaluation Criteria in Solid Tumors; SD, stable disease; SoD, sum of diameters; TPS, tumor proportion score; uPR, unconfirmed partial response.
Confidential. © Genmab 2020
PK/PD Profile
GEN1046 PK for the first two dosing cycles given every 3 weeks | Modulation of peripheral pharmacodynamic markers |
• Pharmacological activity was observed across a | ||
broad range of dose levels. | ||
• Increased levels of peripheral IFN-g and IP-10, | ||
increased frequency of proliferating (Ki67+) total | ||
• Peak concentrations shortly after end of infusion | CD8 and effector memory CD8+ T cells were | |
observed. | ||
• Mean half-life of 2.3-10.3 days after first dose | ||
Data extraction: June 26, 2020. | ||
Maximal fold-change from baseline measured during cycle 1. Lower doses correspond to dose levels ≤ 200 mg | ||
and higher doses correspond to dose levels ≥ 400 mg. | ||
Wilcoxon-Mann-Whitney test. IFN, interferon; IP-10,interferon-gamma-inducible protein 10. | Confidential. © Genmab 2020 |
PDL1 Status is Being Assessed in Current FIH Trial
- PD-L1expression was assessed in tumor biopsies obtained prior to PDL1X4-BB therapy (22C3 assay)
- Current expansion cohort includes robust biomarker profiling to discern appropriate patient population for future development
Confidential. © Genmab 2020
Evolving
Into a Fully
Integrated
Biotech
Anthony Mancini, Executive Vice President & Chief Operating Officer
Building Capabilities to Achieve our 2025 Vision
A Knock-Your-Socks-Off Pipeline & Products That Transform Cancer Treatment
Strengthening
Development
Creating
Innovative Antibody
Therapeutics
Building
Commercialization
Excellence
Confidential. © Genmab 2020
Focused Genmab Go-To-Market Model
Positions Prioritized Assets for Success in the US & Japan
Tisotumab vedotin: ADC Targeting TF
Priority
Late-Stage Epcoritamab: CD3 x CD20
Products
Priority Markets
Confidential. © Genmab 2020
Epcoritamab
(DuoBody® Technology)
Diffuse Large B-Cell Lymphoma
(DLBCL) & Other B-Cell Malignancies
Confidential. © Genmab 2020
DLBCL is the Most Common Type of B-CellNon-Hodgkin Lymphoma (NHL)
36% of DLBCL patients in the US die from their disease within 5 years of diagnosis
Older Population
Population Aging
QoL Impact
Average age at initial diagnosis is between 60-65
Prevalence is expected to continue increasing
Symptoms typically appear at advanced stages of disease, but their impact is often swift and severe
Sources: SEER https://seer.cancer.gov/statfacts/html/dlbcl.html; Ries, L. A. G. et al. (2007) SEER Survival Monograph: Cancer Survival among | |
Adults: U.S. SEER Program, 1988-2001, Patient and Tumor Characteristics; American Cancer Society. "Types of B-cell Lymphoma." Available at | |
https://www.cancer.org/cancer/non-hodgkin-lymphoma/about/b-cell-lymphoma.html; Lymphoma Research Foundation, "Diffuse Large B-Cell | |
Lymphoma." Available at https://lymphoma.org/aboutlymphoma/nhl/dlbcl/; Crump, Michael, et al. "Outcomes in Refractory Diffuse Large B-Cell | |
Lymphoma: Results from the International SCHOLAR-1 Study." Blood, American Society of Hematology, 19 Oct. 2017, | Confidential. © Genmab 2020 |
www.ncbi.nlm.nih.gov/pmc/articles/PMC5649550/. |
Over 100k Patients in US, EU5 and Japan Are Treated for DLBCL
Addressable DLBCL Active Patients: >100k
US: 27,685
EU5: 23,396
Japan: 17,723
US: 8,296
EU5: 6,186
Japan: 6,986
US: 2,857
EU5: 2,168
Japan: 4,411
1L DLBCL patients:
68,804
2L DLBCL patients:
21,468
3L+ Patients:
9,436
1L
2L
3L+ Initialcommercial opportunity
Source: Kantar Health Drug Treated Patients (2020 Report); GlobalData (2020) | Confidential. © Genmab 2020 |
Phase 1/2 Trial of Epcoritamab in R/R B-cell NHL
- At time of ASH Abstract cut off, 67 subjects were enrolled in Phase 1/2 first-in-humandose-finding study in R/R B-cell NHL; epcoritamab demonstrated antitumor efficacy as a single agent, with no DLTs
- No discontinuation due to AEs unrelated to PD
- In DLBCL: ORR were 66.7% (34% CR) with ≥12 mg (n=18) and 100% (29% CR) with ≥48 mg**
TEAEs occurring in ≥20% of patients
DLBCL | FL | |||||
≥12 mg | ≥48 mg | ≥0.76 mg | ≥12 mg | |||
Evaluable patients | 18a | 7 | 8 | 3 | ||
Overall response rate, % | 66.7 | 100 | 100 | 100 | ||
Complete response, n (%) | 6 (33.3) | 2 (28.6) | 2 (25.0) | 2 (66.7) | ||
Partial response, n (%) | 6 (33.3) | 5 (71.4) | 6 (75.0)b | 1 (33.3) | ||
Stable disease, n (%) | 1 (5.6) | 0 | 0 | 0 | ||
Progressive disease, n (%) | 5 (27.8) | 0 | 0 | 0 | ||
Hutchings M, et al. ASH 2020. Abstract 402. | ||||||
**48 mg, n=4; 60 mg, n=3 | Confidential. © Genmab 2020 | Hutchings M, et al. EHA 2020. Abstract 1218. |
Case
Diffuse Large B-cell Lymphoma (DLBCL) | CT | PET | Merged (PET-CT) |
- 82 yr female
- DLBCL (de novo) diagnosis in 2017
• 3 prior treatment lines; refractory to | Baseline |
last line |
- 4 nodal lesions(SPD = 27 cm2) plus involvement of spleen and left pleura (lung membrane)
- Epcoritamab 12 mg
• Started epcoritamab on 14 Oct | Week 06 |
2019 |
- PR at Week 6 & CR at Weeks 12, 18, 24 & 48
- Ongoing at cycle 15 with most recent response assessment at
Week 48: SPD = 0 cm2 (DS = 1) | Week 24 |
Courtesy of Dr. Martin Hutchings, site DK01, Copenhagen
Confidential. © Genmab 2020
GCT3013-01 Study Design
Single-arm,Open-label,Multi-CenterFirst-in-human Phase 1/2 Study Ongoing
Key Inclusion Criteria
- R/R CD20+ B-NHL
- Prior treatment with anti- CD20 mAbs
- ECOG PS 0-2
- Measurable disease by CT, MRI, or PET/CT scan
Objectives:
Primary •MTD •RP2D
Secondary •Safety/Tolerability •Anti-tumoractivity
Dose Escalation: Standard Titration: | ||||
Dose Expansion | ||||
0.0128-3 mga | 6 mg | 12 mg | 24 mg | 48 mg |
RP2D | ||||
DLBCL | |||||||
Dose schedule | CT or MRI scans were | n=128-158 | |||||
• Cycle 1-2: Q1W | conducted: | ||||||
Weeks 6, 12, 18, 24 and every | |||||||
• Cycle 3-6: Q2W | FL | ||||||
• Cycle ≥7: Q4W | 12 weeks thereafter. | ||||||
n=128-158 | |||||||
Single SC 1-mL injection of flat-dose epcoritamab | MCL |
administered in 28-day cycles until disease | |
progression or unacceptable toxicity | n=100 |
Confidential. © Genmab 2020
GCT3013-02 Study Design
Open-Label Trial to Assess the Safety and Preliminary Efficacy of SubQ Epcoritamab in Combination with Other Agents in Patients with B-cellNon-Hodgkin Lymphoma
Dose Escalation | RP2D | Dose Expansion |
Objectives
Dose escalation:
- Safety and tolerability
Dose Expansion:
- Anti-Tumoractivity
Arm 1: | Arm 3: | Arm 4: | Arm 5: | |
1L DLBCL | Arm 2: | R/R DLBCL | R/R DLBCL | |
IPI ≥3 | R/R FL | 1L FL | Pre-ASCT | SCT ineligible |
R-CHOP + EPCO | R2 + EPCO | BR + EPCO | R-DHAX/C + EPCO | GemOx + EPCO | ||||
Confidential. © Genmab 2020
GCT3013-03 Study Design
Phase 1b/2, Open-Label, Safety & Efficacy Study of Epcoritamab in Relapsed/Refractory Chronic Lymphocytic Leukemia
Patient population:
- R/R CLL after receiving at least 2 prior lines of systemic antineoplastic therapy, including treatment with (or intolerance of) a BTK inhibitor
Endpoints:
- Phase 1b: Safety, PK, PD, immunogenicity
- Phase 2: ORR, undetectable MRD
Site Selection:
• US, HOVON, NORDIC CLL, GCLLSG
Phase 1b | Phase 2 |
Dose Escalation | Dose Expansion |
MTD/ | Expansion | |||
Dose Level 2. | ||||
48 mg | RP2D | RP2D | ||
Dose Level 1
Confidential. © Genmab 2020
GCT3013-05 Study Design
A Randomized, Open-Label, Phase 3 Trial of Epcoritamab vs. Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma
Patient population (n=480) | ||
• | Relapsed/Refractory DLBCL with at | Epcoritamab |
least 1 prior line of therapy that | ||
included an anti-CD20 Ab. | ||
• | Refractory to or ineligible for ASCT. | |
Prior CAR-T allowed. | ||
Comparator Investigator's Choice: (R- | R 1:1 | |
GemOx or BR) | ||
Endpoints: | Investigator | |
Choice | ||
• | Primary endpoint: OS | |
(R-GemOx, | ||
• Secondary: PFS, ORR, CR, DOR, | ||
BR) | ||
MRD, Safety | ||
Confidential. © Genmab 2020
Positive Perception of Next-Gen CD3xCD20 Bispecifics & Potential to Transform B-cell Malignancy Treatment
B-NHL Type | Intervention | Study Phase | ||||||||||
Preclinical | I | I/II | II | III | ||||||||
DLBCL, FL, MCL and other histologies
Front-line
DLBCL
FL
Relapsed or refractory
B-NHL (DLBCL, FL, MCL) ASCT eligible DLBCL DLBCL
FL
B-NHL (Japanese patients)
DLBCL
CLL
Relapsed or refractory
Epcoritamab + R-CHOP
Epcoritamab + BR
Epcoritamab monotherapy
Epcoritamab + R-DHAX/C Epcoritamab + GemOx Epcoritamab + R2 Epcoritamab monotherapy
Epcoritamab vs SOC
Epcoritamab monotherapy
GCT3013-02 (Ph Ib)
GCT3013-02 (Ph Ib)
GCT3013-01 (Ph I/II)
GCT3013-02 (Ph Ib)
GCT3013-02 (Ph Ib)
GCT3013-02 (Ph Ib)
GCT3013-04 (Ph I/II)
GCT3013-05 (Ph III)
GCT3013-03 (Ph Ib)
B-NHL:B-cellNon-Hodgkin Lymphoma; BR: bendamustine + rituximab; DLBCL: diffuse large B-cell lymphoma; Confidential. © Genmab 2020
FL: follicular lymphoma; MCL: mantle cell lymphoma; SOC: standard of care; R2 = Revlimid + rituximab
Customer Perception of Next Generation CD3xCD20 is Very Positive
CD3xCD20
Agents
Awareness
Efficacy & Safety
Route of Administration
Indication
Growing awareness & enthusiasm
High ORR & lack of high- grade CRS events
Preference for SubQ administration
Initial use in 3L+ with potential to apply to all CD20+ cancers
Confidential. © Genmab 2020
Epcoritamab: Potentially Superior Treatment in a Transformative Class of Therapies in B-cell Lymphomas
New MOA, | Potential | Subcutaneous |
Easy to Use/Combine | Best-in-Class | Administration |
Next-Generation | Improved efficacy | Enhanced convenience & |
& safety | ease of administration for | |
Bispecific Antibody | ||
HCPs & patients | ||
Confidential. © Genmab 2020
An Ambitious Development Program Enables Potential Expansion Across Multiple Lines of Therapy
Expansion Opportunities: Estimated Drug Treated Patients (2027)*
~111.1k | DLBCL | ||
(Diffuse Large B-Cell Lymphoma) | |||
~51.4k | FL | ||
(Follicular Lymphoma) | |||
~44.6k
CLL
(Chronic Lymphocytic Leukemia)
~13.7k
MCL
(Mantle Cell Lymphoma)
* Epcoritamab has the potential to show clinical efficacy signals across all listed potential indications
Source: Kantar Estimated Drug Treated Patients (2020 Report)
Confidential. © Genmab 2020
Tisotumab vedotin (HuMax® Technology)
Cervical Cancer
Confidential. © Genmab 2020
Advanced Cervical Cancer Patients Have a
Poor Prognosis
83% of patients with metastatic Cervical Cancer (mCC) die within 5 years
Younger | Most frequently diagnosed between 35-44 years old |
Women | |
Socioeconomic | Disproportionately impacts women of lower SES |
Status | |
Stigmatized | Due to association with HPV and availability of the vaccine |
Disease | |
Source: Kantar Health (2019); Cervivor.org (accessed June 2020); | Confidential. © Genmab 2020 |
WHO; Cancer.org (accessed September 2020) |
Over 17k Patients Treated for Metastatic Cervical Cancer (mCC) in US, EU5 and Japan
Addressable mCC active patients: >17.5k
US: 4,495
EU5: 4,467
Japan: 2,569
US: 1,825
EU5: 1,652
Japan: 1,036
US: 600
EU5: 521
Japan: 298
1L patients:
11,531
2L patients:
4,513
3L+ Patients:
1,419
1L
2L
Initial
commercial opportunity
3L+
Source: Kantar Health Drug Treated Patients (2020 Report); | Confidential. © Genmab 2020 |
Tisotumab Vedotin in Previously Treated Recurrent or Metastatic Cervical Cancer: Results From the Phase 2 innovaTV 204/GOG-3023/ENGOT-cx6 Study
Robert L. Coleman,1 Domenica Lorusso,2 Christine Gennigens,3 Antonio González- Martín,4 Leslie Randall,5 David Cibula,6 Bente Lund,7 Linn Woelber,8 Sandro Pignata,9 Frederic Forget,10 Andrés Redondo,11 Reshma Rangwala,12 Signe Diness Vindeløv,13 Menghui Chen,12 Jeffrey R. Harris,12 Leonardo Viana Nicacio,14 Melinda S. L. Teng,14 Margaret Smith,12 Bradley J. Monk,15 Ignace Vergote16
1US Oncology, The Woodlands Houston, TX, USA; 2Multicentre Italian Trials in Ovarian Cancer and Gynaecological Malignancies Group (MITO) and Scientific Directorate and Department of Women and Child Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; 3Department of Medical Oncology, Centre Hospitalier Universitaire de Liège, Liège, Belgium; 4Grupo Español de Investigación en Cáncer de Ovario (GEICO) and Department of Medical Oncology, Clínica Universidad de Navarra, Madrid, Spain; 5Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, USA; 6Central and Eastern European Gynecologic Oncology Group (CEEGOG) and Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic; 7Aalborg University Hospital, Aalborg, Denmark; 8Arbeitsgemeinschaft Gynäkologische Onkologie (AGO) study group and University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 9MITO and Istituto Nazionale per lo Studio e la Cura dei Tumori, "Fondazione G. Pascale" IRCCS, Naples, Italy; 10Centre Hospitalier de l'Ardenne, Libramont, Belgium; 11Grupo Español de Investigación en Cáncer de Ovario (GEICO) and Hospital Universitario La Paz-IdiPAZ, Madrid, Spain;
12Genmab US, Inc., Princeton, NJ, USA; 13Genmab, Copenhagen, Denmark; 14Seattle Genetics, Inc., Bothell, WA, USA; 15Arizona Oncology (US Oncology Network), University of Arizona College of Medicine, Creighton University School of Medicine, Phoenix, AZ, USA; 16Belgium and Luxembourg Gynaecological Oncology Group, University of Leuven, Leuven Cancer Institute, Leuven, Belgium.
innovaTV 204 Study Design
innovaTV 204 (NCT03438396) is a pivotal phase 2 single-arm, multicenter (United States and Europe) study evaluating tisotumab vedotin in patients with previously treated recurrent and/or metastatic cervical cancer
Key Eligibility Criteria
- Recurrent or extrapelvic metastatic cervical cancer
- Progressed during or after doublet chemotherapya with bevacizumab (if eligible)
- Received ≤2 prior systemic regimensb
- ECOG PS 0-1
Enrolled: 102c
Treated: 101*
Tisotumab | Until PD or | |||
vedotin | ||||
unacceptable | ||||
2.0 mg/kg IV | ||||
toxicity | ||||
Q3W | ||||
Tumor responses assessed using CT or MRI at baseline, every 6 weeks for the first 30 weeks, and every 12 weeks thereafter
Primary Endpoint
- ORRd per RECIST v1.1, by independent imaging review committee (IRC)
Secondary Endpoints
- ORRd per RECIST v1.1, by investigator
- DOR, TTR, and PFS by IRC and investigator
- OS
- Safety
Exploratory Endpoints
- Biomarkers
- HRQoL
*Study sample size calculated assuming a confirmed ORR of 21% to 25% with tisotumab vedotin and to provide ≥80% power to exclude an ORR of ≤11%e
aPaclitaxel plus platinum (cisplatin or carboplatin) or paclitaxel plus topotecan. bAdjuvant or neoadjuvant chemotherapy or if administered with radiation therapy, was not counted as a prior systemic regimen. cJune 2018 to April 2019. dResponses were confirmed by subsequent repeat imaging performed ≥4 weeks after initial response assessment. eUsing one-sided exact binomial test at 0.025 significance level.
CT, computed tomography; ECOG PS, Eastern Cooperative Oncology Group performance status; HRQoL, health-related quality of life; IRC, independent review committee; IV, intravenous; MRI, magnetic resonance imaging; OS, overall survival; PD, progressive disease; Q3W, every 3 weeks; RECIST v1.1, Response Evaluation Criteria In Solid Tumors version 1.1; TTR, time to response.
Antitumor Activity by IRC Assessment
Clinically meaningful and durable responses were observed
Response | 1.00 | |||||||
N=101 | 0.80 | |||||||
0.60 | ||||||||
Confirmed ORR (95% CI),a % | 24 (15.9−33.3) | in | ||||||
CR, n (%) | 7 | (7) | ||||||
Remaining | 0.40 | |||||||
PR, n (%) | 17 | (17) | 0.20 | |||||
SD, n (%) | 49 | (49) | ||||||
0 | ||||||||
PD, n (%) | 24 | (24) | ||||||
0 | ||||||||
Not evaluable, n (%) | 4 | (4) | No. at risk | 24 | ||||
DOR
Median DOR
(95% CI)
8.3 months (4.2−NR)
2 | 4 | 6 | 8 | 10 | 12 |
Time (months) | |||||
22 | 16 | 11 | 8 | 3 | 0 |
Data cutoff: February 06, 2020. Median duration of follow-up: 10.0 months. aBased on the Clopper-Pearson method.
CI, confidence interval; CR, complete response; DOR, duration of response; IRC, independent review committee; NR, not reached; ORR, objective response rate; PD, disease progression; PR, partial response; SD, stable disease.
Confidential. © Genmab 2020
Baseline Scans
42-year-old
Sep 2017 Received concurrent chemoradiation
Jan 2018 - Biopsy confirmed recurrence in extra-pelvic lymph nodes. Received carboplatin + paclitaxel
Nov 2018 - Started on innovaTV 204
• Confirmed Complete Response(IRC-assessed)
• DOR: 8.5 mos
Scans Confirming Response (Cycle 5)
Confidential. © Genmab 2020
PFS by IRC Assessment and OS
PFS
1.00 | Median PFS | 6-month PFS Rate | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
0.80 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
(95% CI) | (95% CI) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
PFS | 0.60 | 4.2 months | 30% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
0.40 | (3.0−4.4) | (20.8−40.1) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
0.20 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
0 | 3 | 6 | 9 | 12 | 15 | 18 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Time (months) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No. at risk 101 | 53 | 23 | 14 | 4 | 1 | 0 |
1.00 | ||||||||||||||||||||||||||||||||||||||||
0.80 | ||||||||||||||||||||||||||||||||||||||||
OS | 0.60 | |||||||||||||||||||||||||||||||||||||||
0.40 | Median OS | |||||||||||||||||||||||||||||||||||||||
(95% CI) | ||||||||||||||||||||||||||||||||||||||||
0.20 | 12.1 months | |||||||||||||||||||||||||||||||||||||||
0 | (9.6−13.9) | |||||||||||||||||||||||||||||||||||||||
0 | 3 |
No. at risk 101 | 90 |
OS
6-month OS Rate
(95% CI)
79%
(69.3−85.6)
6 | 9 | 12 | 15 | 18 |
Time (months) | ||||
77 | 61 | 35 | 8 | 0 |
Data cutoff: February 06, 2020. Median duration of follow-up: 10.0 months. CI, confidence interval; OS, overall survival; PFS, progression-free survival.
Confidential. © Genmab 2020
Most Common TRAEs with Tisotumab Vedotin
Patients (%)
- Most TRAEs were grade 1 or 2 and no new safety signals were reported
- One death due to septic shock was considered by the investigator to be related to therapyb
TRAEs with ≥10% incidencea
100
90 | N=101 | ||||
80 | 28% | Series1 | Series2 | ||
70 |
60
50
40 | 2% |
30 64%
1% | 1% | ||||||||||||||||
1% | |||||||||||||||||
20 | 38% | 30% | |||||||||||||||
10 | 27% | 26% | 24% | 23% | 15% | 12% | 12% | 12% | |||||||||
11% | 11% | 10% | |||||||||||||||
0 | |||||||||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
Data cutoff: February 06, 2020. Median duration of follow-up: 10.0 months.
Median duration of treatment: 4.2 months (range, 1-16).
aAny-grade AEs included if ≥10%. bThree treatment-emergent deaths unrelated to therapy included one case of ileus and two with unknown causes.
TRAE, treatment-related adverse event.
Confidential. © Genmab 2020
Conclusions
Clinically meaningful and durable responses were observed consistent across subgroups
Tisotumab vedotin had a manageable and tolerable safety profile
The most common treatment-related adverse events included alopecia, epistaxis, nausea, conjunctivitis, fatigue and dry eye
BLA submission planned under FDA's accelerated approval pathway
Confidential. © Genmab 2020
Evaluation is ongoing in 37 (37%) patients. AE, adverse event; CR, complete response, DOR, duration of response; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; TF, tissue factor; TTR, time to response.
Our Goal in Cervical Cancer: Establish Tisotumab Vedotin as the Clear Choice in 2L+ Settings
mCC Treatment Landscape | |
1L | Chemotherapy +/- Bevacizumab* |
2L
3L+
~50% PD-L1+ | ~50% PD-L1- |
Pembro**, Other
IO, or Chemo
All Patient Types
Pembrolizumab or
Chemotherapy
Source: Kantar Treatment Architecture: Cervical Cancer; NCCN Treatment Guidelines; 2020 TV ATU (Strategic Research Insights)
Confidential. © Genmab 2020
*Pembrolizumab & other IOs are being evaluated in 1L treatment **Pembrolizumab is approved for 2L r/mCC in the US; not approved in JPN or EU
Tisotumab Vedotin Demonstrates Clinically Meaningful, Durable Responses and a Manageable Safety Profile in 2L+ r/mCC Patients
First-in-Class | Superior | Broad Applicability |
Therapeutic Profile | ||
Antibody-drug conjugate (ADC) directed against Tissue Factor (TF)
Superior efficacy, durable responses and reduced toxicity compared to SoC
Efficacy in a broad patient
population without
biomarker requirement
Source: 2020 TV ATU (Strategic Research Insights) | Confidential. © Genmab 2020 |
Building Capabilities to Achieve our 2025 Vision: Knock-Your-Socks-Off Pipeline and Products That Transform Cancer Treatment
Strengthening
Development
Creating
Innovative Antibody
Therapeutics
Building
Commercialization
Excellence
Confidential. © Genmab 2020
Beyond 2020:
Genmab's Journey is Just Beginning
Jan van de Winkel, President & Chief Executive Officer
Key Events in Genmab's 21-Year Journey
• | 2012 - 2015 | 2019 | |||
2003 - 2007 | Janssen agreement | • | U.S. IPO | ||
daratumumab | |||||
• | Ofatumumab RMS | ||||
• | CD38 mAbs generated | • | HexaBody® platform | ||
sBLA | |||||
• | Daratumumab selected | • | DARZALEX® 1st | ||
• | CureVac AG agreement | ||||
• | GSK agreement | U.S approval | |||
• | HexaBody-CD38 | ||||
ofatumumab | • | BioNTech agreement | |||
agreement (Janssen) | |||||
1999 - 2002
- Genmab Founded
- Copenhagen IPO
- 1st partnership (Roche)
- Ofatumumab program announced
2008 - 2011
- Arzerra® 1st U.S. & EU approvals
- DuoBody® platform
- Strategy update
- 1st collab. w/ Seattle Genetics
2016 - 2018 | 2020 | |||
• | DARZALEX® | • | AbbVie partnership | |
• | 1st EU & Japan approvals | • | U.S. Approvals for: | |
HexElect® platform | • | ® | ||
• | Immatics agreement | Kesimpta | ||
• | DARZALEX | |||
• | FASPRO™ | |||
• | TEPEZZA® | |||
• | 1st DuoBody* awarded |
Kesimpta (ofatumumab) developed by Novartis; DARZALEX (daratumumab) and DARZALEX FASPRO ( daratumumab and hyaluronidase-fihj) developed by Janssen; TEPEZZA (teprotumumab) developed by Horizon Therapeutics; *amivantamab developed by Janssen
BTD |
Confidential. © Genmab 2020
Beyond 2020
Genmab's Journey is Just Beginning
Expanded use of our | Our own | |
Strong financial | next-generation | |
proprietary | products on the | |
foundation | technologies | market |
Building and | Additional | Fully integrated |
expanding | strategic | biotech |
capabilities | partnerships | transforming the |
worldwide | lives of cancer | |
patients |
Confidential. © Genmab 2020
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Genmab A/S published this content on 13 November 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 13 November 2020 13:40:04 UTC