Oncology
1
Forward-Looking Statements and Other Notices
Our discussions during Pfizer's Investor Day include forward-looking statements about our anticipated future operating and financial performance, business plans and prospects; expectations for our product pipeline, in-line products and product candidates, including anticipated regulatory submissions, data read- outs, study starts, approvals, revenue contribution, growth, performance, timing of exclusivity and potential benefits; manufacturing and product supply; our efforts to respond to COVID-19, including our investigational vaccine candidate against SARS-CoV-2 and our investigational protease inhibitor, and our expectations regarding the impact of COVID-19; our ability to successfully capitalize on growth opportunities and prospects; plans for and prospects of our acquisitions and other business development activities, including our proposed transaction with Mylan N.V. (Mylan) to combine Upjohn and Mylan to create a new global pharmaceutical company; plans relating to share repurchases and dividends; and other statements about our business, operations and financial results that are each subject to substantial risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statements. Among other things, statements regarding revenue and earnings per share growth; the development or commercial potential of our product pipeline, in-line products, product candidates and additional indications, including expected clinical trial protocols, the timing of the initiation and progress of clinical trials and data read-outs from trials; the timing for the submission of applications for and receipt of regulatory approvals; expected breakthrough, best or first-in-class status, blockbuster status of our medicines or vaccines; and the impact of anticipated improvements to our clinical operation performance are forward-looking and are estimates that are subject to change and clinical trial and regulatory success. These statements are subject to risks, uncertainties and other factors that may cause actual results to differ materially from past results, future plans and projected future results. Additional information regarding these and other factors can be found in Pfizer's Annual Report on Form 10-K for the fiscal year ended December 31, 2019 and in our subsequent reports on Form 10-Q, including in the sections thereof captioned "Risk Factors" and "Forward-Looking Information and Factors That May Affect Future Results", as well as in our subsequent reports on Form 8-K, all of which are filed with the U.S. Securities and Exchange Commission and available at www.sec.gov and www.pfizer.com. Potential risks and uncertainties also include the impact of COVID-19 on our sales and operations, including impacts on employees, manufacturing, supply chain, marketing, research and development and clinical trials. The forward-looking statements in these presentations speak only as of the original date of the presentation and we undertake no obligation to update or revise any of these statements. Today's discussions and presentations are intended for the investor community only; they are not intended to promote the products referenced herein or otherwise influence healthcare prescribing decisions. All trademarks in today's presentations are the property of their respective owners.
Oncology Leadership Team
Andy Schmeltz | Chris Boshoff | Jeff Settleman | Nick Saccomano |
Global President, | Chief Development Officer, | Chief Scientific Officer, | Chief Scientific Officer, |
Oncology | Oncology | Oncology | Boulder R&D Unit |
New York, NY | New York, NY | La Jolla, CA | Boulder, CO |
3
Oncology Expected to Continue to Drive Growth for Pfizer Across a Broad Portfolio
approved cancer | 32% | 5-year | of revenues over | ||||||
23 medicines & biosimilars | revenue CAGR | $9.9bn past 4 quarters | |||||||
Breast Cancer | Genitourinary Cancers | Colorectal Cancer/Melanoma | |||||||
(1) | (2) | ||||||||
(3) | (3) | ||||||||
Blood Cancer | Lung Cancer | Cancer Biosimilars | ||||
- Xtandi® (enzalutamide) is developed and commercialized in the U.S. in collaboration with Astellas. The two companies share equally in the gross profits (losses) related to U.S. net sales. Pfizer receives tiered royalties as a percentage of international Xtandi net sales.
- Bavencio® (avelumab) is co-developed and co-commercialized in collaboration with Merck KGaA, Darmstadt, Germany.
- Pfizer has exclusive rights to Braftovi® (encorafenib) and Mektovi® (binimetinib) in the U.S. and Canada. Pfizer has granted Ono Pharmaceutical Co. Ltd. exclusive rights to commercialize the products in Japan and South Korea, Medison in Israel, and Pierre Fabre in all other countries.
4
IBRANCE (palbociclib)
First-in-Class, #1 Prescribed
CDK4/6 Inhibitor
Tami, living with metastatic Breast Cancer
5
Maintaining Ibrance Leadership
- Nearly 315,000 patients treated with Ibrance to date globally
- Use of CDK inhibitors for new metastatic breast cancer patients continues to grow
- Ibrance share of first-line CDK patients remains stable: approx. 7 out of 8 are on Ibrance
- Recent real-world data analysis(1) of Ibrance, in combination with letrozole, showed a statistically significant overall survival benefit in ER+/HER2- metastatic breast cancer when compared to letrozole alone (Hazard Ratio=0.58)
- Presented at the 2019 San Antonio Breast Cancer Symposium (SABCS), December 10-14, 2019 (Poster P1-19-02).
Estimated U.S. first-line share of | |||
ER+/HER2- metastatic breast cancer | |||
70% | 66% | ||
60% | 58% | ||
50% | |||
40% | |||
30% | 20% | ||
20% | |||
10% | 5% | ||
0% | |||
Dec-16Feb-17Apr-17Jun-17Aug-17 | Oct-17Dec-17Feb-18Apr-18Jun-18Aug-18 | Oct-18Dec-18Feb-19Apr-19Jun-19 | Aug-19Oct-19Dec-19Feb-20Apr-20 |
Ibrance | CDK Class | AI Mono | Chemo |
Source: IQVIA PLD claims: Total patient share R3M (Dec 16 - May 2020); data has been normalized for lower coverage and may be subject to restatement, particularly in recent months
6
Up to 14 Potential Approvals by 2025 Across Targeted Therapies(1) and Immunotherapies(2)
Late-Stage
Development
Targeted Therapies(1) | Immunotherapies(2) | ||||||||||
Ibrance | Braftovi | Xtandi | Lorbrena | Sasanlimab + BCG | Bavencio | ||||||
BRAF+ first-line (1L) | Non-metastatic castration | ||||||||||
HR+ / HER2- | ALK+ 1L metastatic | Non-Muscle Invasive | |||||||||
metastatic colorectal | sensitive prostate cancer | 1L metastatic NSCLC | |||||||||
early breast cancer | NSCLC | Bladder Cancer (NMIBC) | |||||||||
cancer (CRC) | (nmCSPC) | ||||||||||
Ibrance | Braftovi / Mektovi | Xtandi + Talzenna | Daurismo | ||||||||
Metastatic castration- | |||||||||||
HR+ / HER2+ | BRAF+ 1L | ||||||||||
resistant prostate | Acute Myeloid Leukemia | ||||||||||
metastatic breast cancer | metastatic melanoma | ||||||||||
cancer (All/DRR) | |||||||||||
Braftovi / Mektovi | |||||||||||
BRAF+ metastatic non- | |||||||||||
small cell lung cancer | |||||||||||
(NSCLC) |
Cyclin-Dependent
Kinase (CDK) 2/4/6
Early
Development CDK4
Selected Pre-POC
Programs
CDK2
Protein arginine | HER2 | HER2-Exon 20/ | ||
methyltransferase 5 | Antibody Drug | |||
wt amp | ||||
(PRMT5) | Conjugate (ADC) | |||
Eukaryotic translation | cMET-Exon 14/ | |||
initiation factor 4E | SHP2 | |||
wt amp | ||||
(elF4E) | ||||
Lysine | Brain-Penetrant | |||
acetyltransferase 6 | EZH2 | |||
BRAF | ||||
(KAT6) | ||||
B-cell maturation antigen (BCMA) CD3 bi-specific
AVB8
GUYC2C
CD3 bi-specific
TGFβR1
Vaccine-Based
Immunotherapy Regimen
(VBIR2) Cancer vaccine
AXL/MERTK
HR represents hormone receptor. HER2 represents human epidermal growth factor receptor 2.
- Targeted Therapies include agents that directly target cancer cells
- Immunotherapies include agents that engage the immune response to cancer cells
= Indicates potential approval by 2025
7
Up to 14 Potential Approvals by 2025 Across Targeted Therapies and Immunotherapies
Late-Stage
Development
Targeted Therapies | Immunotherapies | ||||||||||
Ibrance | Braftovi | Xtandi | Lorbrena | Sasanlimab + BCG | Bavencio | ||||||
BRAF+ first-line (1L) | Non-metastatic castration | ||||||||||
HR+ / HER2- | ALK+ 1L metastatic | Non-Muscle Invasive | |||||||||
metastatic colorectal | sensitive prostate cancer | 1L metastatic NSCLC | |||||||||
early breast cancer | NSCLC | Bladder Cancer (NMIBC) | |||||||||
cancer (CRC) | (nmCSPC) | ||||||||||
Ibrance | Braftovi / Mektovi | Xtandi + Talzenna | Daurismo | ||||||||
Metastatic castration- | |||||||||||
HR+ / HER2+ | BRAF+ 1L | ||||||||||
resistant prostate | Acute Myeloid Leukemia | ||||||||||
metastatic breast cancer | metastatic melanoma | ||||||||||
cancer (All/DRR) | |||||||||||
Braftovi / Mektovi | |||||||||||
BRAF+ metastatic non- | |||||||||||
small cell lung cancer | |||||||||||
(NSCLC) |
Early
Development
Selected Pre-POC
Programs
Cyclin-Dependent | Protein arginine | HER2 | HER2-Exon 20/ | |||
methyltransferase 5 | Antibody Drug | |||||
Kinase (CDK) 2/4/6 | wt amp | |||||
(PRMT5) | Conjugate (ADC) | |||||
Eukaryotic translation | cMET-Exon 14/ | |||||
CDK4 | initiation factor 4E | SHP2 | ||||
wt amp | ||||||
(elF4E) | ||||||
Lysine | Brain-Penetrant | |||||
CDK2 | acetyltransferase 6 | EZH2 | ||||
BRAF | ||||||
(KAT6) | ||||||
B-cell maturation antigen (BCMA) CD3 bi-specific
AVB8
GUYC2C
CD3 bi-specific
TGFβR1
Vaccine-Based
Immunotherapy Regimen
(VBIR2) Cancer vaccine
AXL/MERTK
= Indicates potential approval by 2025 = Programs to be discussed today
8
LORBRENA/LORVIQUA (lorlatinib)
Continuing to Advance NSCLC
Treatment with a Third-Generation
ALK Inhibitor
Gina, living with
ALK-positive
Lung Cancer
9
In 2020, ~13,500 New Cases of ALK+ NSCLC Will Be Diagnosed in the G7(1),(2)
Lorlatinib Patient in CROWN Trial
Baseline | Complete Response |
24 Months (Ongoing) | |
- Lorlatinib has increased potency compared to most ALK inhibitors, is active against the most common resistance mutations and crosses the blood-brain barrier
- Up to 40% of ALK+ NSCLC patients present with brain metastases(3)
- Lorbrena's median duration of response as a second- or third-line ALK inhibitor is 12.5 months(4)
- Decision Resources Group. Non-Small-Cell Lung Cancer Epidemiology, 2019 [Accessed 14th August 2020]. G7 represents U.S. EU5 (Germany, United Kingdom, Italy, France and Spain) and Japan.
- Garber K. J Natl Cancer Inst. 2010;102:672-675.
- Peters S. N Engl J Med 2017;377:829-38
- FDA label for lorlatinib (https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/210868s000lbl.pdf), Section 6.1 Clinical Trials Experience.
10
BRAFTOVI & MEKTOVI (encorafinib & binimetinib)
Expanding Our Presence in BRAF-
Driven Colorectal Cancer and Melanoma
Scott, living with metastatic colorectal cancer
11
Poor Prognosis for BRAF-Mutated Metastatic Colorectal Cancer (CRC)
- CRC is the 4th leading cause of cancer-related death(1)
- In 2020, ~500,000 new CRC cases are expected to be diagnosed in the G7(2)
Disease | CRC | BRAF Mutated | Estimated 5 |
Diagnosed | Year Survival | ||
Stage | Patients in G7(2) | ||
Patients in G7(2) | (for BRAF, US) | ||
Localized | ~115,000 | ~8,000 | 80-90% |
Stage 1 | |||
Regional | |||
~275,000 | ~19,000 | 60-70% | |
Stage 2 | |||
Distant | |||
~110,000 | ~8,000 | ~4% | |
Stage 3 | |||
Source: Decision Resource Group, Kantar Health |
NOTE: Pfizer has exclusive rights to Braftovi® (encorafenib) and Mektovi® (binimetinib) in the U.S. and Canada. Pfizer has granted Ono Pharmaceutical Co. Ltd. exclusive rights to commercialize the products in Japan and South Korea, Medison in Israel, and Pierre Fabre in all other countries. Pfizer receives royalties on sales of Braftovi and Mektovi outside the U.S.
- Araghi M, Soerjomataram I, Jenkins M, et al. Global trends in colorectal cancer mortality: projections to the year 2035. Int J Cancer (2019):144:2992-3000
- G7 represents U.S., EU5 (Germany, United Kingdom, Italy, France and Spain), and Japan.
12
ANCHOR: Encouraging Activity in First-Line Metastatic Colorectal Cancer (CRC)
Phase 2 single-arm study of encorafenib, binimetinib plus
cetuximab in previously untreated BRAFV600E-mutant metastatic CRC
Best change from baseline (%)
20
10
0 -10-20-30-40-50-60-70-80-90-100
Best percentage change in tumor measurement for stage 1 of study
Investigator's assessment, patients evaluable for efficacy
* * *
- 3 patients with best percent change from baseline = 0%; Confirmed best overall response = stable disease ¤ Complete Response on target lesion but non-target lesion still present
# Complete Response was not confirmed at the subsequent tumor evaluation | ¤ # |
Objective Response Rate:
50.0%
Disease Control Rate:
85.0%
Partial Response (n=20) | Stable Disease (n=14) | Progressive Disease (n=3) | Not Evaluable (n=1) | ||||
Data presented at European Society for Medical Oncology (ESMO) World Congress on Gastrointestinal Cancer 2020 (Virtual), July 2020.
13
Anticipate Up to $2 Billion of Annual Revenue Contributions Across the BRAF/MEK portfolio in 2027(1)
CRC
Lung Melanoma
2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | |||
2L/3L Metastatic | Phase 3: BEACON | ||||||||||
15K patients† | |||||||||||
1L Metastatic | Phase 2: ANCHOR | Phase 3: BREAKWATER | |||||||||
17K patients† | |||||||||||
1L Metastatic (MSI-High) | Phase 2 | ||||||||||
3K patients† | |||||||||||
1L/2L Metastatic | Phase 3: | ||||||||||
17K patients† | COLUMBUS | ||||||||||
1L Metastatic with Brain | Phase 2: POLARIS | ||||||||||
Metastases 9K patients† | |||||||||||
1L Metastatic | |||||||||||
(+pembrolizumab) | Phase 3: STARBOARD | ||||||||||
10K patients† | |||||||||||
1L Metastatic (PD-1 | Phase 2 | ||||||||||
Progressor) 2K patients† | |||||||||||
Metastatic NSCLC | Phase 2: PHAROS | ||||||||||
16K patients† | |||||||||||
Positive top-line report | Interim | Regulatory approval | Potential regulatory approval | Potential label enhancement in tumor | |||||||
analysis | for new tumor type | type with previous approval | |||||||||
- Includes non-risk-adjusted revenue contributions from all programs/patient populations referenced above. Assumes constant foreign exchange rates.
† Estimates for appropriate patients within each target indication in the G7 (US, EU5 [Germany, United Kingdom, Italy, France and Spain] and Japan) in 2020 based on Kantar.
NOTE: All timings are approximate and subject to change.
14
Genitourinary Cancers
Expanding Our Franchise in Renal,
Bladder and Prostate Cancers:
Sutent, Inlyta, Xtandi, Bavencio,
Talzenna and sasanlimab
Chas, living with
Prostate Cancer
15
Prostate and Bladder Cancers Are the First and Fourth Most Common Cancers in Men, Respectively(1)
Prostate Cancer
- Globally, ~1.4 million new cases are expected to be diagnosed in 2020(1)
- In 2020, ~33,000 men expected to die in the U.S. from prostate cancer(2)
- ~25% of advanced prostate cancer harbor mutations in DNA Damage Response (DDR) genes(3),(4)
Bladder Cancer
-
In G7, ~182,000 new patients expected to be diagnosed with non-muscle invasive bladder cancer (NMIBC) in
2020(5),(6) - 50-70%of patients recur or progress to muscle invasive or metastatic disease after initial treatment for their bladder cancer(7)
(1)World Cancer Research Fund, Accessed August 2020. (2)American Cancer Society 2019. (3) Chung JH, Dewal N, et al. JCO Precis Oncol. 2019. (4) Armenia J, Wankowicz SAM, et al.Nat Genet. 2018 . (5)G7 represents U.S., EU5 (Germany, United Kingdom, Italy, France and Spain), and Japan.
(6) Kantar Health. (7)Sylvester, van der Meijden, et al. European Association of Urology 2006
16
TALAPRO 1: Talazoparib Demonstrated Activity in Metastatic Castration-Resistant Prostate Cancer (mCRPC) with DNA Damage Response (DDR) Mutations at an Interim Analysis
A Phase 2 open-label study to assess efficacy and safety of talazoparib in men with mCRPC with a DDR alteration who have previously received taxane-based chemotherapy and progressed on at least one novel hormonal agent
of | 40 |
baselinefromin sum lesionstargetfor (%) | 20 |
0 | |
-20 | |
Bestchange diameters | -40 |
-60 | |
-80-100
Presented at ASCO 2020.
DDR Alteration
BRCA2 (n=32) | BRCA1 (n=4) | ATM (n=14) | PALB2 (n=2) | Other (n=10) | ||||
Objective response rate for tumors with BRCA 1 or 2 mutations was 41.5%
17
Developing Sasanlimab as Potential New Sub-CutaneousPD-1 Backbone
Phase 1, open-label,multi-center, dose escalation, expansion, and safety study of sasanlimab in previously treated adult patients with metastatic urothelial carcinoma
Response) | 80 | ||
60 | |||
(Best | 40 | ||
20 | |||
Baseline | 0 | PD SD SD PD | |
-20 | |||
from | |||
-40 | |||
Change | |||
-80 | |||
-60 | |||
% | -100 | ||
Partial Response (n=8) | Stable Disease (n=12) | Progressive Disease (n=15) |
Objective response observed in 21.1% of patients;
Duration of response not yet mature with many responses ongoing
Presented at ESMO 2019.
Sasanlimab is under investigation and is not yet approved for NMIBC or in any other indication.
Phase 3 CREST Study: Sasanlimab in combination with BCG vs. BCG alone in participants with first-linehigh-risk non- muscle invasive bladder cancer
Sasanlimab + BCG | ||||
Induction & | ||||
Maintenance | ||||
N=999 | Sasanlimab + BCG | |||
1:1:1 | ||||
Induction Only | ||||
Randomization | ||||
Bacillus Calmette- | ||||
Guerin (BCG) Induction | ||||
& Maintenance | ||||
First patient dosed in January 2020; Expected completion date in 2024
18
Anticipate Up to $5 Billion of Annual Revenue Contributions Across the Bladder and Prostate Portfolio in 2027(1)
2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | |||
Bladder | 1L UC | Phase 3: JAVELIN Bladder 100 | |||||||||||
(Maintenance) | |||||||||||||
(Bavencio + BSC vs. BSC alone) | |||||||||||||
~57.5K patients† | |||||||||||||
BCG Naïve NMIBC | Phase 3: CREST | ||||||||||||
~295K patients† | (Sasanlimab + BCG vs. BCG alone) | ||||||||||||
Late | Metastatic 1L | Phase 3: TALAPRO 2 | |||||||||||
CRPC | |||||||||||||
Early----------------------------- | ~130K patients† | (Talzenna + Xtandi vs. Xtandi alone) | |||||||||||
Prostate | Non-metastatic | Phase 3: PROSPER | |||||||||||
CRPC | |||||||||||||
(Xtandi vs. placebo) | |||||||||||||
~54K patients† | |||||||||||||
Metastatic CSPC | Phase 3: ARCHES | ||||||||||||
~90K patients† | (Xtandi + ADT vs. ADT + placebo) | ||||||||||||
Non-metastatic | Phase 3: EMBARK | ||||||||||||
CSPC | |||||||||||||
(Xtandi + leuprolide vs placebo + leuprolide vs Xtandi) | |||||||||||||
~32K patients† |
Positive top-line report | Interim | Regulatory approval | Potential regulatory approval | Potential label enhancement in tumor |
analysis | type with previous approval | |||
-
Includes non-risk-adjusted revenue contributions from all programs/patient populations referenced above as well as for Xtandi monotherapy in metastatic CRPC. Assumes constant foreign exchange rates.
† Estimates for appropriate patients within each target indication in the G7 (US, EU5 [Germany, United Kingdom, Italy, France, and Spain] and Japan) at peak year based on Kantar Health.
NOTE: All timings are approximate and subject to change.
19
Advancing Therapies to Earlier Lines with Larger Populations and Longer Treatment Durations
Late-Stage
Development
Targeted Therapies | Immunotherapies | ||||||||||
Ibrance | Braftovi | Xtandi | Lorbrena | Sasanlimab + BCG | Bavencio | ||||||
BRAF+ first-line (1L) | Non-metastatic castration- | ||||||||||
HR+ / HER2- | ALK+ 1L metastatic | Non-Muscle Invasive | |||||||||
metastatic colorectal | sensitive prostate cancer | 1L metastatic NSCLC | |||||||||
early breast cancer | NSCLC | Bladder Cancer (NMIBC) | |||||||||
cancer (CRC) | (nmCSPC) | ||||||||||
Ibrance | Braftovi / Mektovi | Xtandi + Talzenna | Daurismo | ||||||||
Metastatic castration- | |||||||||||
HR+ / HER2+ | BRAF+ 1L | ||||||||||
resistant prostate | Acute Myeloid Leukemia | ||||||||||
metastatic breast cancer | metastatic melanoma | ||||||||||
cancer (All/DRR) | |||||||||||
Braftovi / Mektovi | |||||||||||
BRAF+ metastatic non- | |||||||||||
small cell lung cancer | |||||||||||
(NSCLC) |
Early
Development
Selected Pre-POC
Programs
Cyclin-Dependent | Protein arginine | HER2 | HER2-Exon 20/ | |||
methyltransferase 5 | Antibody Drug | |||||
Kinase (CDK) 2/4/6 | wt amp | |||||
(PRMT5) | Conjugate (ADC) | |||||
Eukaryotic translation | cMET-Exon 14/ | |||||
CDK4 | initiation factor 4E | SHP2 | ||||
wt amp | ||||||
(elF4E) | ||||||
Lysine | Brain-Penetrant | |||||
CDK2 | acetyltransferase 6 | EZH2 | ||||
BRAF | ||||||
(KAT6) | ||||||
B-cell maturation antigen (BCMA) CD3 bi-specific
AVB8
GUYC2C
CD3 bi-specific
TGFbR1
Vaccine-Based
Immunotherapy
Regimen (VBIR2)
Cancer vaccine
AXL/MERTK
20
Anticipate Up to $6 Billion of Incremental Annual Revenue Contributions in 2027 from Programs Currently in Late-Stage Development(1)
Late-Stage
Development
Targeted Therapies | Immunotherapies | ||||||||||
Ibrance | Braftovi | Xtandi | Lorbrena | Sasanlimab + BCG | Bavencio | ||||||
BRAF+ first-line (1L) | Non-metastatic castration- | ||||||||||
HR+ / HER2- | ALK+ 1L metastatic | Non-Muscle Invasive | |||||||||
metastatic colorectal | sensitive prostate cancer | 1L metastatic NSCLC | |||||||||
early breast cancer | NSCLC | Bladder Cancer (NMIBC) | |||||||||
cancer (CRC) | (nmCSPC) | ||||||||||
Ibrance | Braftovi / Mektovi | Xtandi + Talzenna | Daurismo | ||||||||
Metastatic castration- | |||||||||||
HR+ / HER2+ | BRAF+ 1L | ||||||||||
resistant prostate | Acute Myeloid Leukemia | ||||||||||
metastatic breast cancer | metastatic melanoma | ||||||||||
cancer (All/DRR) | |||||||||||
Braftovi / Mektovi | |||||||||||
BRAF+ metastatic non- | |||||||||||
small cell lung cancer | |||||||||||
(NSCLC) |
Early
Development
Selected Pre-POC
Programs
Cyclin-Dependent | Protein arginine | HER2 | HER2-Exon 20/ | |||
methyltransferase 5 | Antibody Drug | |||||
Kinase (CDK) 2/4/6 | wt amp | |||||
(PRMT5) | Conjugate (ADC) | |||||
Eukaryotic translation | cMET-Exon 14/ | |||||
CDK4 | initiation factor 4E | SHP2 | ||||
wt amp | ||||||
(elF4E) | ||||||
Lysine | Brain-Penetrant | |||||
CDK2 | acetyltransferase 6 | EZH2 | ||||
BRAF | ||||||
(KAT6) | ||||||
B-cell maturation antigen (BCMA) CD3 bi-specific
AVB8
GUYC2C
CD3 bi-specific
TGFbR1
Vaccine-Based
Immunotherapy
Regimen (VBIR2)
Cancer vaccine
AXL/MERTK
(1) Includes non-risk-adjusted revenue contributions from all Late-Stage Development programs referenced above as well as the BCMA program currently in early development. Assumes constant foreign exchange rates
21
Early Clinical Pipeline Poised to Potentially Deliver Up to 10 New Molecular Entity Approvals by 2026
Late-Stage
Development
Targeted Therapies | Immunotherapies | ||||||||||
Ibrance | Braftovi | Xtandi | Lorbrena | Sasanlimab + BCG | Bavencio | ||||||
BRAF+ first-line (1L) | Non-metastatic castration- | Non-Muscle Invasive | |||||||||
HR+ / HER2- | ALK+ 1L metastatic | ||||||||||
metastatic colorectal | sensitive prostate cancer | Bladder Cancer | 1L metastatic NSCLC | ||||||||
early breast cancer | NSCLC | ||||||||||
cancer (CRC) | (nmCSPC) | (NMIBC) | |||||||||
Ibrance | Braftovi / Mektovi | Xtandi + Talzenna | Daurismo | ||||||||
Metastatic castration- | |||||||||||
HR+ / HER2+ | BRAF+ 1L | ||||||||||
resistant prostate | Acute Myeloid Leukemia | ||||||||||
metastatic breast cancer | metastatic melanoma | ||||||||||
cancer (All/DRR) | |||||||||||
Braftovi / Mektovi
BRAF+ metastatic non- small cell lung cancer (NSCLC)
Early
Development
Selected Pre-POC
Programs
Cyclin-Dependent | Protein arginine | HER2 | HER2-Exon 20/ | ||||
methyltransferase 5 | Antibody Drug | ||||||
Kinase (CDK) 2/4/6 | wt amp | ||||||
(PRMT5) | Conjugate (ADC) | ||||||
Eukaryotic translation | cMET-Exon 14/ | ||||||
CDK4 | initiation factor 4E | SHP2 | |||||
wt amp | |||||||
(elF4E) | |||||||
Lysine | Brain-Penetrant | ||||||
CDK2 | acetyltransferase 6 | EZH2 | |||||
BRAF | |||||||
(KAT6) | |||||||
B-cell maturation antigen (BCMA) CD3 bi-specific
AVB8
GUYC2C
CD3 bi-specific
TGFbR1
Vaccine-Based
Immunotherapy
Regimen (VBIR2)
Cancer vaccine
AXL/MERTK
22
Investigational CDK Inhibitors & Other Novel Mechanisms
Building an R&D Pipeline of Potentially
First-in-Class,Next-Generation
Medicines for Breast Cancer and Beyond
Kaye, living with metastatic breast cancer
23
Targeting the Cancer Cell Cycle with a Strong Portfolio of Investigational Next-Generation CDK Inhibitors
CDK2/4/6
Cyclin D | Cyclin D |
CDK6 | |
CDK4 | |
Cyclin E | |
CDK2 | |
Cyclin A | |
CDK2 |
Addressing Ibrance
refractory/relapse disease
Expansion opportunities in triple negative breast and ovarian cancers
Proof of mechanism expected in 2021
CDK4-selective | CDK2-selective |
Cyclin D | Cyclin E |
CDK4 | CDK2 |
Cyclin A | |
CDK2 |
Potential improvement in efficacy & safety | Precision medicine opportunity | |
over Ibrance in HR+ breast cancer | in multiple tumor types | |
Combination opportunities in lung, colorectal | Combination potential with SOC, | |
and prostate cancer | targeted therapies and immuno-oncology | |
First-in-patient expected in 2020 | First-in-patient expected in 2020 | |
24
Next-GenerationAnti-HER2 Antibody Drug Conjugate (ADC) with Potential for Significant Differentiation
PF-06804103 Phase 1 Dose Escalation
60 | Gastric or esophageal cancer | |||
Response) | 40 | Breast cancer | ||
20 | ||||
SD SD SD NE SD SD SD SD SD SD SD SD NE PR SD PR SD PR PR PR PR SD CR PR PR PR CR PR | ||||
(Best | 0 | |||
PD PD PD | ||||
Baseline | -20 | |||
-40 | ||||
from | ||||
Change | -60 | |||
-80 | ||||
% | ||||
-100 | 3.0 mg/kg (N=11) | 4.0 mg/kg (N=14) | 5.0 mg/kg (N=6) | |
TDM1-refractory (N=6) | TDM1-refractory (N=5) | TDM1-refractory (N=5) |
Objective response rate in response-evaluable patients at the recommended Phase 2 dose of 4.0 mg/kg was 71%*
* Includes confirmed and unconfirmed responses.
- Highly stable site-specific drug conjugation
- Potent, cell-permeable auristatin payload enables bystander efficacy
- Robust Phase 1 responses in TDM1-refractory HER2+ cancers
- No interstitial lung disease reported
25
Differentiated Anti-HER2 ADC with Potential Beyond HER2+ Breast Cancer
Strong Tumor Regression in HER2-low NSCLC PDX Models
PDX NSX 26116 HER2 Low | ||||||||
1000 | ||||||||
3) | 750 | |||||||
(mm | ||||||||
vol | 500 | Vehicle | ||||||
Tumor | ||||||||
250 | T-DM1 6 mg/kg | |||||||
PF-06804103 3 mg/kg | ||||||||
0 | ||||||||
0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 |
Days post-randomization
PDX NSX 26110 HER2 Low
3) | 2000 | |||||||||||||||||||||||||
(mm | 1500 | Vehicle | ||||||||||||||||||||||||
vol | 1000 | |||||||||||||||||||||||||
T-DM1 6 mg/kg | ||||||||||||||||||||||||||
Tumor | ||||||||||||||||||||||||||
500 | PF-06804103 3 mg/kg | |||||||||||||||||||||||||
0 | 10 | 20 | 30 | 40 | 50 | 60 |
0 |
Days post-randomization
Potent tumor regression in pre-clinical tumor models that are largely refractory to T-DM1;
Expansion in HER2-low ER+ breast cancer with Ibrance and HER2-low NSCLC
26
BCMA Bispecific Phase 1 Data Suggest a Potentially Transformative Therapy for
Multiple Myeloma (MM) (160K New Patients Annually(1))
BOR | 215 µg/kg | 360 µg/kg | 600 µg/kg | 1000 µg/kg | Total | |
Responders / # Evaluable | 3/4 | 3/4 | 4/6 | 5*/6 | 15*/20 | |
ORR (Partial Response or better) | 75% | 75% | 67% | 83%* | 75%* | |
Stringent Complete Response (sCR) | 50% | 25% | 33% | 17%* | 30%* | |
/ Complete Response (CR) Rate | ||||||
Cytokine Release Syndrome (CRS) | Grade 1-2 | Grade 1-2 | Grade 1-2 | Grade 1-2 | ||
- Optimized for affinity for BCMA and CD3; more potent tumor cell toxicity
- >50 patients with late-line multiple myeloma enrolled, dose escalation completed; registrational study start expected by end of 2020
- Subcutaneous once-weekly dosing shows reduced CRS severity (grade 1 & 2 only) compared to intravenous administration; currently evaluating dosing once every 2 weeks; convenient for patients & physicians
- ORR* of 75%, with 30%* CR/sCR rate in the 4 consecutive subcutaneous dose levels so far (n=20)
- Responses observed in subjects following multiple lines of prior therapy, including BCMA-ADC and BCMA-CAR-T
* Some responses to be verified.
(1) Bray, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer. September 2018. URL: https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21492
27
World Class Drug Discovery at Pfizer-Boulder
Advancing Potential First-in-Class
Targeted Agents, Creating
Differentiated Dendritic Cell-Targeted
I/O Therapies, with Track Record in
Drugging RAS/RAF/MEK Signaling
Gary, living with metastatic melanoma with a BRAF mutation
28
Potentially First-in-Class Selective AXL/MER Tyrosine Kinase
Inhibitor in Multiple Tumor Areas
AXL & MER mediate immune suppression within | Pre-clinical data shows durable anti-tumor immunity as a |
the tumor microenvironment | single agent & in combination |
1500 | dosing period | vehicle | retumor-challenge | |||||||||||||
) | ||||||||||||||||
3 | 0/8 cures | |||||||||||||||
(mm | ||||||||||||||||
volume | 1000 | 0/8 cures | ||||||||||||||
α -PD-1 | ARRY-067 | |||||||||||||||
60%TGI | ||||||||||||||||
60%TGI | ||||||||||||||||
tumor | 2/8 cures | tumor-naivere-challenge | ||||||||||||||
500 | ||||||||||||||||
7/7 outgrowth | ||||||||||||||||
+ARRY-067 | ARRY-067 + α -PD-1 | ARRY-067 cures: 0/2 outgrowth | ||||||||||||||
100%TGI | ||||||||||||||||
00 | 8/8 cures | ARRY-067 + α -PD-1 cures: 0/7 outgrowth | ||||||||||||||
10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | 110 | 120 | 130 | 140 | 150 | ||
|
implant MC-38 cells
Initial opportunity in lung & gastric cancers, with additional potential utility in renal cell carcinoma & melanoma
Dendritic Cell
First patient dosed in September 2020; proof of mechanism expected in Q4 2020
29
Potentially First-in-ClassBrain-Penetrant BRAF Inhibitor
Brain-penetrant BRAF opportunity in melanoma
- 20% of BRAF melanoma patients present with brain metastases at first diagnosis1,2
- Greater than 50% progression to CNS metastasis over the course of the disease2
- Efficacy of all current BRAF inhibitors is limited by poor brain penetrance
First-in-patient expected in September 2020
A375V600E melanoma intracranial implant
1E+2 | |||||||||||
1E+1 | Vehicle | ||||||||||
Flux (Photons/sec) % of Day 2 | 1E+0 | ||||||||||
Binimetinib + Encorafenib | |||||||||||
1E-1 | |||||||||||
1E-2 | Binimetinib + ARRY-461 | ||||||||||
1E-3 | |||||||||||
0 | 5 | 10 | 15 | 20 | 25 | 30 | 35 | 40 | 45 | 50 |
Time (Days)
(1) Ramanujam, S. Chin Clin Oncol 2015; 4(2): 25. (2) Han, C.H.; Brastianos, P.K. Frontiers in Oncology 2017; 7: Article 230.
30
Additional Targeted Next-Generation Programs Expected to Enter Clinic in 2021
HER2-Exon 20/wt amp Opportunity | cMET-Exon 14/wt amp Opportunity | ||
• 3.5% of all cancers harbor activating | • cMET exon 14 alterations in NSCLC | ||
mutations of HER2(1) | present with 3-4%frequency(4-6) | ||
• Exon 20 aberrations present in 1.5% of | • cMET amplification recognized | ||
NSCLC(2),(3) | driver and resistance mechanism | ||
• Amplified wild-type HER2 is a clinically | • Altered cMET is a clinically validated | ||
validated target | target | ||
• Current inhibitors are not selective for | • Current inhibitors do not address brain | ||
HER2 nor fully brain penetrant | metastases or target resistance mutations | ||
X-ray crystal structure | |||
First-in-patient expected in 2021 | First-in-patient expected in 2021 | ||
HER2insYVMA + AR504601 |
- Pahuja et al., Cancer Cell, 2018;34-792-806(2) Robichaux et al., Cancer Cell, 2019;36:444-457.(3) Sonobe et al., J Molecular Diagnostics, 2006;8:351-356.
- Collisson et al., Nature 2014;511:543-550(5) Frampton et al., Cancer Discovery 2015;5:850-860(6) Schrock et al., J Thoracic Onc. 2016;11:1493-1502
31
Summary of Key Assumptions That Support Significant Commercial Opportunities for Programs Currently in Late-Stage Development
Investigational | Potential Indication | G7 Annual Diagnoses | Projected Share of | Projected Duration of |
Therapy | (Treatment Eligible) | Annual Diagnoses | Therapy | |
Lorbrena | First-line metastatic | 12K-15K | 20%+ | 20-30 months |
(lorlatinib) | ALK+ NSCLC | |||
Braftovi | First-line BRAF- | |||
mutated metastatic | 4K-6K(1) | 60%-70% | 6-12 months | |
(encorafenib) | ||||
colorectal cancer | ||||
Talzenna | First-line metastatic | |||
castration-resistant | 125K-135K | 10%-20% | 12-24 months | |
(talazoparib) | ||||
prostate cancer | ||||
First-linehigh-risk | ||||
Sasanlimab | non-muscle invasive | 95K-110K | 15%-25% | 8-16 months |
bladder cancer | ||||
- Braftovi annual diagnoses reflect U.S. only, not G7. Pfizer has exclusive rights to Braftovi® (encorafenib) and Mektovi® (binimetinib) in the U.S. and Canada. Pfizer has granted Ono Pharmaceutical Co. Ltd. exclusive rights to commercialize the products in Japan and South Korea, Medison in Israel, and Pierre Fabre in all other countries.
32
We Are Determined to Deliver for People Living with Cancer
23 | Up to | Up to | ||||
24 | 14 | |||||
approved | NMEs in the clinic | potential | ||||
cancer medicines | ||||||
expected by 2021 | approvals by 2025 | |||||
& biosimilars | ||||||
33
Thank you
34
Appendix
Compound | Mechanism | |
Number | ||
PF-06801591 | Sasanlimab Biologic | |
PF-06873600 | CDK 2/4/6 Small Molecule | |
PF-07104091 | CDK 2 Small Molecule | |
PF-07220060 | CDK 4 Small Molecule | |
PF-07248144 | KAT6 Small Molecule | |
PF-07292554 | eIF4E Small Molecule | |
PF-06939999 | PRMT5 Small Molecule | |
PF-06804103 | HER2 Biologic ADC | |
PF-07284892 | SHP2 Small Molecule | |
PF-06821497 | EZH2 Small Molecule | |
Compound | Mechanism | |
Number | ||
PF-07284890 | BRAF BP Small Molecule | |
PF-04217903 | cMET-Exon 14/wt amp Small Molecule | |
70DCN02149 | HER2-Exon 20/wt amp Small Molecule | |
PF-06863135 | BCMA Biologic | |
PF-06940434 | AVB8 Biologic | |
PF-07062119 | GUCY2c Biologic | |
PF-06952229 | TGfbR1 Small Molecule | |
PF-06936308 | VBIR2 Cancer Vaccine | |
PF-07265807 | AXL/MERTK Small Molecule | |
35
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Pfizer Inc. published this content on 13 September 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 15 September 2020 16:29:00 UTC