2020 PRELIMINARY RESULTS PRESENTATION
20 July 2020
Olav Hellebø - Chief Executive Officer
Michael Hunt - Chief Financial Officer
Dr Rick Beckman - Chief Medical Officer
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© ReNeuron Group plc 2020 All rights reserved | 2 |
A LEADER IN CELL-BASED THERAPEUTICS
Leading clinical stage cell therapy company with presence in the UK andUS
Proprietary allogeneic retinal and neural stem cell technology
platforms, including stem cell derived exosomes and pluripotent stem cells
Lead programme in Phase 2 in retinitis pigmentosa
- licensing deal expected to follow readout of positive Phase 2a data next year
Increasing focus on exosomes and iPSCs (induced pluripotent stem cells) - collaborations already underway and further collaborations anticipated
© ReNeuron Group plc 2020 All rights reserved | 3 |
PROPRIETARY PLATFORM TECHNOLOGIES
hRPC
Human Retinal Progenitor Stem Cells with sub-retinal delivery enabling engraftment
Cryopreserved formulation allows global ship-and-store
Positive early Phase 2a data
in ongoing retinitis pigmentosa study
Partnered with Fosun
Pharma for China
Exosome Platform
High-yielding human neural stem cell derived exosomes
Proven ability to load exosomes with siRNA, miRNA and proteins
Favourable distribution of exosomes across the Blood Brain Barrier
Potential as drug
load/delivery vehicle and as a
therapeutic
iPSC Platform
CTX-based induced
pluripotent
stem cell platform
Technology engineers CTX neural stem cells into other forms of stem cell
Potential for new targeted cell therapeutics and for exosomes based on non- neural stem cells
CTX Cells
Immortalised neural
progenitor
stem cell line
Positive Phase 2a results in stroke disability and potential in Huntington's disease and other indications
Partnered with Fosun
Pharma for China for future
clinical development in
stroke disability
© ReNeuron Group plc 2020 All rights reserved
4
DEVELOPMENT PIPELINE
Programme
Indication | Pre-clinical | Phase 1 | Phase 2 | Next Milestones |
hRPC
CTX cells
Exosome platform
iPSC platform
Retinitis
Pigmentosa
Stroke Disability
Neurodegeneration,
Oncology, Vaccines
(e.g. COVID-19)
Oncology, Diabetes
Further data read-outs from expanded UK/US Phase 2a study in 2020 and 2021
Future clinical development with Fosun and other potential partnerships
Proof of concept data from pharma/biotech research collaborations
Validation of technology
and publication of pre-clinicalproof-of-concept data in 2020
© ReNeuron Group plc 2020 All rights reserved | 5 |
Operational
- financial highlights
© ReNeuron Group plc 2020 All rights reserved | 6 |
OPERATIONAL HIGHLIGHTS
- Positive and sustained top-line efficacy data at all time-points from Phase 2a patients in ongoingUS Phase1/2a clinical
trial in retinitis pigmentosa | |
hRPC | • Regulatory approval received in US and UK to expand ongoing Phase 2a study to allow for subsequent potential single |
pre-approval clinical study and shorter route to market |
- Further readouts from expanded study expected over next 12 months, leading to intention to file application in secondhalf of 2021 to commence pivotal clinical study
Exosome
- iPSC platforms
CTX cells
- Grant-fundedcollaboration to enable delivery of therapeutic nucleic acids using Company's exosomes
- New data presented supporting use of Company's iPSCs (induced pluripotent stem cells) to develop new immortalised cell lines as potential therapeutic agents for subsequent licensing to third parties
- Collaboration agreements signed with major pharmaceutical/biotechnology companies post year-end to explore potential of Company's exosomes to deliver therapeutic agents to the brain
- Proprietary exosome developed for the potential delivery of COVID-19 vaccines
- Positive data from PISCES II Phase 2a clinical trial of CTX in stroke disability published in peer reviewed journal
- Post year-end decision to continue stroke disability programme through regional partnerships
- Fosun Pharma to develop and commercialise hRPC and CTX programmes in China under exclusive out-licence agreement signed in April 2019
- PISCES III Phase 2b stroke study to remain suspended in US, following earlier COVID-19 restrictions
- CTX cell therapy candidate available for licensing in all territories in other indications
- Publication of new positive non-clinical data with CTX cells in Huntington's disease
- Intention to reconfigure non-executive Board to reflect Company's new emphasis on retinal diseases and commercial partnerships (& approval in principle to appoint non-executive director nominated by substantial shareholder Obotritia
Capital KGaA)
© ReNeuron Group plc 2020 All rights reserved | 7 |
PRELIMINARY RESULTS for the year ended 31 March2020
Highlights
(£'m) | Year ended 31 March 2020 (Audited) | Year ended 31 March 2019 (Audited) |
Revenues and other income | 6.1 | 2.7 |
Research and development costs | (16.3) | (16.2) |
General and administrative costs | (4.2) | (4.8) |
(14.4) | (18.3) | |
Net finance income | 0.6 | 1.1 |
Taxation | 2.4 | 2.9 |
Loss for the year | (11.4) | (14.3) |
Net decrease in cash and deposits | (13.8) | (11.0) |
Cash and deposits at start of period | 26.4 | 37.4 |
Cash and deposits at period end | 12.6 | 26.4 |
© ReNeuron Group plc 2020 All rights reserved | 8 |
Lead
Programme
hRPC in retinitis
pigmentosa
© ReNeuron Group plc 2020 All rights reserved | 9 |
HUMAN RETINAL PROGENITOR CELLS (hRPC)
hRPC: allogeneic cell-based
therapeutic approach to retinal disease
hRPCs differentiate into functional
photoreceptors and integrate into retinal layers in pre-clinical models; integration may also enable durable trophic support
Broad potential across a range of eye diseases, initially targeting inherited retinal degenerative diseases
Orphan Drug Designation in EU and US in RP and FDA Fast Track Designation
Proprietary manufacturing process
and controls allow for stable, high quality
and high quantity GMP production
Collaborations with Schepens Eye Research Institute (Harvard) and University College London
Proprietary technology enabled
development of GMP manufacturing
process
Cryopreserved formulation provides nine-month shelf life and enables local treatment worldwide
© ReNeuron Group plc 2020 All rights reserved | 10 |
RETINITIS PIGMENTOSA: AN UNMET NEED
RP is an inherited, degenerative eye disease1,2,3
• Incidence of 1:4,000 in U.S. and worldwide
>100 genes identified containing mutations leading to RP4
Normal View
Treatment available only for patients with a single gene defect (RPE65)
Patients with all other types of RP (c98% of patients5) have declining vision eventually leading to severe visual disability in most
Therapeutic benefit of hRPC approach not dependent on genetic cause | View with Retinitis Pigmentosa | |
- Hamel (2006) Orphanet J Rare Disease 1, 40;
- https://nei.nih.gov/health/pigmentosa/pigmentosa_facts;
- NORD
- https://www.genome.gov/13514348/learning-about-retinitis-pigmentosa/
- www.nice.org.uk/guidance/hst11/chapter/2-The-condition
© ReNeuron Group plc 2020 All rights reserved | 11 |
RETINITIS PIGMENTOSA: THERAPY LANDSCAPE
Company
ReNeuron
(AIM, market cap: £45.8m*)
Jcyte Inc
(US, private)
Spark Therapeutics (acquired by Roche in 2019 for $4.3bn)
Nightstar Therapeutics (acquired by Biogen in 2019 for $800 million)
MeiraGTx
(Nasdaq, market cap $467.8m*)
AGTC
(Nasdaq, market cap $142.7m*)
Technology
Cell therapy
Cell therapy
Gene therapy
Gene therapy
Gene therapy
Gene therapy
Stage
Phase 1/2a
Phase 2b
Approved and marketed, Luxturna for RPE65
Phase 2/3
Phase 1/2
Phase 1/2
Comment
Cryopreserved formulation
Fresh formulation
Addresses only about 2%** of RP patients
UK company co-founded by Prof Robert MacLaren
-
-
- Market capitalisations as at 30 June 2020
- www.nice.org.uk/guidance/hst11/chapter/2-The-condition
© ReNeuron Group plc 2020 All rights reserved | 12 |
CLINICAL DEVELOPMENT
Phases 1 and 2a
Phase 1
Single ascending dose in subjects with established RP
- Subjects with very poor visual potential
- Four cohorts, three subjects each (n=12)
- Formulation changed from fresh to cryopreserved cells
Established safety in cryopreserved formulation
Phase 2a
10 subjects with established RP
- Patients with better visual potential
- 1m cell dose
Primary endpoint
- Safety
Secondary measures
- Visual acuity, visual field, retinal sensitivity and retinal structure
Established efficacy signal, continued safety
Existing Clinical Sites | Massachusetts Eye & Ear Infirmary, Boston | Retinal Research Institute, Phoenix | |
© ReNeuron Group plc 2020 All rights reserved | 13 |
LATEST PHASE 2a EFFICACY RESULTS
Mean changes in ETDRS letters read (treated eye vs untreated eye)
1 Month | 2 Months | 3 Months | 6 Months | 9 Months | 12 Months | 18Months | ||
(n=9) | (n=9) | (n=9) | (n=9) | (n=8) | (n=5) | (n=1) | ||
Mean Change* | Treated Eye | +7.9 | +8.0 | +10.8 | +9.6 | +7.1 | +11.9 | +17 |
(per time point) | ||||||||
Untreated Eye | +0.2 | +1.2 | +4.4 | +3.4 | +1.2 | +4.3 | +1 | |
Difference | +7.7 | +6.8 | +6.4 | +6.2 | +5.9 | +7.6 | +16 | |
ETDRS letters read (mean change from baseline)
Days post-treatment
*excluding 1 patient with surgery-related vision loss
© ReNeuron Group plc 2020 All rights reserved | 14 |
CLINICAL DEVELOPMENT
Phase 2a Extension
Phase 2a Extension
9 additional subjects with established RP
- Patients selected with capability to perform micro-perimetry - should allow retinal sensitivity to be an indicator of efficacy
- Dose escalation: from 1m to 2m cell dose
- Modified surgical technique to target bleb placement
Primary endpoint
• Safety
Secondary measures
- Visual acuity, micro-perimetry, visual field, retinal sensitivity and retinal structure
Additional Sites | Oxford Eye Hospital, Oxford, UK | Two further sites planned, | |
(Prof Robert MacLaren) | one in Europe and one in the US | ||
© ReNeuron Group plc 2020 All rights reserved | 15 |
hRPC PLATFORM NEXT STEPS
Expanded Phase 2a study to generate further and longer-term follow up efficacy data
- UK and US regulatory approvals obtained in April and May 2020 respectively
- Modifications in patient selection, dose, surgical technique and efficacy assessments to amplify current efficacy signal
Further top-line efficacy data expected to be presented later in 2020 (subject to continued easing of COVID-19 restrictions) and during 2021
- Expecting to file for approval for potential single pivotal study during H2 2021
© ReNeuron Group plc 2020 All rights reserved
Partnering strategy
to be based on Phase 1/2a data
Assess other
indications alongside
RP (e.g. Cone Rod
Dystrophy)
16
Exosome
and iPS cell
platforms
© ReNeuron Group plc 2020 All rights reserved | 17 |
EXOSOMES: BIOLOGICAL NANOPARTICLES
Nano-scale vesicles released by most cell types as a means of intercellular communication
Naturally occurring liposomal delivery system
Contain and transport bio-active lipids, proteins and nucleic acids
Potential as a drug delivery vehicle and as a therapeutic
- Current focus is on drug delivery
- Programmes including COVID-19 viral vaccines
- Collaborations in place and further ones under negotiation
Increasing industry interest in and commercial value of exosome deals
© ReNeuron Group plc 2020 All rights reserved
Lipid bilayer
Surface proteins (tetraspanins CD63, CD81)
Internal proteins
(Hsp70, Tsg101)
Specific nucleic acids (miRNAs)
18
ADVANTAGES OF RENEURON'S EXOSOME TECHNOLOGY
Favourable distribution | Proven ability | Stable, consistent, | Fully qualified xeno-free, |
across the blood | to load miRNA | high-yield, | optimised, scalable |
brain barrier | and proteins | clinical-grade product | GMP process |
Established | Modifiable to carry siRNA/mRNA, | Engineered to target |
analytics | CRISPR/Cas9 proteins, | particular tissues |
small-molecule inhibitors | ||
© ReNeuron Group plc 2020 All rights reserved | 19 |
BREADTH OF OPPORTUNITIES
Product
ExoBDNF
Indication
Neurodegeneration (hearing loss, Parkinson's, Alzheimer's)
Technology | Discovery | POC/Development | Milestones |
Expresses the | |||
neuroprotective growth | Pivotal pre-clinical | ||
factor BDNF (brain derived | 2020 | ||
neurotrophic factor) |
Exosome Platform
iPSC Platform
ExoKRAS
ExoSPIKE
ExoXX
CTX-HSC
CTX-PP
Oncology
COVID-19 prevention
Diseases of the brain
Haematological cancers
Diabetes
Engineered to deliver siRNA (small inhibitory RNA) against KRAS G12D mutation
Expresses SARS-Cov-2 spike protein for potential delivery of COVID-19 vaccines
Exosomes loaded with therapeutic of partners choice
Immortalised hematopoietic stem cells - for scaled production of allogeneic T or NK cells
For generation of phenotypically stable human pancreatic progenitor cells
Pivotal pre-clinical 2020
Grant application - awaiting decision
Collaborations ongoing
Validation and further characterisation 2020
Validation and further characterisation 2020
© ReNeuron Group plc 2020 All rights reserved | 20 |
PROGRESS TOWARDS PROOF OF CONCEPT DATA
hNSC-ExosomePlatform (for delivery across the blood brain barrier)
Research collaborations ongoing
- Undisclosed industry leading partners
- Focused on delivery of oligonucleotides
- Goal to deliver proof of concept data
Further research collaborations in negotiation, focused on delivery of other novel therapeutics including antibodies
Strategy to progress to licensing deals
Recent exosome deals, based on POC data, underline potential*:
Codiak/ | Evox/ Lilly | Evox/ Takeda | Codiak/ Jazz |
Sarepta | Upfront: $20m | Total: $882m | Upfront: $56m |
Total: $72.5m | Total: $1,230m | rare diseases | Total $1,076m |
neuro-muscular | neurological targets | cancer | |
targets | |||
© ReNeuron Group plc 2020 All rights reserved | *Source - public announcements | 21 |
INDUCED PLURIPOTENT STEM CELLS
ReNeuron's iPSC platform technology is for reprogramming proprietary neural stem cells into a pluripotent state able to differentiate into any other form of stem cell
iPSCs retain the immortalisation characteristic of the stem cells from which they are derived, resulting in highly stable cell lines
Technology has the potential to lead to off the shelf therapeutics, such as T cells for CAR-T therapy
Also has the potential to produce exosomes with tissue-specific targeting ability
Two programmes - currently underway in the validation and characterisation stage
© ReNeuron Group plc 2020 All rights reserved
Conditionally immortalised derivatives from CTX-iPSCs
22
CTX cell line
© ReNeuron Group plc 2020 All rights reserved | 23 |
CTX CELL THERAPY
CTX: Allogeneic, Cryopreserved, Human Neural Stem Cell Product
Promotes anatomical plasticity in the brain
Excellent safety profile - no immunogenicity
issues post-administration
Manufactured under cGMP with
a 12 month shelf life
Positive Phase 2a data published
in peer-reviewed journal*
Commercially
Attractive
Cryo-shipped product can be easily ordered,
delivered and stored at the hospital
Commercial scale manufacturing
at attractive COGs
Licensing
Strategy
Stroke disability: licensed to Fosun Pharma in
China with other territories available
Out-licensing strategy for other potential indications such as Huntington's disease
*Journal of Neurology, Neurosurgery, and Psychiatry http://jnnp.bmj.com/cgi/content/full/jnnp-2019-322515f
© ReNeuron Group plc 2020 All rights reserved
24
Summary
© ReNeuron Group plc 2020 All rights reserved | 25 |
SUMMARY
A global leader in cell-based therapeutics - presence in UK and US
Phase 2a study in RP expanded with protocol changes to enable fastest route to market - further significant data readouts over next 18 months
Allogeneic stem cell technology platforms - patented, scalable & cost effective
High level of industry interest in exosomes - near/medium term opportunities for value-generating partnering/collaboration deals
© ReNeuron Group plc 2020 All rights reserved | 26 |
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ReNeuron Group plc published this content on 20 July 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 20 July 2020 13:05:13 UTC