Corporate Powerpoint Template - MeetMax
Transcript of Corporate Powerpoint Template - MeetMax
Aptevo Therapeutics
A Leading Bispecific Antibody Company
NASDAQ: APVO
March 2020
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This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.Any statements, other than statements of historical fact, including our financial guidance, product portfolio, product sales,capabilities and any other statements containing the words “believes”, “expects”, “anticipates”, “intends”, “plans”, “forecasts”,“estimates” and similar expressions in conjunction with, among other things, discussions of financial performance or financialcondition, growth strategy, product sales, manufacturing capabilities, product development, regulatory approvals or expendituresare forward-looking statements. These forward-looking statements are based on our current intentions, beliefs and expectationsregarding future events. We cannot guarantee that any forward-looking statement will be accurate. Investors should realize that ifunderlying assumptions prove inaccurate or unknown risks or uncertainties materialize, actual results could differ materially fromour expectations. Investors are, therefore, cautioned not to place undue reliance on any forward-looking statement. Any forward-looking statement speaks only as of the date of this presentation, and, except as required by law, we do not undertake to updateany forward-looking statement to reflect new information, events or circumstances.
There are a number of important factors that could cause Aptevo's actual results to differ materially from those indicated by suchforward-looking statements, including possible negative effects on Aptevo’s business operations, assets or financial results as aresult of the separation; a deterioration in the business or prospects of Aptevo; adverse developments in Aptevo’s customer-baseor markets; our ability to enter into and maintain selective collaboration and partnership arrangements; the timing of and our abilityto achieve milestones in collaboration and partnership contracts; our ability and the ability of our contractors and suppliers tomaintain compliance with cGMP and other regulatory obligations; the results of regulatory inspections; the rate and degree ofmarket acceptance and clinical utility of our products; the success of our ongoing and planned development programs; the timingof and our ability to obtain and maintain regulatory approvals for our product candidates; and our commercialization, marketingand manufacturing capabilities and strategy and changes in regulatory, social and political conditions. Additional risks and factorsthat may affect results are set forth in our filings with the Securities and Exchange Commission, including Aptevo’s most recentAnnual Report on Form 10-K, as filed on March 18, 2019, and its subsequent reports on Form 10-Q and current reports on Form8-K.
The foregoing sets forth many, but not all, of the factors that could cause actual results to differ from our expectations in anyforward-looking statement. Investors should consider this cautionary statement, as well as the risk factors identified in our periodicreports filed with the SEC, when evaluating our forward-looking statements.
Aptevo™, ADAPTIR and any and all Aptevo Therapeutics Inc. brand, product, service, and feature names, logos, and slogans aretrademarks or registered trademarks of Aptevo Therapeutics Inc. or its subsidiaries in the United States or other countries. Allrights reserved.
Forward-Looking Statements
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AGENDA
Leadership in Bispecific Antibody Development
▪ Aptevo Today
▪ ADAPTIR – A Differentiated Bispecific Platform
▪ Summary
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• Clinical-stage immunotherapy company
• Robust bispecific antibody platform technology (ADAPTIR™)
▪ Flexible; ability to generate multiple unique MOAs
▪ Potential best-in-class candidate attributes
• Broad clinical/preclinical portfolio- multiple novel candidates in development
▪ APVO436 – AML and MDS (r/r and first-line therapy)
▪ ALG.APV-527 – multiple solid tumors
▪ APVO603 – multiple solid tumors
• Market cap: ~$20M
• Cash and Investments: ~$30.4M (9/30/19 proforma)
Aptevo at a Glance (NASDAQ: APVO)
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Experienced Leadership Team
Senior Management
Marvin White – President & CEOFormer Emergent Director; Former CFO, St. Vincent’s
Health; Former Exec. Director & CFO, Lilly USA
Jeff Lamothe – SVP, CFOFormer Emergent VP, Finance; Former CFO, Cangene
Corporation
Randy Maddux – SVP, Chief Manufacturing
Officer Former VP, Global Mfg & Supply, GSK;
Former VP, Mfg Ops & Quality, Human Genome Sciences
Dr. Scott Stromatt – CMO*Former Emergent SVP, CMO; Former CMO, Trubion
Dr. Jane Gross – SVP, CSOFormer Emergent VP, Research/Non-Clinical Development;
Former VP Immunology Research ZymoGenetics Inc.
Shawnte Mitchell – SVP, Gen’l CounselFormer Emergent VP, Associate General Counsel
Board of Directors
Marvin WhiteFormer Emergent Director; Former CFO, St. Vincent’s
Health; Former Exec. Director & CFO, Lilly USA
Fuad El-HibriFounder, Executive Chairman, Emergent BioSolutions
Daniel Abdun-NabiFormer President & CEO, COO, Emergent BioSolutions,
Former General Counsel, IGEN International, Inc.
Grady Grant, IIIVice President of Sales, Tissue Tech Limited; Former Reckitt
Benckiser Group; Eli Lilly & Co.
Zsolt Harsanyi, Ph.D.N-Gene Research Labs; Exponential Biotherapies;
Porton Int’l
Barbara Lopez KunzDIA; Battelle; Thermo Fisher Scientific; ICI/Uniqema
John Niederhuber, M.D.Inova Translational Medicine Institute; National Cancer
Institute; Johns Hopkins University
Deep R&D, Manufacturing, Commercial and Financial Expertise and Experience
*Dr. Stromatt is a consultant to the company
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• Sold off-strategy hemophilia B asset to Medexus (Feb 2020) for
estimated proceeds in excess of $100M
– Simplified Aptevo investment thesis and value proposition
– Transformed Aptevo into a ‘pure play’ biotech company
– Streamlined focus on novel bispecific antibody technology platform
(ADAPTIR™)
– Strengthened Aptevo’s financial position
▪ Provided non-dilutive upfront cash to fund the organization
▪ Repaid all debt
▪ Established royalty stream (15 years)
▪ Established milestone payments (up to $11 million)
▪ Extended current cash runway into Q4 2020
– Increases focus on important upcoming valuation catalysts
▪ APVO436 poised to make important progress in 2020
▪ Currently evaluating clinically-relevant dosing levels (cohorts 5-8)
IXINITY Divestiture
The New Aptevo - A Pure Play Biotech Company
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Our Strategy
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2
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Develop and advance novel immuno-oncology ADAPTIR
product candidates
Expand collaborations and partnerships
Maximize non-dilutive funding sources
to support future capital requirements
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Product/Candidate
TargetTechnology
Potential
Indications
Pre-
Clinical
Clinical Development Stage
Marketed Milestones/Highlights
Phase I Phase II Phase III
APVO436
CD3/CD123
Redirected T-Cell
CytotoxicityAML/MDS (R/R) Phase 1/1b study ongoing
APVO436
CD3/CD123
Redirected T-Cell
Cytotoxicity
AML front-line
setting
Selected for inclusion in
groundbreaking ‘BEAT
AML® Master Clinical Trial’
spearheaded by LLS
ALG.APV-527*
4-1BB/5T4
T-Cell Co-
stimulation
Multiple Solid
Tumors
Seeking partnership for
clinical development.
Preclinical package ready
for filing of CTA
APVO603
4-1BB/OX40
Dual T-Cell
Co-stimulation
Multiple Solid
Tumors
Unique asset for use in
multiple solid tumors;
Advancing lead candidate
Multiple ADAPTIR
Candidates
ADAPTIR
Bispecific RTCC
and New MOA
Hematologic and
Solid Tumors
Advancing new candidates
that modulate the immune
system
• Partnered with Alligator Bioscience
• Redirected T-Cell Cytotoxicity Based on Targeting CD3
ADAPTIR PIPELINE
Robust and Diversified Product Portfolio
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AGENDA
Leadership in Bispecific Antibody Development
▪ Aptevo Today
▪ ADAPTIR – A Differentiated Bispecific Platform
▪ Summary
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• Bispecific Antibodies
– Blyncytocyto® (blinatumomab) first approved bispecific
– Increasing number of bispecifics in clinical development
– ASH 2019 data showed compelling complete responses
with bispecific technologies in several indications
– Potential for equal or better efficacy; simpler delivery and
manufacturing than CAR-T therapies
• ADAPTIR platform advancing multiple bispecifics
in preclinical and clinical development
– Multiple mechanisms of action
– Clear advantages over other platform technologies
Bispecific Antibodies
The Next Wave of Targeted Immunotherapies
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MODULAR AND FLEXIBLE▪ Monospecific and bispecific formats▪ Flexible design supports reproducible generation of
bispecifics with potent activity
MULTIPLE MECHANISMS OF ACTION▪ Redirected T-Cell Cytotoxicity (RTCC)▪ Tumor target co-stimulation of immune receptors▪ Dual receptor targeting that stimulates or inhibits
immune responses
EXCELLENT MANUFACTURING PROPERTIES▪ Single gene facilitates ease of CHO cell production▪ Antibody backbone increases stability▪ Standard manufacturing process with high yields and
purity
ANTIBODY-LIKE HALF LIFE▪ Half-life up to 12 days in rodents
ADAPTIR – A Differentiated Bispecific
Antibody Platform Technology
IgG Fc
Protein Domain 2
Protein Domain 1
Linker
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Engineer scFv from Human or
Mouse hybridoma
Isolate Human scFv
From Phage library
ADAPTIR
Built on A Modular Antibody Platform
Utilize Binding Domains from Multiple Sources
Engineer ADAPTIR Candidates with Different Structures and for Different MOA
scFv
IgG Fc
Linker
Engineered Ligands and Cell-
Surface Receptors
scFv 1
scFv 2
Bispecific
Engineered Ligands and Cell-
Surface Receptors
scFv 1 scFv 1 scFv 2
Multi-Specific
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• ADAPTIR bispecifics are based on a robust technology platform with advantages over other platforms
– Antibody-like manufacturing and half-life
– Ease of transfer and manufacturing at CMOs
– Bivalent binding enables avidity tuning to spare normal tissue expression of tumor antigen and improve biodistribution
• ADAPTIR T-cell engagers use a proprietary anti-CD3
– Demonstrated potent killing in vitro and in vivo (preclinical models)
– Reduced cytokine release in preclinical studies may improve tolerability in a clinical setting
• ADAPTIR bispecifics have been built to achieve several biological mechanisms:
– Tumor-targeted CD3 agonism for redirected T cell killing
– Tumor-targeted TNFR agonism, which may have improved biodistribution and potency in solid tumors
– Targeted cytokines to stimulate or inhibit the immune system
ADAPTIR Summary
A Powerful and Flexible Platform
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Current ADAPTIR Bispecific Pipeline With
Different Mechanisms of Action
APVO436
Anti-CD3
Anti-CD123
• CD3 x CD123 Engager• Currently in Ph 1, AML• Silenced Fc• Long serum half-life• ~1.5 g/L CHO expression• Low cytokine release
ALG.APV-527
Anti-5T4
Anti-4-1BB
• Activates tumor-specific T cells• For multiple solid tumors• Silenced Fc• Co-developing with Alligator
Bioscience
APVO603
Anti-OX40
Anti-4-1BB
• Activates tumor-specific T cells via 4-1BB and OX40
• For multiple tumors• Silenced Fc• Synergistic activation of T
cells demonstrated
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APVO436CD123 x CD3
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APVO436 – A Novel Immunotherapy for AML
CANDIDATE
OPPORTUNITY
FUNCTION/MOA
POTENTIAL
INDICATIONS
DEVELOPMENT
STAGE
PARTNERSHIP
STATUS
• ADAPTIR (CD123 x CD3) T cell engager
• Preclinical studies showed key differentiation from another
bispecific format*
• CD123 - compelling target for AML due to its overexpression on
leukemic stem cells and AML blasts; Designed to engage T cells
via binding to CD3 to specifically kill tumor cells expressing CD123
• AML, MDS, ALL, hairy cell leukemia, myelodysplastic syndrome
• Strong unmet need for safe and effective new therapies
• Phase 1 study dose escalation in R/R AML and MDS ongoing
• Orphan drug designation granted
• Selected for inclusion in groundbreaking BEAT AML Master
Clinical Trial; evaluating APVO436 in front-line AML setting
• Wholly-owned by Aptevo
aCD3 scFv
aCD123 scFv
*Aptevo-generated version of Macrogenics’ CD123 x CD3 dual-affinity re-targeting (D.A.R.T) molecule, MGD006
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• AML: 21,000 new cases/year in U.S. / 10,500 deaths/year in U.S.
– Average age 67 years / 5-year survival 26%
• MDS: 10,000 – 20,000 new cases/year in U.S.
– 1 in 3 patients with MDS will progress to have AML
• Front-line treatment is chemotherapy
– Standard therapy = “7+3”; cytarabine and daunorubicin for induction over 1-2 mos
– Consolidation therapy for 2 mos (radiation, stem cell transplant)
• Strong unmet need for novel therapies that improve outcomes and survival
– Elderly, newly diagnosed, high-risk, relapsed/refractory patients
• CD123 broadly expressed in AML blasts and on leukemic stem cells
– Numerous novel targeted agents in development but they only impact AML subsets
AML / MDS Opportunity*
*Source: Global Data 2018, Decision Resources 2015, Seer.cancer.gov, EvaluatePharma, Pharmaetrack, American Cancer Society;
Myelodysplastic Syndromes, Cancer Network, Jorge E. Cortes, MD, June 2007
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Unique T-Cell Engagers
• Demonstrated ability to build several T-cell engager bispecificswith highly potent in vitro and in vivo activity
• Novel anti-CD3 selected for desired properties
– Based on unique CD3 binding domain; distinct from most CD3 binding domains used by other T-cell engagers
• Unique properties of ADAPTIR T-cell engager platform demonstrated
– Bivalent binding enables avidity tuning to spare normal tissue expression of tumor antigen
– Efficient tumor cell lysis with reduced cytokine release (in vitro)
– Long half-life (~12.5 days in rodents and ~4.5 days in cynos for CD123xCD3) to enable once weekly dosing
– Excellent stability and manufacturability
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ADAPTIR T-Cell Engager Induced Comparable T-cell
Cytotoxicity Compared to Another Bispecific Format*
0.0
001
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2 0 0 0 0
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Liv
e C
ell
Co
un
ts
A P V O 4 3 6
A p te v o -M G D 0 0 6
T R I1 4 9 (N e g .) C o n tro l
*Aptevo-generated version of Macrogenics’ CD123 x CD3 dual-affinity re-targeting (D.A.R.T) molecule, MGD006
*Statement evaluated with ADAPTIR CD3-based bispecifics only
AACR 2018 Poster: APVO436, a Bispecific anti-CD123 x anti-CD3 ADAPTIR Molecule for Redirected T-cell Cytotoxicity, Induces
Potent T-cell Activation, Proliferation and Cytotoxicity with Limited Cytokine Release
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• Cytokines measured after 20 hr stimulation of T cells with ADAPTIR and
tumor cells
ADAPTIR T-Cell Engager Candidates Induced Lower
Levels of Cytokines than Another Bispecific Format*
ADAPTIR bispecifics generated lower levels of cytokines when tumor antigen present
compared to another bispecific format targeting the same tumor antigen in in vitro studies*
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IF N -
C o n c e n tra t io n (p M )
pg
/mL
DART
ADAPTIR
Tumor TargetT cell activation
cytokine release
0.0
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IL -2
C o n c e n tra t io n (p M )
pg
/mL
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C o n c e n tra t io n (p M )
pg
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T N F -a
C o n c e n tra t io n (p M )
pg
/mL
AACR 2018 Poster: APVO436, a Bispecific anti-CD123 x anti-CD3 ADAPTIR Molecule for Redirected T-cell Cytotoxicity, Induces Potent T-
cell Activation, Proliferation and Cytotoxicity with Limited Cytokine Release
* Aptevo-generated version of Macrogenics’ CD123 x CD3 dual-affinity re-targeting (D.A.R.T) molecule, MGD006
* Statement evaluated with ADAPTIR CD3-based bispecifics only
Cytokines measured after 20 hr stimulation of T cells with ADAPTIR and tumor cells
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APVO436 Key Differentiation From Other
Bispecifics Targeting CD123 and CD3
APVO436 – Key Competitor Differentiation
Novel structure• Supports traditional antibody-like manufacturing
processes
• Single gene construct and CHO production cell line
Improved half-life• ~12.5 days (in rodents); 4.5 days (NHPs)
• Enables potential for improved dosing regime in clinic
Potential for
reduced cytokine
release
• Robust data set shows lower levels of cytokine release
versus competitor molecule (Macrogenics)
• Comparable tumor lysis and T-cell activation to
competitor molecule (Macrogenics)
• Potential for superior safety profile and broader
therapeutic window
AACR 2018 Poster: APVO436, a Bispecific anti-CD123 x anti-CD3 ADAPTIR Molecule for Redirected T-cell Cytotoxicity, Induces Potent
T-cell Activation, Proliferation and Cytotoxicity with Limited Cytokine Release
Aptevo-generated version of Macrogenics’ CD123 x CD3 dual-affinity re-targeting (D.A.R.T.) molecule, MGD006
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In AML patient samples APVO436:
• Induced rapid activation and proliferation of endogenous T cells
• Showed robust responses to APVO436 with low endogenous T cell numbers
• Showed a progressive reduction of CD123+ cells over 96-hour culture period
APVO436 Induced Endogenous T-cell Proliferation and
Depletion of CD123+ Cells in AML Patient Samples
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C o n c e n tra t io n (p M )
T-c
ell
Co
un
t
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1 2 0
C o n c e n tra t io n (p M )
A P V O 4 3 6
N e g . C o n tro l
% L
ive
CD
12
3+
Ce
lls
AML Subject Samples
CD123+ Cell DepletionT-cell Proliferation
AACR 2018 Poster: APVO436, a Bispecific anti-CD123 x anti-CD3 ADAPTIR Molecule for Redirected T-cell Cytotoxicity, Induces Potent T-
cell Activation, Proliferation and Cytotoxicity with Limited Cytokine Release
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• Treatment of previously established MOLM-13 tumors
in mice with APVO436 resulted in rapid reduction in
skeletal tumor burden
Therapeutic Delivery Model: APVO436 Eliminated
Skeletal Tumor Burden in Mice with Established Tumors
R e m a in in g T u m o r B u rd e n in
N o n -S k e le ta l L o c a tio n
0 4 8 1 2 1 6
1 0 6
1 0 7
1 0 8
1 0 9
1 0 1 0
D a y s p o s t tu m o r c e lls e n g ra ftm e n t
Bio
lum
ine
sc
en
ce
To
tal
Flu
x [
p/s
]
M O L M -1 3 o n ly
V e h ic le c o n tro l
3 g A P V O 436
• NSG mice implanted IV with MOLM-13 cells on Day 0
• T cells implanted on Day 4
• Drug delivered after tumors are established
3 g APVO436
Molm-13
only
CONTROL
APVO436
*Model artifact – tumor expansion after 8 days due to loss of human T cells
and sequestration of tumor cells in ovaries
*
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Phase 1/1b Open-Label, Dose-Escalation Clinical Trial
ObjectiveEvaluate safety, pharmacokinetics, pharmacodynamics
Determine recommended dose for Phase 1b
Primary
Endpoints
Phase 1: Incidence of dose-limiting toxicities occurring during
Cycle 1 of each dose cohort
Phase 1b: Assess clinical activity (Overall Response Rate)
Study
Design
Phase 1: Determine maximum tolerated dose and recommended
dose for Phase 1b
Phase 1b: Assess clinical activity at recommended dose
Administration APVO intravenous (IV) dosing weekly for six 28-day cycles
Subjects Phase 1: up to 60 patients; Phase 1b: up to 48 patients
Status
Dose escalation ongoing; beginning cohort 6
19 patients enrolled and treated to date (cohorts 1-5)
No evidence of drug-induced anti-drug antibodies (ADA) to date
1 DLT in 1/6 patients in cohort 4; no DLTs in cohort 5
APVO436 Clinical Development Program
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• Groundbreaking national clinical trial
• Spearheaded by the Leukemia & Lymphoma Society
• Evaluating novel AML immunotherapies
• 800 patients enrolled to date; 16 leading cancer centers
– Memorial Sloan Kettering Cancer Center, The Ohio State University
Comprehensive Cancer Center, Oregon Health and Science University Knight
Cancer Institute, Mayo Clinic
• APVO436 selected for inclusion alongside industry leaders
– Bristol-Myers Squib (formerly Celgene) Alexion Pharmaceuticals, Gilead
Sciences, Takeda Oncology, Agios Pharmaceuticals, Astellas Pharma and
Boehringer Ingelheim as an Industry Participant
• APVO436 to be tested in combination with decitabine in newly diagnosed
AML patients
• Benefits of participation in Beat AML trial:
– Provides access to leading national cancer centers
– Evaluates APVO436 in a front-line AML treatment setting
– Complements ongoing Phase 1/1b study in relapsed/refractory AML
APVO436 Selected for Inclusion in the Leukemia &
Lymphoma Society ‘Beat AML® Master Clinical Trial’
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• A potential best-in-class bispecific T-cell engager targeting CD123 x CD3
– Potent T-cell mediated killing of CD123+ tumors (no killing without target present)
– Reduced cytokines observed in preclinical studies compared to competitor molecule
– Binds to cynomolgus T cells
• Antibody-like half-life in rodents (~12.5 days)
– 4.5 days in NHPs
• Preclinical in vivo proof-of-concept established in multiple xenograft tumor models
• High titer CHO cell clone production levels > 1 g/L
• Good manufacturability attributes
• Phase 1 dose-escalation ongoing in AML and MDS
– No drug-induced ADA observed to date
– No DLTs in cohort 5; 1 DLT in 1/6 patients in cohort 4
– Received orphan drug designation
– Selected for inclusion in groundbreaking ‘Beat AML® Master Clinical Trial’
APVO436 – Summary
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ALG.APV-5274-1BB X 5T4
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ALG.APV-527 – Broad Potential
Therapeutic Opportunity in Solid Tumors
CANDIDATE
OPPORTUNITY
FUNCTION/MOA
POTENTIAL
INDICATIONS
DEVELOPMENT
STAGE
PARTNERSHIP
STATUS
• Designed to engage T cells through co-stimulatory
receptor 4-1BB
• Designed to reactivate antigen-primed T cells to specifically kill tumor
cells; Designed to promote CD8 T cell survival and effector function
• Multiple solid tumor indications: breast, cervical, non-small-
cell-lung, prostate, renal, gastric, colorectal and bladder
cancers
• Seeking partnership for clinical development
• Preclinical package ready for CTA filing
• Joint 50/50 ownership & co-development agreement with
Alligator Bioscience
a4-1BB scFv
a5T4 scFv
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• New MOA demonstrates ADAPTIR versatility
• Simultaneously targets
– 4-1BB - costimulatory receptor, member of TNFR super family
– 5T4 tumor antigen
• Promising approach for targeted immunotherapy designed to:
– Target T cells previously activated by tumor antigen
– Exert tumor-localized T cell activation upon 5T4 binding
– Not stimulate all (resting or naive) T cells
• Potential Advantages:
– Improved efficacy and safety (targeted therapy)
– Opportunity to treat multiple solid tumors expressing 5T4 antigen (i.e. NSCLC, renal, pancreas, prostate, breast, ovarian, cervical)
ALG.APV-527 Targeted Immunotherapeutic Bispecific
Antibody Candidate Targeting 4-1BB x 5T4
Activated
T-cell
4-1BB
Tumor
killing
Tumor cell
Expressing 5T4
5T4
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• In vitro:
– Bound to human and cynomolgus 5T4 and 4-1BB expressing cells and
activated T cells
– Induced 4-1BB reporter activity only when 5T4 targets were present
– Induced CD8+ T cell proliferation and IFN-γ production in the presence of
5T4 antigen
– Induced NK cell activation only in presence of 5T4 targets
• In vivo:
– Localized to 5T4-expressing tumor
– Treatment reduced colon carcinoma HCT116 tumor growth
• Conclusion:
– ALG.APV-527 is a promising therapeutic candidate for 5T4-expressing
solid tumors designed to eliminate the dose-limiting hepatic toxicities of
previous 4-1BB targeting therapies and increase drug concentration in
solid tumors
ALG.APV-527 Preclinical Data
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5T4-Driven Tumor Localization of
ALG.APV-527 in a B16 Twin Tumor Model
• One B16-wt (5T4-negative) and one B16-5T4 (5T4-
positive) tumor injected SQ (1x105 cells, 100 µL) at each
side of the hind flank/back of C57Bl6 mice
• 100 µg of ALG.APV-527 given twice
• Mice sacrificed 24 h after final treatment
• Levels of ALG.APV-527 bound to cells were assessed by
IHC or flow cytometry using an antibody detecting human
IgG
B16 melanoma twin tumor model ALG.APV-527 localizes to 5T4 positive
but not 5T4 negative tumors
A L G . A P V - 5 2 7 V e h ic le
0
1
2
3
4
% h
IgG
+ b
ind
ing
to
via
ble
CD
45
- t
um
or c
ell
s
B 1 6 - 5 T 4 ( 5 T 4 p o s i t i v e t u m o r )
B 1 6 - w t ( 5 T 4 n e g a t i v e t u m o r )
5T4-neg tumor
5T4-pos tumor
D0 D13 D15 D16
ALG.APV-527
100 g (IP)
B16-wt and B16-5T4
(SQ)
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ALG.APV-527 Induces Anti-Tumor Effects
and Immunological Memory
• MB49 cells expressing human 5T4 injected SQ into 4-1BB
knock-in mice
• ALG.APV-527 or 4-1BB mAb control (w/ wildtype Fc)
administered twice weekly on day 7 - 24, (8 mice/group)
• Surviving mice that had cleared their primary tumor were re-
challenged with MB49 tumor cells on day 80 with no further
therapy (naïve mice served as controls)
Human 4-1BB knock-in murine cancer model ALG.APV-527 inhibits tumor growth and
promotes immunological memory
0 7 14 21 280
200
400
600
800
1000
1200
Day Post Tumor challenge
Mean T
um
or
Volu
me (
mm
3) PBS
180 ug60 ug20 ug
60ug
ALG.APV-527
monospecific4-1BB mAb
Primary tumor
response
Memory
response
0 7 14 21 280
200
400
600
800
1000
1200
1400
Day Post Tumor challenge
Mean T
um
or
Volu
me (
mm
3)
MB49-5T4
MB49
MB49-5T4MB49
Naive
Memoryre-challenge
MB49 / hu5T4 cells
hu4-1BBALG.APV-527
180, 60 or 20 g
7 10 13 17 20 24D0
MB49 cell
re-challenge
80
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• Designed for 5T4-dependent tumor-directed T-cell activation to overcome
dose-limiting toxicities seen with 4-1BB mAbs
• Optimized in the ADAPTIR format for activity, solubility, stability and
manufacturability properties
• 5T4-dependent T-cell and NK-cell proliferation and activation, 5T4-driven
tumor localization, and anti-tumor efficacy demonstrated
• Limited competition
• Preclinical package ready for CTA filing
• Pursuing partnership for initiation of clinical development
ALG.APV-527 Summary
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APVO6034-1BB x OX40
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APVO603 – Dual Agonistic Bispecific Antibody
CANDIDATE
OPPORTUNITY
FUNCTION/MOA
POTENTIAL
INDICATIONS
DEVELOPMENT
STAGE
PARTNERSHIP
STATUS
• Designed to simultaneously target 4-1BB and OX40 both
members of the TNF-receptor family
• Provides synergistic co-stimulation of T cells to potentially amplify
the cytotoxic function of activated T cells and NK cells; may promote
more robust anti-tumor responses
• Multiple solid tumor indications
• Preclinical
• Lead candidate identified
• IND-enabling activities underway
• Wholly-owned by Aptevo
a4-1BB scFv
aOX40 scFv
36
• New ADAPTIR bispecific candidate with novel
mechanism of action targeting both 4-1BB and
OX40
• Designed to activate existing anti-tumor responses
without targeting a specific tumor antigen
• Synergistic activation of T cell and NK cell
responses due to dual targeting of 4-1BB and OX40
only as a bispecific
• Mutated Fc to eliminate FcgR and C1q interactions;
stimulation only when 4-1BB and OX40 are co-
engaged
• Demonstrates versatility of ADAPTIR platform
APVO603: Dual Agonist ADAPTIR Bispecific
Targeting 4-1BB x OX40
Anti-OX40
Fc Region
No effector function
Anti-4-1BB
37
TCR
CD4/8+ T cell
Tumor
Tumor
Activates Multiple Immune Pathways to Increase
Anti-Tumor Response and Reduce Toxicity
Key Advantages:
• Enhances pre-existing anti-tumor responses
• Enhances all effector lymphocyte populations: CD4, CD8 & NK cells
• Potential to limit toxicity seen by 4-1BB monospecific due to lack of Fc
receptor engagement
OX40Upregulation
4-1BBUpregulation
CD4
NK
CD4, CD8 and NK cells cooperate to induce tumor lysis
cytokines
granzymes
Increased number and potency of tumor-specific
cells with effector function
38
• Synergistic activation of CD4, CD8 and NK Cell Proliferation by APVO603
• No proliferation with monospecifics targeting either 4-1BB or OX40 without
cross linking
Potent Synergistic Activity Compared to 4-1BB
or OX40 Monospecific Alone or in Combination
• Cells pre-stimulated with anti-CD3 to upregulate expression of 4-1BB and
OX40
• Proliferation of CD4, CD8 and NK Cell Populations are measured by Flow
Cytometry
0.0
001
0.0
01
0.0
10.1 1
10
100
2 0
3 0
4 0
5 0
6 0
C D 4+
T c e ll p ro life r a t io n
[n M ]
CD
4 %
Pro
life
ra
ted
0
0.0
001
0.0
01
0.0
10.1 1
10
100
1 0
2 0
3 0
4 0
5 0
6 0
C D 8+
T c e ll p ro life r a t io n
[n M ]
CD
8 %
Pro
life
ra
ted
0
0.0
001
0.0
01
0.0
10.1 1
10
100
0
5
1 0
1 5
2 0
2 5
N K c e ll p r o life ra t io n
[n M ]
CD
56
% P
ro
life
ra
ted
a 4 -1 B B -F c -a O X 4 0
a 4 -1 B B -F c
F c -a O X 4 0
a 4 -1 B B -F c + F c -a O X 4 0
0
39
AGENDA
Leadership in Bispecific Antibody Development
▪ Aptevo Today
▪ ADAPTIR – A Differentiated Bispecific Platform
▪ Summary
40
Milestones – Next 12-18 Months
40
Development
• Complete dosing in ongoing
APVO436 Phase 1 clinical trial
• Report ongoing progress in APVO436
Phase 1/1b clinical study as data
become available
• Advance APVO603 towards clinical
development
• Announce new preclinical ADAPTIR
candidate
Operational/Financial
• Continue current and initiate future
partnering discussions around product
candidates and ADAPTIR platform
• Pursue additional non-dilutive funding
opportunities
• Collect quarterly IXINITY deferred
payments (royalties)
41
Why Aptevo?
1
2
3
4
Established leadership and capabilities in protein-based therapies for cancer
Proprietary, versatile, differentiated ADAPTIR technology platform
Broad pipeline of clinical and preclinical bispecific candidates advancing
Wholly-owned portfolio with potential for multiple partnerships