Corporate Presentation January 2020 - s23.q4cdn.com · Corporate Presentation . January 2020. 2....
Transcript of Corporate Presentation January 2020 - s23.q4cdn.com · Corporate Presentation . January 2020. 2....
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NASDAQ: MRTX
Targeting the genetic and immunological drivers of cancer
Corporate Presentation January 2020
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Certain statements contained in this presentation, other than statements of fact that are independently verifiable at the date hereof, are "forward-looking" statements, within the meaning of the Private Securities Litigation Reform Act of 1995, that involve significant risks and uncertainties. Forward looking statements can be identified by the use of forward looking words such as“believes,” “expects,” “hopes,” “may,” “will,” “plan,” “intends,” “estimates,” “could,” “should,” “would,” “continue,” “seeks,” “pro forma,” or “anticipates,” or other similar words (including their use in the negative), or by discussions of future matters such as the development of current or future product candidates, timing of potential development activities and milestones, business plans and strategies, possible changes in legislation and other statements that are not historical. Forward-looking statements are based on current expectations of management and on what management believes to be reasonable assumptions based on information currently available to them, and are subject to risks and uncertainties. Such risks and uncertainties may cause actual results to differ materially from those anticipated in the forward-looking statements. Such risks and uncertainties include without limitation potential delays in development timelines, negative clinical trial results, reliance on third parties for development efforts, changes in the competitive landscape, changes in the standard of care, as well as other risks detailed in Mirati's recent filings on Forms 10-K and 10-Q with the U.S. Securities and Exchange Commission. Except as required by law, Mirati undertakes no obligation to update any forward-looking statements to reflect new information, events or circumstances, orto reflect the occurrence of unanticipated events.
January 27, 2020
Safe Harbor Statement
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Mirati’s Leadership Team Applying Proven Approaches to Oncology Development
Charles M. Baum, M.D., Ph.D.CHIEF EXECUTIVE OFFICERSVP Clinical Research, PfizerLeader of Key Oncology Programs: Ibrance, Xalkori, Sutent, Inlyta, Temodar
James Christensen, Ph.D.CHIEF SCIENTIFIC OFFICERHead of Precision Research, Oncology Research Unit, PfizerDeep experience in precision oncology with Ibrance, Xalkori, Sutent, Inlyta
Ben HickeyCHIEF COMMERCIAL OFFICERCCO at Halozyme Therapeutics, built strong commercial oncology organizations, strategic marketing development and oversight of numerous successful global product launches including Opdivo.
Oncology Experience
Dan FagaCHIEF OPERATING OFFICERCBO at Spark Therapeutics responsibility for corporate strategy, public affairs, portfolio planning & asset management. Managing Director at Centerview Partners. Extensive experience in biopharma growth advisory, business development and M&A.
Isan Chen, M.D.CHIEF MEDICAL OFFICERCMO at Aragon Pharmaceuticals Previously VP at Pfizer with Ibrance, Xalkori, Sutent, Inlyta
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Phase 3
Multiple Near-Term Catalysts Across Portfolio
NSCLC = non-small cell lung cancer; CRC = colorectal cancer; RCC = renal cell cancer; HCC = hepatocellular cancer; OC = ovarian cancer, IND = Investigational New Drug application; Tislelizumab (BeiGene’s anti PD-1)
1) BeiGene is currently running a subset of combination studies of sitravatinib + tislelizumab in Asia for multiple solid tumor indications. BeiGene has Asian commercialization rights (ex-Japan) for sitravatinib as part of our development and commercialization agreement (Jan. 2018). BeiGene is responsible for additional data disclosures.
Preclinical Phase 1/1b Phase 2 Near-Term MilestonesIndication
SitravatinibMulti Kinase
Inhibitor
Sitravatinib+ PD-1
NSCLC
Bladder, RCC, HNSCC Additional data in 2020
Additional data in 2020
SAPPHIRE – 2nd / 3rd Line CPI Refractory
Mirati-run Studies
Interim OS Analysis YE 2021
MRTX849KRAS G12C Inhibitor
MRTX849monotherapy
NSCLC, CRC,Pancreatic
Initiate Q1 2020MRTX849 + PD-1
NSCLC
Initiate P2 NSCLC registration cohort in 1H 2020Duration data 2H 2020KRYSTAL – 2nd Line +
1st Line
G12D Inhibitor Pancreatic, CRC, NSCLC IND enabling studies in 2020KRAS G12D
Inhibitor
Initiate Mid-2020
Initiate Q1 2020CRC
Initiate Mid-2020
MRTX849 + CDK4/6
MRTX849 + cetuximab (EGFR)
MRTX849 + afatinib (pan-EGFR)
2nd Line
2nd Line
2nd Line
MRTX849KRAS G12C Inhibitor
- Combinations
Initiate Mid-2020NSCLC, CRCMRTX849 + TNO155 (SHP2) 2nd Line
BeiGene (1)NSCLC, HCC, RCC, OC, Gastric
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Targeted Oncology
MRTX849: KRAS G12C Inhibitor
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KRAS is the Most Frequently Mutated Gene in Human Cancer
MRTX849 KRAS G12C Inhibitor
Abnormal KRAS SignalingKRAS Signaling
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MRTX849: KRAS G12C Inhibitor
MRTX849: Potential Best-in-Class Attributes
Tissue Distribution
Projected Human Volume of Distribution >10 L/Kg
Half Life
Projected Human Half Life >20 hours½
Designed to Fully Suppress Mutant KRAS Signaling
Bioavailability
Projected Human Bioavailability >50%
MRTX849 Designed to Maximize Systemic Exposure
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MRTX849: KRAS G12C Inhibitor
Phase 1/2 Clinical Trial of MRTX849 in Patients with KRAS G12C+ TumorsPresented at 2019 AACR-NCI-EORTC Conference
Study Population• Solid tumor with KRAS
(p.G12C) mutation based on Sponsor-approved test
• Unresectable or metastatic disease
• No available treatment with curative intent
• No active brain metastases
Study Endpoints• Safety • PK/PD• Clinical Activity
150 mg (QD)N=1
300 mg (QD)N=1
600 mg (QD)N=2
1200 mg QDN=1
SCREENING
ENROLLMENT
Doses Evaluated
Expansion
ClinicalTrials.gov Identifier: NCT03785249
600 mg BIDN=12
Data cut-off date: 11-Oct-2019
9 Median (Min-Max); aN=9; bN=1 (Only 1 patient contributed to the lead-in 96 hours post-dose sampling); Data Source: Interim Pharmacokinetic Data (14 October 2019)
600mg BID Dose Achieved 2X Predicted Exposure for Maximal Response
Clinical Exposure: Steady State
Exposure Required in Most Sensitive Preclinical Models
Exposure Required in Least Sensitive Preclinical Models
600 mg BID GeoMean (CV%)Cmax
(ng/mL)AUC0-24
(ug*h/mL)Cave
(ng/mL)t½ (h)
Steady State (N=10)
3180(50.4)
69.8(58.6)a
2880 (51.4) 24.7b
1200 mg (600 mg BID) exceeded by 2-fold the exposure required for
maximal response in the least sensitive animal models
600 mg QD exceeded the minimum exposure for response in the most
sensitive animal models, but not the least sensitive animal models
MRTX849: KRAS G12C Inhibitor
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MRTX849: KRAS G12C Inhibitor
Phase 1/2 Clinical Trial of MRTX849 in Patients with KRAS G12C+ TumorsInitial Data Shows Overall Favorable Tolerability
Data cut-off date: 11-Oct-2019
Patient Incidence of Treatment Related AEs (>10%)
Treatment-Related AEs (N=17) Grade 1n
Grade 2n
Grade 3n
Diarrhea 6 6 0Nausea 8 2 0AST Increased 5 0 0Vomiting 4 1 0Fatigue 2 1 1ALT Increased 3 0 0Creatinine Increased 3 0 0Abdominal Distension 2 0 0Abdominal Pain 2 0 0Alkaline Phosphatase Increased 1 1 0
Treatment-Related AEs (N=17) Grade 1n
Grade 2n
Grade 3n
Anemia 0 2 0Decreased Appetite 2 0 1Dehydration 0 2 0Dry Mouth 2 0 0
Dysgeusia 0 2 0
Dyspnea 0 1 1
QT Prolonged 1 1 0
Hypomagnesemia 2 0 0
Rash 2 0 0
Dose limiting toxicities observed: 1200 QD capsule burden intolerable (12 capsules); 600 mg BID grade 3/4 amylase/lipase increase, isolated enzyme elevation without pancreatitis (only treatment related Grade 4 AE observed)
Data Presented at 2019 AACR-NCI-EORTC Conference
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5%1%
0% -1% -2%-7%
-14%
-21%
-36%
-43%-47%
-62%-70%
-60%
-50%
-40%
-30%
-20%
-10%
0%
10%
20%
30%
Max
imum
% C
hang
e fro
m B
asel
ine
CRCNSCLCNSCLCNSCLC CRCAppCRC AppCRC NSCLCEvaluable Patients
at All Doses
NSCLC ORR: 3/6DCR: 6/6
CRC ORR: 1/4DCR: 3/4
Append ORR: 0/2DCR: 2/2
NSCLCNSCLC
ORR: Overall Response RateDCR: Disease Control Rate
(SD+PR at 6 weeks)
600 mg (BID)150 mg (QD) 300 mg (QD) 600 mg (QD)Dose:
PR
PR
PR
PR
SDSD
SDSDSDSD
SDSD
‡
†
†
§
* Based on local radiographic scans every 6 weeks using RECIST 1.1 criteria
Patient on study (off study patients: 1 progressive disease, 1 global deterioration of health, 1 patient withdrawal of consent)
Response yet to be confirmed (on study but only 1 scan)†Confirmed response (1st scan: -37%, 2nd scan: -47%);‡Patient had confirmed PR post data cut-off (1st scan: -33%, 2nd scan: -43%)§
MRTX849: KRAS G12C Inhibitor
Initial MRTX849 Data Show Activity Across Multiple G12C+ Tumor TypesInitial Data Also Demonstrate Clinical Efficacy and Tolerability
Data cut-off date: 11-Oct-2019
All Evaluable Patients: Best Tumor Response* (N=12)
Data Presented at 2019 AACR-NCI-EORTC Conference
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MRTX849: KRAS G12C Inhibitor
Phase 1/2 Clinical Trial of MRTX849 in Patients with KRAS G12C+ TumorsInitial Data at 600mg BID Demonstrate Clinical Efficacy and Tolerability
Evaluable Patients at 600mg BID
NSCLC ORR: 3/5DCR: 5/5
CRC ORR: 1/2DCR: 2/2
Append ORR: 0/2DCR: 2/2
BID: Twice a Day DosingORR: Overall Response RateDCR: Disease Control Rate
(SD+PR at 6 weeks)
Data cut-off date: 11-Oct-2019
* Based on local radiographic scans every 6 weeks using RECIST 1.1 criteria
Patient on study (off study patient: 1 patient withdrawal of consent [travel constraints])
Response yet to be confirmed (on study but only 1 scan);†Confirmed response (1st scan: -37%, 2nd scan: -47%);‡Patient had confirmed PR post data cut-off (1st scan: -33%, 2nd scan: -43%)§
0% -1%
1%
-47%
-2%
-21%
-36%
-43%
-62%-70%
-60%
-50%
-40%
-30%
-20%
-10%
0%
10%
20%
30%
Max
imum
% C
hang
e fro
m B
asel
ine
Appendiceal(N=2)
CRC(N=2)
NSCLC (N=5)
600 mg (BID)Dose:
PR ‡ PR
PR
PR
SD
SDSD
SDSD
†
†
§
600mg BID Dose Patients: Best Tumor Response* (N=9)
Data Presented at 2019 AACR-NCI-EORTC Conference
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MRTX849: KRAS G12C Inhibitor
Early MRTX849 Duration Data Encouraging in KRAS G12C+ TumorsEv
alua
ble
Patie
nts
(N=1
2)
0 5 10 15 20 25 30 35 40 45
Duration of Treatment (Weeks) CRC AppendicealTumor Type: NSCLC
SD
SD
SD
SD
SD
SD
SD
SD
PR
PR
PR
PR
On StudyFirst Response
Disease ProgressionBest Response
Duration on Treatment (as of 11-Oct-2019)NSCLC (N=6): 6.7 - 38.6 weeksCRC (N=4): 9.9 - 30.1 weeksAppendiceal (N=2): 10.7 - 20.7 weeks
a
b
c
Dose: a. 150 mg QD; b. 300 mg QD; c. 600 mg QD; all other patients received 600 mg BID Data cut-off date: 11-Oct-2019
All Evaluable Patients: Duration of Treatment (N=12)
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MRTX849: KRAS G12C Inhibitor
Case Study #1: NSCLC Patient
Presented at the AACR-NCI-EORTC Meeting in October 2019 Data cut-off date: 11-Oct-2019
Demographics
45 year old female with metastatic adenocarcinoma, former smoker
Molecular Characteristics KRAS G12C mutation (c.34G>T) KEAP1 (K97M) STK11 (E223*)
Treatment History Carboplatin/pemetrexed/pembrolizumab Docetaxel Investigational treatment with binimetinib plus palbociclib Best response on prior regimens was SD
Best Response
Deepening of response over time.
Marked clinical improvement within 2 weeks, including complete resolution of baseline cough and oxygen dependency.
This patient had confirmed PR post data cut-off (1st scan: -33%, 2nd scan: -43%)§
Base
line
Post
cyc
le 2
-33%
-43%§
Post
cyc
le 4
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MRTX849: KRAS G12C Inhibitor
Case Study #2: CRC PatientBa
selin
ePo
st c
ycle
2Po
st c
ycle
4
TL2
-37%
-47%
Demographics
47 year old KRAS (p.G12C) female with adenocarcinoma of the left colon with extensive metastases involving the liver, peritoneum, ovaries and lymph nodes, never smoked
Treatment History FOLFOX/bevacizumab, partial response Capecitabine monotherapy, no response FOLFIRI/bevacizumab, no response Investigational antibody drug conjugate, no response
Best Response
PR: 37% reduction at first scan, confirmed PR with 47% reduction at second scan. The patient remained on study as of the cut-off date.
Marked clinical improvement within 3 weeks and a visible decrease in size of her umbilical Sister Mary Joseph’s nodule.
Presented at the AACR-NCI-EORTC Meeting in October 2019 Data cut-off date: 11-Oct-2019
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MRTX849: KRAS G12C Inhibitor
MRTX849 Monotherapy Development Plan Existing Phase 1/2 Protocol Potentially Supports Monotherapy Registrations
NSCLCEnrolling
Expansion Cohort
Q1 2020 FDAMeeting
Potential for Single Arm Accelerated Approval Pathway
CRCConfirm
Monotherapy Activity
Potential for Single Arm Accelerated Approval Pathway
Enrolling Expansion
Cohort
Pancreatic and OthersConfirm
Monotherapy Activity
Potential for Tumor Agnostic Approval Pathway
Enrolling Expansion
Cohort
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MRTX849 Combination Development Strategy: Opportunities to Expand Clinical Benefit to Patients
MRTX849: KRAS G12C Inhibitor – Combinations
NSCLC
• Preclinical data demonstrate durable complete responses
• KRAS G12C+ tumors have responded to checkpoint inhibitor therapy in clinical trials
• Potential rapid path to 1st Line
PD-1 CombinationMRTX849 + pembrolizumab
• Synergistic preclinical data• Positive results from EGFR combination
with bRAF/MEK is supportive of approach
EGFR CombinationMRTX849 + cetuximab
CRC
Priority Combinations
Additional CombinationOpportunities
• Synergistic preclinical data
SHP2 Combination in NSCLC and CRCMRTX849 + TNO115 (Novartis)
EGFR CombinationMRTX849 + pan-EGFR inhibitor
CDK 4/6 CombinationMRTX849 + CDK 4/6 inhibitor
• SHP2 shifts KRAS into GDP state which enhances MRTX849 activity
• Synergistic preclinical data in EGFR and CDK 4/6 combinations in CRC with MRTX849
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PD-1 Combinations: Result in Durable Complete Regressions with MRTX849 in vivo
KRAS G12C NSCLC tumors have elevated levels of TMB and PD-L1 expression.
MRTX849 treatment stimulated anti-tumor immunity by recruiting CD4+ & CD8+ T cells in KRAS G12C positive mutant tumors.
MRTX849 combined with a PD-1 inhibitor may optimize efficacy in first line treatment.
1. Preliminary results from MRTX849 testing in CT26 Clone E3 G12C syngeneic mouse model
KRAS G12C Inhibition Combined with Checkpoint Inhibitor Therapy Demonstrates Durable Complete
Regressions In-Vivo1
MRTX849 100mg/kg
Vehicle
PD-1 10mg/kg IP
MRTX849 + PD-1
MRTX849: KRAS G12C Inhibitor – Combinations
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EGFR and SHP2 Combinations with MRTX849 Optimized to Combat RAS Pathway Reactivation
1. KYSE-410 xenograft model (MRTX849 100mg/kg; RMC-4550 30mg/kg); 2. LU11692 xenograft model (MRTX849 100mg/kg; afatinib 12.5mg/kg)
MRTX849: KRAS G12C Inhibitor – Combinations
VehicleDosing Stopped
MRTX849 and SHP2 Inhibitor1
MRTX849 + RMC-4550 (SHP2)
MRTX849RMC-4550 (SHP2)
MRTX849 and EGFR Inhibitor2Tu
mor
Vol
ume
(mm
3 )
Treatment (Days)
MRTX849
Vehicle
afatinib (pan-EGFR)
MRTX849 + afatinib (pan-EGFR)
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1. Mirati frequency estimates based upon the following sources and underlying databases: Zehir A et al, Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients. Nat Med. 2017;23(6):703-713.; Campbell et al, Nature Genetics 2016 “Distinct patterns of somatic genome alterations in lung adenocarcinomas”; Bailey P et al, Nature 2016 “Genomic analyses identify molecular subtypes of pancreatic cancer”; MSKCC Cancer Hot Spots database; NIH TCGA: The Cancer Genome Atlas
2. Mirati estimates based on epidemiology data reported in Globocan 2022 (accessed January 2019) and frequencies by mutation. Rounded to the nearest 100.
KRAS G12C Mutations Occur Frequently in Multiple Tumor TypesPrevalent in Tumors with High Unmet Need
KRAS G12C Mutational Frequencies1
NSCLCadenocarcinoma
14% 44,400
Total US/EU Pts (2)
MRTX849: KRAS G12C Inhibitor
4%
2%
19,600
4,000
Large Patient PopulationUS and EU Patients2
010,00020,00030,00040,00050,00060,00070,00080,000
KRASG12C
ALK RET TRK
NSCLC CRC Pancreatic
US
and
EU P
atie
nts 68,000
Colorectal
Pancreatic
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Large Patient Population: KRAS G12C incidence is ~24,500 in the U.S. alone (1)
Large Commercial Opportunity: Patient population is 3X larger than the $1.8B ALK market (2)
MRTX849 Summary: A Potential Best-in-Class KRAS G12C Inhibitor
Long half life: projected >20-hour human half life maintains full inhibition of KRAS G12C
Volume of Distribution: Projected Human Volume of Distribution >10 L/Kg
Monotherapy: Phase 2 registration trial starting in 1H 2020
Combinations: EGFR, PD-1, SHP2 and CDK 4/6 combination trials will start in 1H 2020
MRTX849: KRAS G12C Inhibitor
Initial Clinical Data Demonstrate Clinical Efficacy and Tolerability
Significant Commercial Potential Potential Registration Pathways
1. Mirati estimates based on epidemiology data reported in Globocan 2022 (accessed January 2019) and frequencies by mutation2. ALK market: 2018 worldwide sales
Clinical Attributes of MRTX849
Evaluable Patients at 600mg BID
NSCLC ORR: 3/5DCR: 5/5
CRC ORR: 1/2DCR: 2/2
Append ORR: 0/2DCR: 2/2
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Targeted Oncology
KRAS G12D Program
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1. Sources: Zehir, Ahmet et al. Nature Med 23 2017 “Mutational Landscape of Metastatic Cancer”; Krakstad et al. PLoS One 2012, “High-Throughput Mutation Profiling of Primary and Metastatic Endometrial Cancers”; NIH TCGA: The Cancer Genome Atlas; cbioportal.org.
2. Mirati estimates based on epidemiology data reported in Globocan 2022 (accessed November 2019) and frequencies by mutation; RET estimate does not include thyroid cancer. Rounded to the nearest 100.3. Estimate includes both adenocarcinoma and large cell carcinoma pts. Frequency of KRAS G12C mutations in adenocarcinomas and large cell carcinomas are approximately equivalent, per https://www.cbioportal.org/.
KRAS G12D: Significant Patient Population with High Unmet Need
Large Patient PopulationUS and EU Patients2
0
50,000
100,000
150,000
200,000
KRASG12D
KRASG12C
ALK RET TRK
Pancreatic CRC Endometrial NSCLC
US
and
EU P
atie
nts
ALK RET TRKKRASG12D
Prevalent in Tumors with High Unmet NeedKRAS G12D Mutational Frequencies1
KRASG12C
Endometrial
36%
NSCLCadenocarcinoma
Pancreatic
6%
12%Colorectal
4%
68,000
70,500
81,000
15,000
12,500 (3)
Total US/EU Pts (2)
179,000
KRAS G12D Inhibitor
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Sitravatinib + Checkpoint Inhibitors
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Sitravatinib in the Tumor Microenvironment Aims to Restore Immune Responses Through Inhibition of Immunosuppressive Signaling
Sitravatinib + Checkpoint Inhibitors
Sitravatinib has low peak to trough variability with higher relative activity versus TAM and compared to VEGF
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Sitravatinib + Checkpoint Inhibitors
SAPPHIRE: Phase 3 Trial in 2nd / 3rd Line NSCLCPotential to establish sitravatinib + nivolumab as new standard of care after checkpoint inhibitor failure
Sitravatinib + Nivolumab
N=266
DocetaxelN=266
CheckpointRefractory
NSCLC2nd / 3rd Line Patients
after Checkpoint Inhibitor Therapy
DocumentedTumor
Progression
* This trial is being amended to include both 2nd and 3rd line patients who have progressed following checkpoint inhibitor therapy and to add OS as an interim analysis endpointORR = Overall Response Rate; DOR = Duration of Response; OS = Overall Survival; PFS = Progression-Free Survival; NSCLC = non-small cell lung cancer
RAN
DO
MIZ
ATIO
N 1
:1
Key Inclusion/Exclusion Criteria: Advanced, Non-Squamous NSCLC
2nd / 3rd Line: progression on or following PD-(L)1 inhibitor in combination or following chemotherapy
Patients must have remained on prior PD-(L)1 therapy for at least 4 months
Excludes known driver mutations
Endpoints: Primary: OS
Secondary: PFS, duration of response, safety, tolerability
Interim Analysis: OS
Final AnalysisOverall Survival
Interim AnalysisOverall Survival
YE 2021
N=5321:1 randomization
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• Encouraging Preliminary OS Data from Phase 2 Trial– MRTX-500: Sitravatinib + nivolumab in checkpoint refractory NSCLC
– Kaplan-Meier estimated median survival: 15.1 months
• Historical OS for Docetaxel in 2nd Line: 8.5 – 9.6 months– Opportunity for sitravatinib + nivolumab to potentially demonstrate
OS advantage at interim analysis
• Protocol Amendments to Phase 3 Sapphire Trial– Adding OS as endpoint for interim analysis: potential for full approval
based upon interim OS analysis (242 events)
– Enrolling both 2nd and 3rd line NSCLC patients, following chemotherapy and PD-(L)1 therapy, in combination or sequentially
– Interim analysis of OS planned for YE 2021
SAPPHIRE: Phase 3 Trial in 2nd / 3rd Line NSCLCPotential to establish sitravatinib + nivolumab as new standard of care after checkpoint inhibitor failure
Trial Compound Pts OS, Mo. (Range)
CheckMate 057[1]
nivolumab n=292 12.2 (9.7-15.0)
docetaxel n=290 9.4 (8.1-10.7)
OAK[2]atezolizumab n=425 13.8 (11.8-15.7)
docetaxel n=425 9.6 (8.6-11.2)
KEYNOTE 010[3]
pembrolizumab n=345 10.4 (9.4-11.9)
docetaxel n=343 8.5 (7.5-9.8)
MRTX-500[4] sitravatinib +nivolumab n=56 15.1*
Advanced NSCLC2nd Line or Subsequent Therapy
1. Borghaei H, et al. N Engl J Med. 2015;373:1627-1639. 2. Rittmeyer A, et al. Lancet. 2017;389:255-265. 3. Herbst RS, et al. Lancet. 2016;387:1540-1550. 4. MRTX-500 Phase 2 trial, Prior Benefit cohort, data cut-off 27-Aug-2018
OS: Overall Survival* Preliminary Kaplan-Meier Estimate
(N=64, 25 events, 42 censored patients)
Data presented are from separate studies and does not reflect results that might have been obtained from head-to-head studies. Results from Mirati’s on-going Phase 3 trial comparing sitravatinib + nivolumab to
docetaxel may differ materially from prior studies presented.
Sitravatinib + Checkpoint Inhibitors
28 POC = proof of concept; NSCLC = non-small cell lung cancer; RCC = renal cell cancer; HCC = hepatocellular carcinoma
Sitravatinib + Checkpoint Inhibitors
Sitravatinib Has Potential Across Multiple Tumor Types
Bladder
Phase 3Phase 1/1b Phase 2
HCC, RCC and Ovarian
BeiGene
Additional Data 2020Bladder
NSCLC 2nd / 3rd line NSCLC (SAPPHIRE) checkpoint refractorysitravatinib + nivolumab vs. docetaxel
1st line HCC checkpoint naïve sitravatinib + tislelizumab; Sitravatinib alone
1st / 2nd line RCC checkpoint naïve & refractorysitravatinib + tislelizumab
Ovarian cancer following platinumsitravatinib + tislelizumab
2nd / 3rd line Gastric following chemotherapysitravatinib + tislelizumab
2nd / 3rd line Bladder checkpoint refractorysitravatinib + nivolumab
Additional Data 2020
Interim Analysis YE 2021
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Positive Preliminary Phase 2 Efficacy Data in Checkpoint Refractory NSCLC1
Sitravatinib + Checkpoint Inhibitors
Sitravatinib Summary: Registration Trial Focus on NSCLC with Potential in Expanded Indications
1. Data presented at ESMO 2018 Congress; Data cut-off: 27-Aug-2018; Response data per investigator assessment, response confirmations updated after data cut-off.2. Clinical Benefit defined as Stable Disease (SD), Partial Response (PR) or Complete Response (CR)
Potential Registration Path for 2nd / 3rd Line NSCLC: Phase 3 Randomized Trial (SAPPHIRE)
Checkpoint Refractory Bladder Cancer:Initial Phase 2 data presented at SITC 2019
21/22 (95%) CR+PR+SD
8/22 (36%) Tumor Regression >30%
6/22 (27%) Confirmed Response (CR+PR)
Preliminary Kaplan-Meier estimated Median OS
Phase 2 Clinical Trials in Other Indications 2
Sitravatinib + nivolumab vs. docetaxel in 2nd / 3rd line checkpoint refractory NSCLC
Interim Analysis (OS) to support NDA submission seeking accelerated approval expected by YE 2021
Primary Analysis (OS) to support NDA submission seeking full approval
Median DoR:9.2 months
Median PFS:6.8 months
Median OS:15.1 months
BeiGene Phase 2 Trials: Initial data in ovarian at ESMO
IO in Q4 2019 (of 17 platinum-resistant efficacy-evaluable
patients, 7 PRs (4 confirmed), 8 SD, 2 PD); additional data in,
HCC, RCC, Ovarian and Gastric expected in 2020
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Phase 3
Multiple Near-Term Catalysts Across Portfolio
NSCLC = non-small cell lung cancer; CRC = colorectal cancer; RCC = renal cell cancer; HCC = hepatocellular cancer; OC = ovarian cancer, IND = Investigational New Drug application; Tislelizumab (BeiGene’s anti PD-1)
1) BeiGene is currently running a subset of combination studies of sitravatinib + tislelizumab in Asia for multiple solid tumor indications. BeiGene has Asian commercialization rights (ex-Japan) for sitravatinib as part of our development and commercialization agreement (Jan. 2018). BeiGene is responsible for additional data disclosures.
Preclinical Phase 1/1b Phase 2 Near-Term MilestonesIndication
SitravatinibMulti Kinase
Inhibitor
Sitravatinib+ PD-1
NSCLC
Bladder, RCC, HNSCC Additional data in 2020
Additional data in 2020
SAPPHIRE – 2nd / 3rd Line CPI Refractory
Mirati-run Studies
Interim OS Analysis YE 2021
MRTX849KRAS G12C Inhibitor
MRTX849monotherapy
NSCLC, CRC,Pancreatic
Initiate Q1 2020MRTX849 + PD-1
NSCLC
Initiate P2 NSCLC registration cohort in 1H 2020Duration data 2H 2020KRYSTAL – 2nd Line +
1st Line
G12D Inhibitor Pancreatic, CRC, NSCLC IND enabling studies in 2020KRAS G12D
Inhibitor
Initiate Mid-2020
Initiate Q1 2020CRC
Initiate Mid-2020
MRTX849 + CDK4/6
MRTX849 + cetuximab (EGFR)
MRTX849 + afatinib (pan-EGFR)
2nd Line
2nd Line
2nd Line
MRTX849KRAS G12C Inhibitor
- Combinations
Initiate Mid-2020NSCLC, CRCMRTX849 + TNO155 (SHP2) 2nd Line
BeiGene (1)NSCLC, HCC, RCC, OC, Gastric
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Select Company Financials
* This amount is preliminary, has not been audited and is subject to change upon completion of the audit of our consolidated financial statements as of and for the year ended December 31, 2019.** Shares outstanding as of September 30, 2019 information, which includes 39.4 million shares of common stock outstanding as of September 30, 2019, and pre-funded warrants to purchase a total of 9.7
million shares of common stock, outstanding as of September 30, 2019. The pre-funded warrants have a per share exercise price of $0.001. *** Includes 3.1 million shares offered by Mirati and 0.4 million shares granted to underwriters as an option to purchase in connection with the January 2020 public offering.
NASDAQ
Cash as of 12/31/19*
Shares issued January 2020 public offering***
MRTX
$415.2M
Net proceeds from January 2020 public offering $324.1M
Shares outstanding as of September 30, 2019**
3.5M
49.1M
32
NASDAQ: MRTX
Targeting the genetic and immunological drivers of cancer
Corporate Presentation January 2020