H1 2017 RESULTS - MOLOGEN AG · h1 2017 results dr mariola soehngen – ceo walter miller - cfo...
Transcript of H1 2017 RESULTS - MOLOGEN AG · h1 2017 results dr mariola soehngen – ceo walter miller - cfo...
H1 2017 RESULTS DR MARIOLA SOEHNGEN – CEO WALTER MILLER - CFO
BERLIN, 10 AUGUST 2017
1
www.mologen.com
2
2
Disclaimer
Certain statements in this presentation contain formulations or terms referring to the future or future developments, as well as negations of such formulations or terms, or similar terminology. These are described as forward-looking statements. In addition, all information in this presentation regarding planned or future results of
business segments, financial classification numbers, developments of the financial situation, or other financial or statistical data contains such forward-looking statements. The company cautions prospective investors not to rely on such forward-looking statements as certain prognoses of actual future events and developments. The company is neither responsible nor liable for these forward-looking statements. It is not responsible for updating such information, which only represents the state of affairs on the day of publication.
3
3
Agenda
Business Overview and Update on Operations 4
Key Financials and Outlook 13
Appendix 19
4
Highlights H1 2017 and Onwards
Operations:
lefitolimod
Financials
Full placement of a convertible bond of €4.99 million: 01/17
Study progress and intensified business development activities resulted in
higher R&D expenses; EBIT declined accordingly
Study program has made good progress:
Top-line results of the TEACH study presented: 08/17
Grant to collaboration partner Aarhus University for combination study in
HIV with lefitolimod
Top-line results of the exploratory IMPULSE study presented: 04/17
Completion of patient recruitment for pivotal study IMPALA: 05/17
Posit. data from preclinical combo studies: lefitolimod & EnanDIM® with CPIs
Strategy “Next Level”: ongoing implementation of measures
Outsourcing production; accelerated partnering/out-licensing discussions
Executive Board New CMO, Dr Matthias Baumann, on board
Legend: CPIs checkpoint inhibitors
5
Advanced Immunotherapy Pipeline:
Late-Stage Lefitolimod & Follow-Up EnanDIM®
Indication(1) PC Ph I Ph II Ph III Timeline(2) Exclusivity(3)
Metastatic colorectal
cancer (mCRC)
LPI: 05/17
Data: ’19
Filing: ’19/’20
EU: 2030
US: 2028
Small-cell lung cancer
(SCLC)
04/17: top-line
results
EU: 2030
US: 2028
Advanced solid
malignancies
(+ ipilimumab)
LPI: ‘18
Data: ’19
EU: 2036
US: 2036
Human immunodeficiency
virus (HIV)
08/17: results of
extension phase
EU: 2036
US: 2036
Cancer/
infect. diseases
Pre-clinical
EU: 2035
US: 2035
Renal cell carcinoma
(RCC)
Ph I / II data
available
backup compound
EU: 2036
orphan drug status
US: 2038
Le
fito
lim
od
E
na
nD
IM®
M
GN
1601
Notes: (1) Pipeline overview excludes MIDGE platform | (2) Timeline Denotes latest estimated timeline of upcoming milestones |
(3) Exclusivity Denotes estimated minimum market exclusivity horizon based on patent and data protection Legend: PC Pre-clinical |Ph Phase | LPI last patient in
IMPALA (MGN)
IMPULSE (MGN)
TEACH (Aarhus)
MD Anderson
ASET (MGN)
6
TEACH Trial: Study Design
TEACH (Toll-like receptor 9 enhancement of antiviral immunity in chronic HIV infection):
non-randomized interventional phase Ib/IIa trial to evaluate lefitolimod in HIV positive
patients under antiretroviral therapy (ART):
• Initial phase: 15 patients under ART received four weeks of lefitolimod therapy
(60 mg s.c. twice weekly)
• Extension phase: 12 patients under ART received 24 weeks of lefitolimod therapy
(60 mg s.c. twice weekly):
After completion, nine of these patients participated in an analytical antiretroviral
treatment interruption (ATI) until viral rebound
ATI is an established procedure used to determine the size and reduction of the
reservoir of latent infected cells which is measured as time to viral rebound. After
viral rebound ART is reintroduced.
7
TEACH: Study Design Initial and Extension Phase
ART Antiretroviral Therapy | ATI Analytic Treatment Interruption
ART
ART ATI
Initial Phase TEACH
Imm
unolo
gic
al
Readout
AR
T p
lus
4 w
eeks le
fitolim
od
Scre
enin
g
ATI
Extension Phase TEACH 4
w.
lefito
limo
d
ART plus
24 weeks lefitolimod
Scre
enin
g
8
TEACH EXTENSION PHASE: Results
• Sustained increases in activation of important immune cells (CD4 and CD8 T cells) were observed
throughout the dosing period of 24 weeks.
• Lefitolimod triggered maturation of other important immune cells (B cells) towards antibody-producing
cells.
• After interruption of ART, one of the nine patients who participated in that study part showed viral
control for more than 20 weeks, whereas the interval until viral rebound is generally two weeks.
• The intervention had no detectable effects on the size of viral reservoir in peripheral blood in the total
study population of 12 patients, which was defined as the primary endpoint of the extension phase of
the study.
• 24 weeks of lefitolimod treatment was safe and well tolerated in HIV patients on ART, corroborating the
favourable safety profile already seen in cancer patients.The most common related adverse events
study population were: neutropenia, injection site reaction, fatigue, dizziness, and headache. The
majority of adverse events were of mild or moderate intensity with no life-threatening or fatal events.
There were no discontinuations due to adverse events and no related serious adverse events.
Although lefitolimod alone on top of ART did not show the desired effect on the viral
reservoir, lefitolimod could be an important combination partner for other interventions
aiming at HIV cure, such as monoclonal antibodies or vaccines
Results provide significant guidance for…..
9
TEACH: Next Steps
• A more extensive evaluation of the TEACH data is currently ongoing including
further immune and HIV reservoir parameters
• Detailed TEACH study results of the extension phase will be presented at an
international scientific conference
• A combination trial with lefitolimod and other promising HIV cure interventions
has recently been funded and is expected to start in 2018 as a collaboration
between MOLOGEN, Aarhus University Hospital and other international
partners
10
10
Grant by Gilead for Combination Study in
HIV with Lefitolimod
Aarhus University Hospital received 2.75 US$ from Gilead to fund clinical
study in HIV-positive patients on antiretroviral treatment (ART)
Evaluating combination of lefitolimod with novel virus-neutralizing
antibodies
Rationale for the study
Coordinated mode of action of the compounds could generate a more
effective eradication of the HIV reservoir compared to standard HIV
treatment regimens, i.e. ART
Promising potential for the combination of lefitolimod with virus-neutralizing
antibodies
New use of “kick & kill” concept with virus-neutralizing antibodies
Legend: ART antiretroviral therapy
11
IMPULSE: Positive Results in Two Subgroups of Patients
Treated with lefitolimod
IMPULSE: Exploratory phase II controlled, two-arm, multinational trial with 102 patients with extensive
disease small cell lung cancer (SCLC) to evaluate efficacy and safety of lefitolimod in comparison to
control group (standard therapy)
• Primary endpoint “overall survival” (OS) not met in the overall study population in this challenging
indication
• Positive results in two pre-defined and clinically relevant subgroups of patients: Notably, an
overall survival (OS) benefit was shown in comparison to the control arm (local standard of care):
1. Patients with a low count of activated B cells, an important immune parameter:
Hazard ratio “HR”: 0.59; 95% confidence interval “CI”: 0.29–1.21
2. Patients with reported Chronic Obstructive Pulmonary Disease (COPD), a frequent
underlying disease:
Hazard ratio “HR”: 0.54; 95% confidence interval “CI”: 0.21–1.38
Results provide significant guidance for defining patient populations most likely to
benefit from lefitolimod
12
12
Break-Through Potential for Combinations of
Lefitolimod with Checkpoint Inhibitors (CPI)
First preclinical confirmation of the combination approach of lefitolimod with
checkpoint inhibitors in treatment of cancer
The mode of action of lefitolimod is ideally suited to enhance the anti-tumor
effect of checkpoint inhibitors
This was confirmed in mouse tumor models where lefitolimod clearly
improved the anti-tumor effect of checkpoint inhibitors anti-PD-1 and anti-
PD-L1:
Combination of lefitolimod and anti-PD-1 was superior to each
monotherapeutic approach which was also in line with ‘in vitro’
experiments
The combination of lefitolimod with anti-PD-L1 further reduced tumor
growth compared to either lefitolimod or anti-PD-L1 monotherapy and
thus prolonged survival
Promising potential for the combination of lefitolimod with checkpoint
inhibitors
13
13
Key Financials Q2/H1 2017
• R&D mainly driven by study progress
• Issuance of convertible bonds reflected in CF from financing activities in H1 2017
In € million Q2 2017 Q2 2016 ∆ H1 2017 H1 2016 ∆
R&D expenses 4.1 3.4 21% 8.0 7.1 13%
EBIT -5.4 -5.3 2% -10.5 -9.8 7%
CF from operating activities -5.2 -4.8 8% -11.2 -9.2 22%
CF from financing activities -0.1 0.0 - 4.8 0.0 -
Monthly cash burn 1.8 1.6 13% 1.9 1.5 27%
In € million 30 June
2017
31 Dec
2016 ∆
Total assets 15.1 21.4 -29%
Cash & cash equivalents 14.2 20.5 -31%
Equity 1.8 11.8 -85%
Equity ratio 12% 55% -78%
Legend: CF Cash flows
14
14
Refinancing -
Current Shareholder Structure
Capital Measure 2017
Cash reach until early 2018 according to current planning
Shareholder Structure as at June 2017 (estimates)
<25%
5% 4%
4%
62%
Global Derivative Trading GmbH, DE
Deutsche Balaton Aktiengesellschaft, DE
Baloise Holding AG, DE
Deutscher Ring Krankenversicherungsverein a.G., DE
Freefloat
• Convertible bond 2017/2025 (8 years, 6% interest rate); Jan 2017 €4.99 m
15
15
Key Data of Convertible Bonds
2016/2024 2017/2025
Amount €2.54 million €4.99 million
Issue date 25 Nov 2016 20 Jan 2017
Maturity date 29 Oct 2024 20 Jan 2025
Coupon 6% 6%
Interest payment date Quarterly Quarterly
Conversion price €1.50 €1.60
ISIN DE000A2BPDY4 DE000A2DANN4
Listing no no
16
16
Outlook 2017
• Advance product development
• Focus on lead compound lefitolimod and successor molecules EnanDIM®
- IMPALA: Finalize patient recruitment short-term
- IMPULSE: Present study results in Q2
- TEACH study results extension phase by mid-year
- Ongoing recruitment for combination study with ipilimumab (Yervoy®)
- Advance pre-clinical study program for EnanDIM®
• Production: Execute tech transfer and start upscaling
• Partnering discussions / Out-licensing activities to accelerate
• Ensure financing beyond early 2018
• R&D expenses will further increase due to study progress; operating results
below FY 2016 expected - dependent on financing structure
17
17
Financial Calendar 2017 and Contact Details
22 March 2017
Full Year Report 2016
28 April 2017
Annual General Meeting
11 May 2017
Quarterly Statement as of 31 March 2017
10 August 2017
Half-Yearly Financial Report as of 30 June 2017
9 November 2017
Quarterly Statement as of 30 September 2017
Claudia Nickolaus
Head of Investor Relations &
Corporate Communications
Phone: +49-30-841788-38
Fax: +49-30-841788-50
www.mologen.com
MOLOGEN®, MIDGE®, dSLIM®, and EnanDIM® are registered trademarks of the MOLOGEN AG
18
18
Agenda
Business Overview and Update on Operations 4
Key Financials and Outlook 13
Appendix 19
19
19
Agenda
Highlights H1 2017 Onwards
Update Operations
Key Financials H1 2017 and Outlook 2017
Appendix
20
IMPULSE: Exploratory Phase II Randomized Study
in Small Cell Lung Cancer (SCLC)
Study design
• Controlled, two-arm, multinational trial with 102 pts in Belgium, Austria, Germany and Spain
• Biomarkers used as stratification factors: NSE level and NKT activation
Efficacy
• Primary endpoint: overall survival (OS)
• Secondary endpoints: progression-free survival (PFS), best objective response rate (ORR), quality
of life (QOL), biomarkers
Safety
PD
Trial Treatment Period
Maintenance
Induction CT
4 cycles of
platinum-based
therapy
Standard first-line
CT for extensive
disease SCLC
PR/CR
Responder
Screening/
Randomization
3:2
Experimental Group:
5th cycle of platinum based
CT followed by lefitolimod
(MGN1703) maintenance
Control Group:
5th cycle of platinum
based CT followed by
local practice
PD
PD
Start of
2nd line
CR complete response | CT chemotherapy | NKT Natural Killer T cells | NSE neuron specific enolase - a tumor marker for lung cancer
PD progressive disease | PR partial response | SCLC small cell lung cancer
21
IMPULSE: Favorable Safety Profile of Lefitolimod Confirmed
The most common adverse events (AE) in the IMPULSE population were:
Adverse events Lefitolimod Control Group
Cough 25.0% 7.7%
Asthenia 13.3% 17.9%
Headache 21.7% 5.1%
Nausea 11.7% 20.5%
Back pain 13.3% 12.8%
22
22
mCRC Program: Phase III (Ongoing)
Pivotal IMPALA Study
• Primary endpoint overall survival (OS)
• Open-label, randomized, controlled, two-arm, multinational phase III trial
• 540 patients in around 120 sites in 8 European countries, including
top 5 European pharma markets
• Biomarkers used as stratification factors: CEA level and NKT activation
PD
Lefitolimod
(MGN1703)
Trial Treatment Period
Re-Induction
Induction CT
12–30 weeks
Standard first-line
CT for mCRC
PR/CR
Responder
Screening/
Randomization
1:1 Control
group PD
Lefitolimod
(MGN1703)
with
induction CT
Induction
CT
PD
Start of
2nd line
PD
Legend: CEA carcinoembryonic antigen - a tumor marker for colorectal cancer | CT chemotherapy | CR complete response | mCRC
metastatic colorectal cancer | NKT Natural Killer T cells | PD progressive disease | PR partial response
Maintenance
23
23
Combination Trial:
Lefitolimod (MGN1703) and Ipilimumab (Yervoy®)
Study Outline
• Open-label, single site, phase I trial
• Patients with advanced solid tumors
• Primary endpoints: Safety, toxicity, MTD, and DLTs of combination therapy; dose finding for phase 2
• Dose escalation part followed by three expansion cohorts:
• Dose escalation: Six lefitolimod dose levels (3.75 – 120 mg) with up to 6 patients per dose level to find MTD;
• Once MTD is determined, patients will be enrolled in three expansion cohorts (5-12 patients each) at this dose to further define this dose and to help determine biological endpoints.
• Expansion Cohorts (Malignancy / Variable): (1) Melanoma / lefitolimod SC; (2) Melanoma / lefitolimod IT; (3) Advanced malignant diseases / recent radiation to tumor
Treatment Course
• Lefitolimod (MGN1703) administered weekly, SC (dose escalation and 2 expansion cohorts) or IT (one expansion cohort)
• ipilimumab always administered at 3mg/kg IV every 3 weeks
• Patients will receive treatment for 4 cycles – a total of 12 weeks
• Treatment will be discontinued in case of disease progression
• If patients demonstrate stable disease or a response, they will be eligible to continue to receive lefitolimod for up to a year
Legend: MTD maximum tolerated dose | DLT dose limiting toxicities | SC subcutaneous | IT intratumoral | IV intravenous
24
24
Quarterly / FY Key Financials
in € million Q2
2017
Q1
2017
FY
2016
Q4
2016
Q3
2016
Q2
2016
Q1
2016
FY
2015
Q4
2015
Q3
2015
Q2
2015
R&D expenses 4.1 3.9 17.0 6.5 3.4 3.4 3.7 16.8 6.4 5.2 2.8
EBIT -5.4 -5.1 -21.0 -6.7 -4.5 -5.3 -4.5 -20.5 -7.2 -6.4 -3.7
CF from operating
activities -5.2 -6.0 -19.3 -5.4 -4.7 -4.8 -4.4 -15.1 -6.1 -4.3 -2.5
CF from financing
activities -0.1 4.9 15.2 15.7 -0.5 0.0 0.0 26.2 0.1 0.0 26.8
Monthly cash burn 1.8 2.0 1.7 1.9 1.7 1.6 1.5 1.4 2.0 1.5 1.4
H1 2017 RESULTS DR MARIOLA SOEHNGEN – CEO WALTER MILLER - CFO
BERLIN, 10 AUGUST 2017
25
www.mologen.com