Nucleic Acid Chemistry for a New Generation of Pharmaceuticals Corporate Presentation Confidential
Jun 26, 2015
Nucleic Acid Chemistry for a New Generation of Pharmaceuticals
Corporate Presentation
Confidential
Spring Bank Corporate Vision
Utilize our proprietary nucleic acid chemistry platform to design and develop molecules which closely mimic the bodies’ natural disease signaling pathways resulting in therapies with superior specificity, safety and efficacy in antivirals, autoimmune diseases and cancer
Investor Overview
Breakthrough nucleic acid based therapeutic platform– Orally bio-available, natural-like nucleotides are effective and non-toxic– Ability to leverage chemistry profile for rapid clinical advancement and low investment
Multiple therapeutic targets: viruses, autoimmune diseases, cancer
Initial anti-viral application targets $16 billion worldwide hepatitis market– Non toxic– Effective in vitro against known resistant strains– in vitro synergy data indicates promise for combination therapy use
Hepatitis programs have made significant preclinical progress towards IND
NIH validates as “new class” of drugs, has committed $7 million to date
Technology evaluation in process with major pharmaceutical company
Exploring development collaborations in Asia
Seeking Series A financing to build organization and advance programs into humans
Spring Bank Corporate Overview
Founded in 2002
Proprietary nucleotide-based therapeutic platform– Orally bio-available, natural-like nucleotides are effective and non-toxic– Ability to leverage chemistry profile for rapid clinical advancement and low investment
Proprietary manufacturing technology allows:– Rapid synthesis of lead compounds for development– Cost effective commercial scale manufacturing
Multiple therapeutic targets: Viruses, autoimmune diseases, cancer
2 candidates in preclinical development– SB 9000 for Hepatitis B– SB 9200 for Hepatitis C
NIH validates as “new class” of Hepatitis drugs, has committed $7 million to date– Significant preclinical progress funded by NIH
Initial anti-viral lead candidates (SB 9000, 9200) target $16 billion Hepatitis market– Non toxic in vitro and in animal models– Effective in vitro against multiple genotypes– In vitro synergy data indicates promise for combination therapy use
Spring Bank Platform Allows for Multiple Points of Influence
Proteins are key to almost all biological functions
DNA
DNA provides the blueprint for protein assembly
Naturally occurring nucleotides interact with proteins and nucleic acids in the body to perform important cellular functions
Nucleic acid therapeutics are natural-like and have multiple options/binding targets at the nucleic acid or protein level to interfere with specific disease processes
NORMALPROTEIN
RNA Protein
Spring Bank Technology Platform Applicable to a Wide Range of Therapeutic Targets
Proprietary nucleic acid chemistry platform produces families of compounds with consistent biological properties and superior pharmaceutical attributes
Similar safety, ADME and dosing profiles reduces development risks and speeds time to market for follow-on compounds
Nucleic acid compounds can be designed rationally against well-established molecular targets associated with diseases
– Selectivity - to the target tissue– Specificity - to the molecular target– Safety - non-toxic to cells and tissues, ingested and excreted without breaking down
Proprietary solution phase manufacturing process scalable for commercial quantities
Spring Bank Technology Platform – Strong Competitive Advantages
Nucleoside/Nucleotide Analogs
Immune Modulators
RNAi/Antisense SB 9000
Mechanism of Action
Chain terminators –target HBV/HCV polymerase
Activate natural immune response
Complementary RNA strands bind with viral DNA/RNA
Targets viral DNA primer that initiates viral replication
Major DrawbacksViral mutation and resistance/Toxicity
Toxicity/Delivery Delivery/Toxicity N/A
Delivery Oral Injection Injection Oral
Viral mutation/resistance
Yes Not known Yes No
Combination Therapy
Limited Options Required Not known Possible
Toxicity Significant Significant SignificantNon-toxic, not metabolized by liver Cyt P450
Long Term Administration
No/Toxic No/Toxic No/Toxic Probable
Manufacturing Economical/scalable Expensive/difficultNeed to develop specialized facility
Economical/scalable
Urgent Need for New Hepatitis Therapies
HBV– 1/3 world population (2+ billion) infected– ~350 million chronically infected– 1 million deaths per year
HCV– 4 million+ chronic carriers in the US– Limited treatment options – interferon plus ribavirin– 170 million chronically infected worldwide
Hepatocellular Carcinoma (HCC)– Persistent, chronic HBV and HCV infection responsible for 95% of HCC– Most common malignant tumor worldwide – 1.2 million new cases every year – 5-year survival rate less than 5%– 15,000 US deaths/year from HCC
Major NIH initiative under way to develop new Hepatitis therapeutics
Combinations of oral antiviral therapies will likely be the future gold standard for treatment of Hepatitis
>8% High
2–7% Intermediate
<2% Low
Total CHBV: ~375MM
Annual New Inf.: 2–3MM
Annual Deaths: 1.3–1.5MM
2003
Source: World Health Organization
Chronic HBV is a Global Health Problem: 350–400 Million Infected
E. Mediterranean18.5MM
North America
1.5MM
Africa71.9MM
Latin America 8.7MM
Southeast Asia69.8MM
Western Pacific
181.1MM
Europe22.9MM
HBV– 1/3 world population (2+ billion)
infected– ~350 million chronically infected– 1 million deaths per year
HCV– 4 million+ chronic carriers in the US– Limited treatment options– 170 million chronically infected
worldwide– Progression to cirrhosis, liver cancer
Hepatocellular Carcinoma (HCC)– Chronic infection responsible for 95%
of HCC– Most common malignant tumor
worldwide – 1.2 million new cases every year – 5-year survival rate less than 5%
Major NIH initiative under way to develop new Hepatitis therapeutics
SB 9000 Target Indication: Hepatitis B
Hepatitis – – Liver is host to Hepatitis B virus, and is target organ for therapy– Disease progression leads to liver failure, hepatocellular carcinoma – Liver transplants become re-infected
Limited effectiveness of existing therapeutics – Resistance– Chain terminator mechanism of action leads to non-specific host toxicity – Competitive drugs need to be metabolized by the liver to become active,
leading to toxicity and limiting dosage
SB 9000 is an excellent anti-viral candidate– Oral bioavailability– Non-toxic– Not metabolized by the liver (CytP450) – Synergy with other classes of antivirals may allow for combination therapy with SB
9000– In vitro activity against all known resistance mutations for HBV
SB 9000 Demonstrates Anti-HBV Activity in 14 Day Transgenic Mouse Model
Initial high-dose study Dose response study
EC50 of SB 9000 is <1 mg/Kg
More potent than Adefovir
14-day daily administration IP route SB 9000 safe at 100 mg/Kg Adefovir 10 mg/Kg Quantitative PCR and Southern
blot analysis Near-complete absence of liver
HBV DNA by day 14
**P < 0.05, ***P < 0.001
SB 9000 Demonstrates Potent Suppression of Liver HBV DNA in 14 Day Transgenic Mouse Model
Southern blot analysis of liver HBV DNA following 14-day treatment
No treatment-associated toxicity with SB 9000
SB 9000 in CES
Adefovirin CES
CES (control)
SB 9000 in Saline
Saline (control)
Southern Blot Analysis of Liver HBV DNA
Treated Control
Oral SB 9000 Prodrug Shows Potent Antiviral Activity in 14-Day Transgenic Mouse Model
0
10
20
30
40
50
Liv
er
HB
V D
NA
(p
g/u
g c
ell
DN
A)
EC50 < 3mg/Kg
SB 9200 Target Indication: Hepatitis C
Hepatitis – – Liver is host to Hepatitis C viruses, and is target organ for therapy– Disease progression leads to liver failure, hepatocellular carcinoma – Liver transplants become re-infected
Limited effectiveness of existing therapeutics – Resistance– Chain terminator mechanism of action leads to non-specific host toxicity – Competitive drugs need to be metabolized by the liver to become active,
leading to toxicity and limiting dosage
SB 9200 is an excellent anti-viral candidate for HCV– Oral bioavailability– Non-toxic– Not metabolized by the liver (CytP450) – Synergy with other classes of antivirals may allow for combination therapy with
SB 9200
In Vitro and In Vivo Safety Studies of SB 9200
Has CC50 > 1000 uM in a panel of cell lines including bone marrow (HFF), kidney (MDBK), Hep G2.2.15 (liver) and PBMC
No evidence of toxicity in mice in dose-ranging studies up to 300 mg/kg/day by oral administration for 14 days
No evidence of toxicity in dose-ranging studies in rats by oral administration at 1g/kg/day for 7 days
Non mutagenic in the Ames assay at high doses
*Replicon cell line containing H/FL-Neo (genotype 1a (H77), full length construct) (Blight, et al., 2003, J. Virol. 77:3181)**Replicon cell line AVA5 (sub-genomic (CON1), genotype 1b; (Blight, et al., 2000, Science 290:1972)
EC50 and EC90 are drug concentrations which results in a 2-fold, or a 10-fold depression of intracellular HCV RNA relative to
that of the untreated controls [ Dot blot hybridization assay normalized to b-actin RNA].
SB 9200 Shows Potent Anti-HCV Activity In Vitro
Viral Genotype
Compound
1A* 1B**
EC50 EC90 EC50 EC90
micromolar micromolar
SB 9200 2.2 8 1 6
SB 9400 NA NA 0.16 NA
SB 9300 2.9 8.5 3.2 NA
Interferon (alFNB2) U/mL
1.8 8.0 2 8.5
2CMeCyt (NM 283) 1.6 6.2 NA NA
Inhibition of HCV Replication Using the Replicon Assay
SB 9200 Has Demonstrated Synergy with Several Drug Combinations in Vitro1
Drug EC50
(uM)
Ratio EC50Comb
(uM)
Comments
SB 92001.5 - 2.3
+Interferon α 2.1 3:1
1:1
1:3
0.662
0.643
0.658
Synergistic
Synergistic
Synergistic
+Ribavirin >30 1:30 2.3 Synergistic
+Ribavirin + interferon α 3:1
1:1
1:3
0.777
0.629
0.686
Synergistic
Synergistic
Synergistic
+ 2CMeCyt (NM 283) 1.4 3:1
1:1
1:3
0.522
0.494
0.462
Synergistic
Synergistic
Additive
+Vertex (telaprevir) 0.250
(CC50<80)
100:1
30:1
10:1
0.108
0.126
0.118
Synergistic
Synergistic
Synergistic
1In collaboration with Brent Korba, Georgetown University
Strategic Plan for Value Creation
Build world class management and scientific teams, establish relationships with key international opinion leaders
Advance key development programs through Phase IIa proof of concept– Phase IIa endpoint (demonstration of reduction in viral load) maximizes partnership value
Establish partnerships to generate non-dilutive capital and reduce risk– Development and commercialization partnerships– Research collaborations in autoimmune diseases and cancer– Product, discovery platform and manufacturing technology licensing
Leverage technology platform to build pipeline of new drugs for high value disease targets
Management
Douglas Jensen Co-founder & CEO
Co-founder and CEO, Origenix Technologies
VP Administration & Corporate Development, Hybridon
Sr. VP Oppenheimer & Company
R.P. (Kris) Iyer, Ph.D. Co-founder & CSO
Co-founder & VP Discovery, Origenix
Senior Scientist & Associate Director of the DiscoveryProgram and Technology Development, Hybridon
Don Mitchell, MBAVP Corporate Development, CCO
Exec Director, Corp Development, Idenix Pharmaceuticals
Director of Marketing/Strategic Planning, Amgen
Principal Consultant, PricewaterhouseCoopers
Director, Marketing/Business Development, Novartis
Academic Collaborators
Professor Brent Korba, Ph.D. Georgetown University (HBV, HCV)
Professor John Morrey, Ph.D. Utah State University (HBV)
Professor Nigel Bourne, Ph.D. University of Texas (HCV)
Professor Norman Kneteman, Ph.D. University of Alberta, KMT Hepatech
Investment Highlights
Patented nucleic acid platform technology with wide range of potential disease targets
Clinical candidates SB 9000, 9200 demonstrate excellent safety and efficacy profiles in preclinical studies
– Orally bioavailable– Non-toxic– Potential for use in combination therapy– Effective against multiple genotypes
$7 million NIH support to date validates “first-in-class” therapeutic platform and need for new approach to hepatitis
Technology evaluation in process with major pharmaceutical company
Exploring development collaborations in Asia
Seeking Series A financing to build organization and advance programs into humans