Kyowa Kirin Co., Ltd. · TSE:4151
Kyowa Kirin — Investor Day (December 2020)
42 slides from Kyowa Kirin's investor day presentation, Dec 10, 2020
Slide 1: Kyowa Kirin R&D Day
Kyowa Kirin R&D Day December 10, 2020 Yoshifumi Torii, Ph.D., Executive Officer, Vice President, Head of R&D Division
Slide 2: Forward-looking statements disclaimer
This document contains certain forward‐looking statements relating to such items as the company’s (including its domestic and overseas subsidiaries) forecasts, targets and plans. These forward‐looking statements are based upon information available to the company at the present time and upon reasona
Slide 3: Agenda
Agenda Introduction Topics ✱ Projects aiming to launch products within 10‐20 years Axcelead / InveniAI ✱ Projects aiming to launch products within 10 years Drug discovery using bispecific antibody technology developed in‐house / Collaboration‐leveraged drug discovery ✱ Projects aiming to launch
Slide 4: Introduction: Challenging the creation of new value in R&D
Introduction: Challenging the creation of new value in R&D Initiatives for expanding the opportunities to create value unique to Kyowa Kirin Initiatives and innovation through internal activities + collaborations ‐ Axcelead, InveniAI, SBI Biotech ‐ Next generation antibody technology, Nucleic acid
Slide 5: Projects aiming to launch products within 10-20 years
Projects aiming to launch products within 10‐20 years © Kyowa Kirin Co., Ltd. 6
Slide 6: Development of revolutionary small molecule drug discovery technology (Axcelead)
Development of revolutionary small molecule drug discovery technology (collaboration with Axcelead) Analysis of potential Small molecule drug target drugs discovery infrastructure ・ Screening technology that imitates the ・ Leading capability in Japan pathology, and molecule design technology V
Slide 7: Promotion of data driven drug discovery (InveniAI)
Promotion of data driven drug discovery (collaboration with InveniAI) InveniAI: ‐ Possesses drug discovery technology that uses AI and machine learning and has experience working with multiple pharmaceutical companies ‐ Started collaborating with InveniAI in 2018 aimed at maximizing the value of K
Slide 8: Projects aiming to launch products within 10 years
Projects aiming to launch products within 10 years © Kyowa Kirin Co., Ltd. 9
Slide 9: Drug discovery using in-house developed bispecific antibody technology
Drug discovery using in‐house developed bispecific antibody technology © Kyowa Kirin Co., Ltd. 10
Slide 10: In-House Development of Bispecific-Antibody Technology
In‐House Development of Bispecific‐Antibody Technology Key points Apply Kyowa Kirin’s unique bispecific‐antibody technology for new therapeutic antibodies Pursue the development of “first in class” drugs by blending technology with biology Antigen A Selection of linkers derived from binding si
Slide 11: Flagship Project: Safety issues of conventional antibodies
Flagship Project Unique = Ideas Based on Bispecific‐ ‘First‐in‐Class’ Drugs That Research in Antibody Combine Efficacy and Safety Biology Technologies If targeted by conventional antibodies… Issues related to the limitations of conventional modalities Safety • Ideal efficacy, if the issue of systemi
Slide 12: Realizing Ideal Efficacy with Safety Through Bispecific-Antibody Technologies
Flagship Project Unique = Ideas Based on Bispecific‐ ‘First‐in‐Class’ Drugs That Research in Antibody Combine Efficacy and Safety Biology Technology 2000 Vehicle 1500 Realizing Ideal Efficacy with Safety 1000 Through Bispecific‐ Chemotherapy Antibody 500 Technologies Bispecific‐Antibody 0 0 10 20 30
Slide 13: Expansion of the Bispecific-Antibody Project
Expansion of the Bispecific‐Antibody Project Combinations of the targets Type I (A,B… ) x (X, Y…) A B A B X X Y Y Selection of the types (Type I, II) Type II = A B A B X X Y Y Challenges exceeding the limitations of conventional modalities © Kyowa Kirin Co., Ltd. 14
Slide 14: Collaboration-leveraged drug discovery
Collaboration‐leveraged drug discovery © Kyowa Kirin Co., Ltd. 15
Slide 15: New antibody that targets pDCs (in-licensed from SBI Biotech)
New antibody that targets pDCs (in‐licensed from SBI Biotech) In 2016 Kyowa Kirin concluded an exclusive licensing agreement with SBI Biotech Co., Ltd. covering development, manufacturing and sales worldwide for SBI‐9674, an antibody drug for autoimmune diseases * pDC : Plasmacytoid dendritic cell S
Slide 16: New antibody that targets pDCs: type 1 interferon role
New antibody that targets pDCs (in‐licensed from SBI Biotech) pDCs are known to be the main source of type 1 interferons (Type 1 IFN), which are the cause of various autoimmune diseases Type 1 IFN produced from pDCs coordinate immune functions through a variety of mechanisms (see the illustratio
Slide 17: New antibody that targets pDCs: Phase 2 SLE/CLE results
New antibody that targets pDCs (in‐licensed from SBI Biotech) At this year’s ACR (American College of Rheumatology) convergence, the results of the Phase 2 study of the developed compound that targets pDCs (Anti‐BDCA2 mAb) in patients with SLE/CLE were reported Source: ACR convergence 2020 Abstrac
Slide 18: Projects aiming to launch products within several years
Projects aiming to launch products within several years © Kyowa Kirin Co., Ltd. 19
Slide 19: ME-401
ME‐401 © Kyowa Kirin Co., Ltd. 20
Slide 20: ME-401: Results of a Phase 1b Study in B-cell Malignancies
ME‐401: Results of a Phase 1b Study in B‐cell Malignancies ASCO 2020 ClinicalTrials.gov Identifier: NCT02914938 Treatment: ME‐401 monotherapy or in combination with rituximab administered in IS Daily No therapy Daily dosing x2 cycles x1 week x3 weeks Cycles 1 and 2 Intermittent Schedule on Cycles
Slide 21: ME-401: Global Phase 2 TIDAL Study
ME‐401: Global Phase 2 TIDAL* Study in r/r Follicular Lymphoma or Marginal Zone Lymphoma ClinicalTrials.gov Identifier: NCT03768505 Subjects: Patients with r/r FL after failure of at least two systemic therapies Treatment: ME‐401 monotherapy administered on an intermittent schedule Daily No ther
Slide 22: ME-401: Japanese Phase 2 K02 Study
ME‐401: Japanese Phase 2 K02 Study in r/r Indolent B‐cell NHL ClinicalTrials.gov Identifier: NCT04533581 Subjects: Patients with r/r indolent B‐cell NHL* after failure of at least two systemic therapies Treatment: ME‐401 monotherapy administered on an intermittent schedule Daily No therapy Daily
Slide 23: KHK7791
KHK7791 © Kyowa Kirin Co., Ltd. 24
Slide 24: KHK7791 / tenapanor mechanism of action
KHK7791 / tenapanor Phosphate Tight junction Mechanism of action The primary uptake route of phosphorous is passive transport between cell membranes Tenapanor inhibits NHE3 and thereby inhibits the uptake of sodium (Na+) At the same time, the concentration of protons (H+) in the cells increase
Slide 25: Summary of the Phase 3 studies (Dose-finding, Add-on, Switching)
Summary of the Phase 2 studies (Dose‐finding, Add‐on, Switching) Serum KHK7791 or Placebo phosphorus level Objectives Dose‐finding Explain that hyperphosphatemia can be 6.0 treated with a single agent, KHK7791 Explain the validity of using KHK7791 for Washout of patients who are starting treatme
Slide 26: KHK7791: PB switching study design
KHK7791: PB switching study design ClinicalTrials.gov Identifier: NCT03831607 Open‐label, single‐arm, phosphate binder (PB) switch study for hyperphosphatemia patients on hemodialysis Screening Pre‐enrollment Enrollment Phosphate binder (PB) 92 subjects 83 subjects 67 subjects + KHK7791 Enrollment
Slide 27: KHK7791: PB switching study results
KHK7791: PB switching study results Primary endpoint Achievement ratio P value [95%CI] 30% decrease 71.6% (48/67) <0.001 [59.3, 82.0] CI confidence interval. Mean change Mean change in s‐P over time in total PB tablets over time Start of KHK7791 (mg/dL) Start of KHK7791 administration Mean cha
Slide 28: KHK7791: Dose-finding study design
KHK7791: Dose‐finding study design ClinicalTrials.gov Identifier: NCT03864458 A phase 2, randomized, double‐blind, placebo‐controlled, dose‐finding study of KHK7791 in hyperphosphatemia patients on hemodialysis 1st washout period Treatment period 2nd washout period Maximum 3 weeks 6 weeks 3 weeks
Slide 29: KHK7791: Dose-finding study results
KHK7791: Dose‐finding study results Primary endpoint KHK7791 KHK7791 KHK7791 KHK7791 Placebo 30 mg dose‐ 5 mg 10 mg 30 mg titration N=41 N=42 N=41 N=42 N=41 Mean±SD 0.6±1.6 ‐0.9±1.7 ‐1.4±1.5 ‐1.9±1.2 ‐2.0±1.1 Week 6 Median 0.4 ‐1.0 ‐1.5 ‐2.1 ‐2.0 Serum phosphorus level Difference ‐ ‐1.6 ‐2.0 ‐2.6
Slide 30: KHK7791: Add-on study design
KHK7791: Add‐on study design ClinicalTrials.gov Identifier: NCT03864445 A phase 2, randomized, double‐blind, placebo‐controlled, phosphate binder‐ combination study of KHK7791 in hyperphosphatemia patients on hemodialysis Observation period Evaluation period Maximum 3 weeks 6 weeks KHK7791 30 mg B
Slide 31: KHK7791: Add-on study results
KHK7791: Add‐on study results Primary endpoint and target achievement ratio of serum phosphorus level (3.5〜6.0 mg/dL) Placebo KHK7791 N=24 N=23 Mean±SD 0.1±1.5 ‐2.0±1.2 Median ‐0.2 ‐2.1 Week 6 Serum phosphorus level (mg/dL) Difference ‐ ‐2.1 95% Cl ‐ [‐2.9,‐1.3] p‐value ‐ <0.001 Week 6 % 37.5 87.0
Slide 32: RTA 402
RTA 402 © Kyowa Kirin Co., Ltd. 33
Slide 33: RTA 402 / Bardoxolone methyl
RTA 402 / Bardoxolone methyl Kanda H and Yamawaki K, Clinical and Experimental Nephrology 24:857–864, 2020 RTA 402 (Bardoxolone methyl) activates the Keap1‐Nrf2 pathway, which is an oxidative stress response system. © Kyowa Kirin Co., Ltd. 34
Slide 34: RTA 402: CARDINAL Phase 3 for Alport Syndrome patients
RTA 402: CARDINAL Phase 3 for Alport Syndrome patients What is Alport Syndrome? Alport Syndrome is a kidney disease caused by genetic mutations in either the type IV collagen α3, α4 or α5 chain. In Japan, Alport Syndrome is certified as designated intractable diseases and specific pediatric chronic
Slide 35: RTA 402: CARDINAL Phase 3 for Alport Syndrome patients
RTA 402: CARDINAL Phase 3 for Alport Syndrome patients ITT: Intent to treat mITT: modified‐ITT, analysis assesses the effect of receiving treatment by excluding values after patients discontinued treatment Both primary/key secondary endpoints were met. The results also show a favorable safety profil
Slide 36: RTA 402: CARDINAL Phase 3 for Alport Syndrome patients
RTA 402: CARDINAL Phase 3 for Alport Syndrome patients Effect for eGFR was observed over the study period in the RTA 402 group. Based on the current results, KKC also plans to submit a marketing approval application for the indication of Alport Syndrome in Japan. https://www.reatapharma.com/wp‐conte
Slide 37: Summary
Summary © Kyowa Kirin Co., Ltd. 38
Slide 38: Summary (1): Challenging the creation of new value in R&D
Summary (1): Challenging the creation of new value in R&D Initiatives for expanding the opportunities to create value unique to Kyowa Kirin Initiatives and innovation through internal activities + collaborations ‐ Axcelead, InveniAI, SBI Biotech ‐ Next generation antibody technology, Nucleic acid
Slide 39: Summary (2): R&D spirits
Summary (2): Challenging the creation of new value in R&D R&D spirits 技術戦略 疾患戦略 © Kyowa Kirin Co., Ltd. 40
Slide 40: Q&A Session
Q&A Session © Kyowa Kirin Co., Ltd. 41
Slide 41: Thank you.
Thank you. Kyowa Kirin Co.,Ltd.
Slide 42: Kyowa Kirin