Ab Science Sa · EURONEXT:AB
Ab Science Sa — Investor Presentation (January 2020)
39 slides from Ab Science Sa's investor presentation, January 2020
Slide 1: AB Science Corporate Presentation January 2020
AB SCIENCE CORPORATE PRESENTATION January 2020
Slide 2: Disclaimer
Disclaimer This presentation, together with the material set forth herein, does not constitute an offer of securities for sale nor the solicitation of an offer to purchase securities in any jurisdiction. Distribution of such presentation in certain jurisdiction may constitute a breach of applicable
Slide 3: Overview of AB Science
Overview of AB Science AB Science has two lead compounds. Both compounds are 100% owned by AB Science. Selective kinase inhibitor Targeting mast cells and macrophages/microglia MASITINIB Developed in neurology, oncology and inflammatory diseases Three positive Phase 3, in amyotrophic lateral
Slide 4: Management team and scientific committee
Overview of AB Science Management team and scientific committee Alain MOUSSY, MBA Co-founder and Chief Executive Officer. Laurent Guy, MBA Chief Financial Officer Christian FASSOTTE, MD Global Chief Medical Officer Shailja DIXIT, MD US Head of Medical & Regulatory Affairs Oliver HERMINE, MD, PhD Pro
Slide 5: Overview of 2019
Overview of 2019 AB Science reported important positive news event in 2019 that have contributed in the significant appreciating in share price and trading volumes. Newsflew, share price and liquidity since 2019 January 8: FDA DAILY TRADING VALUE (€) May 28: ANSM August 19: 10M€ authorization for SH
Slide 6: Upcoming milestones
Upcoming milestones Important events are expected each quarter, including 4 key milestones in Q1 2020. CURRENT STATUS NEXT NEWS EVENTS Compound Program Program/Process Enrolment Q1 2020 Q2 2020 Q3 2020 Q4 2020 Amyotrophic Lateral 1) Initiation 394 Sclerosis (ALS) confirmatory study Completed Severe
Slide 7: Interim analyses
Interim analyses On-going Phase 3 programs are de-risked based on interim analyses that passed the conditional power ≥ 80% test based on 50% of patients or events (75% of patients in Alzheimer’s disease). Interim analysis features : Tests futility and conditional power ≥80% (probability of success
Slide 8: Masitinib
MASITINIB
Slide 9: Masitinib profile
Masitinib profile Masitinib is an orally-administered selective kinase inhibitor that targets mast cells and macrophages/microglia. Masitinib targets mast cells Kinase inhibition profile of masitinib Masitinib is a potent and selective inhibitor of c-Kit, Lyn, and Fyn kinases. These kinases play
Slide 10: Indications with positive phase 2/3 results
Indications with positive phase 2/3 results Amyotrophic Lateral Sclerosis (ALS) Indolent Systemic Mastocytosis (ISM) Severe Asthma Uncontrolled by Oral Corticosteroids
Slide 11: ALS – Phase 2/3 design
ALS – Phase 2/3 design The first Phase 2/3 study (AB10015) has been completed. ❖ Double blind, placebo controlled, randomized 1:1:1, oral BID, 48w Masitinib 4.5 mg/kg/day + riluzole Masitinib 3.0 mg/kg/day + riluzole Control : Placebo + riluzole ❖ Main Inclusion Criteria Disease duration 3
Slide 12: ALS – Phase 2/3 main efficacy results
ALS – Phase 2/3 main efficacy results Masitinib (4.5 mg/kg/day) demonstrated a significant benefit in ALS patients with a baseline ALSFRS-R progression of <1.1 point/month, which was the population for primary analysis. 27% slowing of functional deterioration; P=0.0158 25% delay in disease progressi
Slide 13: ALS – Analysis of subgroup selected for Phase 3 confirmatory study
ALS – Analysis of subgroup selected for Phase 3 confirmatory study Subgroup analysis of Phase 2/3 AB10015 confirmed that patients with less severe disease at the start of treatment are those likely to benefit most from masitinib. Primary Analysis: Change from baseline to week 48 in ALSFRS-R AB10015
Slide 14: ALS – Optimization of confirmatory study design
ALS – Optimization of confirmatory study design The design of the Phase 3 confirmatory study has been optimized to increase the probability of success and has been validated by EMA through protocol assistance. DESIGN OF CONFIRMATORY PHASE 3 OPTIMIZATIONS FROM PREVIOUS PHASE 2/3 ❖ Double blind, place
Slide 15: ALS – Phase 3 confirmatory study timelines
ALS – Phase 3 confirmatory study timelines The confirmatory study is expected to be completed in Q1 2022. Status Europe Design reviewed through scientific advice plus input from registration dossier Protocol harmonization on-going across European countries Status USA Design reviewed throug
Slide 16: ISM – Clinical Development
ISM – Clinical Development The planned indication for masitinib is indolent or smouldering systemic mastocytosis, which are the most prevalent forms of mastocytosis. Disease according to WHO % Masitinib Category Characteristics Symptoms classification patients scope Cutaneous mastocytosis (CM) Prima
Slide 17: ISM – Phase 3 design
ISM – Phase 3 design The first Phase 3 study (AB06006) evaluated masitinib versus placebo in 135 patients with ISM and severe symptoms at baseline. Study Design : Blinded, placebo controlled, masitinib versus placebo, Randomization 1:1 Masitinib 6 mg/kg/day 135 patients with ISM To be ev
Slide 18: ISM – Phase 3 main efficacy results
ISM – Phase 3 main efficacy results The Phase 3 study in ISM met its primary analysis and was published in The Lancet. The primary analysis measuring 75% reduction in symptoms between baseline and 6 months time point was positive. Odds ratio Masitinib Placebo Diff. p-value (CI95%) 4H75% Primary Cu
Slide 19: ISM – Optimization of confirmatory study design
ISM – Optimization of confirmatory study design The design of the phase 3 confirmatory study benefits from the two scientific advice from EMA on the first phase 3 and from the assessment by EMA of the results of the first phase 3. DESIGN OF CONFIRMATORY PHASE 3 OPTIMIZATIONS FROM PREVIOUS PHASE 2/3
Slide 20: ISM – Phase 3 confirmatory study timelines
ISM – Phase 3 confirmatory study timelines The confirmatory study is expected to be completed in early 2022. Status Europe Design reviewed through 2 scientific discussions plus input from registration dossier Protocol approved in France (ANSM) and other European countries Status USA Design
Slide 21: ISM – Masitinib positioning
ISM – Masitinib positioning Masitinib is the most advanced compound in ISM and its safety profile is suitable for lifelong treatment. Mariana Castells (Brigham and Women’s Hospital Mastocytosis Center in Boston) “Masitinib has a benefit and toxicity profile which sets it apart from other current t
Slide 22: Asthma - Phase 2/3 study design
Asthma - Phase 2/3 study design Study AB07015 evaluated masitinib 6.0 mg/kg/day in patients with severe asthma uncontrolled by oral corticosteroids. ❖ Double blind, placebo controlled, randomized 2:1 ❖ Main Inclusion Criteria Oral corticosteroids (OCS) dose ≥ 7.5 mg daily for at least 3 months pri
Slide 23: Asthma - Phase 2/3 study disposition of patients
Asthma - Phase 2/3 study disposition of patients The Primary analysis was pre-specified in the claim 1 (severe asthma population). A sequential analysis was pre-specified for the claim 2 (severe asthma and high eosinophils). ITT and FAS populations were analyzed for sensitivity. ITT population N=419
Slide 24: Asthma - Phase 2/3 study efficacy
Asthma - Phase 2/3 study efficacy The pre-specified primary analysis in the severe asthma population demonstrated a statistically significant reduction in severe asthma exacerbations. The sensitivity analyses were also statistically significant, indicating that the results are consistent and robust.
Slide 25: Asthma - Phase 2/3 study efficacy
Asthma - Phase 2/3 study efficacy There was a center effect, with greater efficacy in the EU countries (-51% reduction in severe asthma exacerbations, p=0.0038). AB07015 - Severe Exacerbation Rate – Sensitivity analyses in EU countries - Claim 1 (Severe Asthma) Average Exposure Yearly Exacerbation (
Slide 26: Asthma - Phase 2/3 study efficacy
Asthma - Phase 2/3 study efficacy The pre-specified analysis in the severe asthma with high eosinophils (≥150K/uL) population (claim 2) also demonstrated a statistically significant reduction in severe asthma exacerbations. AB07015 - Severe Exacerbation Rate – Claim 2 (Severe Asthma with high eosino
Slide 27: Asthma - Phase 2/3 study safety
Asthma - Phase 2/3 study safety The study demonstrated an acceptable safety profile for the targeted population. AB07015 - Overall Summary of Adverse Events (AEs) - Safety Population Masitinib Placebo (N = 271) (N = 133) n (%) n (%) At least one AE 226 ( 83.4) 109 ( 82.0) At least one serious AE (no
Slide 28: Asthma - Positioning
Asthma - Positioning Masitinib demonstrated efficacy in a difficult-to-treat population and can be complementary to biologics strategies. Lavinia Davidescu (University of Oradea) “Masitinib generated positive results with a favorable safety profile” Pascal Chanez (Marseille University ) “The cli
Slide 29: Asthma - Positioning
Asthma - Positioning Masitinib has several strategic positioning opportunities in severe asthma that are complementary to biologics strategies. Eosinophil Options Masitinib Positioning Count (cells/μL) In single agent >300 After biologics Severe asthma insufficiently controlled by biologics in combi
Slide 30: Indications with phase 2/3 results in Q1 2020
Indications with phase 2/3 results in Q1 2020 Multiple sclerosis (primary and secondary progressive) Alzheimer’s disease
Slide 31: PP&SP MS
PP&SP MS In multiple sclerosis, the high medical need is in primary progressive (PPMS) and non- active secondary progressive forms (non-active SPMS), with one drug registered in PPMS and no drug registered in non-active SPMS. Label First Manufacturer Non-active Active PPMS RRMS approved SPMS* SPMS**
Slide 32: PP&SP MS – Phase 2/3 design
PP&SP MS – Phase 2/3 design The Phase 2/3 study (AB07002) evaluation masitinib in PPMS and non-active SPMS, and read out is expected early 2020. ❖ Double blind, placebo controlled Masitinib 4.5 mg/kg/day vs. placebo (randomization 2:1) Masitinib titration up to 6.0 mg/kg/day vs. placebo (randomi
Slide 33: AD – Phase 2a main efficacy results
AD – Phase 2a main efficacy results In a proof-of-concept study, masitinib activity on cognitive functions (ADAS-Cog) was established. Efficacy results in mild-to-moderate Alzheimer's disease (Phase II ; n=34 patients) ADAS-Cog Masitinib Placebo ADAS-ADL Masitinib Placebo -6 12 worsening - improveme
Slide 34: AD – Phase 2/3 design
AD – Phase 2/3 design The Phase 2/3 study (AB09004) read-out is expected in Q1 2020. ❖ Double blind, placebo controlled Masitinib 4.5 mg/kg/day vs. placebo (randomization 1:1) Masitinib titration up to 6.0 mg/kg/day vs. placebo (randomization 2:1) ❖ Main Inclusion Criteria Dementia of Alzheime
Slide 35: IP status, Potential and competitive landscape
IP status Potential and competitive landscape
Slide 36: Masitinib - Intellectual Property
Masitinib - Intellectual Property Masitinib IP rights are secured until 2037 in ALS and and between 2031 and 2036 in other indications. Protection Item Duration of protection Status Patent on composition of matter has been filed and Patent on composition of matter delivered. It will be further ext
Slide 37: Masitinib potential and competitive landscape
Masitinib potential and competitive landscape Masitinib is targeting large, relatively uncompetitive markets, except in asthma. Number of patients targeted by masitinib Registered masitinib competitors Indication (US treatment price in $) Europe USA • No approved drug as an add-on to Alzheimer Disea
Slide 38: List of masitinib publications and key press releases (1/2)
List of masitinib publications and key press releases (1/2) Masitinib clinical program resulted in many publications. Program Data Publications / Press release • Publication : Trias et al, 2018 : Mast cells and neutrophils mediate peripheral motor pathway degeneration in ALS • Publication : Trias et
Slide 39: List of masitinib publications and key press releases (2/2)
List of masitinib publications and key press releases (2/2) Masitinib clinical program resulted in many publications. Program Data Publications & Press release Prostate • Press release, June 2018 : IDMC recommendation to continue the masitinib phase 3 study based on interim Phase 3 Cancer analysis •