Cue Biopharma, Inc. · NASDAQ:CUE
Cue Biopharma — Oppenheimer 31st Annual Healthcare Conference 2021
26 slides from Cue Biopharma's conference presentation, Mar 18, 2021
Slide 1: Corporate Presentation: Immune Responses, On Cue
Corporate Presentation Immune Responses, On Cue™ Nasdaq: CUE Oppenheimer 31st Annual Healthcare Conference, March 18, 2021
Slide 2: Forward-Looking Statements Disclaimer
Forward-Looking Statements Disclaimer This presentation has been prepared by Cue Biopharma, Inc. (“we,” “us,” “our,” “Cue” or the “Company”) and is made for informational purposes only and does not constitute an offer to sell or a solicitation of an offer to buy securities, nor shall there be any sa
Slide 3: Rationally Engineered Biologics to Harness Nature's Cues for Selective and Specific Immune Modulation
Rationally Engineered Biologics to Harness Nature’s Cues for Selective and Specific Immune Modulation
Slide 4: Restoring Immune Balance
Restoring Immune Balance 4 © 2021 CUE BIOPHARMA
Slide 5: Immuno-STAT: Emulating Nature's Cues to Selectively Modulate T Cells
Immuno-STAT: Emulating Nature’s Cues to Selectively Modulate T Cells Immune Synapse Immuno-STAT Platform Modularity Framework T Cell Peptide Antigen Signal 1 Signal 2 Peptide epitopes to target Selectivity/ Induction/ different diseases Specificity Control Co-Stim/Co-Reg Antigen- Distinct biological
Slide 6: CUE-101: Designed to Selectively Prime and Expand HPV-Specific T Cells
CUE-101: Designed to Selectively Prime and Expand HPV-Specific T Cells CUE-101 Immuno-STAT Design Clinical Rationale Signal 1: • HPV is recognized as a growing driver of HLA-A*02:01 + HPV-16 E711-20 peptide head and neck cancer in the US; despite treatment with current standards of care, >50% of pat
Slide 7: CUE-101: Phase 1 Clinical Development Network
CUE-101: Phase 1 Clinical Development Network Cue Biopharma has engaged a network of nationally recognized clinical investigators and 14 Phase 1 sites are now open • Emory Winship Cancer Institute | Nabil Saba • Karmanos Cancer Institute | Elizabeth Heath and Ammar Sukari • MD Anderson Cancer Center
Slide 8: Ongoing Monotherapy First-In-Human Phase 1 Trial
CUE-101: Ongoing Monotherapy First-In-Human Phase 1 Trial Indication: HPV+ Recurrent or metastatic head and neck cancer with confirmed progressive disease Heavily pretreated: Refractory or resistant to 1st line platinum-based chemotherapy and/or CPIs Part A: Monotherapy Dose Escalation Part B: Monot
Slide 9: CUE-101: Cohort 4 Case Study – 3rd line Systemic Treatment
CUE-101: Cohort 4 Case Study – 3rd line Systemic Treatment Treatment Timeline Outcome Robotic transoral resection First 1 Curative intent tongue base intervention 2 Adjuvant RT 1 mo Curative intent Carboplatin + fluorouracil + Duration: 6.0 weeks 3 cetuximab for advanced, 1 yr, 1 mo Best Response =
Slide 10: Cohort 4 Case Study – PK, PD, Response
CUE-101: Cohort 4 Case Study – PK, PD, Response Pharmacokinetics: Pharmacodynamics: One target lesion at baseline: Dose proportional Increase in peripheral Diameter: 58 mm blood E7-specific T cells No change for 20 wks 104 Cohort 1 >7-fold increase 0.25 Cohort 2 [CUE-101] (ng/mL) [% of total CD8+ T
Slide 11: Cohort 4 Case Study – Necrosis and a T Cell Infiltrate
CUE-101: Cohort 4 Case Study – Necrosis and a T Cell Infiltrate Cohort 4 (1 mg/kg) patient was on therapy for over 18 weeks Hematoxylin and eosin stain Immunostaining (cell nuclei = blue; extracellular matrix and cytoplasm = (cell nuclei = blue; CD8+ T cells = rose; pink) PD-LI = brown) 11 © 2021 CU
Slide 12: Cohort 3 Case Study – PK, Response
CUE-101: Cohort 5 Case Study – PK, Response Pharmacokinetics: Three target lesions at baseline: Dose proportional 1) Tumor mass: 11 mm Sum of Diameters 2) Lymph node No.1: 15 mm (SOD) = 50 mm 105 5 10 2.0 mg/kg1 Cohort 3) Lymph node No. 2: 24 mm 1.0 mg/kg2 Cohort [CUE-101] (ng/mL) 104 4 [CUE-101] (n
Slide 13: CUE-101: Induced Changes in NK Cells and Tregs in Cohorts 1-7
CUE-101: Induced Changes in NK Cells and Tregs in Cohorts 1 - 7 Cohorts 1 and 2 Cohort 3 Cohort 4 80 80 80 Cohorts 1 and 2 Cohort 3 Cohort 4 NK cells and Tregs NK cells and Tregs NK cells and Tregs [% of CD45+ cells] [% of CD45+ cells] [% of CD45+ cells] 60 60 60 40 40 40 20 20 20 0 0 0 C1D1 C1D8 C1
Slide 14: Ongoing Pembrolizumab Combination Study
CUE-101: Ongoing Pembrolizumab Combination Study ClinicalTrials.gov: Part C: Pembrolizumab Combination Dose Escalation Part D: Combination NCT03978689 Expansion at RP2D Eligibility: Initiated February 2021 Dose • HPV+ Head and neck cancer Pembrolizumab • Recurrent or metastatic (R/M) Cohort 3 CUE-10
Slide 15: Preclinical Studies Support Pembrolizumab Combination
CUE-101: Preclinical Studies Support Pembrolizumab Combination Tumor growth inhibition by mCUE-101 is greatly enhanced Expansion of functional HPV E7 antigen-specific CD8+ T cells in the tumor and in combination with αPD1 blockade periphery by mCUE-101 is greatly enhanced in combination with αPD1 bl
Slide 16: CUE-101, CUE-100 Series and Derivatives
CUE-101, CUE-100 Series and Derivatives PRE-CLINICAL PHASE 1 PROTEIN DESIGN TARGET SELECTION PHASE 2 IND-ENABLING (A)/(B) Immuno- oncology CUE-101 CUE-102 Pipeline HPV Asia Rights: KRAS WT1 CUE-101 CUE-102 G12V IL-2 CUE-103 (TBD) Empty Variant Viral T cell epitope Immuno-STATs Neo-STATs Clinical dev
Slide 17: CUE-100 Neo-STAT: Addresses Tumor Heterogeneity
CUE-100 Neo-STAT: Addresses Tumor Heterogeneity Top View Note empty 25 MHC clefts % of CMV-specific CD8+ CMV CUE-100 Series IST Neo-STAT CMV Neo-STAT scaffold T cells manufactured MART-1 Neo-STAT in bulk Peptide antigen of interest % of MART-1-specific CD8+ MART-1 CUE-100 Series IST CMV MART-1 Neo-S
Slide 18: RDI-STATs: Novel Bi-specifics Re-directing Viral-Specific T Cells to Tumor Cells
RDI-STATs: Novel Bi-specifics Re-directing Viral-Specific T Cells to Tumor Cells Bi-specific RDI-STAT Viral T Cell Epitope (e.g., CMV) TIL Anti-Viral T cell IL-2v HLA-A02 KILLING IgG Fc • Harnesses a pre-existing and robust viral T cell repertoire present in high frequency Tumor • Superior specifici
Slide 19: Approaches to Modulate Autoreactive T Cell Responses
Approaches to Modulate Autoreactive T Cell Responses T Cell Mediated Autoimmune Diseases Antigen-Specific Approach Pathway-Specific Approach AIM: Deploy class I/II Immuno-STATs to AIM: Engineered key signals to restore modulate autoreactive T cells and/or immune balance through generation of generat
Slide 20: CUE-401: Immune Balance Restoration via Induced Tregs (iTregs)
CUE-401: Immune Balance Restoration via Induced Tregs (iTregs) Advantages for iTregs vs. nTregs CUE-401 • Numbers: nTregs are limited in numbers vs iTregs, which can be generated from the broader CD4+ T cell repertoire IL-2 Variant • Diversity: TCR specificity of nTregs is pre-determined and (same a
Slide 21: CUE-401: Induction of FoxP3+ iTregs
CUE-401: Induction of FoxP3+ iTregs Healthy donors Foxp3 CD4 T cells] All80assays performed in 80 [% of Foxp3+ CD4+ T cells] presence of TCR donor 1 iTreg induction + recombinant donor 2 60 iTreg induction activation via CD3/CD28 + 60 + CUE-401 [% of Foxp3 CD4+ T cells] 80 cytokines donor 3 stimulat
Slide 22: CUE-401: Suppression of T Cell Responses by iTregs Induced by CUE-401
CUE-401: Suppression of T Cell Responses by iTregs Induced by CUE-401 iTreg suppression of polyclonal T cell proliferation 100 % Suppression 80 60 PSM-induced iTregs CUE-401-induced iTregs 40 non-iTreg ctrl CD4+ T cells 20 0 3:1 1:1 1:2 iTreg: Tresponder Ratio Average of 3 donors % suppression compa
Slide 23: CUE-101 Experience: Potential for Broad Opportunities in IO and AI
CUE-101 Experience: Potential for Broad Opportunities in IO and AI Immuno-STAT Pipeline Im Bi-specific RDI-STATs Pipeline m un gy (addresses tumor-escape mechanisms) o-o ol o nc - onc olo no WT1 gy m u Im Viral T cell epitope KRASG12V AI HPV & Infl Tumor-targeting scFv l ogy am nco ma - o tion uno C
Slide 24: Cue Biopharma Drug Product Candidate Pipeline
Cue Biopharma Drug Product Candidate Pipeline TARGET SELECTION PRE-CLINICAL PHASE 1 LATE CLINICAL PARTNER CUE-101 Monotherapy 2L+ (HPV) CUE-101 + Keytruda 1L (HPV) Cancer: CUE-101 Neoadjuvant (HPV) Asia Rights: CUE-100 series CUE-101 and derivatives CUE-102 (WT1) CUE-102 IL-2 CUE-103 CUE-103* KRAS G
Slide 25: Key 2021 Anticipated Milestones: Risk Reduction and Value Creation
Key 2021 Anticipated Milestones: Risk Reduction and Value Creation 1 2 3 4 Select CUE-101 Report initial results Initiate CUE-101 Continue CUE-102 monotherapy of CUE-101 + neoadjuvant study IND-enabling recommended pembrolizumab to enable studies with IND Phase 2 dose Phase 1 intratumor PD filing in
Slide 26: Thank you
Thank you Immune Responses, On Cue™ Nasdaq: CUE | March 18, 2021
Cue Biopharma — Oppenheimer 31st Annual Healthcare Conference 2021 on 6ix