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1 ASX:IMU B Cell Vaccines for Immunotherapy Leslie Chong Chief Opera9ng Officer 11 January 2016

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Page 1: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

1  

ASX:IMU  

B Cell Vaccines for Immunotherapy

 

Leslie  Chong  Chief  Opera9ng  Officer  11  January  2016  

Page 2: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Notice: Forward Looking Statements

Any   forward   looking   statements   in   this   presenta9on  have  been  prepared  on  the   basis   of   a   number   of   assump9ons   which   may   prove   incorrect   and   the  current   inten9ons,   plans,   expecta9ons   and   beliefs   about   future   events   are  subject   to   risks,   uncertain9es   and   other   factors,  many   of   which   are   outside  Imugene  Limited’s  control.  Important  factors  that  could  cause  actual  results  to  differ  materially  from  any  assump9ons  or  expecta9ons  expressed  or  implied  in  this  brochure   include  known  and  unknown   risks.  As  actual   results  may  differ  materially   to  any  assump9ons  made   in   this  brochure,   you  are  urged   to   view  any  forward  looking  statements  contained  in  this  brochure  with  cau9on.  This  presenta9on   should   not   be   relied   on   as   a   recommenda9on   or   forecast   by  Imugene  Limited,  and  should  not  be  construed  as  either  an  offer   to  sell  or  a  solicita9on  of  an  offer  to  buy  or  sell  shares  in  any  jurisdic9on.    

 

Page 3: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Why Imugene is Unique

Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy

…but B Cell vaccines are an open frontier for immunotherapy

T Cell vaccines have been exhaustively researched…

Page 4: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Who is Imugene?

•  Leading  immunotherapy  company,  working  on  B  Cell  pep9de  vaccine  technology  developed  at  Medical  University  of  Vienna,  Austria  

•  Headquartered  in  Australia,  publicly  traded  on  Australian  Securi9es  Exchange  (ASX:IMU)  

•  Lead  product,  HER-­‐Vaxx,  is  a  HER2  vaccine  with  Phase  1  in  breast  cancer  completed  

•  HER-­‐Vaxx  moves  to  Phase  1b/2  in  HER2+  gastric  cancer  in  2016  

•  Exci9ng  mimotope  pla^orm  in  development  at  Medical  University  of  Vienna  

•  Seasoned  management  team  led  by  Execu9ve  Chairman  Paul  Hopper  

•  Market  capitalisa9on  (1/5/2016)  only  US$16.1m  (A$22.5m)    One  of  the  world’s  best  value  immunotherapy  stocks  

Page 5: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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B Cell Peptide Vaccine Immunotherapy

•  Imugene  is  one  of  the  few  biotech  companies  globally  working  on  B  Cell  pep9de  vaccines  for  immunotherapy  

•  Our  colleagues  at  Medical  University  of  Vienna  (MUW)  have  created  a  HER2  B  Cell  pep9de  vaccine,  HER-­‐Vaxx,  capable  of  genera9ng  a  robust  an9-­‐cancer  polyclonal  an9body  response  

•  Imugene  and  MUW’s  work  on  B  Cell  pep9de  vaccines  is  focused  on  discovering  the  poten9al  to  improve  performance  and  cost  effec9veness  of  monoclonal  an9bodies  

•  In  the  Era  of  Immuno-­‐Oncology,  B  Cell  pep9de  vaccines  has  a  poten9al  to  play  an  important  role  

•  We  believe  we  have  the  management  team  to  posi9on  B  Cell  pep9de  vaccines  as  a  clinically  relevant  immunotherapy  

Page 6: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

6      

Why B Cell Vaccines?

•  No  HLA  restric9on  •  Poten9al  for  higher  affinity  and  specificity  polyclonal  an9bodies  than  monoclonals,  depending  on  epitope  conforma9on  

•  Poten9al  for  addi9onal  and  superior  an9tumor  effects  through  targe9ng  different  biologically  relevant  regions  for  the  cancer  in  ques9on  

•  ADCC  (An9body  dependent  cell  mediated  cytotoxicity)  and  CDC  (complement  dependent  cytotoxicity)  as  per  monoclonals,  but  at  much  lower  cost  

•  T  Help  can  come  from  vaccine  formula9on    

•  Genera9on  of  immune  memory  

•  Poten9ally  less  toxicity  •  Combining  several  B-­‐cell  epitopes  into  a  single  an9gen  is  synergis9c  and  results  in  a  stronger  immune  response  

B  Cell  

An9body  

Page 7: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Why Our B Cell Peptide Vaccines?

•  Target-specific antibodies with potent anti-tumor activity

•  Reduction in Treg cells post-vaccination

•  Induction of cytokines (Th1 biased, IFN-γ production)

•  Induction of memory T & B cells

•  Single peptide •  CRM197 carrier system

easier to make

•  Significantly higher antibody titre in vivo

•  Allows most antigenic epitopes to be identified

Epitope discovery technologies  

2010 - First generation vaccine performed very

well in the clinic

2016 - Third generation vaccine goes to clinic

Page 8: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Why Imugene?

•  Compelling  science  both  for  HER-­‐Vaxx  and  mimotopes  

•  Leadership  –  Experienced  management  led  by  Execu9ve  Chairman  Paul  Hopper  (Polynoma,  Viraly9cs);  the  board  owns  6%    

•  Validated  target  for  first  product  –  HER-­‐Vaxx  targets  same  receptor  as  Roche's  ~$8bn  Hercep9n  and  Perjeta  franchise  

•  Phase  1  completed  –  An9-­‐HER2  an9body  responses,  T  helper  cytokines,  Treg  cells  suppressed,  therapy  safe  

•  Robust  IP  –  Exclusivity  for  HER-­‐Vaxx  un9l  at  least  2030  on  granted  US  and  EU  patents  -­‐  further  patent  life  extensions  to  2036  and  beyond  underway  

•  News  flow  –  Numerous  milestone  announcements  and  valua9on  inflec9on  points  over  next  12-­‐24  months    

Page 9: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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ASX:IMU  

B Cell Peptide Vaccines in the Era of ���Immuno-Oncology

   

Page 10: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Imugene  is  an  immunotherapy  company  developing      B-­‐cell  based  vaccines  in  the  most  promising  area  of  oncology  today  –  IMMUNO-­‐ONCOLOGY  

   

Imugene Operates in The Most���Promising Area of Oncology Today…

Page 11: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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2010   2011   2012   2015  2013   2014   2016   2017   2018   2019   2020   2021   2022  

*Ci9group  research  note  

The Immunotherapy Breakthroughs of the Last Five Years are Helping to Shape our Market Opportunity

Genera9on  2  

MPDL3280A  

Pembrolizumab    

(checkpoint  modulator)  

(Cell  Therapy)  

   

Sipuleucel-­‐T  

   

Ipilimumab  /  CTLA-­‐4  

Genera9on  3  

CAR-­‐T  

Genera9on  1  

Mul9ple  Therapies    under  Development  

     

 Blinotumumab  

   

Nivolumab  

Genera9on  1  and  2  predicted  to  generate  

sales  of  $36bn  by  2025*    

MEDI  4736  

Approved                Under  Inves9ga9on  

Page 12: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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ASX:IMU  

HER-Vaxx – a Potential Breakthrough ���B Cell Peptide Vaccine

   

Page 13: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

13  *  $USD  Source:  Roche  H1  Report  hqp://www.roche.com/hy15e.pdf  p12  

HER-Vaxx Attacks the same Cancer Receptor the World’s Largest Cancer Franchise

Binding  site  of  

Binding  site  of  

Tumor  cell  

HER-­‐2    Receptor  

P4  

P6  

P7  

HER-­‐Vaxx:  x3  polyclonal  responses  

Franchise  sales  annualising  at  nearly  $8bn  growing  13%*  

P4  

P6  

P7  

HER–Vaxx:  3  pep9des  

Monoclonal  response  

Page 14: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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HER-Vaxx is a Differentiated Product

•  HER-­‐Vaxx  is  a  universal  vaccine  &  can  be  used  for  all  pa9ent  types  irrespec9ve  of  their  “HLA  haplotypes”,  an  issue  which  impacts  T  cell  vaccines  

•  HER-­‐Vaxx  generates  polyclonal  responses  that  may  be  superior  to  treatment  with  a  monoclonal  an9body  like  Hercep9n  

•  Toxicity  of  HER-­‐Vaxx  is  negligible  •  HER-­‐Vaxx  induces  IFNγ  produc9on  that  can  influence  the  tumour  micro  environment  and  suppresses  T  Reg  cells  which  are  enhanced  in  cancer  pa9ents  &  which  assist  tumor  evasion  mechanisms  –  thereby  the  efficacy  of  the  HER-­‐Vaxx  might  be  enhanced  

•  Poten9al  as  an  adjuvant  therapy  i.e.,  post  surgery  •  HER-­‐Vaxx  is  ac9ve  immunisa9on  and  induces  immunological  memory  –  Hercep9n  is  passive  immunisa9on,  and  its  effec9veness  depends  upon  frequent  applica9ons    

Page 15: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

15    *  Wiedermann  et.  al.,  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.  

Phase 1a in Breast Cancer, Conducted at Medical ���University of Vienna, Demonstrated Immunogenicity*

•  n=10  •  All  metasta9c  breast  cancer  pa9ents  

•  HER-­‐2  +/++  •  Life  expectancy  >    4  months  

•  Conducted  at  Medical  University    of  Vienna  

❶  Safety  and  Tolerability  

❷  Immunogenicity:  an9bodies/humoral  and  cellular  responses  

 

Clinical  Endpoints  

Design  •  Pa9ents  developed  an9-­‐HER-­‐2  Abs  

•  Induc9on  of  cytokines  (Th1  biased;  IFNγ)  

•  Induc9on  of  memory  T  &  B  cells  post  vaccina9on  

•  Reduc9on  in  T  reg  cells  post  vaccina9on,  indica9ng  strong  vaccine  response    

•  An9bodies  induced  displayed  potent  an9-­‐tumor  ac9vity  

•  Promising  results  -­‐  Pa9ents  were  end  stage  and  not  primary  target  group  

Results  

Page 16: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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HER-Vaxx Has Been Considerably Optimised ���Since Phase 1a

First  Genera9on    

•  (used  in  Phase  1a)  was  three  separate  B  Cell  epitopes  delivered  in  virosomes  

Third  Genera9on    •  changed  the  delivery  system  from  virosomes  to  CRM197  (which  gave  CD4  T-­‐Help  response),  and  added  an  adjuvant  

•  >10x  increase  in  an9body  response  in  vivo  (poten9ally  extends  patent  life  to  2036)  

Second  Genera9on    •  incorporated  the  three  B  Cell  epitopes  into  a  single  49-­‐mer  pep9de  

•  >  2x  increase  in  an9body  response  in  vivo  compared  to  three  single  epitopes  (extended  patent  life  to  2030)  

Page 17: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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*    Data  adjusted  for  comparison;  original  data  generated  for  P467-­‐30ug  CRM197  generated  with  1/20th  of  the  concentra9on  of  comparable  virosome  formula9on.  Adjustment  may  be  subject  to  varia9on  

 NOTE:  Actual  an9body  levels  vary  depending  on  number  of  immunisa9ons,  dose  used  and  characteris9cs  of  an9bodies  under  observa9on.    

HER-Vaxx 3G Registers Markedly Increased Antibody Titres

 -­‐        

 2,000    

 4,000    

 6,000    

 8,000    

 10,000    

 12,000    

 14,000    

 16,000    

Virosomes   P467-­‐30ug  virosomes   Adj  P467-­‐30ug  CRM197*  

       

Very  significant  increase  seen  a]er  x4  immunisa9ons  

OD  of  An9

-­‐P467  An

9bod

y  Titres  In

 Mice  A]

er  4  

Immun

isa9

ons    for  H

ER-­‐Vaxx  Form

ula9

ons  

Page 18: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Phase 1b/2, Starting 2016 Under an IND, in HER2+ Gastric Cancer

•  Open  label  •  15  pa9ents,  x3  groups  of    

5  pa9ents  

•  Combina9on  with  chemo  

•  Endpoints:  –  RP2D  (Recommended  Phase  2  

Dose)  of  HER-­‐Vaxx  –  Safety:  any  HER-­‐Vaxx  toxicity  –  Immunogenicity  (an9-­‐HER-­‐2  

an9body  9tres)  –  Test  booster  schedule    

(q  4  weeks  or  8  weeks)    

Phase  1b  lead-­‐in     Phase  2  

•  Open  label  •  ~68  pa9ents  from  sites  in  Asia  

•  Combina9on  with  chemo  

•  Randomized  

•  Primary  Endpoints:  –  Overall  Survival  –  Progression-­‐Free  Survival  

•  Secondary  endpoint:  –  Immune  response  

Page 19: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Phase 1b/2 Trial Design���Gastric Cancer  

Design   Phase  1b/2  IND  Submission   Q1,  2016  

Final  Protocol     Q1,  2016  

N   Phase  1b  =15;  Phase  2  =  68  

#  Sites   18-­‐20  

Enrollment  Dura9on   36  months:  Phase  1b=12  months;  Phase  2  =  24  months  

FPI   Q2,  2016  

End  Points   PFS,  OS  and  Immune  response  

Vendors     Central  Lab    

Phase  1b     Phase  2    

R  A  N  D  OM  I  Z  E  Cohort  1   5  

Cohort  2   5  

Cohort  3   5  

Advanced  Adenocarcinoma  of  the  Stomach  

n=68  

No  crossover  treatment    interim  PFS  analysis  

Con9nuous  Immune  response  monitoring    1:1  

SOC:    Cispla9n  +  5FU  or  Capcitabine  

Her-­‐Vaxx  +  Cispla9n  +  5FU  or  Capcitabine  

Treat  un9l  PD  

Follow  for  OS  RP2D  

Page 20: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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ASX:IMU  

Mimotopes – Delivering on the Promise of B Cell Peptide Vaccines

Page 21: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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With our mimotopes technology, we can reverse-engineer monoclonal antibodies

•  Our  colleagues  at  Medical  University  of  Vienna  have  developed  cu}ng  edge  proprietary  techniques  to  select  pep9des  that  would  mimic  monoclonal  an9bodies  

•  Imugene  has  acquired  an  op9on  to  develop  mimotope  vaccines  with  MUW.  

•  We  believe  mimotopes  will  be  part  of  the  next  wave  of  the  Immuno-­‐oncology  Revolu9on  

•  In  conjunc9on  with  the  MUW  team  we  are  now  selec9ng  novel  vaccine  candidates  against  a  variety  of  cancer  targets  

•  This  greatly  extends  the  Imugene’s  oncology  franchise  and  pipeline    

   

Page 22: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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ASX:IMU  

The Imugene value proposition���

Page 23: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Compelling science and���commercial opportunity

HER-­‐Vaxx  

•  Strong  an9body  response  •  T  Regs  down  •  Tumor  growth  inhibi9on  in  vivo  

•  Induc9on  of  cytokines,  inc.  IFNγ  •  Induc9on  of  memory  T  &  B  cells  post  vaccina9on  

•  IP  life  out  to  2030  and  beyond  •  Exis9ng  HER2  franchise  now  US$8bn  and  growing  

Mimotopes  

•  Various  proprietary  technologies  allows    suitable  B  cell  epitopes  to  be  iden9fied  

•  Monoclonal  an9body  market  now  >US$60bn  pa  

Page 24: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

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Leslie  Chong  –  Chief  OperaEng  Officer  •  Appointment  as  COO  in  August  2015  •  Previously  Senior  Clinical  Program  Lead  at  Genentech,  Inc.,  in  San  Francisco    

Paul  Hopper  –  ExecuEve  Chairman  •  Interna9onal  &  ASX  biotech  capital  markets  experience  par9cularly  in  immuno-­‐oncology  &  vaccines  •  Head  of  Life  Sciences  Desk  &  Australia  Desk  at  Los  Angeles-­‐based  investment  bank,  Cappello  Group  •  Director  Prescient  Therapeu9cs,  Chairman  Viraly9cs,  former  Director  pSivida,  Somnomed  &  Fibrocell  Science  

Dr  Axel  Hoos  –  Non-­‐ExecuEve  Director  •  Currently  Vice  President  Oncology  R&D  at  GlaxoSmithKline  •  Previously  Clinical  Lead  on  Ipilumimab  at  Bristol-­‐Myers  Squibb  •  Co-­‐Director  of  the  think-­‐tank  Cancer  Immunotherapy  Consor9um;  Imugene  is  his  only  Board  seat  worldwide  

Dr  Nick  Ede  –  Head  of  Manufacturing  •  Former  CTO  Consegna,  CEO  Adistem  Ltd,  CEO  Mimotopes  P/L,  COO  EQiTX  Ltd  (ZingoTX  &  VacTX)  •  VP  Chemistry  Chiron  (now  Novar9s),  Research  Fellow  CRC  Vaccine  Technology  

Leadership – ���Extensive Drug Development Experience

Prof  Ursula  Wiedermann  –  Chief  ScienEfic  Officer  •  Co-­‐inventor  of  technology  •  Prof  of  Vaccinology  at  Medical  University  of  Vienna  

Page 25: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

25  

0  

50  

100  

150  

200  

250  

Attractive Valuation

Median  US$66m  

US$m  m

arket  cap

 as  a

t  5  Ja

n.  2016  

Imugene  US$13m  

Page 26: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

26        

Our Stock Has Stabilised���Since Mid-2015

•  Company  spent  2014  and  2015  preparing  second  and  third  genera9on  HER-­‐Vaxx  

HOWEVER  

•  We  are  now  going  to  the  clinic  in  2016  

•  We  expect  strong  news  flow  

•  There  is  poten9al  for  strong  progress  with  our  mimotopes  program  

30  

50  

70  

90  

110  

130  

150  

170  

190  

210  

Oct-­‐13  

Nov-­‐13  

Dec-­‐13

 

Jan-­‐14  

Feb-­‐14  

Mar-­‐14  

Apr-­‐14  

May-­‐14  

Jun-­‐14  

Jul-­‐1

4  

Aug-­‐14  

Sep-­‐14  

Oct-­‐14  

Nov-­‐14  

Dec-­‐14

 

Jan-­‐15  

Feb-­‐15  

Mar-­‐15  

Apr-­‐15  

May-­‐15  

Jun-­‐15  

Jul-­‐1

5  

Aug-­‐15  

Sep-­‐15  

Oct-­‐15  

Nov-­‐15  

Dec-­‐15

 

23  Octob

er  2013  =    =  100  

Imugene  (USD)   Nasdaq  Biotechnology  Index  

Page 27: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

27  

Strong News Flow

US  FDA  IND  allowed  1H  2016  

Appoint  Principal  Inves9gator  1H  2016  

Announce  preclinical  toxicology  results  (WIL)  2H  2015  

Announce  preclinical  immunologic  results  (Charles  River)  1H  2016  

Recruit  and  run  lead  in  Phase  1b  trial  1H  2016  

Recruit  and  run  randomized  controlled  Phase  2  trial  2H  2017  

Report  Phase  1b  trial  results  late  1H  2017  

Report  Phase  2  results    2H    2019  

Her-­‐Vaxx  GMP  clinical  batch  complete  2H  2015  

Iden9fica9on  of  1st    mimotope  1H  2016  

Preclinical  in  vivo,  in  vitro  results  for  mimotope  2H  2016  

IND  enabling  GLP,  Safety,  Tox  results  of  mimotope  1H  2017  

US  FDA  IND  allowed  for  mimotope  1H  2017  

Recruit  for  Phase  1b  mimotope  trial  1H  2017  

Four  mimotopes  Iden9fied  1H,  2016  

Report  on  dose  escala9on  progress  and  status  of  Ph1b  2H  2016  

Report  Progress  and  dose  selec9on  on  Phase  1b  1H  2017  

mimotope  Her-­‐Vaxx  

Page 28: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

28  

ASX:IMU  

B Cell Vaccine Immunotherapy

   

@TeamImugene

imugene.com

Page 29: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

29  

Op9ons  on  issue  (as  at  Jan.  2016)   Substan9al  holders  as  at  Jan.  2016  

ASX:IMU,  ISIN:  AU000000IMU9  

*  Average  

Our Stock

No  of  op9ons  

Exercise  Price   Expiry  

Listed  (IMUO)   371,177,356   $0.015   31-­‐Mar-­‐17  

Unlisted   109,000,000   $0.0173*   30-­‐Oct-­‐17*  

TOTAL   480,177,356   $0.0155*   18-­‐May-­‐17*  

Market  Cap  (1/52016)   $22.5M  AUD,  $16.5M  USD  

Ordinary  Shares   1.73  billion  

12  month  price  range   0.8  cents  –  1.7  cents  AUD  

Avg  daily  volume   2.28M  shares  (last  three  months)  

Public  Equity  Invested  to  date   $9.00M  

Cash  &  Equivalents   $4.3M  (as  at  Sep  ‘16,  include  3.0M  raise)  

No.  of  Shares   %  Capital  

Oqo  Buqula   107,000,000   6.2  

Tom  Henderson   89,666,666   5.2  

Paul  Hopper   71,196,875   4.1  

Page 30: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

30  

Thank you

 Leslie Chong  Chief Operating Officer  [email protected]

 +61 458 040 433

 Stuart Roberts  Head of Corporate Development  [email protected]

 +61 447 247 909

 Paul Hopper  Executive Chairman  [email protected]

 +61 406 671 515

Page 31: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

31  

ASX:IMU  

Appendix – HER-Vaxx Phase 1 Results���

   

Wiedermann et. al., Breast Cancer Res Treat. 2010 Feb;119(3):673-83.

Page 32: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

32  *  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Study Design*

Pa9ent  inclusion  criteria  •  Metasta9c  breast  cancer  •  HER2  +,  ++  •  ER/PR  pos.  •  Life  expectance  >  4  mo  

Primary  endpoint    •  Safety  &  Tolerability  Secondary  endpoint  •  Immunogenicity  

–  Specific  an9bodies    –  Cellular  responses  

Administra9on  &  Readout  Schedule  

Blood  draw  Vaccina9on  with  10μg  of  each  pep9de  an9gen  

D0   D28   D56   D84  

Page 33: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

33  *  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Patient Characteristics – Aged 55-84 *

Pa9ent  ID   Age   Metas.  disease  since   Prior  chemotherapy   Current  an9hormonal  therapy  

1   55   Oct.  2006   no   Anastrozol  

2   66   May  2004   yes  (1  adj)   Fulvestrant  

3   84   Mar.  1999   no   Anastrozol  

4   79   Sept.  2003   no   Anastrozol  

5   67   Apr.  2004   no   Fulvestrant  

6   69   Sept.  2004   no   Anastrozol  

7   60   Aug.  2002   yes  (3  met)   Fulvestrant  

8   76   Apr.  1999   no   Fulvestrant  

9   63   Jun.  2006   yes  (1  met)   Exemestan  

10   70   Apr.  2008   No   Anastrozol  

Page 34: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

34  *  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Safety and Tolerability - Few Grade 1 Local Reactions, None Systemic*

Pa9ent  ID   Local  vaccina9on  reac9on  grade   Systemic  grade  3/4  toxicity  

1   1   no  

2   0   no  

3   0   no  

4   1   no  

5   1   no  

6   0   no  

7   0   no  

8   0   no  

9   1   no    

10   0   no  

Page 35: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

35  

c.

29

Phase I - Secondary Endpoint: Immunologic Responses

kappa IgG lambda IgG0

1

2

3

Her

-2/n

eu a

b tit

er in

crea

se

pre- post- pre- post- pre- post-0

1020304050607080

P4 P6 P7

pept

ide

ab ti

ter

pre- post-0

100200300400500600700800

IFN

- γγ γγ p

g/m

l

pre- post-0

100200300400500600700800

TNF-αα αα

pg/

ml

pre- post-0

20

40

60

80

100

120

140

IL-2

pg/

ml

P<0.05

185 kDa

1 2 3 4

Cellular responses show Th1 profile

• 8/10 developed significant anti-peptide antibody levels• In all but one the antibodies were also directed against Her-2/neu • The majority also showed a 4-fold increase in influenza titers (HHT)16

*  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Phase 1 Secondary Endpoint – Immunologic Responses

•  8/10  developed  significant  an9-­‐pep9de  an9body  levels  •  In  all  but  one  the  an9bodies  were  also  directed  against  Her-­‐2/neu  •  The  majority  also  showed  a  4-­‐fold  increase  in  influenza  9tres  (HI)  

c.

29

Phase I - Secondary Endpoint: Immunologic Responses

kappa IgG lambda IgG0

1

2

3

Her

-2/n

eu a

b tit

er in

crea

se

pre- post- pre- post- pre- post-0

1020304050607080

P4 P6 P7

pept

ide

ab ti

ter

pre- post-0

100200300400500600700800

IFN

- γγ γγ p

g/m

l

pre- post-0

100200300400500600700800

TNF-αα αα

pg/

ml

pre- post-0

20

40

60

80

100

120

140

IL-2

pg/

ml

P<0.05

185 kDa

1 2 3 4

Cellular responses show Th1 profile

• 8/10 developed significant anti-peptide antibody levels• In all but one the antibodies were also directed against Her-2/neu • The majority also showed a 4-fold increase in influenza titers (HHT)16

c.

29

Phase I - Secondary Endpoint: Immunologic Responses

kappa IgG lambda IgG0

1

2

3

Her

-2/n

eu a

b tit

er in

crea

se

pre- post- pre- post- pre- post-0

1020304050607080

P4 P6 P7

pept

ide

ab ti

ter

pre- post-0

100200300400500600700800

IFN

- γγ γγ p

g/m

l

pre- post-0

100200300400500600700800

TNF-αα αα

pg/

ml

pre- post-0

20

40

60

80

100

120

140

IL-2

pg/

ml

P<0.05

185 kDa

1 2 3 4

Cellular responses show Th1 profile

• 8/10 developed significant anti-peptide antibody levels• In all but one the antibodies were also directed against Her-2/neu • The majority also showed a 4-fold increase in influenza titers (HHT)16

Cellular  responses  show  Th2  profile  

c.

29

Phase I - Secondary Endpoint: Immunologic Responses

kappa IgG lambda IgG0

1

2

3

Her

-2/n

eu a

b tit

er in

crea

se

pre- post- pre- post- pre- post-0

1020304050607080

P4 P6 P7

pept

ide

ab ti

ter

pre- post-0

100200300400500600700800

IFN

- γγ γγ p

g/m

l

pre- post-0

100200300400500600700800

TNF-αα αα

pg/

ml

pre- post-0

20

40

60

80

100

120

140

IL-2

pg/

ml

P<0.05

185 kDa

1 2 3 4

Cellular responses show Th1 profile

• 8/10 developed significant anti-peptide antibody levels• In all but one the antibodies were also directed against Her-2/neu • The majority also showed a 4-fold increase in influenza titers (HHT)16

Page 36: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

36  *  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Reduction in Regulatory T Cells*

•  Significantly  higher  number  of  CD4+Foxp3+  regulatory  T  cells  in  tumour  pa9ents  than  healthy  controls  

•  Vaccina9on  significantly  reduced  T  reg  cells  in  both  groups  

c.

30

• Significantly higher number of CD4+Foxp3+ regulatory T cells in tumor patients than healthy controls

• Vaccination significantly reduced T reg cells in both groups

pre- post- pre- post-0.0

2.5

5.0

7.5

10.0

patients normal donors

p=0.007

p=0.033

%C

D4+

CD

25+F

oxp3

+

Phase I - Regulatory T cells:Cancer Patients vs.Healthy Controls

0.94 2.1288.74 8.20

100 101 102 103 104

post-vaccinationpre-vaccination

CD4+CD25+

100 101 102 103 104

2.29 6.2164.26 27.24

0.77 2.5187.16 9.56

Pat 01

Pat 02

Normal donor

100 101 102 103 104

1.31 4.3673.22 21.10

100 101 102 103 104

0.86 7.58 65.78 25.79

Data.026

100 101 102 103 104CD25 PE

1.06 8.32 60.84 29.78

CD

4+Fo

xp3+

c.

30

• Significantly higher number of CD4+Foxp3+ regulatory T cells in tumor patients than healthy controls

• Vaccination significantly reduced T reg cells in both groups

pre- post- pre- post-0.0

2.5

5.0

7.5

10.0

patients normal donors

p=0.007

p=0.033%

CD4+

CD25

+Fox

p3+

Phase I - Regulatory T cells:Cancer Patients vs.Healthy Controls

0.94 2.1288.74 8.20

100 101 102 103 104

post-vaccinationpre-vaccination

CD4+CD25+

100 101 102 103 104

2.29 6.2164.26 27.24

0.77 2.5187.16 9.56

Pat 01

Pat 02

Normal donor

100 101 102 103 104

1.31 4.3673.22 21.10

100 101 102 103 104

0.86 7.58 65.78 25.79

Data.026

100 101 102 103 104CD25 PE

1.06 8.32 60.84 29.78

CD4+

Foxp

3+CD

4+Foxp3+  

CD4+CD25+  

Page 37: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

37  

Excellent Immunogenicity, even at low dose, and in Patients aged up to 84 years, with no Cardiotoxicity

•  Strong  immunogenicity  in  8/10  pa9ents  in  Phase  1  study  with  10  μg  of  pep9de  an9gen  

•  Good  correla9on  with  cellular  responses  (cytokines)  

•  Safe  and  well  tolerated,  in  par9cular  no  cardiotoxicity  

•  Protec9ve  efficacy  of  pep9des  demonstrated  in  preclinical  tumor  model  in  mice  showing  delay  of  onset  and  reduced  tumor  growth  

*  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Pat.  #   Pep9de-­‐specific  ab  P4,  P6,  P7  

HER2-­‐  specific  

ab  

Infl.  HIT  

IL-­‐2,  IFNγ,  TNF  

T  reg  

1   ↑    ↑    ↑          ↑    -­‐   -­‐      -­‐      -­‐   ↓  

2   ↑    ↑    ↑    ↑    ↑   ↑    ↑    ↑     ↓  

3   ↑    ↑    ↑    ↑  (+/-­‐)    -­‐   ↑    -­‐      -­‐   ↓  

4   ↑    ↑    ↑    ↑    ↑   -­‐      ↑    ↑   ↓  

5   ↑    ↑    ↑    ↑    ↑   ↑    ↑    ↑   ↓  

6   -­‐      -­‐      -­‐    -­‐    -­‐   ↓    ↓    ↓   ↓  

7   ↑    ↑    ↑    ↑    ↑   -­‐      -­‐      -­‐   ↓  

8   ↑    ↑    ↑   ↑  (+/-­‐)    ↑   ↑    ↑    -­‐   ↑  

9   ↑    +/-­‐    +/-­‐    ↑    ↑   ↑    ↑  ↑   ↓  

10   -­‐      -­‐      -­‐    -­‐    -­‐   +/-­‐    ↓  +/-­‐   ↓  

HER-­‐Vaxx  breast  cancer  vaccine  –  Phase  1  trial  10  μg  group  

An9body  and  cellular  responses  in  human  

Page 38: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

38  

Tumor Growth Inhibition in vivo*

•  Prolonged  9me  to  disease  progression  

•  Immuniza9on  of  c-­‐neu  transgenic  mice  (recognized  HER2  cancer  model)  with  tetanus  toxoid-­‐conjugated  pep9des  P4,  P6  and  P7  

•  Vaccinated  animals  show  significant  delay  in  tumor  onset  and  reduced  growth  kine9cs  

•  Co-­‐administra9on  of  IL-­‐12  further  improves  the  vaccine  performance  

*  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Days  a�er  randomiza9on  

Preclinical  study  with  tetanus  toxoid–conjugated  pep9de  an9gens  

d  170   d  235  d  65  

Time  to  disease  progression  

Cumula9

ve  propo

r9on

 tumor-­‐free  

Page 39: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

39  

No toxicity, in particular no cardiotoxicity

•  Repeat  dose  toxicity  study  with  TT-­‐conjugated  pep9des  in  mice  

•  Repeat  dose  toxicity  study  with  HER-­‐Vaxx  in  rats  

•  Local  tolerability  &  immuno-­‐genicity  study  with  HER-­‐Vaxx  in  rabbits  

•  In  vitro  toxicity  study  with  purified  serum  from  immunized  animals  on  rat  cardiomyocytes  

*  Breast  Cancer  Res  Treat.  2010  Feb;119(3):673-­‐83.    

Rat  cardiomyocytes  

In  vitro  toxicity  study  on  rat  cardiomyocytes  

Page 40: B Cell Vaccines for Immunotherapy - Imugene Why Imugene is Unique! Imugene (ASX: IMU) leading in B Cell vaccines for immunotherapy …but B Cell vaccines are an open frontier for immunotherapy

40  

ASX:IMU  

B Cell Vaccine Immunotherapy

   

@TeamImugene

imugene.com Leslie Chong Chief Operating Officer [email protected]

+61 458 040 433