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Capo Therapeutics, Inc.Vaccine Therapies for Debilitating Diseases of the Brain
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San Diego, CA
■ M. Flint Beal, M.D. – Dr. Beal is an internationally recognized authority on neurodegenerative disorders. He is the Chairman of the Department of Neurology and Neuroscience at Weill Medical College of Cornell University and Director of the Neurology service at the New York Presbyterian Cornell Campus. He joined the neurology faculty at Harvard in 1983 and was Professor of Neurology at the Harvard Medical School. Dr. Beal's research has focused on the mechanism of neuronal degeneration in Alzheimer's Disease, Huntington's Disease, Parkinson's Disease and amyotrophic lateral sclerosis (ALS). Dr. Beal is the author or co-author of more than 300 scientific articles and more than 125 books, book chapters and reviews and a member of many professional organizations, including the Institute of Medicine of the National Academy of Sciences.
■ Lon Schneider, M.D. - Professor of psychiatry, neurology and gerontology at USC. He directs the USC State of California Alzheimer’s Disease Center and the clinical core and pharmacology program of the USC NIH/NIA Alzheimer’s Disease Research Center. He has enormous expertise in clinical trials methods, instruments and rating scales for dementia trials, meta-analyses, and drug development. He serves on the steering committees of the NIH ADCS, the NIH ADNI, and the Alzheimer Prevention Initiative. He is internationally recognized in clinical drug development for AD, neuropsychiatric, and behavioral disorders, has led numerous clinical trials for AD and MCI therapeutics, consults with numerous development programs, participated in the design and operations of several early and later phase proprietary development programs for AD, and directed multicenter trials in AD and major depression.
SCIENTIFIC ADVISORY BOARD
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Scientific Advisory Board David Cribbs, Ph.D. - Professor in Residence, Neurology, UCI School of Medicine and Associate Director of
the MIND Institute at University of California, Irvine is an expert on age-related factors responsible for theinitiation and the progression of AD, antibody-mediated clearance of Aß, identifying risk factors associated withimmunotherapy in elderly AD patients. He has been appointed to the Department of Veterans Affairs JointBiomedical Laboratory Research and Development and Clinical Science Research and Development Services.Dr. Cribbs is longtime collaborator of Dr. Agadjanyan and he is directly involved in their AD/PD vaccine projects.
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Key Statistics for Alzheimer’s Disease (AD) Epidemiology and Statistics
By mid-century, someone in the United States will develop the disease every 33 seconds.
5.3 million Americans have this disease, 44 million worldwide Cost of AD
$226 billion in the US (2015) and $604 billion worldwide $1.2 trillion projected in 2050
Current Market $6 billion for no effective treatments Should an effective treatment become available, the valuation is astronomical Therefore, Eli Lilly, Johnson & Johnson and Roche are actively buying
companies and developing their own programs. They are spending billions.
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Valuations in the AD Market
Year Developer Licensee/Buyer/Co-Developer Deal Type Deal size
(Millions)2016 Heptares Allergan Licensing $3,3002015 Avanir Otsuka America M&A $3,4702015 Trophos Roche M&A $5412015 Neurimmune Biogen Alliance $380
2014-2015 AC Immune Janssen Pharmaceutical Co-Development $5092014 Bionomics Merck Licensing $5062014 Astra Zeneca Lilly Licensing $5002014 iPierian Bristol- Myers M&A $7252013 Rinat Pfizer Licensing $5002012 AC Immune Roche/Genentech Licensing $418
2008 Affiris GlaxoSmithKline Licensing $5502008 Medivation Pfizer Licensing $225+$500
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Valuations as a Function of Maturity
Capo Now
Capo After Investment
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Business Strategy
Capitalize on tremendous need for AD treatment Capo Therapeutics IP has some of the most promising pre-clinical data
available and is based on extensive R&D supported by the NIH IND’s are ready to be written File IND’s and begin Phase 1 trials Build to sell Help patients
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Capo’s Scientific Strategy Many ongoing clinical trials using vaccines for AD
All of these vaccines have failed and those still ongoing will fail DUE TO DIFFICULTY TO GET HIGH TITERS OF THERAPEUTIC ANTIBODIES IN HUMANS (AS OPPOSED TO MICE)
Capo IP has overcome this obstacle (competitive advantage) We have combined three key elements: Strong Multi-TEP platform, Novel
proprietary adjuvant (Advax) and Aβ immunogen Using this, we can generate titers of therapeutic antibodies 1000x higher than
competitors – including in monkeys We can use this cocktail for AD and also for Parkinson’s Disease Pre-clinical and experimental animal data rock solid. Pre-IND with FDA
suggested that FDA will not question our clinical application
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Aβ tau and/or tau/Aβ
α-synAβ &/or tau
“Targeting the Right Pathology at the Right Time” Vaccination strategy is to target appropriate pathological molecules, such as Aβ, tau, α-syn & their combinations at specific disease stages
CAPO’S TREATMENT STRATEGY
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Vaccine Sponsor B cell epitope
Carrier/vaccine platform/
adjuvant
Anti-Aβ B cells immune responses
Mice Monkeys Humans
Status**
ACC001 Pfizer/Elan/Janssen
Aβ1-7 Dithteria toxin/QS21
NR* +/- Discontinued
V950 Merck Aβ1-15 Carrier unknown+ISCOMATRIX
NR Discontinued
AD02 Affiris &GlaxoSmithKline
Aβ1-6 KLH/Alum + NR +/- Discontinued
AD03 Affiris &GlaxoSmithKline
Aβpyroglutamate
KLH/Alum NR NR NR Discontinued
CAD106 Cytos/Novartis Aβ1-6 Bacteriophage QβAlum
+++ +/- -/+ Phase 2completed
ACI-24 ACImmune/Roche/Genentech
Aβ1-16 Liposome/MPLA +++ NR NR Phase 1/2
UB311 United Biomedical Inc Aβ1-14 2 Th epitopes (UBITh Aum/CpG)
NR +++ NR Phase 2 initiated in 2015
LU AF20515
Lundbeck/OtsucaTested IMM/UCI
Aβ1-12 P30/P2 TT Thepitopes (developed
by IMM group)
+ ++ NR Phase 1
AV1959 Capo Therapeutics 3 copiesAβ1-11
MultiTEP platformAdvax/CpG for mice
DNA for monkeys
+++++ +++ not started IND Pending
MultiTEP Immunogenicity Comparison Table
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1 0 0
1 0 0 0
1 0 0 0 0
Antibody responses in Tg2576 vaccinated with AV-1959R formulated in AdvaxCpG vs LU AF20515+ Alum
(600 times stronger)
Ant
i-Aβ
antib
ody
conc
. (µg
/ml)
Tg2576 mice T5x mice
LU AF20515 AV-1959R
3µg/ml 1800µg/ml
Antibody titers in Tg2576 mice
(Davtyan et al., 2014) 11
ACI-35 AV-1980R
1:100 1:160000
Antibody titers in Tau PS19 Tg mice
Ant
i-tau
ant
ibod
y le
vel
(OD
450)
Tg4510 mice PS19 mice T5x mice
Vaccinated with AV-1980R+AdvaxCpG.
Sera was diluted 1:160000
Antibody responses in PS19 vaccinated with AV-1980R formulated in AdvaxCpG vs ACI-35+ Alum
(1600 times stronger)
0.0
0.5
1.0
1.5
2.0
12
0
1 0
2 0
3 0
4 0
5 0
AV-1959R MultiTEP-Based Epitope Vaccine Prevents Cognitive Dysfunction and Aβ-plaques in APP/Tg Mice
************
******
Esca
pe L
aten
cy, s
ec
Days of Training
The escape latency to reach the platform
Non-vaccinatedIrrelevant antigen
AV-1959R vaccinated
Wild-type
1 2 3 4 5 6 7 8 9 1 0 1 1 1 20
2 0
4 0
6 0
8 0
0
5
1 0
1 5
2 0
2 5
6E10
-pos
itive
Aβ-
load
Control AV-1959R
Num
ber o
f ThS
-pos
itive
pl
aque
s
Control AV-1959R
********
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0
1 0 0
2 0 0
3 0 0
AV-1980R MultiTEP-Based Epitope Vaccine Prevents the Development of Motor, Learning and Memory
Deficits in Tau/Tg Mice
**
Late
ncy
to fa
ll (s
econ
d)
Rota-Rod Performance Test
ACCELERATION
Non-vaccinated AdvaxCpG AV-1980R/ AdvaxCpG
Normal Tau/Tg Tau/Tg
***
0
1 0
2 0
3 0
4 0
Y-maze activity: PERCENT of TIME SPENT in the NOVEL ARM
% o
f tim
e sp
ent i
n N
ovel
Arm
Treatment Non-vaccinated AdvaxCpG AV-1980R/ AdvaxCpG
Mice Normal Tau/Tg Tau/Tg
****
Learning and Memory Motor
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MultiTEP Platform: Universal Th cell epitopes: synthetic (PADRE) or TT (P epitopes), HBV (nc and sAg) and Flu (MT)
P23 P21 P30PADRE HBsAgHBV nc MTP32 P2 P7 P17 P28
Active Component3 copies of Tau2-18
B cell epitopeAV-1980R
MultiTEP Platform
MultiTEP-based AD Epitope VaccineTargeting Tau
Targeting AβActive Component3 copies of Aβ1-11
B cell epitope
P23 P21 P30PADRE HBsAgHBV nc MTP32 P2 P7 P17 P28
AV-1959RMultiTEP Platform
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Capo’s Therapeutics Pipeline
Disease Vaccine Target epitope
Type of Vaccine(DNA or Protein)
Pre-clinical Immunogenicity &
Efficacy
Pre-clinical Safety IND
Phase I Trial
AD AV-1959D N terminus of Aβ1-11 DNA
DONE
Funded by NINDS
R01 and U44
Ongoing
Funded NIA U01
Funded
by NIA
U01
AD AV-1959R N terminus of Aβ1-11
Protein + Advax CpG
adjuvantDONE
Funded by NINDS
R01
*
ADAV-1980R
AV-1980DN terminus of Tau2-18
Protein + Advax CpG
adjuvant
DNA
DONE
Funded by NINDS
R01
*
Lead Vaccine Products
Use of funds16
Capo Therapeutics Pipeline (cont’d)Next Generation of Vaccine Products for AD/PD/DLB/FTD
Disease Vaccine Target B cell epitopeType of Vaccine
(DNA or Protein)
Pre-clinical Immunogenicity &
EfficacyPre- clinical
Safety IND
AD AV-1960CP Pyroglutamated Aβ3p-11Chemically
modified proteinIn progress
Funded by IMM * *
AD AV-1991CP Phosphorylated Tau396/404Chemically
modified proteinIn progress
Funded by IMM * *
AD AV-1992CP Acetylated TauK174Chemically
modified proteinIn progress
Funded by IMM * *
PD♯ AV-1947D a-Syn (Epitope 85-88) DNAIn progress
Funded by NIA R01
* *
PD♯ AV-1948D a-Syn (Epitope 109-126 ) DNAIn progress
Funded by NIA R01
* *
PD♯ AV-1949D a-Syn (Epitope 126-140) DNAIn progress
Funded by NIA R01
* *
PD♯AV-1950R
AV-1950Da-Syn (85-88/109-126/126-140)
Protein +Advax CpG
DNA
In progress Funded by R01 * *
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Milestones and Timing
Prepare and submit IND for AV-1959D (Q1 2017): Funding in place, toxicology studies ongoing, pre-IND meeting with FDA completed and another pre-IND FDA meeting will be scheduled after receiving safety/toxicology data (funds from NINDS U01)
Prepare and submit IND for AV-1959R (Q1-Q3 2017): Dependent on fundraising Prepare and submit IND for AV-1980R (Q3 2017): Dependent on fundraising Design Phase I clinical trial for AV-1959D, work with CRO’s to identify best partner,
begin Phase I (Q3 2017 – Q2 2018): Dependent on fundraising
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