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CTP-543 Phase 2a Topline Results in Patients with Moderate-to-Severe Alopecia Areata 4 mg and 8 mg Dosing Cohorts November 12, 2018

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Page 1: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

CTP-543 Phase 2a Topline Results in

Patients with Moderate-to-Severe

Alopecia Areata

4 mg and 8 mg Dosing Cohorts

November 12, 2018

Page 2: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Forward-Looking Statements

This presentation contains forward-looking statements within the meaning of the Private Securities Litigation

Reform Act of 1995. These forward-looking statements involve substantial risks and uncertainties. All statements,

other than statements of historical facts, contained in this presentation, including statements regarding our

strategy, future operations, future financial position, future revenue, projected costs, prospects, plans and

objectives of management and expected market growth, are forward-looking statements. The words “anticipate,”

“believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,”

“target,” “would,” and similar expressions are intended to identify forward-looking statements, although not all

forward-looking statements contain these identifying words.

We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements,

and you should not place undue reliance on our forward-looking statements. Actual results or events could differ

materially from the plans, intentions and expectations disclosed in the forward-looking statements we make as a

result of various important factors, including the factors discussed in the "Risk Factors" section of our most recent

Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission and in other filings that we

make with the Securities and Exchange Commission. The forward-looking statements contained in this

presentation reflect our current views with respect to future events, and we assume no obligation to update any

forward-looking statements except as required by applicable law.

2

Page 3: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Alopecia Areata: A Serious Medical Disease

• A devastating and poorly treated autoimmune disease

• Up to 650,000 patients affected with alopecia areata (AA) in the U.S. at any given time*

• Chronic condition affecting women, men and children of all ages

• Disease profoundly impacts patients; associated with anxiety, depression and other

autoimmune conditions

• No FDA-approved treatment options

3*Fricke M. Clinical, Cosmetic and Investigational Dermatology, 2015.

Page 4: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

CTP-543: Phase 2a Design

• Double-blind, randomized, placebo-controlled trial in adult patients with moderate-to-

severe alopecia areata

• Entry criteria of at least 50% hair loss as measured by Severity of Alopecia Tool (SALT)

• AA patients sequentially randomized to receive one of three doses of CTP-543

(4, 8 and 12 mg twice daily) or placebo for 24 weeks

• 4 and 8 mg Cohorts completed; 12 mg Cohort is currently enrolling

• Interim top line analysis for 4 and 8 mg Cohorts

• Primary Endpoint: 50% relative reduction in SALT between Week 24

and baseline

4

SALT Scoring

Page 5: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Demographics

PlaceboCTP-543

4 mgCTP-543

8 mg

Randomized Population 36 30 38

Efficacy Population 35 28 38

Age: Mean (SD) 37 (12) 36 (11) 37(14)

Males, N (%) 12 (33) 8 (27) 12 (32)

Females, N (%) 24 (67) 22 (73) 26 (68)

Race: N(%)

White 27 (75) 25 (83) 26 (68)

Black or African American 5 (14) 2 (7) 7 (18)

Asian 2 (6) 2 (7) 2 (5)

Other 2 (6) 1 (3) 3 (8)5

Page 6: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Baseline AA Characteristics

PlaceboCTP-543

4 mgCTP-543

8 mg

Episode Duration: Yr, Mean 3.6 6 3.8

SALT score, Mean (SD) 85.0 (19.4) 88.8 (16.2) 89.1 (16.4)

AA Patchy, N(%) 19 (52.8) 16 (53.3) 16 (42.1)

AA Totalis, N(%) 5 (13.9) 2 (6.7) 6 (15.8)

AA Universalis, N(%) 12 (33.3) 12 (40.0) 14 (36.8)

AA Ophiasis, N(%) 0 (0) 0 (0) 2 (5.3)

6

Page 7: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Most Common Treatment Emergent Adverse Events by Patient

7

Preferred Term PlaceboCTP-543

4 mg

CTP-543

8 mg

Headache 4 (11.1%) 5 (17.2%) 10 (26.3%)

Nausea 4 (11.1%) 4 (13.8%) 4 (10.5%)

Acne 2 (5.6%) 4 (13.8%) 4 (10.5%)

Cough 0 4 (13.8%) 1 (2.6%)

Diarrhoea 3 (8.3%) 3 (10.3%) 1 (2.6%)

Nasopharyngitis 1 (2.8%) 3 (10.3%) 3 (7.9%)

Folliculitis 0 3 (10.3%) 2 (5.3%)

Blood creatine phosphokinase

increased1 (2.8%) 3 (10.3%) 2 (5.3%)

Oropharyngeal pain 0 3 (10.3%) 1 (2.6%)

Upper respiratory tract infection 6 (16.7%) 2 (6.9%) 2 (5.3%)

• No Serious Adverse Events Reported

• Only 3 Grade 3/4 hematology events; distributed equally across placebo, 4mg, and 8mg groups

Page 8: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Primary Analysis: Responders at Week 24

8

8.6 %

21%

47%

0

10

20

30

40

50

% P

atie

nts

pe

r T

rea

tme

nt

4 mg BIDPlacebo 8 mg BID *** P < 0.001 vs PBO

± P < 0.05 vs 4 mg

Patients with ≥ 50% Change in SALT Relative to Baseline

Page 9: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Responders by Visit

9

0

10

20

30

40

50

Week 4 Week 8 Week 12 Week 16 Week 20 Week 24

% P

atie

nts

pe

r T

rea

tme

nt

Placebo 4 mg BID 8 mg BID

***

Patients with ≥ 50% Change in SALT Relative to Baseline

*** P < 0.001 vs PBO

** P < 0.01 vs PBO

* P < 0.05 vs PBO

± P < 0.05 vs 4 mg

**

21%

8.6%

47%

Page 10: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Relative Change in SALT by Visit

10

-10

0

10

20

30

40

50

Week 4 Week 8 Week 12 Week 16 Week 20 Week 24

Me

an

% R

ela

tive

Ch

an

ge

fro

m B

aselin

e

Placebo 4 mg BID 8 mg BID

***

All Treated Patients Per Cohort

*** P < 0.001 vs PBO

* P < 0.05 vs PBO

± P < 0.05 vs 4 mg

***

***

39%

14%

7%

Page 11: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

CTP-543 Phase 2a: Patient SALT Improvement

11

0

10

20

30

40

50

≥ 50% ≥ 75% ≥ 90%

% o

f P

atie

nts

pe

r T

rea

tme

nt

Relative Change in SALT from Baseline to Week 24

Placebo

4 mg BID

8 mg BID

Interim Analysis.

29%

16%

47%

21%

8.6%

14%

5.7%

*** P < 0.001 vs PBO

* P < 0.05 vs PBO

± P < 0.05 vs 4 mg

***

Page 12: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Baseline

12

Week 12 Week 24

Interim Analysis

Response Over Treatment Period

Page 13: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Response Over Treatment Period

13

Baseline Week 12 Week 24

Page 14: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

Interim Analysis

Conclusion

• The primary efficacy endpoint was met

‒ 47% of patients treated with 8 mg BID of CTP-543 achieved a ≥ 50% reduction in their overall SALT

score compared to 8.6% placebo (p < 0.001)

‒ 21% of patients treated with 4 mg BID of CTP-543 achieved a ≥ 50% reduction in their overall SALT

score compared to 8.6% placebo (ns)

‒ 8 mg BID dose group was significantly different than the 4 mg BID dose group (p < 0.05)

• Significant changes in SALT score were observed starting at 12 weeks for the 8 mg cohort

(p < 0.05)

• Treatment generally well-tolerated with no serious adverse events

• Company intends to discuss complete Phase 2a results and development plan with FDA in

2019

‒ Dosing in 12 mg Cohort ongoing

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Page 15: CTP-543 Phase 2a Topline Results in Patients with Moderate-to … · 2018. 11. 12. · CTP-543: Phase 2a Design •Double-blind, randomized, placebo-controlled trial in adult patients

NASDAQ: CNCEwww.concertpharma.com

@ConcertPharma

For additional information contact:

Justine Koenigsberg

[email protected]

Propriety and Confidential. © 2018 Concert Pharmaceuticals, Inc. All Rights Reserved.