week 12 study results - glpg.comfiles.glpg.com/docs/website_1/darwin_1_w12_webcast_2015... · 2015....
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©Copyright 2015 Galapagos NV
Week 12 study results
15 April 2015
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• This document may contain certain statements, including forward-looking statements, such as statements concerning the safety and efficacy of filgotinib following the 12-week results from the DARWIN 1 and 2 trials and the expected timing and announcement of topline 24-week results from the DARWIN 1 and 2 trials and expectations regarding the commercial potential of our product candidates, all of which involve certain uncertainties and risks.
• Forward-looking statements are often, but are not always, made through the use of words or phrases such as “believes,” “anticipates,” “expects,” “intends,” “plans,” “seeks,” “estimates,” “may,” “will,” “could,” “stands to,” “continues,” “we believe,” “we intend,” as well as similar expressions. Such forward-looking statements may involve known and unknown risks, uncertainties and other factors which might cause the actual results, performance or achievements of Galapagos, or industry results, to be materially different from any historic or future results, performance or achievements expressed or implied by such forward-looking statements.
• Among the factors that may result in differences between the statements contained herein and the actual future results, performance or achievements, are the inherent uncertainties associated with competitive developments, clinical trial and product development activities, regulatory approval requirements and estimating the commercial potential of our product candidates. Given these uncertainties, you are advised not to place any undue reliance on such statements.
• All statements contained herein speak only as of the release date of this document. Galapagos expressly disclaims any obligation to update any statement in this document to reflect any change or future development with respect thereto or any change in events, conditions or circumstances on which any such statement is based, unless required by law or regulation.
• The 12-week results from the DARWIN 1 trial are based on the interim study database, reflect the then available data and respect the blinded nature of the ongoing clinical trial. The data might be subject to changes in light of the 24-week results from the DARWIN 1 trial.
Disclaimer
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1. Filgotinib: first-in-class oral in RA
2. Transformational CF therapies
4. Platform to fill pipeline
5. Strong financials & partnerships
3. Fully-owned Ph2 programs in IBD/IPF
Galapagos at a glance5 key aspects
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Filgotinib, a new mode of actionJAK1 discovered by us as target for bone & joint disease
Start Phase I trial
development
2005 2006 2007 2008 2009
PCC nomination
lead optimization
compound screening
JAK1 discovered using SilenceSelect®
2010 2011
Start PoC
PoC results
2012 2013 2014
Start Ph2A
Start Ph2B
2015
DARWIN 12w results
Deal with AbbVie
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• Oral administration
• Highly efficacious, measured as ACR50
• Rapid onset of action
• Safe & well tolerated
What are patients looking for in RA treatment?
6
• 4 JAK family members signal for cytokines and growth factors
JAK1 IFNs, IL-6, IL-2, IL-7, IL-15, IL-21, …
JAK2 IL-23, EPO, TPO, GM-CSF, GH, …
JAK3 IL-2, IL-7, IL-15, IL-21
TYK2 IL-12, IL-23
• JAK1 breaks the vicious cycle in autoimmune inflammation
Jakinibs
Multiple
cytokines
Court
esy
D
r. J
ohn J
. O
’Shea, N
IH, Beth
esd
aWhy JAK1 inhibition?
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Selectivity matters…Filgotinib is the selective JAK1 inhibitor
0
5
10
15
20
25
30
baricitinib decernotinib Xeljanz™ filgotinib
Ratio JAK1/JAK2 in human whole blood assay
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Filgotinib is a JAK1 inhibitor
• First selective inhibitor of JAK1
• Novel mode of action for treatment of RA
• Oral treatment, small molecule
• Favorable safety & efficacy profile in 4-week studies in RA
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Competitor dataACR responses at W12
active treatment
placebo
% responders
0
10
20
30
40
50
60
70
80
90
100
ACR20 ACR50 ACR70 ACR20 ACR50 ACR70 ACR20 ACR50 ACR70
adalimumab 40 mg EOWARMADA 2003
tofacitinib 5 mg bidKremer 2012
baricitinib 4 mg qdKeystone 2014
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W12analysis
primary endpoint
W24analysis
W0ScreeningDay -29 to Day -2
Placebo
25 mg bid
50 mg qd
50 mg bid
100 mg qd
100 mg bid
200 mg qd
DesignDouble-blind, MTX background
W12-24 treatment period
ONGOING
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• Primary
ACR20 response of any dose or dose regimen versus placebo at week 12
• Major secondary
ACR50, ACR70, ACR-N, DAS28(CRP), CDAI, and SDAI compared to placebo up to week 12
safety & tolerability
Objectives
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• Inclusion
diagnosis of RA since at least 6 months (2010 ACR/EULAR criteria of RA & ACR functional class I-III)
≥6 SJC (66 joint count) & ≥8 TJC (68 joint count)
screening serum CRP ≥0.7 x ULN*
MTX for ≥6 months on stable dose (15 – 25 mg/week)
• Exclusion
current therapy with any DMARD other than MTX
current or previous RA treatment with a biologic DMARD
Key eligibility criteriaComparable to other studies in moderate to severe RA patients
* ULN = 9 mg/L
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Largest Phase 2B study in RAEqual group sizes, low dropout rates
Screened N=1276
Randomized N=599
Randomized & exposed
N=594
Placebo
N=86
50 mg
N=82
100 mg
N=85
200 mg
N=86
2x25 mg
N=86
2x50 mg
N=85
2x100 mg
N=84
Not exposed N=5
Discontinuations (blinded): 6.4%
• for safety: 1.7%
• for efficacy: 0.2%
• for other: 4.7%
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Baseline characteristicsDemographics & disease
qd groups bid groups
Placebo 50 mg 100 mg 200 mg2 x
25 mg2 x
50 mg2 x
100 mg
Age, mean, years 52 53 52 55 52 55 54
Female 81% 84% 76% 86% 79% 76% 83%
Duration of RA, mean, years 8 7 8 9 9 8 10
DAS28(CRP), mean 6.0 6.1 6.1 6.2 6.1 6.1 6.1
CRP, mean, mg/L 16 28 25 27 26 25 27
TJC68, mean 25 25 25 29 25 27 26
SJC66, mean 16 17 16 17 16 18 16
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Patient distributionGeographically balanced
219
126
152
97
Latin America
West and Asia-Pacific
Central Europe
Eastern Europe
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Primary endpoint: ACR20 at W12ITT-NRI
Primary endpoint achieved
qd groups bid groups
Placebo 50 mg 100 mg 200 mg2 x
25 mg2x
50 mg2x
100 mg
ACR20 45% 56% 62% 69% 57% 59% 80%
p-value vs placebo (multiplicity-corrected)
0.17 0.11 0.01 0.17 0.17 <0.0001
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ACR responses at W12ITT-NRI
% responders
Placebo
50 mg
100 mg
200 mg
2x25 mg
2x50 mg
2x100 mg
45
56
62
69
57 59
80
15
32
3943
28
34
55
8
1620
24
1419
31
*
**
*
*
**
**
***
***
***
0
10
20
30
40
50
60
70
80
90
100
qd bid qd bid qd bid
*: p<0.05; **: p<0.01; ***: p<0.001
ACR20 ACR50 ACR70
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ACR responses at W12ITT-LOCF
% responders
Placebo
50 mg
100 mg
200 mg
2x25 mg
2x50 mg
2x100 mg
44
6064
71
58 59
80
15
32
3944
2934
56
8
16
22 24
1419
30
*
**
*
*
**
**
**
***
***
***
0
10
20
30
40
50
60
70
80
90
100
qd bid qd bid qd bid
*: p<0.05; **: p<0.01; ***: p<0.001
ACR20 ACR50 ACR70
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DAS28(CRP) ITT-LOCF
Mean change from baseline
*: p<0.05; **: p<0.01; ***: p<0.001
-3.0
-2.5
-2.0
-1.5
-1.0
-0.5
0.0
0 2 4 6 8 10 12
Week
bid vs placebo
Placebo 2x25 mg 2x50 mg 2x100 mg
***
***
***
***
***
***
***
**** **
*
-3.0
-2.5
-2.0
-1.5
-1.0
-0.5
0.0
0 2 4 6 8 10 12
Week
qd vs placebo
Placebo 50 mg 100 mg 200 mg
****
***
***
***
******
***
*
***
***
*
1 1
20
DAS28(CRP) at W12ITT-LOCF: remission rate & low disease activity
% responders
712
21 22
1518
36
7
12
1315
13 11
14
0
10
20
30
40
50
60
70
80
90
100
Placebo 50 mg 100 mg 200 mg 2x25 mg 2x50 mg 2x100 mg
Remission (%) Low disease activity (%)
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Subject Global Assessment VASITT-LOCF
Mean change from baseline
*: p<0.05; **: p<0.01; ***: p<0.001
-40.0
-35.0
-30.0
-25.0
-20.0
-15.0
-10.0
-5.0
0.0
0 2 4 6 8 10 12
Week
qd vs placebo
Placebo 50 mg 100 mg 200 mg
-40.0
-35.0
-30.0
-25.0
-20.0
-15.0
-10.0
-5.0
0.0
0 2 4 6 8 10 12
Week
bid vs placebo
Placebo 2x25 mg 2x50 mg 2x100 mg
*
*
*
*
*
*
***
*
**
****
***
***
***
*
11
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Overview of adverse events (AE)
• Low incidence of treatment-emergent AEs and SAEs, no deaths• Even distribution over dose groups, including placebo• Few serious treatment-emergent infections (0.5% - blinded)
50 mg/day 100 mg/day 200 mg/day
Placebo qd bid qd bid qd bid Total
Treatment-emergent AE 37% 41% 37% 31% 42% 44% 43% 39%
Serious treatment-emergent AE 2% 0% 1% 4% 0% 0% 2% 1%
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Hemoglobin & neutrophilsChanges from baseline at W12
0 0 50 mg/day 100 mg/day 200 mg/day
Placebo qd bid qd bid qd bid
Hemoglobin (g/L) -0.4 1.1 3.1 2.4 1.5 4.1 4.4
Neutrophils (giga/L) -0.1 -1.0 -0.6 -0.6 -0.8 -1.1 -1.6
• No discontinuations due to anemia or neutropenia• Hemoglobin increases• Normalization of neutrophils
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ALTWithin first 12 weeks of treatment
* Worst case TE CTCAE grades
Low incidence of grade 2, no grade 3-4
50 mg/day 100 mg/day 200 mg/day
Placebo qd bid qd bid qd bid Total
grade 1: ]1.0,2.5] x ULN * 4 (5%) 4 (5%) 6 (7%) 7 (8%) 6 (7%) 7 (8%) 4 (5%) 38 (6%)
grade 2: ]2.5,5.0] x ULN * blinded blinded blinded blinded blinded blinded blinded 4 (1%)
grade 3-4: > 5.0 x ULN * - - - - - - - -
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LDL vs HDL at W12
% change from baseline
-10
0
10
20
30
40
50
placebo 50 mg 100 mg 200 mg 2x25 mg 2x50 mg 2x100 mg
LDL HDL
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LipidsPercent change from baseline at W12
HDL increases with doseImproved total cholesterol/HDL ratio (atherogenic index) at 200mg/day
#REF!50 mg/day 100 mg/day 200 mg/day
Placebo qd bid qd bid qd bid
LDL -1.0% 5.8% 5.6% 5.7% 2.3% 8.0% 11.9%
HDL -0.1% 6.5% 5.7% 8.5% 9.3% 21.2% 23.1%
Total cholesterol/HDL -0.3% 1.5% 1.5% -0.5% -0.9% -6.9% -4.8%
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• Primary endpoint achieved
• All key efficacy endpoints achieved
• High ACR50 & ACR70 responses
• Fast onset within one week
• Safety profile is consistent with previous filgotinib RA studies
• Confirms rationale for JAK1
Conclusions
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• Patients
• Investigators
• Team
• AbbVie
Thank you
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DARWIN in upcoming months
• 24 week data July
• 12 week data beginning of May• 24 week data August
• 98% rollover rate from DARWIN 1&2
Add-on to MTX594 patients
Monotherapy287 patients
Long term extension
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Filgotinib: multiple Phase 2 readouts
CF program on track to deliver combination therapy
Strong balance sheet to support R&D
Fully owned programs in IBD/IPF
Proprietary target discovery to feed pipeline