UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
CURRENT REPORT
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Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
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Item 7.01 Regulation FD Disclosure.
On December 7, 2021, Aclaris Therapeutics, Inc. (the “Company”) will host a virtual R&D Day. A webcast of the R&D Day will be available through the Events page of the Investors section of the Company’s website. The R&D Day will include a slide presentation. A copy of this slide presentation is furnished herewith as Exhibit 99.1 to this Current Report on Form 8-K.
In accordance with General Instruction B.2. of Form 8-K, the information in this Item 7.01 and Exhibit 99.1 hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference in any of the Company’s filings under the Securities Act of 1933, as amended, or the Exchange Act, whether made before or after the date hereof, regardless of any incorporation language in such a filing, except as expressly set forth by specific reference in such a filing.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
Exhibit |
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Number | Exhibit Description | |
99.1 | ||
104 | The cover page from Aclaris Therapeutics, Inc.’s Form 8-K filed on December 7, 2021, formatted in Inline XBRL. |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
ACLARIS THERAPEUTICS, INC. | ||
By: | /s/ Frank Ruffo | |
Date: December 7, 2021 | Frank Ruffo | |
Chief Financial Officer |
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Exhibit 99.1
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0589 06/21) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Aclaris Therapeutics Virtual R&D Day The Productivity of the Platform December 7, 2021 EMPOWERING PATIENTS THROUGH KINOME INNOVATION |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Any statements contained in this presentation that do not describe historical facts may constitute forward-looking statements as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements may be identified by words such as “believe,” “expect,” “may,” “plan,” “potential,” “will,” and similar expressions, and are based on Aclaris' current beliefs and expectations. These forward-looking statements include expectations regarding Aclaris’ development of its drug candidates, including the timing of its clinical trials and regulatory submissions. These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements. Risks and uncertainties that may cause actual results to differ materially include uncertainties inherent in the conduct of clinical trials, Aclaris' reliance on third parties over which it may not always have full control, the uncertainty regarding the COVID-19 pandemic including its impact on the timing of Aclaris’ regulatory and research and development activities, and other risks and uncertainties that are described in the Risk Factors section of Aclaris’ Annual Report on Form 10-K for the year ended December 31, 2020 and other filings Aclaris makes with the U.S. Securities and Exchange Commission from time to time. These documents are available under the “SEC Filings" page of the “Investors” section of Aclaris' website at http://www.aclaristx.com. Any forward-looking statements speak only as of the date of this presentation and are based on information available to Aclaris as of the date of this presentation, and Aclaris assumes no obligation to, and does not intend to, update any forward-looking statements, whether as a result of new information, future events or otherwise This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and other data about our industry. These data involve a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk. Cautionary Note Regarding Forward-Looking Statements 2 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Introduction ✓ Portfolio Overview • MK2 Inhibitor Program ✓ Clinical Update on Zunsemetinib (ATI-450), an Investigational MK2 Inhibitor ✓ Role of MK2 in IL-17 Biology ✓ ATI-2231: An Investigational MK2 Inhibitor for Oncology • ATI-2138, an Investigational ITK/TXK/JAK3 Inhibitor • Oral Gut-Biased JAK Inhibitors for Inflammatory Bowel Disease • Closing Remarks and Q&A Session Agenda & Presenters 3 •Co-founded Aclaris in 2012 •Board-certified dermatologist •Serial entrepreneur with over 20 years of experience in the life sciences industry Neal Walker Co-founder, President & CEO, Director •Former Executive Director, Pfizer Inflammation Research and Leader of Global Kinase Technology Team •>95 publications and patents (>30 total on kinases) Joseph Monahan, PhD Chief Scientific Officer •Immunologist/drug discovery leader at pharma (Pfizer & biotech) •Validated JAK 1/3 as target for transplant/RA/psoriasis, leading to approval of XELJANZ® Paul Changelian, PhD VP, Biology |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 4 Portfolio Overview |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) LEADERSHIP Founded and Led by Physicians and Scientists • World class ex-Pfizer (kinase) and ex-GSK (immunology) leadership • Kinome experts skilled at developing kinase targeted medicines Biopharmaceutical Company Focused on the Kinome: People + Platform + Pipeline KINect® PLATFORM Proprietary Kinase Discovery Engine • Versatile platform • Fully integrated discovery and development team • Advancing small molecule drug candidates designed to parallel or exceed efficacy of high-value biologics INNOVATIVE PORTFOLIO INNOVATIVE PIPELINE (investigational drug candidates) Zunsemetinib (ATI-450) - MK2i • Oral anti-TNFα, anti-IL1, anti- IL6 ATI-1777 - Topical “Soft” JAK1/3i • Tissue specific therapy for the potential treatment of moderate to severe atopic dermatitis (AD) ATI-2138 - ITK/TXK/JAK3i • Oral dual inhibitor of T-cell and cytokine receptors 5 Development of Small Molecule Therapeutics for Immuno-inflammatory Diseases KINect® is a registered trademark of Aclaris Therapeutics, Inc. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Drug Development Pipeline Drug Candidate / Program Target Route of Administration Indication Development Phase Immuno-Inflammatory Diseases Zunsemetinib (ATI-450) MK2 inhibitor Oral Rheumatoid arthritis (moderate to severe) Phase 2 Hidradenitis suppurativa (moderate to severe) Phase 2* Psoriatic arthritis (moderate to severe) Phase 2* ATI-1777 “Soft” JAK 1/3 inhibitor Topical Atopic dermatitis (moderate to severe) Phase 2 ATI-2138 ITK/TXK/JAK3 inhibitor Oral Psoriasis IND Allowed Gut-Biased Program JAK inhibitor Oral Inflammatory bowel disease Discovery Oncology ATI-2231 MK2 inhibitor Oral Metastatic breast cancer Preclinical Pancreatic cancer * We plan to progress these indications directly into Phase 2 6 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 7 MK2 Inhibitor Program: ▪ Clinical Update on Zunsemetinib (ATI-450), an Investigational MK2 Inhibitor |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) ATI-450-RA-202: Adult methotrexate inadequate responders Zunsemetinib (ATI-450) Clinical Studies (1) 8 Moderate to Severe Rheumatoid Arthritis Placebo BID + MTX (n=65) 20mg BID + MTX (n=65) 50mg BID + MTX (n=65) 1° endpoint 12 weeks Follow up 4 weeks Primary Endpoint • ACR 20 responders Secondary Endpoints Include: • ACR 50, 70 • DAS-28 change/remission • CDAI • Safety • PK + PD 1° endpoint 12 weeks Follow up 4 weeks Primary Endpoint • Change inflammatory nodule/abscess count Secondary Endpoints Include: • HiSCR, IHS4, Hurley • Pain, DLQI • Safety • PK + PD ATI-450-HS-201: Adults with inflammatory abscess and/or nodule (AN) count of ≥5 Mo derate to Severe Hidradenitis Suppurativa Placebo BID (n=35) 50mg BID (n=35) |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) ATI-450-PsA-202: Adults with moderate to severe Psoriatic Arthritis Zunsemetinib (ATI-450) Clinical Studies (2) 9 Moderate to Severe Psoriatic Arthritis Placebo BID + SOC (n=35) 50mg BID + SOC (n=35) 1° endpoint 12 weeks Follow up 4 weeks Primary Endpoint • ACR 20 responders Secondary Endpoints Include: • ACR 50, 70 • Psoriasis IGA, PASI75 • Dactylitis, Enthesitis • Safety • PK + PD |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 10 KINect® Drug Discovery Platform |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) KINect® Platform Developing Kinase Drug Candidates Rapidly & Efficiently Proprietary Portfolio • MK2 Inhibitors • JAK Inhibitors • ITK Inhibitors Strategic Partnerships • Research • Licensing • Commercial ASSET GENERATION KINect® Platform – LEAD GENERATION TARGET SELECTION & VALIDATION >300 Cysteine Kinases Explore 500+ Kinases Select Cysteine Kinases w/Published Crystal Structures Assess Target Confidence • Disease • Genetics • Safety • Distribution Proprietary Chemical Library SchrödingerTM Enabled Drug Design Custom Kinase and Immune Assays MODELING DESIGN SYNTHESIS ANALYSIS 11 Multiple Approaches: Design approach specific to each kinase Faster Path: Decrease time to Lead Optimization by half or more Proprietary Library: High affinity/selective drug scaffolds KINect® is a registered trademark of Aclaris Therapeutics, Inc. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 12 MK2 Inhibitor Program: ▪ Role of MK2 in IL-17 Biology |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 13 TLR4: LPS-Stimulated HWB % Control (LPS - Stim) TLR7/8: R848-Stimulated HWB % Control (R848 - Stim) ATI-450 (mM) 100ng/ml LPS ATI-450 0 1hr 4hr Cytokines quantified by MSD IL-1R: IL-1b-Stimulated HWB 0.5ug/ml R848 ATI-450 0 1hr 5hr Cytokines quantified by MSD 10ng/ml IL-1b ATI-450 0 1hr 5hr Cytokines quantified by MSD HWB = Human Whole Blood Data on file Zunsemetinib (ATI-450) Inhibited Proinflammatory Cytokine Production in Human Whole Blood % Control (IL - 1 b - Stim) Zunsemetinib Inhibited Key Inflammatory Cytokines Induced by Multiple Disease Relevant Stimuli in HWB |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Understand the role of zunsemetinib in TH17 biology ✓Preclinical cellular studies executed to understand the role of MK2 and zunsemetinib in IL-17 production and signal transduction1 • If zunsemetinib regulates TH17 biology, it would provide: ✓additional mechanistic rationale for current indications: RA, HS, PsA ✓additional indications could be considered including ankylosing spondylitis • Approach: assess impact of zunsemetinib on: ✓IL-17 production in CD4+ T cells ✓IL-17 stimulated protein phosphorylation and cytokine production Does Zunsemetinib Have a Role in IL-17 Biology? 14 RA = rheumatoid arthritis; HS = hidradenitis suppurativa; PsA = psoriatic arthirtis 1. Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Impact of Zunsemetinib on IL-17 Production in Preclinical Human Cellular Studies 15 • hPBMC treated with antiCD3/28 for 72 hr • Intracellular IL-17A and IL-2 measured in CD4+ cells by fluorescence activated cell sorting (FACS) Log [ATI-450] (nM) Log [ATI-450] (nM) IC50=32.1+/-10.7 Zunsemetinib showed dose-dependent inhibition of IL-17A production with no effect on IL-2 production in preclinical human cellular studies hPMBC = human peripheral blood mononuclear cells Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) IL-17 Signal Transduction: Is MK2 Involved? 16 MK2 Adapted from Amatya N, et al. Trends Immunol. 2017 May;38(5):310-322. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Zunsemetinib Inhibited IL-17 Activation of the MK2 Pathway in Preclinical Human Cellular Studies 17 hDF cells: pHSP27 • Stimulation of hRASF (not shown) and hDF with IL-17A, TNFa, or a combination, induced HSP27 phosphorylation • hPBMC stimulation with IL-17A, TNFa, or a combination, induced GROa production hPBMC: GROa Production Zunsemetinib concentration-dependently blocked both pHSP27 and GROa with low nanomolar IC50’s in preclinical human cellular studies [ATI450] nM 0.1 1 10 100 1000 10000 pHSP27 (MFI) 0 500 1000 1500 2000 IL17A (IC50 = 1.7nM) TNFa (IC50 = 2.3nM) IL17A + TNFa (IC50 = 2.5nM) IL-17A IC50=5.1nM TNFa IC50=13nM IL-17A+TNFa IC50=28nM hRASF = human RA synovial fibroblasts; hDF = human dermal fibroblasts Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Zunsemetinib Inhibited IL-17 Induced IL-8 in a Cell Dependent Manner in Preclinical Human Cellular Studies 18 hRASF cells: IL-8 hPBMC: IL-8 • IL-17A, TNFa, and IL-17A/TNFa stimulated IL-8 production in hPBMC and hRASF (shown above) and hDF (not shown) • IL-17F activity also modulated by zunsemetinib (not shown) Zunsemetinib inhibited IL-8 production induced by all stimulation conditions across the three cells types in preclinical human cellular studies Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 19 MK2 Inhibitor Program: ▪ ATI-2231: an MK2 Inhibitor for Oncology (Investigational Drug Candidate) |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Designed for decreased metabolism and clearance • Preclinical biochemical/biological potency comparable to zunsemetinib • Planned IND submission for oncology by end of 2022 ATI-2231: a Novel MK2 Inhibitor 20 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • ATI-2231 showed lower clearance and higher AUC in rats compared to zunsemetinib (ATI-450) • Potential for differential dosing levels and intervals ATI-2231: Potential for Differentiated PK Relative to Zunsemetinib Rat Model 21 0 5 10 15 1 10 100 1000 Rat PO 2 mpk Time (h) P l a s m a C o n c e n t r a t i o n ( n g / m L ) ATI-450 2 mpk PO CDD-2231 2 mpk PO ~EC50 murine LPS induced TNFa Data on file. ATI- |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) ATI-2231: MK2 Inhibition and Target Selectivity Assay ATI-2231 (IC50, nM) Zunsemetinib (IC50, nM) p38/MK2 4.9 (1.3*) 15.6 (1.5*) * Geometric standard deviation Inhibitor p38/PRAK p38 MK2 ATI-2231 1040x 51x >4000x Zunsemetinib 750x 51x >550x Selectivity Ratios Relative to p38/MK2 Complex Inhibition Enzyme Potency of ATI-2231 for the p38/MK2 Complex 22 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) ATI-2231: Cytokine Inhibition from Human Whole Blood Stimuli IC50 (nM) from Stimulated Human Whole Blood (HWB) TNFa IL-1b IL-6 IL-8 HWB + LPS 19 +/- 3 21 +/- 4 218 +/- 95 11 +/- 3 HWB + IL-1b 21 +/- 4 NA 16 +/- 9 19 +/- 5 LPS Induced TNF a (% Control) [ATI-2231] nM ATI-2231 Inhibition of pHSP27 [ATI2231] nM 0.1 1 10 100 1000 10000 pHSP27 (MFI, % lowest conc) 0 20 40 60 80 100 All data Parameter Value Std. Error Max 97.9918 2.1609 IC 50 6.7753 0.6064 Slope 1.0852 0.0905 Min -0.5290 1.2403 IC50 = 6.8nM IC50 = 19nM 23 ATI-2231 Inhibition of TNFa Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) ATI-2231: Activity in Murine Collagen-Induced Arthritis 24 • Left: Clinical Arthritis Score: collagen injections on days 1 and 21, dosing begins on day 18 • Right: Blood levels of ATI-2231 evaluated on the last day of the study Mouse CIA ATI-2231 Clinical Score • Dose-dependent activity observed with ATI-2231 • ATI-2231 superior to the Enbrel® (etanercept) comparator in this mouse model • Activity observed at exposures of 20-100ng/ml * All trademarks are the property of their respective owners. Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) MK2: Distinct Mechanisms in Metastatic Breast Cancer (MBC) vs. Pancreatic Ductal Adenocarcinoma (PDAC) Blocking Tumor Cell Survival (MBC) vs. Amplification of Cytotoxic Cell Death (PDAC) 25 • Tumors induce stromal cells in their environment to produce cytokines which act in an autocrine fashion to promote tumor survival1 • In MBC, it is this induced cytokine production that is blocked by MK2 inhibition, limiting tumor cell survival1 • PDAC treated with FOLFIRINOX (including irinotecan) activates a stress pathway that requires MK2 for tumor cell survival3 • MK2 inhibitor in the presence of irinotecan amplified tumor death3 Caspase-7 induction (marker of cell death) amplified when zunsemetinib (ATI-450) and FOLFIRINOX combined 1. Murali B, et al. Cancer Res. 2018 Oct 1;78(19):5618-5630. 2. Junttila MR, et al. Nature. 2013 Sep 19;501(7467):346-54. 3. Grierson P, et al. Sci. Transl. Med. 2021 Dec 1;13(622). 2 3 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 26 Metastatic Breast Cancer: A Role for the MK2 Pathway in the Tumor Microenvironment Sheila Stewart and Cynthia Ma, Washington University School of Medicine |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Stromal Cells Promote Tumorigenesis 27 Stromal (non-tumor) cells • tumor cell proliferation • migration • invasion • angiogenesis • immunosuppressive cells Stromal cells increase Pro-tumor factors are expressed in the stromal compartment of human breast cancers and expression of a subset of those are critically dependent on MK2 Avagliano A, et al. Cancers. 2020; 12(6):1697. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) The MK2 Pathway is Activated in the Stroma of Both Primary Breast and Metastatic Bone Lesions 28 • Immunohistochemistry reveals phospho-MK2 in primary tumors and metastatic bone lesions from the same patients • Stromal derived factors that drive tumor growth depend on MK2 pathway signaling, therefore MK2i should block this effect Breast Tumor Metastatic Bone Tumor Stewart Lab, Washington University School of Medicine |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 29 Modeling Bone and Visceral Metastasis in the Mouse • 70% of all metastatic breast cancer patients harbor bone metastasis1 • Patients with bone metastases suffer numerous co-morbidities including significant risk for bone fractures1 • Currently no spontaneous mouse model exists to study bone metastasis • A tumor cell intra-cardiac injection model allows tumor cells to seed into the bones and visceral organs2 • Bo-1 PyMT cells used to create metastatic breast cancer mouse model3 Intra-cardiac tumor cell injection model4 1. Monteran L, et al. Sci Rep. 2020;10:13838. 2. Murali B, et al. Cancer Res. 2018 Oct 1;78(19):5618-5630. 3. Su X, et al. Cancer Res. 2016 Jun 15;76(12):3484-95. 4. Stewart Lab, Washington University School of Medicine. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Zunsemetinib Reduced Breast Cancer Bone and Visceral Metastases in Mouse Model of Disease Vehicle Zunsemetinib Murali B, et al. Cancer Res. 2018 Oct 1;78(19):5618-5630. Zunsemetinib Affecting both tumor survival and bone disease in this mouse model was unprecedented in a single agent 30 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 31 Zunsemetinib Reduced Breast Cancer Metastases and Preserved Bone Murine Intra-cardiac Tumor Cell Injection Model Zunsemetinib preserved bone quality in the mouse model better than paclitaxel (PTX)2 and as well as zoledronic acid (ZOL)3, current standards of care, and prevented bone metastases in the mouse model 1. Murali B, et al. Cancer Res. 2018 Oct 1;78(19):5618-5630. 2. Sparano JA, et al. N Engl J Med. 2008 Apr 17;358(16):1663-71. 3. Polascik TJ, et al. Ther Clin Risk Manag. 2008;4(1):261-268. Bone Metastasis1 Ctrl Zunsemetinib Trabecular Bone Volume1 Zunsemetinib (ATI-450) Zoledronic acid ATI-450 *Bone quality in untreated diseased animals was too low to measure (0.0 on the Y-axis) |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Comparison of Zunsemetinib and ATI-2231 in Mouse MBC Model Intra-cardiac injection of Bo-1 PyMT MBC Cells 32 Whole Body Tumor Burden Left: ATI-2231 and ATI-450 (zunsemetinib) reduced metastasis (both at 1000ppm) in mouse model Right: ATI-2231 reduced metastasis in mouse model in a dose dependent manner Stewart Lab, Washington University School of Medicine |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 33 Proposed Study: A Phase 1/2 trial of ATI-2231 in combination with paclitaxel or capecitabine in patients with hormone receptor positive and HER2 negative metastatic breast cancer with bone metastasis |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) The First Trial of ATI-2231 in Metastatic Breast Cancer 34 Plan: • Investigator initiated study - DoD grant awarded to investigator • Phase 1/2 trial of ATI-2231, in combination with paclitaxel or capecitabine, standards-of-care treatment, investigating PK, safety, impact on bone turnover and metastasis • Trial will explore whether the addition of ATI-2231 can improve chemotherapy efficacy, delay disease progression and reduce chemotherapy and tumor-induced bone loss in patients with metastatic breast cancer |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 35 Inhibiting MK2 Blocked Tumor Growth in Models of PDAC Kian Lim Lab, Washington University School of Medicine |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Standard of care for PDAC is switching from gemcitabine to FOLFIRINOX (5-fluorouracil, leucovorin, irinotecan, oxaliplatin) for preoperative, postoperative, first and second line therapy1,2 • Regimen has high toxicity, thus additional agents must be well tolerated and overcome resistance mechanisms2 • Irinotecan is the main driver of cellular stress/induced apoptosis - resistance to this stress in preclinical models was shown to be MK2-dependent3 MK2 Inhibitor Pancreatic Cancer Update 36 Patients without Event (%) Stratified hazard ratio for cancer-related event, second cancer, or death, 0.58% (95% CI, 0.46-0.73) P<0.001 No. of events, 314 Modified FOLFIRINOX Gemcitabine Disease-free Survival * Months Patients without Event (%) Hypothesis: Reduced dose FOLFIRINOX plus MK2 inhibition may improve survival and reduce toxicity 1 1. Conroy T, et al. N Engl J Med. 2018 Dec 20;379(25):2395-2406. 2. Sohal DPS, et al. J Clin Oncol. 2020 Aug 5:JCO2001364. 3. Grierson P, et al. Sci. Transl. Med. 2021 Dec 1;13(622). |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Unmet Need: There is a significant unmet need in PDAC as FOLFIRINOX is the preferred regimen but not all patients respond and response time is limited1 • Unique MoA: The MK2 MoA is to target a defense mechanism within PDAC cells that is incurred by FOLFIRINOX. There is currently no combination regimen based on FOLFIRINOX • Broad Utility: Potential in preoperative, postoperative and metastatic settings and impact beyond PDAC MK2 Inhibitor Value Proposition 37 The preclinical studies supporting this approach are now accepted in Science Translational Medicine.2 1. Conroy T, et al. N Engl J Med. 2018 Dec 20;379(25):2395-2406. 2. Grierson P, et al. Sci. Transl. Med. 2021 Dec 1;13(622). |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Lim lab showed that chemotherapy induced stress in PDAC cells is driven by irinotecan and its active metabolite SN381 • SN38 activates MK2/HSP27 pathway and blockade by MK2 RNAi or zunsemetinib increased SN38 induced apoptosis1 • Zunsemetinib evaluated in the “gold standard” KPPC model of PDAC2 • KPPC autochthonous tumor model2: • Cre promoter drives expression of the Kras G12D oncogene • KPPC mice have mutations in both alleles of p53 (the 2 P's) • Autochthonous tumors genetically induced spontaneous pancreatic tumors and are believed to model human tumors more closely than transplanted tumors (xenografts)2 MK2 Inhibition Rationale for Pancreatic Cancer 38 1. Grierson P, et al. Sci. Transl. Med. 2021 Dec 1;13(622). 2. Lee JW, et al. Curr Protoc Pharmacol. 2016 Jun 1;73:14.39.1-14.39.20. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Autochthonous Mouse Model of Pancreatic Cancer (KPPC) Zunsemetinib (ATI-450) + Modified FOLFIRINOX Improved Activity 39 • Combination of zunsemetinib plus low dose FIRINOX improved survival compared to each drug alone in autochthonous mice • Tumors isolated from KPPC mice treated with the combination were significantly smaller than those treated with FIRINOX alone Pancreas Weight from KPPC Model Data supports the investigation of the addition of MK2 inhibitor to FIRINOX in PDAC Modified FOLFIRNOX (FIRINOX) = FOLFIRINOX without leucovorin Grierson P, et al. Sci. Transl. Med. 2021 Dec 1;13(622). |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 40 ATI-2138 (ITK/TXK/JAK3 (ITJ) Inhibitor) (Investigational Drug Candidate) |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • ATI-2138 covalently blocks ITJ1 ✓ Potential for synergistic efficacy • ITK/TXK required for T-cell receptor (TCR) signaling • JAK3 required for gc cytokines (IL- 2/4/7/9/15/21) ✓ PD effects persist after plasma clearance • ATI-2138 is selective for T-cell signaling2,3 ✓ Drugs like cyclosporine (CsA) inhibit calcineurin which is widely expressed ✓ ATI-2138 targets unique kinases expressed only in immune cells • ATI-2138 may potentially treat T-cell mediated autoimmune diseases4,5 ATI-2138: Covalent ITJ Inhibitor 41 TH Cells TCR/CD3 T cell T cell T cells T cell ATI-2138 APCs 1. Data on file. 2. Graham RM. Cleve Clin J Med. 1994;61(4):308-313. 3. Siliciano JD, et al. Proc Natl Acad Sci U S A. 1992;89(23):11194–11198. 4. Robinson MF, et al. [published online ahead of print, 2020 May 18]. Arthritis Rheumatol. 2020. 5. Russell SM, et al. Science. 1995;270(5237):797-800. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Mouse Model: ATI-2138 Showed Activity in mCIA 42 Clinical Arthritis Score Joint Histology Score In the gold standard mCIA model, ATI-2138 demonstrated activity superior to Enbrel® (etanercept) 1 35 18 21 DBA/1 Mice (12/group) Immunized with bovine collagen/CFA Dosing begins: -Vehicle -ENBREL: 10mg/kg QD -ATI-2138 chow: 100/300/10000ppm Terminate Study • Joint Histopathology • Clinical Arthritis Score monitored daily day 21-35 DBA/1 Mice boosted with bovine collagen/CFA Day ENBREL ATI-2138 0 2 4 6 8 10 12 14 16 Naïve Placebo Enbrel (10mg/kg) ATI-2138 (100ppm) ATI-2138 (300ppm) ATI-2138 (1000ppm) M e a n ± S E J o i n t S c o r e Meaned ATI-2138 Histology Scores 100% 0% 64% 92% 99% 100% ATI-2138 Vehicle Clinical Arthritis Score ENBREL ATI-2138 Data on file. * All trademarks are the property of their respective owners. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Mouse Model: ATI-2138 - T Cell Transfer Colitis 43 0 47 28 CD4+CD45RBhigh naïve T cells IP injected to SCID mice Randomize/Dosing begins • Control Chow • ATI-2138: 100 or 300ppm • Anti-p40: 0.5mg, 2x/week Terminate Study • Colon and ileum harvested for histology and cytokines Day • 300 ppm chow dose of ATI-2138 reversed weight loss trend in disease model to match naïve controls • 100 and 300 ppm chow doses were effective in preventing tissue damage in the ileum by histology * P < 0.05 Chow Dosing Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Placebo-controlled, randomized, observer-blind single ascending dose trial in healthy volunteers ✓ Study initiation expected December 2021 ✓ Endpoints • Safety/tolerability • Pharmacokinetics • Pharmacodynamic effects on T-Cell Receptor and JAK3/STAT-5 pathways • Food effect • Placebo-controlled, randomized, observer-blind multiple ascending dose trial in psoriasis patients ✓ Endpoints • Safety/tolerability • Pharmacokinetics/pharmacodynamics • Early signs of efficacy ATI-2138: Phase 1 Clinical Plan 44 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 45 Oral Gut-Biased JAK Inhibitors for Inflammatory Bowel Disease: CDD-2603 and CDD-2676 Development Candidates (Investigational Drug Candidates) |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Autoimmune diseases are most commonly treated with broadly immune suppressive drugs (e.g., steroids, JAK inhibitors, anti-TNFa biologics) with systemic effects1 • Delivering drugs locally to site of inflammation has been effective with limited systemic effects1: ✓Inhaled corticosteroids for asthma ✓Budesonide enema for ulcerative colitis • Hypothesis: Development of an orally administered gut- biased drug that can be designed with limited distribution outside the intestines may offer efficacy and convenience in IBD - with limited systemic immune suppression Drugs for Inflammatory Bowel Disease (IBD) 46 1. Damsky W, et al. J Allergy Clin Immunol. 2021 Mar;147(3):814-826. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Xeljanz® (tofacitinib) approved for ulcerative colitis (UC)1, fails initial trials in Crohn’s disease (CD)2 ✓ 9/2021: Updated FDA Warnings for all JAKi: Heart-related events such as MI/stroke, cancer, blood clots, and death with arthritis and ulcerative colitis medicines3 • TD-1473: Theravance publishes preclinical data with gut-selective pan-JAK inhibitor (TD-1473) predicting it could have efficacy/minimal systemic side effects4 ✓ In vivo activity evaluated in the murine oxazalone damage model with prophylactic dosing Cellular potency of TD-1473 and Xeljanz® (tofacitinib) broadly equivalent5 JAK Inhibitors for IBD 47 Human PBMC IC50, nM JAK1/3 JAK1/2 Tyk2/JAK2 JAK2 IL-2 IFNg IL-12 GM-CSF TD-1473 31 29 387 59 Tofacitinib 11 64 534 224 1. https://www.pfizer.com/news/press-release/press-release- detail/pfizer_announces_u_s_fda_approves_xeljanz_tofacitinib_for_the_treatment_of_moderately_to_severely_active_ulcerative_colitis-0. Last Accessed November 23, 2021. 2. Panés J, et al. Gut. 2017 Jun;66(6):1049-1059. 3. https://www.fda.gov/drugs/drug-safety-and-availability/fda-requires-warnings-about-increased-risk-serious-heart-related-events-cancer-blood-clots-and-death. Last Accessed November 23, 2021. 4. Sandborn WJ, et al. J Crohns Colitis. 2020 Sep 16;14(9):1202-1213. 5. Data on file. * All trademarks are the property of their respective owners. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 1. Design compounds with gut-biased potential o Potent against JAK kinases o Low-moderate permeability o Lipophilic with high rates of efflux o Moderate metabolic stability 2. In vivo testing in ”gold standard” model of IBD o T cell adoptive transfer (TCT) model of colitis o Histological protection of gut tissue is key measure of efficacy o Comparison to tofacitinib at relevant exposures o Comparison to TD-1473 at multiple doses 3. Demonstration of minimal systemic immune activity o Ex vivo stimulation of blood immune cells from TCT o Activation marker status of transferred CD4 cells o Measurement of gut and plasma exposure GB Candidate Identification Strategy 48 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) T Cell Adoptive Transfer (TCT) Mouse Model and Readouts Day 0 Day 21 Day 49 Disease development Dosing, body weight measurements Q2W • Day 0: Naïve T cells purified using CD62L column method* and transferred into BALB/c SCID mice • Day 0 – 21: In the absence of regulatory T cells, transferred naïve T cells react to microbiome at barrier surfaces, inducing colitis and weight loss • Day 21: Animals are randomized to dose groups based on body weight, with drug administered admixed in chow (minimal handling) • Day 49: Study terminated – tissues analyzed for local vs. systemic effects • Ex vivo stimulation of blood with IL-2/IL-12 and analysis of signaling blockade (pSTAT5/pSTAT4) • Splenic CD4 cells analyzed for levels of CD62L/CD25 • Plasma drug levels • Histological scoring of colon and ileum 49 Strauch UG, et al. Gut 2005;54:1546-1552. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Intestinal Geography 101 50 • TCT model primarily thought of as UC model (colon damage), but damage also seen in the ileum – thus relevant to CD as well2 • CD can occur throughout the digestive system, with extra-GI manifestations common2 • Drug distribution may impact which form of IBD is most likely to respond to a particular drug • Histology from each following study scored from ileum (I), proximal colon (P) and distal colon (D) 1 1. Treuting P, et al. Comparative Anatomy and Histology. 2018: 213-228. 2, Maxwell JR, et al. Curr Protoc Pharmacol. 2009 Dec;Chapter 5:Unit5.58. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Evaluation of Systemic Effects in Mouse Model - Spleen 51 CD25 CD4 Vehicle1 Tofacitinib1 • CD62Lhi (L-selectin) naïve T cells are transferred into SCID mice2 • Over course of 7-week study, cells become activated in response to signals at various barrier surfaces (gut, lung, spleen) • Left: Activation resulted in increased cell surface expression of CD25 (IL-2 receptor) • Right: Reduction of CD25 (high expression) in peripheral lymphoid organs (spleen) by tofacitinib suggests drug is acting systemically 1. Data on file 2. Mudter J, et al. Pathobiology. 2002;70:170-176. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Evaluation of Systemic Effects in Mouse Model - Blood • At study end, after 4 weeks of dosing – blood is stimulated with IL-2 and IL-12 for 30 min • FACS analysis identifies NK cells (CD49b+) or T cells (CD4+) and pSTAT5 and pSTAT4 • Figure at left showed that >50% of NK cells in blood express these pSTATs after stimulation • Decrease in percentage of cells that express these in response to IL-2/12 measured in drug-treated animals and taken as measure of systemic effects • Blood PK measured 52 Unstimulated IL-2 + IL-12 CD49b pSTAT5 CD49b pSTAT4 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Positive control: Tofacitinib dosing was optimized in the TCT model to be commensurate with its dosing clinically • Theravance drug candidate: TD-1473 • Aclaris development candidates: ✓CDD-2603 and CDD-2676 • All compounds run twice in TCT model, with histological endpoints and systemic effects measured in all studies • All groups had ten animals, and all compounds were run at multiple doses Compound Testing in Mouse Models 53 TD-1473 created based on Patent No. WO 2016191524 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 54 Xeljanz® (tofacitinib), an FDA Approved JAK Inhibitor for the Treatment of UC * All trademarks are the property of their respective owners. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Tofacitinib Efficacy and PK in UC Phase 3 Clinical Trial 55 • Left: Mucosal healing after 52 weeks (remission data looks similar) • Right: Average plasma exposure at 10 and 5 mg BID (35 and 18 ng/ml) • Note: No PK differences as function of remission status Sandborn WJ, et al. N Engl J Med. 2017 May 4;376(18):1723-1736. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Tofacitinib PK and Activity in TCT Mouse Model 56 V e h i c l e T o f a - 1 8 0 V e h i c l e T o f a - 1 8 0 V e h i c l e T o f a - 1 8 0 0 1 2 3 4 5 6 S u m m e d H i s t o S c o r e 20210627 TCT - Tofa Histo I P D • Left: Tofacitinib plasma PK from all mouse TCT studies at 180 vs. 600 ppm chow – overlaid with dose range achieved clinically 10 mg BID (Phase 31) • Right: At a dose of 180 ppm with chow dosing, tofacitinib achieved histological activity throughout GI (I – ileum, P proximal, D – distal colon) Data on file. Activity and dosing in Phase 3 (PO BID) and TCT mouse model (chow) are comparable and relevant for evaluation of our GB candidates Plasma PK Histology |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 57 Theravance TD-1473: Gut-Selective JAK Inhibitor |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) TD-1473 Mouse PK • Consistent with Theravance findings1, after oral dosing in mice, TD- 1473 achieved high concentrations in the ileum and colon, with low levels in the plasma2 • Dotted lines show levels of drug required to inhibit key cytokines in whole blood2 • Hypothesis: Limited plasma exposure should limit systemic effects • Unknown if high exposures in gut are - by themselves - sufficient to treat disease 58 1. Sandborn WJ, et al. J Crohns Colitis. 2020 Sep 16;14(9):1202-1213. 2. Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Unlike tofacitinib, TD-1473 at all doses failed to prevent weight loss during TCT studies – a predictor of efficacy • Splenic CD4+ cells have significantly reduced levels of CD25 with tofacitinib dosing, but no change with TD-1473 • Ex vivo blood assay from study end showed only tofacitinib blocked IL-2 phospho-STAT5 in NK cells, no effect at any dose of TD-1473 • PK data from these studies consistent with low drug levels expected in mice with oral dosing TD-1473 TCT Mouse Model Data – In Life and Ex Vivo 59 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) TD-1473 TCT Mouse Model Data - Histology 60 • Histological activity demonstrated in all tissues analyzed with tofacitinib • TD-1473 did not demonstrate activity at any dose Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Consistent with Theravance findings1, TD-1473 primarily resides in the ileum > colon >> plasma2 • In life systemic activity measures (splenic CD4+ cell levels of CD25, ex vivo cytokine inhibition in whole blood) consistent with low plasma levels and lack of weight loss protection2 • No evidence of histological activity at any dose (100 – 1000 ppm) in any part of GI tract across two TCT studies2 • If TCT model is a better predictor of clinical efficacy, as opposed to the short-term oxazolone model used by Theravance, these data may have predicted the failure of TD-1473 in Phase 2B UC • Subsequently, Theravance announced discontinuation of its Phase 2 study of TD-1473 for treating Crohn’s disease3 Theravance TD-1473: Learnings from Aclaris Preclinical Studies 61 1. Sandborn WJ, et al. J Crohns Colitis. 2020 Sep 16;14(9):1202-1213. 2. Data on file. 3. https://www.sec.gov/ix?doc=/Archives/edgar/data/0001583107/000110465921139570/tm2133032d1_8k.htm. Last accessed November 23, 2021. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 62 CDD-2603: Aclaris JAK GB Development Candidate |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2603: A JAK GB Development Candidate Mouse PK/Human PBMC Potency At all time points in mouse after dose of 5 mg/kg PO, drug concentrations in the ileum and colon are 50- 500X higher than plasma Table above compares CDD-2603 to tofacitinib in human PBMC assay of IL-2 and IL-12 induced P- STAT5/P-STAT4, respectively 63 Data confirmed that CDD-2603 is gut-biased in its distribution in mice (used for disease model activity) and potent in human PBMC Data on file. Human PBMC IC50, nM JAK1/3 Tyk2/JAK2 IL-2 IL-12 CDD-2603 6 30 Tofacitinib 11 534 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2603 TCT Mouse Model: Body Weight Changes 64 • In both TCT studies with CDD-2603, dosing begins on day 21, ends on day 49 • In life body weight changes showed improvement, down to 100 ppm dose Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2603 TCT Mouse Model: Histological Activity 65 In repeat TCT studies, CDD-2603 produced histological activity in all regions of the colon and ileum at 300 ppm dose, comparable to tofacitinib Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2603 TCT Mouse Model: Minimal Systemic Effects 66 • Left: Tofacitinib induced a dose dependent decrease in the percentage of splenocytes that are CD62L-CD25+; CDD-2603 had minimal effects on these cells (peripheral lymphoid organ) • Right: Minimal effect of CDD-2603 on IL-2 ex vivo stimulated blood, whereas tofacitinib produced a significant decrease in pSTAT5 in NK cells (CD3-CD49b+) At doses that produced histological activity comparable to tofacitinib (as shown on previous slide), CDD-2603 demonstrated minimal systemic activity Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 67 CDD-2676: Aclaris JAK GB Development Candidate |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2676: JAK GB Development Candidate Mouse PK/Human PBMC Potency 68 Plasma and intestinal PK of CDD-2676 in mice after 5 mg/kg PO dose show that drug levels in plasma do not reach the IL-2 IC50 for any period of time, whereas drug levels in colon and ileum are 100-1,000-fold higher Table above compares CDD-2676 to tofacitinib in human PBMC assay of IL-2 and IL-12 induced P-STAT5/P-STAT4, respectively Data confirmed that CDD-2676 is gut-biased in its distribution in mice (used for disease model activity) and potent in human PBMC Data on file. Human PBMC IC50, nM JAK1/3 Tyk2/JAK2 IL-2 IL-12 CDD-2676 13 110 Tofacitinib 11 534 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2676 TCT Mouse Model: Body Weight Changes 69 • In both TCT studies with CDD-2676, dosing begins on day 21, ends on day 49 • In life body weight changes showed dose-responsive effect, down to 100 ppm Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2676 TCT Mouse Model: Histological Activity 70 • In both TCT studies, CDD-2676 produced histological activity in the ileum down to 100 ppm (above) with variable activity in the colon down to 300 ppm • Note: Tofacitinib dosed at 600 ppm produced exposures much higher than those used clinically. Tofacitinib at 180 ppm (2nd study) is the only relevant comparator. Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) CDD-2676 TCT Mouse Model: Minimal Systemic Effects 71 • Left: Tofa induces a dose dependent decrease in the percentage of splenocytes that are CD62L-CD25+, CDD-2676 has minimal effects on these cells (peripheral lymphoid organ) • Right: Minimal effect of CDD-2603 on IL-2 ex vivo stimulated blood, whereas tofacitinib produced a dose-dependent significant decrease in pSTAT5 in NK cells (CD3-CD49b+) At doses that produced histological activity comparable to tofacitinib (as shown on previous slide), CDD-2676 demonstrated minimal systemic activity Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Both GB development candidates have completed 7 day dose-range finding study in rats at doses of 30, 100 and 300 mpk; no adverse events • TK confirms gut-biased distribution in rats (similar to mouse) • Decreased weight in lymphoid organs consistent with mechanism (e.g., thymus, spleen) • Second tox species will be cynomolgus monkeys, given the known GI sensitivity to drugs in canine studies CDD-2603 and CDD-2676: 7 Day Rat Toxicology 72 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Summation: Histological Activity vs. Systemic Activity in Mice 73 • Activity in IBD defined by histological improvement: Reduced sum scores = protection from tissue damage • Data across GI tract showed that CDD- 2603 and CDD-2676 were comparable to tofacitinib, and TD-1473 was less active • Note: Data is average of histological scores relative to vehicle across two studies for each compound • Analysis of ex vivo stimulated whole blood from TCT studies is a measure of systemic effects • Although comparable to tofacitinib histologically, CDD-2603 & CDD- 2676 had less effect systemically • Supportive data seen in analysis of splenic CD4 cell activation (blocked by tofacitinib) Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Two JAK GB development candidates with histological activity in a murine IBD model comparable to tofacitinib have been identified • Within the same TCT model, these development candidates also demonstrated fewer systemic effects within ex vivo blood assays and splenic CD4 cell activation compared to tofacitinib • Toxicology studies (7 day rat) have been completed; histopathology data is being analyzed/generated • Additional studies comparing CDD-2603 and CDD-2676 in normal mice with full complement of immune cells are underway, in an attempt to further distinguish between the two potential candidates Oral JAK GB Candidate – Summary and Plans 74 Data on file. |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) 75 Closing Remarks and Q&A |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) • Zunsemetinib ✓ Phase 2 programs are on track • Three phase 2 studies planned in RA, HS, and PsA ✓ Planning to add 2 programs ✓ Recent preclinical work has demonstrated a dose-dependent inhibition of IL- 17 production • MK2 inhibitor use in oncology ✓ Potential role for the MK2 pathway in: • Metastatic breast cancer • PDAC (Recent publication in Science Translational Medicine) ✓ ATI-2231 – new MK2 inhibitor • ATI-2138 – oral covalent inhibitor of ITJ ✓ IND allowed ✓ SAD studies to commence in 2021 • Gut-biased Development Candidates selected for IBD R&D Day Key Takeaways 76 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) Key Milestones Program/Milestone 2021 2022 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q Zunsemetinib (ATI-450): MK2 Inhibitor Phase 2a Data in Moderate to Severe Rheumatoid Arthritis ✓ Initiate Phase 2b Trial in Moderate to Severe Rheumatoid Arthritis ATI-1777: Topical “Soft” JAK Inhibitor Phase 2a Data in Moderate to Severe Atopic Dermatitis ✓ Initiate Phase 2b Trial in Moderate to Severe Atopic Dermatitis ATI-2138: ITK/TXK/JAK3 Inhibitor Submit IND ✓ Initiate Phase 1 SAD Trial in Healthy Volunteers ATI-2231: MK2 Inhibitor Submit IND 77 |
© Copyright 2020 Aclaris Therapeutics, Inc. All rights reserved (XX) © Copyright 2021 Aclaris Therapeutics, Inc. All rights reserved (PP--US-0677 12/21) •Co-founded Aclaris in 2012 •Board-certified dermatologist •Serial entrepreneur with over 20 years of experience in the life sciences industry Neal Walker Co-founder, President & CEO, Director •Former Executive Director, Pfizer Inflammation Research and Leader of Global Kinase Technology Team •>95 publications and patents (>30 total on kinases) Joseph Monahan, PhD Chief Scientific Officer •Former VP Research & Global Head, Pfizer Inflammation, co-leader of Pfizer Licensing Team •Delivered 8 clinical candidates, 6 INDs and 1 NDA in inflammation and cancer Walter Smith Scientific & BD Consultant •Immunologist/drug discovery leader at pharma (Pfizer & biotech) •Validated JAK 1/3 as target for transplant/RA/psoriasis, leading to approval of XELJANZ® Paul Changelian, PhD VP, Biology •Co-founded Aclaris in 2012 •Senior financial executive with more than 25 years of biotech and specialty pharmaceutical management expertise Frank Ruffo Chief Financial Officer Question and Answer Session 78 * All trademarks are the property of their respective owners. |