On November 8, 2018 Aeglea BioTherapeutics, Inc. (NASDAQ:AGLE), a clinical-stage biotechnology company that designs and develops innovative human enzyme therapeutics for patients with rare genetic diseases and cancer, reported financial results for the third quarter ended September 30, 2018 (Press release, Aeglea BioTherapeutics, NOV 8, 2018, View Source [SID1234531038]).
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"2018 continues to be a highly productive year for Aeglea as we advance our clinical experience in pegzilarginase and demonstrate our drug hunting capabilities in rare genetic diseases," said Anthony G. Quinn, M.B Ch.B, Ph.D., president and chief executive officer of Aeglea. "Our data in Arginase 1 Deficiency (ARG1-D) continues to demonstrate rapid, well-tolerated and sustainable control of arginine that corresponds with significant improvements in patients. This progress with pegzilarginase puts us in a strong position as we look to initiate our pivotal trial in ARG1-D in the first half of 2019."
Recent Highlights
Pegzilarginase in Arginase 1 Deficiency: Significant Progress Towards Commercialization of the Company’s Lead Program
In October, the Company presented new positive interim clinical data at the 2018 American Society of Human Genetics (ASHG) Conference from its ongoing Phase 1/2 trial of pegzilarginase in patients with ARG1-D. The Company completed and exceeded its enrollment target with 16 patients and observed significant clinical improvements. 100% of patients (6 out of 6) who completed Part 2 (repeat dosing) of the study achieved consistent levels of reduced arginine. 67% of patients (4 out of 6) had meaningful clinical improvements in mobility and/or adaptive behavior after only eight weeks of repeat dosing with pegzilarginase. Pegzilarginase continues to be generally well tolerated with over 180 infusions administered to date.
In October, the Company announced that the U.S. Food and Drug Administration (FDA) has granted rare pediatric disease designation for pegzilarginase in ARG1-D.
Rare Genetic Disease Pipeline: Expansion and Acceleration
In October, the Company presented positive preclinical efficacy data on two rare genetic disease programs in the Company’s pipeline at two major medical conferences. At the 2018 ASH (Free ASH Whitepaper)G Conference, the Company presented data for AEB4104 demonstrating decreases in plasma homocysteine levels that improved important disease-related abnormalities and survival in a preclinical model of homocystinuria. At the 2018 American Society of Nephrology (ASN) Conference, the Company presented data for AEB5100 demonstrating reductions in plasma and urine cystine levels, accompanied by reduced kidney stone formation in a preclinical model of cystinuria. Both programs are advancing into IND-enabling studies.
Cancer: Promising Data at ESMO (Free ESMO Whitepaper)
At the European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) 2018 Congress in October, the Company presented interim clinical data demonstrating monotherapy anti-tumor activity with pegzilarginase in heavily pre-treated patients with advanced melanoma. The investigator-assessed responses in 26 patients with cutaneous or uveal melanoma showed that one patient achieved a confirmed partial response (PR) at week 20 and eight patients had stable disease (SD) at week 8 or later. Six patients remained on treatment at the time of the data cutoff. Anti-tumor activity appeared greater in tumors lacking argininosuccinate synthetase 1 (ASS1) expression, which is consistent with preclinical studies that suggest tumors lacking ASS1 expression are dependent on extracellular arginine for survival.
Corporate Update
Raised $17.0 million in a single transaction in October from new and existing shareholders. The capital will be used to fund the planned pivotal trial in ARG1-D, initiate IND-enabling studies for the Company’s pipeline programs, and accelerate commercialization activities for pegzilarginase in ARG1-D.
Upcoming Events
Dr. Quinn will present a corporate update at the Evercore ISI Healthcare Conference being held November 27-29 in Boston, MA. Details regarding the date and time of the presentation and webcast will be announced prior to the conference.
Dr. Quinn will present a corporate update at the BMO Capital Markets 2018 Prescription for Success Healthcare Conference being held December 12 in New York, NY. Details regarding the time of the presentation and webcast will be announced prior to the conference.
Third Quarter 2018 Financial Results
As of September 30, 2018, Aeglea had available cash, cash equivalents and marketable securities of $64.7 million, which excludes approximately $17.0 million in gross proceeds from shares of common stock sold in a single transaction to new and existing shareholders in October 2018. Based on Aeglea’s current operating plan, and taking into account the $17.0 million raised in October 2018, management believes it has sufficient capital resources to fund anticipated operations to the middle of 2020.
Grant revenues were the result of a $19.8 million research grant received from the Cancer Prevention and Research Institute of Texas (CPRIT). The grant contract concluded in May 2018 with the full $19.8 million grant recognized as revenue over the life of the award. Aeglea did not recognize any grant revenues in the third quarter of 2018, compared with $1.3 million in the third quarter of 2017. As of September 30, 2018, Aeglea had a remaining grant receivable totaling $2.4 million.
Research and development expenses totaled $8.9 million for the third quarter of 2018, compared with $6.2 million for the third quarter of 2017. The increase was primarily due to expanded clinical development activity for Aeglea’s lead product candidate, pegzilarginase. Aeglea completed enrollment in the ARG1-D Phase 1/2 clinical trial, continued single-agent cohort expansions in a Phase 1 clinical trial for advanced solid tumor patients and progressed the Phase 1/2 combination trial in patients with small cell lung cancer.
General and administrative expenses totaled $3.3 million for the third quarter of 2018, compared with $3.0 million in the third quarter of 2017. This increase was primarily due to additional employee compensation costs related to the building out of Aeglea’s management team to support company growth. Net loss totaled $11.9 million and $7.9 million for the third quarter of 2018 and 2017, respectively, with non-cash stock compensation expense of $1.1 million and $0.7 million for the third quarter of 2018 and 2017, respectively.
About Pegzilarginase in Arginase 1 Deficiency
Pegzilarginase is an enhanced human arginase that enzymatically depletes the amino acid arginine. Aeglea is developing pegzilarginase for the treatment of patients with Arginase 1 Deficiency, a rare debilitating disease presenting in childhood with persistent hyperargininemia, severe progressive neurological abnormalities and early mortality. Pegzilarginase is intended for use as an enzyme replacement therapy in patients to reduce elevated blood arginine levels. Aeglea’s interim Phase 1/2 data demonstrated clinical improvements and rapid and sustained lowering of plasma arginine in Arginase 1 Deficiency patients.
About AEB4104 (Homocysteinase) in Homocystinuria
AEB4104 is a novel recombinant human enzyme that degrades the amino acid homocysteine and its oxidized form homocystine. Aeglea is developing AEB4104 for the treatment of patients with cystathionine beta synthase (CBS) deficiency, also known as Classical Homocystinuria. Homocysteine accumulation plays a key role in multiple progressive and serious disease-related complications, including skeletal abnormalities, cognitive impairment, psychiatric disease, and thromboembolism. AEB4104 is intended to lower the abnormally high blood levels of homocysteine to the normal range in patients with homocystinuria. Preclinical data demonstrated that AEB4104 improved important disease-related abnormalities and survival in a mouse model of homocystinuria.
About AEB5100 (Cystinase) in Cystinuria
AEB5100 is a novel recombinant human enzyme that degrades cystine and the parent amino acid cysteine. Aeglea is developing AEB5100 for the treatment of patients with cystinuria, a rare genetic disease characterized by frequent and recurrent kidney stone formation requiring multiple procedural interventions, and by an increased risk of chronic kidney disease. Cystinuria occurs due to genetic mutations in amino acid transporters that lead to increased amounts of cystine in the urine. This results in high cystine concentrations in the urine and formation of kidney stones. Preclinical data demonstrated that AEB5100 lowered blood levels of cystine and cysteine, decreased the amount of cystine in the urine and reduced kidney stone formation in a mouse model of cystinuria.
About Pegzilarginase in Cancer
Pegzilarginase is an enhanced human arginase that enzymatically degrades the amino acid arginine. In some cancers, tumor cells are unable to produce specific amino acids and must acquire them from the blood, making the tumor cells susceptible to starvation through depletion of those amino acids. Aeglea is developing pegzilarginase to exploit vulnerabilities in some cancers that lead to an increased dependency on extracellular arginine. Pegzilarginase targets these arginine dependent cancers by depleting blood arginine levels to below the normal range. Preclinical data demonstrated that the resulting arginine starvation inhibits proliferation, induces cell death, increases turnover of cell components and promotes anti-tumor immune responses. The Company’s Phase 1 data in advanced solid tumors demonstrated that pegzilarginase was well tolerated at doses that produced marked and sustained reductions in blood arginine levels below the normal range.