Five Prime Announces First Quarter 2016 Results and Provides Business Update

On May 05, 2016 Five Prime Therapeutics, Inc. (Nasdaq:FPRX), a clinical-stage biotechnology company focused on discovering and developing innovative immuno-oncology protein therapeutics, reported a corporate update and reported financial results for the first quarter ending March 31, 2016 (Press release, Five Prime Therapeutics, MAY 5, 2016, View Source [SID:1234511997]).

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"We are pleased with the progress in our clinical programs during the first quarter of this year," said Lewis T. "Rusty" Williams, M.D., Ph.D., president and chief executive officer of Five Prime. "We reported encouraging data for FPA144, including preliminary Phase 1 data demonstrating several partial responses in patients with FGFR2b+ tumors, as well as pre-clinical findings that suggest that FPA144 drives innate and adaptive responses to help drive an immune cascade in a patient’s tumor. We continue Phase 1a dose exploration in our trial combining FPA008 with OPDIVO (nivolumab) in multiple tumor types, and are on track to begin the Phase 1b dose expansion portion during the second half of 2016. In addition, we recently began screening patients and expect to begin patient dosing soon in the Phase 2 portion of our clinical trial of FPA008 in patients with pigmented villonodular synovitis (PVNS), a rare indication for which we received orphan drug designation in January."

Business Highlights and Recent Developments

Clinical Development:

FPA008: an investigational antibody that inhibits CSF1R and has been shown in preclinical models to block the activation and survival of monocytes and macrophages. Five Prime and Bristol-Myers Squibb (BMS) have an exclusive worldwide collaboration agreement for the development and commercialization of FPA008.
Phase 1a/1b FPA008/OPDIVO Combination Trial Advances and Evolves. Five Prime continued dose exploration in the Phase 1a/1b clinical trial evaluating the safety, tolerability and preliminary efficacy of the immunotherapy combination of FPA008 with OPDIVO, BMS’s PD-1 immune checkpoint inhibitor. The trial is currently expected to enroll approximately 280 patients and remains on track to move into Phase 1b during the second half of 2016.
Phase 1b has been modified to now explore combination therapy in the following tumor types: non-small cell lung, head and neck, pancreatic, renal, ovarian and glioblastoma.
Five Prime increased the size of the Phase 1a portion of the study to enroll more patients at the highest selected FPA008 dose as monotherapy, and at the highest selected FPA008 dose in combination therapy with OPDIVO. The new 1a expansion, which is planned to be done in parallel with Phase 1b, will allow Five Prime to more rapidly and efficiently examine the safety and activity of both monotherapy and combination in patients with tumor types not currently addressed in the Phase 1b cohorts.
Advanced Clinical Trial of FPA008 in Patients with PVNS.
Five Prime recently began patient screening for the Phase 2 portion of the ongoing Phase 1/2 clinical trial of FPA008 in PVNS, a CSF-1 receptor-driven tumor. Patient dosing is expected to begin soon in the Phase 2 portion of the trial, which will evaluate clinical measures, including response rate, pain and range of motion in approximately 30 PVNS patients. The U.S. Food and Drug Administration (FDA) granted FPA008 orphan drug designation for the treatment of PVNS in January 2016. Five Prime also recently collaborated with an academic group to complete an epidemiology study, which suggests the U.S. prevalence for diffuse PVNS patients may be as high as 25,000 patients, and expects to submit the full manuscript for future publication.
FPA144: an isoform-selective antibody in development as a targeted therapy for tumors that over-express FGFR2b. FPA144 has been engineered for enhanced antibody-dependent cell-mediated cytotoxicity, or ADCC, to increase direct tumor cell killing by recruiting natural killer (NK) cells.
Presented preliminary data from the dose escalation portion of the Phase 1 trial of FPA144 monotherapy at the American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Gastrointestinal Cancers Symposium in January:
Two partial responses in six gastric cancer patients with IHC 3+ FGFR2b-positive gastric cancer;
A partial response in a patient whose bladder cancer overexpressed FGFR2b; and
FPA144 was well tolerated with the most common treatment-emergent adverse events being Grades 1 or 2 and self-limiting.
Clinical data from the Phase 1 clinical trial will be updated in an oral presentation during the ASCO (Free ASCO Whitepaper) Annual Meeting in June 2016.
Amended the Phase 1 trial to add new cohorts. The trial will include additional cohorts to assess the activity and safety of FPA144 in gastric cancer with low or moderate levels of FGFR2b expression, as well as in other tumor types that express FGFR2b.
Presented preclinical data for FPA144 at the American Association for Cancer Research (AACR) (Free AACR Whitepaper) Annual Meeting. FPA144 was featured in two presentations at the AACR (Free AACR Whitepaper) meeting in April 2016. Five Prime demonstrated that FPA144’s enhanced ADCC mechanism drives innate and adaptive immune responses in the tumor microenvironment, recruiting NK and T cells into the tumor. Additionally, FPA144 produced an additive effect on tumor growth inhibition when combined with PD-1 blockade. These pre-clinical findings suggest the therapeutic potential for a combination of FPA144 with a checkpoint inhibitor in gastric cancer.
Continued enrollment of mesothelioma patients in Phase 1b trial of FP-1039, an FGF Ligand Trap. In January 2016, GSK and Five Prime agreed to stop enrollment in the squamous non-small cell lung cancer (sqNSCLC) patient arms given the change in sqNSCLC treatment paradigms, but the companies agreed that GSK would continue enrolling mesothelioma patients based on encouraging preliminary data from that arm of the trial. In March 2016, GSK provided a 180-day notice of termination of the FP-1039 license and collaboration agreement. Five Prime is working with GSK to complete the mesothelioma study and to transfer the asset and program back to Five Prime. Mesothelioma could represent a potentially attractive market opportunity for Five Prime, and decisions on the development of FP-1039 in mesothelioma will be based on the quality and durability of responses in this trial, as well as other considerations, such as drug supply and manufacturing. GSK has submitted mesothelioma data for presentation at the ASCO (Free ASCO Whitepaper) 2016 Annual Meeting.
Preclinical Research and Development:

Progressed Internal Immuno-Oncology Research Programs. Five Prime continues to advance multiple candidates into preclinical development and expects to have two programs entering pre-IND studies before the end of 2016. The Company anticipates filing one IND by the end of 2017 and to have preclinical assets sufficient to keep the pace of one IND per year for the foreseeable future.

Summary of Financial Results and Guidance:

Cash Position. Cash, cash equivalents and marketable securities totaled $482.0 million on March 31, 2016, compared to $517.5 million on December 31, 2015. The decrease in first quarter 2016 cash was primarily attributable to cash used in operations to advance the FPA144 clinical trial, preclinical programs and tax payments.
Revenue. Collaboration revenue for the first quarter of 2016 increased by $2.2 million to $6.5 million from $4.3 million in the first quarter of 2015. This was primarily due to revenue recognized under the 2015 FPA008 license and collaboration agreement with BMS, under which Five Prime is reimbursed for the immuno-oncology trial expenses.
R&D Expenses. Research and development expenses for the first quarter of 2016 increased by $7.1 million, or 63%, to $18.3 million from $11.2 million in the first quarter of 2015. This increase was primarily related to advancing the FPA144, preclinical and immuno-oncology research programs.
G&A Expenses. General and administrative expenses for the first quarter of 2016 increased by $4.4 million, or 105%, to $8.6 million from $4.2 million in the first quarter of 2015. This increase was primarily due to increases in stock-based compensation expenses.
Net Loss. Net loss for the first quarter of 2016 was $13.0 million, or $0.49 per basic and diluted share, compared to a net loss of $11.0 million, or $0.44 per basic and diluted share, for the first quarter of 2015.
Shares Outstanding. Total shares outstanding were 28.2 million as of April 29, 2016.
Cash Guidance. Five Prime continues to expect full-year 2016 net cash used in operating activities to be less than $120 million, comprising less than $90 million used in operations and less than $30 million used for tax payments. The company estimates ending 2016 with approximately $400 million in cash, cash equivalents and marketable securities.

BIND Therapeutics Announces Collaboration with Affilogic to Provide BIND with Access to Targeting Ligands that are Key Modulators of Anti-tumor Immunity

On May 5, 2016 BIND Therapeutics, Inc. (NASDAQ: BIND), a biotechnology company developing targeted and programmable therapeutics called ACCURINS, reported a research collaboration with Affilogic, a privately held biotechnology company developing affinity proteins called Nanofitins that selectively bind and interact with identified targets (Press release, BIND Therapeutics, MAY 5, 2016, View Source [SID:1234511973]).

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Under terms of the collaboration, BIND will utilize Nanofitins as targeting ligand components for ACCURINS designed to bind immuno-oncology targets. Upon achievement of proof-of-concept, BIND anticipates expanding the collaboration to develop ACCURINS that incorporate unique combinations of immuno-oncology targeting ligands and new classes of payloads, including oligonucleotides and molecularly targeted therapies.

"Targeting ligand collaborations are an important part of our strategy to develop innovative medicines and this collaboration provides us with access to targeting ligands that are key modulators of anti-tumor immunity," said Jonathan Yingling, Ph.D., chief scientific officer, BIND Therapeutics. "The modular nature of our platform, including the ability to utilize targeting ligands that elicit a biological response and enhance disease tissue accumulation, will potentially allow us to develop ACCURINS that cause tumor cell death and/or modulate the tumor microenvironment as a way to maximize clinical benefit for patients."

ACCURINS are polymeric nanoparticles that encapsulate and control the release of therapeutic payloads with diverse physical and chemical properties, including highly charged payloads such as oligonucleotides and molecularly targeted therapies that have previously been difficult to formulate in a nanoparticle. Additionally, the surface of ACCURINS can be functionalized with a variety of biologically active ligands, potentially with multiple types of ligands on the same particle. BIND’s collaboration with Affilogic is intended to investigate the use of Nanofitins protein ligands that bind to important immune regulators.

"We are excited about our collaboration with BIND Therapeutics and believe our Nanofitin targeting ligands can play an important role in BIND’s innovative medicine strategy," said Olivier Kitten, chief executive officer, AFFILOGIC. "BIND’s ACCURINS platform has proven very effective at encapsulating and controlling the release kinetics of a wide variety of therapeutic payloads. When combined with our ability to specifically tailor Nanofitins to target important immune-oncology checkpoints, we believe this collaboration could lead to the discovery and development of truly innovative therapeutics."

This early research collaboration is not expected to have a material financial impact on BIND Therapeutics. Additional terms of the collaboration have not been disclosed.

About ACCURINS
ACCURINS are proprietary polymeric nanoparticles that are engineered to target specific cells and tissues in the body at sites of disease. ACCURINS have the potential to achieve therapeutic outcomes not currently possible with conventional treatment modalities. We are developing ACCURINS with three different therapeutic objectives, both through internal research programs and with collaborators:

Innovative medicines: Designing new therapeutic approaches by combining novel targeting methods and new classes of therapeutic payloads.
Enabling potent pathway inhibitors: Enabling greater inhibition of important cellular pathways where that level of inhibition has been unachievable due to off target toxicity.
Differentiated profile with approved drugs: Improving upon safety and efficacy with previously approved chemotherapeutic agents.
ACCURINS can be engineered for multiple therapeutic applications and have the potential to integrate numerous payloads, including highly potent drugs with mechanism-based toxicities that limit therapeutic benefit, DNA, RNA, proteins and immunotherapy agents. This attribute enables ACCURINS to target multiple diseases, including cancer, inflammatory, vascular, and infectious disease.

About Nanofitins
Nanofitins are small affinity proteins that can be easily conjugated to other moieties (small molecule, biologics, nanoparticles) by genetic fusion or standard chemistry (regioselective conjugation). This enables to consider a Nanofitin not only as a neutralizing agent but also as a vector to increase target-specificity and enable cellular uptake. Nanofitins demonstrate many small molecule-like attributes such as a very small size (20 times smaller than a monoclonal antibody), an extreme robustness and a better tissue penetration. Deriving from a naturally hyperstable scaffold, Nanofitins are resistant to temperature and pH, are spontaneously refolding and stable to proteases. Nanofitins are produced by simple, scaleable, GMP- compliant bacterial fermentation at very attractive costs or by chemical synthesis.

Affilogic designs and develops Nanofitins through early-stage collaborations, as well as a proprietary portfolio.

Yissum and BioTheryX Sign Licensing Agreement for the Development of Next-Generation Protein Degradation and Immunomodulatory Treatment for Hematological Cancers

On May 4, 2016 Yissum Research Development Company of the Hebrew University of Jerusalem reported that it had signed an exclusive world-wide licensing and research agreement with BioTheryX, Inc., developer of novel protein degradation and immunomodulatory drugs for cancer and immune dysfunction, for the development and commercialization of drug candidates representing first-in-class therapy for both hematologic and solid malignancies. Financial terms of the license were not disclosed (Press release, , MAY 4, 2016, View Source [SID1234641528]).

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The novel technology was invented by Yinon Ben-Neriah, MD, PhD, Blumenthal Professor of Cancer Research, Lautenberg Center for Immunology, Hebrew University-Hadassah Medical School, with generous support by AMRF (The Dr. Miriam and Sheldon G. Adelson Medical Research Foundation). Dr. Ben-Neriah’s and his team showed that inhibition of the clinically validated enzyme CKI-alpha, induces several tumor suppressor pathways, including a new type of DNA damage response and p53 activation. This provides a novel approach to treat a wide range of cancers, in particular selective types of hematological malignancies.

Prof. Yinon Ben-Neriah has recently received the 2016 Rappaport Prize for excellence in biomedical research, among others, for his ground breaking research on the relationship between chronic inflammation and cancer and the treatment of leukemia.

Based on their complementing expertise, BioTheryX and Yissum have agreed to join forces and focus on the selection and advancement of clinical candidates designed to inhibit CKI-alpha. Initial clinical focus for these candidates will be selective subtypes of myelodysplastic syndrome and acute myeloid leukemia that are not responsive to available cancer therapy.

In preclinical studies of acute leukemia, these clinical candidates showed a far greater therapeutic potential than any previously reported studies. Treatment of genetically-modified leukemic mice modeling poor-prognosis human acute myeloid leukemia, abolished the disease signs in the majority of the animals, without compromising the normal bone marrow, demonstrating that CKI-alpha inhibitors have a large therapeutic window and are unique in their capacity to specifically eliminate leukemia stem cells, including otherwise treatment-resistant stem cells – a strong indication of cancer cure.

Yaacov Michlin, President and Chief Executive Officer, Yissum, commented, "The treatment that was developed in Prof. Ben-Neriah’s lab is very different from other available therapies, both in its mechanism of action and its ability to eliminate leukemic stem cells, and thus in its therapeutic potential. In light of the successful pre-clinical studies, we believe that it offers a significant breakthrough, and we are very pleased to partner with BioTheryX in the development of new drug candidates for potential treatment of a variety of hematological indications. We believe that the combined know-how and research efforts of the teams at BioTheryX and the Hebrew University will facilitate new drug development, leading to significant advancement in the therapy of this class of devastating cancer diseases."

David Stirling, Chief Executive Officer, BioTheryX, commented, "BioTheryX is particularly pleased to partner with the Hebrew University on this important project. Our team, having developed the remarkable IMiD family of drugs while at Celgene, which have improved the quality of life of so many cancer patients and their loved ones, brings a deep wealth of experience to developing novel cancer therapies that modulate protein degradation and the immune system to target cancer causing proteins for destruction. We believe that these unique drug candidates from the Hebrew University will not only bring new treatment modalities to a variety of hematological cancers, but may provide the only option for those patients that relapse and become resistant to currently available therapies."

Anticancer DNA vaccine based on human telomerase reverse transcriptase generates a strong and specific T cell immune response.

Human telomerase reverse transcriptase (hTERT) is overexpressed in more than 85% of human cancers regardless of their cellular origin. As immunological tolerance to hTERT can be overcome not only spontaneously but also by vaccination, it represents a relevant universal tumor associated antigen (TAA). Indeed, hTERT specific cytotoxic T lymphocyte (CTL) precursors are present within the peripheral T-cell repertoire. Consequently, hTERT vaccine represents an attractive candidate for antitumor immunotherapy. Here, an optimized DNA plasmid encoding an inactivated form of hTERT, named INVAC-1, was designed in order to trigger cellular immunity against tumors. Intradermal injection of INVAC-1 followed by electrogene transfer (EGT) in a variety of mouse models elicited broad hTERT specific cellular immune responses including high CD4(+) Th1 effector and memory CD8(+) T‑cells. Furthermore, therapeutic INVAC‑1 immunization in a HLA-A2 spontaneous and aggressive mouse sarcoma model slows tumor growth and increases survival rate of 50% of tumor-bearing mice. These results emphasize that INVAC-1 based immunotherapy represents a relevant cancer vaccine candidate.

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Nordic Nanovector Announces First Patient Enrolled in Arm 3 of Expanded Phase 1/2 Study of Betalutin® in NHL Patients

On May 4, 2016 Nordic Nanovector ASA (OSE: NANO), a biotechnology company focusing on the development of novel targeted therapeutics in haematology and oncology, reported that the first patient has been enrolled into one of the two new arms of its expanded Lymrit 37-01 clinical study with Betalutin (Press release, Nordic Nanovector, MAY 4, 2016, View Source [SID:1234511950]).

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Betalutin is a novel anti-CD37 targeting Antibody Radionuclide Conjugate in development for the treatment of major types of non-Hodgkin’s lymphoma (NHL), including Follicular Lymphoma (FL).

The new arm (Arm 3) is designed to investigate the safety and efficacy of Betalutin in up to 12 patients with relapsed FL pre-dosed with standard anti-CD20 immunotherapy (rituximab) on Day 0, a few hours prior to the administration of Betalutin.

Luigi Costa, Nordic Nanovector CEO, commented: "We are pleased to initiate the first of the two new cohorts in our ongoing clinical study, which represents a significant step forward in Betalutin’s development plan. Data we have seen to date suggest that we can achieve strong clinical efficacy with a regimen that controls haematological side effects. The two new arms are investigating if different pre-dosing regimens will allow the use of higher doses of Betalutin to potentially achieve even higher efficacy than that so far observed, and therefore an even more compelling product profile."

The Lymrit 37-01 study is a Phase 1/2 open label, single injection ascending dose study investigating three dose levels of Betalutin and different dosing regimens in patients with relapsed NHL with the aim of identifying an optimal dose regimen to take into the Phase 2 PARADIGME study, which is expected to start in 2H 2017.

Patient recruitment into the Phase 2 part of Arm 1 (15Mbq/kg plus 50mg/ml unconjugated "cold" HH1 anti-CD37 antibody) is progressing as planned with dose-escalation expected to begin in 2H 2016. Patient screening is also underway for the final arm in the expanded Lymrit 37-01 study (Arm 4), in which escalating doses of Betalutin plus pre-treatment with a higher dose of cold anti-CD37 antibody than in Arm 1 will be evaluated in relapsed FL patients.

A decision to increase the dose of Betalutin to 17.5 MBq/kg in Arm 1 can be made based on the evaluation of the safety and efficacy data observed in the 15 patients treated with 15 MBq/kg. A decision to increase the dose of Betalutin to 17.5 MBq/kg or 20 MBq/kg in one or the other of Arms 3 and 4 can be made based on the evaluation of the safety and efficacy data observed in the first three patients of both cohorts.

Data and analysis recently published at the American Association of Cancer Research annual meeting (16-20 April) confirmed that Betalutin was generally well tolerated and showed a 63.2% Overall Response Rate (ORR) and a 31.6% Complete Response (CR) in evaluable patients. Clinical responses observed were sustained, with Duration of Response exceeding 12 months in most responders in the 15 MBq/kg group who have been followed up for at least 12 months.