Lyell spinout Outpace leverages de novo proteins to control cell and gene therapies

On May 18, 2021 Outpace reported that the company is taking cell and gene control technology originally in-licensed by Lyell out of that company’s toolbox and into a broad partnering model it thinks could transform the field (Press release, Outpace Bio, MAY 18, 2021, View Source [SID1234637772]).

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Outpace Bio Inc. launched in March with a $30 million series A round led by Artis Ventures and Lyell Immunopharma Inc., with participation by Abstract Ventures, Civilization Ventures, Mubadala Capital, Playground Global, Sahsen Ventures and WRF Capital.

The company’s leadership and scientific teams include inventors of de novo protein design technology developed at University of Washington’s Institute for Protein Design (IPD), many of whom joined Lyell when their inventions were brought under the well-funded cancer cell therapy company’s roof. That IP is now assigned to Outpace.

"The reason we’re spinning out from Lyell is that even massively capitalized companies can’t chew on all the hypotheses we want to address while moving at full speed on internal clinical development," said Outpace co-founder and CEO Marc Lajoie. "We have a lot to offer the field, and Lyell will benefit from that."

Outpace is developing "a whole platform of control modalities" to program cell and gene therapies for greater potency and safety, said Lajoie.

That includes synthetic biology strategies using "AND" or "NOT" Boolean logic gates to recruit or exclude signaling molecules to specific subcellular locations, control protein turnover, or require a specific combination of signals to unlock a desired function.

By designing fit-for-purpose proteins that don’t exist in nature, the company can go beyond standard strategies that manipulate expression of individual genes.

"First-generation approaches have been mainly focused on over-expressing this gene, or knocking out that gene," which can face limitations when a gene is integral to cell function in one setting but hampers it in another, said Lajoie. In contrast, he said, working at the protein level gives Outpace the ability to introduce desired changes in more context-specific ways.

Rather than develop its own pipeline, which would require investing in clinical development, the company is partnering with others to develop products via milestone- and royalty-driven deals. "The opportunity here is to create a step change in the field, and to be able to do that, we needed to focus our efforts on early development," Lajoie said.

In some cases, Outpace and the partner company will jointly design the program from the bottom-up, while in others, the partner will come to Outpace and use the company’s existing technology to solve a specific problem in an ongoing program, said co-founder and CSO Scott Boyken.

While the products developed through collaborations will belong to the partner companies, the underlying control technologies developed through the process belong to Outpace. "We can leverage our progress on the products we’re working on to increase our efficiency for other projects in the future," Lajoie said.

Outpace’s most advanced program is a collaboration with Lyell to develop cell therapies with controlled expression of an undisclosed cytokine. Other programs in development include a CAR cell therapy resistant to exhaustion, and a strategy for drug-induced gene regulation; the partnering status of these programs is undisclosed.

Lajoie said that while Outpace’s technology can be applied to any cell or gene therapy, the company’s "sweet spot" is T cell therapies for cancer.

Lajoie and Boyken co-authored a 2020 Science study with Fred Hutchinson Cancer Research Center professor Stanley Riddell showing the Co-LOCKR (Colocalization-dependent Latching Orthogonal Cage/Key pRoteins) technology they developed, part of Outpace’s IP portfolio, directed T cells to kill target cells expressing precise combinations of cell surface antigens, opening the door to more selective tumor targeting.

"There’s no single antigen that really distinguishes cancer cells from healthy cells, but there are aberrant combinations of antigens. That’s the unique handle we really wanted to pursue in that collaboration," said Lajoie.

He believes the series A round will give the company approximately three years of runway.

At least two other companies have been founded to develop synthetic biology control mechanisms for partners’ cell therapies.

Cell Design Labs Inc. was acquired by Gilead Sciences Inc. (NASDAQ:GILD) for $175 million up front and $322 million in total milestones after Gilead’s 2017 acquisition of Cell Design Labs’ partner, Kite Pharma Inc. The University of California San Francisco spinout, which raised $34.4 million in venture funds, developed technology to control CAR T cell function; its UCSF founders published two Science Translational Medicine studies on the technology last month.

Senti Biosciences Inc., which raised a $105 million series B round in January and a $53 million A round in 2018, has both a pipeline strategy and a partnering model.

xCures partners with CureScience to make leading translational research available to advanced cancer patients

On May 18, 2021 xCures reported its partnership with CureScienceTM so that patients across the US can have access to leading translational science approaches through a decentralized clinical research platform (Press release, xCures, MAY 18, 2021, View Source [SID1234584918]).

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The xCures platform will track outcomes and clinical endpoints to validate CureScience’s assays and research protocols, thereby leveraging CureScience’s diagnostic assays and growing precision medicine resources. This synergy will be highly beneficial for patients and doctors dealing with advanced cancer by recognizing and targeting specific patients and patient populations that may benefit from a particular test or treatment.

"xCures’ collaboration with CureScience presents a significant step towards reaching our mutual goal to help advanced cancer patients," stated Mika Newton, xCures’ CEO. "Together, we will be able to identify better treatments and treatment regimens through the use of real-world data, scalable technologies, as well as patient advocacy and empowerment."

Besides the benefits this collaboration can deliver to patients and doctors, it can also provide insight into novel assays for CureScience to develop. Results obtained will be key for pharmaceutical and biotechnology companies focused on cancer therapeutics and diagnostics and enable negotiations of broader access to investigational and approved therapies.

"One of our goals is to empower patients to make informed decisions. A collaboration with xCures on patient-facing and outcomes tracking infrastructure provides a significant value towards this goal," stated Shashaanka Ashili, CEO of CureScience. "This collaboration provides an opportunity to identify and implement joint clinical and translational opportunities that will lead towards achieving personalized precision medicine goals."

BERGENBIO PRESENTING AT SACHS 7TH ANNUAL IMMUNO-ONCOLOGY INNOVATION FORUM

On May 18, 2021 BerGenBio ASA (OSE:BGBIO), a clinical-stage biopharmaceutical company developing novel, selective AXL kinase inhibitors for severe unmet medical need, reported that BerGenBio CEO Mr. Richard Godfrey is presenting at the following virtual conference (Press release, BerGenBio, MAY 18, 2021, View Source [SID1234583867]):

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7th Annual Immuno-Oncology Innovation Forum (SACHS), May 18, 2021

Live presentation at 13.10 PM EDT zone

The presentation will be made available on the Company website: www.bergenbio.com/investors/presentations/

Elevar Therapeutics Announce New Data Highlighting Patient Burden and Unmet Needs Associated with Cremophor-Based Cancer Treatments

On May 18, 2021 Elevar Therapeutics, Inc. ("Elevar"), a fully integrated biopharmaceutical company built on the promise of elevating treatment experiences and outcomes for patients who have limited or inadequate therapeutic options, reported the presentation of data from a systematic literature review characterizing the burden and unmet medical needs associated with Cremophor-based cancer treatments at the 2021 Virtual International Society for the Pharmacoeconomic and Outcomes Research (ISPOR) conference (Press release, Elevar Therapeutics, MAY 18, 2021, View Source [SID1234580356]).

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"Cremophor EL is an additive used to improve the solubility of paclitaxel, an effective and widely used chemotherapy for the treatment of a variety of cancers such as lung, breast and ovarian cancer. Unfortunately, many patients experience increased adverse events and hypersensitivity reactions caused by the additive rather than the active drug," said Diana I. Brixner, R.Ph., Ph.D., FAMCP, executive director of the Pharmacotherapy Outcomes Research Center at University of Utah Health. "While the clinical burden of Cremophor EL is well documented, this literature review confirms that it is also associated with a high economic and quality of life burden, demonstrating the need for non-Cremophor containing therapy."

The systematic literature review evaluated 31 studies that met the eligibility criteria for a qualitative synthesis of literature on the safety, humanistic, and economic burden of burden of treatment with Cremophor EL (CrEL) among patients with ovarian cancer, triple negative breast cancer, pancreatic cancer, and cervical cancer. Key findings include:

Safety and tolerability associated with CrEL-containing therapy on cancer patients, specifically ovarian cancer patients, result in significant patient burden across clinical and humanistic metrics
Most patients need substantial medication to preemptively, or during chemotherapy, mitigate adverse events (AEs) associated with CrEL-containing therapy
Despite pre-medication, patients reported experiencing these AEs with CrEL-containing therapy
Additionally, the published literature describes challenges associated with infusion of CrEL-containing therapy, including longer infusion times and the need for specialized medical devices to handle the viscous medications.

"Today, healthcare providers must consider not only the direct clinical impact of treatment options for patients, but also the potential impact to a patient’s quality of life and the healthcare costs and resources required to manage treatment with Cremophor-based agents," said Mark Gelder, M.D., chief medical officer of Elevar Therapeutics. "This systematic literature review is the first to evaluate the current evidence on the clinical, economic, and humanistic burdens related to Cremophor EL based therapies among multiple tumor types. We are pleased to share these results with the global oncology community which we hope promote a better understanding of the impact of Cremophor EL on patients and help inform optimal treatment selection."

About Ovarian Cancer

Ovarian cancer is one of the most common female cancers affecting the primary reproductive organs 1. Globally, it is the third most common cancer among women and has the highest mortality rate 2,3. Although ovarian cancer has a lower prevalence in comparison with breast cancer, it is three times more lethal, and it is predicted that, by the year 2040, the mortality rate of this cancer will rise significantly 4,5. About half of the women who are diagnosed with ovarian cancer are 63 years or older and many of these patients are predisposed to age-related comorbidities, such as diabetes, which can influence treatment response and prognosis 6.

About Apealea (paclitaxel micellar)

Apealea is a patented, water-soluble, intravenously injectable, non-Cremophor based formulation of paclitaxel. Paclitaxel is a well-known chemotherapy agent used to treat breast, ovarian, lung, bladder, prostate, melanoma, and esophageal cancer, as well as other types of solid tumor cancers.Cremophor EL, is a formulation vehicle used for various poorly-water soluble drugs, including the anticancer agent paclitaxel, and is known to cause serious hypersensitive allergic reactions.

In December 2020, Elevar Therapeutics announced that it had entered into an exclusive agreement with Inceptua Group for the distribution and commercialization of Apealea (paclitaxel micellar) in Europe. Apealea received marketing authorization by the European Commission in November 2018, making it Europe’s first non-Cremophor EL formulation of paclitaxel approved for use in ovarian cancer. Apealea has been authorized by European regulatory authorities for use in the European Economic Area in combination with carboplatin for the treatment of adult patients with first relapse of platinum-sensitive epithelial ovarian cancer, primary peritoneal cancer and fallopian tube cancer. It has also been granted Orphan Drug Designation by the U.S. Food and Drug Administration.

Photocure announces Hexvix regulatory filing accepted for review in Chile with Fast Track designation

On May 18, 2021 Photocure ASA (OSE: PHO), the Bladder Cancer Company, reported that notification was given to its partner and exclusive distributor, Genotests SpA by the Instituto de Salud Pública de Chile that the Marketing Authorization Application ("MAA") for Hexvix has been accepted for regulatory review (Press release, PhotoCure, MAY 18, 2021, View Source [SID1234580234]).

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During the regulatory review process, Genotests will begin to prepare for the commercial launch of Hexvix in Chile. In August 2020, Photocure entered into an agreement with Genotests, a privately held company specializing in the marketing of genetic tests for cancer and targeting cancer specialists, to exclusively market and distribute Hexvix in Chile. Under the terms of the agreement, Genotests will fund all costs to secure regulatory approval and commercialize Hexvix in Chile. Photocure will manufacture the product and support Genotests with regulatory activities, training, and promotional materials.

"Acceptance of the Hexvix MAA with Fast Track designation by the Chilean regulatory authority is a milestone for both Photocure and Genotests as we move closer to bringing this important solution to bladder cancer patients in the region," said Dan Schneider, President and CEO of Photocure. "With Genotests’ dedication and strong execution on this initiative, we are hopeful that Hexvix will become accessible to patients in Chile in the fourth quarter of this year. This partnership represents Photocure’s first step into the South American continent, and supports our strategy of expanding the availability of Hexvix into new territories to ensure that patients and urologists have access to the benefits of using blue light cystoscopy (BLC). The procedure with Hexvix, or Cysview, is recommended in consensus treatment guidelines for the management of bladder cancer around the world."

"It is a privilege to bring this fantastic product to Chile" said Oscar Varas, founder and owner of Genotests. "There are approximately 1,500 new bladder cancer cases annually in our country, an estimated 5,000 TURBT* procedures and nearly 11,000 surveillance cystoscopies. We look forward to building on our established network and the successful demonstration of Hexvix Blue Light Cystoscopy, conducted in collaboration with Karl Storz, at the Chilean Urology Conferences in 2018 and 2019, to launch blue light cystoscopy with Hexvix into the Chilean urology community as soon as possible."

*TURBT: trans-urethral resection of bladder tumors

Note to editors:

All trademarks mentioned in this release are protected by law and are registered trademarks of Photocure ASA

About Bladder Cancer

Bladder cancer ranks as the seventh most common cancer worldwide with 1 720 000 prevalent cases (5-year prevalence rate)1a, 573 000 new cases and more than 200 000 deaths annually in 2020.1b

Approx. 75% of all bladder cancer cases occur in men.1 It has a high recurrence rate with an average of 61% in year one and 78% over five years.2 Bladder cancer has the highest lifetime treatment costs per patient of all cancers.3

Bladder cancer is a costly, potentially progressive disease for which patients have to undergo multiple cystoscopies due to the high risk of recurrence. There is an urgent need to improve both the diagnosis and the management of bladder cancer for the benefit of patients and healthcare systems alike.

Bladder cancer is classified into two types, non-muscle invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC), depending on the depth of invasion in the bladder wall. NMIBC remains in the inner layer of cells lining the bladder. These cancers are the most common (75%) of all BC cases and include the subtypes Ta, carcinoma in situ (CIS) and T1 lesions. In MIBC the cancer has grown into deeper layers of the bladder wall. These cancers, including subtypes T2, T3 and T4, are more likely to spread and are harder to treat.4

1 Globocan. a) 5-year prevalence / b) incidence/mortality by population. Available at: View Source, accessed [April 2021].
2 Babjuk M, et al. Eur Urol. 2019; 76(5): 639-657
3 Sievert KD et al. World J Urol 2009;27:295–300
4 Bladder Cancer. American Cancer Society. View Source

About Hexvix/Cysview (hexaminolevulinate HCl)

Cysview is the tradename in the U.S. and Canada, Hexvix is the tradename in all other markets. Photocure is commercializing Cysview/Hexvix directly in the U.S. and Europe, and has strategic partnerships for the commercialization of Hexvix/Cysview in China, Canada, Chile, Australia and New Zealand. Please refer to View Source for further information on our commercial partners.