Sun Pharma Advanced Research Company Limited has informed the Exchange about Investor Presentation
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Update on Clinical Programs and R&D Pipeline Nov 2, 2023
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BSE: 532872 NSE: SPARC BLOOMBERG: SPADV@IN RETURNS: SPRC.BO CIN: L73100GI2006PLCO47837
Disclaimer
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SPARC © 2023
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Agenda
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01
Strategic Overview
Anil Raghavan
02
Clinical Programs
Siu-Long Yao
03
SCD-153
Vikram Ramanathan
04
SBO-154
Nitin Damle
05
Financial Update
Chetan Rajpara
SPARC © 2023
3
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Strategic overview
Anil Raghavan
Maturing portfolio & operating model
Cost competitive translation with global access to science
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Innovative Portfolio
Narrower Therapeutic Focus
Continuously Improving Execution
Strategic Partnerships
Active Portfolio Churn
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Pivot from 505(b)2
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Embrace risk
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Scalable platforms
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Oncology, Neurology & Immunology
Focus on specific pathways & approaches
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Competency development
Sharper execution focus
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Plug into global innovation ecosystem
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Rigorous review and prioritization
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External engagement
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In-house competencies and infrastructure to prosecute an idea from ‘bench to bedside’ with an ability to scale across modalities
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3 NDAs approved by the USFDA and commercialized by partners, contributing significant ‘non dilutive’ cash to support the portfolio and operating model build-up
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Robust pipeline with 3 NCEs under clinical development in 6 indications including two ‘first-in-class’ opportunities
NDA: New Drug Application| USFDA: United States Food & Drug Administration | NCE: New Chemical Entity
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Year 2024 promises several value inflection points High-yield assets set to read out clinical PoCs and proceed to pivotal programs
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Key catalytic events coming up every quarter during next year
Q1 2024
Vodobatinib PD
PROSEEK Interim analysis readout
Q2 2024
SCD-153
Phase 1 SAD study results
Vibozilimod*
Atopic dermatitis
Phase 2 study enrollment completion
Q3 2024
Vodobatinib PD PROSEEK full data readout
Q4 2024
SBO-154
IND submission
Vibozilimod* Atopic dermatitis Interim analysis and topline results
SCD-153 Phase 1 MAD study initiation
PoC: Proof of Concept | PROSEEK: Phase 2 study in early Parkinson's disease patients evaluating the safety and efficacy of Abl tyrosine kinase inhibition using K0706 | PD: Parkinson’s Disease | SAD: Single Ascending Dose | MAD: Multiple Ascending Dose | IND: Investigational New Drug | *Vibozilimod licensed to Sun Pharmaceutical Industries Limited
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Vodobatinib reached Phase 2 enrollment target
PROSEEK read out to provide definitive PoC for the cAbl hypothesis and oxidative stress response modulation as an approach for neuroprotection
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PROSEEK Phase 2 study of Abl tyrosine kinase inhibition with Vodobatinib
tparkin pY143
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One of the largest Phase 2 study ongoing for early PD patients (pre L-Dopa)
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Study met enrollment target, 504 evaluable patients
Treatment duration of 40 weeks followed by 40 weeks’ extension study
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Data from interim analysis expected in March 2024
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Geared up for post PROSEEK outcome
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State of readiness for initiation of Phase 3 study
Engaging partners for potential collaboration
Sporadic PD
i
Mitochondrial Dysfunction
~ Oxidative Stress i
'!'Activated c-Abl pY245 c-Abl) pY412c-Abl
(
tp-p38a pY182 ) pY328
(
A53T Mutation (Familial PD)
/
a-Synucleln
j
"'a-Synuclein pY39 T
1' a-Synuclein Aggregation
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1'AIMP2
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Oxidative stress in PD and related α-synucleinopathies1
Data cut-off: 20 Oct 2023 1. c-Abl and Parkinson’s Disease: Mechanisms and Therapeutic Potential - J Parkinsons Dis. 2017; 7(4): 589–601 cAbl: Cellular Abelson Kinase | L-Dopa: Levodopa
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PROSEEK opens up a broad opportunity set
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Unlocks significant value for SPARC with potential use across PD progression and in disorders driven by α-synuclein
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Potential to combine with symptomatic therapies in PD
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Potential for early interventions in precursor conditions
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PROSEEK offers a powerful PoC for the pathway in diseases driven by α-synuclein
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Key disorders having α-synuclein aggregation as a pivotal process include PD, MSA & DLB
PRE-DIAGNOSIS
PARKINSON’S DISEASE DIAGNOSIS
Sensory symptoms and unspecific pain
Impaired olfaction
Visual abnormalities
Sleep Disorders: REM sleep behaviour disorder Daytime somnolence Restless legs syndrome Periodic limb movement in sleep
Depression
Cognitive impairment
EARLY STAGES
ADVANCED STAGES
PROSEEK target population
Vodobatinib future development
Dyskinesia On-Off
Tremor Rigidity Bradykinesia
Pain in medial collateral ligament
Dysphagia Urinary symptoms Orthostatic hypotension Dementia
Psychosis Hallucinations OCD
Postural changes Dysphagia Gait's apraxia Freezing Falls Dystonia
Treatment Complications
Motor symptoms
Non-motor symptoms
Gastrointestinal symptoms and constipation
Autonomic dysfuction: Orthostatic hypotension Urogenital dysfunction
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n o s s e r g o r p e s a e s D
i
-20
-10
0
10
20
Time from diagnosis (years)
Vodobatinib can emerge as the protective backbone across the continuum of care for synucleopathies and other neurodegenerative disorders resulting from misfolded proteins
Chart adapted from Is insulin-like growth factor-1 involved in Parkinson’s disease development? Castilla-Cortázar et al. J Transl Med (2020) 18:70 MSA: Multiple System Atrophy | DLB: Dementia with Lewy Bodies | OCD: Obsessive Compulsive Disorder
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Vibozilimod*
Optionality beyond PROSEEK
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SPARC pipeline includes multiple high value assets with platform potential
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SPARC’s immunology program will provide additional efficacy and safety data points in 2024
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Oncology offers a potential hedge and anchor for future portfolio build across modalities
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Additional bets to understand underlying mechanisms in neurodegenerative diseases - UK DRI collaboration
Immunology
Oncology
Led by 3rd generation S1PR1 agonist, Vibozilimod with potential to be best-in-class asset in Dermatology – Clinical PoC in 2024
SCD-153 program to explore a novel pathway with a topical agent for Alopecia Areata – Safety PoC in 2024
Potential additional indications
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Vodobatinib in CML – Recalibrating to a changing regulatory and market landscape
MUC-1 program – A differentiated targeting approach which can become a pipeline in itself beyond the first ADC
UCSF collaboration for Small Molecule Drug Conjugates in mPC
Strong preclinical interest in antibody mediated delivery, RNA targeted therapeutics, & collateral lethality
Additional shots on goal & enabling competencies differentiate SPARC’s risk profile
UKDRI: UK Dementia Research Institute | S1PR1: Sphingosine-1-Phosphate Receptor 1 | CML: Chronic Myelogenous Leukemia | MUC-1: Mucin-1 | ADC: Antibody Drug Conjugate | UCSF: University of California San Francisco | mPC: metastatic Prostate Cancer | RNA: Ribonucleic Acid
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Immunology program focused on autoimmune disorders in dermatology Opportunity to become safer oral alternative to the current SoC; offers a path to build an immunology franchise
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Vibozilimod
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Two Phase 2b studies recruiting patients in Psoriasis and Atopic Dermatitis; lead indication Atopic Dermatitis
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Provides an alternate mechanism to IL-4/IL-13 antibodies and JAK inhibitors
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Studies being expanded to Europe and Canada
SCD-153
Topical application may potentially provide a safer alternative to currently approved JAK inhibitors for treatment of AA
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Phase 1 study initiated for AA
Preclinical evaluation ongoing in other autoimmune diseases of epidermis
SoC: Standard of Care | IL-4: Interleukin-4 | IL-13: Interleukin-13 | JAK: Janus Kinase | AA: Alopecia Areata
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Oncology pipeline with multiple near-term clinical options… …backed up by an active preclinical effort involving multiple targets and modalities
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Vodobatinib for CML (SCO-088) writes down the PROSEEK risk
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Validated target; efficacy established in patients
Being developed under Frontrunner program of the USFDA; potential to move in earlier lines of treatment
Cell-targeting by ADC1
1. ADC binds to antigen
2. Internalisation via endocytosis
Antigen
DNA intercalation
5. Apoptosis of target cell
Payload
Microtubule disruption
Endosome
3. Degradation of ADCs in lysosomes
Lysosome
4. Release of payload and drug action
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Antibody and small molecule ligands targeted delivery of payloads across modalities is a key focus for SPARC oncology
"
MUC-1 antibody provides a differentiated platform to build pipeline of assets targeting a defined subset of patients across multiple tumors
"
Key elements of the MUC-1 α/β hypothesis validated. First program on track; expected to enter clinic in 2024
"
Additional constructs with other payloads and augmented targeting are being evaluated in preclinical setting
"
Preclinical PoC established for Small Molecule Drug Conjugate
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Emerging preclinical interest in novel synthetic lethality pairings and RNA therapeutics
1. Adapted from: Antibody-drug conjugates for cancer Cindy C et al. Lancet 2019;394:793-804
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Rigorous translational focus Focused on patient needs, developability considerations & asset appropriateness
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h g H
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COST FOCUS Resource optimization
BUILD Investment, prioritization & move faster
y t i l i
b a b o r P
s s e c c u s
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R&D Strategy
STOP Divest & Reallocate resources
EVALUATE Risk mitigation
Low
NPV
High
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Rigorous portfolio review process – Kill early, kill cheap, kill completely
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Large proportion of programs focusing on novel biology (potential first-in-class). Continued development of best-in-class assets for validated targets to balance the risk
SPARC © 2023
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SPARC expects additional non-dilutive cash flows from its commercial/partnered assets
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ELEPSIA & XELPROS
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Strong uptake post launch
Commercialization disrupted due to import alert at partner’s manufacturing site
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Identified alternate manufacturing site for tech transfer
SEZABY
PDP-716
VIBOZILIMOD
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Licensed to SPI Inc.
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Safeguarding interests of patients and caregivers
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Filed PIL with USFDA
Sent cease & desist letters to companies marketing unapproved products in the US market
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Robust supply chain development
USFDA issued CRL to PDP-716 NDA due to inspection findings at a third-party API manufacturing facility
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No additional clinical data or trials requested
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Identified alternate API partner
SPARC eligible to receive regulatory & sales milestones and royalty on sales
Option to monetize royalty for immediate fund requirements
SPI: Sun Pharmaceutical Industries | PIL: Public Interest Litigation | CRL: Complete Response Letter | API: Active Pharmaceutical Ingredient | NDA: New Drug Application
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Pipeline overview
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Asset / Program
MoA
Indication
Discovery Preclinical
Phase 1
Phase 2
Phase 3/ Registration Study
Vodobatinib (SCC-138)
c-ABL Inhibitor
Vodobatinib (SCO-088)
BCR-ABL Inhibitor
Parkinson’s Disease
Lewy Body Dementia1
Alzheimer’s Disease
Refractory CML
SB0-154
Anti-MUC-1 ADC
Solid Tumors
Vibozilimod (SCD-044)
Selective S1PR1 agonist
Psoriasis
Atopic Dermatitis
SCD-153
Itaconate derivative
Alopecia Areata
Preclinical Assets
10+ preclinical assets under development to ensure a robust pipeline for future growth
Neurology
■
Oncology
■
Immunology
■
Bexirestrant deprioritized based on commercial assessment and change in treatment landscape
1. Investor initiated study. MoA: Mechanism of Action | BCR-ABL: Breakpoint Cluster Region-Abelson
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Key priorities for next year Execution focus is the objective
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Clinical studies
Regulatory filing
Strategic priorities
PROSEEK completion and data readout
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Vodobatinib Phase 3 study initiation for PD
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SCD-153 Phase 2 study initiation
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Vibozilimod enrollment completion for Atopic Dermatitis study
Elepsia site transfer
0
PDP-716 re-filing
0
EoP2 meeting with USFDA for Vodobatinib in neurodegenerative disorders
0
SBO-154 IND filing
Resourcing to ensure smooth operations
In-licensing of potential opportunities
Capabilities and resource building
0
0
EoP2: End of Phase 2
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Clinical programs
Siu-Long Yao
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Vodobatinib (SCC-138) for neurodegenerative diseases
Siu-Long Yao
Parkinson’s disease epidemiology PD affects ~7 mn people globally; expected to grow above 14 mn by 2040
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PD population outgrowing overall population (2-4% growth in PD vs. 1% global population growth)
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DMTs can make significant impact to the lives of PD patients by changing the trajectory of disease
Stages of Parkinson’s Disease1
Motor symptom onset
!
Further titration of dopaminergic tretment
Consider Advanced therapies
Death
Bradykinesia Rigidity Tremor
Motor fluctuations Dyskinesia
Falls Gait disorder Dysphagia
Prodromal
Diagnosis
Maintenance
Complex
Palliative
RBD Depression Constipation Anosmia
i
Initiation of dopaminergic treatment
Cognitive impairment Urinary symptoms Postural Hypotension Pain
Dementia Psychosis
i
Care home admission
1. Update on the diagnosis and management of Parkinson's disease. Kobylecki C. Clinical Medicine. 2020 Jul;20(4):393. IQVIA-SPARC-Vodobatinib Opportunity Assessment in PD-Final Readout-September 2020 Source: IQVIA analysis; population and growth rate: Census, Eurostat, INSEE, Word Bank, Parkinson’s Foundation, Savica et al, JAMA Neurology, 2017 DMT: Disease Modifying Therapy
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PROSEEK
study update
Enrollment target met
Screening
g
Randomization
PART 1 Weeks 0 to 40
Placebo (N=168)
Vodobatinib 384mg (N=168)
I
Vodobatinib 384mg
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Part 1
0
Data from interim analysis expected to be
available by March 2024
Part 2
0
Study initiated in Q4 2021
0
~87% of eligible patients enrolled in Part 2
0
Continuing treatment for additional 9 months
0
Continues to evaluate patients until May 2025
Vodobatinib 192mg (N=168)
l
Vodobatinib 192mg
PART 2 Weeks 41 to 76
Data cut-off: 20 October 2023
Patient continues into extension part of protocol
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PROSEEK
study update
No significant cardiac events reported in the patients recruited
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Number of patients randomized
0
Over 40% patients enrolled from the US
250
200
150
100
50
0
216
0
Grade 3/4 events reported in 6.1% patients
89
85
76
0
GI and rash were the most common AEs reported
No changes in study protocol recommended
by DSMB throughout the conduct of the study
21
17
0
6 DSMB reviews conducted
USA
India
Spain
Poland
Slovakia Hungary
DSMB: Data and Safety Monitoring Board | GI: Gastrointestinal | AE: Adverse Events Data cut-off: 20 October 2023
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•
PROSEEK
study update
Biomarkers under evaluation
0
Target biomarker cohort enrolment – 150 total (random assignment)
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Further randomization to placebo, low dose, or high dose Vodobatinib – 50 assigned to each arm
0
Exploratory samples (CSF, plasma, serum) at baseline, 8 & 40 weeks (EOT)
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Trial Entrance/Exit
0
0
DaT-SPECT Scan
α-Synuclein skin biopsy
Target Engagement
0
c-ABL and CRKL
Neuronal Death
0
Neurofilament Light
PD/Efficacy
0
Downstream targets (AIMP2, NFKB, NLRP3, p38α[MAPK], PARIS, Parkin, α-synuclein)
Motion/Gait Sensing
0
Phone based assessment
CSF: Cerebrospinal Fluid |EOT: End of Treatment| DaT-SPECT: Dopamine Transporter Single-photon Emission Computed Tomography | CRKL: CT10 Regulator of Kinase Like | NFKB: Nuclear Factor kappa B NLRP3: Nucleotide-binding domain, Leucine-Rich-containing family, Pyrin domain-containing-3 | MAPK: Mitogen-Activated Protein Kinases | PARIS: Parkin Interacting Substrate | AIMP2: Aminoacyl TRNA Synthetase Complex Interacting Multifunctional Protein 2
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Vodobatinib development
Activities running in parallel before EoP2 meeting with FDA
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2023
2024
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Rat Carcinogenicity study
Relative BA study
DDI studies
hADME study
EoP2
I ■
EoP2 meeting with FDA planned in Nov 2024
BA: Bioavailability | DDI: Drug-Drug Interaction | hADME: human Absorption Distribution Metabolism Excretion
SPARC © 2023
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Vodobatinib (SC0-088) for chronic myeloid leukemia
Siu-Long Yao
Chronic myeloid leukemia
Use of 2nd and 3rd generation agents increasing
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Year
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Rate of New Case
Death Rate
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3500
3000
2500
2000
1500
1000
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Imatinib
■
Dasatinib
■
Bosutinib
■
Nilotinib
■
Ponatinib
■
Asciminib
0
The prevalence of CML is estimated to grow primarily attributed to prolonged survival and access to TKIs
0
The current value market is over US$ 3.5 bn
1. www.seer.cancer.gov/statfacts/html/cmyl.html 2. IQVIA MAT July TKI: Tyrosine Kinase Inhibitors
SPARC © 2023
25
Vodobatinib (SCO-088) Phase 1/2 study results
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Patients continue to benefit over a long period of time
Major Molecular Response (MMR) in CML-CP*
0
20
40
60
80
100
3
Baseline
97
3
Best response
55
42
■
No response
■
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■
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% patients
0
Over 1/3rd patients on study drug beyond 3 years
0
Median duration on study drug being 32.3 months (range: 0.3 – 73.4 months)
*Best response CML-CP: Chronic Myelogenous Leukemia - Chronic Phase Values are rounded-off Data cut-off: 20 Oct 2023
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Preclinical data confirms superiority of Vodobatinib over 2nd generation TKI
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Anti-leukemic activity in Ba/F3-WT xenografts
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Vodobatinib demonstrated better growth inhibition (GI50) over nilotinib in Ba/F3 BCR::ABL1 wildtype (WT) and its resistant mutants
in-vitro
0
Vodobatinib has better antitumor activity over nilotinib
in-vivo
Nilotinib administered in mice at doses that give exposures similar to that of clinically approved dose. GI: Growth Inhibition | p.o.: per oral | o.d.: once daily
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Vodobatinib (SCO-088) registration plan alignment with FDA Vodobatinib being developed under project Frontrunner
0
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0
Frontrunner is a program launched to make newer disease modifying therapies in earlier lines of treatment instead of late line setting
0
Registration path
0
0
Randomized control study in earlier line of treatment: Phase 3 study in patients failing >1 TKI may be acceptable for approval
Clinical spend expected to increase; due to cost of comparator drug
Phase 2/3
Vodobatinib
[
]---►•
Randomization 1:1
CML-CP patients
previously treated
with TKI
( __ ]---►•
2nd generation TKI
until EOS
Follow Up
Survival
Primary Endpoint: MMR at 24 weeks
EOS: End of Study
SPARC © 2023
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sparc0
Vibozilimod for autoimmune disorders
Siu-Long Yao
Vibozilimod (SCD-044)
Targeting fragmented dermatology market
0
Highly selective S1PR1 agonist
0
Leading agent in the class under development for Psoriasis and Atopic Dermatitis
0
sparc
Psoriasis
Atopic Dermatitis
0
US Prevalence ~ 8 mn
0
US prevalence ~ 18 mn
0
Dominated by biologics (injectables), limited oral
agents being developed for moderate to severe
disease
0
Systemic therapy primarily for moderate to
severe disease
0
Biosimilars yet to take majority share of
patients
0
Usage of JAK inhibitors limited primarily due
to black box warning and AE profile
SPARC © 2023
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Vibozilimod (SCD-044) for Psoriasis
Phase 2 Study design
sparc0
Screening 4 Weeks
Part I:16 Weeks
Part II:16-28 Weeks
Part III:28-52 Weeks
Follow-up Week 56
0
Study open in the US, Latin America and Europe
< PASI75 response at week 28
Discontinue
15 sites in the US
Placebo
Vibozilimod Intermediate Dose
Vibozilimod Low Dose
Vibozilimod High Dose
≥PASI50 response Continue on Vibozilimod Low Dose
s t n e m s s e s s A g n n e e r c S
i
Vibozilimod Intermediate Dose
- l □□
<PASI50 response Switch to Vibozilimod High Dose
≥ PASI75 response at week 28
Continue on existing regimen
Vibozilimod High Dose
-+
Continue the assigned treatment
0
3 sites in Europe
0
Primary endpoint – Proportion of patients with PASI75 response at week 16
p u - w o
l l
o F e e r f
t n e m t a e r T
PASI: Psoriasis Area and Severity Index
SPARC © 2023
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x e d n
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a e r A a m e z c E
: I
S A E
Next steps
sparc0
Futility Analysis Q2 2024
Interim analysis readout for Atopic Dermatitis study Q4 2024
Complete data readout for Atopic Dermatitis Q2 2025
SPARC © 2023
33
sparc0
SCD-153 for Alopecia Areata
Vikram Ramanathan
Alopecia Areata: Autoimmune disease that causes hair loss Current treatment approaches are limited
sparc
Clinical manifestations of Alopecia Areata1
0
Estimated 6.7 mn people in the US and 160 mn people worldwide have AA2
0
~ 50% can experience spontaneous hair regrowth within one year, the majority often relapse
0
Current treatments are inadequate
C,
Approved JAK1 inhibitors carry black box warning
0
Steroids cause serious AEs: systemic immuno-suppression, muscle wasting, growth retardation in pediatric population
1. Pratt et al. Nat. Rev. Dis. Primers (2017) 2. Natural Alopecia Areata Foundation
SPARC © 2023
35
SCD-153
Novel topical drug for treatment of Alopecia Areata
sparc
SCD-153 blocks key inflammatory cytokines implicated in AA1
Healthy
Alopecia Areata
//II __
MHC Class I & Class II
: •
Antigen
CD4+ T cell
CD8+ T cell
Outer root sheath
Sebaceous gland
Hair shaft
Bulb
Presenting cells
Immune-privileged bulb of hair follicle
Breakdown of immune-privilege Infiltration of immune cells "Swarm of bees"
"
SCD-153 inhibits inflammatory chemokines, cytokines and decreases pathogenic CD8+ T cells at base of hair follicle; restores immune privilege at hair follicle
Being topical treatment should reduce systemic exposure thereby reducing systemic side effects
"
1. Adapted from Pratt CH, King LE Jr, Messenger AG, Christiano AM, Sundberg JP. Alopecia areata. Nat Rev Dis Primers. 2017;3:17011 | CD8: Cluster of Differentiation 8
SPARC © 2023
36
•
SCD-153 has demonstrated promising preclinical data Hair growth in mouse Alopecia Areata model
0
sparc
Hair Growth Index
Week#
Week 0 (Before treatment)
Week 16#
400
300
200
100
x e d n
I
h t w o r G
r i a H
)
p u o r g / 8 - 7 = n
,
D S ± n a e M
(
0
0
Vehicle, Thrice-a-week
SCD-153, 3%, Thrice-a-week
......
* * *
* *
4
8
12
16
Time (Weeks)
Vehicle thrice -a- week
SCD-153 at 3% thrice-a- week
n=7; 85–100% alopecia; >45 weeks age Spontaneous severe C3H/HeJ AA mouse model Data are represented as mean ± SD; two-way ANOVA followed by Bonferroni's multiple comparisons test (* p < 0.05 vs Vehicle)
n=4
#n=1 from each group has completed Week 14
0
0
SCD-153 demonstrates single agent activity
It also showed suppression of inflammatory markers in skin
0
Potential to use in combination with other agents
SPARC © 2023
37
•
SCD-153 inhibited IFN signature gene expression in skin of AA diseased mice
0
sparc
qPCR analysis of AA diseased skin
CXCl-9
CXCL-10
CXCL-11
****
120
90
60
30
480
360
•
**** • •
MX-1
**
••
IFN-y •
**** *
I
48
36
24
12
u
9
6
3
STAT-1
**** •• • r7
12
9
6
QI .. c
.. a. J;; :, U 0 ~ ~ 160 0 C) '+ ""' 120 C ID 11 0 ·vt C 80 "' -QI Q
**** r7 • • • •
•
a. (/) 40 X + I IOJ C QI,. 0..1...,..-Y ..lf'L.l!i~ > QI -~ :E oi - c,:
Treatment
Treatment
Treatment
Treatment
Treatment
Treatments
Data are represented as mean t SD; n=6- 10/group. Outlier's identification by ROUT test. Data were analyzed using Kruskal-Wallis test w ith post-hoc Dunn's multiple comparisons test,• p < 0 .05; •• p < 0 .01, ••• p < 0 .001, •••• p < 0 .0001
Naive (Healthy)
♦
Vehicle, Thrice-a-week
•
SCD-153, 3%, Thrice-a-week
SCD-153, 3%, Twice-a-week
•
Significant reduction in IFN signature genes in treated skin at different administered doses was observed
"
Suppressed inflammatory markers in skin
IFN: Interferons | qPCR: quantitative Polymerase Chain Reaction
SPARC © 2023
38
•
SCD-153 Phase 1 study
sparc0
A Randomized, Double-Blind, Vehicle-Controlled, Study to Evaluate the Safety, Tolerability and Pharmacokinetics of topically applied SCD-153 in Healthy Volunteers
IND Approved by DCGI
Phase 1 SAD
0
Phase 1 SAD study initiated in India
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 5
(n=8)
(n=8)
(n=8)
(n=8)
(n=8)
Study Flow Chart
0
5 dose levels
0
Cohorts administered active drug and placebo
Primary Objective:
0
To evaluate the safety and local tolerability
[_X_X_X_X_J 0
In-house assessments until 48 hours
Safety follow up Day10
IMP Application Day 1
Site visit at 72 hours
Check in Day -1
Secondary Objective:
To evaluate the plasma pharmacokinetics of SCD-153 and its metabolite
DCGI: Drug Controller General of India | IMP: Investigational Medicinal Product
SPARC © 2023
39
SCD-153: potential to expand in other epidermal diseases
0
sparc
Trigger
Melanocyte-containing skin cell (target cell)
Disease-causing immune cell
IFNγ
IFNγ
receptor
CXCR3 -----+ ~ ---+------, 0 0 ~
JAK1/2
0
~ 0 C=:>
CXCL9 CXCL10
STAT1
-
CD8+ T cell
c=)
Skin cell
0
0
0
IFNγ induces CXCL9, CXCL10 & CXCL11 in vitiligous skin. These chemokines recruit pathogenic CD8+ T cells to the pigment-containing melanocyte in the epidermis
CD8+ T cells release cytokines that destroy the melanocytes causing depigmentation
studies have shown that SCD-153 inhibits: In-vitro
0
Expression of CXCL9, 10 and 11 in stimulated human keratinocytes
0
IFNγ secretion from stimulated murine CD8+ T cells
Image adapted from Picarodo et al. Nat. Rev. Dis. Primers (2015)
CXCL: Chemokine (C-X-C motif) ligand | CXCR3: Chemokine (C-X-C motif) receptor 3
SPARC © 2023
40
sparc0
SBO-154 for multiple cancer indications
Nitin Damle
Antibody drug conjugates
Large market expected to reach ~ 25 bn by 2038
sparc0
FDA
12 FDA Approved ADCs
US$ 25.34 Bn Projected ADC market by 2028
24.19% CAGR from 2023 to 2028
Approved ADCs
2017
2020
2022
2019
2021
t
0
Besponsa®
0
Polivy®
0
Akalux®
t
0
0
Zynlonta®
0
ElahereTM
Aidixi®
0
Enhertu®
0
Padcev®
0
0
Blenrep®
Trodelvy®
0
Tivdak®
2023 & Onward
t
0
2023 and Beyond There are currently 300+ clinical trials evaluating ADCs
GlobalData's Pharma Intelligence Center
SPARC © 2023
42
SBO-154 (Anti-MUC-1 ADC)
0
sparc
Novel antigen & approach to target MUC1-SEA domain, with an opportunity to therapeutically address multiple cancer indications
0
Tumor agnostic opportunity in-licensed from Biomodifying LLC
0
SEA targeting hypothesis validated
0
Preclinical PoC of anti-tumor efficacy of anti-MUC-1-SEA targeted ADC established
0
So far, no directly competing agents targeting MUC1-SEA in clinical development
α Sub unit
-
R T N V
AR205 C242 PAM4 DS4 KL6 5E5 2D9 PankoMab TAB004
,
/
I I I I I I I
' '
SEA
ß Sub unit
-
SEA: Sea urchin sperm protein, enterokinase and agrin | VNTR: Variable Number of Tandem Repeats
SPARC © 2023
43
SBO-154: Efficacy demonstrated in large established tumors
sparc0
MUC-1 High Expression Cell Line
MUC-1 Intermediate Expression Cell Line
MUC-1 Low Expression Cell Line
Tumor Staging
) 3
m c
(
l
e m u o V r o m u T
Treatment
t
t
Days Post Cells Inoculation
Tumor Staging
) 3
m c
(
l
e m u o V r o m u T
Treatment
t
t
t
Tumor Staging
) 3
m c
(
l
e m u o V r o m u T
Treatment
t
t
t
Days Post Cells Inoculation
Days Post Cells Inoculation
.....
Vehicle
---
Rituximab ADC
SBO-154
SBO-154 causes regression of large established tumors with high MUC-1 SEA expression
SPARC © 2023
44
SBO-154 development update
INTERACT meeting granted by FDA
sparc0
0
INTERACT Meeting (Initial Targeted Engagement for Regulatory Advice on CBER CDER Products) Request
Meeting to seek early advice from the FDA to validate preclinical developmental strategy for the IND-enablement of the product and serve as a prelude to Pre-IND meeting prior to IND filing
0
FDA response anticipated in November 2023
CBER: Centre for Biologics Evaluation and Research | CDER: Centre for Drug Evaluation and Research
SPARC © 2023
45
sparc0
Financial update
Chetan Rajpara
Financial summary
sparc0
Year
USD INR
INR Cr
FY19
FY20
FY21
FY22
FY23
Q1FY24
69.95
70.91
74.23
74.49
I
80.37
82.17
Total Income
Total Expenses
196
342
Profit/(Loss) after Tax
-145
USD Mn
Total Income
Total Expenses
28.1
48.9
I
I
87
399
-312
12.2
56.3
I
I
258
410
-151
34.8
55.2
144
347
250
472
-203
-223
I
I
19.3
46.6
31.1
58.8
34
129
-95
4.2
15.8
Profit/(Loss) after Tax
-20.8
-44.1
I
I
-20.4
I
-27.3
-27.7
-11.6
FY: Financial year (April 1st to March 31st)
SPARC © 2023
47
Cash and liquidity
0
sparc
0
Out-licensed SEZABY to SPI Inc. in Q4 2022 and received an upfront sum of US$ 10mn. In addition, SPARC is eligible to receive regulatory and sales linked milestone payments and tiered royalties on sales
0
Received `703 Cr (US$ 93mn) in Jan-2023 against the conversion of warrants. With this, the entire proceed of the Preferential Issue (i.e. `1,112 Cr) stands received
0
Cash and cash equivalent as of September 30, 2023 was `363 Cr (US$ 44mn)
0
The Company has
(a) Sanctioned bank facilities for `175 Cr (US$ 21mn) (b) Line of credit from the parent company for `250 Cr (US$ 30mn) in place. Utilization of limits
as of September 30, 2023 is NIL
0
Obtained shareholders’ approval in Aug-2023 AGM for raising a sum up to `1,800 Cr (US$ 220mn) by way of fresh issuance
SPARC © 2023
48
sparc0 THANK YOU
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