TRACON PHARMACEUTICALS Investor Presentation February 2020 NASDAQ: TCON Exhibit 99.1
This presentation contains statements that are, or may be deemed to be, "forward-looking statements." In some cases these forward-looking statements can be identified by the use of forward-looking terminology, including the terms “believes,” “estimates,” “anticipates,” "expects,” “plans,” "intends,” “may,” “could,” “might,” “will,” “should,” “approximately,” “potential,” or, in each case, their negatives or other variations thereon or comparable terminology, although not all forward-looking statements contain these words. These statements relate to future events or our future financial performance or condition, business strategy, current and prospective product candidates, planned clinical trials and preclinical activities, potential events and activities under existing collaboration agreements, estimated market opportunities for product candidates, product approvals, research and development costs, current and prospective collaborations, timing and likelihood of success of development activities and business strategies, plans and objectives of management for future operations, and future results of anticipated product development efforts, including potential benefits derived therefrom. These statements involve substantial known and unknown risks, uncertainties and other important factors that may cause our actual results, levels of activity, performance or achievements to differ materially from those expressed or implied by these forward-looking statements. These risks, uncertainties and other factors include, but are not limited to, risks associated with conducting clinical trials, whether any of our product candidates will be shown to be safe and effective, our ability to finance continued operations, our reliance on third parties for various aspects of our business, the potential early termination of collaboration agreements, competition in our target markets, our ability to protect our intellectual property, our ability to execute our business development strategy and in-license rights to additional pipeline assets, and other risks and uncertainties described in our filings with the Securities and Exchange Commission, including under the heading “Risk Factors”. In light of the significant uncertainties in our forward-looking statements, you should not place undue reliance on these statements or regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. The forward-looking statements contained in this presentation represent our estimates and assumptions only as of the date of this presentation and, except as required by law, we undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise after the date of this presentation. This presentation also contains estimates, projections and other information concerning our industry, our business, and the markets for our drug candidates, as well as data regarding market research, estimates and forecasts prepared by our management. Information that is based on estimates, forecasts, projections, market research or similar methodologies is inherently subject to uncertainties and actual events or circumstances may differ materially from events and circumstances reflected in this information. Forward-Looking Statements
Investment Highlight #1: Envafolimab ENVAFOLIMAB Subcutaneous PD-L1 Potential for Near-term U.S. Commercialization of the 1st Subcutaneous Checkpoint Inhibitor Rapid Execution: TRACON expects to begin pivotal study in undifferentiated pleomorphic sarcoma (UPS) in 2nd half 2020 Orphan Indication: Peak revenue estimated at $200M in UPS alone using parity pricing to approved PD-(L)1 products Fast to Market Strategy: Pivotal data expected in 2022 U.S. commercialization potentially in 2023 Financial Upside: Low royalty burden of teens to mid double-digits to partners 1 1: Assuming successful pivotal study and BLA approval
Androgen Receptor inhibitor TRC253 partnered with J&J (Janssen). J&J opt-in decision expected 1H2020 could trigger $45M payment to TRACON Investment Highlight #2: Pipeline of Four Additional Clinical Stage Assets and Access to a Discovery Pipeline Envafolimab Is Lead Product With Expected Pivotal Trial Data in 2022 Large Commercial Opportunity In Wet AMD Supported by Strategic Partnership May Yield Significant Financial Benefit Potential For Broad Oncology Pipeline Emphasizing Bispecific Antibodies Ophthalmology Phase 2 Endoglin antibody DE-122 in completed enrolled randomized wet AMD trial with global rights licensed to Santen CD73 antibody TJ4309 in combination with Tecentriq® through collaboration with I-Mab, TRACON leading US development Immuno Oncology Bispecifics Access broad Bispecific Antibody Pipeline: Risk and profit share agreement with I-Mab, with TRACON leading US commercialization Mesothelioma Phase 2 DNA repair inhibitor TRC102, funded through NCI with global rights owned by TRACON Prostate Cancer Phase 2 Immuno Oncology Phase 1 Sarcoma Pivotal PD-L1 checkpoint inhibitor envafolimab given by subq route of administration expected to start pivotal study in second half of 2020
Investment Highlight #3: Partnering Platform Built to deliver clinical results rapidly in U.S./E.U. and provide opportunities for U.S. commercialization Allows for a risk and cost sharing drug development solution Proven ability to leverage platform via BD to expand pipeline without up-front payment Prostate cancer asset from Johnson & Johnson (Janssen) CD73 antibody from I-Mab Bispecific antibody collaboration with I-Mab Subcutaneous PD-L1 antibody envafolimab from 3D Medicines and Alphamab Oncology Platform available for any therapeutic area Capacity for additional clinical stage asset development Product Development Platform of CRO-Independent Clinical Research and US Commercialization Experience
Five Clinical Stage Assets with Multiple Expected Readouts in 2020 2 1 Partnered with 3D Medicines (Beijing) Co., Ltd. (3D Medicines) and Jiangsu Alphamab Biopharmaceuticals Co., Ltd. (Alphamab). TRACON does not have rights to Envafolimab outside of North America. 2 Partnered with Santen Pharmaceutical Co., Ltd. (Santen) 3 Janssen Pharmaceutica N.V. (Janssen) has a buyback option 4 Part of a broad co-development and co-commercialization immune oncology partnership with I-Mab BioPharma Co. Ltd. (Shanghai). TRACON has certain royalty and non-royalty rights with respect to TJ004309; TRACON is responsible for development and commercialization of up to 5 bispecific antibodies in North America and shares profits and losses with I-Mab. Compound Indication Pre-Clinical Phase 1 Phase 2 Phase 3 Envafolimab Sarcoma DE-122 Wet AMD TRC102 Lung, Others TRC253 Prostate TJ004309 Solid Tumors Bispecifics Solid Tumors 1 2 4 3 In United States In China 4
Background on Envafolimab Single Domain Antibody Stable at room temperature for six months allows subcutaneous injection without an adjuvant High yield (> 7 g/L) and low cost of production by Alphamab (HKSE: Alphamab Oncology)
Envafolimab Subcutaneous Administration Does Not Require an Adjuvant: Potential Best-in-Class Profile Envafolimab, a much improved subcutaneous formulation: Small injection volume: starting from 0.75ml Infrequent injection site reactions in clinical trials Fast injection: in seconds Stable at room temperature for months Potential for development as a combination therapy with oral drugs
Envafolimab has been Dosed to > 650 Patients and is being Studied in Two Registrational Trials in China Asset MOA Therapeutic Area Pre-Clinical IND Ph1 Ph1b Ph2 Registrational (Ph2/3) Biomarker CDX Envafolimab (KN-035) Anti-PD-L1 Oncology Liquid biopsy Pan-cancer (>15 solid tumors) with MSI-H 3D Medicines retains global rights other than in the field of sarcoma in North America Monotherapy – Single-arm, ORR - 2L/3L >80% recruitment Biliary tract cancer (BTC) Combo with chemo – Open-labeled, randomized, two-arm parallel, OS – 1L >80% recruitment Gastric cancer (GC) Combo with chemo – Single-arm, exploratory – 1L Hepatocellular carcinoma (HCC) Monotherapy – Safety and efficacy Dose escalation completed Dose escalation completed Filing for approval in China in MSI-H cancer is expected in the first half of 2020 assuming registration trial demonstrates an objective response rate similar to the ~30-35% response rate demonstrated by Keytruda and Opdivo in MSI-H trials, that were the basis for approval of these drugs by the U.S. FDA
Envafolimab Safety and Efficacy Safety profile in clinical studies to date similar to approved PD-(L)1 therapies, with elevated transaminases (mainly grade 1 or grade 2) being the most common adverse events Dosed every 2 weeks—every 4 week dosing is being explored in ongoing Phase 1 trials in the US and Japan RECIST response rates in Phase 1 trials >15% across all dose levels and solid tumors ASCO 2019 presentations: Xu J et al; Shimizu T et al ESMO 2018 presentation: Papadopoulos et al
PD-(L)1 Accelerated Approval in Refractory Solid Tumors has been Based on ~15% Overall Response Rates FDA has been supportive of therapeutics that address unmet needs, with the bar for accelerated approval being > 15% response rate in those indications Keytruda was approved in refractory gastric cancer with a 13% response rate Tecentriq and Imfinzi were approved in refractory urothelial cancer with response rates of 15% and 17%, respectively Recent FDA approval for tazemetostat for epithelioid sarcoma with response rate of 11-15% Keytruda package insert 2019; Tecentriq package insert 2019; Imfinzi package insert 2019 Gastric (Keytruda) Urothelial (Tecentriq) Urothelial (Imfinzi) ORR 11.6% 14.8% 17% ORR in PD-L1 + 13.3% 26% 26% ORR in PD-L1 - 6.4% 9.5% 4% CDX in label Yes No No
Tazemetostat Approved in Epithelioid Sarcoma in January 2020 Following Overall Response Rate of 11-15% ODAC voted 11-0 on December 18, 2019 that the drug's benefits outweighed the risks, despite low risk of patients potentially developing secondary cancers (T cell lymphoma, MDS and AML), following clinical trials in epithelioid sarcoma demonstrating an overall response rate of 11-15%; FDA approved Tazemetostat on January 23, 2020. Tazemetostat ODAC briefing document, 2019
Current Treatment and Unmet Need in Undifferentiated Pleomorphic Sarcoma (UPS) Fourth most common soft tissue sarcoma (formerly contained within the category of malignant fibrous histiocytoma or MFH), with ~3,000 cases in the US annually (Western world incidence: 0.8-1.0/100,000) First line chemotherapy with doxorubicin is typical with objective response rate of ~20% Approved second line agent pazopanib has low response rate (4% objective response rate) Treatment of refractory disease with chemotherapy (e.g., gemcitabine) is associated with response rate of < 5% Advanced or metastatic UPS has 5 year overall survival of < 5% Orpha.net; Widemann and Italiano, 2018; Pazopanib package insert 2019; Savina et al 2017; Tap et al, 2017
PD-(L)1 Overview in Sarcoma Refractory sarcoma of any subtype represents a very high unmet need population Data were presented at ASCO 2019 that Keytruda, a PD-1 inhibitor, demonstrated a 23% response rate in Undifferentiated Pleomorphic Sarcoma (UPS) Other PD-(L)1 antibodies have also demonstrated > 40% response rate in cutaneous angiosarcoma (CAS) and alveolar soft part sarcoma (ASPS) To our knowledge, no company is currently running a pivotal trial in sarcoma with a PD-(L)1 Tawbi et al, 2019; Florou et al, 2019; Chen et al, 2019; Wilky et al, 2019
Keytruda in UPS: SARC 028 Study Largest Change in Target Lesion Size UPS * = Duration of response >20 weeks Of 8 Responders with available tissue, 6 were PD-L1+ and 2 were PD-L1- ORR 9/40 2 CR 7 PR 6 pts progressed or died prior to response evaluation and are not included on waterfall plot Tawbi et al, 2019 ASCO 2019 presentation
Pivotal Trial with two cohorts (N = ~80/cohort) to assess ORR in UPS and select other STS subtypes that has progressed on prior chemotherapy. First cohort – single agent envafolimab Second cohort – envafolimab + ipilimumab 2019 2020 2021 2022 Orphan drug applications 2023 File BLA for accelerated approval Phase 3 RCT of standard of care +/- envafolimab in soft tissue sarcoma subtypes with possible biomarker enrichment Phase 1 A two cohort non-comparative pivotal trial is proposed in refractory UPS and select other soft tissue sarcoma (STS) subtypes, with each cohort targeting ORR of 15% as the primary endpoint for accelerated approval based on high unmet need. Final Response Assessment Meeting with US FDA TRACON files IND cross-referencing existing US IND Interim Response Assessment Envafolimab Development Plan in United States in Sarcoma
Envafolimab License Terms License for indication of Sarcoma in North America TRACON to conduct and bear costs of clinical trials in Sarcoma 3D Medicines and Alphamab to manufacture Envafolimab and sell to TRACON at pre-negotiated prices TRACON to commercialize Envafolimab in Sarcoma in North America TRACON will lead commercialization if first launch is in Sarcoma TRACON has option to co-market if first launch is by 3D Medicines or approval occurs in a non-orphan indication after approval in Sarcoma If TRACON is leading commercialization in Sarcoma, will owe double digit royalties to 3D Medicines and Alphamab ranging from teens to mid-double digits. If 3D Medicines and Alphamab are leading commercialization they will owe TRACON double digit royalties ranging from teens to mid-double digits if TRACON does not co-market, and a 50% royalty on Sarcoma sales if TRACON does co-market 3D Medicines and Alphamab are able to reacquire Envafolimab if the product is sold to a third party, provided the sale will not occur prior to the completion of the pivotal trial in Sarcoma without TRACON’s written consent, and the parties will negotiate fair compensation
Santen License for DE-122 Global ophthalmology company with $1.8 billion in annual revenue leading global development and commercialization for DE-122 (ophthalmic formulation of endoglin antibody) in wet AMD and other eye diseases DE-122 in lead for VEGF inhibitor companion drug due to failed Phase 2 and 3 studies from Ophthotech and Regeneron; could be VEGF companion product to Eylea® and Lucentis® products (~$10B market for wet AMD); high unmet need Regulatory path is well defined Deal terms Santen pays all development and commercialization costs. Up to $145M in remaining milestones; royalties in high single digits to low teens. 2019 2020 DE-122 Phase 2 AVANTE Trial in Wet/Neovascular AMD
Santen Development of DE-122 in wet AMD Phase 1/2 PAVE trial results presented February 10, 2018 at the Angiogenesis, Exudation and Degeneration meeting at Bascom Palmer Eye Institute 8 out of 12 subjects demonstrated bioactivity: improved macular edema or visual acuity Safe with no serious adverse events Phase 2 AVANTE randomized trial has completed enrollment - data expected first half 2020 Primary Endpoint: Best Corrected Visual Acuity following six monthly intravitreal injections Double masked N = 76 Lucentis + Low Dose DE-122 Lucentis + Sham Randomization Lucentis + High Dose DE-122
TRC102: Expected Value Inflection Points Companion Therapy 2019 2020 Alimta Alimta/cisplatin Temodar Chemoradiation 1 Phase 1b Solid Tumors Phase 1b Solid Tumors Phase 2 wet AMD 3 Prostate Small molecule designed to reverse resistance to chemotherapy and complement PARP inhibitors Inhibits base excision repair, a dominant pathway of DNA repair that allows for resistance to alkylating chemotherapy (e.g., Temodar®) and antimetabolite chemotherapy (e.g., Alimta®) Current clinical development funded by National Cancer Institute Phase 1b Lung Phase 2 Mesothelioma
Efforts are focused on identifying a biomarker (e.g., glycosylase expression) that will correlate with response to treatment with chemotherapy + TRC102 TRC102: Reversing Resistance to Chemotherapy Combination Well Tolerated Signs of Activity in Phase 1b/2 Ongoing Development TRC102 + Alimta (Published in Investigational New Drugs, 2012) √ Stable disease in patients with squamous cell lung cancer, a tumor type where Alimta is inactive Phase 2 trial with Alimta in mesothelioma TRC102 + Fludara (Published in Oncotarget, 2017) √ Partial response and stable disease in patients previously treated with Fludara TRC102 + Temodar (Presented at ASCO 2017 and AACR 2019) √ Partial responses in patients with lung, KRAS+ colorectal and ovarian cancer; induced biomarkers of DNA damage Rad51, pNbs1, and/or γ-H2AX Phase 2 expansion cohorts added in colorectal (6% partial response rate), lung and ovarian cancer TRC102 + Temodar in GBM (Presented at SNO 2018) √ PFS of 11+ months in 2/19 patients with recurrent GBM was associated with glycosylase expression
TRC253: Expected Value Inflection Point TRC253 is an antagonist of Androgen Receptor mutations that are resistance mechanisms for Xtandi® and Erleada® Phase 1/2 trial completed enrollment in November 2019 TRACON was chosen because of our innovative product development platform JJDC made equity investment in TRACON Janssen Right to Re-Acquire upon Phase 2 Data If Janssen opts-in: $45M opt-in payment and additional potential milestones of $137.5M and a low single digit royalty to TRACON If Janssen does not opt-in: TRACON retains all rights and will owe development and regulatory milestones of up to $45M and a low single digit royalty to Janssen 2019 2020 TRC253 Phase 1/2 Prostate Cancer
TRC253: Novel Androgen Receptor (AR) Mutant Inhibitor Designed to address AR F877L mutation Active against wild-type AR Phase 1/2 trial completed enrollment in 3 cohorts of Xtandi or Erleada resistant prostate cancer: F877L mutated AR Undisclosed AR point mutation Another basis for acquired resistance to Xtandi or Erleada Target PK exposures were achieved consistently with 280 mg oral daily dosing, which was declared the Phase 2 dose based on safety and PK data Well tolerated, with grade 1 QTc prolongation the most common adverse event Lower than expected response rate in patients with F877L AR mutation and lower than expected prevalence of F877L AR mutation Proof of Concept data expected to be available for Janssen in 1H2020, which would trigger their right to reacquire TRC253 Rathkopf D, et al, ASCO Proceedings 2019 Multiple Mechanisms of Action F877L T/DHT X Inhibits androgen binding to AR AR TRC253 AR TRC253 X Blocks AR nuclear translocation AR T/DHT T/DHT
I-Mab Corporate Collaboration #1: TJ004309 a CD73 antibody CD73 Antibody CD73 is a receptor expressed on tumors which generates adenosine which suppresses the immune response to tumors TRACON conducts clinical development in U.S. and E.U. and TRACON and I-Mab share clinical development expenses starting with Phase 2 TRACON is entitled to portions of royalty and non-royalty consideration received by I-Mab for territories outside China, ranging from a high-single digit to mid-teen % of non-royalty consideration as well as double digit % of royalty consideration In the event that I-Mab commercializes TJ004309, TRACON is entitled to a royalty percentage on net sales by I-Mab in North America ranging from the mid-single digits to low double digits, and in the E.U. and Japan in the mid-single digits The TJ004309 IND was filed by TRACON in Dec 2018, cleared by FDA in Jan 2019, and dosing commenced in July 2019 Phase 1 data expected by year end 2020 2019 2020 TJ004309 Phase 1 Solid Tumors with Tecentriq
I-Mab Corporate Collaboration #2: Bispecific Antibodies TRACON to develop and commercialize up to 5 of I-Mab’s bispecific antibodies in the U.S. TRACON and I-Mab share clinical development expenses starting with the pivotal trial Parties will share commercial profits and losses equally TRACON is entitled to tiered low single digit royalties in the E.U. and Japan Prior to pivotal trial read-out, TRACON can opt-in to acquire global commercial rights outside of Korea and China for payments that escalate based on phase of development For example, if Opt-In is triggered prior to IND enabling activities, TRACON owes $10M upfront, up to $90M development & regulatory milestones, up to $250M sales milestones, and mid-single digit royalty per bispecific antibody I-Mab bispecific candidates include: PD-L1 x IL-7; PD-L1 x CD47, PD-L1 x CD73, PD-L1 x B7-H3, PD-L1 x 4-1BB, undisclosed Tumor Associated Antigen x 4-1BB, CD47 x GM-CSF Bispecific Antibodies 2020 2021 2022 #1 of 5 IND #2 of 5 IND #3 of 5 IND Timelines are for illustrative purposes only. Actual number of bispecifics, if any, that are subject to the collaboration and the development timing for each is subject to I-Mab nomination and subsequent development efforts.
Expected Key Milestones 2020 Top-line Phase 2 Data for DE-122 + Lucentis in wet AMD Potential for JNJ to reacquire TRC253 for $45M plus expenses or for TRACON to retain global rights following completion of TRC253 Phase 1/2 trial IND for Initial Bispecific Antibody Top-line Phase 1 Data for TJ004309 Business Development goal is to license additional asset in 2020 and annually thereafter First Patient in Envafolimab UPS Pivotal Trial ASCO Presentations: Envafolimab by 3D Medicines and TRC102 by NCI Our Partner 3D Medicines Files Envafolimab for Approval in China 1 1: TRACON rights to envafolimab are for solely for North America and the indication of sarcoma
TRACON is a Clinical CRO-Independent Company Expected benefits of CRO-Independence: Reduced cost Decreased timelines Control over development Improved quality 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 CRO Independent Phase 1, Phase 2 and Phase 3 CRO Outsourced
Aligned Product Development Solution Cost, risk and profit share of partnered assets produces goal alignment Platform can be applied to develop first-in-class, best-in-class or fast-follower oncology and other physician specialist prescribed products. Industry recognition for clinical trial design (Clinical Research Excellence Award) U.S. NDA/BLA may be leveraged for regulatory filings in all major territories Opportunity to add U.S. sites to a regional trial to generate a representative populations that could facilitate global approval Proven ability to leverage platform to expand pipeline and build value Prostate cancer asset from Johnson & Johnson, included equity investment CD73 antibody from I-Mab (NASDAQ: IMAB) Bispecific antibody collaboration with I-Mab (NASDAQ: IMAB) Subcutaneous PD-L1 antibody envafolimab from 3D Medicines and Alphamab Oncology (HKSE: ALPHAMAB-B)
Financial Overview (as of January 31, 2020) Ticker TCON (NASDAQ) Cash, Cash Equivalents and Short-term Investments $16.8 million Debt – Outstanding Principal $5.4 million Common Shares O/S 5.2 million Covering Analysts Jim Birchenough (Wells Fargo) Bert Hazlett (BTIG) Maury Raycroft (Jefferies) Ed White (H.C. Wainwright)
Convenience and Uptake of Subcutaneously Administered Antibodies