EX-99.1 2 sbph-ex991_20.htm EX-99.1 sbph-ex991_20.pptx.htm

Slide 0

Conference Call Presentation April 12, 2019 SPRING BANK Exhibit 99.1

Slide 1

Forward Looking Statements This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, among other things, statements, other than historical facts, regarding: the progress, scope, duration or results of clinical trials and preclinical studies of inarigivir soproxil (“inarigivir”), SB 9225, SB 11285 or any of our other product candidates or programs, such as the size, design, population, conduct, cost, objective or endpoints of any clinical trial, or the timing for initiation or completion of or availability of results from any clinical trial; the potential benefits that may be derived from any of our product candidates; our future operations, financial position, revenues, costs, expenses, uses of cash, capital requirements or our need for additional financing; or our strategies, goals, milestones, prospects, beliefs, intentions, plans, expectations, forecasts or objectives. Words such as “anticipates,” “believes,” “plans,” “expects,” “projects,” “future,” “intends,” “may,” “will,” “should,” “could,” “estimates,” “predicts,” “potential,” “continue,” “guidance,” and similar expressions sometimes identify forward-looking statements. Any forward-looking statement involves known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from those expressed or implied by such forward-looking statement, and, therefore, you are cautioned not to place undue reliance on any forward-looking statement. These factors include, but are not limited to: whether our cash resources will be sufficient to fund our continuing operations for the period anticipated; the components, timing, costs and results of our clinical trials, preclinical studies and other development activities involving our product candidates; whether certain top-line results from our clinical trials materially change as more information becomes available; whether results obtained in preclinical studies and clinical trials will be indicative of results obtained in future clinical trials; whether inarigivir, SB 9225, SB 11285 and any of our other product candidates will advance through the clinical trial process on a timely basis and receive approval from the United States Food and Drug Administration or equivalent foreign regulatory agencies; and whether, if inarigivir, SB 9225, SB 11285 or any of our other product candidates obtain regulatory approval, it will be successfully distributed and marketed. These and other risks and uncertainties that we face are described in our most recent Annual Report on Form 10-K, filed with the Securities and Exchange Commission (SEC) on March 11, 2019, and in other filings that we make with the SEC from time to time.  All forward-looking statements speak only as of April 12, 2019 and should not be relied upon as representing our views as of any other date. We specifically disclaim any obligation to update any forward-looking statement, except as required by applicable law. All trademarks, service marks, trade names, logos and brand names identified in this presentation are the properties of their respective owners. This presentation also contains estimates and other statistical data generated by independent parties and by us relating to market size and statistics. These estimates involve a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. SPRING BANK PHARMACEUTICALS, INC. © 2019 2

Slide 2

Background 3 Inarigivir ( IRIG ) is being developed as an oral immunomodulatory backbone agent for combination strategies to achieve HBV Functional Cure Achievement of “Functional Cure” in HBV requires: Loss of HBsAg or sustained suppression of HBV DNA off all treatment after a finite duration of therapy Safety and tolerability profile similar to NUCs Immune control of cccDNA / HBV replication - critical for achieving a sustained response

Slide 3

4 Inarigivir Acts Through Modulation of the Innate Immune System Involving RIG-I Novel mechanism of action Actively transported into hepatocytes via OATP-1 and OAT-1 with 30:1 liver to plasma ratio Binds to RIG-I and causes induction of IFN signaling Demonstrated activation of immune system in HCV patients and healthy volunteers at 400mg daily DAA effect to prevent interaction of HBV Pol and pgRNA in cell systems Active against polymerase and capsid resistant strains Activates “host” targets instead of viral targets – potential for higher barrier to viral resistance RIG-I is a sentinel protein involved in the body’s innate defense system

Slide 4

Healthy Volunteers Trial Design 5 Inarigivir 400 mg /Daily 12 days: 14 healthy volunteers Day 1 Day 12 11 Days 400 mg Samples Cytokines in sera (IFN-a, IP-10, TNF-a, IFN-g, IL-6, IL-12p70) PBMC for flow cytometry analysis (T, NK, myeloid cells activation) PBMC for Nanostring analysis 0 4h 12h 0 2h 24h 6h Inarigivir, a RIG-I agonist, activates innate immunity in healthy volunteers. Nina Le Bert1, Kamini Kunasegaran1, Meiyin Lin1, Kevin Leach2, Radhakrishnan Iyer2, Antonio Bertoletti1, Nezam Afdhal2; 1Duke-NUS Medical School, Emerging Infectious Diseases Program, Singapore, Singapore; 2Spring Bank Pharmaceuticals, Hopkinton, United States

Slide 5

Evidence of Immune Activation without Systemic Cytokine Toxicity 6 Serum cytokines levels of IFN-a, IFN-g, TNF-a, IL-6 and IL-12p70 were undetectable while IP-10 levels declined after inarigivir treatment As early as 2h post treatment, phenotypic analysis showed uniform up-regulation of activation markers on monocytes (CCR2, CD16, CD86) and dendritic cells (CD86) The frequency of peripheral NK and CD8+ T cells declined and was associated with reduction of activating receptor NKG2D (NK cells) and increase of activation markers CD39 and HLA-DR (T cells) PBMC gene induction of innate immune markers was demonstrated by nanostring analysis Measurements of immune cell activation before and after the first and final dose demonstrated a similar response with no evidence of tolerance Inarigivir, a RIG-I agonist, activates innate immunity in healthy volunteers. Nina Le Bert1, Kamini Kunasegaran1, Meiyin Lin1, Kevin Leach2, Radhakrishnan Iyer2, Antonio Bertoletti1, Nezam Afdhal2; 1Duke-NUS Medical School, Emerging Infectious Diseases Program, Singapore, Singapore; 2Spring Bank Pharmaceuticals, Hopkinton, United States

Slide 6

Inarigivir Cross-Resistance Studies 7 Inarigivir effective against all known NUC resistant variants Inarigivir effective against pre-core mutation stop codon G1896A Inarigivir effective against all known capsid resistance variants Inarigivir will cover pre-existing NUC / CpAM variants and prevent emergent resistance variants The Novel Antiviral Agent Inarigivir Inhibits Both Nucleos(t)ide Analogue and Capsid Assembly Inhibitor Resistant HBV in vitro. Danni Colledge1, Kathy Jackson1, Vitina Sozzi1, Xin Li1, Michael Beard2, Nicholas Eyre2, Junjie Zhang3, Haitao Guo3, Nezam Afdhal4, Radhakrishnan Iyer4, Stephen Locarnini1; 1Victorian Infectious Diseases Reference Laboratory, Melbourne, Australia; 2The University of Adelaide, Adelaide, Australia; 3Indiana University School of Medicine, Indianapolis, United States; 4Spring Bank Pharmaceuticals, Hopkinton, United States

Slide 7

PRIMARY ENDPOINT SECONDARY ENDPOINT Safety and antiviral activity at 12 weeks PK, change in serum HBV DNA, HBsAg, HBV RNA and HBeAg from baseline to weeks 6, 12, 14, 16, and 24 Up to 80 non-cirrhotic HBV subjects, randomized 4:1 between inarigivir and placebo Inarigivir - 200 mg Placebo Inarigivir - 100 mg Inarigivir - 50 mg Inarigivir - 25 mg Tenofovir 300 mg All patients switch to tenofovir 300 mg monotherapy 12 weeks (inarigivir monotherapy QD) 12 weeks Inarigivir monotherapy 12 weeks followed by switch to Tenofovir 300mg for 12 weeks Cohort 1 Cohort 2 Cohort 3 Cohort 4 ACHIEVE Phase 2 Dose Escalation Study 8

Slide 8

Mean Baseline Demographics by IRIG Dosing Cohort and HBeAg Status 9

Slide 9

Primary Endpoint: Mean Change from Baseline in HBV DNA at Week 12 in Placebo (PL) and IRIG Cohorts 10 IRIG Dose (mg) Log10 -0.02 -0.58 -0.73 -0.95 -1.54

Slide 10

HBeAg-Positive Patients: Change from Baseline in HBV DNA at Week 12 and Week 24 11

Slide 11

12 HBeAg-Negative Patients: Change from Baseline in HBV DNA at Week 12 and Week 24 18 of 22 (82%) patients undetectable at week 24

Slide 12

Secondary Endpoint: Mean Change from Baseline in HBV RNA at Week 12 in Placebo (PL) and IRIG Cohorts 13 Log10 -0.1 -1.0 -0.8 -0.81 -1.14 PL 25mg 50mg 100mg 200mg IRIG DOSE

Slide 13

HBeAg-Positive Patients: Change from Baseline in HBV RNA at Week 12 and Week 24 14

Slide 14

HBeAg-Negative Patients: Change from Baseline in HBV RNA at Week 12 and Week 24 15 All IRIG patients at 50, 100 and 200mg became undetectable at week 12

Slide 15

Baseline HBsAg Cutoff of 4log10 Predictor of HBV DNA and HBV RNA Response to IRIG at Week 12 16

Slide 16

Positive Predictors of Response for IRIG 17 HBV DNA and HBV RNA Baseline HBsAg < 4log10 Baseline IP-10 > 310ng/L Reduction in IP-10 > 110ng/L between baseline and week 12 HBsAg Genotype B > C Good responses genotype A / D but numbers small

Slide 17

Secondary Endpoint: Predefined Responders with HBsAg Reduction of > 0.5log10 18

Slide 18

Quantitative HBsAg Responder Patients > 0.5log10 Reduction at Week 12 or Week 24 from Baseline 19

Slide 19

HBsAg Response (> 0.5log10) by Genotype 20

Slide 20

Preliminary Safety Analysis 21 Most common mild / moderate TEAE’s all groups Headache / dizziness 13; fatigue 9; abd pain/GI upset 10; Flu / flu like symptoms 5URTI 10; ALT / AST elevation: 8 1 Grade 3 transient hypertriglyceridemia not sustained on retesting 1 SAE of hospitalization for knee pain, patient on placebo in cohort 4 No investigator determined interferon-like side effects No difference between active Rx or placebo and no dose dependency 3 patients discontinued 1 placebo after hospitalization for knee pain 2 in 50mg group withdrew consent at Day 1 and Day 14 for patient preference

Slide 21

Conclusion 22 IRIG demonstrated dose dependent responses for HBV DNA and HBV RNA Baseline HBsAg major predictor of HBV DNA and HBV RNA response HBsAg response seen in 26% of patients at either 12 or 24 weeks Responders seen at every dose and may indicate response more dependent on host immunity More common in Genotype B versus C Safety profile excellent with good tolerability and no systemic interferon like effects IRIG can be considered as a backbone immunomodulator in combination studies with agents having different MOAs