EX-99.2 3 caribou_indlupusxconfere.htm EX-99.2 caribou_indlupusxconfere
Caribou Biosciences Expands Clinical Development of CB- 010 with FDA Clearance of IND in Lupus April 4, 2024


 
2 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Forward-looking statements All statements in this presentation, other than statements of historical facts, are forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements speak only as of the date of this presentation and are subject to a number of known and unknown risks, assumptions, uncertainties, and other factors that may cause the actual results, levels of activity, performance, or achievements of Caribou Biosciences, Inc. (the “Company,” “Caribou,” “we,” or “our”) to be materially different from those expressed or implied by any forward-looking statements. The words “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “potential,” or “continue” or the negative of these terms or other similar expressions are intended to identify forward- looking statements, although not all forward-looking statements contain these identifying words. All statements, other than statements of historical facts contained in this presentation, are forward-looking statements, including but not limited to any statements regarding the initiation, timing, progress, strategy, plans, objectives, expectations (including as to the results) with respect to our product candidate preclinical studies, clinical trials, and research programs, including our expectations and timing regarding the release of dose expansion clinical data, and emerging translational data from our ongoing ANTLER phase 1 clinical trial for our CB-010 product candidate, disclosure of the recommended Phase 2 dose for CB-010, and an updated timeline for our planned phase 3 pivotal trial for CB-010 in second line LBCL patients; the status, progress, and expectations relating to the timing of release of clinical data from our ongoing CaMMouflage phase 1 clinical trial for our CB-011 product candidate; the status, progress, and expectations relating to the timing of release of clinical data from our ongoing AMpLify phase 1 clinical trial for our CB-012 product candidate; the timing for the initiation of our GALLOP phase 1 clinical trial for adults with lupus nephritis and extrarenal lupus; our ability to successfully develop our product candidates and to obtain and maintain regulatory approval for our product candidates; the number and type of diseases, indications, or applications we intend to pursue for our product candidates; the beneficial characteristics, safety, efficacy, therapeutic effects, and potential advantages of our product candidates; the expected timing or likelihood of regulatory filings and approval for our product candidates; our expected cash runway; and the sufficiency and anticipated use of our existing capital resources to fund our future operating expenses and capital expenditure requirements and needs for additional financing. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date this presentation is given. This presentation discusses product candidates that are or will be under clinical investigation and that have not yet been approved for marketing by the U.S. Food and Drug Administration. No representation is made as to the safety or effectiveness of these product candidates for the therapeutic uses for which such product candidates are being or will be studied. As a result of many factors, including risks related to our limited operating history, history of net operating losses, financial position and our ability to raise additional capital as needed to fund our operations and product candidate development; uncertainties related to the initiation, cost, timing, and progress, and results of our current and future research and development programs, preclinical studies, and clinical trials; risks that initial or interim clinical trial data will not ultimately be predictive of the safety and efficacy of our product candidates or that clinical outcomes may differ as more clinical data becomes available; the risk that preclinical study results we observed will not be borne out in human patients; our ability to obtain and maintain regulatory approval for our product candidates; risks that our product candidates, if approved, may not gain market acceptance due to negative public opinion and increased regulatory scrutiny of cell therapies involving genome editing; our ability to meet future regulatory standards with respect to our products; our ability to obtain key regulatory input and approvals, our ability to establish and/or maintain intellectual property rights covering our product candidates and genome-editing technology; risks of third parties asserting that our product candidates infringe their patents; developments related to our competitors and our industry; our reliance on third parties to conduct our clinical trials and manufacture our product candidates; the impact of public health crises and geopolitical events on our business and operations; and other risks described in greater detail in our filings with the Securities and Exchange Commission (the “SEC”), including the section titled “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2023, and other filings we make with the SEC; the events and circumstances reflected in our forward-looking statements may not be achieved or may not occur, and actual results could differ materially from those described in or implied by the forward-looking statements contained in this presentation. Caution should be exercised when interpreting results from separate trials involving separate product candidates. The results of other CAR-T cell therapies presented or referenced in these slides have been derived from publicly available reports of clinical trials not conducted by us, and we have not performed any head-to-head trials comparing any of these other CAR-T cell therapies with CB-010. As such, the results of these other clinical trials may not be comparable to clinical results for CB-010. The design of these other trials vary in material ways from the design of the clinical trials for CB-010, including with respect to patient populations, follow-up times, the clinical trial phase, and subject characteristics. As a result, cross-trial comparisons may have no interpretive value on our existing or future results. For further information and to understand these material differences, you should read the reports for the other companies’ clinical trials and the sources included in this presentation. In light of the foregoing, you are urged not to rely on any forward-looking statement in reaching any conclusion or making any investment decision about our securities. The forward-looking statements in this presentation are made only as of the date hereof. Except to the extent required by law, the Company assumes no obligation and does not intend to update any of these forward-looking statements after the date of this presentation or to conform these statements to actual results or revised expectations. From time to time, we may release additional clinical data from its ongoing ANTLER phase 1 clinical trial, its CaMMouflage phase 1 clinical trial, and its AMpLify phase 1 clinical trial. We make no representations regarding such additional clinical data or the timing of its release, or whether any such data will support or contradict the findings of the clinical data reported earlier. This presentation shall not constitute an offer to sell or the solicitation of an offer to buy any securities.


 
3 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. ”Lupus is a complex, chronic, heterogeneous autoimmune disease impacting millions of people worldwide, often causing debilitating outcomes. There is a pressing need for more innovative therapies that address the underlying causes of lupus while minimizing symptoms and effects of this systemic disease.” Stacie Bell, PhD Executive vice president, Lupus Therapeutics, an affiliate of the Lupus Research Alliance Caribou’s partners in lupus


 
4 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Today’s guests Professor of medicine Director of glomerular disease center Stanford University Richard Lafayette, MD Professor of medicine Section chief of hematologic malignancies Investigator for the ANTLER Phase 1 trial Medical College of Wisconsin Mehdi Hamadani, MD


 
5 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Program Clinical trial Target Indication Preclinical Phase 1 Phase 2 Phase 3 Designations CB-010 ANTLER Dose expansion CD19 r/r B-NHL RMAT, Fast Track, Orphan Drug CB-011 CaMMouflage Dose escalation BCMA r/r MM Fast Track, Orphan Drug CB-012 AMpLify Dose escalation CLL-1* r/r AML CB-010 GALLOP Site activation CD19 LN and ERL Advancing pipeline of clinical-stage allogeneic CAR-T cell therapies for hematologic malignancies and autoimmune diseases ERL: extrarenal lupus; LN: lupus nephritis, RMAT: Regenerative Medicine Advanced Therapy * Also known as CD371 Hematologic malignancies Autoimmune diseases


 
6 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Allogeneic anti-CD19 CAR-T cell therapy with a PD-1 knockout for lupus CB-010


 
7 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Lupus is a chronic, inflammatory autoimmune disease driven by autoantibody-producing B cells Lupus can cause widespread organ damage, increase cardiovascular risk, and significantly impair patient quality of life 1 Li D, et al. Rheumatology (Oxford). 2020 Mar 1;59(3):495-504. Lupus is caused by B cell production of autoantibodies that drive damage of healthy tissue Urgent unmet need for new treatment options that can offer sustained, drug-free remission Lupus is a chronic disease affecting ~320,000 individuals in the US1


 
8 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. CB-010 is an allogeneic CAR-T cell therapy that targets autoantibody-producing B cells 1 To Caribou’s knowledge, CB-010 is the first allogeneic CAR-T in the clinic with checkpoint disruption via PD-1 KO 2 Müller F, et al. N Engl J Med. 2024 CB-010 is engineered with a PD-1 KO1 to potentially enhance anti-B cell activity and may drive sustained remission chRDNA genome editing enables precision engineering and reduced off-target edits Encouraging initial safety and efficacy demonstrated for CB-010 in ANTLER Phase 1 trial ANTLER B cell depletion is on par with depletion data published on autologous CAR-T cells in lupus2 CB-010 TCR KO Anti-CD19 CAR PD-1 KO Anti-CD19 CAR targets autoantibody-producing B cells Engineered for improved activity Encouraging clinical data


 
9 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Donor-derived CAR-T cell therapy precision engineered with chRDNA genome editing technology No lentiviral or retroviral vectors for genome editing Precise insertion of CAR using chRDNA genome-editing technology CB-010 advantages Manufactured in advance, at scale Derived from healthy donor T cells vs. patient T cells exposed to prior treatments No patient apheresis or medication wash out needed Engineered to address disease biology Encouraging initial safety and efficacy profile in r/r B-NHL Off-the-shelf, readily available, single dose treatment PD-1 KO designed to enhance anti-B cell activity


 
10 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. CB-010 GALLOP Phase 1 trial design v • Non-responsive to glucocorticoids and have tried and failed at least 2 defined immunosuppressive therapies • Excludes cardiac and CNS involvement • Partial HLA matching and absence of baseline DSAs SINGLE DOSE CB-0102 Cy (20 mg/kg/d for 2 days) Cy: cyclophosphamide; DSAs: donor-specific antibodies; Flu: fludarabine; HLA: human leukocyte antigen; LD: lymphodepletion; SLEDAI: Systemic Lupus Erythematosus Disease Activity Index • Single dose level of CB-010 following LD DAY 0 28 DAYS 3 MONTHS 6 MONTHS 9 MONTHS 12 MONTHS- 7 to -2 DAYS Safety and tolerability Response assessment Treatment and objective • Primary endpoint: safety Eligibility and matching Cohort 1: Lupus nephritis (LN) Renal SLEDAI ≥ 8 or Class III/IV glomerular nephritis Extrarenal lupus (ERL) SLEDAI ≥ 8 Patient cohorts Flu (25 mg/m2/d for 3 days)


 
11 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Partial HLA matching to potentially improve patient outcomes DSA: donor-specific antibodies 1Based on data from the ANTLER Phase 1 trial in r/r B-NHL and to be confirmed in the trials; initial data to be presented at medical congress in Q2 2024 How does HLA matching work? HLA matching and DSA screening for ANTLER and GALLOP Phase 1 trials • Human leukocyte antigens (HLAs) help the immune system identify “self” from “non-self” • Patient’s immune cells recognize allogeneic CAR-T cells as “non-self” and initiate rejection HLA matching and DSA analysis occur within screening timeline Partial HLA matching could result in enhanced outcomes for patients1 Partially matched CB-010 lot shipped HLA matching/ DSA analysis SINGLE DOSE CB-010 LymphodepletionScreening Self cell Self cell Self cell T cell Allogeneic CAR-T cell = non self


 
Fireside chat


 
13 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Fireside chat with leaders in rheumatology and oncology Professor of medicine Director of glomerular disease center Stanford University Richard Lafayette, MD Professor of medicine Section chief of hematologic malignancies Investigator for the ANTLER Phase 1 trial Medical College of Wisconsin Mehdi Hamadani, MD President and chief executive officer Caribou Biosciences Rachel Haurwitz, PhD


 
14 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. 2024 accomplishments and upcoming milestones 1 $372.4M in cash, cash equivalents, and marketable securities as of December 31, 2023. Hematologic malignancies CB-010 in 2L LBCL Present initial ANTLER 2L LBCL dose expansion data, RP2D, translational data CB-011 in r/r MM Present initial dose escalation data from CaMMouflage trial CB-012 in r/r AML ü Dosed first patient in the AMpLify trial Q2 2024 YE 2024 Autoimmune disease CB-010 in LN and ERL Initiate GALLOP trial YE 2024 Corporate and financial Well capitalized ü ~$372M1 in cash ü Runway into Q1 2026


 
Q&A


 
16 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. Open to your questions Professor of medicine Director of glomerular disease center Stanford University Richard Lafayette, MD Professor of medicine Section chief of hematologic malignancies ANTLER Phase 1 trial investigator Medical College of Wisconsin Mehdi Hamadani, MD Rachel Haurwitz, PhD Jason O’Byrne President and CEO CFO CSO VP, medical affairs and project leadership Steve Kanner, PhD Tonia Nesheiwat, PharmD


 
Thank you https://cariboubio.com info@cariboubio.com


 
Appendix


 
19 CB-010 autoimmune conference call | April 2024 ©2024 Caribou Biosciences, Inc. With gratitude for patients, caregivers, investigators contributing to CB-010’s clinical development ANTLER Phase 1 trial: 29 active sites in US, Australia, and Israel Alabama University of Alabama Birmingham (Mehta) Arizona HonorHealth Cancer Institute (Kanate) University of Arizona (Husnain) Banner MD Anderson (Nath) California University of California Irvine (O'Brien) University of California San Diego (Hamdan) Florida Advent Health (Patel) Georgia Augusta (Kota) BMT of Georgia (Sohl) Iowa University of Iowa (Farooq) Kentucky University of Kentucky (Yalniz) Norton Cancer Institute (Stevens) New Jersey Morristown Memorial Hospital (Cherry) Hackensack (Feldman) New York Montefiore (Kornblum) NYU Langone (Diefenbach) Ohio Oncology Hematology Care (Essell) Ohio State University (Denlinger) Pennsylvania University of Pennsylvania (Nasta) Texas Baylor Charles A. Sammons (Holmes) MD Anderson Cancer Center (Nastoupil) Utah Huntsman Cancer Institute (Hu) Washington Swedish Cancer Institute (Patel) Wisconsin Medical College of Wisconsin (Hamadani) UC Irvine UC San Diego HonorHealth Huntsman Baylor MD Anderson OHC OSU MorristownIowa University of AZ Augusta UAB Kentucky MCW BMTGA Montefiore Advent Health Norton Hackensack Swedish Israel Hadassah University Hospital Tel Aviv Sourasky Medical Center Rabin Medical Center Univ of Penn NYU Langone Australia Westmead Hospital Epworth Hospital Banner MD Anderson