SlideShare uma empresa Scribd logo
1 de 15
Baixar para ler offline
IO LANDSCAPE ANALYSIS
JPM18
JANUARY 9, 2018
AIMAN SHALABI PHARMD, MBA
CHIEF MEDICAL OFFICER
CLINICAL ACCELERATOR
PHILANTHROPIC VENTURE FUND
CANCER RESEARCH INSTITUTE
Page 2
26 IMMUNO-ONCOLOGY AGENTS APPROVED GLOBALLY
Therapy type Therapy name Company Target
T-cell targeted
immunomodulator
(6 in total)
Ipilimumab Bristol-Myers Squibb Co CTLA-4
Nivolumab Bristol-Myers Squibb Co PD-1
Pembrolizumab Merck & Co Inc PD-1
Atezolizumab Roche/Genentech Ltd PD-L1
Avelumab Merck KGaA PD-L1
Durvalumab AstraZeneca/MedImmune LLC PD-L1
Other
immunomodulator
(8 in total)
Aldesleukin Novartis AG IL2R
Imiquimod Valeant Pharmaceuticals Intl Inc TLR7
Interferon alfa
Sumitomo Dainippon Pharma Co
Ltd
IFNAR1; IFNAR2
Interferon alfa-1b Shenzhen Kexing Biotech Co Ltd IFNAR1
Interferon alfa-2a Cadila Healthcare Ltd IFNAR1; IFNAR2
Interferon alfa-2b Merck & Co Inc IFNAR1; IFNAR2
Interferon beta Toray Industries Inc IFNAR1
Interferon gamma-1a Otsuka Pharmaceutical Co Ltd IFNAR1
Therapy type Name of Therapy Company Target
Cancer vaccine
(7 in total)
BCG Live Shire Plc TLR
ImmuCyst Sanofi TLR
Immuno BCG
Ataulpho Paiva
Foundation
TLR
Mycidac-C
Cadila
Pharmaceuticals Ltd
TLR2
Sipuleucel-T Dendreon Unspecified TAA
TICE BCG Merck & Co Inc TLR
Uro-BCG Medac Inc TLR
Cell therapy
(2 in total)
Tisagenlecleucel Novartis AG CD19
Axicabtagene ciloleucel Gilead CD19
Oncolytic virus
(2 in total)
Oncorine
Shanghai Sunway
Biotech Co Ltd
CD40L
Talimogene
laherparepvec
Amgen Inc GMCSFR
CD3-targeted
bispecific ab
Blinatumomab Amgen Inc CD19 X CD3
Page 3
Annals of Oncology Dec 2017
Tang, Shalabi, Hubbard-Lucey
Therapy	type_JT_..
0 50 100 150 200 250 300 350
Number	of	Records
T-cell	targeted
immunomodulator
Other
immunomodulator
cancer	vaccine
Cell	therapy
oncolytic	virus
BiTE
144130
112
34
72
54
12
24
30
12
33
22
42
29
96
16
24
12
4
5
2
5
1
2
2
7
8
6
A REVOLUTION IS UNDERWAY: 2,004 IO AGENTS IN DEVELOPMENT
940 AGENTS ARE IN CLINICAL STAGES, AND 1,064 IN PRECLINICAL
Therapy	type_JT_AS	..
050100150200250300
Number	of	Records
Checkpoint-activator
Immunomodulator
Cancer	vaccine
Cell	Therapy
Oncolytic	virus
BiTE
0 5050100150200250300350 100 150 200 250 300 350
Number of Agents
199
284
261
179
95
46
Other immunomodulator
T-cell targeted immunomodulator
Cancer vaccine
Cell therapy
Oncolytic virus
CD3-targeted bispecific antibody
Clinical
agent count
99
170
344
224
69
34
Clinical	stage
Approved
Phase	III
Phase	II
Phase	I/II
Phase	I
Preclinical	&	Discovery
Page 4
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
Target
0 10 20 30 40 50 60 70 80 90 100 110 120
Number	of	Clinical	Agents
Unspecified	TAA
CD19
PD-1
HER2
NY-ESO-1
PD-L1
CD20
CD40
EGFR
CSF1R
GD2
WT1
IFNAR1
MUC1
PSMA
TERT
Survivin
HPV	E6
Personalization
BCMA
CEA
LAG-3
OX40
TLR
TLR7
CD123
GITR
GPC3
HPV	E7
IDO1
IL2
mesothelin
PSA
TLR9
CD22
CD30
CD47
MAGE-A3
ADORA2A
CD25
34
12
10
10
57
13
11
14
13
11
11
11
12
13
19
98
5
6
7
7
1
1
2
4
5
5
9
5
8
9
3
1
6
6
2
7
3
2
8
1
4
8
9
7
6
3
6
9
9
2
4
5
8
1
5
5
1
6
7
7
2
1
3
3
2
1
1
1
4
4
7
1
3
2
1
3
1
271 IO TARGETS IN CLINICAL TESTING, BY 462 DIFFERENT ENTITIES
TOP 40 LISTED BELOW
Therapy	type
T-cell	targeted	immunomodulator
Other	immunomodulator
Cancer	vaccine
Cell	therapy
Oncolytic	virus
CD3-targeted	bispecific	mAb
Page 5
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
0 2020406080 40 60 80 100
Number of Agents
98
51
13
Country	(gr..
020406080
Number	of	Clinical	Agents
China
USA
Other
Country	(gr..
0 20 40 60 80 100
Number	of	Clinical	Agents
China
USA
Other 8
37
32
1
2
1
4
10
64 1
2
23
76
30
Clinical	stage
Approved
Phase	III
Phase	II
Phase	I/II
Phase	I
Preclinical	&	Discovery
Clinical agent count
China
US
Other
CAR-T CELL THERAPY LANDSCAPE
CRI FOLLOWING 291 AGENTS, WITH 162 ALREADY IN CLINICAL TESTING
Page 6
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
PD-1/L1 AGENTS WILL CONTINUE TO BE
TRANSFORMATIONAL
…. BUT AN URGENT NEED FOR EFFICIENCIES
Page 7
CRI FOLLOWING 164 PD-1/L1-TARGETING AGENTS
50 CLINICAL STAGE AGENTS (34 MONOCLONAL ANTIBODIES)
Page 8
Preclinical	&
Discovery
Phase	I Phase	I/II Phase	II Phase	III Approved
0
20
40
60
80
100
120
Number	of	Records
59
15
27
20
3 5
8
4
6
1
1
2
1 3
9
114
30
3
9
3 5
Molecule type
Monoclonal antibody
Bispecific antibody
Small molecule
Other biologic
Therapy	type	-	Split	2	(group)
Monoclonal	antibody
Bispecific	antibody
small	molecule
Other	biologic
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
INCREASE OF NEW PD-1/L1 COMBO TRIALS
2009 2010 2011 2012 2013 2014 2015 2016 2017
Number
of new
trials
Planned
new
enrollment
Trial
Start
Year
1
136
5
2,473
2
582
13
4,867
20
5,031
58
11,276
190
39,821
329
46,153
469
52,539
Clinical	phase
Phase	4
Phase	3
Phase	2
Phase	1/2
Phase	1
Page 9
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
PD-1/L1 COMBO PARTNER ANALYSIS
165 DIFFERENT TARGETS ARE BEING COMBINED
Page 10
CTLA-4
251
Chemotherapy
170
Radiotherapy
64
VEGFA
43
Chemoradio
therapy
42
Numbers of Trials Using Common Combo Strategies:
1. Anti-CTLA-4 agents: 251
2. Chemotherapies: 170
3. Radiotherapies: 64
4. Anti-VEGFA agents: 43
5. Chemoradiotherapy combos: 42
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
PD(L)-1 STUDIES ARE MOSTLY SMALL, SINGLE CENTER TRIALS
655
450
Number of Trials
(1,105 in total)
Sponsorship
Non-industry-sponsored	trials
Industry-sponsored	trials
Page 11
Annals of Oncology, Dec 2017
Tang, Shalabi, Hubbard-Lucey
INNOVATION LIVES IN ACADEMIC CENTERS…
Page 12
First approved
CAR-T therapy
First approved tissue-agnostic
cancer therapy
Multiple PDL-1 + CTLA-4 Ph3 Trials
MASTER PROTOCOLS
ENABLING FASTER AND MORE COST EFFICIENT CLINICAL INFRASTRUCTURE
Page 13
Build Multi-Lanes (in one trial)
Drive Multiple (combos)
Get Multiple Results
Keep Highway OPEN
Build 1 Highway (Trial)
Drive 1 Car (Recruit)
Get to 1 Result
Dismantle the Highway
50% of study costs to build trial
9-12 mos to start
OLD
1 Question = 1
Study = 1 Result
NEW
1 Platform =
Multiple
Questions
CRI: FUNDING THE FULL SPECTRUM OF IO INNOVATION
CLINICAL ACCELERATOR CULTIVATES INNOVATION, COLLABORATION, INTEGRATION
Page 14
CRI Irvington
Postdoctoral
Fellowship
Basic laboratory
research and
early training for
young scientists
Clinic and
Laboratory
and Integration
Program (CLIP)
Translational
research grants to
top investigators
Clinical Accelerator
Clinical trials of
promising cancer
immunotherapies
Cancer
Immunotherapy
Consortium (CIC)
Biopharma think tank
addressing late-stage
development issues
The Answer to Cancer
Patient and caregiver
resources and clinical
trial finder
Impact Grants
Directed funding
to advance solutions
to scientific and
technological
challenges
GLOBAL IMMUNO-ONCOLOGY COLLABORATION
PARTNERING CRI IO EXPERTISE WITH CCTG GLOBAL CLINICAL AND OPERATIONAL EXCELLENCE
Page 15
Press Release Jan 8, 2018
65 year legacy in
tumor immunology
$357m funding
Proven speed and
cost effectiveness
Near 40 year legacy
leading practice
changing trials
Global footprint:
over 500 trials in
over 40 countries
Global IO expert network
Efficiently evaluate the most
promising immunotherapies
on a global scale

Mais conteúdo relacionado

Semelhante a IO Landscape Analysis - JPM18 - Aiman Shalabi

Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''
Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''
Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''Fundación Ramón Areces
 
Wong raymond symposium2016_present
Wong raymond symposium2016_presentWong raymond symposium2016_present
Wong raymond symposium2016_presentchristinamcsher
 
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...ReportsnReports
 
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLERBiocat, BioRegion of Catalonia
 
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...ReportsnReports
 
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...ReportsnReports
 
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'Fundación Ramón Areces
 
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...ReportsnReports
 
SciTech Development Company Presentation
SciTech Development Company PresentationSciTech Development Company Presentation
SciTech Development Company PresentationSciTech Development
 
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...Prof. Eric Raymond Oncologie Medicale
 
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...ReportsnReports
 
Plenary presentation saturday 11 7_dr. lucie bruijn
Plenary presentation  saturday 11 7_dr. lucie bruijnPlenary presentation  saturday 11 7_dr. lucie bruijn
Plenary presentation saturday 11 7_dr. lucie bruijnThe ALS Association
 
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...ReportsnReports
 
Innovative Cancer Diagnostic Technologies and Emerging Markets
Innovative Cancer Diagnostic Technologies and Emerging MarketsInnovative Cancer Diagnostic Technologies and Emerging Markets
Innovative Cancer Diagnostic Technologies and Emerging MarketsReportsnReports
 
Innovative Molecular Diagnostic Technologies and Emerging Markets
Innovative Molecular Diagnostic Technologies and Emerging MarketsInnovative Molecular Diagnostic Technologies and Emerging Markets
Innovative Molecular Diagnostic Technologies and Emerging MarketsReportsnReports
 
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market Research
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market ResearchT-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market Research
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market ResearchAryan Mishra
 
Choueiri nivo inrcc-009_presentation@asco2015
Choueiri nivo inrcc-009_presentation@asco2015Choueiri nivo inrcc-009_presentation@asco2015
Choueiri nivo inrcc-009_presentation@asco2015Danilo Baltazar Chacon
 

Semelhante a IO Landscape Analysis - JPM18 - Aiman Shalabi (20)

Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''
Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''
Dr. Ignacio Melero - Simposio Internacional 'Terapias oncológicas avanzadas''
 
Wong raymond symposium2016_present
Wong raymond symposium2016_presentWong raymond symposium2016_present
Wong raymond symposium2016_present
 
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...
Future Horizons in the Japanese Cancer Diagnostics Market: Supplier Shares an...
 
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER
"Breaking up pharma´s value chain - what can we expect", MICHAEL MÜLLER
 
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...
Future Horizons in the UK Cancer Diagnostics Market: Supplier Shares and Sale...
 
Osp2 brennan SGC
Osp2 brennan SGCOsp2 brennan SGC
Osp2 brennan SGC
 
Edelman - Clinical Trials
Edelman - Clinical TrialsEdelman - Clinical Trials
Edelman - Clinical Trials
 
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...
US Clinical Chemistry and Immunodiagnostics Markets: Innovative Technologies ...
 
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'
Dr. José Baselga - Simposio Internacional 'Terapias oncológicas avanzadas'
 
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...
Analysis of Emerging Cancer Diagnostic Tests and Strategic Profile of Leading...
 
SciTech Development Company Presentation
SciTech Development Company PresentationSciTech Development Company Presentation
SciTech Development Company Presentation
 
Tocc ancer currentnemergingcancerdiag
Tocc ancer currentnemergingcancerdiagTocc ancer currentnemergingcancerdiag
Tocc ancer currentnemergingcancerdiag
 
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...
Moscow summit 2020 : seeking for the cure of primary and secondary liver mali...
 
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...
European Clinical Chemistry and Immunodiagnostics Markets: Innovative Technol...
 
Plenary presentation saturday 11 7_dr. lucie bruijn
Plenary presentation  saturday 11 7_dr. lucie bruijnPlenary presentation  saturday 11 7_dr. lucie bruijn
Plenary presentation saturday 11 7_dr. lucie bruijn
 
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...
2013 Italy Tumor Marker Testing Market: Opportunities and Strategies for Supp...
 
Innovative Cancer Diagnostic Technologies and Emerging Markets
Innovative Cancer Diagnostic Technologies and Emerging MarketsInnovative Cancer Diagnostic Technologies and Emerging Markets
Innovative Cancer Diagnostic Technologies and Emerging Markets
 
Innovative Molecular Diagnostic Technologies and Emerging Markets
Innovative Molecular Diagnostic Technologies and Emerging MarketsInnovative Molecular Diagnostic Technologies and Emerging Markets
Innovative Molecular Diagnostic Technologies and Emerging Markets
 
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market Research
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market ResearchT-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market Research
T-Cell Immunotherapy Pipeline Analysis 2016 by P&S Market Research
 
Choueiri nivo inrcc-009_presentation@asco2015
Choueiri nivo inrcc-009_presentation@asco2015Choueiri nivo inrcc-009_presentation@asco2015
Choueiri nivo inrcc-009_presentation@asco2015
 

Último

💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...India Call Girls
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in RheumatologySidney Erwin Manahan
 
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...India Call Girls
 
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...India Call Girls
 
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...India Call Girls
 
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...Sheetaleventcompany
 
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*Mumbai Call girl
 
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...Sheetaleventcompany
 
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...Sheetaleventcompany
 
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...Sheetaleventcompany
 
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...Sheetaleventcompany
 
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...shallyentertainment1
 
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...daljeetkaur2026
 
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...Sheetaleventcompany
 
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...Rashmi Entertainment
 
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...Sheetaleventcompany
 
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...India Call Girls
 
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...India Call Girls
 
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...Sheetaleventcompany
 
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...Rashmi Entertainment
 

Último (20)

💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology
 
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
 
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
 
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...
💞 Safe And Secure Call Girls Prayagraj 🧿 9332606886 🧿 High Class Call Girl Se...
 
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...
Low Rate Call Girls Nagpur {9xx000xx09} ❤️VVIP NISHA Call Girls in Nagpur Mah...
 
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*
Ulhasnagar Call girl escort *88638//40496* Call me monika call girls 24*
 
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...
❤️Amritsar Escort Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amrit...
 
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...
Erotic Call Girls Bangalore {7304373326} ❤️VVIP SIYA Call Girls in Bangalore ...
 
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...
Independent Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bang...
 
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...
💚Trustworthy Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girls In Chandiga...
 
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...
❤️Amritsar Call Girls Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ ...
 
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
 
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...
Indore Call Girl Service 📞9235973566📞Just Call Inaaya📲 Call Girls In Indore N...
 
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
 
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...
❤️Zirakpur Escorts☎️7837612180☎️ Call Girl service in Zirakpur☎️ Zirakpur Cal...
 
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
 
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
 
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...
❤️Chandigarh Escorts☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandiga...
 
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
 

IO Landscape Analysis - JPM18 - Aiman Shalabi

  • 1. IO LANDSCAPE ANALYSIS JPM18 JANUARY 9, 2018 AIMAN SHALABI PHARMD, MBA CHIEF MEDICAL OFFICER CLINICAL ACCELERATOR PHILANTHROPIC VENTURE FUND CANCER RESEARCH INSTITUTE
  • 3. 26 IMMUNO-ONCOLOGY AGENTS APPROVED GLOBALLY Therapy type Therapy name Company Target T-cell targeted immunomodulator (6 in total) Ipilimumab Bristol-Myers Squibb Co CTLA-4 Nivolumab Bristol-Myers Squibb Co PD-1 Pembrolizumab Merck & Co Inc PD-1 Atezolizumab Roche/Genentech Ltd PD-L1 Avelumab Merck KGaA PD-L1 Durvalumab AstraZeneca/MedImmune LLC PD-L1 Other immunomodulator (8 in total) Aldesleukin Novartis AG IL2R Imiquimod Valeant Pharmaceuticals Intl Inc TLR7 Interferon alfa Sumitomo Dainippon Pharma Co Ltd IFNAR1; IFNAR2 Interferon alfa-1b Shenzhen Kexing Biotech Co Ltd IFNAR1 Interferon alfa-2a Cadila Healthcare Ltd IFNAR1; IFNAR2 Interferon alfa-2b Merck & Co Inc IFNAR1; IFNAR2 Interferon beta Toray Industries Inc IFNAR1 Interferon gamma-1a Otsuka Pharmaceutical Co Ltd IFNAR1 Therapy type Name of Therapy Company Target Cancer vaccine (7 in total) BCG Live Shire Plc TLR ImmuCyst Sanofi TLR Immuno BCG Ataulpho Paiva Foundation TLR Mycidac-C Cadila Pharmaceuticals Ltd TLR2 Sipuleucel-T Dendreon Unspecified TAA TICE BCG Merck & Co Inc TLR Uro-BCG Medac Inc TLR Cell therapy (2 in total) Tisagenlecleucel Novartis AG CD19 Axicabtagene ciloleucel Gilead CD19 Oncolytic virus (2 in total) Oncorine Shanghai Sunway Biotech Co Ltd CD40L Talimogene laherparepvec Amgen Inc GMCSFR CD3-targeted bispecific ab Blinatumomab Amgen Inc CD19 X CD3 Page 3 Annals of Oncology Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 4. Therapy type_JT_.. 0 50 100 150 200 250 300 350 Number of Records T-cell targeted immunomodulator Other immunomodulator cancer vaccine Cell therapy oncolytic virus BiTE 144130 112 34 72 54 12 24 30 12 33 22 42 29 96 16 24 12 4 5 2 5 1 2 2 7 8 6 A REVOLUTION IS UNDERWAY: 2,004 IO AGENTS IN DEVELOPMENT 940 AGENTS ARE IN CLINICAL STAGES, AND 1,064 IN PRECLINICAL Therapy type_JT_AS .. 050100150200250300 Number of Records Checkpoint-activator Immunomodulator Cancer vaccine Cell Therapy Oncolytic virus BiTE 0 5050100150200250300350 100 150 200 250 300 350 Number of Agents 199 284 261 179 95 46 Other immunomodulator T-cell targeted immunomodulator Cancer vaccine Cell therapy Oncolytic virus CD3-targeted bispecific antibody Clinical agent count 99 170 344 224 69 34 Clinical stage Approved Phase III Phase II Phase I/II Phase I Preclinical & Discovery Page 4 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 5. Target 0 10 20 30 40 50 60 70 80 90 100 110 120 Number of Clinical Agents Unspecified TAA CD19 PD-1 HER2 NY-ESO-1 PD-L1 CD20 CD40 EGFR CSF1R GD2 WT1 IFNAR1 MUC1 PSMA TERT Survivin HPV E6 Personalization BCMA CEA LAG-3 OX40 TLR TLR7 CD123 GITR GPC3 HPV E7 IDO1 IL2 mesothelin PSA TLR9 CD22 CD30 CD47 MAGE-A3 ADORA2A CD25 34 12 10 10 57 13 11 14 13 11 11 11 12 13 19 98 5 6 7 7 1 1 2 4 5 5 9 5 8 9 3 1 6 6 2 7 3 2 8 1 4 8 9 7 6 3 6 9 9 2 4 5 8 1 5 5 1 6 7 7 2 1 3 3 2 1 1 1 4 4 7 1 3 2 1 3 1 271 IO TARGETS IN CLINICAL TESTING, BY 462 DIFFERENT ENTITIES TOP 40 LISTED BELOW Therapy type T-cell targeted immunomodulator Other immunomodulator Cancer vaccine Cell therapy Oncolytic virus CD3-targeted bispecific mAb Page 5 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 6. 0 2020406080 40 60 80 100 Number of Agents 98 51 13 Country (gr.. 020406080 Number of Clinical Agents China USA Other Country (gr.. 0 20 40 60 80 100 Number of Clinical Agents China USA Other 8 37 32 1 2 1 4 10 64 1 2 23 76 30 Clinical stage Approved Phase III Phase II Phase I/II Phase I Preclinical & Discovery Clinical agent count China US Other CAR-T CELL THERAPY LANDSCAPE CRI FOLLOWING 291 AGENTS, WITH 162 ALREADY IN CLINICAL TESTING Page 6 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 7. PD-1/L1 AGENTS WILL CONTINUE TO BE TRANSFORMATIONAL …. BUT AN URGENT NEED FOR EFFICIENCIES Page 7
  • 8. CRI FOLLOWING 164 PD-1/L1-TARGETING AGENTS 50 CLINICAL STAGE AGENTS (34 MONOCLONAL ANTIBODIES) Page 8 Preclinical & Discovery Phase I Phase I/II Phase II Phase III Approved 0 20 40 60 80 100 120 Number of Records 59 15 27 20 3 5 8 4 6 1 1 2 1 3 9 114 30 3 9 3 5 Molecule type Monoclonal antibody Bispecific antibody Small molecule Other biologic Therapy type - Split 2 (group) Monoclonal antibody Bispecific antibody small molecule Other biologic Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 9. INCREASE OF NEW PD-1/L1 COMBO TRIALS 2009 2010 2011 2012 2013 2014 2015 2016 2017 Number of new trials Planned new enrollment Trial Start Year 1 136 5 2,473 2 582 13 4,867 20 5,031 58 11,276 190 39,821 329 46,153 469 52,539 Clinical phase Phase 4 Phase 3 Phase 2 Phase 1/2 Phase 1 Page 9 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 10. PD-1/L1 COMBO PARTNER ANALYSIS 165 DIFFERENT TARGETS ARE BEING COMBINED Page 10 CTLA-4 251 Chemotherapy 170 Radiotherapy 64 VEGFA 43 Chemoradio therapy 42 Numbers of Trials Using Common Combo Strategies: 1. Anti-CTLA-4 agents: 251 2. Chemotherapies: 170 3. Radiotherapies: 64 4. Anti-VEGFA agents: 43 5. Chemoradiotherapy combos: 42 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 11. PD(L)-1 STUDIES ARE MOSTLY SMALL, SINGLE CENTER TRIALS 655 450 Number of Trials (1,105 in total) Sponsorship Non-industry-sponsored trials Industry-sponsored trials Page 11 Annals of Oncology, Dec 2017 Tang, Shalabi, Hubbard-Lucey
  • 12. INNOVATION LIVES IN ACADEMIC CENTERS… Page 12 First approved CAR-T therapy First approved tissue-agnostic cancer therapy Multiple PDL-1 + CTLA-4 Ph3 Trials
  • 13. MASTER PROTOCOLS ENABLING FASTER AND MORE COST EFFICIENT CLINICAL INFRASTRUCTURE Page 13 Build Multi-Lanes (in one trial) Drive Multiple (combos) Get Multiple Results Keep Highway OPEN Build 1 Highway (Trial) Drive 1 Car (Recruit) Get to 1 Result Dismantle the Highway 50% of study costs to build trial 9-12 mos to start OLD 1 Question = 1 Study = 1 Result NEW 1 Platform = Multiple Questions
  • 14. CRI: FUNDING THE FULL SPECTRUM OF IO INNOVATION CLINICAL ACCELERATOR CULTIVATES INNOVATION, COLLABORATION, INTEGRATION Page 14 CRI Irvington Postdoctoral Fellowship Basic laboratory research and early training for young scientists Clinic and Laboratory and Integration Program (CLIP) Translational research grants to top investigators Clinical Accelerator Clinical trials of promising cancer immunotherapies Cancer Immunotherapy Consortium (CIC) Biopharma think tank addressing late-stage development issues The Answer to Cancer Patient and caregiver resources and clinical trial finder Impact Grants Directed funding to advance solutions to scientific and technological challenges
  • 15. GLOBAL IMMUNO-ONCOLOGY COLLABORATION PARTNERING CRI IO EXPERTISE WITH CCTG GLOBAL CLINICAL AND OPERATIONAL EXCELLENCE Page 15 Press Release Jan 8, 2018 65 year legacy in tumor immunology $357m funding Proven speed and cost effectiveness Near 40 year legacy leading practice changing trials Global footprint: over 500 trials in over 40 countries Global IO expert network Efficiently evaluate the most promising immunotherapies on a global scale