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DisclaimerThis presentation contains forward-looking statements that involve substantial risks and uncertainties. All statements, other than statements of historical
facts, contained in this presentation, including statements regarding Immunicum’s view on strategy, future operations, future clinical development plans and
objectives, future financial position, future revenues, projected costs, prospects, plans and objectives of management, are forward-looking statements. The
words “anticipate”, “believe”, “estimate”, “expect”, “intend”, “may”, “plan”, “predict”, “project”, “target”, “potential”, “will”, “would” “can”, “could”, “shall”,
“should”, “continue” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain such
identifying words. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place
undue reliance on our forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the
forward-looking statements we make. The forward-looking statements contained in this presentation reflect Immunicum’s current views with respect to
future events, and Immunicum assumes no obligation to update any forward-looking statements except as required by applicable law. Our actual results
and/or actual events could differ materially from those anticipated in forward-looking statements for many reasons, including, without limitation, risks
associated with our clinical development activities, chemistry, manufacturing and controls, regulatory oversight, product commercialization, upholding of
intellectual property rights or intellectual property claims, general market developments and other risks, uncertainties and factors within and outside of our
control. Given these risks, uncertainties and other factors, you should not place undue reliance on forward-looking statements, and we assume no obligation
to update forward-looking statements, even if new information becomes available in the future, or to provide information regarding the reasons why actual
outcome, events or results could differ materially from those anticipated in the forward-looking statements, except as required by law. You should instead
make or, if you are not qualified to do so, seek the assistance of qualified and professional counsel in making, an independent and adequately substantiated
assessment of us, our operations, current and future activities and commercial potential based on all available information about us, as presented in financial
reports, press releases and in other contexts, and about the business fields and markets in which we are active, as presented in, inter alia, scientific and other
publications (although we do not assume any responsibility for information about us obtained from third parties).
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Tableofcontents
IntroductiontoImmunicumUniqueimmuno-oncologyapproachofallogeneic,off-the-shelfcell-basedtherapies
IlixadencelApotentialbackbonetherapyinfutureoncologytoolkitofcombinationtherapies
UpdatedclinicaldevelopmentplanAcceleratingvaluecreationandestablishingilixadencel aspartofstandardofcare
ManagementandboardExperiencedmanagementteamwithextensiveexperienceindrugandbusinessdevelopment
Financials
Appendix
44
FirstpatientenrolledinRCCPhaseIIstudy(MERECA)
ClinicalPhaseI/IIstudyinitiated(HCC)
ClinicalPhaseI/IIstudyfortreatmentoflivercancer(HCC)isinitiated
PatentforCOMBIGgrantedintheUS
TheUSPatentandTrademarkOfficegrantspatentfortheCOMBIGplatform
Companyhistory
2011 2012 2015
2013 2014 2016
2017
2002
Companyfounded
Spin-off
NewdevelopmentplanLaunchofthenewclinicaldevelopment
plan
FirstpatientenrolledinPhaseI/IItrial(GIST)
Thestudyinvestigatesthesafetyandefficacyofilixadencel incombination
withTKIs
SEK128mraisedArightsissuetopartiallyfinanceongoingandplannedstudies(RCC,HCCandGIST)
NewCEOappointedCarlosdeSousaisappointedCEOtotake
thecompanytothenextstageofdevelopment
ClinicalPhaseI/IIstudyinitiated(RCC)
ClinicalPhaseI/IIstudyfortreatmentofkidneycancer(RCC)isinitiated
ShareslistedonNasdaqFirstNorth
FinalreportforPhaseI/IItrial(RCC)submitted
FinalreportwassubmittedtoSwedishMPA.Noseriousadverseeventswere
noted
PatentfortheCOMBIGplatformgranted
TheEuropeanPatentOffice(EPO)grantspatentprotectionfortheCOMBIG
platform
PublicationofresultsPhaseI/IItrialofilixadencel inRCCResultspublishedintheJournalofImmuno
TherapyofCancer
FirstclinicaltrialapprovedSwedishMPAapprovesclinicaltrialofINTUVAX(ilixadencel)fortreatmentof
kidneycancer
INDapprovalinUSFDAclearedINDforilixadencel tostart
treatingpatientsinUS
ExpectedlistingonNasdaqStockholm
55
Immuno-oncologyisthefastestgrowingpharmaceuticalsegment
Immuno-Oncology isdesignedtohelpthebody'sownimmunesystemfightcancer
byeitheractivating theimmunesystemagainstcancercellsorbyinhibitingfactors
thatsuppresstheimmunesystem’sabilitytokillcancercellsthroughcheckpoint
inhibitors.
I MM U N O - O N C O L O G Y I N B R I E F
$17bnT O T A L M A R K E T S I Z E 2 0 1 5 1
$76bnT O T A L M A R K E T S I Z E 2 0 2 2 1
24%C A G R 2 0 1 5 - 2 0 2 2 1
F D A A P P R O V E D C H E C K P O I N T I N H I B I T O R S
2 0 1 1 2 0 1 4 2 0 1 4
2 0 1 6 2 0 1 7 2 0 1 7
Theimmuno-oncologymarketwasfirstopenedbycheckpointinhibitorsthattargetthetumor’simmunosuppression
Source:(1)RadiantInsights- GlobalCancerImmunotherapiesMarketto2022,2016.
66
Inhibitionofthetumor’simmunosuppressionisnotenough
Combinationtherapiesofimmunesystemactivatorsandimmunosuppressioninhibitorscouldenablethenextbreakthrough
Sources:Immuno-oncologycombinations:raisingthetailofthesurvivalcurve;Harrisetal.,CancerBiolMed.2016;Immunotherapy:RevolutionizingCancerTreatmentWebinar,FocusedUltrasoundFoundation;Bristol-MyersSquibb,InvestorPresentation(March31,2016);CombinationImmunotherapyforLungCancer:TheWaveofthefuture,TheASCOPost;CombinationTherapies:WhatWorksBestforImmuno-Oncology,TheAmericanJournalofManagedCare
Immunotherapycombination
Immunotherapymonotherapy
Traditionaltherapies
Control
TIMEFROMTREATMENT
PROPO
RTIONALIVE
Theimmunesystemalsoneedstobeactivatedtorecognizeandfindcancercells
Thefield[immuno-oncology]ismovingtowards
personalized,combinationalimmunotherapy.
- JillO’Donnel-Tormey,CEOoftheCancerResearch
Institute
” ”Combinationsarethefuture[…]Theyear2017willbe
animportantoneasweseesomeofthecombination
Immunotherapydatareadingout.
- NaiyerRizvi,MD,DirectorofImmunotherapeuticsat
ColumbiaUniversityMedicalCenter
””
Thefutureofthesedrugsisincombination
strategies[…]And,mostofthedatathatareleaking
outofASCOandothermeetingsarelookingat
combinations.
- BenjaminP.Levy,ClinicalDirectorofMedical
OncologyatKimmelCancerCentre
””
77
Killingofcancercells7
6 RecognitionofcancercellsbyTcells
TraffickingofCD8+“killer”Tcellstocancertissue4
Releaseoftumorneoantigensandrecruitmentofdendriticcells1
2 Transportofneoantigensbydendriticcellstolymphnodes
PrimingandactivationofCD8+Tcellimmuneresponsetoneoantigens
3 5 InfiltrationofTcellsintocancertissue
ILIXADENCELINJECTION
STEPONTHEGAS:ACTIVATETHEIMMUNESYSTEM
RELEASETHEBRAKE:BLOCKCANCERIMMUNESUPPRESSION
and/orKILLCANCERCELLS
Immunicum’s ilixadencel primesandactivatestheimmunesystemtorecognizeandfindcancercells
Checkpointinhibitors(Keytruda®/Opdivo®)tyrosinekinaseinhibitors(sunitinib)
chemotherapies (gemcitabine)
Ilixadencel:Abackbonetherapyinimmuno-oncologycombinations
88
CurrentpipelineIndication Preclinical PhaseI/II PhaseII PhaseIII
IlixadencelIM-201 Kidney
IlixadencelIM-102 Liver
IlixadencelIM-103 Gastrointestinal
SUBCUVAX/Adenovirusvector TBD
AllogeneicDendriticCellstransfectedwithgenescodingfordesirabletumorantigensImmunicum’sproprietaryadenovectorcanbeusedtodelivergenes,codingforoncoviralantigensorneoantigensandimmune-boostingfactors,intodendriticcells.ThisisthescientificbasisbehindtheSUBCUVAX®approach.However,potentialapplicationsgobeyondthisconcept,byincludinge.g.noveloncolytictreatments.
CD70 TBD
OptimizedCAR-Texpansionprotocolforimprovedanti-canceractivityImmunicum’sCD70platformwasdesignedusingthecompany’scoreexpertiseindendriticcellbiologyandcanprovideCAR-TcompanieswithasuperiortoolforexpansionofCAR-Tcellswithimprovedanti-tumoractivityaswellasahigherresistancetooxidativestressandimmunosuppressivefactorsthattheymustfaceinthetumorenvironment.
99 Source:(1)TransparencyMarketData,KidneyCancerDrugsMarket,2015;(2)GlobalData;(3)MordorIntelligence:GlobalLiverCancerMarket,2016.
C U R R E N T I N D I C AT I O N S
86%
Others
Solidtumors
80%
Others
Solidtumours
Solidtumorsarecausedbynewgrowthoftissueinwhichcellmultiplicationisuncontrolled
andprogressive,formingadiscretetumormasse.g.inthebrain,kidney,
breast,liveretc.
CANCERINCIDENCE
CANCERMORTALITY
Marketoverview:IlixadencelcurrentindicationsAdvancedclinicalstageprojectsinsizeableindicationswithlargeunmetclinicalneeds
GastrointestinalGastrointestinalstromaltumor
(GIST)$1.1bn 2017E2
A D D I T I O N A L P O T E N T I A L
KidneyRenalCellCarcinoma(RCC) $4.5bn 2020E1
LiverHepatocellularCarcinoma
(HCC)$0.7bn20163
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3
4
5
6
Tableofcontents
IntroductiontoImmunicumUniqueimmuno-oncologyapproachofallogeneic,off-the-shelfcell-basedtherapies
IlixadencelApotentialbackbonetherapyinfutureoncologytoolkitofcombinationtherapies
UpdatedclinicaldevelopmentplanAcceleratingvaluecreationandestablishingilixadencel aspartofstandardofcare
ManagementandboardExperiencedmanagementteamwithextensiveexperienceindrugandbusinessdevelopment
Financials
Appendix
11
Ilixadencel– Immunicum’sleaddevelopmentcandidateIlixadencel(previouslyINTUVAX)hasthepotentialtobecomepartofstandardtreatmentformostsolidtumors
Uniqueoff-the-shelfproduct– Personalizedtreatmentwithoutcostlyandtimeconsumingper-patientproduction
11
Strongimmunesystemactivation – Recruitmentofcancer-specificTcellstocancersiteandmetastasesfollowinginjection
HighlypromisingPhaseI/IIdata – Morethandoublingofexpectedmedianoverallsurvivaldemonstrated
OngoingPhaseIItrial– International90-patienttrialcomparingcombinationtherapytostandardofcare
Excellentsafetyprofile– Lowrateoftreatment-relatedseriousadverseeventsinthelandscapeofimmunotherapies
Widerangeofapplicability– Ilixadencelisapplicabletomostinjectablesolidtumors
12
Uniquecellbasedoff-the-shelfimmunotherapyproduct
Autologousorexvivo immunotherapypreparationiscostlyandtimeconsuming
Ilixadencelprovidespersonalizedtreatmentdespitebeinganoff-the-shelfproduct
Patientpresentsathospitalfortreatment
Asampleofthecancercellsiscollected
Thesampleissenttoanexternallaboratory
Asinglepersonalizedtherapyisproduced
Thetherapyissentbacktothehospital
Thetherapyisadministered
Patientpresentsathospitalfortreatment
Ilixadencelisadministered
Ilixadencelcomparesfavorablytoexvivotherapiesbyallowingforimmediatetreatmentatlowercost
1XHealthydonorsample
100X DosesofIlixadencel 50X Patients
treated
ILIXADENCELPRODUCTION
ILIXADENCELKEYBENEFITS
ü Ilixadenceltargetsthefullsetofeachpatient’suniqueandtumor-specificmutatedneoantigens.Ilixadencelutilizesthepatient’stumorasaneoantigensourcewithouttheneedtoextractasampleofthecancerforproductionofavaccine,whichisaverycostlyandtimeconsumingprocedure.
ü Ilixadencelutilizeshealthydonorleukapheresis(laboratoryprocedureinwhichwhitebloodcellsareseparatedfromblood)asthesourcematerialusedtomanufacturetheallogeneicdendriticcellproduct(~100dosesfromonehealthydonor).
ü GoodManufacturingPractice(GMP)ataGermancontractmanufacturingorganization.
24MONTHSHELF-LIFE
13
Ilixadencel deliveredpromisingdatainPhaseI/IImRCC trialPatientsreceivingilixadencel showeda3-foldincreasecomparedtohistoricaldata
Time(inmonths)fromstartofilixadencel treatment(asofMay2017)
14.7-15.8monthsexpectedmedianoverallsurvivalinnewlydiagnosedmRCCpatientsonsunitinib(Hengetal.2009;Koetal.2014)
0 10 20 30 40 50 60 70
Stillalive
Startoftyrosine-kinaseinhibitiontreatment
48monthmedianoverallsurvivalaspublishedinJImmunother Cancer(Laurell etal.2017)
14
Casereport:Completeremissionfrom4brainmetastases
Patientwithbrainmetastasesbeforesunitinibtreatment
Showingcompleteresponseof2ofthebrainmetastasessixmonthsafterstartof
sunitinibtreatment
PRIORTOTREATMENT
6MONTHSPOSTTREATMENT
Patienttreatedwithilixadencel showedcompleteremissionfrommetastasesnotaccessiblebysunitinibalone
Patientprofile
• ThepatientwascategorizedaspartofthehighriskgroupaccordingtoMSKCC-criteria
• ThepatientshowedstronginfiltrationofCD8+Tcells (cancerspecificTcellsactivatedbyilixadencel)intheresectedkidneytumor
• Thepatienthaddeveloped4newbrainmetastases,onenewlungmetastasisand5large(upto5cminlargestdiameter)livermetastasesatfollowup3monthsaftertheremovaloftheprimarykidneytumor
• Thepatientreceivedstandardsunitinib(tyrosinekinaseinhibitor)treatmentduetoprogressioninadditiontothepreviouslyreceivedinjectionofilixadencel
• Follow-up3,6and9monthsafterinitiationofsunitinibtreatmentrevealedacontinuoustumorregressionatallmetastaticsites,includingcompleteremissionofallbrainmetastasesandlivermetastases
• Thepatientisstillalive48months(asofMay2017)fromstartofilixadencel
Comments
• Assunitinibhasbeenshowntobeunabletoaffectbraintumors,thecompleteremissionofthesetumorsdemonstratedintheadjacentimagescanbeattributedtoilixadencel inprimingtheimmunesystem,possiblyfurtherfacilitatedbysunitinib’seffectoninhibitingimmunosuppressivecells
Thecasestudysuggestsilixadencel usedincombinationwithcheckpointinhibitorsandotheragentsinhibitingthetumor'simmunosuppressioncouldenableremissionofdistantmetastasesevenwhentheprimarytumor
hasalreadybeenremoved,aswasthecasewiththepatient
15
TumorspecificandsystemicimmuneresponseshownHistopathologicalanalysisofremovedkidneytissueprovidesstrongprooffordesiredimmunereaction
Treatedtumorarea Normalkidneytissuesurroundingtreatedtumorarea MetastasisUntreatedtumorarea(reference)
RENALCELLCARCINOMA
AreferenceslidedemonstratingtheamountofTcells(blackdots)inanon-
treatedtumor.
AmassiveinfiltrationofcancerspecificCD8+Tcellsinthetumorafterinjectionof
ilixadencel.
AclearabsenceofTcellsoutsideofthetumorsite(similartoahealthytissue)
supportingthatthemassiveinfiltrationistumor-specific.
AclearincreasedpresenceofCD8+Tcellsatadistantmetastasis(tumorthathasspreadtootherpartsofthebody)
demonstratesthattheimmunesystemisalsoabletoidentifyandtargetcancercellsinotherpartsofthebodyafter
injectionofilixadencel.
Source:JImmunotherapyCancer.2017;5:52.“Intratumorallyinjectedpro-inflammatoryallogeneicdendriticcellsasimmuneenhancers:afirst-in-humanstudyinunfavorableriskpatientswithmetastaticrenalcellcarcinoma”
TUMOR
16
Updateonongoingclinicaltrialsforilixadencel
GastrointestinalGastrointestinal
stromaltumor(GIST)
RESULTSEXPECTED
2019PhaseI/II:IM-103GISTstudy• Aprospectivesinglearmed,openlabelPhaseI/IIstudybeingcarriedoutin12
patientsattheKarolinskaInstitute• ProtocolamendedinMarch2017tofacilitaterecruitment• Threepatientsenrolledsofar• Trialisplannedtoenrollatotalof12patients
LiverHepatocellularCarcinoma(HCC)
RESULTSEXPECTED
2017• Aprospectivesinglearmed,openlabelPhaseI/IIstudycarriedoutin12patients
withadvancedhepatocellularcarcinomaatSahlgrenskaUniversity• LastpatientrecruitedinNovember2016• Medianoverallsurvivalforsecondlinecohort(7patients)was11.1monthsasof
June2017• Asshowninarecentpublication,theincreaseofthreemonthsinoverallsurvival
overplacebo(10.6monthcomparedto7.8monthinplacebogroup)supportedtheregulatoryapprovalofanovelsecondlinetreatmentandisconsideredasignificantimprovement
PhaseI/II:IM-102HCCstudy
KidneyRenalCellCarcinoma
(RCC)
RESULTSEXPECTED
2019
PhaseII:IM-201mRCCMERECAstudy• MERECAisaninternational,investigational,randomized,controlledandopenstudy
whereatotalof90patientswillreceiveeitherstandardtreatmentofsunitiniborsunitinib withilixadencel
• Totalrecruitmenttodatetotals68patientsat28centersineightEuropeancountriesandtheUS
• FirstpatientrecruitedintheUS• CompletionofenrollmentexpectedinH22017
1
2
3
4
5
6
Tableofcontents
IntroductiontoImmunicumUniqueimmuno-oncologyapproachofallogeneic,off-the-shelfcell-basedtherapies
IlixadencelApotentialbackbonetherapyinfutureoncologytoolkitofcombinationtherapies
UpdatedclinicaldevelopmentplanAcceleratingvaluecreationandestablishingilixadencel aspartofstandardofcare
ManagementandboardExperiencedmanagementteamwithextensiveexperienceindrugandbusinessdevelopment
Financials
Appendix
18
Updatedclinicaldevelopmentplan- StrategyAcceleratingvaluecreationandestablishingilixadencelaspartofthestandardofcare
NEWCOMBINATIONSANDINDICATIONS ADVANCEMENTOFCURRENTINDICATIONS PREPARATIONFORPHASEIIITRIALS
HepatocellularCarcinoma(HCC)
PhaseI/II
AdvancementtoPhaseIIbasedonpositivedatafromon-goingPhaseI/IItrial
PhaseII
RenalCellCarcinoma(RCC)
PhaseII
CompletionofMERECAPhaseIIstudytowardspivotalstage
GastrointestinalStromalTumors(GIST)
PhaseI/II
CompletionofGISTPhaseI/IIstudy
PhaseIb/II
Multi-indicationstudycombiningwithcheckpointinhibitors
- Objectivetoestablishthesafetyandtherapeuticimpactforcombinationtherapyinthreenewindicationsforilixadencel
- Thechosenindicationsarewell-suitedforilixadenceltreatmentandrepresentpatientpopulationswithlargeunmetmedicalneeds
- Lessthan50%ofpatientsrespondtocheckpointinhibitors.Illixadencelisuniquelypositionedtoincreasetheefficacyasacombinationtreatment
Manufacturing(CMC)activities
ContinueddevelopmentofChemistry,ManufacturingandControlprocessestoestablishacommercialgrademanufacturingfollowingthe
currentrobustdevelopmentgrademanufacturing
HeadandNeckcancer(SCC)
GastricAdenocarcinoma(GC)
Non-SmallCellLungCancer
300-400m
S E K
Totalcapitalrequirementfor
execution
SEK
71m
athand*
*CashandcashequivalentsplusfundsinvestedinmutualfundsamountedtoSEK70.7masof2017-06-30.
19
Updatedclinicaldevelopmentplan– ValueAdvancedclinicalstageprojectsinsizeableindicationswithlargeunmetclinicalneeds
Source:GLOBOCAN2012;(1)GlobalData,2016;(2)BCCResearch,"GastricCancerTesting,TreatmentandPrevention:TechnologiesandGlobalMarkets,"October,2015; (3)ResearchandMarkets,2017;(4)MordorIntelligence:GlobalLiverCancerMarket,2016;(5)TransparencyMarketData,KidneyCancerDrugsMarket;(6)GlobalData.
NEWCOMBINATIONSANDINDICATIONS
HeadandNeckCancer(HNSCC)
GastricAdenocarcinoma(GC)
Non-SmallCellLungCancer(NSCLC)
ADVANCEMENTOFCURRENTINDICATIONS
HepatocellularCarcinoma(HCC)
RenalCellCarcinoma(RCC)
GastrointestinalStromalTumors(GIST)
• Global:665,000newcases• US:26,000newcases
• Global:28,000newcases• US:1,700newcases
• Global:295,000newcases• US:52,000newcases
• Global:617,000newcases• US:48,000newcases
• Global:1,460,000newcases• US:171,000newcases
• Global:957,000newcases• US:19,000newcases
$1.5bn2024E1
$3.2bn2020E2
$12.2bn2025E3
Globalmarketsize
Globalmarketsize
Globalmarketsize
$0.7bn20164
$4.5bn2020E5
$1.1bn2017E6
Globalmarketsize
Globalmarketsize
Globalmarketsize
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Upcomingexpectednewsflow2017-2019N E W S F L O W 2 0 1 7 N E W S F L O W 2 0 1 8 N E W S F L O W 2 0 1 9
PhaseI/II:IM-102HCCtrialtoplineresults
PhaseII:InitiationofIM-203HCCtrialInitiationofCMC feasibilitystudies
PhaseIb/II:Initiationofmulti-indicationstudycombiningilixadencel withcheckpointinhibitors
PhaseII:IM-201RCCMERECAstudytoplineresults
=subjecttofinancing
PhaseI/II:IM-103GISTtrialtoplineresults
PhaseII:IM-201RCCMERECAstudyrecruitmentcompleted
M U L T I P L E I N T E R I M R E A D O U T S , C O L L A B O R A T I O N S A N D P U B L I C A T I O N S A L S O E X P E C T E D D U R I N G T H E P E R I O D
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Companyhighlights
Favorablepositioningasbackbonetherapyinthefutureoncologytoolkitofcombinationtherapies2
Excellentsafetyprofilewithlowrateoftreatment-relatedseriousadverseevents5
3 Advancedclinicalstageprojectsinsizeableindicationswithlargeunmetneed
6 Robustdevelopmentgrademanufacturinginplace
7 Experiencedmanagementteamwithextensiveexperienceoflatestagedrugandbusinessdevelopment
Uniqueapproachtoimmunesystemactivationthroughanoff-the-shelfproductofferingpersonalizedtreatment1
4 Highlypromisingefficacydataandprovenmechanismofactioninleadcandidate
8 Operatingwithinthefastestgrowingareaforcancertreatment
2323
In brief
Companyfounded 2002
Headquarters Gothenburg
Numberofemployees 10
Totalinvestmenttodate SEK273m
Immunicumisaclinical-stagebiopharmaceuticalcompanyestablishingaunique
immuno-oncologyapproachthroughthedevelopmentofallogeneic,off-the-shelf
cell-basedtherapies.
Thecompany’sgoalistoimprovesurvivaloutcomesandqualityoflifebypriming
thepatient'sownimmunesystemtofightcancer.Thecompany'sleadproduct
ilixadencel,consistingofpro-inflammatoryallogeneicdendriticcells,hasthe
potentialtobecomeabackbonecomponentofmoderncancercombination
treatmentsinavarietyofsolidtumorindications.
FoundedandbasedinSweden,Immunicumispubliclytraded
ontheNasdaqFirstNorthPremier.
TODAY’SPRESENTER
CarlosDeSousaChiefExecutiveOfficer
M.D.,ExecutiveMBA
} JoinedImmunicumasCEOinOctober2016
} Over25yearsofexperiencefromexecutivepositionswithintheglobal
pharmaceuticalandbiotechmarket,includingexperiencefrombusiness
development,acquisitions,globalmarketingandclinicaldevelopment
} MedicalDoctor,SchoolofMedicineatUniversityofLisbonandExecutive
MBA,SternSchoolofBusinessatNewYorkUniversity,born1958
SENIORPOSITIONSHELD
2424
Ilixadencel:Abackbonetherapyinimmuno-oncologycombinations
Killingofcancercells
Afterrecognition,theCD8+Tcellscankillthecancercells,asiffightinganinfection.CancercellscanhoweverdeveloptheabilitytolocallysuppresscancerspecificCD8+Tcellstopreventkilling.Complementingimmunotherapiessuchascheckpointinhibitorscanblockthisability,which“releasesthebrake”ontheimmunesystem.However,ifthereisnoactivatedimmunesystemthat“stepsonthegas”,checkpointinhibitorshavelimitedimpact.Immunotherapycombinations,suchasilixadencel togetherwithcheckpointinhibitors,couldthereforebethesolution.
7
6 Recognitionofcancercells
Afterinfiltration,theCD8+Tcellswillattempttorecognizethecancercellsinordertokillthem.
TraffickingofTcellstocancertissue
ThecancerspecificCD8+Tcellsarereleasedintothebloodtosearchforcancercells.
4
Immunerecruitment
Cancercellsproducespecificsubstancescalledneoantigens.Theseneoantigenscanbeidentifiedbytheimmunesystemasdifferentfromhealthycellsandmaytherebyinduceanimmuneresponse,i.e.recruitthebody’sdefenses.Inordertoinduceastrongresponseasufficientamountofimmunecellshavetoberecruitedtothecancersite.Theroleofilixadencel istotriggertherecruitmentoftheneededcells,i.e.“tosteponthegas”inthecancerimmunitycycle.Ilixadencel isapro-inflammatoryforeignagentthatlocallytriggersanaggressiveimmuneresponse,similartothebody’sresponsetoaviralinfection.Byinjectingilixadencel intothetumor,varioustypesofimmunecellswillberecruitedtotheinjectionsite.Amongtheserecruitedcellsaredendriticcells,whichpickupandtransportneoantigens.
1
2 Transportationtolymphnodes
Thedendriticcellswhichwererecruitedby ilixadencelthentransportthecancerneoantigenstothelymphnodes,wherethebodycreatesdefenses(suchasTcells)tokillthreatsinthebody.
Primingandactivationofimmuneresponsetoneoantigens
Oncethedendriticcellsreachthelymphnodestheythen“present”theneoantigenstoTcellswhichbecomeprimedtowardstherecognized,cancerspecific,neoantigensandbegintoreplicateinordertobuildanattack.ThisresultsinlargeamountsofCD8+Tcells,or“killerTcells”,specificallyactivatedtofindandkillcancercellsintheentirebody.
3
5 InfiltrationintocancertissueTheCD8+Tcellswillinfiltratetheprimarytumorormetastaseselsewhereinthebody.
ILIXADENCELINJECTION
STEPONTHEGAS:ACTIVATETHEIMMUNESYSTEM RELEASETHEBRAKE:BLOCKCANCERIMMUNESUPPRESSION
Ilixadencelplaysanimportantpartinthecancerimmunitycyclebyincreasingtheefficacyofcheckpointinhibitors