1
B7 proteins play cri�cal immunomodulatory roles and provide a�rac�ve targets for development of novel therapies for cancer and autoimmunity, both of which involve improper immune tolerance. A major medical need in autoimmunity is restora�on of immune tolerance to self-an�gens and immune homeostasis. CGEN-15001 is a first-in-class Fc-fusion protein consis�ng of the extracellular domain of a novel B7-like protein, discovered by Compugen based on shared bioinforma�c characteris�cs with known B7 members. CGEN-15001 Induces An�gen Specific Tolerance in Autoimmune Diseases Unique MOA: Combining tolerance induc�on and restora�on of immunological homeostasis CGEN-15001 provides poten�al paradigm shi� from “standard of care” Addressing a widely an�cipated ‘next step’ therapeu�c in autoimmunity Regulates immune homeostasis: inhibi�ng Th1/Th17 responses while enhancing Th2 and an�-inflammatory cytokines (e.g., IL-10) and promo�ng iTreg differen�a�on Induces durable therapeu�c effect following short-term treatment in models of autoimmune diseases The durable therapeu�c effect is Treg dependent The therapeu�c effect is transferable, and mediated by induc�on of Ag-specific immune tolerance. Previous knowledge of the an�gen is not required Promotes donor-specific tolerance leading to gra� survival in bone marrow transplanta�on model with HY-minor Ag mismatch Transla�ng the success of checkpoint manipula�on from Immuno-Oncology to autoimmunity Immune-modula�on offers safety advantages vs. immune-suppression ϲ CGEN-15001 RESTORES HOMEOSTASIS IN-VIVO BY SHIFTING TH1/TH17 TO TH2 CGEN-15001 IS A LIGAND OF A NOVEL T CELL INHIBITORY PATHWAY CGEN-15001 ENHANCES iTREG DIFFERENTIATION CGEN-15001 INDUCES TREGs IN THE R-EAE MODEL CGEN-15001 INDUCES TOLERANCE IN A BONE MARROW TRANSPLANTATION MODEL FROM CODE TO CURE TM CGEN-15001: A NOVEL B7-LIKE REGULATOR OF IMMUNE HOMEOSTASIS AND INDUCER OF ANTIGEN-SPECIFIC TOLERANCE CGEN-15001 Fc fusion protein Derived from a novel immunomodulatory protein Binds to ac�vated T cells Ac�vates an inhibitory pathway CGEN-15001 Treated Donor mice Recipient mice Disease induc�on with PLP139-151 blasts (specific to ini�a�ng epitope) Disease induc�on with PLP178-191 blasts (specific to spread epitope) Disease induc�on with PLP139-151/CFA Treated donor mice (Ac�ve EAE) CGEN-15001, CTLA4-Ig or mIgG2a i.p., 3x/wk for 2 wks 100ug/dose Day 40: Harvest T cells from Splenocytes Disease induc�on: With PLP139-151 blasts or with PLP178-191 blasts T cells from CGEN-15001-treated mice protect recipients only when disease is driven by the same epitope present during CGEN-15001 treatment of donors (PLP178-191) CGEN-15001 induces tolerance in treated mice, which can be transferred to recipient mice The immune tolerance induced by CGEN-15001 is Ag-specific (most likely through Ag-specific Tregs) Recipient mice (Induc�on of Adop�ve EAE) Iris Hecht 1 , Galit Rotman 1 , Ming-Yi Chiang 2 , Eyal Neria 1 , Zurit Levine 1 , Mariola Kurowska-Stolarska 3 , Iain B. McInnes 3 , Stephen D. Miller 2 and Joseph R. Podojil 2 1 Compugen, Ltd., Holon, Israel, 2 Northwestern University, Chicago, IL, 3 University of Glasgow, Glasgow, UK Inhibi�on of pro-inflammatory cytokines (IFNg, IL-17, GM-CSF) and promo�on of an�- inflammatory cytokines (IL-4, IL-10) Similar findings were observed in-vitro, following Th differen�a�on of mouse or human CD4 cells INTRODUCTION HOMEOSTASIS TREG & TOLERANCE INDUCTION Adop�ve transfer R-EAE model: INDUCTION OF ANTIGEN-SPECIFIC TOLERANCE BY CGEN-15001 TREGs MEDIATE LONG-TERM REMISSION BY CGEN-15001 IN THE R-EAE MODEL iTreg Induc�on % Tregs (pooled splenocytes from 5 donor mice) Transient Tregs neutraliza�on Blockade of IL-10 / TGFβ pathways Cytokine secre�on following ex-vivo reac�va�on of splenocytes with PLP139-151-day 45 n=6, *p<0.05 ** p<0.01, *** p<0.001 vs. Control Ig n=10, ** p<0.01 vs. mIgG2a n=10, n=10, i.p., 3x/wk for 2 wks, 100ug/dose, #p<0.001 vs. Control Ig+ CGEN-15001 n=10, i.p., 3x/wk for 2 wks, 100ug/dose CD25+FoxP3+ iTreg CD25+FoxP3- Tcell FoxP3+ iTreg Activated T cell 4-5 Days CD4+ CD25- Naïve T cell + Soluble anti CD28 Immobilized Anti-CD3 Immobilized CGEN-15001 or Control lg In-vitro enhancement of iTreg differen�a�on under Treg driving condi�ons Blockade of IL-10 or TGFβ abolishes CGEN-15001 therapeu�c effect Transient neutraliza�on of Tregs (with an�-CD25 Ab) leads to transient abolishment of CGEN-15001 induced long term remission Compugen is presenting this information as of the date of the presentation and expressly disclaims any duty to update the information contained in this presentation. This presentation contains scientific and commercial information from third-party sources, including data from studies conducted by others. Although Compugen believes that such information is reliable, we have not independently verified any of this information and we do not guarantee the accuracy or completeness of this information. *** CGEN15001 Control lg ** CGEN15001 Control lg CGEN15001 Control lg ** CGEN15001 Control lg *** CGEN15001 Control lg ** LONG TERM EFFICACY IN TYPE 1 DIABETES MODEL PREVENTION OF DISEASE DEVELOPMENT LONG TERM EFFICACY Non-obese Diabe�c Mice (NOD) CGEN-15001 administra�on to pre-diabe�c NOD mice prevents disease development Long dura�on of response following short term administra�on (3x/wk for 2wks), las�ng at least 18 weeks a�er cessa�on of treatment Suggests tolerance induc�on n = 10, ** p<0.01 vs. Cont Ig LONG TERM THERAPEUTIC EFFECT IN MS MODEL FOLLOWING SHORT TREATMENT WITH CGEN-15001 (R-EAE) Ac�ve R-EAE (relapsing EAE) SJL PLP 139-151 Treatment at onset of remission i.p., 3x/wk for 2 wks, 100ug/dose High efficacy in therapeu�c regimen with established disease Short-term treatment (3x/wk for 2wks) induces long-term remission Sugges�ve of immune tolerance induc�on Consistent effect in mul�ple EAE models Dose dependent Ac�ve PLP/CFA induced Passive / adop�ve transfer Viral (TMEV) induced d1-35 n=10, d36-100 n=5, ** p<0.01 vs. Cont Ig TRANSLATIONAL STUDIES “Synovial-like” co-culture Healthy donors RA pa�ents * p<0.05, **p<0.01, ***p<0.001 CGEN-15001 and hIgG1 at 10ug/ml; n=10, * p<0.05 vs. hIgG1 # p<0.0001 CGEN-15001 PATHWAY IS FUNCTIONAL AND RESPONSIVE IN MS PATIENTS –TH1/TH17 TO TH2 SHIFT CGEN-15001 PATHWAY IS FUNCTIONAL AND RESPONSIVE IN RA PATIENTS PBMCs from MS pa�ents ac�vated with MS-related an�gen (MBP84-99) CGEN-15001 shi�s Th1/Th17 responses to Th2 and regulatory profile in a transla�onal assay: Inhibits prolifera�on and secre�on of IFNg, IL-17 and TNFa Increase an�-inflammatory and regulatory cytokines IL-4 and IL-10 Transla�onal assay mimicking T-cell and macrophage interac�ons in RA synovium Inhibi�on of TNFα secre�on Other pro-inflammatory cytokines and chemokines were also reduced Prediabetic NOD (10 wks old) i.p., 3x/wk for 2 wks, 100ug/dose Blood glucose levels measured weekly, diabetes is defined as 2 consecutive measurements of >250 mg/dL. Gra� survival (blood CD45.1 cells) Number of Tregs in spleen n=6 *** p<0.001 vs. Male donor cells + Control Ig CGEN-15001 promotes donor-specific tolerance leading to gra� survival Treatment with CGEN-15001 leads to significant Tregs increase in the spleen n=10 , * p<0.05 vs. mIgG2a n=10 , # p<0.001 vs. mIgG2a HY (histocompatability Y chromosome) Minor Ag mismatch bone marrow transplanta�on Rx

FROM CODE TO CURE TM CGEN-15001: A NOVEL …...PBMCs from MS pa ents ac vated with MS-related an gen (MBP84-99) CGEN-15001 shi s Th1/Th17 responses to Th2 and regulatory profile in

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Page 1: FROM CODE TO CURE TM CGEN-15001: A NOVEL …...PBMCs from MS pa ents ac vated with MS-related an gen (MBP84-99) CGEN-15001 shi s Th1/Th17 responses to Th2 and regulatory profile in

B7 proteins play cri�cal immunomodulatory roles and provide a�rac�ve targets for development of novel therapies for cancer and autoimmunity, both of which involve improper immune tolerance. A major medical need in autoimmunity is restora�on of immune tolerance to self-an�gens and immune homeostasis. CGEN-15001 is a first-in-class Fc-fusion protein consis�ng of the extracellular domain of a novel B7-like protein, discovered by Compugen based on shared bioinforma�c characteris�cs with known B7 members.

CGEN-15001 Induces An�gen Specific Tolerance in Autoimmune Diseases Unique MOA: Combining tolerance induc�on and restora�on of immunological homeostasis

CGEN-15001 provides poten�al paradigm shi� from “standard of care” Addressing a widely an�cipated ‘next step’ therapeu�c in autoimmunity

Regulates immune homeostasis: inhibi�ng Th1/Th17 responses while enhancing Th2 and an�-inflammatory cytokines (e.g., IL-10) and promo�ng iTreg differen�a�onInduces durable therapeu�c effect following short-term treatment in models of autoimmune diseasesThe durable therapeu�c effect is Treg dependent The therapeu�c effect is transferable, and mediated by induc�on of Ag-specific immune tolerance. Previous knowledge of the an�gen is not requiredPromotes donor-specific tolerance leading to gra� survival in bone marrow transplanta�on model with HY-minor Ag mismatch

Transla�ng the success of checkpoint manipula�on from Immuno-Oncology to autoimmunityImmune-modula�on offers safety advantages vs. immune-suppression

ϲ

CGEN-15001 RESTORES HOMEOSTASIS IN-VIVO BY SHIFTING TH1/TH17 TO TH2

CGEN-15001 IS A LIGAND OF A NOVEL T CELL INHIBITORY PATHWAY

CGEN-15001 ENHANCES iTREG DIFFERENTIATION CGEN-15001 INDUCES TREGs IN THE R-EAE MODEL

CGEN-15001 INDUCES TOLERANCE IN A BONE MARROW TRANSPLANTATION MODEL

FROM CODE TO CURE TM

CGEN-15001: A NOVEL B7-LIKE REGULATOR OF IMMUNE HOMEOSTASIS AND INDUCER OF ANTIGEN-SPECIFIC TOLERANCE

CGEN-15001

Fc fusion protein

Derived from a novel immunomodulatory protein

Binds to ac�vated T cells

Ac�vates an inhibitory pathway

CGEN-15001 Treated Donor mice Recipient miceDisease induc�on with PLP139-151 blasts (specific to ini�a�ng epitope)

Disease induc�on with PLP178-191 blasts (specific to spread epitope)

Disease induc�on with PLP139-151/CFA

Treated donor mice(Ac�ve EAE)

CGEN-15001, CTLA4-Ig or mIgG2a i.p., 3x/wk for 2 wks 100ug/dose

Day 40:Harvest T cells from Splenocytes

Disease induc�on: With PLP139-151 blasts or with PLP178-191 blasts

T cells from CGEN-15001-treated mice protect recipients only when disease is driven by the same epitope present during CGEN-15001 treatment of donors (PLP178-191)CGEN-15001 induces tolerance in treated mice, which can be transferred to recipient mice The immune tolerance induced by CGEN-15001 is Ag-specific (most likely through Ag-specific Tregs)

Recipient mice (Induc�on of Adop�ve EAE)

Iris Hecht1, Galit Rotman1, Ming-Yi Chiang2, Eyal Neria1, Zurit Levine1, Mariola Kurowska-Stolarska3, Iain B. McInnes3, Stephen D. Miller2 and Joseph R. Podojil2

1Compugen, Ltd., Holon, Israel, 2Northwestern University, Chicago, IL, 3University of Glasgow, Glasgow, UK

Inhibi�on of pro-inflammatory cytokines (IFNg, IL-17, GM-CSF) and promo�on of an�- inflammatory cytokines (IL-4, IL-10) Similar findings were observed in-vitro, following Th differen�a�on of mouse or human CD4 cells INTR

ODU

CTIO

N

HO

MEO

STA

SIS

TREG

& T

OLE

RAN

CE IN

DU

CTIO

N

Adop�ve transfer R-EAE model:

INDUCTION OF ANTIGEN-SPECIFIC TOLERANCE BY CGEN-15001 TREGs MEDIATE LONG-TERM REMISSION BY CGEN-15001 IN THE R-EAE MODEL

iTreg Induc�on

% Tregs (pooled splenocytes from 5 donor mice)

Transient Tregs neutraliza�onBlockade of IL-10 / TGFβ pathways

Cytokine secre�on following ex-vivo reac�va�on of splenocytes with PLP139-151-day 45

n=6, *p<0.05 ** p<0.01, *** p<0.001 vs. Control Ig

n=10, ** p<0.01 vs. mIgG2a

n=10, n=10, i.p., 3x/wk for 2 wks, 100ug/dose, #p<0.001 vs. Control Ig+ CGEN-15001 n=10, i.p., 3x/wk for 2 wks, 100ug/dose

CD25+FoxP3+ iTreg

CD25+FoxP3- Tcell

FoxP3+iTreg

ActivatedT cell

4-5 Days

CD4+ CD25-

NaïveT cell+

Soluble anti CD28

ImmobilizedAnti-CD3

ImmobilizedCGEN-15001 or Control lg

In-vitro enhancement of iTreg differen�a�on under Treg driving condi�ons

Blockade of IL-10 or TGFβ abolishes CGEN-15001 therapeu�c effectTransient neutraliza�on of Tregs (with an�-CD25 Ab) leads to transient abolishment of CGEN-15001 induced long term remission

Compugen is presenting this information as of the date of the presentation and expressly disclaims any duty to update the information contained in this presentation. This presentation contains scientific and commercial information from third-party sources, including data from studies conducted by others. Although Compugen believes that such information is reliable, we have not independently verified any of this information and we do not guarantee the accuracy or completeness of this information.

***

CGEN15001Control lg

**

CGEN15001Control lg

CGEN15001Control lg

**

CGEN15001Control lg

***

CGEN15001Control lg

**

LONG TERM EFFICACY IN TYPE 1 DIABETES MODEL PREVENTION OF DISEASE DEVELOPMENT

LON

G T

ERM

EFF

ICA

CY

Non-obese Diabe�c Mice (NOD)

CGEN-15001 administra�on to pre-diabe�c NOD mice prevents disease development

Long dura�on of response following short term administra�on (3x/wk for 2wks), las�ng at least 18 weeks a�er cessa�on of treatment Suggests tolerance induc�on

n = 10, ** p<0.01 vs. Cont Ig

LONG TERM THERAPEUTIC EFFECT IN MS MODEL FOLLOWING SHORT TREATMENT WITH CGEN-15001 (R-EAE)

Ac�ve R-EAE (relapsing EAE)

SJL

PLP 139-151Treatment at onset of remission

i.p., 3x/wk for 2 wks, 100ug/dose

High efficacy in therapeu�c regimen with established disease

Short-term treatment (3x/wk for 2wks) induces long-term remission Sugges�ve of immune tolerance induc�on

Consistent effect in mul�ple EAE models Dose dependent Ac�ve PLP/CFA induced Passive / adop�ve transfer Viral (TMEV) induced

d1-35 n=10, d36-100 n=5, ** p<0.01 vs. Cont Ig

TRAN

SLAT

ION

AL S

TUDI

ES

“Synovial-like” co-culture

Healthy donors RA pa�ents

* p<0.05, **p<0.01, ***p<0.001 CGEN-15001 and hIgG1 at 10ug/ml;

n=10, * p<0.05 vs. hIgG1 # p<0.0001

CGEN-15001 PATHWAY IS FUNCTIONAL AND RESPONSIVE IN MS PATIENTS –TH1/TH17 TO TH2 SHIFT

CGEN-15001 PATHWAY IS FUNCTIONAL AND RESPONSIVE IN RA PATIENTS

PBMCs from MS pa�ents ac�vated with MS-related an�gen (MBP84-99)

CGEN-15001 shi�s Th1/Th17 responses to Th2 and regulatory profile in a transla�onal assay: Inhibits prolifera�on and secre�on of IFNg, IL-17 and TNFa Increase an�-inflammatory and regulatory cytokines IL-4 and IL-10

Transla�onal assay mimicking T-cell and macrophage interac�ons in RA synovium

Inhibi�on of TNFα secre�on

Other pro-inflammatory cytokines and chemokines were also reduced

Prediabetic NOD(10 wks old)

i.p., 3x/wk for 2 wks, 100ug/dose

Blood glucose levels measured weekly, diabetes is defined as 2 consecutive measurements of >250 mg/dL.

Gra� survival (blood CD45.1 cells) Number of Tregs in spleen

n=6 *** p<0.001 vs. Male donor cells + Control Ig

CGEN-15001 promotes donor-specific tolerance leading to gra� survival

Treatment with CGEN-15001 leads to significant Tregs increase in the spleen

n=10 , * p<0.05 vs. mIgG2a n=10 , # p<0.001 vs. mIgG2a

HY (histocompatability Y chromosome) Minor Ag mismatch bone marrow transplanta�on

Rx