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Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc.

Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

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Page 1: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

Novel TCRs for

Cancer Therapy

May 2, 2018

A subsidiary of Agenus Inc.

Page 2: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

2

Forward-Looking Statements

This presentation contains forward-looking statements. These forward-looking statements

are subject to risks and uncertainties, including the factors described under the Risk

Factors section of Agenus’ most recent Annual Report on Form 10-K or Quarterly Report

on Form 10-Q filed with the Securities and Exchange Commission and made available on

Agenus’ website at www.agenusbio.com. When evaluating Agenus’ and AgenTus’

business and prospects, careful consideration should be given to these risks and

uncertainties. These statements speak only as of the date of this presentation, and the

company undertakes no obligation to update or revise these statements. This

presentation and the information contained herein do not constitute an offer or solicitation

of an offer for sale of any securities.

PEGS, 2018

Page 3: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

3PEGS, 2018

AgenTus was developed from Agenus technology and expertise

3

Page 4: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

4PEGS, 2018

AgenTus Therapeutics: differentiated cell therapy

Allogeneic

Format

Allogeneic approach; “Off-the-shelf”

Scalable, shorter diagnosis to treatment interval

T-RxTM Mammalian Display - Direct selection for function

Targets optimal balance between activity and specificity

Novel

Targets

Proprietary target discovery and validation platforms

Proprietary Phosphopeptide Tumor Targets

Precision

Receptors

Page 5: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

5PEGS, 2018

MoAdirect killing

T cell → tumor cell

direct killing

T cell → tumor cell

Surface-expressed

proteins

Targets

Extra-/Intra-cellular

proteome

Current Opinion in Pharmacology 2015, 24:113–118

TCR-based therapy can target the entire tumor cell proteome

Page 6: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

6PEGS, 2018

TCR:pMHC affinity is critical for TCR specificity and responsiveness

TCR affinity

very low

affinity TCR

physiological range

100 µM

very high

affinity TCR

~10 µM <1 µM5 µM

Responsiveness

low affinitynaïve repertoire of

T Cell receptors

high affinitynon-tolerant repertoire

cross-reactivity

energy

antagonists

Front Immunol, June 2013

Page 7: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

7PEGS, 2018

AKD-10R

Display Line

Retroviral transduction

human TCR α/β genes

Natural folding, pairing,

and anchoring

Fully human, high diversity

stable TCR libraries

Multiple screening

methodsIterations to select hits with

desired safety and efficacy

TCR

Hits/Leads

Applications

• Generate de novo TCRs

• Isolate natural TCRs

• Optimize natural or de

novo TCRs

in vitro analysis

in 1o human T

cells

in vivo tumor

control assay

bio-informatics

EAAXIYILZV

off-target prediction

EAAGIGILTV

Peptide Scan

peptide epitope

Specificity screen/prediction

Superior receptor discovery through T-RxTM platform A powerful engine for delivering efficient and specific TCRs

Page 8: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

Phosphopeptide Tumor Targets (PTTs) are unique

immunogenic cancer neo-antigens

Mutations Deregulated Expression

Mutation

EML4-ALK

Bcr-Abl

KRAS

Over-expression

WT-1

Telomerase

Survivin

Nature of

change

Consequence

for ProteinsEctopic Expression

Cancer-Testis Antigens

Embryonic Antigens

Deregulated Signaling

Post-Translational Modifications

(phosphorylation, glycosylation, etc.)

✓Neo-epitopes that trigger immunity

✓Shared epitopes

✓Not represented by mutations

✓Not captured by live vector or mRNA vaccines

8PEGS, 2018

Page 9: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

State-of-the-art ligandome technology identifies PTTs from patient samples

Resected Human Tissue

(tumor/“normal”)

LysisImmunoaffinity

Purification STAGE Tip

Sample Cleanup

IMAC Phosphopeptide

EnrichmentHPLC-ESI-MS/MS Analysis

and Manual ValidationBiological Characterization

of T cell Responses

Tissue Comparison

0.5 g tissue or

500 million cell

equivalents

10-200 Phosphopeptides present

<1-100 copies/cell

Normal Tumor

Normal

Tumor

IFNγ TNFα IL-2 CD107a

9PEGS, 2018

Page 10: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

Primary Cancer Tissue

Colorectal Cancer

Esophageal Cancer

Glioblastoma

Hepatocellular Carcinoma

Intrahepatic Cholangiocellular

Carcinoma

Leukemia (AML, CLL, CML, ALL)

Lung Cancer

Melanoma

Renal Cell Carcinoma

Analysis of primary cancer tissue versus tissues

from “normal” donors allows us to select

phosphopeptides that are unique to or upregulated in

cancer tissue.

Selection Criteria

Disease Target + other cancer targets

T-cell memory response in healthy donors

Prevalence in tumor tissue vs. normal

Mapped to cancer-relevant pathways

Phosphopeptide enrichment techniques combined

with cutting edge mass-spec technology.

“Normal” Tissue

Ovary Kidney Skin

Aorta Liver Small Intestine

Bone Marrow Lung Jejunum

Brain Pancreas Spleen

Breast Prostate T cells

Colon Sciatic Nerve Thyroid

Heart Skeletal Muscle Vena Cava

P

PP

>200 tissue

samples

analyzed

> 2,000 Phosphopeptides identified

~ 20 specific molecular targets for critical indications

P

PTT Identification – Prioritization of unique molecular targets

10PEGS, 2018

Page 11: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

MLL: an initial PoC target for PTT-specific TCRs

• Mixed lineage leukemia (MLL1): lysine methyl transferase 2A

• Encoded by KMT2A, member of SET protein family

• Transcriptional co-activator

• Translocations associated with driver mutations in leukemia

• PTTs initially detected in primary AML sample

➢ 2 epitopes found associated with HLA B*0701

➢ PTTs are germline: not associated with translocation

Anglin and Song. 2013: J Med Chem

11PEGS, 2018

Page 12: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

Agenus identified the first fully-human phosphopeptide-specific TCR

+

Primary T-cell expansion platform

Central Memory T-cells

Autologous dendritic cells

pulsed with phosphopeptides

10days

Retroviral transduction

with TCRs recovered

after NGS

Natural folding,

pairing, and

anchoring

Multiple

enrichment steps

AGENt 04002

T-RxTM display platform

aAPC co-

culture

CD8

reporter

TCR

12PEGS, 2018

TCR recovery

by NGS

Page 13: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

T-RxTM enables identification of specific and functional TCRs

Pentamer

EPR(pS)PSHSM pentamer (5µL)

EPRSPSHSM pentamer (5µL)

Caspase-3

T2+EPR(pS)PSHSM(50µg/mL)

T2+EPRSPSHSM(50µg/mL)

Hit panel screening in AKD-10R display cell line

TcR

13PEGS, 2018

Page 14: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

Primary Human T Cells expressing the AGENt 04002 TCR

kill AML cells presenting the cognate PTT

14PEGS, 2018

Enrich

PBMCs

Polyclonal

stimulation

TCR mRNA

transfection

Functional

assessment

Lentiviral

transduction

Page 15: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

AGENt 04002 is extremely sensitive and phosphopeptide-specific

15PEGS, 2018

Page 16: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

AGENt 04002 Exhibits a high degree of target specificity

pulsed T2 cells

Co-cultivation

AKD10R3 - AGENt 04002

EPR(pS)PSHSM EGFP-FACS

EPRpS

No

pSerine

16PEGS, 2018

AGENt 04002: full AA replacement scan

= tolerated AA

alternative

= loss of activity

substitution

AGENt 04002: Alanine replacement scan

= no substitution

Page 17: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

17PEGS, 2018

On-going studies to characterize AGENt 04002

• Tumor control assessment in vivo

• in silico fingerprint analysis

➢ off-target peptide prediction

• Target identification and validation

✓ More PTT targets added to AgenTus pipeline

Page 18: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

18PEGS, 2018

NY-ESO-1: a prototypic C-T antigen with broad expression range

• New York Esophageal squamous cell carcinoma-1

• Unknown function of protein

• Healthy tissue: testis

• Tumor: broad expression

➢ Multiple myeloma, melanoma, sarcoma,

ovarian carcinoma....

• SLLMWITQC: HLA A*0201

• Encoded by CTAG1b (gene duplication)

➢ Same epitope in CTAG2

0

5

10

15

Expre

ssio

n (

ap

pro

x R

PK

M u

nits)

CTAG1B

AML

0%

Adrenal

1%

Bladder

21%

Breast

3%

Cervical

2%

Cholangiocarcinoma

2%

Colon

1%

DLBC

8%

Endometrial

5%

Esophageal

0%

Glioblastom

a

0%

Head and neck

7%

Liver

12%

Lower grade glioma

0%

Lung adenocarcinoma

8%

Lung squamous cell

16%

Melanom

a

26%

Mesotheliom

a

0%

Ovarian

9%

Pancreas

0%

Pheochromocytom

a

4%

Prostate

2%

Rectum

4%

Renal chromophobe

0%

Renal clear cell

0%

Renal papillary cell

1%

Sarcome

10%

Stomach

0%

Testicular

8%

Thymom

a

0%

Thyroid

1%

Uterine carcinosarcoma

11%

Uveal melanom

a

3%

Percentages are tumors w/expression over 1 RPKM1 RPKM ~~ 1 copy / cellTCGA (PMID 24084870)

CTAG1b mRNA expression

Page 19: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

19PEGS, 2018

de novo TCR discovery campaign: NY-ESO-1157-165

TCR α/β gene library source:

Umbilical cord blood

Natural folding,

pairing, and

anchoring

Multiple screening

methodsIterations to select hits with

desired safety and efficacy

TCR Leads

AKD-10R

Display Line

1st round

multiple targets2nd round

NY-ESO PE

Top 2%

3rd round

NY-ESO APC4th round

NY-ESO PE

Page 20: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

20PEGS, 2018

T-RxTM delivers novel leads for HLA A*02-NY-ESO-1157-165

de novo TCR display Library:

Umbilical cord blood-derived

∼1x109 diversity

• >300 initial hits: NY-ESO – binding clones

➢ 81 activating and signaling clones

• 7 NY-ESO-specific primary lead TCRs selected (activity and specificity)

• 1 TCR selected for lead improvement

• 2 lead improvement tracks

➢ Guided selection (“a/b chain shuffling”)

➢ CDR3 mutagenesis (∼1x107 for alpha and beta chains, each)

➢ 20 improved leads selected for in-depth characterization

Page 21: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

0 . 0 1 0 . 1 1 1 0 1 0 0 1 0 0 0 1 0 0 0 0

0

2 0

4 0

6 0

8 0

1 0 0

P e p t i d e D o s e , n M

Pe

rc

en

t K

illi

ng

R e f e r e n c e

T C R 0 0 2 2

21PEGS, 2018

T-RxTM delivers potent TCRs for HLA A*02:NY-ESO-1157-165

Reference TCR

0 . 2 5 : 1 0 . 5 : 1 1 : 1 2 . 5 : 1 5 : 1

0

2 0

4 0

6 0

8 0

E f f e c t o r : T a r g e t

Pe

rc

en

t K

illi

ng

*

AGENt NY-ESO-A

Peptide sensitivity: T2 Cells Target killing: tumor cells

Page 22: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

22PEGS, 2018

AgenTus NY-ESO-1 TCRs display exceptional specificity

pulsed T2 cells

Co-

cultivation

AKD10R3

NY-ESO TCR

EGFP-expression

SLLMWITQV

XXXXXXXXX

FACS read-out

Reference TCR

= wt AA

= tolerated

alt. AA

AGENt NY-ESO-X AGENt NY-ESO-Y

= loss of

activity

= no subst.

Page 23: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

23PEGS, 2018

AgenTus NY-ESO TCR program

• Tumor control assessment in vivo

➢ On-going

• Safety screens

➢ Off-target peptide prediction/testing

➢ Tissue cross-reactivity

➢ Allo-reactivity

• Development candidate selection

Page 24: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

24PEGS, 2018

AgenTus Therapeutics: differentiated cell therapy

Allogeneic

Format

Allogeneic approach; “Off-the-shelf”

Scalable, shorter diagnosis to treatment interval

T-Rx Mammalian Display - Direct selection for function

Targets optimal balance between activity and specificity

Novel

Targets

Proprietary target discovery and validation platforms

Proprietary Phosphopeptide Tumor Targets

Precision

Receptors

Page 25: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

25PEGS, 2018

Adoptive Cell Therapy

launch rapid immune

attack against cancer

Combination

Opportunities:

CPMs

TME modulators

Vaccines

Immunomodulatory

Antibodies

improve body’s existing

immune attack on cancer

educate the immune

system to see cancer

Cancer Vaccines

synergistic

expertise

AgenTus: differentiated cell therapy advancing to unlock value

Page 26: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

The Agenus portfolio

26Notes: AGEN1884 and AGEN2034 are being evaluated in 2L cervical cancer and NSCLC

AGEN1884 and AGEN2034 are partnered with Recepta for certain South American rights

Product Disease/Target Partner Preclinical Ph1 Ph2 Ph3 Filed Approved

Checkpoint Antibodies

AGEN1884 CTLA-4 (antagonist)

next-gen CTLA-4 CTLA-4 (antagonist)

AGEN2034 PD-1 (antagonist)

CD-137 (agonist)

TIGIT (antagonist)

Bispecific (regulatory T cell depletion)

Bispecific (TME conditioning)

Undisclosed

INCAGN1876 GITR (agonist)

INCAGN1949 OX40 (agonist)

TIM-3 (antagonist)

LAG-3 (antagonist)

Undisclosed

Vaccines

ProphageTM Glioblastoma (newly diagnosed)

AutoSynVaxTM Cancers

PhosphoSynVaxTM Cancers

Adjuvant

QS-21 Stimulon® Shingles

Malaria

Agenus fully-owned programs

Partnered programs

Page 27: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

27

Acknowledgements

Mark Exley

Cherylene Plewa

Reed Masakayan

Xavier Michelet

Rashmi Choudhary

Mike Lofgren

Nick Kushner

Ben Wolf

Emily Walsh

Bob Stein

Marc van Dijk

Volker Seibert

Jan Bergmann

Eleni Chantzoura

Paul Ibbett

Assunta Diodato

Alvaro Sebastian

Matt Hancock

Alain Pralong

Bruno Lucidi, CEO

Collaborators

Vic Engelhard (UVA)

Don Hunt (UVA)

Mark Cobbold (MGH)

Michelle Krogsgaard (NYU)

Chuck Drake (Columbia)

Cori Gorman

Dennis Underwood

John Castle

Mark Findeis

Paisley Myers

Erin Jeffery

Jennifer Buell

Michael Plater

Julie DeSander

Divya Vasudevan

AgenTus Agenus

Garo Armen, CEO

Page 28: Novel TCRs for Cancer Therapy - … · Novel TCRs for Cancer Therapy May 2, 2018 A subsidiary of Agenus Inc

www.agentustherapeutics.com

A subsidiary of Agenus Inc.