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The Forefront of Regenerative
Medicine
HEALIOS K.K.
(TSE: 4593)Life Explosion
The Forefront of
Regenerative MedicineLife Explosion
Safe Harbor Notice
This presentation has been prepared by HEALIOS K.K. (the
“Company”) solely for your information. All information included in this
presentation speaks as of the date of this presentation (or earlier, if so
indicated) and is subject to change without notice.
This presentation does not constitute an invitation or solicitation of an
offer to subscribe for or purchase any securities and neither this
document nor anything contained herein shall form the basis for any
contract or commitment whatsoever. Any decision to invest in any
offer to subscribe for or acquire any securities of the Company must
be based wholly on the information contained in the offering circular
issued in connection with such offer and not on the contents hereof.
This presentation contains forward-looking statements that reflect the
Company’s intent, belief and current expectations about future events
and financial results. In many cases, but not all, these statements use
such as “believes,” “anticipates,” “aims,” “expects,” “plans,” “will,”
“should,” “estimates,” “projects,” “intends,” or words of similar
meaning. These forward-looking statements are not guarantees of
future performance. They are based on a number of assumptions
about the Company’s operations and are subject to risks,
uncertainties and other factors beyond the Company’s control.
Accordingly, actual results may differ materially from these forward-
looking statements.
This presentation is being communicated only to persons who have
professional experience in matters relating to investments and to
persons to whom it may be lawful to communicate it to (all such
persons being referred to as relevant persons). This presentation is
only directed at relevant persons and any investment or investment
activity to which the presentation relates is only available to relevant
persons or will be engaged in only with relevant persons. Other
persons should not rely or act upon this presentation or any of
its contents.
This presentation and its contents are confidential and are being
provided to you solely for your information and may not be
retransmitted, reproduced or redistributed to any other person. In
giving this presentation, the Company does not undertake any
obligation to provide the recipient with access to any additional
information or to update this presentation or to correct any
inaccuracies in any such information which may become apparent.
The information about regenerative medicine products (including
products currently in development) which is included in this material is
not intended to constitute an advertisement or medical advice.
2
The Forefront of
Regenerative Medicine
Transforming
lives through
the power of
Regenerative
Medicine
Our Mission
Life Explosion 3
The Forefront of
Regenerative MedicineLife Explosion
Company Name HEALIOS K.K.
Mission Transforming lives through the power of regenerative medicine
Head OfficeYurakucho Denki Bldg. North Tower 19F,
1-7-1 Yurakucho, Chiyoda-ku ,Tokyo 100-0006, Japan
Chairman and CEO
Hardy TS Kagimoto, MD
A serial entrepreneur and obsessed with the concept of curing as
many patients as possible through technology. He founded Healios
with the vision to create a world leading regenerative cell therapy
company.
Stock Code 4593 (Tokyo Stock Exchange - MOTHERS market)
Number of Employees 145 (December 31, 2020)
Research Institution Kobe and Yokohama
Affiliated Company Sighregen Co., Ltd. (Joint Venture with Sumitomo Dainippon Pharma Co., Ltd.)
Subsidiaries
Healios NA, Inc. (Established in February 2018)
Organoid Neogenesis Laboratory, Inc.
(Established in June 2018 to promote the practical use of organ bud technology)
About HEALIOS K.K.
• Company Profile
4
The Forefront of
Regenerative MedicineLife Explosion
Healios Key Strengths
• Unique hybrid strategy combining near-term commercialization in Japan with development
of world-leading iPSC technology platform.
• Proactively leveraging Japanese regulatory framework for regenerative medicine.
• Two clinical studies nearing full enrolment: HLCM051 (MultiStem®) for ischemic stroke and
acute respiratory distress syndrome (ARDS).
• Proprietary, gene-edited universal donor iPSC platform technology (UDC).
• Developing innovative, next generation pipeline assets in immuno-oncology,
ophthalmology and organ buds.
• Deep and diverse team, supportive manufacturing partnerships, and strong financial
resources.
Key Strengths
5
The Forefront of
Regenerative MedicineLife Explosion
Strategy Overview
Strategy Overview
• Reinvest somatic stem cell product earnings into innovative IPSC platform
MultiStem iPSC Platform
MultiStem®
(Somatic stem cell product
obtained from
adult bone marrow)
Manufactur ing
iPSC
x
Immuno
Oncology
iPSC
X
Gene
Edit ing
GlobalJapan
New Products
Immuno-oncology
Ophthalmology
Organ buds
Reinvest
Global
Reinvest
6
Engage deeply with regenerative medicine innovation around the world through our venture fund activities
Important
informational insightsBuilding relationships with
promising companies
・Saisei Bioventures, L.P. launched in January 2021 and has made its first investments in Japan and
US private venture companies.
High return investments
The Forefront of
Regenerative MedicineLife Explosion
Confirm effectiveness
and safety
Establish presumed
effectiveness and confirm safety Approval with conditions and time limit
After-sales effectiveness
and further safety verification
Proactively Leveraging Japanese Regulatory Framework
For Regenerative Medicine
“Conditional and Time-Limited Authorization System”
• Offers an attractive regenerative medicine commercialization path
• Provides drastic reduction in trial duration and number of patients
• Coverage by national insurance scheme is possible
Traditional development process
Development process upon
introduction of early approval system
Clinical Research SalesApprovalClinical Trial
Clinical Research SalesOfficial
ApprovalClinical Trial
Early
ApprovalSales
7
The Forefront of
Regenerative MedicineLife Explosion
Pipeline in Inflammatory Conditions, Immuno-oncology, and
Replacement Therapies
Deep & Diverse Pipeline
8
*1) NK Cells: Natural Killer Cells
Inflammatory
Conditions
Development IndicationCountry /
RegionPre-clinical Clinical trial Preparation for Apply/ On Market Progress status
Code test ( Regenerative medical products) application Approved
HLCM051
Ischemic Japan
Patient enrollment progress exceeds
90%Stroke
ARDS Japan Patient enrollment is completed
Immuno-
Oncology
Development IndicationCountry /
RegionPre-clinical Phase 1 Phase 2 Phase 3 Preparation for Apply/ On Market Progress status
Code test trial trial trial application Approved
HLCN061Solid
Tumors
Japan
Research and development of
genetically modified NK cells(*1)
US/EUJoint research with the National
Cancer Center Japan
Replacement
Therapies
Development IndicationCountry /
RegionPre-clinical Phase 1 Phase 2 Phase 3
Preparation
for Apply/ On Market Progress statusCode test trial trial trial application Approved
HLCR011 Wet AMD Japan Undergoing preparation for clinical trial
Joint development with Sumitomo Dainippon Pharma
HLCR012 Dry AMD US/EU
HLCL041Metabolic Liver
Disease JapanJoint research with Yokohama City
University
phase 2
phase 2/3SAKIGAKE Designation
System
Orphan regenerative medicine product
HLCM051 (MultiStem)
Two Clinical Studies
Near-Term Product Candidate:
Life Explosion
The Forefront of
Regenerative MedicineLife Explosion
Somatic Stem Cell Product Derived From Adult Bone Marrow
(MultiStem)
• In-licensed for the Japanese market from Athersys (Cleveland, OH, US)
• A significantly de-risked asset based on completed, successful, placebo-
controlled trials
‒ US/UK phase 2 trial in acute ischemic stroke published in Lancet Neurology1
‒ US/UK phase 1/2 trial in ARDS presented in May 20192
• Product profile
‒ Cell therapy product based on patented technology
‒ Developing for “off-the-shelf” IV administration; no tissue matching needed
‒ Long shelf life (stable frozen for years)
‒ Consistent safety profile
‒ Promotes healing and tissue repair through multiple mechanisms
‒ Not a permanent transplant: cells cleared from the body over time
HLCM051
1. Hess DC, et al. Lancet Neurol. 2017;16(5):360-368. 2. Bellignan G, et al. Presented at the 2019 American Thoracic Society International Conference.
Dallas, TX; May 20, 2019.
10
The Forefront of
Regenerative MedicineLife Explosion
Athersys’ Phase 2 Study Shows Statistically Significant Improvement
With MultiStem vs Placebo1
HLCM051 for Acute Ischemic Stroke
1. Hess DC, et al. Lancet Neurol. 2017;16(5):360-368. BI, Barthel index; mRS, modified Rankin scale; NIHSS, National Institutes of Health Stroke Score.
Percentage of patients achieving an Excellent
Outcome (primary endpoint) was significantly greater
at Day 90 and Day 365 in patients who received
MultiStem within 36 hours of onset vs placebo.
• Data from MASTERS-1 phase 2 trial
• Excellent outcome (requires all 3):
– mRS score ≤1 (scale, 0 to 6)
– NIHSS score ≤1 (scale, 0 to 42)
– BI score ≥95 (scale, 0 to 100)
11
The Forefront of
Regenerative MedicineLife Explosion
We are assessing the impact of the continued COVID-19 pandemic on our clinical trial progress
HEALIOS’ TREASURE Study in Acute Ischemic Stroke in Japan
HLCM051 for Acute Ischemic Stroke
Clinical Trial
(>40 sites opened)
First patient enrolled
Nov 2017
ApplyPreparationApproval/
Sales
Approval expected to take 6 to 12 months
under the SAKIGAKE Designation System
Due to the increase in COVID-19 infections in Japan, recent
patient enrollment progress has been slower than expected.
The current enrollment progress exceeds 90%.
• Placebo-controlled, double-blind, phase 2/3 efficacy and safety trial of HLCM051 (MultiStem) in patients with ischemic
stroke (NCT02961504)
• Subjects: 220 patients with ischemic stroke treated within 18 to 36 hours, randomized 1:1 to HLCM051 or placebo
• Primary endpoint: proportion of subjects with an excellent outcome (mRS ≤1, NIHSS ≤1, and BI ≥95) at Day 90]
12
The Forefront of
Regenerative MedicineLife Explosion
Period after onset
Clot-dissolving agent
Mechanical reperfusion
HLCM051
10h 20h 30h 40h
• Caused by blockage of blood flow in the brain, resulting in tissue loss
• Affects an estimated 230,000 to 330,000 patients in Japan annually*
– 130,000 severely affected*
– 62,000 seen within 36 hours*
• HLCM051 could enable treatment of many more patients than current therapies
Acute Ischemic Stroke: Unmet Need and Potential in Japan
HLCM051 for Acute Ischemic Stroke
*HEALIOS estimates.
Treatment is time limited due to
risk of cerebral hemorrhage
Potentially longer treatment window
13
The Forefront of
Regenerative MedicineLife Explosion
Results of Athersys’ Phase 1/2 Trial of MultiStem in ARDS• Athersys’ phase 1/2 clinical study in US and UK
shows further confirmation of tolerability and a
favorable safety profile associated with MultiStem
treatment
• Results from the double-blinded, placebo-controlled
study (MultiStem n=20; placebo n=10) after 28 days
of administration showed an improvement trend in
the group receiving MultiStem
• Post hoc analysis of patients in severe condition
with pneumonia-induced ARDS shows an even
greater difference
HLCM051 for ARDS
Overall analysis of phase 2
double-blind study
Post hoc analysis of patients in severe
condition with pneumonia-induced ARDS
MultiStem (n=20) Placebo (n=10) MultiStem Placebo
Mortality 25% 40% 20% 50%
Ventilator-free days 12.9 days 9.2 days 14.8 days 7.5 days
ICU-free days 10.3 days 8.1 days 12.0 days 5.0 days
(Source)Athersys
15
The Forefront of
Regenerative MedicineLife Explosion
Clinical Trial
(~25 sites)
ApplyPreparationApproval/
Sales
HEALIOS’ ONE-BRIDGE Study in ARDS in JapanHLCM051 for ARDS
• Open-label, standard therapy-controlled, phase 2 efficacy and safety trial of HLCM051 (MultiStem) for Pneumonic Acute
Respiratory Distress Syndrome (NCT03807804)
• Subjects: 30 patients with pneumonia-induced ARDS randomized to HLCM051 (n=20) or standard therapy (n=10)
• Primary endpoint: number of days out of 28 in which a ventilator was not used (ventilator-free days)
April 2019
First patient enrolled
In November 2019, we were granted Orphan Regenerative Medicine Official Designation by the Ministry of
Health, Labour and Welfare.
In April 2020, we decided to make a protocol change to the ONE-BRIDGE study to include COVID-19 induced
ARDS patients as a separate cohort in the ongoing trial.
16
March 2021
Patient enrollment has been completed
The Forefront of
Regenerative MedicineLife Explosion
HEALIOS’ ONE-BRIDGE Study
(New Cohort for COVID-19 Induced ARDS Patients)
HLCM051 for ARDS
• Subjects: Approximately 5 Patients with pneumonia-induced ARDS caused by COVID-19
• Objective : Safety evaluation
The new group of patients with COVID-19 pneumonia (Cohort2) is separated from the ongoing treatment
group (Cohort1). The addition of this COVID-19 cohort should not effect the progress of the originally planned
clinical trial.
COVID-19
Test
Administration
of HLCM051
Cohort2
(The last patient was enrolled in August 2020)
Total enrollment: 5
Random
HLCM051
negative
Cohort1
(the ongoing clinical trial since April 2019)
20
10
ARDS
Patients
positive
Standard therapy
2:
1
17
The Forefront of
Regenerative MedicineLife Explosion
ARDS: Unmet Need and Potential in Japan
• Sudden onset of severe respiratory failure in seriously ill patients (typically 24 to
48 hours after illness or injury)
• Major causes include severe pneumonia, septicemia, trauma
• Activated inflammatory cells cause damage to lung tissue, leading to water
accumulation and acute respiratory failure
• Mortality rate: approximately 30% to 58%*1
• According to the data published on the initial group of cases of the new
coronavirus (COVID-19) in Wuhan, 31 to 41.8% of hospitalized patients
developed ARDS and ARDS complications were confirmed in 54 to 93% of fatal
cases *2 *3, indicating that ARDS is a major cause of mortality in COVID-19
patients.
• Standard treatment is ventilator use; requires ICU*4stay,
and prolonged ventilator use worsens prognosis
• No current therapeutic drugs
• Estimated 7,320 to 11,937 cases of ARDS annually in Japan (approximately 1/3
due to pneumonia)*5
HLCM051 for ARDS
*1 ARDS treatment guideline 2016 *2 Zhou F, et al. Lancet. 2020 Mar 11. pii: S0140-6736(20)30566-3 *3 Wu C , et al. JAMA Intern Med. 2020 Mar 13. doi: 10.1001*4 ICU, intensive care unit.*5 Respiratory Investigation; 55(4) : 257-263
(Source) Athersys
18
The Forefront of
Regenerative MedicineLife Explosion
HLCM051: Preparation in advance of potential approval applications
HLCM051
19
① Basic business agreement with SPLine Corporation※ regarding the sale of pharmaceuticals ※SPLine Corporation is a wholly-owned subsidiary of MEDIPAL HOLDINGS CORPORATION ("MEDIPAL"). The MEDIPAL Group has storage
facilities and delivery systems capable of distributing specialty drugs, including regenerative medicine products. Its notable achievements in cell
medicine distribution include establishing the first wholesale distribution system in Japan for cells pharmaceuticals.
Wholly owned
Business & capital
allianceNikon
Nikon CeLL
innovation(Manufacturing in Japan)
Athersys
Product
manufacturing
Product
supply
Cost of
products
Sales royalty
Cold Chain Logistics
Hospitals
Distribution
② Healios applied for and obtained “GYOSHA Code” from the Ministry of Health, Labor and Welfare.
Gene Modified
iPSC Programs
Healios’s Cutting Edge Technology Platform
Life Explosion
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Leading the Development of Next-Generation iPSCsUniversal Donor Cells
21
・In October 2020, Healios established a clinical grade line that can
be clinically applied to humans in each of Japan, the United
States and Europe.
・Healios has led the development of high-quality, universal donor
iPS cells in accordance with global standards.
・Consultations with the FDA and PMDA led to no concerns in
relation to clinical use of UDC derived therapeutics.
・The UDC line differentiates readily into various in-house made
cells (e.g. NK cells, liver progenitor cells, vascular endothelial
cells, etc.).
・Active discussions with several companies and academic
institutions in relation to use with various therapeutic candidates.
Targeted cell programming through gene-editing
Allogeneic
hiPS cells
Immune response
• Heavy patient burden
• Short efficacy duration
• Reduce patient burden
• Increase efficacy
duration
Gene-
edited iPS
cell line
Reduce immune
response
Patient
Patient
Requires additional immunosuppressive drug
Healios Universal
Donor Cell Line
Allogeneic iPS Cell Line
Reduce or eliminate immunosuppressive drug requirement
Allogeneic
hiPS cells
World-leading engineered “universal” iPSC platform: “Universal Donor Cells” / “UDC”
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Leading the Development of Next-Generation iPSCsUniversal Donor Cells
22
Autologous
iPS cells
Allogeneic
iPS/ES cellsUDC
Immune
rejectionNone
Occurs
(Immunosuppressive drugs
are required)None
Manufacturi
ng term
Several months to 1 year
(Need to make
from each patient)
Off-the-shelf
(Single line)
Off-the-shelf
(Single line of
gene-edited cells)
Cost Very high Low Low
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Leading the Development of Next-Generation iPSCsUniversal Donor Cells
23
Knock-out
HLA Class I
HLA Class II
Knock-in
gene X,Y,…
suicide gene
」
Universal iPSC regenerative medicines
・Off-the-shelf, scalable and cost-efficient
・Address broad population with single product
・Enhanced level and duration of efficacy
Clinical grade MCB HLA Class I/II KO
(intermediate)HEALIOS
Universal Donor Cells
house data
Engineered, universal iPS cells unlock full potential of iPSC therapies
The Forefront of
Regenerative MedicineLife Explosion
Universal Donor Cells
24
Parent-iPSC
Post-gene editing disappearance of HLA proteins and
enhanced expression of immunosuppression-related genes
■Control
■Target protein antibody
Clinical grade
UDC
less HighExpression
(Source)in-house data
HLA-A HLA-B HLA-C HLA-DR,DP,DQ Gene X Gene Y
HLA protein knock-outImmunosuppression-
related molecules knock-in
iPSC Platform: Removal of HLA Proteins and Addition of Immunosuppression-related Molecules
Results of gene editing in clinical grade UDC
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Safe and Versatile iPS CellsUniversal Donor Cells
25
iPSC pluripotency maintained
OCT-3/4+NANOG
46 (X,Y) Expression of Pluripotency Markers
No post gene-editing karyotypic
aberrations
Differentiation
OCT-3/4
( Undefined Factor)NANOG
( Undefined Factor)
Endothelial cell
Hepatocyte
(Source)in-house data
UDC
Characteristics of Clinical grade UDC
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Evaluation of UDC Inducible Suicide Genes In VivoUniversal Donor Cells
26
UDC
Transplantation
Immunodeficient
mouse
Administration of Drug Death of transplanted
cells
Mechanism of Action
Suicide gene
Administration of a drug
induces dimerization
Induction of
Cell DeathDimerization
Confirmed suicide gene activity in immunodeficient mice
The Forefront of
Regenerative MedicineLife Explosion
iPSC Platform: Evaluation of UDC Inducible Suicide Genes In VitroUniversal Donor Cells
27
Death of UDCs
Culture of UDCs
0
0.2
0.4
0.6
0.8
1
1.2
0 0.003 0.01 0.03 0.1 0.3 1
ratio
(liv
e/t
ota
l)
Inducer of dimerization (nM)
Cell viability (ATP assay)
Reduction in Viability
After induction of suicide genes, target cells die by apoptosis (Source)in-house data
Administration
of Drug
The Forefront of
Regenerative MedicineLife Explosion
iPSC Derived Gene-Modified Natural Killer Cells iPS Gene Modified NK Cells
(Time)
(Technological development)
1st Generation 2nd Generation 3rd Generation
“Autologous”
Peripheral
blood derived
“Allogenic /
off-the-shelf”
Biomaterial or
iPSC derived
“Universal Donor Cell
derived"
Function enhanced by
multiple gene
modifications
• By using UDC (MHC class I/II KO), graft rejection may be avoided, and sustained efficacy may be expected.
• Stable production and quality with lower cost of goods are expected by using iPSC and cryopreservation is
available as an off-the-shelf product.
28
In June 2020 we started joint research with the National Cancer Center Japan (NCCJ)
on Healios’ allogeneic iPS cell-derived gene-edited NK cells
The Forefront of
Regenerative MedicineLife Explosion
Healios: Cancer is the Leading Cause of Death in Japan
iPS Gene Modifiied NK Cells
29
The No.1 cause of death in Japan is cancer
(approximately 90% of which are caused by solid tumors)
Mortality rate
Blood cancer
Solid Tumors
The Forefront of
Regenerative MedicineLife Explosion
Healios: Leading the Development of iPSC Derived Gene-Modified
Natural Killer CellsGene editing
Avoid rejection /
Functionally enhanced
UDC
NK cell
Solid Tumors
Dendritic Cell
Cytotoxic
T-lymphocyteDifferentiation
Activation
iPS Gene Modifiied NK Cells
Migration /
Infiltration
Recognize and
attack
30
• Best in class, enhanced anti-tumor efficacy by
introducing/modulating various factors related to NK
cells killing activity
• Broad applicability across tumor types irrespective of
specific cancer antigens
NK cellsUDC
Production of NK cells
Induction of
differentiation
The Forefront of
Regenerative MedicineLife Explosion
Healios: Mechanism of NK Cell Attack of Cancerous or Virus-Infected
Cells
iPS Gene Modifiied NK Cells
② Release the brake allowing for
the attack
Normal cells Cancerous or virus-infected cells
Normal cellNK cell
NK cells do not attack normal cells by
recognizing normal marker
NK cell Cancer cell
Virus-infected cell
① Activated by abnormal markers
③ Recognize the antibodies that are
attacking the cancer and further activate.
④ Release the degrading enzymes
and destroy cancer cells
• NK cells are large granular lymphocytes (LGL) and critical to the innate immune system. The role of NK cells is to
recognize and attack abnormal cells, such as cancer cells and virus-infected cells.
31
The Forefront of
Regenerative MedicineLife Explosion
iPS Gene Modifiied NK Cells
Enhancement of Anticancer Functions through Gene Modification
32
HLCN061
Cancer-Immunity Cycle
NK cells recognize and kill cancer cells
Exposed to cancer antigen
Activation of the cancer immunity cycle and induction of cytotoxic T-lymphocytes
Degeneration of cancer
Antigen
presentation
T-cell activation
Migration
Invasion
Recognition
Cellular dysfunction
vessel
(Source) This material was based on Daniel S.Chen and Ira Mellman.,Immunity. 2013;39(1):1-10.
Enhancing Anticancer Function
at Each Stage of the Cancer-Immunity Cycle
Antigen exposure by injury
cancer
lymph
The Forefront of
Regenerative MedicineLife Explosion
Healios: Joint research with the National Cancer Center Japan
iPS Gene Modifiied NK Cells
34
Gene edited
NK cellsPDX
National Cancer
Center Japan
Research utilizing PDX(Patient-Derived Xenograft)
*1 PDX models
Transplant human patient cancer tissue into immunodeficient mice
Dramatically improves the predictability of clinical response
PDX models *1 will be used to consider what solid cancers we
should target with our therapy.
Based on the results of these studies
・Clarify the characteristics of solid cancers to which HLCN061
exerts antitumor effects
・Investigate the expression of several molecules recognized
by HLCN061
Healios joint research with the NCCJ started in June 2020 and will last for about one year.
The Forefront of
Regenerative MedicineLife Explosion
iPSC Regenerative Medicine
35
iPSC Regenerative Medicine Treatments to Replace Damaged Cells
or Organs
HLCR011/HLCR012:
Ophthalmology
HLCL041: Liver DiseaseGenerating “organ buds” by
co-culturing 3 types of cells
iPS cell
MSC, mesenchymal stem cell; RPE, retinal pigment epithelium.
The Forefront of
Regenerative MedicineLife Explosion
iPSC Regenerative Medicine
36
HLCL041: Liver Organ Bud Platform
Transplanted to mice
Green:Cells of each organ
Red:Vascular endothelial cell
Black:MSC
*movie
The vascularization was confirmed in vivo by transplantation to mice.
Cell derived from
various organs
Vascular
endothelial cellMSC
(Sours) Japan Science and Technology Agency Science News “Diverse Approaches in Regenerative Medicine
from Cell to Tissue/Organ” (Distributed October 3, 2013)
https://sciencechannel.jst.go.jp/M130001/detail/M130001005.html
By creating an "Organ Bud" of each organ with iPS cells, we have laid the groundwork for paradigm shifting therapies to
emerge for various severe diseases.
UDCs allow for the realization of organ replacement using organ buds.
(Sours)Modified from Takebe T. et al., Cell Stem Cell, 2015
The Forefront of
Regenerative MedicineLife Explosion
iPSC Regenerative Medicine
37
HLCL041: Liver Organ Bud Platform
Treatment effects of liver bud transplantation to mouse using hiPSC
(Source) Adapted by Healios from Takebe. T, et al. Nature, 499 (7459),(2013)
Process by which organ forms from
organ bud links mouse‘s vascular
network autonomously
Su
rviv
al ra
te (
%)
100
80
60
40
20
2010 300Days
Non-transplantation
Liver organ budtransplantation group using human iPS cells
Human adult liver cell transplantation group
Liver organ budtransplantation group using human fetus iPS cells
Survival rate improves significantly in transplantation experiments
(Source)Takebe,T., et al. Nature Protocols, 9, 396–409 (2014)
Process
Healios Resources
Life Explosion
The Forefront of
Regenerative MedicineLife Explosion
Diverse Leadership Team
Jun
Narimatsu
Richard
Kincaid
David
Smith
Michael
Alfant
Gregory
Bonfiglio
Yoshinari
Matsuda
Seigo
Kashii
Accountant
Supporting various
venture companies in
the field of IT/
Healthcare
Chief Financial
Officer
Member of Board of
Directors
Cell manufacturing
KOL
.
Group Chairman &
CEO, Fusion
Systems, Co., Ltd.
Presidents Emeriti,
ACCJ
Founder & Managing
Partner of Proteus,
LLC. (Investment in
RM ventures)
Chairman of the
Board of CCRM
Attorney-at-Law,
Senior Management
Partner of Uruma
Law Offices Legal
Professional
Corporation
Ex-corporate auditor
of Astellas Pharma
Masanori
Sawada
Hardy TS
Kagimoto
Kouichi
Tamura
Michihisa
Nishiyama
Koji
Abe
Executive Vice President
Chief Medical Officer
Administrative field
Chairman and CEO Executive officer,
Research and
Manufacturing field
Executive officer,
Development field
Executive Officer
HR & GA field
MD, PhD, MBA MD, Founder Ex-Astellas US Director
of Laboratories
Expertise in
Immunosuppressant
Research
Constructed network for
tacrolimus approval and
sales at Astellas (US and
Europe)
Over 30 years experience
in pharmaceutical HR field
39
The Forefront of
Regenerative MedicineLife Explosion
Capabilities
Total Number of Staff 89 (As of September 30, 2020)
Ph.D. Holders Over 30 people
Kobe Research Institute
Affiliate company for Manufacturing: Sighregen
Sighregen, a joint venture with Sumitomo Dainippon Pharma, is
establishing a manufacturing facility Sighregen rents the facility in
SMaRT and is establishing the iPSC-RPE manufacturing system
and facility for iPSC-RPE cell products.
40
Research and Manufacturing Capabilities
The Forefront of
Regenerative MedicineLife Explosion
Capabilities
Business and Capital Alliance with Nikon
41
Expanded the alliance with Nikon in July, 2019 to pursue regenerative medicine growth opportunities
Overview of the Business Alliance
<Healios>
- Promoting the search and development of new seeds in the regenerative medicine field
- Cooperating in relation to manufacturing currently being undertaken by Nikon
- Beginning of discussions to consider cell contract manufacturing for various products
Healios is developing in house
<Nikon>
- Supporting the development from the perspective of cell contract manufacturing and image
evaluation for cells
History of Partnership with Nikon
2017
2017
2019
2013
Nikon CeLL innovation entered into
Agreement to support MultiStem
commercial manufacturing efforts
in Japan
Concluded the business and capital
alliance Allotted 1,037,400 shares of
Healios stock and received 2 billion yen
from Nikon
Expanded the business and capital
Alliance Allotted 40 units of convertible
bonds and received 4 billion yen
from Nikon
Started R&D using Nikon’s
image evaluation technology
Allotted 500,000 shares of Healios
stock and received 500 million yen
from Nikon
Wholly owned
Business & capital
alliance
HLCM051 Manufacturing Framework
Nikon
Nikon CeLL innovation
(Manufacturing in Japan) Athersys
Product
manufacturing
Product
supplyCost of products
Sales royalty
sales
The Forefront of
Regenerative MedicineLife Explosion
• Founded in 2011, A-round in 2013, TSE listed in 2015
• Over $300 million raised since inception
• Approximately $134.53 million of cash on balance sheet as of December 31, 2020 (burn rate
approximately $10-15 million per quarter)
• July 2019 cap raise via Goldman Sachs was world’s first zero-coupon global convertible
bond financing for pre-revenue Japanese biotech. Approx. $107mn total net proceeds raised
from combination of CBs and equity to international investors along with CB issued to Nikon.
Cash Position
Strong Financial Resources
42
Conclusion
Life Explosion
The Forefront of
Regenerative MedicineLife Explosion
Conclusion
• Unique hybrid strategy combining near-term commercialization in Japan with
development of world-leading iPSC technology platform.
• Proactively leveraging Japanese regulatory framework for regenerative medicine.
• Two clinical studies nearing full enrolment: HLCM051 (MultiStem®) for ischemic stroke
and acute respiratory distress syndrome (ARDS).
• Proprietary, gene-edited universal donor iPSC platform technology (UDC).
• Developing innovative, next generation pipeline assets in immuno-oncology,
ophthalmology and organ buds.
• Deep and diverse team, supportive manufacturing partnerships, and strong financial
resources.
44
The Forefront of Regenerative Medicine
Corporate Communications
HEALIOS K.K.
E-mail: [email protected]
https://www.healios.co.jp/en
The Forefront of Regenerative Medicine
45