Developing Anti-Fibrotic Therapeutics for Chronic Organ Diseases
Corporate Presentation
May 2024
1
Forward Looking Statements
This presentation contains "forward-looking statements" within the meaning of the federal securities laws regarding the current plans, expectations and strategies of Gyre Therapeutics, Inc. and its subsidiaries ("Gyre"), which statements are subject to substantial risks and uncertainties and are based on management's estimates and assumptions. All statements, other than statements of historical facts included in this presentation, are forward-looking statements, including statements concerning: Gyre's plans, objectives, goals, strategies, future events, or intentions relating to Gyre's products and markets; the safety, efficacy and clinical benefits of Gyre's product candidates;
the anticipated timing and design of any planned or ongoing preclinical studies and clinical trials; Gyre's research and development efforts; management's plans and objectives for future operations and future results of anticipated product development efforts; potential addressable market size; and Gyre's liquidity and capital resources and business trends. In some cases, you can identify forward-looking statements by terms such as "believe," "can," "could," "design," "estimate," "expect," "forecast," "intend," "may," "might," "plan," "potential," "predict," "objective," "should," "strategy," "will," "would," or the negative of these terms, and similar expressions intended to identify forward- looking statements. These statements involve known and unknown risks, uncertainties and other factors that could cause Gyre's actual results to differ materially from the forward-looking statements expressed or implied in this presentation, such as the uncertainties inherent in the clinical drug development process, the regulatory approval process, the timing of any regulatory filings, the potential for substantial delays, the risk that earlier study results may not be predictive of future study results, manufacturing
risks, and competition from other therapies or products, as well as those described in "Risk Factors" and "Management's Discussion and Analysis of Financial Condition" in Gyre's Annual Report on Form 10-K for the year ended December 31, 2023 filed on March 27, 2024 with the Securities and Exchange Commission (the "SEC") and elsewhere in such filing and in Gyre's other periodic reports and subsequent disclosure documents filed with the SEC.
Gyre cannot assure you that it will realize the results, benefits or developments that it expects or anticipates or, even if substantially realized, that they will result in the expected consequences or affect Gyre or its business in the ways expected. Forward-looking statements are not historical facts, and reflect management's current views with respect to future events. Given the significant uncertainties, you should evaluate all forward-looking statements made in this presentation in the context of these risks and uncertainties and not place undue reliance on these forward-looking statements as predictions of future events. All forward-looking statements in this presentation apply only as of the date made and are expressly qualified in their entirety by the cautionary statements included in this presentation. Gyre has no intention to publicly update or revise any forward-looking statements to reflect subsequent events or circumstances, except as required by law. Gyre obtained the data used throughout this presentation from its own internal estimates and research, as well as from research, surveys and studies conducted by third parties. Internal estimates are derived from publicly available information and Gyre's own internal research and experience, and are based on assumptions made by management based on such data and its knowledge, which it believes to be reasonable. In addition, while Gyre believes the data included in this presentation is reliable and based on reasonable assumptions, Gyre has not independently verified any third-party information, and all such data involve risks and uncertainties and are subject to change based on various factors.
This presentation concerns a discussion of investigational drugs that are under preclinical and/or clinical investigation and which have not yet been approved for marketing by the U.S. Food and Drug Administration. They are currently limited by Federal law to investigational use, and no representations are made as to their safety or effectiveness for the purposes for which they are being investigated.
2
Gyre Therapeutics - Investment Highlights
1
Strong track record: developed ETUARY® (Pirfenidone) from research to commercialization. Sales are re-invested to fund Gyre's clinical development pipeline.
2
Robust Phase 2 proof-of-concept clinical dataset improves relative risk profile of F351, a derivative of ETUARY® (Pirfenidone), and positions it as a promising oral therapy for the treatment of NASH*-associated liver fibrosis.
3
Phase 3 China trial in Chronic Hepatitis B (CHB)-associated liver fibrosis expected to confirm promising safety and efficacy profiles of F351, guiding initiation of Phase 2a U.S. trial in NASH-associated liver fibrosis.
4
NASH is experiencing significant tailwinds following resmetirom approval and robust data readouts, which have reduced risk in the space and increased investor interest.
5
Financial backing from China-based subsidiary Gyre Pharmaceuticals and majority shareholder GNI Group.
*NASH: nonalcoholic steatohepatitis
3
Leveraging Profitable Business to Fund Pipeline
Corporate Structure
Growth Strategy
GNI Group (Japan)
85%
65%
Gyre Pharmaceuticals (China)
Optimize
existing
drug
targeting
fibrosis
Generate
revenue
Trials in China to improve therapeutic approach
Positive
data from
China
Expand
indications and begin U.S. trials
*Simplified structure diagram for illustrative purposes
4
Innovative Pipeline
Candidate | Indication | Preclinical | Phase 1 | Phase 2 | Phase 3 | Marketed | Location |
F351 | NASH-Associated Liver Fibrosis | Plan to initiate Phase 2a trial in 2025 | United States | ||||
(Hydronidone) | CHB-Associated Liver Fibrosis | Phase 3 results | |||||
expected by early 2025 | |||||||
Idiopathic Pulmonary Fibrosis (IPF) | |||||||
Dermatomyositis Interstitial Lung | |||||||
Disease (DM-ILD) | |||||||
ETUARY® | Systemic Sclerosis-associated | ||||||
(Pirfenidone) | Interstitial Lung Disease (SSc-ILD) | ||||||
Pneumoconiosis | China1 | ||||||
Diabetic Kidney Disease (DKD) | |||||||
F573 | ALF/ACLF | ||||||
F528 | Chronic Obstructive Pulmonary | ||||||
Disease (COPD) | |||||||
F230 | Pulmonary Arterial Hypertension (PAH) |
1. Product/product candidate of Gyre Pharmaceuticals
5
Gyre Pharmaceuticals Successfully Transitioned ETUARY® (Pirfenidone) from Research to Commercialization
ETUARY® (Pirfenidone) Overview
✓ Effective oral treatment for IPF | |
✓ Early entry into fibrosis therapy market in China | |
since 2014 | |
✓ Demonstrates anti-fibrotic,anti-inflammatory, | |
and anti-oxidationproperties | |
FY2023 | ✓ Significant market potentials through indication |
Revenue | |
US $112.1m | expansion in interstitial lung diseases, DKD, and |
pneumoconiosis | |
✓ Multiple Phase 3 trials ongoing in China | |
Significant Market Opportunities
China Prevalence in 2031E
Major Diseases Causing Pulmonary Fibrosis
332,000 1,014,000 2,574,000
IPF | Pneumoconiosis | CTD-ILD |
Approved | Ongoing Phase 3 Trials |
Established and Market-Dominant Commercialization
China Pulmonary Fibrosis Drug Market Share*
7.4%
Gyre
Boehringer
37.3%55.3% Ingelheim
Beijing Kaiwin
*Frost and Sullivan, June 2023 | 6 |
F351 (Hydronidone) - Lead Product Candidate Targeting Liver Fibrosis
7
F351 (Hydronidone)- Lead Product Candidate Targeting Liver Fibrosis Designed to Improve Upon Approved Drug Pirfenidone
Hydronidone (F351) Overview
Differentiated Product Profile
- A structural derivative of marketed antifibrotic drug Pirfenidone
-
Pleiotropic anti-fibroticTGF-β-targeting mechanism of action, expected to ameliorate liver fibrosis by inhibiting activation of hepatic stellate cells via
Smad7 mediated degradation of TGFβR - Possible to reduce its potential for idiosyncratic liver toxicity via phase II metabolism(1)
- Obtained breakthrough therapy designation status for CHB-associatedliver fibrosis in China
Clinical Development in the U.S.
- Well tolerated as single and repeated oral doses with no SAEs
Phase 1 | ✓ | Safety profile consistent with data from clinical trails for CHB- | |
associated liver fibrosis in China | |||
Phase 2 | ✓ | Met primary endpoint of proportion of Ishak of liver fibrosis | |
(Proof-of | decreased by ≥ 1 point | ||
Concept) | ✓ | Well tolerated with safety profile comparable to placebo | |
▪ | Confirmatory China Phase 3 trial for CHB-associated liver | ||
Next | |||
fibrosis expected to be complete by 2H 2024 | |||
Milestones | |||
▪ | Initiate U.S. Phase 2a trial in NASH-associated liver fibrosis | ||
Market Opportunities | |||
Global Liver Fibrosis Market | Global NASH Market | ||
$15 Billion | $108 Billion+ | ||
in 2022(2) | in 2030(4) |
(1) Zhou S et al., J Med Chem 2020. (2) Source: Coherent Market Insights. (4) Vantage Market Research. | 8 |
U.S. Phase 1 Trial Has Shown That F351 Is Well-Tolerated in Healthy Volunteers, Consistent With Safety Data from Three China Trials
Trial Design
Part I: single ascending dose, sequential cohort study of oral capsules of Hydronidone at 30 mg and 120 mg (n=12 subjects)
Part II: multiple ascending dose, sequential cohort study of oral capsules of Hydronidone at 30 mg 3x daily (TID) for 7 days (n=12 subjects) and 120 mg 3x daily (TID) for 7 days (n=12 subjects)
Objectives
Assess pharmacokinetics and evaluate safety and tolerability of Hydronidone
Single Ascending Doses | Multiple Ascending Doses | |||||
Hydronidone | Hydronidone | All Subjects | Hydronidone | Hydronidone | All Subjects | |
30 mg | 120 mg | 30 mg TID × 7 | 120 mg TID × 7 | |||
Category | (N=24) | (N=24) | ||||
(N=12) | (N=12) | (N=12) | (N=12) | |||
n (%) | n (%) | |||||
n (%) | n (%) | n (%) | n (%) | |||
Number of Adverse Events (AE), n | 4 | 5 | 9 | 16 | 12 | 28 |
Subjects with Any AE | 3 (25.0) | 3 (25.0) | 6 (25.0) | 6 (50.0) | 7 (58.3) | 13 (54.2) |
Number of Treatment Emergent AE | 4 | 5 | 9 | 16 | 12 | 28 |
(TEAE), n | ||||||
Subjects with Any TEAE | 3 (25.0) | 3 (25.0) | 6 (25.0) | 6 (50.0) | 7 (58.3) | 13 (54.2) |
Subjects with Severe TEAE | 0 | 0 | 0 | 0 | 0 | 0 |
Subjects with Serious AE (SAE) | 0 | 0 | 0 | 0 | 0 | 0 |
Subjects with Serious TEAE | 0 | 0 | 0 | 0 | 0 | 0 |
Subjects Discontinued Due to AE | 0 | 0 | 0 | 0 | 0 | 0 |
Subjects with AEs Resulting in Death | 0 | 0 | 0 | 0 | 0 | 0 |
n (%) = number and percent of subjects in the specified group; N = number of subjects in the specified study population under each treatment.
Hydronidone was well tolerated as single and repeated oral doses with no SAEs
9
Phase 2 Double Blind, Randomized, Placebo-controlled Trial of F351 in Chinese Patients with Chronic Hepatitis B-associated Liver Fibrosis
Design
Basic Treatment
Primary Endpoint
Secondary Endpoints
Randomized, double-blind,placebo-controlled, multicenter, entecavir-based,dose-exploration Phase 2 trial of Hydronidone capsules for the treatment CHB-associated liver fibrosis
Entecavir administered continuously for 52 weeks
Proportion of liver fibrosis Ishak scores that decreased ≥ 1 point after treatment compared to pre- treatment
- Conversion rate and decrease of HBV DNA after treatment
- Proportion of decrease in liver transient elastography values after treatment compared to pre- treatment
- Proportion of liver tissue inflammation grading decreased ≥ grade 1 after treatment compared to pre- treatment without worsening fibrosis
- Improvement of liver function ALT index
FAS (n=167*)
Hydronidone 180mg (n=42)
Hydronidone 270mg (n=41)
Hydronidone 360mg (n=41)
Placebo (n=43)
*Target enrollment was 168 participants. One patient was excluded from the 270 mg cohort after three days of treatment
as they did not meet the inclusion criteria.
10
Attachments
- Original Link
- Original Document
- Permalink
Disclaimer
Catalyst Biosciences Inc. published this content on 30 April 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 02 May 2024 09:35:59 UTC.