MoonLake Immunotherapeutics
R&D Day Webcast
Presentation Document - Results ARGO trial November 2023
© 2023 | Proprietary | MoonLake TX | W: moonlaketx.com | E: info@moonlaketx.com |
Welcome to our R&D Day
Date: November 6th, 2023 | Topic | Sub-topics | Lead | Timing | |
Time: 8am EDT | |||||
Intro | - Key messages | Jorge | 5 mins | ||
Location: Nasdaq (Webcast) | |||||
Santos da | |||||
Silva | |||||
PsA - ARGO | - ARGO's profile, incl. baseline | Kristian | 30 mins | ||
trial Primary | - Efficacy data at primary & | Reich | |||
Endpoint | secondary endpoints | ||||
Readout | - Safety data & other secondaries | ||||
- Discussing impact of ARGO in PsA | |||||
Moving | - Conclusions | Jorge | 10 mins | ||
Forward | - Overall value of MLTX | Santos da | |||
- Path forward | Silva | ||||
Q&A | Matthias | To end | |||
Bodenstedt |
Source: | MoonLake Corporate | © 2023 | Proprietary | MoonLake TX |
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Disclaimer
Forward Looking Statements
Certain statements in this presentation may constitute "forward-looking statements" within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to, statements regarding our expectations, hopes, beliefs, intentions or strategies regarding the future including, without limitation, statements regarding: plans for clinical trials and research and development programs, including our MIRA trial in HS; the anticipated timing of the results from those trials expected near-term catalysts with respect to our clinical trials; and expectations regarding the time period over which our capital resources will be sufficient to fund our anticipated operations. In addition, any statements that refer to projections, forecasts, or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. The words "anticipate", "believe", continue", "could", "estimate", "expect", "intend", "may", "might", "plan", "possible", "potential", "predict", "project", "should", " strive", "would" and similar expressions may identify forward-looking statements, but the absence of these words does not mean that such statement is not forward looking. Forward- looking statements are based on current expectations and assumptions that, while we and our management consider reasonable, as the case may be, are inherently uncertain. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Actual results could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation, risks and uncertainties associated with our business in general and limited operating history, the risk that past results may not be predictive of future results, difficulty enrolling patients in clinical trials, and reliance on third parties to conduct and support our clinical trials, and the other risks described in or incorporated by reference into our Annual Report on Form 10-K for the year ended December 31, 2022 and subsequent filings with the Securities and Exchange Commission. Nothing in this presentation should be regarded as a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results of such forward-looking statements will be achieved. You should not place undue reliance on forward-looking statements in this presentation, which speak only as of the date they are made and are qualified in their entirety by reference to the cautionary statements herein. We neither undertake nor accept any duty to release publicly any updates or revisions to any forward-looking statements to reflect any change in our expectations or in the events, conditions or circumstances on which any such statement is based. This presentation does not purport to summarize all of the conditions, risks and other attributes of MoonLake Immunotherapeutics.
Industry and Market Data
Certain information contained in this presentation relates to or is based on studies, publications, surveys and our own internal estimates and research. In this presentation, we rely on, and refer to, publicly available information and statistics regarding market participants in the sector in which we compete and other industry data. Any comparison of us to any other entity assumes the reliability of the information available to us. We obtained this information and statistics from third-party sources, including reports by market research firms and company filings. In addition, all of the market data included in this presentation involve a number of assumptions and limitations, and there can be no guarantee as to the accuracy or reliability of such assumptions. Finally, while we believe our internal research is reliable, such research has not been verified by any independent source and we have not independently verified the information.
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Source: | MoonLake Corporate | © 2023 | Proprietary | MoonLake TX |
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Instructions for this session
Please take note of the disclaimer on the prior page
You can submit your questions through the Q&A function - we will address as many questions as possible at the end of this session
The presentation and a replay will be made available on our IR website
For any technical issues during the webcast, please also use the Q&A function to request support
Other requests should be directed to ir@moonlaketx.comor media@moonlaketx.com
Source: | MoonLake Corporate | © 2023 | Proprietary | MoonLake TX |
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Introduction
© 2023 | Proprietary | MoonLake TX
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PsA: IL-17F dependent multi-domain disease in difficult-to-reach tissues
PsA is a multi-domaindeep-tissue disease… | …with 3x IL-17F vs IL-17A1… | …and causing devastating damage | ||
Plaques
Peripheral | Psoriasis | ||||||||||||||||||||
arthritis | |||||||||||||||||||||
ACR50 | PASI | 90 | |||||||||||||||||||
IL-17A PsA | |||||||||||||||||||||
Disease Activity | Joint & spine disease | ||||||||||||||||||||
(PsA starts as | Nail Psoriasis | ||||||||||||||||||||
Axial | Nail | Enthesitis | Dactylitis | ||||||||||||||||||
disease | psoriasis | enthesitis2, with IL-17F | |||||||||||||||||||
producing cells in
associated plaques3 and
IL-17FPsAaxial disease4-6, and with 80% of patients suffering
from nail psoriasis7)
Market size | Unmet Needs | |||
Global | USD bn sales | or more patients | skin involvement in | |
80% with multiple | 10% | |||
0.5% prevalence | 10+ beyond 2030 | PsA patients - | ||
disease domains | severe skin disease |
is still standard
20% ACR level of improvement
1 van Baarsen LG, et al. Arthritis Res Ther. 2014; 16:426-436; 2 Schett G, et al. Nature Reviews Rheumatology. 2017; 13:731-741; 3 Prinz JC, et al. J Exp Med. 2020 Jan 6;217(1):e20191397; 4 Sweet K, et al. RMD Open 2021;7e001679; 5 Shao M, et al. Clin Immunol 2020;213:108374; 6 Lories RJ and McInnes IB, Nature Medicine. 2012; 18:1018-1019; 7 Reich K. J Eur Acad Dermatol Venereol. 2009; 23 Suppl 1:15-21; Clinical pictures K. Reich
Source: | MoonLake Medical, Clinical pictures K. Reich | © 2023 | Proprietary | MoonLake TX |
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The key messages
MLTX's ARGO trial is a SUCCESS
- Joints: ACR50 primary endpoint met at wk 12 for 60mg and 120mg induction doses - up to 47% ACR50 (p<0.01 vs placebo)
- Skin: PASI90 secondary endpoint met at wk 12 also for 60mg and 120mg induction doses - up to 77% PASI90 (p<0.001 vs placebo)
- Other secondary end points met at wk 12, wk16 data indicated continued improvement- impact of SLK for PsA patients is clear (e.g., PASI100, ACR70, MDA)
- No new safety signals - continues to indicate favorable safety profile
MLTX's SLK Nanobody® continues to open a new era in therapy
- Differentiating on multi-domain responses - consistency across skin & joint scores
- Potential to use both doses (60mg and 120mg), advantageous for label
- Highest numbers on higher level outcomes (e.g., ACR70, PASI100) at week 12
- Impact in important disease activity scores as early as week 12
- Differentiating with favorable safety profile
MLTX positioned to become a leader in I&I
- Our view: SLK now a leading potential asset in HS, PsA & PsO (all multi-bn markets)
- A wealth of potential indications to further pursue ($30bn+)
- Soon Ph3-readyin 3+ TAs - expected to start Ph3s in 2024
Source: | MoonLake Corporate | © 2023 | Proprietary | MoonLake TX |
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ARGO Trial
Results
© 2023 | Proprietary | MoonLake TX
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ARGO: Phase 2 trial design
Part A
Nov 6th R&D Day
Week 12
SLK 120mg
SLK 60mg
SLK 60mg
NI
PLC
ADA 40mg
Focus of today's
results
Key design elements of ARGO
- Global study with approx. 50 sites, with 207 patients randomized
- Double-blind,placebo-controlled, active reference arm
- Active PsA (TJC68 ≥3, SJC≥3, current active PsO and/or confirmed PsO)
- ACR50 as primary endpoint, PASI90 as key secondary endpoint
- ITT-NRI primary analysis; Stratification by sex, previous bio use
- Groups 1 ("SLK 120mg" with induction) and 2 ("SLK 60mg" with induction) are doses previously used in SLK trials
- Group 3 ("SLK 60mg NI", no induction) was used to support requirement for induction dosing
Notes: 1 Randomization stratified by sex and prior exposure to biologics; 2 At Week 0/Day 1, all eligible participants were randomized 1:1:1:1:1; 3 In the cross-over period, starting at Week 12, participants on sonelokimab 120 mg who did not achieve an adequate response switched to adalimumab 40 mg Q2W until Week 24; participants on sonelokimab 60 mg (started at baseline Q2W or Q4W) who did not achieve an adequate response switched to sonelokimab 120 mg Q4W until week 24; participants on adalimumab who did not achieve an adequate response switched to sonelokimab 120 mg Q4W until Week 24; an adequate response is defined as a reduction of the tender and swollen joint count of ≥20%. Participants on placebo at Week 12 were switched to sonelokimab Q4W until Week 24
Source: | MoonLake Clinical | © 2023 | Proprietary | MoonLake TX | 9 |
Baseline: All arms of the ARGO trial are well balanced
Patient characteristics
Age, yrs, mean
Female, %
BMI, kg/m2, mean
Duration of PsA, yrs, mean
Prior biologic use, %
Concomitant non-biologic DMARD, %
Concomitant MTX, %
Tender Joint Count (TJC68), mean Swollen Joint Count (SJC66), mean
Affected BSA ≥ 3%, %
PASI (BSA ≥ 3%), mean
Nail psoriasis (mNAPSI > 0), %
mNAPSI, mean
Presence of enthesitis (LEI > 0), %
LEI score, mean
Presence of dactylitis, %
Patient Pain (PtAAP), mean
PsA Impact of Disease (PsAID) 12, mean
Overall
ARGO
(n=207)
49
49
29.0
5.4
17
70
67
17
9
69
7.2
55
13.4
32
2.4
12
58
4.2
Main arms | Active reference | ||||
Placebo | Sonelokimab 60mg NI | Sonelokimab 60mg | Sonelokimab 120mg | Adalimumab | |
(n=40) | (n=41) | (n=41) | (n=43) | (n=42) | |
47 | 50 | 48 | 50 | 48 | |
48 | 51 | 49 | 49 | 50 | |
27.9 | 29.6 | 27.7 | 30.3 | 29.3 | |
5.7 | 6.0 | 6.2 | 4.9 | 4.1 | |
15 | 20 | 17 | 19 | 17 | |
68 | 81 | 63 | 67 | 69 | |
65 | 78 | 56 | 67 | 67 | |
17 | 18 | 17 | 17 | 16 | |
9 | 11 | 9 | 9 | 10 | |
67 | 78 | 63 | 63 | 76 | |
7.1 | 6.7 | 8.0 | 7.2 | 7.3 | |
55 | 59 | 54 | 40 | 67 | |
15.2 | 16.0 | 11.5 | 14.4 | 10.5 | |
36 | 34 | 39 | 26 | 24 | |
1.9 | 2.9 | 2.9 | 2.7 | 1.6 | |
13 | 10 | 12 | 12 | 12 | |
56 | 60 | 60 | 55 | 58 | |
3.9 | 4.3 | 4.6 | 3.9 | 4.5 |
Source: | MoonLake Clinical | © 2023 | Proprietary | MoonLake TX |
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Moonlake Immunotherapeutics published this content on 07 November 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 17 November 2023 14:18:08 UTC.