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Fight Cancer! Eine Initiative der Deutschen Biotechnologie


Delivering on the Promise of RNAi Therapeutics



Dr. Klaus Giese, Chief Scientific
Officer
Silence today



• Industry leader in RNAi therapeutics (a new drug class)

• Strong expertise in delivering RNAi therapeutics in man

• Listed on LSE (AIM) with operations centralised
  in Berlin (30 committed employees)

• Strong validation through multiple partnerships
  supported by issued intellectual property (IP)

• Building a strong pipeline targeting unmet
  medical needs with large commercial potential

• Developing the first blockbuster RNAi
  therapeutic




                                                            2
Outstanding potential of RNAi therapeutics



• Transforming technology
                                                                Complex of siRNA and
                                                                delivery vehicle (e.g.
• Allows therapeutic intervention of previously                 liposomes)
  „undrugable‟ targets
                                                        siRNA/RISC
• RNA interference (RNAi) recognised by the                                               Loss of
                                                                                          function
  Nobel Prize in 2006
                                                                           mRNA
• Proof of concept already demonstrated in man                            destroyed
  using Silence„s technologies

                                                         mRNA                  Normal
• Commercial potential similar to monoclonal                         Protein
                                                                               function
  antibodies (sales 2010: US$48bn)                DNA




                                                                                                     3
AtuRNAi: Best-in-class siRNA
therapeutics platform



• 2‟-O-Methylation offers greater stability              Silence‟s AtuRNAi (siRNA)
  and better tolerability
  – No evidence of cytokine stimulation, activation of                antisense strand
                                                          5’                                3’
    Toll-Like Receptors or toxic metabolites
  – Over 300 patients treated to date                     3’                                5’
  – 33 doses given to 1 patient over 9 months                          sense strand
    (compassionate use)                                         2’-O-Methyl modifications

• Fast preclinical development
  – Screening starts directly with modified siRNA        • Issued patents in Europe and US
  – Same scale up process for all AtuRNAi products
                                                         • Licensed to Pfizer, Novartis,
• Lower Cost of Goods compared to                          AstraZeneca, Quark
  unmodified siRNA molecules




                                                                                                 4
Breakthrough delivery technologies
  AtuPLEX™


             Tumor blood vessels

             Cancer & Metastases




             Lung blood vessels
  DACC




             Acute lung injury/ARDS
             Pulmonary Hypertension
             Lung cancer



             Liver
  DBTC




             Hepatocellular carcinoma
             Ischemia Reperfusion Injury
             Acute liver failure

                                           5
Silence„s DACC delivery system is highly
 specific targeting the lung


• Novel lipid-based formulation to address
  lung-specific diseases (e.g. acute lung
  injury/ARDS/lung cancer)

• DACC delivers siRNAs primarily to the lung

• Single dose sufficient to inhibit target gene
  expression up to a month
                                                  Organ distribution after delivery of siRNA with DACC
                                                                          125




                                                   siRNA [%ID/g tissue]
                                                                          100

                                                                          75

                                                                          50

                                                                          25

                                                                           0




                                                                                                    6
Silence„s DBTC delivery system is highly
specific to liver


• Proprietary lipid-based formulation to
  address liver-specific diseases (e.g.
  hepatocellular carcinoma)

• DBTC delivers specifically to the liver

• Single dose inhibits target gene expression
  in the liver up to a week
                                                Organ distribution after delivery of siRNA with DBTC

• No gene expression inhibition detected in                             70

  other tissues                                                         60


                                                 siRNA [%ID/g tissue]
                                                                        50
                                                                        40
                                                                        30
                                                                        20
                                                                        10
                                                                         0




                                                                                                   7
Strong validation through partnerships




    Research
    collaboration: $15M                                                        Option & licence                      Delivery
    upfront and $400M         AstraZeneca                                      agreement with         Delivery       collaboratio
    in milestones plus        Novel approaches                                 Quark: $82m in         collaborati    n on
    royalties for 5           to delivery of siRNA     Extension of both       milestones plus        on on          AtuPLEX &
    targets                   molecules                collaborations          royalties              AtuPLEX        DBTC




     2006                   2007           2008             2009           2010             2011             2012


                                                                                                  Top 10
                                                                                                  Pharma
AtuRNAi for diabetic
macular edema and             AtuRNAi for acute
age-related macular           renal failure and
degeneration; $95M in         kidney transplantation                        Expansion of          Delivery           Delivery
milestones plus               (and 2008, now in Ph.    siRNA delivery       delivery              collaboration on   collaboration on
royalties (now in Ph. II)     I + II)                  collaboration        collaboration         DACC               DBTC


                                                                                                                                        8
Industry‟s broadest siRNA therapeutics
clinical pipeline

Products                Partners   Target              Delivery      Market          Pre-Clinical   Phase I   Phase II
                                   Tissue /            method        size($m)
                                   Organ
PF-4523655                         RTP801              Naked siRNA   $1bn+
Diabetic Macular                    - Local Delivery                 (potential)
Edema                              to the Eye


PF-4523655                         RTP801              Naked siRNA   $3.1bn (2010)
Age-related Macular                 - Local Delivery
Degeneration                       to the Eye

QPI-1002                           P53 - Systemic      Naked siRNA   $4.4bn (2010)
                                   Delivery to the
Prevention of Delayed              Kidney
Graft Function


QPI-1002                           P53 - Systemic      Naked siRNA   $1bn+
                                   Delivery to the                   (potential)
Acute Kidney Injury                Kidney


Atu027                             PKN3 - Systemic     AtuPLEX       $8.2bn
Solid Tumors                       Delivery to                       (angiogenesis
                                   Tumor                             mkt 2010)
                                   Endothelium

Atu134                             Systemic            AtuPLEX       $8.2bn
Solid Tumors                       Delivery to                       (angiogenesis
                                   Tumor                             mkt 2010)
                                   Endothelium

Atu111                             Systemic            DACC          $1bn+
                                   Delivery to Lung                  (potential)
Acute Lung Injury
                                   Endothelium

Atu195                             Systemic            AtuPLEX       $8.2bn
Solid Tumors                       Delivery to                       (angiogenesis
                                   Tumor                             mkt 2010)
                                   Endothelium
                                                                                                                         9
    Five of 13 global clinical siRNA programs use Silence’s AtuRNAi – over 300 patients treated
Atu027 targeting PKN3 for
    RNAi mediated cancer therapy

            Growth factor receptor
                                                                             AtuPLEX
                                                                             Delivery system to endothelial
                                                             intracellular
          PI 3-K     p110a                 PTEN                              tumor cells
                        p110b                         Ras

                Akt-1                                            Myc
                                   Hif-1
                   Akt-2
                                                                             Lipid-based
PTB-1B                                               PKN3                    drug carrier
                             p53
             Bcl-2                           Redd1


                                                                             AtuRNAi
Glucose        Survival                Tumor                Metastases
uptake                                 progression                           inhibitor
                                                            Motility


PKN3
   Key regulator during angiogenesis
    and lymphangiogenesis

   Major regulator of metastasis/motility during
    pathological processes


                                                                                                              10
Atu027: Strong preclinical efficacy data


• Atu027 „silences‟ the production of         Origin     Model           T/C tumor   T/C metastasis
  PKN3                                        prostate   PC-3 iprost       0.42           0.22
     – PKN3 is a key regulator of blood and
                                                         PC-3 iprost       0.50           0.15
       lymph vessel formation
                                                         LNCaP iprost      0.36            -
                                                         DU-145 s.c.       0.56            -
• Inhibition of PKN3 leads to:
                                                         PC-3 s.c.         0.62            -
     – Reduced oxygen supply to tumour
     – Reduced tumour growth/metastases       pancreas   MiaPaCa ipanc     0.55           0.24
                                                         Dan-G ipanc       0.66            -

• Efficacy of Atu027 demonstrated in                     L3.7pl ipanc      0.64           0.71

  multiple cancer animal models                          V332 ipanc        0.73            -
     – Data published in peer reviewed        lung
                                                         Lewis Lung
                                                                           0.55            -
       journals                                          i.v.
                                                         B-16V i.v.        0.46            -

• PKN3 associates with Rho family                        A-549 ipulm       0.84           0.34
  GTPases, and preferentially with RhoC       breast     MDA-MB-435        0.77           0.40
  (Pfizer)
                                                         MDA-MB-231        0.86           0.67
                                              melanoma B-16V s.c.          0.59            -
                                              colon      LS 174T ihep      0.14            -

                                                                                                      11
Clinical Phase-I trial with “Atu027”
in oncology


          “A prospective, open label, single-centre,                                                                            Atu027 -
dose finding phase I study with Atu027(an siRNA formulation)                                                       Dose level Dose (mg/kg)
   in subjects with advanced solid cancer - Atu027-I-01”                                                                           based on the siRNA
                                                                                                                                        content)

                                                                                                                         1              0.001
                                                                                                                                              
  Patient                     Break                                   Break                End of Study
                                                                                                                         2              0.003
                                                                                                                                              
                                                                                                                         3              0.009 
  Weeks     -2       -1   1   2       3   4   5   6       7   8   9     10       11   12   13   14       15   16
                                                                                                                         4              0.018 
                                                                                                                                        0.036 
  Months         0                1                   2                      3                       4
                                                                                                                         5
                                                                                                                         6              0.072 
                                                                                                                         7              0.120 
                                                                                                                         8              0.180 
                                                                                                                         9              0.253
                                                                                                                                              
                                                                                                                        10              0.336
                                                                                                                                              
                                                                                                                        11              0.447

                                                                                                                   3-6 subjects per dose level
                                                                                                                   (Treatment: 4h i.v. infusion, 500 mL)
                                                                                                                                                           12
Atu027 Phase I summary and
outlook


• Atu027 is positioned to treat vascularised tumours

• Eleven patients confirmed with stable disease

• Potential biomarkers identified

• Final data expected by mid–2012


• Current discussions for phase II
  -   Atu027 in combination with standard of care to treat solid
      tumors
  -   Mono-therapy (salvage therapy) in recurrent Glioblastoma



                                                                   13
Thank You

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Fight Cancer With RNAi Therapeutics Initiative

  • 1. Fight Cancer! Eine Initiative der Deutschen Biotechnologie Delivering on the Promise of RNAi Therapeutics Dr. Klaus Giese, Chief Scientific Officer
  • 2. Silence today • Industry leader in RNAi therapeutics (a new drug class) • Strong expertise in delivering RNAi therapeutics in man • Listed on LSE (AIM) with operations centralised in Berlin (30 committed employees) • Strong validation through multiple partnerships supported by issued intellectual property (IP) • Building a strong pipeline targeting unmet medical needs with large commercial potential • Developing the first blockbuster RNAi therapeutic 2
  • 3. Outstanding potential of RNAi therapeutics • Transforming technology Complex of siRNA and delivery vehicle (e.g. • Allows therapeutic intervention of previously liposomes) „undrugable‟ targets siRNA/RISC • RNA interference (RNAi) recognised by the Loss of function Nobel Prize in 2006 mRNA • Proof of concept already demonstrated in man destroyed using Silence„s technologies mRNA Normal • Commercial potential similar to monoclonal Protein function antibodies (sales 2010: US$48bn) DNA 3
  • 4. AtuRNAi: Best-in-class siRNA therapeutics platform • 2‟-O-Methylation offers greater stability Silence‟s AtuRNAi (siRNA) and better tolerability – No evidence of cytokine stimulation, activation of antisense strand 5’ 3’ Toll-Like Receptors or toxic metabolites – Over 300 patients treated to date 3’ 5’ – 33 doses given to 1 patient over 9 months sense strand (compassionate use) 2’-O-Methyl modifications • Fast preclinical development – Screening starts directly with modified siRNA • Issued patents in Europe and US – Same scale up process for all AtuRNAi products • Licensed to Pfizer, Novartis, • Lower Cost of Goods compared to AstraZeneca, Quark unmodified siRNA molecules 4
  • 5. Breakthrough delivery technologies AtuPLEX™ Tumor blood vessels Cancer & Metastases Lung blood vessels DACC Acute lung injury/ARDS Pulmonary Hypertension Lung cancer Liver DBTC Hepatocellular carcinoma Ischemia Reperfusion Injury Acute liver failure 5
  • 6. Silence„s DACC delivery system is highly specific targeting the lung • Novel lipid-based formulation to address lung-specific diseases (e.g. acute lung injury/ARDS/lung cancer) • DACC delivers siRNAs primarily to the lung • Single dose sufficient to inhibit target gene expression up to a month Organ distribution after delivery of siRNA with DACC 125 siRNA [%ID/g tissue] 100 75 50 25 0 6
  • 7. Silence„s DBTC delivery system is highly specific to liver • Proprietary lipid-based formulation to address liver-specific diseases (e.g. hepatocellular carcinoma) • DBTC delivers specifically to the liver • Single dose inhibits target gene expression in the liver up to a week Organ distribution after delivery of siRNA with DBTC • No gene expression inhibition detected in 70 other tissues 60 siRNA [%ID/g tissue] 50 40 30 20 10 0 7
  • 8. Strong validation through partnerships Research collaboration: $15M Option & licence Delivery upfront and $400M AstraZeneca agreement with Delivery collaboratio in milestones plus Novel approaches Quark: $82m in collaborati n on royalties for 5 to delivery of siRNA Extension of both milestones plus on on AtuPLEX & targets molecules collaborations royalties AtuPLEX DBTC 2006 2007 2008 2009 2010 2011 2012 Top 10 Pharma AtuRNAi for diabetic macular edema and AtuRNAi for acute age-related macular renal failure and degeneration; $95M in kidney transplantation Expansion of Delivery Delivery milestones plus (and 2008, now in Ph. siRNA delivery delivery collaboration on collaboration on royalties (now in Ph. II) I + II) collaboration collaboration DACC DBTC 8
  • 9. Industry‟s broadest siRNA therapeutics clinical pipeline Products Partners Target Delivery Market Pre-Clinical Phase I Phase II Tissue / method size($m) Organ PF-4523655 RTP801 Naked siRNA $1bn+ Diabetic Macular - Local Delivery (potential) Edema to the Eye PF-4523655 RTP801 Naked siRNA $3.1bn (2010) Age-related Macular - Local Delivery Degeneration to the Eye QPI-1002 P53 - Systemic Naked siRNA $4.4bn (2010) Delivery to the Prevention of Delayed Kidney Graft Function QPI-1002 P53 - Systemic Naked siRNA $1bn+ Delivery to the (potential) Acute Kidney Injury Kidney Atu027 PKN3 - Systemic AtuPLEX $8.2bn Solid Tumors Delivery to (angiogenesis Tumor mkt 2010) Endothelium Atu134 Systemic AtuPLEX $8.2bn Solid Tumors Delivery to (angiogenesis Tumor mkt 2010) Endothelium Atu111 Systemic DACC $1bn+ Delivery to Lung (potential) Acute Lung Injury Endothelium Atu195 Systemic AtuPLEX $8.2bn Solid Tumors Delivery to (angiogenesis Tumor mkt 2010) Endothelium 9 Five of 13 global clinical siRNA programs use Silence’s AtuRNAi – over 300 patients treated
  • 10. Atu027 targeting PKN3 for RNAi mediated cancer therapy Growth factor receptor AtuPLEX Delivery system to endothelial intracellular PI 3-K p110a PTEN tumor cells p110b Ras Akt-1 Myc Hif-1 Akt-2 Lipid-based PTB-1B PKN3 drug carrier p53 Bcl-2 Redd1 AtuRNAi Glucose Survival Tumor Metastases uptake progression inhibitor Motility PKN3  Key regulator during angiogenesis and lymphangiogenesis  Major regulator of metastasis/motility during pathological processes 10
  • 11. Atu027: Strong preclinical efficacy data • Atu027 „silences‟ the production of Origin Model T/C tumor T/C metastasis PKN3 prostate PC-3 iprost 0.42 0.22 – PKN3 is a key regulator of blood and PC-3 iprost 0.50 0.15 lymph vessel formation LNCaP iprost 0.36 - DU-145 s.c. 0.56 - • Inhibition of PKN3 leads to: PC-3 s.c. 0.62 - – Reduced oxygen supply to tumour – Reduced tumour growth/metastases pancreas MiaPaCa ipanc 0.55 0.24 Dan-G ipanc 0.66 - • Efficacy of Atu027 demonstrated in L3.7pl ipanc 0.64 0.71 multiple cancer animal models V332 ipanc 0.73 - – Data published in peer reviewed lung Lewis Lung 0.55 - journals i.v. B-16V i.v. 0.46 - • PKN3 associates with Rho family A-549 ipulm 0.84 0.34 GTPases, and preferentially with RhoC breast MDA-MB-435 0.77 0.40 (Pfizer) MDA-MB-231 0.86 0.67 melanoma B-16V s.c. 0.59 - colon LS 174T ihep 0.14 - 11
  • 12. Clinical Phase-I trial with “Atu027” in oncology “A prospective, open label, single-centre, Atu027 - dose finding phase I study with Atu027(an siRNA formulation) Dose level Dose (mg/kg) in subjects with advanced solid cancer - Atu027-I-01” based on the siRNA content) 1 0.001  Patient Break Break End of Study 2 0.003  3 0.009  Weeks -2 -1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 4 0.018  0.036  Months 0 1 2 3 4 5 6 0.072  7 0.120  8 0.180  9 0.253  10 0.336  11 0.447 3-6 subjects per dose level (Treatment: 4h i.v. infusion, 500 mL) 12
  • 13. Atu027 Phase I summary and outlook • Atu027 is positioned to treat vascularised tumours • Eleven patients confirmed with stable disease • Potential biomarkers identified • Final data expected by mid–2012 • Current discussions for phase II - Atu027 in combination with standard of care to treat solid tumors - Mono-therapy (salvage therapy) in recurrent Glioblastoma 13