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CLARA TRANSFER:
FROM RESEARCH TO APPLICATION IN ONCOLOGY

    A PUBLIC ‐ PRIVATE PARTNERSHIP BETWEEN
  RESEARCHERS, CLINICIANS AND ENTREPRENEURS
CLARA TRANSFER: A UNIQUE PROGRAM TO SUPPORT
               THE TRANSFER OF CANCER RESEARCH FINDINGS




At the critical stage of cancer research when academic financing and expertise become insufficient,
CLARA Transfer brings in funding and specialized networks to perform the Proof of Concept studies
that will convince partners to proceed with clinical and industrial development.
                                                                                                      3
SUPORTING PROMISING AND INNOVATIVE PROJECTS
 TOWARDS INDUSTRIAL AND CLINICAL TRANSFER

     Clearly Focused Projects
      •   Pre‐clinical and/or clinical Proof of Concept
      •   Industrial and Clinical transfer
          Industrial  and Clinical transfer

     Project with Solid Foundations
      •                                     p     yp                         p
          Clear and obtainable candidate or prototype to be tested and developed
      •   Established Intellectual Property
      •   Clear transfer and development strategy, led by the partner company

     Complementary Partners and leadership in CLARA's region
      •   Academic and clinical partners 
      •   Start‐up or Innovative company with a clear development plans in the Region
                 p                   p y                     p       p           g
      •   Open to partners beyond CLARA boarders (funding to be determined)

     High medical and industrial interest for oncology
      •   Therapeutics, Devices, Diagnostics, Technologies…

                                                                                        4
CLARA TRANSFER: 
        PERSONALIZED ASSISTANCE AND DEVELOPMENT SUPPORT



        Personalized                                                                     Significant & Flexible
         Assistance                                                                           Financing*



                    Large
Dedicated                                                                              Academic and     Industrial
                    Network of
Team    Senior                                                                         Clinical Costs   Costs
                    Partners &
        Development Contractors                                                           CLARA            Industrial
                    Co ac o s
        Experts                                                                           Transfer
                                                                                          T      f         Partner
                                                                                                           P t



                        After Proof of Concept:
                        Aft P f f C          t
                        •    Pursuit of project by the partner company
                        •    Royalties for academic and clinical partners
                        •    Commitment from the company to reinvest in CLARA R&D
                             Commitment from the company to reinvest in CLARA R&D

             * Average budget per project: €1.2M including €600K from the Cancéropôle CLARA
                                                                                                                        5
KEY NUMBERS AND RESULTS OF CLARA TRANSFER
                                           CLARA 


                        30 projects supported since 2005 
                        • 20 ongoing projects
                        • 7 successful Proof of Concept projects completed
                          7 successful Proof of Concept projects


Budget: €36M
   g                                                                           10 Advanced Projects
                                                                               10 Advanced Projects
 • Public Authorities & European 
                                                                               • 1 on the market
   ERDF Funds (€11M)
                                                                               • 5 in clinical development
 • Partnering Companies (€25M)
                                                                               • 4 validated at pre‐clinical
                                                                                 4 validated
                                                                                 level


22 Innovative Companies                                                       70+ Partners Involved
 • 7 Start‐ups                                                               • 43 Academics
 • 7 companies raised €90M
         p                                                                   • 7 Clinical Centers
                                                                               7 Clinical
 • 1 foreign company subsidiary                                              • 22 Companies
   establishment (Japan)
                                                                                                          6
CLARA TRANSFER: 
          SEVEN PROOF OF CONCEPT PROJECTS COMPLETED


Clinical Proof of Concept:

 •   ViKY, Mini‐Robot for Solid Cancers Laparoscopic Surgery (First success story in 2009)
 •   High‐Intensity Focused Ultrasound Device for the Treatment of Liver Metastases from
     Colorectal Cancer (Preclinical POC and AFSSAPS agreement in 2009, Clinical phase IIa ongoing)

Preclinical Proof of Concept:

 •   Photosensitive Nanoparticles for Glioblastoma Treatment (2009)
 •   Lung Cancer Therapeutic Targeting with TLR3 Receptor Agonists (2009)
 •   Mini‐Invasive Biopsy Tool for Non‐Lesional Cellular and Proteic Footprints of Tumoral Nodes
     (2010)
 •   Hybrid Nanoprobes as Imaging Agents to Trace Cells in the Course of Cellular Therapy
     Protocoles in Melanoma (2011)
 •   Fluorescence Imaging Device for Peroperative Detection of Tumor Margins and Metastases in
     Sarcomas (2012)




                                                                                                     7
CLARA TRANSFER  ‐ ADVANCED PROOF OF CONCEPT PROJECTS
                                            MARKETED OR IN CLINICAL DEVELOPMENT
Acronym and Title of              Cancer Types          Academic & Clinical                Partner           Budget              Stage of            See
Project                                                 Partners                           Company                               Develop‐            Page
                                                                                                                                 ment
ViKY: Light endoscopic robot      Prostate, liver,      ‐ TIMC Lab (CNRS 5525, UJF),       EndoControl       2007‐2009: €425K    Marketed            13
for laparoscopic cancer           pancreas, colon,      Grenoble                           Medical,          €212K CLARA         (Europe, USA)
surgery                           lung                                                     Grenoble          €213K Endocontrol
HIFU: High Intensity Focused      Liver metastasis      ‐ LabTAU, Inserm, Lyon             EDAP TMS,         2007‐2012: €1.1M    Phase IIb           14
Ultrasound device for the 
  l      dd        f h            from colorectal 
                                  f      l      l       ‐ Léon Bérard Cancer Center, 
                                                           é    é d                        Lyon              €535K CLARA         ongoing
treatment of liver metastases     cancer                Experimental Surgery Institute,                      €565K EDAP TMS
from colorectal cancer                                  Inserm, Lyon
Lymphos'1: Low T‐Cell             Metastatic Breast     ‐Cancer Research Center, Lyon      ImmunID           2008‐2012: €850K    Clinical            15
Receptors Diversity (Divpenia) 
     p            y( p        )   and Lung  
                                          g             ‐Léon Bérard Cancer Center, 
                                                                                   ,       Technologies, 
                                                                                                   g ,       €425K CLARA
                                                                                                             €425K CLARA         p p
                                                                                                                                 prospective 
Combined with Lymphopenia         cancers               Lyon                               Grenoble          €425K ImmunID       studies ongoing
predicts poor Overall Survival 
in Metastatic Breast Cancer 
Patients
Synfrizz: Innovative R di
S fi I          ti Radio‐         Synovialo‐
                                  S    i l              ‐ Lé Bé d C
                                                          Léon Bérard Cancer Center,
                                                                             C t           OncoTherapy
                                                                                           O Th              2010‐2014: €6.3M
                                                                                                             2010 2014 €6 3M     Clinical h
                                                                                                                                 Cli i l phase I 
                                                                                                                                               I     16
immunotherapy for synovialo‐      sarcoma               Lyon                               Science, Lyon     €751K CLARA         ongoing
sarcoma treatment, targeting                                                                                 €5.6M OncoTherapy
FZD10 functionnal and specific                                                                               Science
antigen
Enki‐HEH: New endoscopic          Superficial           ‐ Lyon University Hospital         NESTIS, Lyon      2011‐2012: €350K    Clinical phase I    17
resection device for              colorectal, gastric     (HCL)                                              €140K CLARA         ongoing
superficial colorectal, gastric   and esophageal                                                             €206K NESTIS
and esophageal neoplasms          neoplasms
GeniusVac‐Mel4: Therapeutic
GeniusVac Mel4: Therapeutic       Melanoma              ‐ Joseph Fourier University
                                                          Joseph Fourier University,       French 
                                                                                           French            2011‐2015: €1.7M
                                                                                                             2011 2015: €1 7M    Clinical Trial
                                                                                                                                          Trial      18
vaccine  based on dendritic                             French National Blood Service,     National Blood    €698K CLARA         Authorization
cells to treat metastatic                               INSERM, University Hospital        Service (EFS),    €1M EFS             Application 
melanoma                                                Center, Grenoble                   Grenoble                              ongoing
                                                                                                                                                          8
CLARA TRANSFER ‐ COMPLETED PRECLINICAL PROOF OF CONCEPT PROJECTS
                  TO BE TRANSLATED INTO CLINICAL TRIALS

Acronym and Title of             Cancer Types   Academic & Clinical           Partner          Budget             Stage of             See
Project                                         Partners                      Company                             Develop‐             Page
                                                                                                                  ment
GanglioTool: Mini‐invasive       Lymphoma,      ‐ CEA/LETI, Grenoble          CEA, Grenoble    2008‐2010: €380K   ‐ Preclinical POC    9
biopsy tool for non lesional     Metastatic     ‐ CEA/Clinatec, Grenoble                       €250 K CLARA       completed
cellular and proteic footprint   mediastinal    teaching hospital, GIN                         €130K CEA          ‐ Clinical trial 
of  tumoral nodes                nodes          ‐ Lyon Civil Hospitals                                            dossier in 
                                                ‐ Saint‐Etienne University                                        development
                                                                                                                  d l
                                                Hospital
Claraft: Fluorescence imaging    Sarcoma        ‐ Léon Bérard Cancer          Fluoptics,       2010‐2012: 1M€     ‐ Preclinical POC    20
device for peroperative                         Center, Lyon                  Grenoble         €508K CLARA        completed
detect o o tu o a g s
detection of tumor margins                      ‐Albert Bonniot Institute, 
                                                   be t o ot st tute,                          €510K Fluoptics
                                                                                               €510K Fluoptics    ‐ Clinical trial 
                                                                                                                    C ca t a
and metastases in sarcomas                      Inserm, Joseph Fourier                                            dossier in 
                                                University, Grenoble                                              development
                                                ‐Veterinary School
                                                VetAgroSup, Lyon
NSH: Hybrid nanoprobes as 
NSH H b id             b         Melanoma
                                 M l            ‐L
                                                 Lyon Civil Hospitals, UCBL
                                                      Ci il H it l UCBL       Nano‐H, Saint‐
                                                                              N      H S i t   2007‐2011: €615K
                                                                                               2007 2011 €615K    Preclinical POC 
                                                                                                                  P li i l POC         21
imaging agents to trace cells                                                 Quentin          €307K CLARA        completed
in the course of cellular                                                     Fallavier        €308K Nano‐H
therapy protocoles in 
melanoma 




                                                                                                                                            9
CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS
                        THERAPEUTIC MOLECULES

Acronym and Title of                 Cancer               Academic & Clinical                 Partner         Budget              Stage of           See
Project                              Types                Partners                            Company                             Develop‐           Page
                                                                                                                                  ment
CANCERDRUG: Preclinical              Vascularized solid   ‐ Grenoble Neurosciences            Ecrins          2010‐2012: €1M      Preclinical POC    22
validation of a novel vascular       tumors               Institute, Inserm, University of    Therapeutics,   €628K CLARA         ongoing
disrupting agent (VDA) targeting                          Grenoble                            Grenoble        €407K Ecrins 
PP1                                                       ‐ Curie Institute, Paris                            Therapeutics
IPROMAH: Humanized therapeutic       Non‐hodgkin's        Lyon Civil Hospitals, Lyon          iDD Biotech,    2009‐2012: €1M      Preclinical POC    23
monoclonal antibodies against CD5    lymphomas            University, Lyon Cancer             Dardilly        €354K CLARA         ongoing
and CD19 for non‐hodgkin's                                Research Center                                     €646K IDD Biotech
lymphomas
LANTHARAD: Targeted hybrid 
LANTHARAD: Targeted hybrid           Melanoma, 
                                     Melanoma             ‐ Lyon Civil Hospitals UCBL
                                                            Lyon Civil Hospitals, UCBL,       Nano‐H,
                                                                                              Nano‐H Saint‐   2009‐2012: €615K    Preclinical POC
                                                                                                                                              POC    24
radiosensitizer nanoparticles for    Chondro‐             LPCML, Lyon                         Quentin         €404K CLARA         ongoing
radiotherapy of melanoma and         sarcoma, Head        ‐ Inserm U990, Clermont‐            Fallavier       €211K Nano‐H
chondrosarcoma                       and Neck,            Ferrand
                                     Gliosarcoma

LIPOBAK: Bak protein
LIPOBAK: Bak protein associated      Glioblastoma         ‐TheRex Laboratory Joseph
                                                           TheRex Laboratory, Joseph          Synthélis,
                                                                                              Synthélis       2010‐2013: €430K
                                                                                                              2010 2013: €430K    Preclinical POC
                                                                                                                                              POC    25
proteoliposomes for glioblastoma                          Fourier University (UJF),           Grenoble        €228K CLARA         ongoing
treatment                                                 Grenoble                                            €206K Synthélis
                                                          ‐ Neurobiology and Transgenesis
                                                          Laboratory, Angers




                                                                                                                                                          10
CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS
                        THERAPEUTIC MOLECULES

Acronym and Title of                 Cancer              Academic & Clinical               Partner           Budget                Stage of           See
Project                              Types               Partners                          Company                                 Develop‐           Page
                                                                                                                                   ment
NETRIS: Drug candidates based on     Lung, Metastatic    Lyon Cancer Research Center,      Netris Pharma,    2008‐2012: €1.6M      Preclinical POC    26
Dependence Receptors concept         breast cancer       Léon Bérard Cancer Center, Lyon   Lyon              €800K CLARA           ongoing
inhibiting Netrin‐1/DCC‐UNC5 in                                                                              €800K Netris Pharma
lung cancer and NT‐3/TrkC in 
metastatic breast cancer
metastatic breast cancer
THERA 8: Targeting cell surface      Colo‐rectal         Lyon Cancer Research Center       IDD biotech,      2011‐2014: € 713K     Preclinical POC    27
CK8 for the development of           cancer (CCR)        (CRCL)                            Dardilly          € 354K CLARA          ongoing
therapeutic antibodies for                                                                                   € 359K IDD biotech
colorectal cancers


TRT/PETMEL: Development of           Metastatic          UMR 990 Inserm, Auvergne          Cyclopharma       2009‐2013: €830K      Preclinical POC    28
heteroaromatic halogenated           melanoma            University, Clermont‐Ferrand      Laboratories,     €416K CLARA           ongoing
molecules for either PET or SPECT                                                          Clermont‐         €414K Cyclopharma
imaging and Targeted Radionuclide                                                          Ferrand
Therapy of metastatic melanoma 
Therapy of metastatic melanoma




                                                                                                                                                           11
CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS
                           SURGICAL DEVICES

Acronym and Title of                 Cancer Types         Academic & Clinical                Partner             Budget                Stage of           See
Project                                                   Partners                           Company                                   Develop‐           Page
                                                                                                                                       ment
Doc Calipso: Robot navigation for    Small solid tumors   ‐ Lyon 1 Claude Bernard            ADEPT, Annecy       2010 to 2013: €1.3M   Preclinical POC    29
small tumor focal therapy                                 University, Lyon Civil Hospitals                       €627K CLARA           ongoing
                                                                                                                 €629K ADEPT

Hépatofluo: Indocyanine Green        Liver cancer and     ‐ Léon Bérard Cancer Center,       Fluoptics,          2011‐2014: €1M        Preclinical POC    30
as a near‐infrared fluorescent       metastases           Lyon                               Grenoble            €498K CLARA           ongoing
contrast agent and mini‐camera                                                                                   €498K Fluoptics
Fluobeam® for image‐guided
liver surgery

Nano Eno: Nanoencapsulated           Solid tumors         ‐ CEA, Grenoble & Orsay            Advanced            2010‐2013: €700K      Preclinical POC    31
nuclear/optical imaging probe                             ‐ Veterinary School                Accelerator         €426K CLARA           ongoing
                                                          VetAgroSup, Lyon                   Applications        €269K AAA
                                                                                             (AAA), Saint‐
                                                                                             Genis Pouilly

Uroclip: Automatic uretro‐vesical    Prostate cancer      ‐ Veterinary School                Anastom Surgical,   2011‐2013: €400K      Preclinical POC    32
anastomosis system in prostate                            VetAgroSup, Lyon                   Lyon                €278K CLARA           ongoing
cancer                                                                                                           €118K Anastom‐
                                                                                                                 Surgical




                                                                                                                                                               12
Surgical Device                        Prostate, Liver, Pancreas, Colon, Lung…             Clinical POC  Completed
                                                                                                        Marketed (USA, Europe)

                       VIKY: ENDOSCOPIC ROBOT FOR LAPAROSCOPIC CANCER SURGERY (€ 2 )
                                                                              (€425K)
                            CONCEPT                                                         MAIN RESULTS
      • A light and intelligent robotic endoscope holder for          • 3 patents
        laparoscopic surgery, with either voice or foot control       • European CE mark and AFSSAPS agreement (2009)
        by surgeon                                                    • Clinical validation in 300 laparoscopic surgical procedures,
      • Added Value: Light, easy, low cost; reduces personnel           including complex cancer surgeries (prostate, liver,
        needs, freeing staff for alternative operating room             pancreas, colon, lung…), proved that ViKY is at least as
        tasks and reducing the need for personnel allowing
                                           personnel,                   secure and efficient as human surgeon assistants with a
        one of them to perform other tasks in the operating             positive influence on the quality of the surgery.
        room
                  ACADEMIC/CLINICAL PARTNERS                                                  PROSPECTS
                                                                      • Further collaboration and development of new innovative
                                                                                                           p
      • J TROCCAZ TIMC Lab (CNRS 5525 UJF Grenoble)
        J. TROCCAZ, TIMC Lab (CNRS 5525, UJF, Grenoble)
                                                                        solutions for robotic laparoscopic surgery
      • 4 clinical cancer centers
                                                                      • Commercialization at the international level

      PARTNER COMPANY: EndoControl Medical
      • Spin‐off of the TIMC Lab, founded in 2006 in Grenoble
        to design, develop and commercialize innovative
        robotic solutions for laparoscopic surgery
      • EndoControl raised €4M equity and is marketing its
        products in the USA and Europe
      • Contact: Clément VIDAL (CEO), 
         www.endocontrol‐medical.com




                                                                                                                                       13
Maj
Surgical Device                      Liver Metastasis from Colorectal Cancer                  Clinical POC Ongoing

                    HIFU: HIGH‐INTENSITY FOCUSED ULTRASOUND DEVICE FOR THE TREATMENT OF
                             LIVER METASTASES FROM COLORECTAL CANCER (€1,1 M)
                               CONCEPT                                                       MAIN RESULTS
      • A High‐Intensity Focused Ultrasound (HIFU) device for the      • Patented technology (Inserm‐Edap, 2005)
        treatment of non resectable liver metastases as a
                           non‐resectable                              • Preclinical proof of concept with CLARA support (
                                                                              l    l     f f              h                (2007‐
        complementary treatment to surgery                               2009)
      • Added Value: 10 to 20% of patients are suitable for curative   • Ethical committee and AFSSAPS agreement to start clinical
        surgery. HIFU may be used as a complementary tool to             studies (2009)
        surgery in order to increase the rate of treatment performed
        with a curative intent
                         intent.                                       • Safety and feasibility validated in a Phase I/IIa clinical
                                                                                y              y                      /
                                                                         study on 15 patients (2010‐2011)
        HIFU advantages: Treatment is non‐invasive for the liver,
        independent from hepatic blood flow (allowing the                                      PROSPECTS
        treatment of metastases that are currently unresectable),
        rapid and without limit in terms of size. Real‐time            • Phase IIb efficacy clinical study ongoing on 20 patients with
        ultrasound imaging is used during treatment and offers a         CLARA support (2012)
        reliable visualization of the therapeutic intervention.        • Multicenter clinical trials, CE approval
                                                                       • Ongoing developments: application to pancreatic
                  ACADEMIC/CLINICAL PARTNERS
                                                                         tumors,       liver resection assisted by HIFU and
      • D. MELODELIMA, J‐Y. CHAPELON, (Lab of Therapeutic                extracorporeal treatment
                                                                                 p
        Applications of Ultrasound, INSERM & UCBL1, Lyon)
      • Pr M. RIVOIRE (Léon Bérard Cancer Center, Experimental
        Surgery Institute, Inserm, Lyon)

                  PARTNER COMPANY: EDAP TMS
                  PARTNER COMPANY: EDAP TMS
      • Leader of therapeutic ultrasound, founded in 1979 in Lyon
        (Nasdaq : EDAP)
      • Contact : Emmanuel BLANC (CTO), www.edap‐tms.com




                                                                                                                                         14
Maj
Immuno‐Monitoring                           Metastatic Breast and Lung  Cancers                             Clinical POC Ongoing


      LYMPHOS1: Low TCR Diversity (Divpenia) Combined with Lymphopenia predicts poor Overall 
                                y( p       )                 y p p        p     p
                      Survival in Metastatic Breast Cancer Patients (€850 K)
                                   CONCEPT                                                                MAIN RESULTS 14/04/12
         • The “Number & Diversity of Lymphocytes" (NDL) score                • Patented technology (CEA, ImmunID Technologies, Léon
           based on combined measurement of lymphocyte count and                Bérard Cancer C
                                                                                Bé d C         Center))
           immune TCR diversity measured by the ImmunTraCkeR
           platform to detect immuno‐deficiency in patients with              • Lymphopenia or Lympho‐divpenia (NDL score 1) patients
           either metastatic breast or lung cancer undergoing                   have poor overall survival in metastatic Breast Cancer
           chemotherapy                                                         cases
         • Added Value: Lymphopenia is observed in 20% of untreated
           metastatic b
               t t ti breast cancer patients and i associated with an
                             t          ti t      d is      i t d ith         • Patients cohorts can be stratified to adapt chemical
           increased risk of early death partly due to chemotherapy             treatments like Avastin, Taxol or Taxoter
           immunotoxicity: this test will allow the selection of patients
           to adapt their treatment; it will also allow the development                                         PROSPECTS
           of innovation in immunotherapy and targeted therapies.             • Prospective validation studies ongoing for metastatic
                                                                                Breast and Lung Cancer Patients (2012)
                                                                                               g                (     )
                                                                              • Clinical Assay Elypse 7 to measure the efficiency of IL7
                       ACADEMIC/CLINICAL PARTNERS                               treatment in metastatic breast cancer patients
         • Pr J‐Y. BLAY (Léon Bérard Cancer Center, Lyon)
         • C. CAUX, Ch. CAUX (Lyon Cancer Research Center)

              PARTNER COMPANY: ImmunID Technologies




                                                                                    cyte count
         • Emerging diagnostic company founded in 2005 as a spin‐off                                                                  Low Risk
           of the CEA, specialized in combinatorial immune repertoire




                                                                                    ga/L)
           analysis (services and kit commercialization)
               y (                                     )


                                                                                 (Gig
                                                                             Lymphoc
         • ImmunID Technologies raised €6M from public and venture
           capital sources, and is searching for new public and/or
           private partners                                                                                                           High Risk
         • Contact: Nicolas PASQUAL (CEO), www.immunid.com
                                                                                                 hTRB VJ combinatorial
                                                                                                              bi t i l
                                                                                                     diversity (%)



                                                                                                                                                15
Maj
Radio‐Immunotherapy                                    Synovialo‐Sarcoma                             Clinical POC Ongoing


            SYNFRIZZ: INNOVATIVE RADIO‐IMMUNOTHERAPY FOR SYNOVIALO‐SARCOMA TREATMENT
                         TARGETING FZD10, A TUMOR SPECIFIC ANTIGEN (€6.3M)         màj 04.07.12

                              CONCEPT                                                          MAIN RESULTS
                                                                       • GMP‐antibody and radiolabeling process patented (OTS)
      • Radio‐immunotherapy using a “first in man/first in class”
                                                                       • Preclinical POC achieved (OTS)
        humanized monoclonal antibody targeting a tumor                • Antibody production process and radiolabeling validated
        specific antigen, Frizzled‐10 (FZD10), radiolabeled with 90    • A first‐in‐man, first‐in‐class, randomized phase I open‐label,
        Ytrium                                                           two‐step, multicenter clinical trial authorized by AFSSAPS in
                                                                         October 2011
      • Added Value: Orphan disease with no efficient systemic
                                                                       • Trial kick‐off in Léon Bérard Cancer Center and first patient
        treatment in late stage cases                                    inclusion in January 2012
                                                                       • 4 patients recruited (June 2012)

                   ACADEMIC/CLINICAL PARTNERS                                                  PROSPECTS
      • Pr J‐Y. BLAY, Dr D. PEROL, Dr P. CASSIER, Dr I. RAY‐COQUARD 
                                                                       • Phase I clinical trial extension to Bordeaux (Institut
        (Léon Bérard Cancer Center, Lyon)
                                                                         Bergonié) and Villejuif (Gustave Roussy Institute) Cancer
                                                                         Centers
                                                                       • Phase II clinical trial protocol design to start in 2014
        PARTNER COMPANY: OncoTherapy Science (OTS)
                                                                       • The approach will be extended to other indications:
      • J
        Japanese bi
                 biotech which set up a F
                       h hi h           French R&D subsidiary
                                             h       b idi               Gastric and colorectal cancers
        company in Lyon, in 2010
      • Contact: Simon BACONNIER            (CSO,    OTS    France),
        www.oncotherapy.co.jp/eng/




                                                                                                                                          16
Maj
Colorectal, gastric and esophageal 
                        Medical Device                                                                                       Clinical POC Ongoing
                                                                                 cancers

                     ENKI‐HEH: NEW ENDOSCOPIC RESECTION DEVICE FOR SUPERFICIAL COLORECTAL, GASTRIC AND
                                                                                         ,
                                            ESOPHAGEAL NEOPLASMS (€350K)
                                         CONCEPT                                                            MAIN RESULTS
                 • High pressure pulsed water jet system for endoscopic            •   Patent (Nestis, 2010)
                   submucosal resection
                     b        l                                                    •   CE Mark (September 2011)
                 • Added Value: Easy to use, faster, low risk of perforation,      •   Preclinical Proof of concept validated on pigs’ colon (2012)
                   not reserved to expert surgeons                                 •   ANSM agreement (April 2012)
                                                                                   •   Clinical Proof of Concept on colorectal, esophageal and 
                                                                                       stomachal cancers (ongoing since June 2012)
                             ACADEMIC / CLINICAL PARTNERS
                 • Pr. T.  PONCHON (Lyon Civil Hospitals)
                                                                                                             PROSPECTS
                                                                                   • FDA agreement (2012)
                                                                                   • Multicentric clinical study (Paris and Marseille)
                           DEVELOPMENT PARTNER: Nestis                             • Establishment of Reference Centers in Europe for the use of 
                 • Created in 2010 (Lyon)                                            Enki HEH technology in tumor resections

                 • Develop and market high pressure pulsed water jet
                   resection device
                 • Contact: Dr. Christian PINSET (President)




                                                                                                           Enki II device      for endoscopic
                                                                                                           Enki‐II device used for endoscopic
                                                                                                                  submucosal resection



                                                                                                                                                      17
Maj 25/09/2012
Cell Therapy Vaccine                                           Melanoma                             Clinical POC Scheduled


                 GENIUSVAC‐MEL4: THERAPEUTIC VACCINE BASED ON DENDRITIC CELLS TO TREAT
                                  METASTATIC MELANOMA (€1.7M)
                               CONCEPT                                                             MAIN RESULTS
      • Innovative therapeutic vaccine based on allogeneic                  • Cell lines, methods patented (EFS)
        plasmacytoïd d d i i cells l d d with 4 melanoma
          l        ïd dendritic ll loaded i h             l                 • Preclinical POC achieved in 2010, in “humanized” murine
        peptides (MelanA, Gp100, Tyr and Mage‐3)                              model and ex vivo with patients immune cells
      • Added Value: Allogeneic approach, one cell line for                 • Ethical Committee agreement December 9, 2011 for clinical
        several patients, simple scaling‐up, low cost production,             trials
        easy access treatment                                               • Cli i l work plan and IMPD d i d i collaboration with
                                                                              Clinical     k l      d        designed in ll b ti        ith
                                                                              CLARA experts to obtain AFSSAPS approval for phase I clinical
                  ACADEMIC/CLINICAL PARTNERS                                  trial (2012)
      • J. PLUMAS (UJF‐EFS‐INSERM U823, Grenoble)                           • GMP production of melanoma peptides
      • Pr. M‐T. LECCIA and Pr. J‐L BOSSON (University Hospital
            M T.                JL
        Center, Grenoble)                                                                          PROSPECTS
                                                                            • GMP production of a Master Cell Bank (2012)
                        PARTNER COMPANY:                                    • Phase I clinical trial: Kick‐off in 2012, to end in 2015
                 French National Blood Service (EFS)
                                               ( )                          • POC in other therapeutic applications: Lung cancer, chronic
      • EFS main activity is blood transfusion. In France, EFS is the         viral pathologies such as Hepatitis B, virus‐induced cancer
        leading supplier for human tissues and cells                          such as HPV+ cervical cancer …
      • Involvement of the Cell Therapy Unit in Saint‐Ismier (near
        Grenoble)
      • Contact: Joël PLUMAS (Project Manager) or Laurence LE 
        TEXIER (TTO Director), www.dondusang.net




                                                                                                                                            18
Maj
Diagnostic Device                                      Lymphoma                               Preclinical POC Completed
                                                         Metastatic Mediastinal Nodes

      GANGLIOTOOL: MINI‐INVASIVE BIOPSY TOOL FOR NON‐LESIONAL CELLULAR AND PROTEIC FOOTPRINT
                                    OF TUMORAL NODES (€380K)
                               CONCEPT                                                        MAIN RESULTS
      • A sampling device consisting of a hollow biopsy guide          • 6 patents (CEA, Inserm, UJF)
        with a lateral opening and a silicon chip with micro
                                                          micro‐       • Ex vivo validation on extracted human nodes
        structures (pillars) with chemical surface modifications,
        capturing biological molecules and cells after apposition      • High quality validation of recovered micro samples by
        on a tissue (fingerprint).                                       cytological techniques
      • Added Value: Quantitative and qualitative improvements         • No toxicity of the modified surface detected in vitro
        of sampling and increase of patients comfort during                                     PROSPECTS
        diagnosis and therapeutic monitoring of malignancies,
                                                                       • Clinical proof of concept with a multicentric clinical trial on
        particularly for lymphoma, metastatic mediastinal nodes          glioblastoma patients as of 2012 (Pr F. Berger, CEA/Clinatec)
        and tissue areas difficult to explore.
                                                                       • Developments for other tumor locations (such as sarcoma,
                 ACADEMIC/CLINICAL PARTNERS
                         /                                               lung, li ) peri‐tumor tissues, neurodegenerative b i
                                                                         l      liver),    i         i            d          i    brain,
      • M‐L. COSNIER (CEA/LETI, Grenoble)                                endoscopy, intravascular explorations…
      • Pr F. BERGER (CEA/Clinatec, Grenoble University Hospital,      • Diversification and extension of the technology may support
        GIN), Pr G. SALLES (Lyon Civil Hospitals), Pr M. COTTIER, Pr     the creation of a start‐up.
        J.M.
        J M VERGNON and P O TIFFET (S i t Eti
                          d Pr O.         (Saint‐Etienne U i
                                                          University
                                                                 it
        Hospital)

                   PARTNER COMPANY: CEA‐Leti
      • CEA Laboratory based in Grenoble (MINATEC®) and
                       y                        (           )
        dedicated to applied research and transfer for health
      • Contact: Raymond CAMPAGNOLO (Program Manager)
        www.leti.fr and Pr François BERGER (CLINATEC, GIN)




                                                                                                                                           19
Maj
Imaging/Medical Device                                        Sarcoma                                 Preclinical POC Completed


            CLARAFT: FLUORESCENCE IMAGING DEVICE FOR PEROPERATIVE DETECTION OF TUMOR MARGINS AND
                                       METASTASIS IN SARCOMAS (€1M)
                                         CONCEPT                                                             MAIN RESULTS
                 • A system to guide surgeons, combining a fluorescent              • Instrumentation, imaging method (CEA, 2005, 2006, 2007)
                   probe targeting αvβ3 integrins (
                       b                β             (AngioStamp®) and a near
                                                                 ®) d                 and probe patented (Inserm/CNRS/UJF 2007)
                                                                                         d     b       d
                   IR camera, for tumor margins and metastases                      • Detection with millimeter accuracy of tumor margins and
                   peroperative detection                                             lung metastases on rat osteosarcoma model and feline fibro
                 • Added Value: Technology compatible with surgical unit              sarcoma, preGMP probe regulatory toxicology harmlessness
                   light, biodistribution specificity                                 in a cats.


                           ACADEMIC/CLINICAL PARTNERS                                                          PROSPECTS
                 • A. DUTOUR (Léon Bérard Cancer Center, Lyon)                      • Multicentric Phase I/II clinical assay kick‐off (2012) 
                 • J L COLL (Alb t B
                   J‐L.       (Albert Bonniot I tit t I
                                            i t Institute, Inserm, J
                                                                   Joseph
                                                                        h
                   Fourier University, Grenoble)
                 • Pr C. CAROZZO (VetAgroSup Veterinary School, Lyon)


                             PARTNER COMPANY: Fluoptics
                             PARTNER COMPANY Fl     i
                 • CEA spin‐off created in 2009 in Grenoble: Development
                   and marketing of real time imaging systems to help
                   human surgery, based on fluorescent probes and a mini
                   camera
                 • Fluoptics raised a capital of €750K and is searching for
                                                 €750K,
                   industrial partners and/or investors.                                                                            Fluoptics©
                 • Contact: Odile ALLARD (CEO), www.fluoptics.com
                                                                                                Near InfraRed camera developed by Fluoptics




                                                                                                                                                     20
Maj 25/09/2012
In vivo Imaging, Cell Therapy                                 Melanoma                                   Preclinical POC Completed


            NSH: HYBRID NANOPROBES AS IMAGING AGENTS TO TRACE CELLS IN THE COURSE OF CELLULAR
                              THERAPY PROTOCOLS IN MELANOMA (€615K)
                                   CONCEPT                                                        MAIN RESULTS
        • Hybrid nanoparticles consisting of a magnetic core of           • No functional alterations of labeled cells observed in vitro
          lanthanide o ide coated b a pol silo ane shell as contrast
                      oxide         by polysiloxane                         and in vivo
          agents to label cells for MRI tracing during cellular therapy   • In vivo detection and quantification with MR imaging of
          protocols                                                         labeled cells in vivo after intraperitoneal and intravenous
        • Added Value: To help assess cell therapy protocols that           injection (mouse)
          are rapidly developing in oncology but often show
                 p y            p g              gy                       • Capacity to produce nanoparticles of homogeneous size
          disappointing clinical results; to help especially in the
          choice of the administration route.                                                       PROSPECTS
                                                                          • Clinical POC to be performed
                   ACADEMIC/CLINICAL COORDINATOR
                           /                                              • Relevant for different cell therapy protocols and more
                                                                            extensively biotherapy (preventive and therapeutic
         • Dr C. BILLOTEY (Lyon Civil Hospitals, UCBL)                      vaccines, transplantation...)

                   DEVELOPMENT PARTNER: Nano‐H
         • N
           Nanobiotech company f
                bi    h         founded i 2004 as a spin‐off of
                                     d d in           i ff f
           Lyon University to adapt, produce and commercialize
           hybrid nanoparticles
         • The project may finally be transferred to a company
           involved in the therapeutic market t b f th
           i l d i th th               ti      k t to be further
           developed in collaboration with Nano‐H.
         • Contact: Cédric LOUIS (CEO), www.nano‐h.com                           Magnetic Resonance Imaging allows to detect in vivo within
                                                                                 the spleen of a mouse (arrow) the labeled cells (right box) 24
                                                                                 hours after its intravenous injection




                                                                                                                                                  21
Maj
Small Chemical Molecule                                Vascular Solid Tumors                           Preclinical POC Ongoing


          CANCERDRUG : PRECLINICAL VALIDATION OF A NOVEL VASCULAR DISRUPTING AGENT (VDA) 
                                                                                   (   )
                         TARGETING PP1 – PROTEIN PHOSPHATASE 1 (€1M)
                                CONCEPT                                                        MAIN RESULTS
      • Development of D5 , a new chemical entity with VDA and           • D5 series patented (University of Grenoble, Curie
        anti‐mitotic
        anti mitotic properties                                            Institute, CNRS,
                                                                           Institute CNRS 2010)
      • Added Value: D5 specifically targets PP1, is active per os       • Preclinical and clinical development planned (with the
        and shows a good toxicology profile; contrary to most              help of CLARA experts)
        VDAs under development, D5 does not target tubulin and           • Various human cancers evaluated in xenograft models to
        is likely to be better tolerated by patients.                      identify those most sensitive to D5 (kidney, lung and
                                                                           thyroïd); D5 compared to the best‐in‐class reference VDA
                                                                           (CA4P); NMR allowed to predict/monitor D5 efficacy on
                                                                           blood flow in tumors; different administration schedules
                   ACADEMIC/CLINICAL PARTNERS                              (iv, ip, per os) evaluated; unique dorsal chamber in vivo
                                                                           model used to visualize/evaluate antivascular effects of
      • C.REMY, B. VAN DER SANDEN, F. BERGER (Grenoble                     D5 and its analogues
        Neurosciences Institute, Inserm, University of Grenoble )
                               ,       ,          y
      • Curie Institute, UMR176, Grenoble                                                         PROSPECTS
                                                                         • Regulatory toxicology and Phase I clinical trial (2013)
             PARTNER COMPANY: Ecrins Therapeutics
      • Biotech company, spin‐off of Grenoble Neurosciences
        Institute, created in Grenoble in 2010. Ecrins Therapeutics is
        a drug discovery company, which develops a pipeline of
        chemical anti‐cancer drugs. Ecrins Therapeutics has an
        exclusive licence on the D5 patent from the University of
        Grenoble
      • Ecrins Therapeutics is looking for industrial partners or
        investors (€3M in 2012)
                                                                                          Tumoral necrosis after D5 treatment
      • Contact: Andrei POPOV (CEO),www.ecrins‐therapeutics.com




                                                                                                                                        22
Maj
Therapeutic MAb                                       L.ymphomas                                                          Preclinical POC Ongoing

                 IPROMAH: IN VIVO PROOF OF CONCEPT OF HUMANIZED THERAPEUTIC MONOCLONAL ANTIBODIES
                        FOR NON‐HODGKIN’S LYMPHOMA AGAINST CD19 OR AGAINST CD5 (€1M)
                                   CONCEPT                                                                                   MAIN RESULTS
           • In vivo Proof of concept of humanized monoclonal                • CD19: 2 patents, murine MAb selection and humanization,
             antibodies targeting CD19 or CD5 for Non Hodgkin’s
                                                             Hodgkin s         generation of humanized afucosylated anti CD19 MAb in
                                                                                                                        anti‐CD19 MAb,
             Lymphoma in association with chemotherapy                         vitro MAb potency (CDC, ADCC, PCD) PK/PD, preliminary
           • Added Value #1 : Development of “best in class” anti‐CD19         toxicity, in vivo mouse model efficacy in Rituxan refractory
             MAb as an alternative to Rituxan relapse or refractory            human lymphoma, bioprocess for industrial bioproduction
             treatment                                                       • CD5: Murine MAb selection and humanization, in vitro MAb
           • Added Value #2 : Development of anti‐CD5 MAb as an                potency, in vivo mouse model available
             alternative to adverse effects Alemtuzumab (CD52)
                                                                                                                                   PROSPECTS
                      ACADEMIC / CLINICAL PARTNER                             • CD19 target: Completion of preclinical efficacy evaluation in
          • Pr C. DUMONTET (Lyon Civil Hospitals, Lyon University,              mono‐
                                                                                mono and combino therapy in 2012 in vivo POC related to
                                                                                            combino‐therapy 2012,
            Lyon Cancer Research Center)                                        autoimmune diseases, USP and DSP development
                                                                              • CD5 target: in vivo POC to be completed in 2012
                      PARTNER COMPANY: IDD Biotech
          • iDD biotech is dedicated to the discovery and                                                  Anti CD19 MAb Efficacy in Rituximab Refractory Tumor Mouse 
            development of therapeutic monoclonal antibodies (MAb)
            d l             f h        i       l    l   ib di                                                                         Model 
                                                                                                                                      Model
                                                                                                   4000
            for the treatment of cancer, autoimmune diseases,                                      3500                                                                    Untreated
            inflammation or neurological disorders.                                                                                                                        Rituximab




                                                                                     olume (mm3)
                                                                                                   3000

          • With its proprietary hybridoma library and following MAb                               2500
                                                                                                                                                                           Anti CD19 MAb

            engineering, iDD biotech develops the next generation of                               2000


                                                                              Tumor Vo
            therapeutic antibodies.
             h         i    ib di                                                                  1500


          • iDD Biotech is actively looking for industrial and/or                                  1000


            financial partners                                                                      500
                                                                                                                                               IP injection (D26 D33 D40
                                                                                                      0
          • Contact : H. ROUQUETTE(CEO), C. DESROCHES (CSO)                                               26                  36                       46


            c.vermotdesroches@idd biotech.com
            c.vermotdesroches@idd‐biotech.com                                                                               Number of days




                                                                                                                                                                                       23
Maj 25/09/2012
Melanoma, Chondrosarcoma, 
      Nanoparticles for Radiotherapy                                                                          Preclinical POC Ongoing
                                                         Head and Neck, Gliosarcoma
                                                                      ,

            LANTHARAD: TARGETED HYBRID RADIOSENSITIZER NANOPARTICLES FOR RADIOTHERAPY OF
                            MELANOMA AND CHONDROSARCOMA (€615K)
                             CONCEPT                                                             MAIN RESULTS
       • Solid hybrid nanoparticles based on rare‐earth such as       • Favorable biodistribution after iv injection of nanoparticles
         Gadolinium, which specifically accumulates in tumors           with renal elimination and no liver or lung accumulation
         after direct intra‐tumoral administration or                 • In vitro and in vivo radiosensitizing effect on human
         intravenous administration, by either passive or active        radioresistant head and neck (SQ20B) xenograft model after
                                                                        direct intra‐tumoral injection of nanoparticles
         targeting properties (specific vectors), and which
         amplify the effect of radiation (radiosensitizer).
             p y                         (               )            • In vivo radiosensitizing effect (increase survival) in an
                                                                        orthotopic i l t d model of murine gliosarcoma after i
                                                                           th t i implanted        d l f     i     li          ft iv
       • Added Value: Treatment of radioresistant tumors and            injection
         preservation of surrounding normal tissue                    • Specific chondrosarcoma targeting after iv injection of
                                                                        functionalized nanoparticles
               ACADEMIC / CLINICAL PARTNERS
       • P M JANIER (L
         Pr M.         (Lyon Ci il H i l LPCML)
                             Civil Hospitals,                                                      PROSPECTS
       • Pr C. RODRIGUEZ‐LAFRASSE (Lyon Civil Hospitals,              • Clinical proof of concept of radiosensitizer nanoparticles on
         UCBL), Pr J.M. CHEZAL (Inserm U990, Clermont‐                  head and neck radioresistant patients upon intra‐tumoral
         Ferrand), Pr O. TILLEMENT (LPCML, Lyon)                        direct administration
                                                                      • Preclinical proof of concept of radiosensitizer targeting
                  PARTNER COMPANY: Nano‐H                               nanoparticles on a mouse chondrosarcoma model
       • Nanobiotech company founded in 2004 as a spin‐off
         of Lyon University to adapt, produce and
         commercialize hybrid nanoparticles
       • The project may finally be transferred to a new or an           In vivo proteoglycanes targeting
                                                                         with vectorized nanoparticles, in 
         existing company to be further developed.                        an orthotopic chondrosarcoma
       • Contact: Cédric LOUIS (CEO), www.nano‐h.com                                 rat model




                                                                                                                                        24
Maj
Therapeutic Biomolecule                                    Glioblastoma                              Preclinical POC Ongoing


      LIPOBAK: B
      LIPOBAK BAK PROTEIN‐ASSOC
                    O     ASSOCIATED PROTEOLIPOSOMES FOR GLIOBLASTOMA TREATMENT (€430K)
                                       O O OSO S O          O   S O

                             CONCEPT                                                        MAIN RESULTS
      • LipoBak is a lipidic vector that includes a therapeutic        • Production process, products and applications patented
        protein (Bak) and a glioblastoma targeting peptide.              (J‐L. LENORMAND, UJF, 2007). Targeting peptide
      • Added Value: Strong apoptotic effect, specific tumor             patented (Angers and McGill Universities, 2004)
        targeting, no toxicity observed, versatile technology          • Large‐scale production of membrane proteins, optimized
                                                                         liposomal composition, innovative grafting of homing
                                                                         peptide,
                                                                         peptide preliminary results of efficacy demonstrated in
               ACADEMIC/CLINICAL PARTNERS                                vitro and in vivo on glioblastoma models
      • Pr J‐L. LENORMAND (TheRex Laboratory, Joseph
        Fourier University (UJF), Grenoble)                                                     PROSPECTS
      • Pr J. EYER (Neurobiology and Transgenesis Laboratory,          •   In vivo tests on xenograft murine brain
                                                                           In vivo tests on xenograft murine brain tumor model
        Angers)
                                                                       •   Non‐regulatory preclinical POC to be achieved in 2013

                 PARTNER COMPANY: Synthélis
      • Grenoble based start‐up created in 2010, specialized in
        membrane protein production
      • Selection for the Franco‐American NETVA program
        (New England Technology Venture Accelerator) to
        develop Synthelis activity in the USA.
      • Fund raising     planned in 2012 to scale‐up the
        production process to GMP grade
      • Contact: Bruno TILLIER (CEO), www.synthelis.fr                                  Bak protein‐associated proteoliposome
                                                                                              (Bak is represented in red)




                                                                                                                                      25
Maj
Anticancer Drug Candidates                      Primary Lung, Metastatic Breast Cancer                     Preclinical POC Ongoing


         NETRIS: DRUG CANDIDATES BASED ON DEPENDENCE RECEPTORS CONCEPT INHIBITING NETRIN‐1/ 
                                                                                          /
         DCC‐UNC5 IN LUNG CANCER (€810K) AND NT‐3/TRKC IN METASTATIC BREAST CANCER (€800K)
                                CONCEPT                                                           MAIN RESULTS
      • Drug candidates that trigger apoptosis targeting Netrin‐         • 2 patents, others in progress
        1/DCC‐UNC5 in lung cancer and NT‐3/TrkC interaction in           • Ongoing development of several types of molecules
        metastatic breast cancer.                                          showing promising preliminary results in terms of anti‐
      • Added Value: A new class of anticancer drugs based on a            tumoral effect, toxicity and pharmacodynamics‐
        dependence receptor concept discovered by Pr P. MEHLEN             pharmacokinetic parameters in animal models
        (Lyon Cancer Research Center) Autocrine over‐expression
                                Center).         over expression
        of ligands of dependence receptors is found in several                                       PROSPECTS
        cancers and plays an important role in the control of            • Preclinical proof of concept of 2 drug candidates (2012)
        tumoral development.                                             • Other potential cancer indications: Prostate, liver,
                                                                           pancreas, colon, brain…
                  ACADEMIC / CLINICAL PARTNERS
                                                                             Autocrine production of Netrin-1
      • P. MEHLEN, J.G. DELCROS and S. TAUSZIG‐DELAMASURE
        (Lyon Cancer Research Center, Léon Bérard Cancer Center,
        Lyon)

                PARTNER COMPANY: Netris Pharma
      • Spin‐off of Pr MEHLEN’s Laboratory (Lyon Cancer Research
        Center) founded in 2008 to develop therapeutic candidates
        targeting dependence receptor in cancer
      • Netris is searching for industrial and/or financial partners                                                      Negative signaling
                                                                                                                            APOPTOSIS
      • Contact: Agnès BERNET (CEO) and Pascale NONY (COO),                         Positive signaling
                                                                             proliferation, migration, survival
        www.netrispharma.com




                                                                                                                                               26
Maj
Therapeutic MAb                                   Colorectal cancer                          Preclinical POC Ongoing


                     THERA 8: TARGETING CELL SURFACE CK8 FOR THE DEVELOPMENT OF THERAPEUTIC ANTIBODIES FOR
                                                  COLORECTAL CANCERS (€ 713K)
                                                                                                      MAIN RESULTS
                                        CONCEPT                                • PCT Patent on the utilization of proprietary antibodies
                 • Humanized monoclonal antibody targeting CK8 to reduce         targeting CK8 to treat invasive and/or metastatic CRC
                                                                                                                     /
                   dissemination of colorectal cancers (CRC) cells               (WO/2010/136536)
                 • Added Value: therapeutic MAb dedicated to the reduction     • Encouraging preliminary in vivo data on the efficacy of
                   of the invasiveness of CRC cells combined with other          mouse anti‐CK8 MAb
                   existing anti‐cancer treatments
                          g                                                    • Ongoing humanization of proprietary anti CK8 and
                                                                                                                          anti‐CK8
                                                                                 generation of new proprietary anti‐CK8 with several
                              ACADEMIC/CLINICAL PARTNERS                         immunization methods
                 • JJ DIAZ, MA ALBARET(Lyon Cancer Research Center(CRCL))                               PROSPECTS
                                                                               • Preclinical proof of concept of the anti‐invasive and/or anti‐
                                                                                 metastatic properties of the anti‐CK8 Mabs in mouse
                           PARTNER COMPANY: IDD Biotech                          models bearing human CRC xenografts (2014)
                 • iDD biotech is dedicated to the discovery and
                                                                               • Better understanding of the role of CK8 and its isoforms in
                   development of therapeutic monoclonal antibodies
                                                                                 the invasive/metastatic process
                   (MAb) for the treatment of cancer, autoimmune diseases,
                   inflammation or neurological disorders.                     • C did t selection f clinical t
                                                                                 Candidate l ti for li i l transfer   f
                                                                                                                          A fraction of the CK8 pool is
                 • With its proprietary hybridoma library and following MAb                                               distributed       in      the
                   engineering, iDD biotech develops the next generation of                                               intracellular compartment
                   therapeutic antibodies.                                                                                within the intermediate
                                                                                                                          filament network (GFP‐CK8
                 • iDD Biotech is actively looking for industrial and/or                                                  labeled in ll ) h
                                                                                                                          l b l d i yellow) whereas
                   financial partners                                                                                     another fraction of this pool
                 • Contact: H. ROUQUETTE(CEO), C. DESROCHES (CSO)                                                         is localized at the external
                                                                                                                          surface of the cell (GFP‐CK8
                   c.vermotdesroches@idd‐biotech.com                                                                      labeled in green and
                                                                                                                          endogeneous CK8 labeled in
                                                                                                                          red)




                                                                                                                                                          27
Maj 25/09/2012
Imaging, Radioimmmunotherapy                               Metastatic Melanoma                                 Preclinical POC Ongoing


              TRT/PET MEL: DEVELOPMENT OF HETEROAROMATIC HALOGENATED MOLECULES FOR EITHER
                 /
         PET OR SPECT IMAGING AND TARGETED RADIONUCLIDE THERAPY OF METASTATIC MELANOMA (€830K)
                                   CONCEPT                                                          MAIN RESULTS
        • Heteroaromatic halogenated molecules for melanin                • Patent on (radio)chemical entities and their (radio)synthesis
          targeting radiolabelled with radioisotopes f PET (18F) or
                          d l b ll d    h d             for         )     • Ongoing synthesis and preclinical evaluation of different
          SPECT (   123I) imaging and for targeted radionuclide therapy
                                                                            candidates
          (131I) of metastatic melanoma.
                                                                                                       PROSPECTS
        • Added Value: To perform (i) an early diagnosis and staging
          of melanoma lesions by combining tracer specificity and         • Pharmacomodulation and structure‐activity relationship
          PET performance and (ii) a targeted radionuclide therapy          studies      in order to optimize metabolic and
          with pre‐validated biodistribution                                pharmacokinetics profiles
                                                                          • Candidate selection for clinical transfer (2013)
                     ACADEMIC/CLINICAL PARTNERS
        • E MIOT‐NOIRAULT, J.M. CHEZAL  (UMR 990 Inserm, 
          Auvergne University)

          PARTNER COMPANY: Cyclopharma Laboratories
        • Specialized European radiopharmaceutical company
          founded in 2000 in Saint‐Beauzire, dedicated to the
          development and production of radiopharmaceuticals for
          nuclear medicine
        • Contact:   Pr    Serge    ASKIENAZY    (Medical          and           One candidate selected : High tumor/background ratio, Early 
                                                                                 and specific PET imaging of  melanoma in mice, Targeted 
          Research Director), www.cyclopharma.fr                                 Radionuclide Therapy after 131 I labeling: under evaluation in 
                                                                                 melanoma bearing mice




                                                                                                                                                   28
                        PREFET DE LA REGION AUVERGNE
Maj
Surgical Device                                  Small Solid Tumors                      Preclinical POC Ongoing


                           DOC CALIPSO: ROBOT
                           DOC CALIPSO RO O NAVIGATION FOR SMALL TUMOR FOC THERAPY (€1 3M)
                                                G O O               O OCAL         (€1.3M)
                                          CONCEPT                                                    MAIN RESULTS
                 • A robot with a tri‐dimensional navigation system guided       • Robot patented (ADEPT)
                   by a patient’s implanted sensor, to position a focal          • Robotic development ongoing: Compatibility success
                   treatment probe for radiofrequence, cryotherapy, high‐          between robot, operating table and instrumentation;
                   intensity focused ultrasound or laser                           neutral stand development ongoing, biocompatible
                 • Added Value: Standardization, 1/10 mm accuracy, respect         sensors identified
                   of adjacent organs less agressive technique
                                organs,                                          • Software development to correlate real time organ images
                                                                                   with RMI images, for probe positioning
                                                                                 • First robotic tests on soft tissues demonstrating the
                           ACADEMIC/CLINICAL PARTNERS                              positioning system accuracy
                 • Pr M. COLOMBEL (Lyon 1 Claude Bernard University,
                   Lyon Civil Hospitals)                                                               PROSPECTS
                                                                                 • Robot preclinical transfer to realize probe implantation
                                                                                   tests in dead organs, in a pig model and in a human body
                             PARTNER COMPANY: ADEPT                              • Preclinical POC expected in 2013
                 • Adept was created in 1983 in the USA, Adept
                     d                d                h             d           • ADEPT is searching for a partner 
                   Technologie France in 1989, with R&D activity localized         to industrialize  Doc Calipso
                   in Annecy                                                       technology
                 • Leader in robot automated systems
                 • Contact: Bruno ADAM, www.adept‐technology.fr




                                                                                                                      DOC CALIPSO robot modeling

                                                                                                                                                   29
Maj 25/09/2012
Imaging/Medical Device                            Liver Cancer and Metastases                      Preclinical POC Ongoing


       HEPATOFLUO: INDOCYANINE GREEN AS A NEAR‐INFRARED FLUORESCENT CONTRAST AGENT AND
                MINI‐CAMERA FLUOBEAM® FOR IMAGE‐GUIDED LIVER SURGERY (€1M)
                             CONCEPT                                                        MAIN RESULTS
      • Per‐operative imaging system, based on Indocyanine            • Instrumentation and imaging method patented (CEA,
        Green ((AMM) as a fl
                       )    fluorescent marker, and a Fluobeam®
                                            k     d    l b     ®        2005, 2006, 2007))
        mini‐camera                                                   • Preclinical POC ongoing: Added value demonstration of
      • Added Value: Improvement of per‐operative quality               Fluobeam® ‐ Indocyanine Green combination (to end in
        imaging for image‐guided liver surgery, in order to             2012)
        identify liver segments and tumorous lesions; technology
        compatible with surgical unit light                                                    PROSPECTS
                                                                      • Imaging camera optimization
                                                                      • Clinical Trial submission and kick‐off (2013) in Léon Bérard 
                  ACADEMIC/CLINICAL PARTNERS                            Cancer Center
      • Dr P. PEYRAT (Léon Bérard Cancer Center, Lyon)


                PARTNER COMPANY: Fluoptics
      • CEA Spin‐off created in Grenoble in 2009: Development
        and marketing of real time i
           d     k i     f    l i     imaging systems to h l
                                          i               help
        human surgery, based on fluorescent probes and a mini‐
        camera
      • Fluoptics raised a capital of €750K and is looking for
        industrial partners and investors
      • Contact: Odile ALLARD (CEO) www fluoptics com
                               (CEO), www.fluoptics.com




                                                                                                                  Fluobeam®

                                                                                                                                        30
Maj
Imaging/Biomolecule                                          Solid Tumors                             Preclinical POC Ongoing


                            NANO ENO: N O C S
                            NANO ENO NANOENCAPSULATED NUCLEAR/OPTICAL IMAGING PROBE (€700K)
                                                        C         C      G G    O

                                         CONCEPT                                                             MAIN RESULTS
                 • Lipidots™, hybrid lipidic nanovector carrying both a               • Lipidots™ patented (CEA, 2007, 2008)
                   nuclear imaging agent (f PET or SPECT imaging) and an
                       l                 (for                     ) d                 • Bi‐modal nanocarrier optimization, physical and chemical
                   optical imaging agent                                                properties characterization, quality control and in vitro tests
                 • Added Value: Lipidots™ are organic, non toxic and                    ongoing
                   biodegradable. The bi‐modality will allow pre‐operative
                   tumor identification and quantification, and per‐  per
                   operative surgery guidance.                                                                 PROSPECTS
                                                                                      • In vivo tests on breast murine cancer and dog models
                                                                                        planned for 2012 and 2013
                            ACADEMIC/CLINICAL PARTNERS                                • Preclinical POC to end in 2013
                 • P BOISSEAU I TEXIER (CEA G
                   P. BOISSEAU, I.            Grenoble), B TAVITIAN (CEA
                                                    bl ) B.
                   Orsay)
                 • F. PONCE (VetAgroSup Veterinary School , Lyon)


                               PARTNER COMPANY:
                      Advanced Accelerator Applications (AAA)
                 • AAA is a European pharmaceutical company set up in
                   2002; its main activity is to develop either therapeutic or
                   imaging molecules f patients’ targeted therapy. Th
                   i   i       l l for           i   ’        d h         The
                   French company is located in Saint‐Genis Pouilly.
                 • Contact: Stefano BUONO (CEO), www.adacap.com




                                                                                                                                                          31
Maj 25/09/2012
Surgical Device                                     Prostate Cancer                              Preclinical POC Ongoing


          UROLINK: A O
          UROLINK AUTOMATIC URETRO‐VESICAL ANASTOMOSIS SYSTEM IN PROSTATE CANCER (€400K)
                          C      O V SC       S O OS S S           OS        C

                               CONCEPT                                                          MAIN RESULTS
      • UroLink is a mini‐invasive device designed to reconstruct        • Device patented
        the bladder neck and reconnect it to the urethra by
                                                                         • Ex vivo feasibility POC on bladder and urethra
        circular suturing (anastomosis) after a radical
        prostatectomy procedure.                                         • Work plan established up to clinical trial
      • Added Value: Needles and bioresorbable wires, potential
        reduction of postoperative side effects (impotence,
        incontinence or stenosis); safe fast and reliable
                                        safe,                                                      PROSPECTS
        procedure, adaptable to robotic surgery                          • Preclinical POC on pig models and device optimization
                                                                         • CE marking procedure
                                                                         • French monocentric Clinical trial submission and kick‐off
                    ACADEMIC/CLINICAL PARTNERS
                                                                           first,
                                                                           first then European multicentric clinical trial to obtain
      • Pr C. CAROZZO (VetAgroSup Veterinary School, Lyon)                 reimbursement.


              PARTNER COMPANY: Anastom Surgical
      •    Anastom Surgical will be created in 2012, to develop
           and bring UroLink on the market , as well as a portfolio
           of circular suturing devices based on the same
           technology.
      •    Contact: Arnold FERLIN (CEO)
                                  (   )




                                                                                     Urethra sound Urolink main tool introduced in
                                                                                             sound, Urolink main tool           in 
                                                                                            urethra to realize anastomosis


                                                                                                                                         32
Maj
CLARA – CANCÉROPÔLE LYON AUVERGNE RHÔNE‐ALPES




                   CLARA’s dynamic network is based on:
                   CLARA’ d         i   t    ki b d
                   • 280 Academic Teams
                   • 80 Clinical Teams
                        Clinical Teams
                   • 60 Innovative Enterprises
                   • 4 University Hospital Centers
                   • 2 Comprehensive Cancer Centers
                   • Centers of Excellence: LYRIC, DEVweCAN, 
                    Carnot Institute CALYM…
                    C      t I tit t CALYM




                                                                33
YOUR CONTACTS AT THE CANCÉROPÔLE CLARA




       •   Laurent LEVY, Finance and Development Director
            •   llevy@canceropole‐clara.com



       •   Ophélie PHILIPOT, Project Manager  Transfer
           Ophélie PHILIPOT, Project Manager “Transfer”
            •   ophilipot@canceropole‐clara.com




      www.canceropole-clara.com

                                                            35
ACKNOWLEDGEMENT TO CLARA PROOF OF CONCEPT PARTNERS

Public Authorities
Public Authorities
 •   European ERDF Funds, INCa, Rhône‐Alpes Region, Rhône Department, Greater Lyon, Isère
     Department, Grenoble Metropole, City of Grenoble, Loire Department, Saint‐Etienne Metropole, 
     Auvergne Region, Puy‐de‐Dôme Department, Clermont Community

Academic and Clinical Centers
 •   University Hospitals: Lyon Civil Hospitals, Grenoble, Saint‐Étienne, Clermont‐Ferrand
 •   Cancer Centers: Léon Bérard Cancer Center, Jean Perrin Center
 •   Research Centers: Lyon Cancer Research Center (CCRL) Alb t B
     R      hC t        L    C        R       h C t (CCRL), Albert Bonniot I tit t NEEL I tit t
                                                                           i t Institute, NEEL Institute
 •   Research Institutions: CEA Grenoble, CNRS, École des Mines of Saint‐Étienne, French Blood Institute, 
     INSA Lyon, INSERM, VetAgroSup
 •   Universities: Claude Bernard Lyon 1, Joseph Fourier in Grenoble, Pierre Mendès France in Grenoble, 
     Auvergne University
     Auvergne University

Companies
 •   AAA, ADEPT, Anastom‐Surgical (Créalys incubator), CAVI‐T (Créalys incubator), CEA, CovalAb, EBV‐
     Biotech, Ecrins Th
     Bi    h E i Therapeutics, Edap TMS E d C
                              i Ed TMS, EndoControl M di l EFS Rhô Al
                                                        l Medical, EFS Rhône‐Alpes, ERYtech Ph
                                                                                     ERY h Pharma, 
     Fluoptics, HLA‐G Technologies, iDD Biotech, ImmunID Technologies, Innate Pharma, Laboratoires
     Cyclopharma, Nanobiotix, Nano‐H, Nestis, Netris Pharma, OncoTherapy Sciences, Synthelis


              Under the aegis of the Léa and Napoléon Bullukian Foundation
                                                                                                             36

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Portfolio CLARA Proof of Concept projects

  • 1. CLARA TRANSFER: FROM RESEARCH TO APPLICATION IN ONCOLOGY A PUBLIC ‐ PRIVATE PARTNERSHIP BETWEEN RESEARCHERS, CLINICIANS AND ENTREPRENEURS
  • 2.
  • 3. CLARA TRANSFER: A UNIQUE PROGRAM TO SUPPORT THE TRANSFER OF CANCER RESEARCH FINDINGS At the critical stage of cancer research when academic financing and expertise become insufficient, CLARA Transfer brings in funding and specialized networks to perform the Proof of Concept studies that will convince partners to proceed with clinical and industrial development. 3
  • 4. SUPORTING PROMISING AND INNOVATIVE PROJECTS TOWARDS INDUSTRIAL AND CLINICAL TRANSFER Clearly Focused Projects • Pre‐clinical and/or clinical Proof of Concept • Industrial and Clinical transfer Industrial  and Clinical transfer Project with Solid Foundations • p yp p Clear and obtainable candidate or prototype to be tested and developed • Established Intellectual Property • Clear transfer and development strategy, led by the partner company Complementary Partners and leadership in CLARA's region • Academic and clinical partners  • Start‐up or Innovative company with a clear development plans in the Region p p y p p g • Open to partners beyond CLARA boarders (funding to be determined) High medical and industrial interest for oncology • Therapeutics, Devices, Diagnostics, Technologies… 4
  • 5. CLARA TRANSFER:  PERSONALIZED ASSISTANCE AND DEVELOPMENT SUPPORT Personalized Significant & Flexible Assistance Financing* Large Dedicated Academic and Industrial Network of Team Senior Clinical Costs Costs Partners & Development Contractors CLARA Industrial Co ac o s Experts Transfer T f Partner P t After Proof of Concept: Aft P f f C t • Pursuit of project by the partner company • Royalties for academic and clinical partners • Commitment from the company to reinvest in CLARA R&D Commitment from the company to reinvest in CLARA R&D * Average budget per project: €1.2M including €600K from the Cancéropôle CLARA 5
  • 6. KEY NUMBERS AND RESULTS OF CLARA TRANSFER CLARA  30 projects supported since 2005  • 20 ongoing projects • 7 successful Proof of Concept projects completed 7 successful Proof of Concept projects Budget: €36M g 10 Advanced Projects 10 Advanced Projects • Public Authorities & European  • 1 on the market ERDF Funds (€11M) • 5 in clinical development • Partnering Companies (€25M) • 4 validated at pre‐clinical 4 validated level 22 Innovative Companies 70+ Partners Involved • 7 Start‐ups • 43 Academics • 7 companies raised €90M p • 7 Clinical Centers 7 Clinical • 1 foreign company subsidiary  • 22 Companies establishment (Japan) 6
  • 7. CLARA TRANSFER:  SEVEN PROOF OF CONCEPT PROJECTS COMPLETED Clinical Proof of Concept: • ViKY, Mini‐Robot for Solid Cancers Laparoscopic Surgery (First success story in 2009) • High‐Intensity Focused Ultrasound Device for the Treatment of Liver Metastases from Colorectal Cancer (Preclinical POC and AFSSAPS agreement in 2009, Clinical phase IIa ongoing) Preclinical Proof of Concept: • Photosensitive Nanoparticles for Glioblastoma Treatment (2009) • Lung Cancer Therapeutic Targeting with TLR3 Receptor Agonists (2009) • Mini‐Invasive Biopsy Tool for Non‐Lesional Cellular and Proteic Footprints of Tumoral Nodes (2010) • Hybrid Nanoprobes as Imaging Agents to Trace Cells in the Course of Cellular Therapy Protocoles in Melanoma (2011) • Fluorescence Imaging Device for Peroperative Detection of Tumor Margins and Metastases in Sarcomas (2012) 7
  • 8. CLARA TRANSFER  ‐ ADVANCED PROOF OF CONCEPT PROJECTS MARKETED OR IN CLINICAL DEVELOPMENT Acronym and Title of  Cancer Types Academic & Clinical Partner  Budget Stage of  See Project Partners Company Develop‐ Page ment ViKY: Light endoscopic robot  Prostate, liver,  ‐ TIMC Lab (CNRS 5525, UJF),  EndoControl 2007‐2009: €425K Marketed 13 for laparoscopic cancer  pancreas, colon,  Grenoble Medical, €212K CLARA (Europe, USA) surgery  lung Grenoble €213K Endocontrol HIFU: High Intensity Focused  Liver metastasis  ‐ LabTAU, Inserm, Lyon EDAP TMS,  2007‐2012: €1.1M Phase IIb 14 Ultrasound device for the  l dd f h from colorectal  f l l ‐ Léon Bérard Cancer Center,  é é d Lyon €535K CLARA ongoing treatment of liver metastases  cancer Experimental Surgery Institute,  €565K EDAP TMS from colorectal cancer  Inserm, Lyon Lymphos'1: Low T‐Cell Metastatic Breast  ‐Cancer Research Center, Lyon ImmunID 2008‐2012: €850K Clinical 15 Receptors Diversity (Divpenia)  p y( p ) and Lung   g ‐Léon Bérard Cancer Center,  , Technologies,  g , €425K CLARA €425K CLARA p p prospective  Combined with Lymphopenia cancers Lyon Grenoble €425K ImmunID studies ongoing predicts poor Overall Survival  in Metastatic Breast Cancer  Patients Synfrizz: Innovative R di S fi I ti Radio‐ Synovialo‐ S i l ‐ Lé Bé d C Léon Bérard Cancer Center, C t OncoTherapy O Th 2010‐2014: €6.3M 2010 2014 €6 3M Clinical h Cli i l phase I  I 16 immunotherapy for synovialo‐ sarcoma Lyon Science, Lyon €751K CLARA ongoing sarcoma treatment, targeting €5.6M OncoTherapy FZD10 functionnal and specific Science antigen Enki‐HEH: New endoscopic Superficial ‐ Lyon University Hospital NESTIS, Lyon 2011‐2012: €350K Clinical phase I  17 resection device for  colorectal, gastric (HCL) €140K CLARA ongoing superficial colorectal, gastric and esophageal €206K NESTIS and esophageal neoplasms neoplasms GeniusVac‐Mel4: Therapeutic GeniusVac Mel4: Therapeutic Melanoma ‐ Joseph Fourier University Joseph Fourier University,  French  French 2011‐2015: €1.7M 2011 2015: €1 7M Clinical Trial Trial  18 vaccine  based on dendritic French National Blood Service,  National Blood  €698K CLARA Authorization cells to treat metastatic INSERM, University Hospital Service (EFS),  €1M EFS Application  melanoma Center, Grenoble Grenoble ongoing 8
  • 9. CLARA TRANSFER ‐ COMPLETED PRECLINICAL PROOF OF CONCEPT PROJECTS TO BE TRANSLATED INTO CLINICAL TRIALS Acronym and Title of  Cancer Types Academic & Clinical Partner  Budget Stage of  See Project Partners Company Develop‐ Page ment GanglioTool: Mini‐invasive  Lymphoma,  ‐ CEA/LETI, Grenoble CEA, Grenoble 2008‐2010: €380K ‐ Preclinical POC 9 biopsy tool for non lesional Metastatic  ‐ CEA/Clinatec, Grenoble  €250 K CLARA completed cellular and proteic footprint mediastinal teaching hospital, GIN €130K CEA ‐ Clinical trial  of  tumoral nodes nodes ‐ Lyon Civil Hospitals dossier in  ‐ Saint‐Etienne University  development d l Hospital Claraft: Fluorescence imaging Sarcoma ‐ Léon Bérard Cancer  Fluoptics,  2010‐2012: 1M€ ‐ Preclinical POC  20 device for peroperative Center, Lyon Grenoble €508K CLARA completed detect o o tu o a g s detection of tumor margins ‐Albert Bonniot Institute,  be t o ot st tute, €510K Fluoptics €510K Fluoptics ‐ Clinical trial  C ca t a and metastases in sarcomas Inserm, Joseph Fourier  dossier in  University, Grenoble development ‐Veterinary School VetAgroSup, Lyon NSH: Hybrid nanoprobes as  NSH H b id b Melanoma M l ‐L Lyon Civil Hospitals, UCBL Ci il H it l UCBL Nano‐H, Saint‐ N H S i t 2007‐2011: €615K 2007 2011 €615K Preclinical POC  P li i l POC 21 imaging agents to trace cells  Quentin  €307K CLARA completed in the course of cellular  Fallavier €308K Nano‐H therapy protocoles in  melanoma  9
  • 10. CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS THERAPEUTIC MOLECULES Acronym and Title of  Cancer Academic & Clinical Partner  Budget Stage of  See Project Types Partners Company Develop‐ Page ment CANCERDRUG: Preclinical Vascularized solid ‐ Grenoble Neurosciences  Ecrins 2010‐2012: €1M Preclinical POC  22 validation of a novel vascular tumors Institute, Inserm, University of  Therapeutics, €628K CLARA ongoing disrupting agent (VDA) targeting Grenoble Grenoble €407K Ecrins  PP1  ‐ Curie Institute, Paris Therapeutics IPROMAH: Humanized therapeutic  Non‐hodgkin's Lyon Civil Hospitals, Lyon  iDD Biotech,  2009‐2012: €1M Preclinical POC  23 monoclonal antibodies against CD5  lymphomas  University, Lyon Cancer  Dardilly €354K CLARA ongoing and CD19 for non‐hodgkin's Research Center €646K IDD Biotech lymphomas LANTHARAD: Targeted hybrid  LANTHARAD: Targeted hybrid Melanoma,  Melanoma ‐ Lyon Civil Hospitals UCBL Lyon Civil Hospitals, UCBL,  Nano‐H, Nano‐H Saint‐ 2009‐2012: €615K Preclinical POC POC  24 radiosensitizer nanoparticles for  Chondro‐ LPCML, Lyon Quentin  €404K CLARA ongoing radiotherapy of melanoma and  sarcoma, Head  ‐ Inserm U990, Clermont‐ Fallavier €211K Nano‐H chondrosarcoma and Neck,  Ferrand Gliosarcoma LIPOBAK: Bak protein LIPOBAK: Bak protein associated Glioblastoma ‐TheRex Laboratory Joseph TheRex Laboratory, Joseph  Synthélis, Synthélis 2010‐2013: €430K 2010 2013: €430K Preclinical POC POC  25 proteoliposomes for glioblastoma Fourier University (UJF),  Grenoble €228K CLARA ongoing treatment Grenoble €206K Synthélis ‐ Neurobiology and Transgenesis Laboratory, Angers 10
  • 11. CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS THERAPEUTIC MOLECULES Acronym and Title of  Cancer Academic & Clinical Partner  Budget Stage of  See Project Types Partners Company Develop‐ Page ment NETRIS: Drug candidates based on  Lung, Metastatic  Lyon Cancer Research Center,  Netris Pharma,  2008‐2012: €1.6M Preclinical POC  26 Dependence Receptors concept  breast cancer Léon Bérard Cancer Center, Lyon Lyon €800K CLARA ongoing inhibiting Netrin‐1/DCC‐UNC5 in  €800K Netris Pharma lung cancer and NT‐3/TrkC in  metastatic breast cancer metastatic breast cancer THERA 8: Targeting cell surface  Colo‐rectal  Lyon Cancer Research Center  IDD biotech,  2011‐2014: € 713K Preclinical POC  27 CK8 for the development of  cancer (CCR) (CRCL) Dardilly € 354K CLARA ongoing therapeutic antibodies for  € 359K IDD biotech colorectal cancers TRT/PETMEL: Development of  Metastatic  UMR 990 Inserm, Auvergne  Cyclopharma 2009‐2013: €830K Preclinical POC  28 heteroaromatic halogenated  melanoma University, Clermont‐Ferrand Laboratories,  €416K CLARA ongoing molecules for either PET or SPECT  Clermont‐ €414K Cyclopharma imaging and Targeted Radionuclide  Ferrand Therapy of metastatic melanoma  Therapy of metastatic melanoma 11
  • 12. CLARA TRANSFER ‐ ONGOING PRECLINICAL PROOF OF CONCEPT PROJECTS SURGICAL DEVICES Acronym and Title of  Cancer Types Academic & Clinical Partner  Budget Stage of  See Project Partners Company Develop‐ Page ment Doc Calipso: Robot navigation for  Small solid tumors ‐ Lyon 1 Claude Bernard  ADEPT, Annecy 2010 to 2013: €1.3M Preclinical POC  29 small tumor focal therapy University, Lyon Civil Hospitals €627K CLARA ongoing €629K ADEPT Hépatofluo: Indocyanine Green  Liver cancer and  ‐ Léon Bérard Cancer Center, Fluoptics,  2011‐2014: €1M Preclinical POC  30 as a near‐infrared fluorescent  metastases Lyon Grenoble €498K CLARA ongoing contrast agent and mini‐camera  €498K Fluoptics Fluobeam® for image‐guided liver surgery Nano Eno: Nanoencapsulated Solid tumors ‐ CEA, Grenoble & Orsay Advanced  2010‐2013: €700K Preclinical POC  31 nuclear/optical imaging probe  ‐ Veterinary School Accelerator  €426K CLARA ongoing VetAgroSup, Lyon Applications  €269K AAA (AAA), Saint‐ Genis Pouilly Uroclip: Automatic uretro‐vesical Prostate cancer ‐ Veterinary School Anastom Surgical, 2011‐2013: €400K Preclinical POC  32 anastomosis system in prostate  VetAgroSup, Lyon Lyon €278K CLARA ongoing cancer  €118K Anastom‐ Surgical 12
  • 13. Surgical Device Prostate, Liver, Pancreas, Colon, Lung… Clinical POC  Completed Marketed (USA, Europe) VIKY: ENDOSCOPIC ROBOT FOR LAPAROSCOPIC CANCER SURGERY (€ 2 ) (€425K) CONCEPT MAIN RESULTS • A light and intelligent robotic endoscope holder for • 3 patents laparoscopic surgery, with either voice or foot control • European CE mark and AFSSAPS agreement (2009) by surgeon • Clinical validation in 300 laparoscopic surgical procedures, • Added Value: Light, easy, low cost; reduces personnel including complex cancer surgeries (prostate, liver, needs, freeing staff for alternative operating room pancreas, colon, lung…), proved that ViKY is at least as tasks and reducing the need for personnel allowing personnel, secure and efficient as human surgeon assistants with a one of them to perform other tasks in the operating positive influence on the quality of the surgery. room ACADEMIC/CLINICAL PARTNERS PROSPECTS • Further collaboration and development of new innovative p • J TROCCAZ TIMC Lab (CNRS 5525 UJF Grenoble) J. TROCCAZ, TIMC Lab (CNRS 5525, UJF, Grenoble) solutions for robotic laparoscopic surgery • 4 clinical cancer centers • Commercialization at the international level PARTNER COMPANY: EndoControl Medical • Spin‐off of the TIMC Lab, founded in 2006 in Grenoble to design, develop and commercialize innovative robotic solutions for laparoscopic surgery • EndoControl raised €4M equity and is marketing its products in the USA and Europe • Contact: Clément VIDAL (CEO),  www.endocontrol‐medical.com 13 Maj
  • 14. Surgical Device Liver Metastasis from Colorectal Cancer Clinical POC Ongoing HIFU: HIGH‐INTENSITY FOCUSED ULTRASOUND DEVICE FOR THE TREATMENT OF LIVER METASTASES FROM COLORECTAL CANCER (€1,1 M) CONCEPT MAIN RESULTS • A High‐Intensity Focused Ultrasound (HIFU) device for the • Patented technology (Inserm‐Edap, 2005) treatment of non resectable liver metastases as a non‐resectable • Preclinical proof of concept with CLARA support ( l l f f h (2007‐ complementary treatment to surgery 2009) • Added Value: 10 to 20% of patients are suitable for curative • Ethical committee and AFSSAPS agreement to start clinical surgery. HIFU may be used as a complementary tool to studies (2009) surgery in order to increase the rate of treatment performed with a curative intent intent. • Safety and feasibility validated in a Phase I/IIa clinical y y / study on 15 patients (2010‐2011) HIFU advantages: Treatment is non‐invasive for the liver, independent from hepatic blood flow (allowing the PROSPECTS treatment of metastases that are currently unresectable), rapid and without limit in terms of size. Real‐time • Phase IIb efficacy clinical study ongoing on 20 patients with ultrasound imaging is used during treatment and offers a CLARA support (2012) reliable visualization of the therapeutic intervention. • Multicenter clinical trials, CE approval • Ongoing developments: application to pancreatic ACADEMIC/CLINICAL PARTNERS tumors, liver resection assisted by HIFU and • D. MELODELIMA, J‐Y. CHAPELON, (Lab of Therapeutic extracorporeal treatment p Applications of Ultrasound, INSERM & UCBL1, Lyon) • Pr M. RIVOIRE (Léon Bérard Cancer Center, Experimental Surgery Institute, Inserm, Lyon) PARTNER COMPANY: EDAP TMS PARTNER COMPANY: EDAP TMS • Leader of therapeutic ultrasound, founded in 1979 in Lyon (Nasdaq : EDAP) • Contact : Emmanuel BLANC (CTO), www.edap‐tms.com 14 Maj
  • 15. Immuno‐Monitoring Metastatic Breast and Lung  Cancers Clinical POC Ongoing LYMPHOS1: Low TCR Diversity (Divpenia) Combined with Lymphopenia predicts poor Overall  y( p ) y p p p p Survival in Metastatic Breast Cancer Patients (€850 K) CONCEPT MAIN RESULTS 14/04/12 • The “Number & Diversity of Lymphocytes" (NDL) score • Patented technology (CEA, ImmunID Technologies, Léon based on combined measurement of lymphocyte count and Bérard Cancer C Bé d C Center)) immune TCR diversity measured by the ImmunTraCkeR platform to detect immuno‐deficiency in patients with • Lymphopenia or Lympho‐divpenia (NDL score 1) patients either metastatic breast or lung cancer undergoing have poor overall survival in metastatic Breast Cancer chemotherapy cases • Added Value: Lymphopenia is observed in 20% of untreated metastatic b t t ti breast cancer patients and i associated with an t ti t d is i t d ith • Patients cohorts can be stratified to adapt chemical increased risk of early death partly due to chemotherapy treatments like Avastin, Taxol or Taxoter immunotoxicity: this test will allow the selection of patients to adapt their treatment; it will also allow the development PROSPECTS of innovation in immunotherapy and targeted therapies. • Prospective validation studies ongoing for metastatic Breast and Lung Cancer Patients (2012) g ( ) • Clinical Assay Elypse 7 to measure the efficiency of IL7 ACADEMIC/CLINICAL PARTNERS treatment in metastatic breast cancer patients • Pr J‐Y. BLAY (Léon Bérard Cancer Center, Lyon) • C. CAUX, Ch. CAUX (Lyon Cancer Research Center) PARTNER COMPANY: ImmunID Technologies cyte count • Emerging diagnostic company founded in 2005 as a spin‐off Low Risk of the CEA, specialized in combinatorial immune repertoire ga/L) analysis (services and kit commercialization) y ( ) (Gig Lymphoc • ImmunID Technologies raised €6M from public and venture capital sources, and is searching for new public and/or private partners High Risk • Contact: Nicolas PASQUAL (CEO), www.immunid.com hTRB VJ combinatorial bi t i l diversity (%) 15 Maj
  • 16. Radio‐Immunotherapy Synovialo‐Sarcoma Clinical POC Ongoing SYNFRIZZ: INNOVATIVE RADIO‐IMMUNOTHERAPY FOR SYNOVIALO‐SARCOMA TREATMENT TARGETING FZD10, A TUMOR SPECIFIC ANTIGEN (€6.3M) màj 04.07.12 CONCEPT MAIN RESULTS • GMP‐antibody and radiolabeling process patented (OTS) • Radio‐immunotherapy using a “first in man/first in class” • Preclinical POC achieved (OTS) humanized monoclonal antibody targeting a tumor • Antibody production process and radiolabeling validated specific antigen, Frizzled‐10 (FZD10), radiolabeled with 90 • A first‐in‐man, first‐in‐class, randomized phase I open‐label, Ytrium two‐step, multicenter clinical trial authorized by AFSSAPS in October 2011 • Added Value: Orphan disease with no efficient systemic • Trial kick‐off in Léon Bérard Cancer Center and first patient treatment in late stage cases inclusion in January 2012 • 4 patients recruited (June 2012) ACADEMIC/CLINICAL PARTNERS PROSPECTS • Pr J‐Y. BLAY, Dr D. PEROL, Dr P. CASSIER, Dr I. RAY‐COQUARD  • Phase I clinical trial extension to Bordeaux (Institut (Léon Bérard Cancer Center, Lyon) Bergonié) and Villejuif (Gustave Roussy Institute) Cancer Centers • Phase II clinical trial protocol design to start in 2014 PARTNER COMPANY: OncoTherapy Science (OTS) • The approach will be extended to other indications: • J Japanese bi biotech which set up a F h hi h French R&D subsidiary h b idi Gastric and colorectal cancers company in Lyon, in 2010 • Contact: Simon BACONNIER (CSO, OTS France), www.oncotherapy.co.jp/eng/ 16 Maj
  • 17. Colorectal, gastric and esophageal  Medical Device Clinical POC Ongoing cancers ENKI‐HEH: NEW ENDOSCOPIC RESECTION DEVICE FOR SUPERFICIAL COLORECTAL, GASTRIC AND , ESOPHAGEAL NEOPLASMS (€350K) CONCEPT MAIN RESULTS • High pressure pulsed water jet system for endoscopic • Patent (Nestis, 2010) submucosal resection b l • CE Mark (September 2011) • Added Value: Easy to use, faster, low risk of perforation, • Preclinical Proof of concept validated on pigs’ colon (2012) not reserved to expert surgeons • ANSM agreement (April 2012) • Clinical Proof of Concept on colorectal, esophageal and  stomachal cancers (ongoing since June 2012) ACADEMIC / CLINICAL PARTNERS • Pr. T.  PONCHON (Lyon Civil Hospitals) PROSPECTS • FDA agreement (2012) • Multicentric clinical study (Paris and Marseille) DEVELOPMENT PARTNER: Nestis • Establishment of Reference Centers in Europe for the use of  • Created in 2010 (Lyon) Enki HEH technology in tumor resections • Develop and market high pressure pulsed water jet resection device • Contact: Dr. Christian PINSET (President) Enki II device for endoscopic Enki‐II device used for endoscopic submucosal resection 17 Maj 25/09/2012
  • 18. Cell Therapy Vaccine Melanoma Clinical POC Scheduled GENIUSVAC‐MEL4: THERAPEUTIC VACCINE BASED ON DENDRITIC CELLS TO TREAT METASTATIC MELANOMA (€1.7M) CONCEPT MAIN RESULTS • Innovative therapeutic vaccine based on allogeneic • Cell lines, methods patented (EFS) plasmacytoïd d d i i cells l d d with 4 melanoma l ïd dendritic ll loaded i h l • Preclinical POC achieved in 2010, in “humanized” murine peptides (MelanA, Gp100, Tyr and Mage‐3) model and ex vivo with patients immune cells • Added Value: Allogeneic approach, one cell line for • Ethical Committee agreement December 9, 2011 for clinical several patients, simple scaling‐up, low cost production, trials easy access treatment • Cli i l work plan and IMPD d i d i collaboration with Clinical k l d designed in ll b ti ith CLARA experts to obtain AFSSAPS approval for phase I clinical ACADEMIC/CLINICAL PARTNERS trial (2012) • J. PLUMAS (UJF‐EFS‐INSERM U823, Grenoble) • GMP production of melanoma peptides • Pr. M‐T. LECCIA and Pr. J‐L BOSSON (University Hospital M T. JL Center, Grenoble) PROSPECTS • GMP production of a Master Cell Bank (2012) PARTNER COMPANY: • Phase I clinical trial: Kick‐off in 2012, to end in 2015 French National Blood Service (EFS) ( ) • POC in other therapeutic applications: Lung cancer, chronic • EFS main activity is blood transfusion. In France, EFS is the  viral pathologies such as Hepatitis B, virus‐induced cancer leading supplier for human tissues and cells such as HPV+ cervical cancer … • Involvement of the Cell Therapy Unit in Saint‐Ismier (near Grenoble) • Contact: Joël PLUMAS (Project Manager) or Laurence LE  TEXIER (TTO Director), www.dondusang.net 18 Maj
  • 19. Diagnostic Device Lymphoma  Preclinical POC Completed Metastatic Mediastinal Nodes GANGLIOTOOL: MINI‐INVASIVE BIOPSY TOOL FOR NON‐LESIONAL CELLULAR AND PROTEIC FOOTPRINT OF TUMORAL NODES (€380K) CONCEPT MAIN RESULTS • A sampling device consisting of a hollow biopsy guide • 6 patents (CEA, Inserm, UJF) with a lateral opening and a silicon chip with micro micro‐ • Ex vivo validation on extracted human nodes structures (pillars) with chemical surface modifications, capturing biological molecules and cells after apposition • High quality validation of recovered micro samples by on a tissue (fingerprint). cytological techniques • Added Value: Quantitative and qualitative improvements • No toxicity of the modified surface detected in vitro of sampling and increase of patients comfort during PROSPECTS diagnosis and therapeutic monitoring of malignancies, • Clinical proof of concept with a multicentric clinical trial on particularly for lymphoma, metastatic mediastinal nodes glioblastoma patients as of 2012 (Pr F. Berger, CEA/Clinatec) and tissue areas difficult to explore. • Developments for other tumor locations (such as sarcoma, ACADEMIC/CLINICAL PARTNERS / lung, li ) peri‐tumor tissues, neurodegenerative b i l liver), i i d i brain, • M‐L. COSNIER (CEA/LETI, Grenoble) endoscopy, intravascular explorations… • Pr F. BERGER (CEA/Clinatec, Grenoble University Hospital, • Diversification and extension of the technology may support GIN), Pr G. SALLES (Lyon Civil Hospitals), Pr M. COTTIER, Pr the creation of a start‐up. J.M. J M VERGNON and P O TIFFET (S i t Eti d Pr O. (Saint‐Etienne U i University it Hospital) PARTNER COMPANY: CEA‐Leti • CEA Laboratory based in Grenoble (MINATEC®) and y ( ) dedicated to applied research and transfer for health • Contact: Raymond CAMPAGNOLO (Program Manager) www.leti.fr and Pr François BERGER (CLINATEC, GIN) 19 Maj
  • 20. Imaging/Medical Device Sarcoma Preclinical POC Completed CLARAFT: FLUORESCENCE IMAGING DEVICE FOR PEROPERATIVE DETECTION OF TUMOR MARGINS AND METASTASIS IN SARCOMAS (€1M) CONCEPT MAIN RESULTS • A system to guide surgeons, combining a fluorescent • Instrumentation, imaging method (CEA, 2005, 2006, 2007) probe targeting αvβ3 integrins ( b β (AngioStamp®) and a near ®) d and probe patented (Inserm/CNRS/UJF 2007) d b d IR camera, for tumor margins and metastases • Detection with millimeter accuracy of tumor margins and peroperative detection lung metastases on rat osteosarcoma model and feline fibro • Added Value: Technology compatible with surgical unit sarcoma, preGMP probe regulatory toxicology harmlessness light, biodistribution specificity in a cats. ACADEMIC/CLINICAL PARTNERS PROSPECTS • A. DUTOUR (Léon Bérard Cancer Center, Lyon) • Multicentric Phase I/II clinical assay kick‐off (2012)  • J L COLL (Alb t B J‐L. (Albert Bonniot I tit t I i t Institute, Inserm, J Joseph h Fourier University, Grenoble) • Pr C. CAROZZO (VetAgroSup Veterinary School, Lyon) PARTNER COMPANY: Fluoptics PARTNER COMPANY Fl i • CEA spin‐off created in 2009 in Grenoble: Development and marketing of real time imaging systems to help human surgery, based on fluorescent probes and a mini camera • Fluoptics raised a capital of €750K and is searching for €750K, industrial partners and/or investors. Fluoptics© • Contact: Odile ALLARD (CEO), www.fluoptics.com Near InfraRed camera developed by Fluoptics 20 Maj 25/09/2012
  • 21. In vivo Imaging, Cell Therapy Melanoma Preclinical POC Completed NSH: HYBRID NANOPROBES AS IMAGING AGENTS TO TRACE CELLS IN THE COURSE OF CELLULAR THERAPY PROTOCOLS IN MELANOMA (€615K) CONCEPT MAIN RESULTS • Hybrid nanoparticles consisting of a magnetic core of • No functional alterations of labeled cells observed in vitro lanthanide o ide coated b a pol silo ane shell as contrast oxide by polysiloxane and in vivo agents to label cells for MRI tracing during cellular therapy • In vivo detection and quantification with MR imaging of protocols labeled cells in vivo after intraperitoneal and intravenous • Added Value: To help assess cell therapy protocols that injection (mouse) are rapidly developing in oncology but often show p y p g gy • Capacity to produce nanoparticles of homogeneous size disappointing clinical results; to help especially in the choice of the administration route. PROSPECTS • Clinical POC to be performed ACADEMIC/CLINICAL COORDINATOR / • Relevant for different cell therapy protocols and more extensively biotherapy (preventive and therapeutic • Dr C. BILLOTEY (Lyon Civil Hospitals, UCBL) vaccines, transplantation...) DEVELOPMENT PARTNER: Nano‐H • N Nanobiotech company f bi h founded i 2004 as a spin‐off of d d in i ff f Lyon University to adapt, produce and commercialize hybrid nanoparticles • The project may finally be transferred to a company involved in the therapeutic market t b f th i l d i th th ti k t to be further developed in collaboration with Nano‐H. • Contact: Cédric LOUIS (CEO), www.nano‐h.com Magnetic Resonance Imaging allows to detect in vivo within the spleen of a mouse (arrow) the labeled cells (right box) 24 hours after its intravenous injection 21 Maj
  • 22. Small Chemical Molecule Vascular Solid Tumors Preclinical POC Ongoing CANCERDRUG : PRECLINICAL VALIDATION OF A NOVEL VASCULAR DISRUPTING AGENT (VDA)  ( ) TARGETING PP1 – PROTEIN PHOSPHATASE 1 (€1M) CONCEPT   MAIN RESULTS • Development of D5 , a new chemical entity with VDA and • D5 series patented (University of Grenoble, Curie anti‐mitotic anti mitotic properties Institute, CNRS, Institute CNRS 2010) • Added Value: D5 specifically targets PP1, is active per os • Preclinical and clinical development planned (with the and shows a good toxicology profile; contrary to most help of CLARA experts) VDAs under development, D5 does not target tubulin and • Various human cancers evaluated in xenograft models to is likely to be better tolerated by patients. identify those most sensitive to D5 (kidney, lung and thyroïd); D5 compared to the best‐in‐class reference VDA (CA4P); NMR allowed to predict/monitor D5 efficacy on blood flow in tumors; different administration schedules ACADEMIC/CLINICAL PARTNERS (iv, ip, per os) evaluated; unique dorsal chamber in vivo model used to visualize/evaluate antivascular effects of • C.REMY, B. VAN DER SANDEN, F. BERGER (Grenoble D5 and its analogues Neurosciences Institute, Inserm, University of Grenoble ) , , y • Curie Institute, UMR176, Grenoble PROSPECTS • Regulatory toxicology and Phase I clinical trial (2013) PARTNER COMPANY: Ecrins Therapeutics • Biotech company, spin‐off of Grenoble Neurosciences Institute, created in Grenoble in 2010. Ecrins Therapeutics is a drug discovery company, which develops a pipeline of chemical anti‐cancer drugs. Ecrins Therapeutics has an exclusive licence on the D5 patent from the University of Grenoble • Ecrins Therapeutics is looking for industrial partners or investors (€3M in 2012) Tumoral necrosis after D5 treatment • Contact: Andrei POPOV (CEO),www.ecrins‐therapeutics.com 22 Maj
  • 23. Therapeutic MAb L.ymphomas Preclinical POC Ongoing IPROMAH: IN VIVO PROOF OF CONCEPT OF HUMANIZED THERAPEUTIC MONOCLONAL ANTIBODIES FOR NON‐HODGKIN’S LYMPHOMA AGAINST CD19 OR AGAINST CD5 (€1M) CONCEPT MAIN RESULTS • In vivo Proof of concept of humanized monoclonal • CD19: 2 patents, murine MAb selection and humanization, antibodies targeting CD19 or CD5 for Non Hodgkin’s Hodgkin s generation of humanized afucosylated anti CD19 MAb in anti‐CD19 MAb, Lymphoma in association with chemotherapy vitro MAb potency (CDC, ADCC, PCD) PK/PD, preliminary • Added Value #1 : Development of “best in class” anti‐CD19 toxicity, in vivo mouse model efficacy in Rituxan refractory MAb as an alternative to Rituxan relapse or refractory human lymphoma, bioprocess for industrial bioproduction treatment • CD5: Murine MAb selection and humanization, in vitro MAb • Added Value #2 : Development of anti‐CD5 MAb as an potency, in vivo mouse model available alternative to adverse effects Alemtuzumab (CD52) PROSPECTS ACADEMIC / CLINICAL PARTNER • CD19 target: Completion of preclinical efficacy evaluation in • Pr C. DUMONTET (Lyon Civil Hospitals, Lyon University, mono‐ mono and combino therapy in 2012 in vivo POC related to combino‐therapy 2012, Lyon Cancer Research Center) autoimmune diseases, USP and DSP development • CD5 target: in vivo POC to be completed in 2012 PARTNER COMPANY: IDD Biotech • iDD biotech is dedicated to the discovery and Anti CD19 MAb Efficacy in Rituximab Refractory Tumor Mouse  development of therapeutic monoclonal antibodies (MAb) d l f h i l l ib di Model  Model 4000 for the treatment of cancer, autoimmune diseases, 3500 Untreated inflammation or neurological disorders. Rituximab olume (mm3) 3000 • With its proprietary hybridoma library and following MAb 2500 Anti CD19 MAb engineering, iDD biotech develops the next generation of 2000 Tumor Vo therapeutic antibodies. h i ib di 1500 • iDD Biotech is actively looking for industrial and/or 1000 financial partners 500 IP injection (D26 D33 D40 0 • Contact : H. ROUQUETTE(CEO), C. DESROCHES (CSO)  26 36 46 c.vermotdesroches@idd biotech.com c.vermotdesroches@idd‐biotech.com Number of days 23 Maj 25/09/2012
  • 24. Melanoma, Chondrosarcoma,  Nanoparticles for Radiotherapy Preclinical POC Ongoing Head and Neck, Gliosarcoma , LANTHARAD: TARGETED HYBRID RADIOSENSITIZER NANOPARTICLES FOR RADIOTHERAPY OF MELANOMA AND CHONDROSARCOMA (€615K) CONCEPT MAIN RESULTS • Solid hybrid nanoparticles based on rare‐earth such as • Favorable biodistribution after iv injection of nanoparticles Gadolinium, which specifically accumulates in tumors with renal elimination and no liver or lung accumulation after direct intra‐tumoral administration or • In vitro and in vivo radiosensitizing effect on human intravenous administration, by either passive or active radioresistant head and neck (SQ20B) xenograft model after direct intra‐tumoral injection of nanoparticles targeting properties (specific vectors), and which amplify the effect of radiation (radiosensitizer). p y ( ) • In vivo radiosensitizing effect (increase survival) in an orthotopic i l t d model of murine gliosarcoma after i th t i implanted d l f i li ft iv • Added Value: Treatment of radioresistant tumors and injection preservation of surrounding normal tissue • Specific chondrosarcoma targeting after iv injection of functionalized nanoparticles ACADEMIC / CLINICAL PARTNERS • P M JANIER (L Pr M. (Lyon Ci il H i l LPCML) Civil Hospitals, PROSPECTS • Pr C. RODRIGUEZ‐LAFRASSE (Lyon Civil Hospitals, • Clinical proof of concept of radiosensitizer nanoparticles on UCBL), Pr J.M. CHEZAL (Inserm U990, Clermont‐ head and neck radioresistant patients upon intra‐tumoral Ferrand), Pr O. TILLEMENT (LPCML, Lyon) direct administration • Preclinical proof of concept of radiosensitizer targeting PARTNER COMPANY: Nano‐H nanoparticles on a mouse chondrosarcoma model • Nanobiotech company founded in 2004 as a spin‐off of Lyon University to adapt, produce and commercialize hybrid nanoparticles • The project may finally be transferred to a new or an In vivo proteoglycanes targeting with vectorized nanoparticles, in  existing company to be further developed. an orthotopic chondrosarcoma • Contact: Cédric LOUIS (CEO), www.nano‐h.com rat model 24 Maj
  • 25. Therapeutic Biomolecule Glioblastoma Preclinical POC Ongoing LIPOBAK: B LIPOBAK BAK PROTEIN‐ASSOC O ASSOCIATED PROTEOLIPOSOMES FOR GLIOBLASTOMA TREATMENT (€430K) O O OSO S O O S O CONCEPT MAIN RESULTS • LipoBak is a lipidic vector that includes a therapeutic • Production process, products and applications patented protein (Bak) and a glioblastoma targeting peptide. (J‐L. LENORMAND, UJF, 2007). Targeting peptide • Added Value: Strong apoptotic effect, specific tumor patented (Angers and McGill Universities, 2004) targeting, no toxicity observed, versatile technology • Large‐scale production of membrane proteins, optimized liposomal composition, innovative grafting of homing peptide, peptide preliminary results of efficacy demonstrated in ACADEMIC/CLINICAL PARTNERS vitro and in vivo on glioblastoma models • Pr J‐L. LENORMAND (TheRex Laboratory, Joseph Fourier University (UJF), Grenoble) PROSPECTS • Pr J. EYER (Neurobiology and Transgenesis Laboratory, • In vivo tests on xenograft murine brain In vivo tests on xenograft murine brain tumor model Angers) • Non‐regulatory preclinical POC to be achieved in 2013 PARTNER COMPANY: Synthélis • Grenoble based start‐up created in 2010, specialized in membrane protein production • Selection for the Franco‐American NETVA program (New England Technology Venture Accelerator) to develop Synthelis activity in the USA. • Fund raising planned in 2012 to scale‐up the production process to GMP grade • Contact: Bruno TILLIER (CEO), www.synthelis.fr Bak protein‐associated proteoliposome (Bak is represented in red) 25 Maj
  • 26. Anticancer Drug Candidates Primary Lung, Metastatic Breast Cancer Preclinical POC Ongoing NETRIS: DRUG CANDIDATES BASED ON DEPENDENCE RECEPTORS CONCEPT INHIBITING NETRIN‐1/  / DCC‐UNC5 IN LUNG CANCER (€810K) AND NT‐3/TRKC IN METASTATIC BREAST CANCER (€800K) CONCEPT MAIN RESULTS • Drug candidates that trigger apoptosis targeting Netrin‐ • 2 patents, others in progress 1/DCC‐UNC5 in lung cancer and NT‐3/TrkC interaction in • Ongoing development of several types of molecules metastatic breast cancer. showing promising preliminary results in terms of anti‐ • Added Value: A new class of anticancer drugs based on a tumoral effect, toxicity and pharmacodynamics‐ dependence receptor concept discovered by Pr P. MEHLEN pharmacokinetic parameters in animal models (Lyon Cancer Research Center) Autocrine over‐expression Center). over expression of ligands of dependence receptors is found in several PROSPECTS cancers and plays an important role in the control of • Preclinical proof of concept of 2 drug candidates (2012) tumoral development. • Other potential cancer indications: Prostate, liver, pancreas, colon, brain… ACADEMIC / CLINICAL PARTNERS Autocrine production of Netrin-1 • P. MEHLEN, J.G. DELCROS and S. TAUSZIG‐DELAMASURE (Lyon Cancer Research Center, Léon Bérard Cancer Center, Lyon) PARTNER COMPANY: Netris Pharma • Spin‐off of Pr MEHLEN’s Laboratory (Lyon Cancer Research Center) founded in 2008 to develop therapeutic candidates targeting dependence receptor in cancer • Netris is searching for industrial and/or financial partners Negative signaling APOPTOSIS • Contact: Agnès BERNET (CEO) and Pascale NONY (COO), Positive signaling proliferation, migration, survival www.netrispharma.com 26 Maj
  • 27. Therapeutic MAb Colorectal cancer Preclinical POC Ongoing THERA 8: TARGETING CELL SURFACE CK8 FOR THE DEVELOPMENT OF THERAPEUTIC ANTIBODIES FOR COLORECTAL CANCERS (€ 713K) MAIN RESULTS CONCEPT • PCT Patent on the utilization of proprietary antibodies • Humanized monoclonal antibody targeting CK8 to reduce targeting CK8 to treat invasive and/or metastatic CRC / dissemination of colorectal cancers (CRC) cells (WO/2010/136536) • Added Value: therapeutic MAb dedicated to the reduction • Encouraging preliminary in vivo data on the efficacy of of the invasiveness of CRC cells combined with other mouse anti‐CK8 MAb existing anti‐cancer treatments g • Ongoing humanization of proprietary anti CK8 and anti‐CK8 generation of new proprietary anti‐CK8 with several ACADEMIC/CLINICAL PARTNERS immunization methods • JJ DIAZ, MA ALBARET(Lyon Cancer Research Center(CRCL)) PROSPECTS • Preclinical proof of concept of the anti‐invasive and/or anti‐ metastatic properties of the anti‐CK8 Mabs in mouse PARTNER COMPANY: IDD Biotech models bearing human CRC xenografts (2014) • iDD biotech is dedicated to the discovery and • Better understanding of the role of CK8 and its isoforms in development of therapeutic monoclonal antibodies the invasive/metastatic process (MAb) for the treatment of cancer, autoimmune diseases, inflammation or neurological disorders. • C did t selection f clinical t Candidate l ti for li i l transfer f A fraction of the CK8 pool is • With its proprietary hybridoma library and following MAb distributed in the engineering, iDD biotech develops the next generation of intracellular compartment therapeutic antibodies. within the intermediate filament network (GFP‐CK8 • iDD Biotech is actively looking for industrial and/or labeled in ll ) h l b l d i yellow) whereas financial partners another fraction of this pool • Contact: H. ROUQUETTE(CEO), C. DESROCHES (CSO)  is localized at the external surface of the cell (GFP‐CK8 c.vermotdesroches@idd‐biotech.com labeled in green and endogeneous CK8 labeled in red) 27 Maj 25/09/2012
  • 28. Imaging, Radioimmmunotherapy Metastatic Melanoma Preclinical POC Ongoing TRT/PET MEL: DEVELOPMENT OF HETEROAROMATIC HALOGENATED MOLECULES FOR EITHER / PET OR SPECT IMAGING AND TARGETED RADIONUCLIDE THERAPY OF METASTATIC MELANOMA (€830K) CONCEPT MAIN RESULTS • Heteroaromatic halogenated molecules for melanin • Patent on (radio)chemical entities and their (radio)synthesis targeting radiolabelled with radioisotopes f PET (18F) or d l b ll d h d for ) • Ongoing synthesis and preclinical evaluation of different SPECT ( 123I) imaging and for targeted radionuclide therapy candidates (131I) of metastatic melanoma. PROSPECTS • Added Value: To perform (i) an early diagnosis and staging of melanoma lesions by combining tracer specificity and • Pharmacomodulation and structure‐activity relationship PET performance and (ii) a targeted radionuclide therapy studies in order to optimize metabolic and with pre‐validated biodistribution pharmacokinetics profiles • Candidate selection for clinical transfer (2013) ACADEMIC/CLINICAL PARTNERS • E MIOT‐NOIRAULT, J.M. CHEZAL  (UMR 990 Inserm,  Auvergne University) PARTNER COMPANY: Cyclopharma Laboratories • Specialized European radiopharmaceutical company founded in 2000 in Saint‐Beauzire, dedicated to the development and production of radiopharmaceuticals for nuclear medicine • Contact: Pr Serge ASKIENAZY (Medical and One candidate selected : High tumor/background ratio, Early  and specific PET imaging of  melanoma in mice, Targeted  Research Director), www.cyclopharma.fr Radionuclide Therapy after 131 I labeling: under evaluation in  melanoma bearing mice 28 PREFET DE LA REGION AUVERGNE Maj
  • 29. Surgical Device Small Solid Tumors Preclinical POC Ongoing DOC CALIPSO: ROBOT DOC CALIPSO RO O NAVIGATION FOR SMALL TUMOR FOC THERAPY (€1 3M) G O O O OCAL (€1.3M) CONCEPT MAIN RESULTS • A robot with a tri‐dimensional navigation system guided • Robot patented (ADEPT) by a patient’s implanted sensor, to position a focal • Robotic development ongoing: Compatibility success treatment probe for radiofrequence, cryotherapy, high‐ between robot, operating table and instrumentation; intensity focused ultrasound or laser neutral stand development ongoing, biocompatible • Added Value: Standardization, 1/10 mm accuracy, respect sensors identified of adjacent organs less agressive technique organs, • Software development to correlate real time organ images with RMI images, for probe positioning • First robotic tests on soft tissues demonstrating the ACADEMIC/CLINICAL PARTNERS positioning system accuracy • Pr M. COLOMBEL (Lyon 1 Claude Bernard University, Lyon Civil Hospitals) PROSPECTS • Robot preclinical transfer to realize probe implantation tests in dead organs, in a pig model and in a human body PARTNER COMPANY: ADEPT • Preclinical POC expected in 2013 • Adept was created in 1983 in the USA, Adept d d h d • ADEPT is searching for a partner  Technologie France in 1989, with R&D activity localized to industrialize  Doc Calipso in Annecy technology • Leader in robot automated systems • Contact: Bruno ADAM, www.adept‐technology.fr DOC CALIPSO robot modeling 29 Maj 25/09/2012
  • 30. Imaging/Medical Device Liver Cancer and Metastases Preclinical POC Ongoing HEPATOFLUO: INDOCYANINE GREEN AS A NEAR‐INFRARED FLUORESCENT CONTRAST AGENT AND MINI‐CAMERA FLUOBEAM® FOR IMAGE‐GUIDED LIVER SURGERY (€1M) CONCEPT MAIN RESULTS • Per‐operative imaging system, based on Indocyanine • Instrumentation and imaging method patented (CEA, Green ((AMM) as a fl ) fluorescent marker, and a Fluobeam® k d l b ® 2005, 2006, 2007)) mini‐camera • Preclinical POC ongoing: Added value demonstration of • Added Value: Improvement of per‐operative quality Fluobeam® ‐ Indocyanine Green combination (to end in imaging for image‐guided liver surgery, in order to 2012) identify liver segments and tumorous lesions; technology compatible with surgical unit light PROSPECTS • Imaging camera optimization • Clinical Trial submission and kick‐off (2013) in Léon Bérard  ACADEMIC/CLINICAL PARTNERS Cancer Center • Dr P. PEYRAT (Léon Bérard Cancer Center, Lyon) PARTNER COMPANY: Fluoptics • CEA Spin‐off created in Grenoble in 2009: Development and marketing of real time i d k i f l i imaging systems to h l i help human surgery, based on fluorescent probes and a mini‐ camera • Fluoptics raised a capital of €750K and is looking for industrial partners and investors • Contact: Odile ALLARD (CEO) www fluoptics com (CEO), www.fluoptics.com Fluobeam® 30 Maj
  • 31. Imaging/Biomolecule Solid Tumors Preclinical POC Ongoing NANO ENO: N O C S NANO ENO NANOENCAPSULATED NUCLEAR/OPTICAL IMAGING PROBE (€700K) C C G G O CONCEPT MAIN RESULTS • Lipidots™, hybrid lipidic nanovector carrying both a • Lipidots™ patented (CEA, 2007, 2008) nuclear imaging agent (f PET or SPECT imaging) and an l (for ) d • Bi‐modal nanocarrier optimization, physical and chemical optical imaging agent properties characterization, quality control and in vitro tests • Added Value: Lipidots™ are organic, non toxic and ongoing biodegradable. The bi‐modality will allow pre‐operative tumor identification and quantification, and per‐ per operative surgery guidance. PROSPECTS • In vivo tests on breast murine cancer and dog models planned for 2012 and 2013 ACADEMIC/CLINICAL PARTNERS • Preclinical POC to end in 2013 • P BOISSEAU I TEXIER (CEA G P. BOISSEAU, I. Grenoble), B TAVITIAN (CEA bl ) B. Orsay) • F. PONCE (VetAgroSup Veterinary School , Lyon) PARTNER COMPANY: Advanced Accelerator Applications (AAA) • AAA is a European pharmaceutical company set up in 2002; its main activity is to develop either therapeutic or imaging molecules f patients’ targeted therapy. Th i i l l for i ’ d h The French company is located in Saint‐Genis Pouilly. • Contact: Stefano BUONO (CEO), www.adacap.com 31 Maj 25/09/2012
  • 32. Surgical Device Prostate Cancer Preclinical POC Ongoing UROLINK: A O UROLINK AUTOMATIC URETRO‐VESICAL ANASTOMOSIS SYSTEM IN PROSTATE CANCER (€400K) C O V SC S O OS S S OS C CONCEPT MAIN RESULTS • UroLink is a mini‐invasive device designed to reconstruct • Device patented the bladder neck and reconnect it to the urethra by • Ex vivo feasibility POC on bladder and urethra circular suturing (anastomosis) after a radical prostatectomy procedure. • Work plan established up to clinical trial • Added Value: Needles and bioresorbable wires, potential reduction of postoperative side effects (impotence, incontinence or stenosis); safe fast and reliable safe, PROSPECTS procedure, adaptable to robotic surgery • Preclinical POC on pig models and device optimization • CE marking procedure • French monocentric Clinical trial submission and kick‐off ACADEMIC/CLINICAL PARTNERS first, first then European multicentric clinical trial to obtain • Pr C. CAROZZO (VetAgroSup Veterinary School, Lyon) reimbursement. PARTNER COMPANY: Anastom Surgical • Anastom Surgical will be created in 2012, to develop and bring UroLink on the market , as well as a portfolio of circular suturing devices based on the same technology. • Contact: Arnold FERLIN (CEO) ( ) Urethra sound Urolink main tool introduced in sound, Urolink main tool in  urethra to realize anastomosis 32 Maj
  • 33. CLARA – CANCÉROPÔLE LYON AUVERGNE RHÔNE‐ALPES CLARA’s dynamic network is based on: CLARA’ d i t ki b d • 280 Academic Teams • 80 Clinical Teams Clinical Teams • 60 Innovative Enterprises • 4 University Hospital Centers • 2 Comprehensive Cancer Centers • Centers of Excellence: LYRIC, DEVweCAN,  Carnot Institute CALYM… C t I tit t CALYM 33
  • 34.
  • 35. YOUR CONTACTS AT THE CANCÉROPÔLE CLARA • Laurent LEVY, Finance and Development Director • llevy@canceropole‐clara.com • Ophélie PHILIPOT, Project Manager  Transfer Ophélie PHILIPOT, Project Manager “Transfer” • ophilipot@canceropole‐clara.com www.canceropole-clara.com 35
  • 36. ACKNOWLEDGEMENT TO CLARA PROOF OF CONCEPT PARTNERS Public Authorities Public Authorities • European ERDF Funds, INCa, Rhône‐Alpes Region, Rhône Department, Greater Lyon, Isère Department, Grenoble Metropole, City of Grenoble, Loire Department, Saint‐Etienne Metropole,  Auvergne Region, Puy‐de‐Dôme Department, Clermont Community Academic and Clinical Centers • University Hospitals: Lyon Civil Hospitals, Grenoble, Saint‐Étienne, Clermont‐Ferrand • Cancer Centers: Léon Bérard Cancer Center, Jean Perrin Center • Research Centers: Lyon Cancer Research Center (CCRL) Alb t B R hC t L C R h C t (CCRL), Albert Bonniot I tit t NEEL I tit t i t Institute, NEEL Institute • Research Institutions: CEA Grenoble, CNRS, École des Mines of Saint‐Étienne, French Blood Institute,  INSA Lyon, INSERM, VetAgroSup • Universities: Claude Bernard Lyon 1, Joseph Fourier in Grenoble, Pierre Mendès France in Grenoble,  Auvergne University Auvergne University Companies • AAA, ADEPT, Anastom‐Surgical (Créalys incubator), CAVI‐T (Créalys incubator), CEA, CovalAb, EBV‐ Biotech, Ecrins Th Bi h E i Therapeutics, Edap TMS E d C i Ed TMS, EndoControl M di l EFS Rhô Al l Medical, EFS Rhône‐Alpes, ERYtech Ph ERY h Pharma,  Fluoptics, HLA‐G Technologies, iDD Biotech, ImmunID Technologies, Innate Pharma, Laboratoires Cyclopharma, Nanobiotix, Nano‐H, Nestis, Netris Pharma, OncoTherapy Sciences, Synthelis Under the aegis of the Léa and Napoléon Bullukian Foundation 36