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Item 7.01 | Regulation FD Disclosure. |
On February 23, 2022, members of management of Poseida Therapeutics, Inc. (the “Company”) and external advisors are providing an update on the Company’s research and development programs and making available the corporate presentation attached as Exhibit 99.1 to this report. The presentation is also available under the “Investors” section of the Company’s website.
The information in this Item 7.01 of this report (including Exhibit 99.1) is furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or subject to the liabilities of that section or Sections 11 and 12(a)(2) of the Securities Act of 1933, as amended. The information shall not be deemed incorporated by reference into any other filing with the Securities and Exchange Commission made by the Company, whether made before or after today’s date, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific references in such filing.
Item 9.01 | Financial Statements and Exhibits. |
(d) Exhibits.
Exhibit |
Description | |
99.1 | Corporate presentation, dated February 23, 2022 | |
104 | Cover Page Interactive Data File |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Poseida Therapeutics, Inc. | ||||||
Date: February 23, 2022 | By: | /s/ Harry J. Leonhardt, Esq. | ||||
Name: | Harry J. Leonhardt, Esq. | |||||
Title: | General Counsel, Chief Compliance Officer & Corporate Secretary |
The Next Wave of Cell and Gene Therapies with the Capacity to Cure R&D Day February 23, 2022 Exhibit 99.1
Disclaimer | POSEIDA R&D DAY 2022 This presentation and any accompanying oral commentary contain "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts and include, without limitation, statements related to future events; our future financial performance or condition; business strategy; expected timing and plans with respect to development milestones, clinical trials, and regulatory activities; estimated market opportunities for product candidates; and future results of anticipated development efforts. Words such as "expect(s)," "feel(s)," "believe(s)," "will," "may," "anticipate(s)", “potentially” or negative of these terms or similar expressions are intended to identify forward-looking statements. These forward-looking statements are based on management's current expectations of future events only as of the date of this presentation and are subject to a number of important risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. These risks and uncertainties include, but are not limited to: risks associated with conducting clinical trials; whether any of our product candidates will be shown to be safe and effective; our ability to finance continued operations; our reliance on third parties for various aspects of our business; competition in our target markets; our ability to protect our intellectual property; our ability to retain key scientific or management personnel; and other risks and uncertainties described in our filings with the Securities and Exchange Commission, including under the heading “Risk Factors”. Except as required by law, we assume no obligation to update these forward-looking statements, or to update the reasons why actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes available in the future.
Poseida Programs and Technologies R&D Day Agenda and Speakers | POSEIDA R&D DAY 2022 Welcome Introduction and Overview Platform Technologies Super PiggyBac® DNA Delivery System CAS-CLOVER™ Gene Editing Biodegradable Nanoparticle Delivery TSCM Phenotype in CAR-T The Importance of TSCM Stemness and Our Differentiation TSCM-Based CAR-T Therapies P-PSMA-101 Autologous CAR-T for mCRPC Allogeneic CAR-T Platform and Programs Advantages of Dual CAR Innovative Gene Therapies Partnering with Takeda on Gene Therapies P-FVIII-101 for Hemophilia A P-OTC-101 for OTCD Emerging Technologies Site-Specific piggyBac® (SS-SPB) Cas-CLOVER™ in vivo TCR-T platform update CAR 3.0 update Business Strategy and Mission Conclusion Audience Q&A
R&D Day 2022 Eric Ostertag, MD, PhD Founder & Executive Chairman
| POSEIDA R&D DAY 2022 On a Mission to Redefine Cell and Gene Therapy CELL THERAPY GENE THERAPY PLATFORMS & PARTNERSHIPS CAR-T Therapy Focusing on Fully Allogeneic CAR-T as the ‘Holy Grail’ in Oncology In Vivo Liver-Directed Gene Therapy with Non-Viral Biodegradable Nanoparticle Delivery Platform Development, Partnerships and Collaboration 1 2 3 NASDAQ: PSTX Strong and Broad IP Portfolio 260+ Employees Headquartered in San Diego, CA
Proprietary In-house Technology Platforms for Gene Insertion, Gene Editing, and Gene Delivery Powerful Platform Technologies Drive Our Strategy | POSEIDA R&D DAY 2022 Individually or in combination, our core technologies enable us to engineer a portfolio of product candidates designed to overcome the limitations of current cell and gene therapeutics GENE INSERTION Non-viral system Highly efficient technology to add DNA to genome Large genetic cargo capacity Broad range of cells Advantages in tolerability, potency, speed to clinic and costs GENE EDITING Highly precise site-specific nucleases Ability to edit resting T cells while maintaining desirable TSCM characteristics Major advantages: tolerability ease of design low cost multiplexing ability GENE DELIVERY Delivers long-term stable gene expression Non-viral and viral delivery of DNA and proteins both ex vivo and in vivo Ability to deliver to multiple cell types and target specific tissues Nanoparticles AAV Vectors Super piggyBac® Cas-CLOVER™
Various combinations our innovative platform technologies create unique opportunities across the cell and gene therapy landscape Our Platform Technologies Have Broad Reach | POSEIDA R&D DAY 2022 *Poseida has listed companies it believes are representative of those active in cell and gene therapy. CELL THERAPIES LIVER DIRECTED GENE THERAPIES CAR-T/TCR-T/NK-T/Treg oncology CAR-T/TCR-T/NK-T/Treg NON-oncology iPSC CELL THERAPY HSC CELL THERAPY Regenerative Med LIVER, SKIN, ETC. LANDSCAPE GENE THERAPIES LIVER DIRECTED GENE THERAPIES AAV-PG & Nano-PB LIVER, LUNG, CNS, ETC. In Vivo EP SKELETAL MUSCLE, SKIN, EYE, ETC. Cas-CLOVER GENE EDITING – ALL TISSUES GENE EDITING OTHER RESEARCH PROGRAMS Nano mRNA Non-oncology
Proprietary In-house Technology Platforms for Gene Insertion, Gene Editing, and Gene Delivery Powerful Platform Technologies Drive Our Strategy | POSEIDA R&D DAY 2022 Individually or in combination, our core technologies enable us to engineer a portfolio of product candidates designed to overcome the limitations of current cell and gene therapeutics GENE INSERTION Non-viral system Highly efficient technology to add DNA to genome Large genetic cargo capacity Broad range of cells Advantages in tolerability, potency, speed to clinic and costs GENE EDITING Highly precise site-specific nucleases Ability to edit resting T cells while maintaining desirable TSCM characteristics Major advantages: tolerability ease of design low cost multiplexing ability GENE DELIVERY Delivers long-term stable gene expression Non-viral and viral delivery of DNA and proteins both ex vivo and in vivo Ability to deliver to multiple cell types and target specific tissues Nanoparticles AAV Vectors Super piggyBac® Cas-CLOVER™
Enables DNA integration Non-viral gene insertion technology Works in a wide variety of cell types Multiple safety and cost benefits PiggyBac®: Versatility in DNA Delivery | POSEIDA R&D DAY 2022 Generating CAR-T Products with Desirable High Percentage of TSCM Cells Preferentially favors stem cell memory T cells (TSCM) and works well in resting T cells for potentially improved tolerability and more durable responses Large cargo capacity enables multi-CAR products, addition of safety switch and selection gene CELL THERAPY BENEFITS IN Integrates Into DNA Delivering Stable Long-Term Expression Ideal for use in dividing tissues like those in juvenile liver Highly efficient integration may allow reduced dosing and single treatment cures Large cargo for delivering larger genes Delivered using AAV + nanoparticle or in vivo EP GENE THERAPY BENEFITS IN
piggyBac®: Wild Type (WT) vs. Super piggyBac® (SPB) | POSEIDA R&D DAY 2022 Note: No structure data for NTD G165S M282V N538K WT PB-DNA Transposome Neg (–) Neg (–) N538K N538K: Electrostatic stabilization in linker between DDBD and CRD G165S: Enhances DNA binding (H-bonds w/ PO4 and Adenine) G165S M282V: Enhances pi-stacking b/t Tyr283 and Adenine in TTAA DNA-BINDING CATALYSIS STABILIZATION Structure from Chen et al. Nat Commun, 2020 Jul 10;11(1):3446 Hyperactive mutations from Yusa et al. PNAS, 2011 Jan 25;108(4):1531-6 M282V SPBv3 1 594 NTD DDBD Catalytic CRD DDBD WT insert I30V* G165S M282V N538K (enhances nuclear localization) 1 605 NTD DDBD Catalytic CRD DDBD SV40 NLS insert NTD: N-terminal domain | DDBD: Dimerization & DNA binding domain | CRD: Cysteine-rich domain *unknown mechanism underlying hyperactive effect of I30V
WT PB-DNA Transposome piggyBac®: Wild Type (WT) vs. Excision-Only piggyBac® (PBx) | POSEIDA R&D DAY 2022 R372A K375A R372 & K375: Critical because of interaction with target DNA (H-bonds w/ PO4 in backbone) Structure from Chen et al. Nat Commun, 2020 Jul 10;11(1):3446 PBx mutations from Li et al. PNAS, 2013 Jun 18;110(25):E2279-87 R372 K375 CARGO ITR ITR “Cut” CARGO ITR ITR Genomic DNA PBx Transposase piggyBac® DNA Transposon X No integration PBx 1 594 NTD DDBD Catalytic CRD DDBD WT insert I30V G165S M282V N538K 605 NTD DDBD Catalytic CRD DDBD insert NTD: N-terminal domain | DDBD: Dimerization & DNA binding domain | CRD: Cysteine-rich domain Excision-Only Transposase R372A, K375A TARGET DNA-BINDING
Proprietary In-house Technology Platforms for Gene Insertion, Gene Editing, and Gene Delivery Powerful Platform Technologies Drive Our Strategy | POSEIDA R&D DAY 2022 Individually or in combination, our core technologies enable us to engineer a portfolio of product candidates designed to overcome the limitations of current cell and gene therapeutics GENE INSERTION Non-viral system Highly efficient technology to add DNA to genome Large genetic cargo capacity Broad range of cells Advantages in tolerability, potency, speed to clinic and costs GENE EDITING Highly precise site-specific nucleases Ability to edit resting T cells while maintaining desirable TSCM characteristics Major advantages: tolerability ease of design low cost multiplexing ability GENE DELIVERY Delivers long-term stable gene expression Non-viral and viral delivery of DNA and proteins both ex vivo and in vivo Ability to deliver to multiple cell types and target specific tissues Nanoparticles AAV Vectors Super piggyBac® Cas-CLOVER™
Cas-CLOVER™: Ultra-Clean Gene Editing | POSEIDA R&D DAY 2022 3’ 5’ 5’ 3’ Cas-CLOVER Gene Editing System Low-to-no off-target cutting High Editing Efficiency in resting T-cells resulting in high % of TSCM cells Ease of use/design Multiplexing ability High specificity Lower cost Potentially the Cleanest Gene Editing Platform with important ability to efficiently edit resting cells enables fully Allogeneic CAR-T products and Gene Therapy applications including ongoing development for non-viral in vivo gene editing
Multiple products (10) were tested by NGS to determine editing (% Indels) at the TRBC1, TRBC2 and B2M sites Single step multiplexed editing is highly efficient: Editing at B2M and TRBC is >85% across multiple donors (by NGS) Functional protein knock-out confirmed by FACS, other functional assays Highly Efficient On-target Knock-out in the P-BCMA-ALLO1 Product, at Both TRBC and B2M Sites Using Multiplexed Cas-CLOVER™ Editing | POSEIDA R&D DAY 2022 %Indels TRBC and B2M Mutation (by NGS)
Cas-CLOVER™: Low to No Off-Target Cutting | POSEIDA R&D DAY 2022 Guide-Seq Ampli-Seq No hits in oncogenes or tumor suppressors (COSMIC database) Captured 152 sites 19 Assayed 140 sites Off-target Site Editing Off-target Mutations Per Donor Captured and Validated OTE Sites Sites Captured in ≥ 2 Donors by Guide-Seq
Cas-CLOVER™: Fidelity in T Cells vs. Competing Technology | POSEIDA R&D DAY 2022 PD1 TRAC PD1+ TRAC PD1 B2M+ TRBC N = 1 N = 1 N = 2 N = 2 N = 8 Other studies examine few (10 to 25) candidate off-target sites1-3 Our Cas-CLOVER off-target study is ~10x broader and includes 8 donor lots WT CRISPR Low Off-Target Maximum observed off-target frequency High On-Target High Fidelity in the context of High Efficiency 1. Webber et al., Nat Commun. 2019 Nov 19;10(1):5222 2. Ren et al., Oncotarget. 2017 Mar 7; 8(10): 17002–17011 3. Gautron et al., Mol Ther Nucleic Acids. 2017 Dec 15;9:312-321
Cas-CLOVER™: Very Low Translocation Frequency in T Cells vs. CRISPR | POSEIDA R&D DAY 2022 Other studies (CRISPR & TALENs): 4% cells have TRAC translocation (FISH) Qasim et al., Sci Trans Med. 2017 2-2.5% with TRAC-B2M translocation Giannoukos et al., BMC Genomics. 2018 Up to 2% with TRAC-CD52 translocations Poirot et al., Cancer Res. 2015 Cas-CLOVER Allogeneic CAR-T translocation rate <0.4% With Cas-CLOVER, the avg. rate of translocation with off-target sites <0.01% PD1:TRAC TRAC:PD1 1.0 PD1:B2M B2M:PD1 2.0 TRAC:B2M B2M:TRAC Cas9 mRNA TRBC2-B2M B2M:TRBC2 B2M-TRBC1 TRBC1: B2M TRBC1-2 TRBC2-1 N = 2 Cas-CLOVER mRNA N = 3 Desirable KO % Translocation Webber et al., Nat Commun. 2019 WT CRISPR Cas-CLOVER TRBC2 TRBC1
Proprietary In-house Technology Platforms for Gene Insertion, Gene Editing, and Gene Delivery Powerful Platform Technologies Drive Our Strategy | POSEIDA R&D DAY 2022 Individually or in combination, our core technologies enable us to engineer a portfolio of product candidates designed to overcome the limitations of current cell and gene therapeutics GENE INSERTION Non-viral system Highly efficient technology to add DNA to genome Large genetic cargo capacity Broad range of cells Advantages in tolerability, potency, speed to clinic and costs GENE EDITING Highly precise site-specific nucleases Ability to edit resting T cells while maintaining desirable TSCM characteristics Major advantages: tolerability ease of design low cost multiplexing ability GENE DELIVERY Delivers long-term stable gene expression Non-viral and viral delivery of DNA and proteins both ex vivo and in vivo Ability to deliver to multiple cell types and target specific tissues Nanoparticles AAV Vectors Super piggyBac® Cas-CLOVER™
OUR GOAL: Develop Single Treatment Cures Utilizing Our In Vivo Gene Therapy Technologies AAV (SPB-DNA) AAV (PB-DNA) VIRAL + Delivery: Moving Toward Non-Viral Biodegradable Nanoparticles | POSEIDA R&D DAY 2022 Nanoparticle (SPB – RNA) Nanoparticle (PB – DNA) NON-VIRAL + Potential for Single-Treatment Cures In pre-clinical studies piggyBac+AAV enabled permanent and stable DNA integration and long-term expression Ability to effectively work in dividing tissues including the juvenile liver Ability to deliver larger genes with nanoparticle+piggyBac than AAV
General Mechanism of LNP Co-Delivery of RNA and DNA | POSEIDA R&D DAY 2022 Endosome Escape NUCLEUS ENDO/LYSOSOME CYTOSOL SPB mRNA Translation ENDO/LYSOSOME Endosome Escape Plasmid-dependent Nuclear Import Nanoplasmid Transcription, Integration RNA-LNP DNA-LNP SPB Nuclear Translocation SPB SPB-mediated DNA Shuttling RNA-LNP Delivers capped, base-modified mRNA encoding super piggyBa®c transposase (SPB) DNA-LNP Delivers DNA transposon encoding therapeutic transgene
>3X More Potency Compared With Benchmark Poseida Biodegradable RNA LNP Works in Non-Human Primates | POSEIDA R&D DAY 2022 ~3X Cmax (0.25 mg/kg): ~1,500 ng/mL Mouse ~4X (bolus 0.35 mg/kg) NHP ~3X (infusion 0.25 mg/kg)
Poseida Biodegradable RNA LNP is Well Tolerated | POSEIDA R&D DAY 2022 No meaningful elevation of liver enzymes 7 days following LNP treatment Rat NHP
piggyBac® Nanoparticle System can be Dosed Repeatedly | POSEIDA R&D DAY 2022 Repeat Dosing of DNA+SPB Dose 3 0.25 mg/kg DNA + 0.5 mg/kg SBP-5MeC Adult/WT Mice Nano.pB-HLP-fLuc2 Dose 1 Dose 2 NT-01-009-201 Repeat Dosing (Day 28) Sequential transposon + SPB results in essentially dose-proportional transgene expression
Broad innovative genetic engineering technology platforms Novel fully allogeneic high-TSCM CAR-T approach as well as Autologous CAR-T targeting PSMA Gene therapy focus on single treatment cures with non-viral delivery and strategic partnership with Takeda Working to Engineer Single-Treatment Cures for Cancer & Genetic Diseases Multiple Avenues to Significant Value Creation | POSEIDA R&D DAY 2022 CELL THERAPY GENE THERAPY PLATFORMS & PARTNERSHIPS CAR-T Therapy Focusing on Fully Allogeneic CAR-T as the ‘Holy Grail’ in Oncology In Vivo Liver-Directed Gene Therapy with Non-Viral Biodegradable Nanoparticle Delivery Platform Development, Partnerships and Collaboration 1 2 3
Anticipated Upcoming Milestones | POSEIDA R&D DAY 2022 Dual P-CD19CD20-ALLO1 IND and Phase 1 Initiation 2023 P-MUC1C-ALLO1 Clinical Update in 2022 P-OTC-101 Gene Therapy Preclinical Data Updates Potential for Additional Strategic Partnerships P-PSMA-101 Clinical Updated in 1Q22 P-BCMA-ALLO1 Clinical Update in 2022
| POSEIDA R&D DAY 2022 The Importance of Stem Cell Memory (TSCM) Cells Postdoc in Dr. Restifo’s lab at National Cancer Institute Identified human T stem cell memory (TSCM) cells Pioneer in use of TSCM cells for adoptive immunotherapy Major contributor to understanding of TSCM biology Over 100 publications and numerous academic awards Member of Poseida’s Immuno-Oncology Scientific Advisory Board Luca Gattinoni, MD Director of the Division of Functional Immune Cell Modulation Leibniz Institute for Immunotherapy (LIT)
The Importance of Stem Cell Memory T (TSCM) Cells Luca Gattinoni, MD Director of the Division of Functional Immune Cell Modulation Leibniz Institute for Immunotherapy (LIT)
Adoptive Immunotherapy Strategies | POSEIDA R&D DAY 2022
Stem Cell Memory TSCM Cell LESS DIFFERENTIATED Self-renewing Long lived Multipotent Central Memory TCM Cell Effector Memory TEM Cell TEFF Cell MORE DIFFERENTIATED Terminal Effector Not All T Cells are Created Equally | POSEIDA R&D DAY 2022 Antigen Experienced T Cell Subsets TN Cell
TSCM Cells Largely Display a Naïve-like Phenotype | POSEIDA R&D DAY 2022 Gattinoni et al. Nat Med 2011 CXCR3 and CD58 can also be used to identify human TSCM cells within naïve-like T cells
CD19 CAR-modified TSCM Cells Mediate Long-lasting Antitumor Responses Against ALL TSCM Are Key to CAR-T Efficacy in Pre-clinical Studies Sabatino et al., Blood 2016 | POSEIDA R&D DAY 2022
P-BCMA-101 data shows correlation of TSCM and efficacy: Preclinical: Barnett et al; Hermanson et al, Poseida (2016) 58th ASH Clinical: Spear et al, Poseida (2019) 4th CAR-TCR Summit TSCM is shown to correlate with CAR-T clinical response: Melenhorst et al, UPenn (2017) Pre-manufactured cells, 20th ASGCT Basu et al, Adaptimmune (2017) Persistent clones, 2nd CAR-TCR Summit TCM: Larson, Juno (2018) PK, safety and durability, AACR TSCM-like TIL: Beatty, Moffitt (2018) response & survival, 33rd SITC Bot et al, Kite (2018) 33rd SITC & (2019) 4th CAR-TCR Summit TCM: Fraietta, UPenn (2018) responses and memory-related genes, Nat Med PMID: 29713085 TCM: Deng et al, MDACC/axi-cel (2020) Nat Med PMID: 33020644 TSCM-like TILS: Krishna, S et al. Science (2020), CR and TSCM gene set enrichment TSCM Are the Key to CAR-T Efficacy & Safety Luca Gattinoni1, Daniel E Speiser2, Mathias Lichterfeld3 & Chiara Bonini4,5 Volume 23 | Number 1 | January 2017 | NATURE MEDICINE “The extreme longevity, the robust proliferative potential and the capacity to reconstitute a wide-ranging diversity of the T cell compartment make the TSCM cell type an ideal cell population to employ in adoptive immunotherapy” | POSEIDA R&D DAY 2022
Early Memory Gene-Signature Correlates with CAR-T Efficacy | POSEIDA R&D DAY 2022 Deng Q et al., Nature Med 2020
TSCM Clones Contribute Substantially to the Circulating CAR T Cell Pools, During Both Early Expansion and Long-term Persistence Self-renewal and Multipotency are Key to CAR-T Efficacy | POSEIDA R&D DAY 2022 Gattinoni et al., Nat rev cancer 2012 NCI/LIT unpublished
TSCM Cells are Stably Maintained for > 25 Years Following Yellow Fever Vaccination TSCM Are Key to CAR-T Duration of Response | POSEIDA R&D DAY 2022 Fuertes Marraco et al., Science TM 2015
Low Glycolytic Metabolism and High Mitochondrial Respiratory Capacity are Associated with Long-lived Memory Cells TSCM Metabolic Fitness is Key to CAR-T Duration of Response | POSEIDA R&D DAY 2022 Sabatino et al., Blood 2016 | Sukumar et al., J Clin Invest 2013 | van der Windt et al., Immunity 2016 EACR: Extracellular Acidification rate FCCP: Carbonyl cyanide-4 (trifluoromethoxy) phenylhydrazone = uncoupler OCR: Oxygen consumption rate
Reduced Release of Inflammatory Cytokines by Allogeneic CD19 CAR-modified TSCM Cell Products TSCM Are the Key to CAR-T Safety | POSEIDA R&D DAY 2022 Sabatino et al., Blood 2016
Delayed Kinetic and Milder Inflammatory Responses by Allogeneic CD19 CAR-modified TSCM TSCM Are the Key to CAR-T Safety | POSEIDA R&D DAY 2022 Standard CD19-CAR T Cells CD19-CAR TSCM-enriched cells Brudno et al. J Clin Oncol, 2016 NCI/LIT Unpublished
% Transposed 60 40 20 0 TSCM Cell TCM Cell TEM Cell TEFF Cell Naïve T-Cell Lentivirus Transduces More Differentiated T-Cells In Preclinical Studies Poseida’s piggyBac® Preferentially Transposes TSCM Cell and Naïve Precursors | POSEIDA R&D DAY 2022 piggyBac % Transduced 60 40 20 0 TSCM Cell TCM Cell TEM Cell TEFF Cell Naïve T-Cell Lentivirus CD4+ T-Cells CD8+ T-Cells
TN TSCM TCM TEM TTE P-BCMA-101 CD45RA + + - - + + CD45RO - - + + - - CCR7 + + + - - + CD62L + + + - - + CD28 + + + +/- - + CD27 + + + +/- - + IL-7Ra + + + +/- - + CXCR3 - + + - - + CD95 - + + + + + CD11a - + + + + + IL-2Rb - + + + + + CD58 - + + + + + CD57 - - - +/- + - Naïve/TSCM TCM TEM TEFF P-BCMA-101 0 10 3 10 4 10 5 Perforin 85.8% 0.5% 13.1% 0.6% TEFF TSCM TCM TEM CD62L CD45RA Adapted from Gattinoni et al. (2017) Nat. Med. Poseida products closely match a TSCM phenotype when using extensive cell surface markers and even intracellular markers Stemness Proliferative potential Lymphoid homing Antigen independence Lipid metabolism Low Dym Senescence Cytotoxicity Tissue tropism Antigen addiction Gylcolytic metabolism Oxidative stress Poseida’s CAR-T Products are Comprised of a High-Percentage of TSCM Cells | POSEIDA R&D DAY 2022
Allogeneic Product Have Final TSCM Percentages Reaching ~80% Poseida’s CAR-T Products are Comprised of a High-Percentage of TSCM Cells | POSEIDA R&D DAY 2022 % TSCM P-BCMA-ALLO1 Research (Day 13-15 Harvest) Top Donors Yield Highest Percentage TSCM HEALTHY DONOR LEUKAPHERESIS MANUFACTURING OF ALLOGENEIC CAR-T PRODUCT PRODUCT TESTING & RELEASE ADMINISTRATION OF ALLOGENEIC CAR-T PRODUCT Same-Day Patient Treatment T Cell Isolation Electroporation/ Gene Editing CAR-Positive Cell Selection and Expansion Purification Cryopreservation High % of TSCM Cells
TSCM Correlates with Best Responses Can Persist In Vivo And Offers A Superior Safety Profile Efficacy, Durability and Safety of Poseida’s High-TSCM Auto Product P-BCMA-101 | POSEIDA R&D DAY 2022 TSCM in P-BCMA-101 is directly correlated with best responses in the clinic Long-term persistence of TSCM cells in some patients Detectable product and sCR at >22 months post-infusion Ability to re-expand without re-administration of product Potentially best-in-class safety profile allows for fully outpatient dosing Over 100 patients dosed 28 patients dosed fully outpatient All CRS was Grade 1/2 No to very low neurotoxicity No patient admitted to the ICU No patient death due to P-BCMA-101
Oxidative phosphorylation avoids dependency on glucose and other metabolites that are lacking in the solid tumor microenvironment Carl June et al., Ideal Metabolic Signature of CAR-T cells ↑Persistence ↑ Central Memory ↑ SRC ↑ Mitochondrial biogenesis ↑ Oxidative metabolism CAR-specific activation BBz CAR The Importance of TSCM Metabolism to Survival in the Tumor Microenvironment (TME) Poseida CAR-T cells exhibit the ‘ideal metabolic signature’ hypothesized to achieve durable responses PB = ↑SRC FCCP: Carbonyl cyanide-4 (trifluoromethoxy) phenylhydrazone = uncoupler Rot/Ant: Rotenone + Antimycin A OCR: Oxygen consumption rate | POSEIDA R&D DAY 2022
Normal PBMC controls (N=2) P-PSMA-101 clinical products (N=6) The Importance of TSCM Trafficking for Clinical Efficacy in Solid Tumor Indications | POSEIDA R&D DAY 2022 Poseida CAR-T and TSCM express a variety of trafficking molecules May facilitate trafficking to marrow, tumor P-PSMA-101 robust clinical activity against bone marrow metastases Trafficking Molecule TSCM/TCM TEFF P-PSMA-101 CD62L (L-selectin) + - + CXCR4 + - + CXCR3 + - + CLA (Cutaneous lymphocyte antigen) + - + CCR7 + - + CD11a (LFA-1-a) + - + Total CD4 Total CD8
Summary TSCM is the most desirable cell type for creating CAR-T products Associated with best responses in the clinic Unprecedented duration of response in some patients Unique and potentially best-in-class safety profile A key to CAR-T success against solid tumor indications Poseida has a unique manufacturing platform that created CAR-T products with exceptionally high percentages of TSCM cells Typical range of 50-80% TSCM cells in allogeneic products TSCM cells have elevated bone homing markers, which is highly relevant in bone predominant cancers | POSEIDA R&D DAY 2022
TSCM Based CAR-T Product Candidates Matt Spear, MD Chief Medical Officer
Stem Cell Memory TSCM Cell MORE DIFFERENTIATED LESS DIFFERENTIATED Products with High % of TSCM Cells STEMNESS MATTERS Strong correlation with best responses in the clinic More gradual tumor killing with less toxicity Better duration of response and potential for re-response TSCM engrafts in bone marrow – key to CAR-T success in solid tumors Self-renewing Long lived Multipotent Central Memory TCM Cell Effector Memory TEM Cell Effector T Cell TEFF Cell The Importance of Stem Cell Memory T Cells (TSCM) Not All T Cells Are Created Equally | POSEIDA R&D DAY 2022 Normal PBMC controls (N=2) P-PSMA-101 clinical products (N=6) Total CD4 Total CD8
CAR-T for Oncology and Beyond Cell Therapy Pipeline | POSEIDA R&D DAY 2022 Indication Candidate Discovery Preclinical IND-Enabling Phase 1 Phase 2 CAR-T FOR ONCOLOGY MULTIPLE MYELOMA P-BCMA-ALLO1 P-BCMACD19-ALLO1 PROSTATE CANCER P-PSMA-101 P-PSMA-ALLO1 SOLID TUMOR P-MUC1C-ALLO1 Dual CAR (Undisclosed) B - CELL P-CD19CD20-ALLO1 Allo Allo Auto Allo Allo Allo Allo All Programs Are Unpartnered and Wholly-Owned
CAR-T for Oncology and Beyond Cell Therapy Pipeline | POSEIDA R&D DAY 2022 Indication Candidate Discovery Preclinical IND-Enabling Phase 1 Phase 2 CAR-T FOR ONCOLOGY MULTIPLE MYELOMA P-BCMA-ALLO1 P-BCMACD19-ALLO1 PROSTATE CANCER P-PSMA-101 P-PSMA-ALLO1 SOLID TUMOR P-MUC1C-ALLO1 Dual CAR (Undisclosed) B - CELL P-CD19CD20-ALLO1 All Programs Are Unpartnered and Wholly-Owned Allo Allo Auto Allo Allo Allo Allo
P-PSMA-101: PSMA Targeted CAR-T Cells for Metastatic Castrate-Resistant Prostrate Cancer (mCRPC) | POSEIDA R&D DAY 2022 1https://globenewswire.com/news-release/2017/02/02/913304/0/en/Prostate-Cancer-Market-Study-2017-Market-Size-of-Prostate-Cancer-Drugs-to-7b-in-2016-from-2-5b-in-2011.html 2https://www.researchandmarkets.com/research/wxtf93/global_prostate ~2.8M prostate cancer patients in US ~40K new cases of mCRPC in US per year 27.5K US patient deaths per year Population PSMA expressed on most prostate cancers also many salivary gland cancers PSMA targeted successfully Radioligand therapy in advanced development 7 bispecifics in early development P-PSMA-101- only CAR-T in development with marked response data Proven Target High unmet need for mCRPC Minimal effective options after taxane chemotherapy and 2nd generation anti-androgen agents ~25% 5-yr survival for mCRPC patients Unmet Need
| POSEIDA R&D DAY 2022 Professor of Medicine, Department of Medicine at Weill Medical College of Cornell University Attending Physician in the Genitourinary Oncology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, Department of Medicine, Memorial Sloan-Kettering Cancer Center Medical degree from Jefferson Medical College Doctorate in pathobiology from Columbia University Research fellowship in clinical immunology at Scripps Clinic & Research Foundation Hematology/oncology fellowship, Memorial Sloan-Kettering Cancer Center Leadership of the Prostate Immunotherapy Group Chair, MSK Data Safety and Monitoring Committee, Associate Vice Chair, Dept of Medicine, Academic Administration Susan F. Slovin, MD, PhD Memorial Sloan Kettering Cancer Center
Phase 1 Study of P-PSMA-101 CAR-T Cells in Patients with Metastatic Castration-resistant Prostate Cancer (mCRPC) Susan Slovin, MD, PhD Memorial Sloan Kettering Cancer Center, New York, NY
Overview | POSEIDA R&D DAY 2022 P-PSMA-101 is made using a unique CAR-T platform that results in a product comprised of a high percentage of T stem cell memory (TSCM) cells that targets Prostate-Specific Membrane Antigen (PSMA) TSCM cells have bone marrow homing capability that may be particularly relevant to specific solid tumors, such as prostate adenocarcinoma At very low doses, P-PSMA-101 induces deep and durable responses in heavily pretreated mCRPC patients P-PSMA-101 demonstrates a reasonable safety profile with early management of CRS prodromes
piggyBac®: A Non-viral DNA Delivery System That Creates High-TSCM CAR-T Products | POSEIDA R&D DAY 2022 TTAA ITR Insulator Promoter Poly(A) TTAA Insulator ITR Safety Switch CAR Molecule Selection Gene Non-viral gene insertion technology Enables efficient DNA integration & stable expression Multiple safety, timeline and cost benefits Very large cargo capacity (>20X viral systems) Works in a wide variety of cell types (TSCM cells) Transport 2 - 8°C Manufacturing of autologous CAR-T product Product testing and release Transport ≤-130°C Administration of autologous CAR-T product Leukapheresis product AUTOLOGOUS
Phase 1 mCRPC Clinical Trial: P-PSMA-101-001 | POSEIDA R&D DAY 2022 Enrollment Day 0 Leukapheresis Baseline assessments Safety, efficacy, and biomarker assessments Lymphodepletion P-PSMA-101 Infusion Week 2 Inpatient monitoring PD or 2 years to LTFU £ Week -8 Week -4 Days -5, -4, -3 P-PSMA-101 is an autologous CAR-T therapy targeting PSMA and is made using a unique non-viral transposon system (piggyBac) that results in a CAR-T product composed of a high percentage of stem cell memory T cells (TSCM). Open label, 3+3 design, dose escalation + recommended Phase 2 dose expansion, 60 patients. Standard 3-day lymphodepletion regimen: fludarabine 30 mg/m2 and cyclophosphamide 300 mg/m2. Standard response criteria as per PCWG3: PSA, bone scans/CT, and exploratory biomarkers and novel tumor-targeted PET imaging (PSMA-PET, FDG). PET imaging was dependent on institutional availability. Key inclusion criteria: mCRPC, measurable disease, received a CYP17 inhibitor or second-generation anti-androgen therapy and a taxane, and adequate organ function. Subjects with advanced salivary gland cancers now eligible to enroll under Amendment 4 (12 Nov 21). Key exclusion criteria: second malignancy, active infection, or significant autoimmune, central nervous system, cardiac, ocular, or liver disease. CAR = chimeric antigen receptor; CT = computed tomography; FDG = fluorodeoxyglucose; LTFU = long-term follow-up; mCRPC = metastatic castration-resistant prostate cancer; PCWG3 = Prostate Cancer Working Group 3; PD = progressive disease; PET = positron emission tomography; PSA = prostate-specific antigen; PSMA = prostate membrane-specific antigen. Bridging therapy permitted
Demographics & Characteristics (Heavily Pretreated mCRPC Patients) | POSEIDA R&D DAY 2022 Parameter (n=14) Median (min, max) age, y 71 (57, 79) Median (min, max) time since diagnosis, y 6.4 (1, 23) ECOG (Baseline) PS, 0/1, n (%) 7 (50) / 7 (50) Median (min, max) prior regimens 6 (3, 15) LHRH agonist/antagonist, n (%) 12 (86) bicalutamide / flutamide, n (%) 8 (57) Enzalutamide, n (%) 12 (86) Abiraterone, n (%) 12 (86) Taxane, n (%) 11 (79) PSMA RIT 0 PSMA radioligand therapy, n (%) 0 CAR-T cells administered: Cells/kg Mean (Min/Max) x 106 Patients (#) Cohort -1: 0.25 x 106 single infusion 21.6 (19/24) 6 Cohort 1: 0.75 x 106 single infusion 61.3 (37/73) 7 Cohort 2: 2.0 x 106 single infusion 112.0 (112/112) 1 7 (3, 15) Prior regimens, median (min, max) 3 (21) PSMA bispecific, n (%)
Marked Decreases in Prostate Specific Antigen (PSA) and PSMA-PET SUVs High Rates of Anti-Tumor Activity Demonstrated with Multiple Methods | POSEIDA R&D DAY 2022 a Central or local results. b CTC0 (n=5) defined as patients with CTCs >0 at enrollment and CTC = 0 during a post-infusion CTC assessment (12–13-week follow-up). c CTCconv (n=5) defined as patients with CTCs ≥5 at enrollment, then CTCs ≤4 measured at a post-infusion assessment. d Patient 219-001. e Patient 217-206. CAR = chimeric antigen receptor; CTC = circulating tumor cells; PET = positron emission tomography; PSA = prostate-specific antigen; PSMA = prostate membrane-specific antigen; SUV = standardized uptake value.
PSA and Circulating Tumor Cells (CTC) Response Rates | POSEIDA R&D DAY 2022 PSA responses (n=14)a Response n (%) PSA response (≥30% decrease) 6 (42.9) PSA response (≥50% decrease) 5 (35.7) CTC0b 1d (20.0) CTCconvc 1e (20.0) a Central or local results. b CTC0 (n=5) defined as patients with CTCs >0 at enrollment and CTC = 0 during a post-infusion CTC assessment (12–13-week follow-up). c CTCconv (n=5) defined as patients with CTCs ≥5 at enrollment, then CTCs ≤4 measured at a post-infusion assessment. d Patient 219-001. e Patient 217-206.
TEAEs (n=14) TRAEs (n=14) a Grade ≥3 events were 2 cases of macrophage activation syndrome/CRS, one fatal after non-compliance in follow-up. CRS was frequently associated with transaminitis and intermittently with ocular symptoms/inflammation. b Patient counted once for either term. ALT = alanine aminotransferase; aPTT = activated partial thromboplastin time; AST = aspartate aminotransferase; CRS = cytokine release syndrome; ICANS = immune effector cell–associated neurotoxicity; TEAE = treatment-emergent adverse event; TRAE = treatment-related adverse event. Treatment-Emergent Adverse Events | POSEIDA R&D DAY 2022 TEAE, n (%) Overall Grade ≥3 Dose-limiting toxicity (at dose 0.75 x 106 cells/kg) 1 (7) 1 (7) CRSa 8 (57) 2 (14) ICANS 2 (14) 1 (7) Neutropenia/neutrophil count decreasedb 5 (36) 5 (36) Thrombocytopenia/platelet count decreasedb 5 (36) 4 (27) Anemia 5 (36) 5 (36) Infection Overall 2 (14) 1 (7) First month 2 (14) 1 (7) TRAE, n (%) With >20% incidence Grade ≥3 CRS 7 (50) 2 (14) Headache 7 (50) 0 (0) Fatigue 6 (43) 1 (7) Chills 5 (36) 0 (0) AST increased 5 (36) 3 (21) Vision blurred 4 (29) 0 (0) ALT increased 4 (29) 1 (7) Pyrexia 3 (21) 0 (0) aPTT prolonged 3 (21) 0 (0)
Overall Survival Overall Survival (OS) | POSEIDA R&D DAY 2022
PK, PSA, PSMA-PET, FDG-PET, Bone Scan, and Pathology Correlate in Response Patient 220-003: Evidence of Near Complete Tumor Elimination | POSEIDA R&D DAY 2022 68Ga-PSMA-11 (PSMA-PET) FDG-PET Baseline Baseline 12 weeks 12 weeks Biopsy at week 10 of prior bone metastasis showed CAR-T cells, bone remodeling, and bone marrow but no tumor cells. CAR = chimeric antigen receptor; FDG = fluorodeoxyglucose; PET = positron emission tomography; PK = pharmacokinetics; PSA = prostate-specific antigen; PSMA = prostate membrane-specific antigen. Baseline 4 weeks 12 weeks 105 40 30 20 10 0 104 102 50 103 -70 0 20 40 60 80 100 120 140 160 180 200 220 240 Days after infusion PSA (ng/mL) P-PSMA-101/µg DNA P-PSMA-101 copies/µg DNA in peripheral blood P-PSMA-101 copies/µg DNA in biopsy tissue PSA Biopsy at week 10
Pharmacokinetics: Consistently High Expansion | POSEIDA R&D DAY 2022 Most patients have significant CAR-T cell expansion in peripheral blood to levels generally associated with efficacy in CAR-T products Many CAR-T products show peak expansion between 5-14 days P-PSMA-101 shows peak expansion between 10-28 days P-PSMA-101 in Peripheral Blood
Summary & Conclusions | POSEIDA R&D DAY 2022 This interim update shows the exceptional efficacy of novel anti-PSMA CAR-T-cell product P-PSMA-101 at very low doses induced durable biochemical, radiographic, and functional radiographic responses in heavily pretreated patients with mCRPC, including a pathologic complete response, with notable PFS and OS, and significant CAR-T-cell expansion to the 104 to 105 copies/ug range. Ten of 14 patients (71%) of patients demonstrated PSA declines, with 5 of 14 patients (36%) showing PSA declines of ≥50%. P-PSMA-101 expressed elevated bone and inflammation homing markers and demonstrated trafficking to bone tumor biopsies, highly relevant in bone-avid disease like prostate cancer. CRS rate was 57% and ICANS rate was 14%, which has been manageable when treated rapidly with steroids and anti-cytokine agents. 18 patients have now been treated, and additional data presentations are expected in 2022
With the greatest appreciation to the patients Acknowledgements P-PSMA-101-001 Investigators Memorial Sloan-Kettering Cancer Center Susan F. Slovin, M.D., Ph.D. City of Hope Tanya Dorff, M.D. Sarah Cannon Research Institute - HealthOne Denver Gerald Falchook, M.D. Dana-Farber Cancer Institute Xiao Wei, M.D. Massachusetts General Hospital Xin Gao, M.D. University of California at San Francisco (UCSF) David Oh, M.D. University of California at San Diego (UCSD) Rana Mckay, M.D. We would particularly like to recognize the commitment and dedication of the scientists and professionals at Poseida who made this possible. | POSEIDA R&D DAY 2022
TSCM Based Allogeneic CAR-T Platform and Product Candidates Devon J. Shedlock, PhD Chief Scientific Officer, Cell Therapy
TSCM are the Key to CAR-T Efficacy & Safety | POSEIDA R&D DAY 2022 P-BCMA-101 data shows correlation of TSCM and efficacy: Preclinical: Barnett et al; Hermanson et al, Poseida (2016) 58th ASH Clinical: Spear et al, Poseida (2019) 4th CAR-TCR Summit TSCM is shown to correlate with CAR-T clinical response: Melenhorst et al, UPenn (2017) Pre-manufactured cells, 20th ASGCT Basu et al, Adaptimmune (2017) Persistent clones, 2nd CAR-TCR Summit TCM: Larson, Juno (2018) PK, safety and durability, AACR TSCM-like TIL: Beatty, Moffitt (2018) response & survival, 33rd SITC Bot et al, Kite (2018) 33rd SITC & (2019) 4th CAR-TCR Summit (2021) 7th CAR-TCR Summit TCM: Fraietta, UPenn (2018) TET2 Disruption, Nat Med PMID: 29849141 TCM: Deng et al, MDACC/axi-cel (2020) Nat Med PMID: 33020644 Luca Gattinoni1, Daniel E Speiser2, Mathias Lichterfeld3 & Chiara Bonini4,5 Volume 23 | Number 1 | January 2017 | NATURE MEDICINE “The extreme longevity, the robust proliferative potential and the capacity to reconstitute a wide-ranging diversity of the T cell compartment make the TSCM cell type an ideal cell population to employ in adoptive immunotherapy”
The Importance of Stem Cell Memory T Cells (TSCM) Not All T Cells are Created Equally | POSEIDA R&D DAY 2022 Stem Cell Memory TSCM Cell MORE DIFFERENTIATED LESS DIFFERENTIATED Strong correlation with best responses in the clinic More gradual tumor killing with less toxicity Better duration of response and potential for re-response TSCM engrafts in bone marrow – key to CAR-T success in solid tumors Self renewing Long lived Multipotent Central Memory TCM Cell Effector Memory TEM Cell Effector T-Cell TEFF Cell STEMNESS MATTERS Products with High % of TSCM cells:
We Believe TSCM Hold the Potential to Engraft, Self-renew and Create Wave after Wave of More Differentiated Effector Cells with One Administration CAR-TSCM Prodrug is Ideal for Treating Solid Tumors Our product candidates are comprised of a high percentage of TSCM cells, which we believe hold the potential to engraft, self renew and create wave after wave of more differentiated effector cells with one administration DOSE Prodrug Drug Poor CAR-T responses in solid tumors to date Rare instances with complete response (CR) have occurred (GBM, HCC) only after multiple administrations CAR-T can cause CRs in solid tumors, but numerous doses of more differentiated cells are required Conventional Experience and Perception Poseida’s Approach DOSE DOSE DOSE | POSEIDA R&D DAY 2022
TCR knock-out MHC I knock-out TSCM Cell Self-renewing Long lived Multipotent Stem Cell Memory Innovation in Allogeneic CAR-Ts TSCM-rich Allogeneic CAR-Ts Enabled by Poseida’s Technologies Cell Type Matters TSCM is the ideal cell type for CAR-T due to greater safety and durability piggyBac® is the ideal nonviral gene insertion technology Fully Allogeneic CAR-T Addressing both Graft v Host and Host v Graft alloreactivity with Cas-CLOVER™ Site-Specific Gene Editing Cost, Scale & Reach Booster Molecule technology delivers 100’s of doses at low cost Enables outpatient dosing and expanded patient reach | POSEIDA R&D DAY 2022
Preserve/improve high TSCM Optimized dosing regimens Healthy donor material Robust manufacturing Dramatic cost reductions Up to 100s of doses Our patented technology is designed to overcome the “Allo Tax” and significantly increase production yield while preserving desirable TSCM attributes of P-BCMA-ALLO1 P-BCMA-ALLO1 and P-MUC1C-ALLO1 INDs Cleared by FDA and Trial Start-up in Progress Poseida’s Unique Allogeneic CAR-T Platform TCR knock-out MHC I knock-out Unique Allogeneic Platform Booster Molecule Multiplex gene editing to address graft vs host (safety) and host vs graft (persistence) FULLY ALLOGENEIC HEALTHY DONOR LEUKAPHERESIS MANUFACTURING OF ALLOGENEIC CAR-T PRODUCT PRODUCT TESTING & RELEASE ADMINISTRATION OF ALLOGENEIC CAR-T PRODUCT Same-Day Patient Treatment T Cell Isolation Electroporation/ Gene Editing CAR-Positive Cell Selection and Expansion Purification Cryopreservation | POSEIDA R&D DAY 2022
Other CAR-T Approaches Suffer from Impaired Allogeneic Manufacturing Booster Molecule Technology Overcomes the “Allo Tax” Gene Editing of TCR Can Impair Allogeneic CAR-T Manufacturing Compared to Unedited CAR-T = “Allo Tax” Our patented technology is designed to overcome these limitations, and significantly increase production yield while preserving desirable TSCM attributes of P-BCMA-ALLO1 Without Booster CAR-T Production Fold Expansion With Booster THE PROBLEM: T-CELL ACTIVATION AND EXPANSION | POSEIDA R&D DAY 2022 Primary stimulation (via anti-CD3) Co-stimulation (via anti-CD2) Co-stimulation (via anti-CD28) CD3ζ ε ε
Increase Expansion of CAR-T >40 healthy donors screened >90% success in small scale production Clinical manufacturing with booster currently being optimized Preclinical Products Exhibit Favorable Expansion and Phenotype Booster in Action: Increased Expansion and High CAR-TSCM Top Quartile Donors Yield >250 Doses Preserve High % of CAR-TSCM Cells Top Quartile Products are 74% TSCM and 94% TSCM + TCM | POSEIDA R&D DAY 2022
TN TSCM P-BCMA-ALLO1 TCM TEM TTE - - + + + - + - - + - - CD28 + + + + +/- - CD27 + + + + +/- - IL-7Ra + + + + +/- - CXCR3 - + + + - - CD95 - + + + + + CD11a - + + + + + IL-2Rb - + + + + + CD58 - + + + + + CD57 - - - - +/- + Adapted from Gattinoni et al. (2017) Nat. Med. Poseida products closely match a TSCM phenotype when using extensive cell surface markers by flow cytometry Stemness Proliferative potential Lymphoid homing Antigen independence Lipid metabolism Low Dym Senescence Cytotoxicity Tissue tropism Antigen addiction Gylcolytic metabolism Oxidative stress Poseida’s Allogeneic CAR-T Products are Rich in TSCM Cells | POSEIDA R&D DAY 2022 CD45RA CCR7 CD62L TEFF TSCM TCM TEM TEFF TSCM TCM TEM Gated on CD4/CD8+ T cells All T cells are CD95+ CD45RA + + + CD45RO - - - CCR7 + + + CD62L + + +
Survivors are rechallenged on Day 28 and clear additional tumor cells CAR-TSCM Demonstrate Multipotency and Persistence in Tumor Rechallenge Model P-BCMA-ALLO1 Demonstrates Hallmarks of TSCM Cells In Vivo | POSEIDA R&D DAY 2022 Efficacy in Multiple Myeloma Cancer Model (RPMI-8226) Total tumor clearance by day 14 post CAR-T P-BCMA-ALLO1 multipotency & persistence
Clinical Trial Sites Advocate Aurora – Tulio Rodriguez, MD University of Oklahoma – Carrie Yuen, MD UCSD – Caitlin Costello, MD UCSF – Nina Shah, MD Johns Hopkins – Syed Abbas Ali, MD University of Maryland – Mehmet Kocoglu, MD University of Chicago – Ben Derman, MD P-BCMA-ALLO1 Phase 1 r/r Multiple Myeloma Clinical Trial Phase 1 Trial Design Open Label, 3+3 Dose Escalation 30 mg/m2 fludarabine + 300 mg/m2 cyclophosphamide x 3d lymphodepletion regimen P-BCMA-ALLO1 administered intravenously Single dose cohorts Multiple dose cohorts and Rituxan combinations considered for amendment (per FDA request) Up to 40 subjects | POSEIDA R&D DAY 2022 COMPLETE IND ENABLING STUDIES IND Approved 2021 2022 PHASE 1
Normal PBMC controls (N=2) P-PSMA-101 clinical products (N=6) TSCM Trafficking may be Important for Clinical Efficacy in Solid Tumors Poseida CAR-T and TSCM express a variety of trafficking molecules May facilitate trafficking to marrow, tumor P-PSMA-101 robust clinical activity against bone marrow metastases Trafficking Molecule TSCM/TCM P-PSMA-101 TEFF CD62L (L-selectin) + + - CXCR4 + + - CXCR3 + + - CLA (Cutaneous lymphocyte antigen) + + - CCR7 + + - CD11a (LFA-1-a) + + - Total CD4 Total CD8 | POSEIDA R&D DAY 2022
Triple-negative Breast (MDA.MB.468) and Ovarian Cancer (OVCAR3) Models P-MUC1C-ALLO1 Potent Activity Against Solid Tumors In Vivo | POSEIDA R&D DAY 2022 Triple-Negative Breast Cancer Model Ovarian Cancer Model 100% Tumor Elimination After ~2 Weeks
P-MUC1C-ALLO1 Phase 1 Clinical Trial Phase 1 Trial Design Phase 1 dose-finding and expansion study in advanced treatment-resistant solid tumors, including but not limited to ovarian cancer, pancreatic cancer, breast cancer (TNBC), non-small cell lung cancer (NSCLC) and others solid tumors Open Label, 3+3 Design, Single and cyclic Ascending Dose finding Study 30 mg/m2 fludarabine + 300 mg/m2 cyclophosphamide x 3d (Rituximab combination proposed) Up to 100 subjects; ~60 in dose-finding Part 1, with ~40+ in expansion cohort Part 2 Phase 1 Expansion (selected tumor types) Single or cyclic dose with the selected dose in 10-15 subjects per indication Cyclic dosing escalation cohorts proposed Outpatient administration proposed Study objectives Safety/Feasibility: AEs, Labs, CRS (Lee 2019) and CAR-T related toxicities and PK Dose finding: MTD and RP2D Efficacy: RECIST – ORR, TTR, DOR, PFS, OS etc. and PRO Exploratory: Biomarkers: P-MUC1 cells (vectors/clonality) and others | POSEIDA R&D DAY 2022 COMPLETE IND ENABLING STUDIES IND Approved 2021 2022 PHASE 1
Few Known Correlates of Preclinical / Clinical Activity, OR Biomarkers of Optimal Healthy Donors Aiming to Better Understand Biomarkers of Product Quality Identify biomarkers that: Increase our knowledge of T cell fitness and function Predict the best donors and products Identify best healthy donors for Allo production Utilize biomarker knowledge to make better CAR-T cells nCounter® Characterization Panels | POSEIDA R&D DAY 2022 Research Goals
Stringent In Vivo Models Used to Measure Product Quality Positive Predictive Value of Allogeneic CAR-T Product Quality Efficacy in Multiple Myeloma Cancer Model (RPMI-8226) 100% Tumor Elimination After ~3 Weeks Capacity for tumor control determined in vivo at ‘stress’ CAR-T doses Stringent myeloma model fine-tuned using clinical samples of P-BCMA-101 with known clinical outcomes 100% positive predictive value: If clinical product completely killed tumor in the animal model, then it also had excellent activity in the clinical trial Correlative studies performed using preclinical lots (>25) of P-BCMA-ALLO1 that were extensively evaluated Single cell approaches used allowing for deeper analysis of CAR-T functionality and heterogeneity unattainable by FACS or bulk RNA sequencing | POSEIDA R&D DAY 2022
P-BCMA-ALLO1 Early Memory Cells Correlate with Antitumor Efficacy Presence of early memory cells significantly correlated with in vivo efficacy Inverse correlation between CD8+/ CCR7+/ CD27+/ CD62L+/ TCF7+ cells and tumor growth Also important: Viability of product post-thaw Functional capacity in serial restimulations assays (i.e. proliferative, multipotent, etc.) Products with the Best In Vivo Activity Have More TSCM Memory Cells | POSEIDA R&D DAY 2022
Healthy donors (>25) were screened for manufacturability and function (in vitro and in vivo tumor efficacy) Most donors (93%) met manufacturability criteria Of those, 74% (14 of 19) met activity release criteria and are eligible for clinical lot manufacture 50% of those (7 of 14) demonstrated complete or near complete tumor elimination Top donors identified have the greatest chance of producing high-quality product A Vast Majority of Healthy Donors Were Eligible for Clinical Lot Manufacture Screening Identifies Ideal Donors for Clinical Manufacturing | POSEIDA R&D DAY 2022
Summary: Poseida TSCM-based Allogeneic CAR-T Platform CAR-TSCM are the key to efficacy and safety Prodrug is ideal for treating solid tumor indications Poseida’s unique technology enables fully allogeneic CAR-Ts rich in TSCM Booster molecule facilitates potentially 100s of doses from a single manufacturing run Pipeline candidates highly efficacious in stringent xenograft tumor models P-BCMA-ALLO1 demonstrates complete tumor control in predictive model P-MUC1C-ALLO1 has potent activity against a wide range of human tumors IND Clearances in 3Q 2021 (P-BCMA-ALLO1) and 4Q 2021 (P-MUC1C-ALLO1) Understanding correlates of preclinical / clinical efficacy can help to make better products Product quality is a measure of cell health, T cell fitness and function The best products had more TSCM and great functional capacity Donor selection allows for generation of products with exceptionally high % TSCM | POSEIDA R&D DAY 2022
Dual CAR Programs
Proof of Concept: PB Can Effectively Deliver Multiple Full-length CARs in Single Transposon System * Plus selection gene and marker gene 1 BCMA 2 BCMA PSMA 3 BCMA PSMA CD19 4 BCMA PSMA CD19 GD2 Large Cargo Capacity Increases Optionality and Enables the Next Wave of Opportunity PiggyBac’s Cargo Capacity Enables Multiple Antigen Targeting and More # FULL-LENGTH CARs* FUNCTION (KILLING) Cargo capacity enables multi-targeting, logic gating system, armoring or other strategies, with additional capacity for safety switch, selection gene (and/or others) | POSEIDA R&D DAY 2022
Multiple Antigen Targeting with Dual CAR to Improve Efficacy Overcome single antigen loss (heme) CD19 CAR-T clinical trials: up to 40% of relapse is caused by loss of CD19 antigen 2. Target heterogeneous tumors (solid) Highly heterogeneous antigen expression may contribute to poor CAR-T clinical responses against solid tumor Single CAR Co-administered Dual CAR Co-localized dual engagement Tandem CAR Conformation challenges? CD19 CD20 CD20 CAR-T CELL CD19 CAR-T CELL TUMOR Competitive Advantage Dual-CAR Tandem CAR-TCR Additional Approaches Beyond Single CARs Shah et al., Front Oncol. 2019; 9: 146 TCR CAR | POSEIDA R&D DAY 2022
Multiple Antigen Targeting by Combining CAR-T and TCR-T Platforms piggyBac® can be leveraged to deliver CAR and TCR αβ in same product Over 90% of engineered T cells express both CAR and TCR POTENTIAL BENEFIT Enable engineered T cell to recognize both cell surface and intracellular antigen presented by MHC TCR CAR Simultaneous expression of CAR and TCR Hybrid CAR/TCR-T cells may exhibit better killing and higher tumor infiltration in solid tumor indications CAR+TCR Transposon CAR+TCR co-expression 91.5% CAR TCR Integrate CAR and TCRα/β genes into one multi-cistronic cassette TTAA ITR Insulator Promoter Poly(A) TTAA Insulator ITR Safety Switch CAR Selection Gene TCRa TCRb TCR | POSEIDA R&D DAY 2022
Dual CAR-T vs Single Tandem PiggyBac Provides Competitive Advantage with Dual CAR Dual CAR is More Effective Than a Tandem CAR | POSEIDA R&D DAY 2022 We compared various formats of our single-domain VH binders: Single CAR Single Tandem CAR Dual CAR We have learned: A tandem CAR is sometimes better than a single CAR A Dual CAR-T is almost always better than a single or tandem CAR-T Lessons learned will be implemented in future pipeline programs
CD19/CD20 Dual CAR for B Cell Malignancies & Autoimmune Diseases CAR-T Killing of Lymphoma Tumor Cells (Raji; CD19+ and CD20+) Dual antigen targeting can increase efficacy CD19/CD20 Dual CAR-Ts kill (double positive target cells) better than either single CAR-T alone Quad-cistronic vector Fully allogeneic Dual CAR-T maintain high % TSCM Could also be used to treat autoimmune diseases ALLO CD19/BCMA Multiple Myeloma 2 ALLO CD19/CD20 B cell Leukemia and Lymphoma 1 Dual ALLO (Undisclosed) Solid Tumors 3 | POSEIDA R&D DAY 2022
Capable of Improving Performance of any CAR Binder Binder Mutagenesis and Library Screening Platform | POSEIDA R&D DAY 2022 Powerful binder mutagenesis platform Capable of improving performance of any CAR binder Developed at Poseida In vivo screening used for final determination of lead/s Survival, tumor burden, T cell expansion (Cmax), T cell exhaustion, etc. >500 >10 1 Synthesize CAR library Generate T cell pool (transposition) T cell production Enrichment assay NGS sequencing In vitro validation Cytotoxicity/activation/CAR expression In vivo validation Best efficacy CAR library T cell pool T cell production Enrichment Sequencing In vitro POC In-vivo POC
Proof-of-concept: Binder Enhanced Via Single Point Mutation to Outperform Canonical FMC63 scFv Improved CD19 VH Binder Performance Binder mutagenesis significantly improved final product function in a lymphoma cancer model *Error bars represent mean of 5 mice + SEM Efficacy in Lymphoma Cancer Model (Raji) | POSEIDA R&D DAY 2022
Summary: Poseida Dual CAR-T Programs PiggyBac’s large cargo capacity enables delivery of numerous therapeutic genes e.g., CAR, TCR, armor, safety switch, selection gene, etc. Multiple antigen targeting with Dual CAR-T or CAR-TCR cells can improve efficacy Overcome single antigen loss (heme malignancies) Target heterogenous tumors (solid tumor indications) Dual CAR is almost always better than a single or tandem CAR Dual CAR (CD19/CD20) is fully allogeneic, maintains a high % of TSCM, and is more efficacious than either single CAR alone Poseida’s Binder Mutagenesis and Library Screening Platform can improve performance of any CAR binder | POSEIDA R&D DAY 2022
Gene Therapy Product Candidates Eric Ostertag, MD, PhD Founder & Executive Chairman
In Vivo Gene Therapy for Rare Diseases Disruption in Gene Therapy Fully Integrating PiggyBac® integrates into DNA enabling the potential for single treatment cures Addressing Challenges of Viral Delivery piggyBac and Nanoparticle technology can address limitations of AAV Broad Application piggyBac cargo capacity addresses more indications and piggyBac can treat juvenile populations | POSEIDA R&D DAY 2022
AAV (SPB-DNA) AAV (PB-DNA) Viral Non-Viral Nanoparticle (SPB – RNA) Nanoparticle (PB – DNA) piggyBac+AAV followed by piggyBac+Nanoparticle Changing the Game in Liver-Directed Gene Therapy Liver Cell Replication Clearance of Majority of Non-integrated AAV Residual AAV Integrated Transposon AAV + piggyBac Transposon AAV + piggyBac Transposase Transposase + Luc Transposon PB DNA LNP Luc Transposon Alone SPB mRNA LNP PB DNA LNP Juvenile Mice at 7 months post injection (Injected at 4 Weeks) CMV Promoter 0.25mg/kg DNA-LNP 0.25mg/kg RNA-LNP Single-treatment cure in mouse models of OTC, ASS1, PFIC3 + + | POSEIDA R&D DAY 2022
Financial Terms $45 million cash up front and pre-clinical milestones could exceed $125 million in the aggregate $435 million in clinical development, regulatory and commercial milestones per program Tiered royalties on commercial sales Takeda responsible for research program costs Broad non-viral in vivo gene therapy research collaboration with Takeda Liver-directed and HSC-directed indications Six initial targets including Hemophilia A Option for two additional targets Includes all of Poseida’s core technology platforms PiggyBac® gene insertion Cas-CLOVER™ for gene editing Biodegradable LNP nanoparticle for gene delivery Poseida responsible for research to candidate selection and Takeda has responsibility for development, manufacturing and commercialization Announcing Our First Strategic Gene Therapy Partnership | POSEIDA R&D DAY 2022
In Vivo Liver-Directed Gene Therapy with Non-Viral Nanoparticle Delivery In Vivo Liver-Directed and HSC-Directed Gene Therapy Gene Therapy Pipeline Indication Candidate Discovery Preclinical IND-Enabling GENE THERAPIES GENE THERAPIES GENE THERAPIES Ornithine Transcarbamylase Deficiency (OTC) P-OTC-101 HEMOPHILIA A P-FVIII-101 Liver-Directed #2 Undisclosed Liver-Directed #3 Undisclosed Liver-Directed #4 Undisclosed HSC-Directed #1 Undisclosed HSC-Directed #2 Undisclosed | POSEIDA R&D DAY 2022
Emerging Technologies Eric Ostertag, MD, PhD Founder & Executive Chairman
P-OTC-101 for Ornithine Transcarbamylase Deficiency Jack Rychak, PhD Vice President, Gene Therapy
Ornithine Transcarbamylase (OTC) Deficiency | POSEIDA R&D DAY 2022 X-linked metabolic liver disorder Most common urea cycle disorder subtype and most common cause of 'early onset' illness Causes hyperammonemia crises which may result in neurological impairment or death Dietary protein restriction & alternative pathway drugs inadequate for early onset illness Liver transplantation is standard care Inaccessible to many Morbidity and mortality Lifetime immunosuppression OTC Deficiency
Early Onset/Severe OTC Deficiency: Major Unmet Need and Opportunity for Benefit | POSEIDA R&D DAY 2022 1 day 7 days 1 mo 6 mos 2 yrs 7 yrs 30 yrs Neonatal/Early Onset (≤30 days after birth) Later Onset (1 mo – 16 years) Females vs. Males 1 Brassier et al., Orphanet Journal of Rare Diseases , 2015 (French series spanning 1971-2011) Survival1 Integrates Into DNA Delivering Stable Long-Term Expression Ideal for use in dividing tissues like those in juvenile liver. Not adequately treatable with standard non-integrating AAV gene therapies. Highly efficient integration with piggyBac® may allow reduced dosing and single treatment cures Delivered using AAV + nanoparticle OTC Disease piggyBac® Benefits in
P-OTC-101 | POSEIDA R&D DAY 2022 Hepatocellular Replication Clearance of Majority of Non-integrated AAV Residual AAV Integrated Transposon OTC AAV + SPB mRNA LNP Biodegradable nanoparticle transiently delivers Super piggyBac® transposase (SPB) Rapid and stable integration of functional OTC gene into the genome Durable OTC expression in growing liver enables single treatment cure Protein expression at therapeutic levels with order(s) of magnitude lower AAV doses Possibility of re-dosing SPB, if needed hOTC-AAV piggyBac mRNA LNP +
Standard AAV Approach is Insufficient to Rescue Severe Phenotype Following Neonatal Treatment | POSEIDA R&D DAY 2022 0 Days after birth 46 mOTC shRNA Hyperammonemia AAV hOTC 1 Experimental Design SPFash treated on day=1 of life with 2E13 vg/kg of hOTC-AAV Mice challenged with shRNA (against mouse OTC) on day=46 to eliminate residual OTC expression to induce severe disease phenotype Untreated hOTC AAV
P-OTC-101 Enables Single Treatment Cure of OTC Disease Model | POSEIDA R&D DAY 2022 ~56% OTC piggyBac® LNP + hOTC-AAV + <3% OTC hOTC-AAV 2E13 vg/kg hOTC-AAV +/- 0.2 mg/kg piggyBac transposase mRNA LNP administered on day=1 of life to spfash mice IHC for glutamine synthetase (pink) human OTC (brown) in liver on day = 83 + Percent hepatocytes with OTC expression:
P-OTC-101 Enables Single Treatment Cure of OTC Disease | POSEIDA R&D DAY 2022 Integrated copies in liver measured by ddPCR on day 83 post-treatment hOTC mRNA in liver measured by qRT-PCR on day 83 post-treatment Urinary orotic acid measured by LC-MS/MS on day 35 Plasma ammonia measured by clinical chemistry analyzer on day 83 Integrated Vectors hOTC mRNA Urea Cycle Biomarkers 2E13 vg/kg hOTC-AAV +/- 0.2 mg/kg piggyBac transposase mRNA LNP administered on day=1 of life to spfash mice
piggyBac® Reduces Therapeutic AAV Dose by Order(s) of Magnitude | POSEIDA R&D DAY 2022 + 0.5 mg/kg SPB-LNP 0.5 mg/kg LNP + hOTC_AAV administered on day=1 of life to spfash mice Survival Plasma Ammonia + 0.5 mg/kg SPB-LNP AAV alone Plasma ammonia measured by clin. chemistry analyzer on day 77 post-treatment
Transient mRNA Expression of piggyBac® Transposase from Biodegradable Nanoparticle | POSEIDA R&D DAY 2022 piggyBac transposase (SPB) expression in liver measured by ELISA in WT mice Cationic lipid concentration in liver measured by LC-MS/MS (0.5 mg/kg) in WT mice 3.5E13 vg/kg hOTC-AAV +/- 2 mg/kg transposase LNP to juvenile spf-ash mice; liver enzymes measured on day=17 post treatment Transposase Expression Cationic Lipid Clearance Liver Enzymes Transient expression of transposase is effective in <24 hours No evidence of liver toxicity Greatly limits potential for immune response
Transgene Activity is Responsive to LNP Dose | POSEIDA R&D DAY 2022 LNP Dose (mg/kg mRNA) hOTC-Expressing Hepatocytes Urinary Orotic Acid hOTC-AAV + SPB transposase mRNA LNP administered on day=1; OTC expression and urinary orotic acid measured on day = 83 Dose-proportional increase in hepatocytes expressing hOTC with transposase mRNA LNP dose Decrease in urinary orotic acid proportional to frequency of hOTC expressing hepatocytes
Summary and Conclusions | POSEIDA R&D DAY 2022 Single treatment of hybrid piggyBac® AAV+LNP enables cure in mouse model of severe OTC Disease piggyBac® hybrid LNP/AAV approach reduces required AAV dose for therapeutic efficacy by order(s) of magnitude The piggyBac® System likely may be used with any AAV system to greatly increase duration of transgene expression, reduce or eliminate toxicity and allow for treatment of pediatric patient populations P-OTC-101 shows does response and re-dosing of transposase is possible if necessary
P-FVIII-101 for Hemophilia A Jack Rychak, PhD Vice President, Gene Therapy
Hemophilia A | POSEIDA R&D DAY 2022 X-linked bleeding disorder caused by deficiency in factor VIII Large cDNA (~7.1 kb) and complex protein Causes frequent bleeding episodes FVIII activity correlates with the severity of the disease ClassificationFVIII Activity Relative Incidence Severe <1% 50% Moderate 1-5% 30% Mild >5-40% 20% Current approaches not suitable for juvenile treatment (AAV gene therapy) or require lifelong treatment (protein replacement therapies) Palliative Factor Replacement mRNA Replacement Bi-specific antibodies Curative Gene Therapy Spontaneous Bleeding Joint Disease Brain/GI Bleed Clotting Cascade Successful Hemostasis FVIII X …
P-FVIII-101 | POSEIDA R&D DAY 2022 Biodegradable lipid nanoparticles (LNPs) deliver Super piggyBac transposase (SPB) and FVIII transposon (therapeutic transgene) No known cargo capacity limits Stable integration of functional human FVIII gene into genome Durable FVIII expression in growing liver Possibility of repeated dosing, if required hFVIII Transposon LNP piggyBac Transposase LNP + Therapeutic Transgene (DNA) mRNA Super piggyBac (SPB) mRNA Transposase LNP FVIII DNA Transposon LNP piggyBac® Dual LNP Approach
FVIII Activity in Juvenile HemA Mouse Dual-LNP co-administered as single dose IV to juvenile Hem A mice (n=7) 0.25 mg/kg Transposon (DNA) 0.50 mg/kg Transposase (mRNA) FVIII activity measured (tail vein collection) in 4-week intervals Therapeutic (25-83%) levels of FVIII activity observed Durable FVIII activity maintained over 7 months Durable FVIII Activity in Juvenile Mouse Model of HemA | POSEIDA R&D DAY 2022 Sabatino, et al. “LNP delivery of piggyBac for gene delivery of FVIII for hemophilia A.” National Hemophilia Foundation 16th Workshop on Novel Technologies and Gene Transfer for Hemophilia. 12-13 Nov 2021. Washington, D.C.
Dual-LNP co-administered as single dose IV to neonatal (day 1 of life) healthy BALB/C mice (n=6-9) 0.25 mg/kg Transposon (DNA) 0.50 mg/kg Transposase (mRNA) Human FVIII expression (protein concentration) measured by ELISA bi-weekly Durable expression of human FVIII maintained over 5 months Durable Expression of Human FVIII Observed in Neonatal Mice | POSEIDA R&D DAY 2022 FVIII Expression in WT Neonatal Mouse
In-progress study evaluating ongoing FVIII transposon and SPB transposase sequence optimization Dual-LNP co-administered as single dose IV to neonatal (day 1 of life) healthy BALB/C mice (n=4) 0.25 mg/kg Transposon (DNA) 1.0 mg/kg Transposase (mRNA) Genome integration with piggyBac® enables massively supra-therapeutic FVIII expression levels at modest dose level in young liver PiggyBac® Enables Supraphysiological FVIII Expression at Low Doses | POSEIDA R&D DAY 2022 FVIII Expression in WT Neonatal Mouse
Dual LNP piggyBac® System Can be Repeatedly Dosed | POSEIDA R&D DAY 2022 Dose 1 Dose 3 Dual LNP, Repeat Dosing Dose 2 WT mice administered dual LNP with reporter (luciferase) transgene Controllable, dose-responsive pharmacology observed SPB transposase can be administered separately from transposon LNP Dose Transposon Dose Transposase Dual LNP, Split Dosing
Summary | POSEIDA R&D DAY 2022 P-FVIII-101 (fully biodegradable nanoparticle delivery) can achieve >100% of normal FVIII levels and durable expression with a single administration in a preclinical model. The biodegradable nanoparticle + Super piggyBac® DNA Delivery System may overcome the limitations of AAV-based systems. Potential for single treatment cure Ability to treat pediatric patients No pre-existing immunity Much larger cargo capacity Dose proportional pharmacology Ability to re-dose Fewer safety concerns Ease of manufacturing
Development of a Site-Specific Super piggyBac® Transposition System (ssSPB) Blair Madison Vice President, Genetic Engineering
The Next Wave in Gene Therapy: Site-specific Transposition | POSEIDA R&D DAY 2022 A site-specific piggyBac® platform would be revolutionary: Superb genotoxicity safety profile Enables simultaneous cargo knock-in and gene knock-out Programmability for targeting any site in the genome Simplicity: 2-component system (transposase and dsDNA) Agnostic to DNA repair pathways (no need for NHEJ, HDR, MMEJ, etc.) Enables site-specific large cargo delivery in any cell type or tissue with nearly unlimited gene therapy applications: Site-specific delivery of entire genes with all regulatory elements!? Two Examples: Gene Size Protein Size # of Mutations Incidence Muscular Dystrophy (DMD)~2.1 Mb (!)3685 aa (!)>1800~1 in 3,500 M births Cystic Fibrosis (CFTR)~187 Kb1480 aa>1700~1 in 3,800 M/F births Genomic DNA Paste Tremendous implications for treating common genetic diseases:
piggyBac®: A Versatile DNA Delivery System for Developing Gene Therapy Products | POSEIDA R&D DAY 2022 Non-viral gene insertion technology Enables DNA integration and stable expression High efficiency (Super piggyBac) Very large cargo capacity (~200 kB!) Works in a wide variety of cell types Multiple safety and cost benefits Integrates Into DNA Delivering Stable Long-Term Expression Ideal for use in dividing tissues like those in juvenile liver Highly efficient integration may allow reduced dosing and single treatment cures Delivered using AAV + nanoparticle or in vivo EP GENE THERAPY BENEFITS IN
piggyBac®: Wild Type (WT) vs. Super piggyBac® SPB | POSEIDA R&D DAY 2022 Note: No structure data for NTD G165S M282V N538K WT PB-DNA Transposome Neg (–) Neg (–) N538K N538K: Electrostatic stabilization in linker between DDBD and CRD G165S: Enhances DNA binding (H-bonds w/ PO4 and Adenine) G165S M282V: Enhances pi-stacking b/t Tyr283 and Adenine in TTAA DNA-BINDING CATALYSIS STABILIZATION Structure from Chen et al. Nat Commun, 2020 Jul 10;11(1):3446 Hyperactive mutations from Yusa et al. PNAS, 2011 Jan 25;108(4):1531-6 M282V SPB 1 594 NTD DDBD Catalytic CRD DDBD WT insert I30V* G165S M282V N538K NTD DDBD Catalytic CRD DDBD insert NTD: N-terminal domain | DDBD: Dimerization & DNA binding domain | CRD: Cysteine-rich domain *unknown mechanism underlying hyperactive effect of I30V
WT PB-DNA Transposome R372A K375A R372 & K375: Critical because of interaction with target DNA (H-bonds w/ PO4 in backbone) Structure from Chen et al. Nat Commun, 2020 Jul 10;11(1):3446 PBx mutations from Li et al. PNAS, 2013 Jun 18;110(25):E2279-87 R372 K375 CARGO ITR ITR “Cut” CARGO ITR ITR Genomic DNA PBx Transposase piggyBac® DNA Transposon X No integration PBx 1 594 NTD DDBD Catalytic CRD DDBD WT insert I30V G165S M282V N538K NTD DDBD Catalytic CRD DDBD insert NTD: N-terminal domain | DDBD: Dimerization & DNA binding domain | CRD: Cysteine-rich domain Excision-Only Transposase R372A, K375A TARGET DNA-BINDING piggyBac®: Wild Type (WT) vs. Excision-Only piggyBac® (PBx) | POSEIDA R&D DAY 2022
Generating a Site-specific Super piggyBac® (ss-SPB) System | POSEIDA R&D DAY 2022 Super piggyBac® (SPB) Academic Attempts to Make Site-specific SPB 3-5-fold greater site-specificity Desirable profile but not site-specific >500-fold greater site-specificity Site-specific SPB Desirable Less Desirable GENOME Intended target Maragathavally, K. J., et al., FASEB J. 2006 | Wang, W., et al., PNAS 2008 | Kettlun, C., et al., Mol Ther. 2011 | Owens, J.B., et al., Nucleic Acids Res. 2012 | Li, X., et al., PNAS 2013 | Owens, J.B., et al., Nucleic Acids Res. 2013 Ye, L., et al., Sci Rep. 2015 | Hew, B.E., et al., Synth Biol 2019
Strategies for Site-specific Transposition | POSEIDA R&D DAY 2022 Previous fusions of PB with: Gal4 Zinc-finger TAL dCas9 Unimpressive Results: 3-5-fold enhancement at on-target site Predominantly off-target integration DBD TTAA DBD Target DNA CARGO DNA PB-DBD Fusion PB Transposase-DNA-binding-domain Fusions Specific binding High Off-target Rate Previous fusions with PBx: Zinc-finger dCas9 Unimpressive Results: DBD could not rescue PBx integration at the on-target site DBD TTAA DBD Target DNA CARGO DNA PBx-DBD Fusion Non-specific binding X X PBx Mutations DEAD Rescuing PBx Integration-Defective Transposase Li, X., et al., PNAS 2013 Hew, B.E., et al., Synth Biol 2019
The Poseida Strategy | POSEIDA R&D DAY 2022 Results: First demonstrated rescue of integration-defective PBx mutant Unprecedented level of site-specificity: >500-fold with SSv7 Data here are from un-optimized SPB fusion protein Our Strategy Exploit new structure data Computational modeling Iterative screen Pursue rescue of PBx PBx SPB SSv1 SSv2 SSv3 SSv4 SSv5 SSv6 SSv6-PBx Site-specific SPB Fusions On-target Off-target Transposition Levels PBx Rescue! Transposition Levels SPB SSv6-PBx SSv7-PBx SSv7-PBx SSv6-PBx Specificity enhancement SSv7
(SSv6-PBx) Off-target Tolerance of SSv6-PBx | POSEIDA R&D DAY 2022 Determining Specificity Mutate DBD target sequence to assay distinction of subtle alterations of 9-nt target Results show high level of discrimination for first-generation fusion Successive iterations/optimizations underway for increasing specificity CARGO DNA DBD TTAA DBD Target DNA SSv6-PBx Fusion 1 bp mut. 2 bp mut.
Site-specific Transposition into Genome off-target TTAA site mutated on-target TTAA site on-target TTAA site Genomic target Synthetic reporter delivered via lentivirus in HEK293T First assessed for SSv6-PBx Over 20% of cells GFP+ Mut. target (2 nt) On-target Off- target | POSEIDA R&D DAY 2022
Building Upon Site-specificity: Obligate SPB Heterodimer | POSEIDA R&D DAY 2022 Challenges with SPB-DBD Fusions Homodimeric nature of SPB complicates DBD fusion strategies; Only one DBD can bind target site Bipartite (1/2 site) recognition sequences enables equal and balanced binding “Splitting” the recognition domains across 2 monomers enables more compact proteins CARGO DNA DBD TTAA ½ Site B DNA Obligate Heterodimeric Site-Specific SPB ½ Site A DBD
Key Characteristics of a SPB Obligate Heterodimer | POSEIDA R&D DAY 2022 Each SPB contains both positive (+) and negative (-) charges in the dimerization interface Engineer two new versions of SPB protein: SPB+ contains more (+) charge and SPB- contain more (–) charge Transposition only occurs when SPB+ is mixed with SPB- SPB+ must be inactive as a homodimer SPB- must be inactive as a homodimer Attract SPB Homodimer Repel SPB+ Homodimer SPB+/SPB- Heterodimer SPB- Homodimer Repel + _ _ + + + _ _ Attract + + + + _ _ _ _ _ _ _ _ _ _ _ _ + + + + + + + +
Rational Design of SPB Obligate Heterodimers | POSEIDA R&D DAY 2022 Cryo-EM structure of piggyBac® used to identify residues involved in dimerization Residues mutated individually or in combination to make 7 versions each of SPB+ and SPB- SPB+ and SPB- versions tested for transposition activity individually and in pairwise combinations Successfully created pairs with desired characteristics of an obligate heterodimer Structure Guided Design SPB Obligate Heterodimer Pairwise Activity Screen Green=High Transposition Red=Low Transposition
Summary | POSEIDA R&D DAY 2022 Poseida’s first generation Site-Specific SPB (ss-SPB) is a major technological advance Complete and unprecedented rescue of the integration-defective PBx mutation Structure-informed design of site-specific DNA binding motif fusion achieves >500-fold increase in site specificity Proof of concept for high efficiency site-specific integration established Mutation analysis at target site indicates robust stringency/specificity Optimization of first-generation obligate heterodimer will enable “dual” site targeting Site-specific piggyBac is poised for an enormous impact on gene therapy….
Liver-Directed Gene Editing with Cas-CLOVER™ Blair Madison Vice President, Genetic Engineering
Cas-CLOVER™: Ultra-Clean Gene Editing | POSEIDA R&D DAY 2022 3’ 5’ 5’ 3’ Cas-CLOVER Gene Editing System Low-to-no off-target cutting High Editing Efficiency in resting T-cells resulting in high % of TSCM cells Ease of use/design Multiplexing ability Lower cost Potentially the Cleanest Gene Editing Platform Efficiently edits resting cells - enables fully Allogeneic CAR-T products with profound implications for future non-viral Gene Therapy applications
Inhibition of PCSK9 to Lower LDL-Cholesterol Levels | POSEIDA R&D DAY 2022 Adapted from Dadu, R. T. & Ballantyne, C. M. Nat. Rev. Cardiol., 2014 PCSK9 protein is secreted by hepatocytes and binds to the LDL receptor, inducing its internalization and lysosomal degradation, resulting in increased circulating levels of LDL-cholesterol. Reduction or elimination of PCKS9 protein results in endosomal recycling of LDL receptors, rather than degradation, causing an overall decrease in circulating levels of LDL-cholesterol. PCSK9
Mouse Pcsk9 Gene Strategy for Targeting PCSK9 in Liver Hepatocytes | POSEIDA R&D DAY 2022 Hepatocytes 3’ 5’ 5’ 3’ Cas-CLOVER™ Gene Editing System Cas-CLOVER™ mRNA Pcsk9-targeting gRNAs Indel Loss of Function LNP Assay: Liver editing (NGS) Serum PCSK9 (ELISA)
In Vitro Delivery of Cas-CLOVER™ mRNA Results in 100% Editing | POSEIDA R&D DAY 2022 Cas-CLOVER™ mRNA and gRNAs were encapsulated in single LNP with >96% encapsulation efficiency. Cas-CLOVER™ LNPs were used to transfect Hepa 1.6 cells. 100% editing with 500 ng RNA/LNP. Benchmark LNP used as POC 0 0.25 0.5 1.0 2.5 RNA/LNP Dose (µg/mL)
Efficient Cas-CLOVER™ Delivery and Editing with Poseida’s Biodegradable LNPs | POSEIDA R&D DAY 2022 Efficacy readouts show clear dose response effect. Cas-CLOVER™ works for in vivo liver editing with high efficiency Poseida LNP efficacy is maximal at 2 mg/kg (>60% indels) >80-85% decrease in PCSK9 protein with doses >1.5 mg/kg Poseida’s proprietary biodegradable LNP used for delivery DNA Editing (NGS) Poseida LNP PBS Benchmark LNP 0.5 1 1.5 2 3 Protein Serum Levels Poseida LNP PBS Benchmark LNP 0.5 1 1.5 2 3 mg/kg mg/kg
Cas-CLOVER™ is Approaching Maximal Gene Editing in Hepatocytes | POSEIDA R&D DAY 2022 Endothelium Cholangiocytes Stellate Cells Kupffer Cells Hepatocytes Lymphocytes Liver biopsies consist of: Approximately 75% hepatocytes Remaining cells are stellate cells, Kupffer cells, cholangiocytes, endothelium, and lymphocytes, which do not express PCKS9 Suggests PCSK9 knockout rate of >80% in hepatocytes
HBB, B2M, GAPDH, TRAC loci as examples Cas-CLOVER™-mediated Knock-Ins in Induced Pluripotent Stem Cells (iPSCs) | POSEIDA R&D DAY 2022 iPSCs Cas-CLOVER™ mRNA gRNAs HDR & Knock-in EP Assay: iPSC editing (ICE) iPSC knock-in (ddPCR) GFP pA RNA 3’ 5’ 5’ 3’ Cas-CLOVER™ Gene Editing System
pDNA 10x 25x 30x pDNA 1x 1x More DNA = More Editing Brightfield GFP Cas-Clover Exon 1 HBB HBB HA Exon 2 Exon 3 Plasmid DNA HBBUBC-GFP HDR* UBC GFP bGHpA HBB HA Site-specific Insertion of a Large Transgene Cas-CLOVER™ is More Efficient Than WT CRISPR for Knock-Ins | POSEIDA R&D DAY 2022 UBC GFP bGHpA Brightfield GFP Bulk edited population of iPSCs *Site-specific insertion confirmed by PCR Cas-CLOVER™ 10-50x More Efficient 2x 4x Cas-CLOVER vs. WT CRISPR More efficient plasmid-based gene insertion Confers higher tolerance to plasmid DNA 1x 1x 2x 4x
Ultra-High Efficiency Knock-Ins with Cas-CLOVER™: GAPDH | POSEIDA R&D DAY 2022 sgRNA Pair #1 sgRNA Pair #2 No sgRNA Flow Day 15 Day 7 Cas-CLOVER™ targeting at GAPDH yields ultra-high efficiency No selection/sorting Bi-allelic targeting evident Cas-CLOVER
HiFiCas9 vs. Cas-CLOVER™ yields similar efficiencies Cas-CLOVER™ exhibits significantly lower toxicity Highly Efficient and Low Toxicity Knock-Ins with Cas-CLOVER™: B2M | POSEIDA R&D DAY 2022 sgRNA Pair sgRNA_2 sgRNA_1 No sgRNA No sgRNA Cas-CLOVER HiFiCas9
HiFiCas9 vs. Cas-CLOVER™ yields similar efficiencies Cas-CLOVER™ exhibits significantly lower toxicity Highly Efficient and Low Toxicity Knock-Ins with Cas-CLOVER™: TRAC | POSEIDA R&D DAY 2022 Cas-CLOVER HiFiCas9 sgRNA Pair No sgRNA sgRNA_2 sgRNA_1 No sgRNA
Frequent Outperformance of Cas9 Suggests Role for Cas-CLOVER™ in Enhancing HDR Cas-CLOVER™ Monomer Binding to Donor Enhances Homology Directed Repair (HDR) | POSEIDA R&D DAY 2022 HiFi Cas9 Benchmark # of donor-targeting gRNAs (increasing CC binding) Cargo LHA RHA With additional donor-targeting gRNAs, HDR efficiency increases Cas-CLOVER™ monomers cannot cut DNA, so role for nuclease unlikely Possibly due to enhanced nuclear translocation and/or protection of DNA from nucleases 3-fold enhanced gRNAs Cas-CLOVER™ + Donor-targeting gRNAs LHA = Left homology arm RHA = Right homology arm
Increased Episomal Expression Suggests Cas-CLOVER™ Enhances Nuclear Translocation Cas-CLOVER™ Monomer Binding to Plasmid Enhances Expression | POSEIDA R&D DAY 2022 GFP gRNAs gRNA concentrations N=2 Targeting gRNAs N=3 Targeting gRNAs N=4 Targeting gRNAs Cas-CLOVER™ + Plasmid-targeting gRNAs Episomal GFP Expression With additional donor-targeting gRNAs, GFP intensity increases Cas-CLOVER™ monomers cannot cut à nuclease independent Likely due to enhanced nuclear translocation
Positioning May Help Reduce Interference with HDR Process (e.g., 3’ strand invasion) Benefits of Positioning gRNA Binding Away from HDR Region | POSEIDA R&D DAY 2022 Proximal Mid BB Increasing HDR ssDNA circular donor with short dsDNA regions at gRNA target sites Cargo Increasing HDR Circular partially dsDNA c-dsDNA c-ssDNA NS Ctrl Prox Mid BB Circular partially dsDNA Also Prox Sub- par Implications for improved knock-ins: Enhancement through add’l binding sites Only possible with dimeric system?
Effects/benefit not observed with HiFiCas9, as expected Cutting of homology arms detrimental to HDR (HiFiCas9) Targeting Cas9 nuclease to donor plasmid ineffective or detrimental Enhanced HDR Only Observed with Cas-CLOVER™ Dimeric Platform | POSEIDA R&D DAY 2022 Mid BB Cargo Cas-CLOVER gRNAs targ Mid-HA 2.5-fold improvement with only 2 additional gRNAs HiFiCas9
Summary | POSEIDA R&D DAY 2022 Cas-CLOVER™ works for high-efficiency site-specific gene editing Cas-CLOVER™ can be delivered using Poseida’s proprietary biodegradable mRNA LNP Gene editing efficiency (>60%) and protein reduction (~85%) at Pcsk9 locus is approaching the theoretical maximum following single injection Cas-CLOVER™ enables high-efficiency knock-ins with low toxicity Cas-CLOVER™ binding acts as a Homology Directed Repair (HDR) enhancer by augmenting nuclear translocation
Fully Allogeneic TCR-T Program Julia Coronella Vice President, Immuno-Oncology
Platform Profile: Fully Allogeneic TCR-Engineered T cells (TCR-T) | POSEIDA R&D DAY 2022 Poseida TCR-T Platform TCR-engineered T cells (TCR-T) express tumor-antigen-specific T cell receptors composed of α- and β-chains, which recognize antigen + MHC presented on the surface of target cells TCR-T access intracellular tumor antigens TCR-T require lower antigen density than CAR-T TCR-T may exhibit better cell persistence and tissue homing capability than CAR-T TCR-T have applications in oncology, infectious disease, autoimmunity Mechanistic advantages of TCR-T and CAR-T technology to address target heterogeneity and increase potency Potential combinations with antivirals TCR-engineered T Cells
Adapted from Gattinoni et al. (2017) Nat. Med. Stemness Proliferative potential Lymphoid homing Antigen independence Lipid metabolism Low Dym Senescence Cytotoxicity Tissue tropism Antigen addiction Gylcolytic metabolism Oxidative stress TSCM Cell TCM Cell TEM Cell TEFF Cell TN Cell piggyBac® cargo capacity enables delivery of multiple genes for multi-targeting via CAR - TCR, and activation-gated expression Multi-targeting 3 Fully Allogeneic: Cas-CLOVER™ editing of TCRA and TCRB to prevent GVHD and improve efficacy, reduce TCR mispairing, multiplex with B2M KO to reduce rejection while retaining T cell robustness High fidelity multiplex gene editing 2 Poseida’s Technology Offers Advantages in Developing Allogeneic TCR-T | POSEIDA R&D DAY 2022 piggyBac® CAR gene delivery generates a durable TSCM-enriched cell therapy product for superior safety and efficacy High TSCM TCR-T 1 Poseida technology platforms could address many of the limitations of current TCR-T therapies, including improving persistence, potency, manufacturing, and immune rejection Optimized platform for oncology, infectious disease, other applications Platform versatility 4 TSCM Cell TCM Cell TEM Cell TEFF Cell Poseida Allo TCR-T
Fully Allogeneic TCR-T Produced with Poseida Platform Technology | POSEIDA R&D DAY 2022 Endogenous TCR Transgenic TCR Efficient endogenous TCR KO reduces the potential for alloreactivity and GvHD High TSCM % in the final product is associated with improved safety/durability Enhanced TCR avidity boosts TCR-T cytotoxicity in vivo efficacy Transgenic CAR Transgenic TCR Dual CAR+TCR expression enables targeting of multiple tumor antigens, reducing the potential for immune escape Endogenous TCR KO Allo TCR-T exhibit promising in vivo anti-tumor efficacy Enhanced Cytotoxicity High % TSCM Allogeneic CAR+TCR potential POC NY-ESO-1 TCR-T
TCR-T for Immuno-Oncology (NY-ESO-1)
Optimized Allo NY-ESO-1 TCR-T Shows Robust In Vivo Activity | POSEIDA R&D DAY 2022 In vivo efficacy: A375-NSG model TCR: 1G4 Does@3e6 Tetramer+ cells Proof-of-concept Allo TCR-T produced with optimized transposon demonstrated promising in vivo efficacy Poseida data Roth, T.L., et al. Nature 559, 405–409 (2018).
Poseida Approaches to Enhance TCR-T Efficacy | POSEIDA R&D DAY 2022 Tg-TCR Dextramer CD4+ Regular TCR-T Poseida TCR-T CD8+ TRAC/TRBC DKO Prevents Mismatch Without Impairing T Cell Function TCR Avidity Enhancement Optimized TCR-T Exhibits Better Potency Optimized Allo TCR-T production process results more potent in vitro cell killing
TCR-T for Infectious Disease (COVID)
Collaboration with TScan to Identify and Sequence COVID-specific TCRs | POSEIDA R&D DAY 2022 EPITOPE PROTEIN TCR CLONE HLA KLWAQCVQL ORF1ab 63 A*02 YLQPRTFLL S 31 A*02 LLYDANYFL ORF3a 29 A*02 At TScan, an epitope library of SARS-CoV-2 was screened against PBMC from convalescent patients Three dominant HLA-A2 restricted SARS-CoV-2 epitopes were identified (see table) TCR chains were sequenced and synthesized, for TCRs recognizing the dominant epitopes COVID-specific TCRs were expressed in engineered allogeneic TCR-T cells at Poseida
Characterization of Engineered Allo COVID TCR-T Product | POSEIDA R&D DAY 2022 Optimized engineering process yields final product with >80% expression of COVID TCR Optimized purification (chimeric TCRb chain of tgTCR) permits removal of unedited T cells Fully Allogeneic T cells with high expression of COVID-TCR Endo-TCRβ Cov-TCRβ LLY COVID-TCR YLQ COVID-TCR KLW COVID-TCR High % TSCM in Final Product High % TSCM in final product
Allo COVID TCR-T Are Polyfunctional, Specific and Potent | POSEIDA R&D DAY 2022 Effective and Specific Cytotoxic Response Against Cell Lines Presenting COVID Epitopes COVID-TCR T Polyfunctionality Robust induction of desired polyfunctional IFNg+ cells with viral peptide stimulation
Allogeneic TCR-T In Vivo Efficacy Against COVID Peptide+ Cells | POSEIDA R&D DAY 2022 POC for Poseida TCR-T platform for infectious disease Animal Model: COVID-epitope [KLW]-positive HEK293 Cells
Dual CAR/TCR T cells
Potential Therapeutic Benefits of CAR/TCR-T | POSEIDA R&D DAY 2022 Enable engineered T cell to recognize both cell surface target and intracellular antigen presented by MHC TCR CAR Simultaneous Expression of CAR and TCR Poseida CAR/TCR-T: Best of Both Technologies TCR CAR Highly tumor-specific intracellular antigens Low antigen density requirement Polyfunctional CD4/CD8 engagement of host immune system Potential trafficking advantages in solid tumors Cell surface antigens Validated process and platform Validated, robust anti-tumor activity Tunable CAR binder and signaling domains Broad applicability
Allogeneic CAR/TCR-T Coexpression and Dual-Targeted Cell Killing | POSEIDA R&D DAY 2022 BCMA_CAR NY-ESO_TCR BCMA_CAR-T NY-ESO_TCR-T CAR/TCR-T CAR/TCR-T Characterization CAR/TCR transposon comprised of both CAR and TCR gene into one expression cassette POC Allo CAR/TCR-T product exhibits high % CAR/TCR expression and dual-antigen specificity, and potent in vitro cell killing
Summary | POSEIDA R&D DAY 2022 Poseida’s TCR-T platform has numerous advantages, including a final product with a high percentage of stem cell memory (TSCM) CD4 and CD8 cells Ultra-high fidelity Cas-CLOVER™ allows multiplex editing (TCRA, TCRB, B2M), while retaining robust T cell function in vitro and in vivo Proof-of-concept established for both oncology and infectious disease Poseida’s TCR-T platform can be combined with the CAR-T platform for dual targeting and potential additive activity
CAR 3.0 – Using Hematopoietic Stem Cells (HSCs) to Create CAR-based Cell Therapies Nina Timberlake, PhD Director, Ex Vivo Cell Therapy
Gene delivery to a relatively small number of input HSCs lowers costs while dramatic cellular expansion during differentiation minimizes dosing limitations of mature cells Robust Expansion 3 CAR gene delivery to the HSC makes CAR expression possible in any downstream cell type including T cells, NK cells, and macrophages for a multipronged, whole immune system approach Diverse CAR Effector Cells 2 CAR-HSC: The Next Wave in CAR Therapy | POSEIDA R&D DAY 2022 piggyBac® CAR delivery piggyBac® CAR gene delivery to a small fraction of transplanted HSCs could provide an inexhaustible supply of TSCM and differentiated CAR-T cells for continued eradication of recurring malignant cells Unlimited TSCM CAR-T 1 CAR-HSC could address many of the limitations of current CAR-T therapies, including improving persistence, potency, manufacturing, and immune rejection Central immune tolerance achieved during stem cell transplant prevents rejection of CAR-effector cells derived from CAR-HSCs Immune Tolerance 4 Mono Gran Ery Mega NK B CD8 CD4 CLP GMP MEP CMP MPP HSC LMPP CD34+ HSPCs
Translating Poseida’s Platform Technologies to Modification of CD34+ Cells | POSEIDA R&D DAY 2022 Successful Modification of CD34+ Cells with Various CAR Vectors Durable transgene expression in HSCs via piggyBac DNA Delivery System Efficient and high-fidelity KO using Cas-CLOVER™ Site-Specific Gene Editing System Availability of additional tools including safety switch and selection marker CAR-HSC TTAA ITR Poly(A) TTAA ITR GFP/iC9 Promoter CAR DHFR HSC
CAR-HSC Enables Multiple Pathways to Generate CAR-Effectors | POSEIDA R&D DAY 2022 Persistent Tumor Cell Killing Tumor Eradication & Relapse Control Continuous CAR-Effector Resupply via CAR-HSCs Targeted CAR-Effectors Differentiated in vivo Lifelong CAR-HSC Engraftment Ex vivo expansion to CAR-Effectors (optional MTX selection) Tumor Eradication CAR-HSC 1 Ex Vivo CAR-Effector Differentiation 2 In Vivo CAR-HSC Therapy
CAR-HSCs Undergo Efficient Ex Vivo Selection, Expansion and Differentiation | POSEIDA R&D DAY 2022 HSC piggyBac® CAR delivery Selected CAR-HSC Ex vivo Differentiated Pure CAR-NK ~700 CAR+ NK cells produced from 1 input HSC +MTX Selection Expansion and Differentiation CD56 CD56 MTX Selection Yields Pure CAR-HSC Population 21% modified 98% modified GFP GFP Robust Ex Vivo Expansion of HSCs to CAR-NK Cells Efficient Differentiation and Purification of CD56+ Cells Before Selection After Selection Before Purification After Purification
Ex Vivo Differentiated CAR-NK Cells Exhibit Target-Specific Cytotoxicity | POSEIDA R&D DAY 2022 GFP BCMA CAR 78% CAR expression is effectively maintained during differentiation from CAR-HSCs to CAR-NK cells CAR-NK cells derived from CAR-HSCs have robust, tumor-specific killing capacity Tumor-specific killing
CAR-modified HSCs can Engraft, Persist and Form Functional CAR-Effector Cells In Vivo | POSEIDA R&D DAY 2022 NSG Recipient Mice Busulfan Conditioning Humanized Mouse HSC Transplant Tumor Challenge
Summary | POSEIDA R&D DAY 2022 HSCs can be modified via the piggyBac® DNA Delivery System and used to produce a variety of CAR-Effector cells either in vivo or ex vivo In vivo CAR-HSC therapy could provide an inexhaustible supply of effector cells (CAR-T, CAR-NK and CAR-macrophage) to eradicate tumor cells and prevent relapse CAR-HSCs can be differentiated in an ex vivo ‘bioreactor’ approach to generate high yields of CAR-Effector cells CAR-HSC may address many of the challenges currently facing the cell therapy field
R&D Day 2022 Closing Comments Mark J. Gergen Chief Executive Officer
CELL THERAPY GENE THERAPY PLATFORMS & PARTNERSHIPS CAR-T Therapy Focusing on Fully Allogeneic CAR-T as the ‘Holy Grail’ in Oncology In Vivo Liver-Directed Gene Therapy with Non-Viral Biodegradable Nanoparticle Delivery Platform Development, Partnerships and Collaboration 1 2 3 | POSEIDA R&D DAY 2022
TSCM Cell Self-renewing Long lived Multipotent Stem Cell Memory Allogeneic CAR-T Therapy for Oncology Innovation in CAR-T | POSEIDA R&D DAY 2022 Cell Type Matters TSCM is the ideal cell type for CAR-T due to greater safety and durability piggyBac® is the ideal non-viral gene insertion technology Fully Allogeneic CAR-T Addressing both Graft v Host and Host v Graft alloreactivity with Cas-CLOVER™ Gene Editing Cost, Scale & Reach Booster Molecule technology with the potential to deliver 100’s of doses at low cost Enables outpatient dosing and expanded patient reach TCR knock-out MHC I knock-out
In Vivo Gene Therapy for Rare Diseases Disruption in Gene Therapy | POSEIDA R&D DAY 2022 Fully Integrating PiggyBac® integrates into DNA enabling the potential for single treatment cures Addressing Challenges of Viral Delivery piggyBac and Nanoparticle technology can address limitations of AAV Broad Application piggyBac® cargo capacity addresses more indications and piggyBac® can treat juvenile populations
Various combinations our innovative platform technologies create unique opportunities across the cell and gene therapy landscape Our Platform Technologies Have Broad Reach | POSEIDA R&D DAY 2022 *Poseida has listed companies it believes are representative of those active in cell and gene therapy. CELL THERAPIES LIVER DIRECTED GENE THERAPIES CAR-T/TCR-T/NK-T/Treg oncology CAR-T/TCR-T/NK-T/Treg NON-oncology iPSC CELL THERAPY HSC CELL THERAPY Regenerative Med LIVER, SKIN, ETC. LANDSCAPE GENE THERAPIES LIVER DIRECTED GENE THERAPIES AAV-PG & Nano-PB LIVER, LUNG, CNS, ETC. In Vivo EP SKELETAL MUSCLE, SKIN, EYE, ETC. Cas-CLOVER GENE EDITING – ALL TISSUES GENE EDITING OTHER RESEARCH PROGRAMS Nano mRNA Non-oncology
Recent and Upcoming Milestones | POSEIDA R&D DAY 2022 Dual P-CD19CD20-ALLO1 IND and Phase 1 Initiation 2023 P-MUC1C-ALLO1 Clinical Update in 2022 P-OTC-101 Gene Therapy Preclinical Data Updates Potential for Additional Strategic Partnerships P-PSMA-101 Clinical Updated in 1Q22 P-BCMA-ALLO1 Clinical Update in 2022
Thank You | POSEIDA R&D DAY 2022 Our Special Guests Luca Gattinoni, MD Susan Slovin, MD, PhD Presenters Eric Ostertag, MD, PhD, Executive Chairman Matthew Spear, MD, Chief Medical Officer Devon Shedlock, PhD, CSO Cell Therapy Julia Coronella, PhD, Vice President Immuno-oncology Blair Madison, PhD, Vice President Genetic Engineering Jack Rychak, PhD, Vice President Gene Therapy Nina Timberlake, PhD, Director Ex Vivo Cell Therapy Poseida Employees Clinical Investigators Patients Investors Attendees
Q&A The Next Wave of Cell & Gene Therapies with the Capacity to Cure