Five Prime Therapeutics Reports Fourth Quarter and Full Year 2019 Results
2020 data milestones remain on track for proprietary programs
“Our 2020 focus is on generating clinical data from three proprietary programs that will allow us to prioritize future pipeline investments,” said
2020 Milestones and Review of 2019 Business Highlights
Clinical Pipeline:
Bemarituzumab (anti-FGFR2b) is a first-in-class isoform-selective antibody with enhanced antibody-dependent cell-mediated cytotoxicity (ADCC) in development as a targeted immunotherapy for tumors that overexpress FGFR2b. Bemarituzumab is being evaluated in combination with mFOLFOX6 in the Phase 3 FIGHT (FGFR2b Inhibition in Gastric and Gastroesophageal Junction Cancer Treatment) trial.
- The company has paused enrollment in the FIGHT trial pending the occurrence of a sufficient number of events to trigger a futility analysis that is expected to occur in mid-2020.
- Approximately 150 patients with newly diagnosed advanced stage gastric cancer were enrolled into the FIGHT trial before the company paused enrollment in the fourth quarter of 2019.
- The company expects that it will only resume enrollment in the FIGHT trial if the trial passes the futility analysis and the company will look to enter into a collaboration or license agreement that will pay for all or substantially all of any future development and commercialization costs for bemarituzumab.
- In the event that the company is unable to secure a partner, it will consider alternatives that would allow for the advancement of the bemarituzumab program, including converting the FIGHT trial to a Phase 2 or Phase 2/3 clinical trial.
FPA150 (anti-B7-H4) is a first-in-class anti-B7-H4 antibody designed to target tumor cells by blocking B7-H4 from sending an inhibitory signal to CD8 T cells and by enhancing killing of B7-H4 overexpressing tumors through ADCC. B7-H4 is frequently overexpressed in breast, ovarian and endometrial cancers.
- The company remains on track to generate data by mid-2020 from the Phase 1 combination of FPA150 plus pembrolizumab in a cohort of ovarian cancer patients with B7-H4 overexpression.
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The company presented safety and preliminary FPA150 efficacy results from the Phase 1a/1b clinical trial at the 2019
American Society of Clinical Oncology (ASCO) Annual Meeting and the 2019European Society for Medical Oncology (ESMO) Congress .
- Data from the Phase 1a/1b trial of FPA150 showed that the drug was well tolerated in monotherapy and in combination at a recommended dose of 20mg/kg every three weeks. While an efficacy signal for FPA150 as monotherapy was observed, the response was not sufficient for the company to move forward in developing the compound as a single agent.
- The company continues to evaluate FPA150 in combination with Keytruda in a Phase 1b cohort of patients with ovarian cancer that overexpresses B7-H4, but does not plan to advance the clinical development of the combination independently in the near term given the cost of advancing this combination in clinical development when compared to current resources and priorities.
- The company believes B7-H4 may be a potential target to treat tumors that overexpress B7-H4 using antibody drug candidates (ADCs), bi-specific antibodies, or CAR-T therapies that incorporate FPA150 or one of the company’s other B7-H4 antibodies.
FPT155 (CD80-Fc) is a first-in-class CD80-Fc fusion protein that directly engages CD28 without superagonism and binds to CTLA-4, promoting T cell activation in the tumor microenvironment.
- The company remains on track to generate early monotherapy efficacy data in 2020.
- The company has completed nine monotherapy dose escalation cohorts and is currently dosing patients in the 280mg dose level in the Phase 1a portion of the study. The company has not observed evidence of superagonism in the trial. Dose escalation continues and the company has initiated screening of patients for enrollment in an exploratory cohort evaluating FPT155 in patients with tumors more likely to have T cell infiltration.
- The company has observed pharmacodynamic (PD) biomarker data in the Phase 1a dose escalation portion of the trial that show expansion of central memory T cells in blood. This expansion of central memory T cells is consistent with the mechanism of action of FPT155 observed in preclinical studies.
- Based on this early clinical PD data and the safety data to date, the company plans to add a cohort to the ongoing Phase 1a/1b trial to test the combination of escalating doses of FPT155 and an anti-PD(L)-1 therapy in patients with non-small cell lung cancer followed by an expansion in this same patient population at a selected dose of FPT155 in combination with an anti-PD(L)-1 therapy.
-
The company presented initial safety results from dose escalation in the FPT155 Phase 1 study at the 2019
Society for Immunotherapy of Cancer (SITC) Annual Meeting. This study is designed to characterize the safety and pharmacokinetic (PK)/pharmacodynamic (PD) profile of FPT155 and identify a recommended dose for ongoing clinical development.
Cabiralizumab (FPA008) is an antibody that inhibits CSF1R and has been shown to block the activation and survival of tumor-associated macrophages.
-
In
February 2020 , the company announced that the Phase 2 trial of cabiralizumab plus Opdivo® (nivolumab) with and without chemotherapy in advanced pancreatic cancer being conducted by Bristol-Myers Squibb Company (BMS) did not meet its primary endpoint.
- BMS informed the company that while BMS has no near-term plans for additional sponsored development of cabiralizumab, it will continue to support the evaluation of cabiralizumab in select, ongoing investigator-sponsored trials and may continue to assess future development opportunities for the investigational asset. In addition, BMS informed the company that no new safety signals were observed in the Phase 2 clinical trial.
BMS-986258 (anti-TIM-3) is a fully-human monoclonal antibody targeting TIM-3 (T cell immunoglobulin and mucin domain-3), an immune checkpoint receptor that may limit the duration and magnitude of T cell responses. This is the first clinical candidate from the discovery collaboration between Five Prime and BMS that includes targets in three immune checkpoint pathways.
- BMS continues to conduct the Phase 1/2 clinical trial testing the combination of BMS-986258 with Opdivo or hyaluronidase, with the objective of evaluating the safety and tolerability of the combination.
- The next anticipated event from this trial is BMS’s potential transition of the trial from the Phase 1 portion of the trial to the Phase 2 portion of the trial.
2020 and 2019 Corporate Highlights
-
In
February 2020 , the company announced a global license agreement with Seattle Genetics, Inc. to develop and commercialize novel ADC therapies using monoclonal antibodies developed by Five Prime that are directed to a single target. Under the terms of the agreement, the company received a$5 million upfront payment and is eligible to receive progress-dependent development and regulatory milestone payments as well as cumulative commercial milestone payments. Cumulative milestone payments may reach up to$525 million for the first two ADC product candidates.
-
In
October 2019 , the company announced a corporate restructuring to extend its cash runway without impacting or delaying the data timelines of its clinical programs while still advancing its three wholly-owned, late-stage research programs. This followed a restructuring inJanuary 2019 to focus on clinical development and later-stage research priorities.
-
In
September 2019 , the company announced a management transition and the appointment ofWilliam Ringo as interim Chief Executive Officer in addition to his position as Chairman of the Board of Directors.
-
During 2019, the company announced the appointment of
Lori Lyons-Williams andCarol Schafer to its board of directors and the resignation of Dr.Lewis T . “Rusty” Williams and Dr.Sheila Gujrathi from the Board.
Summary of Fourth Quarter and Full Year 2019 Financial Results and 2020 Guidance:
Cash Position: Cash, cash equivalents and marketable securities totaled
Revenue: Collaboration and license revenue for the fourth quarter of 2019 decreased by
Collaboration and license revenue for the year ended
R&D Expenses: Research and development expenses for the fourth quarter of 2019 decreased by
Research and development expenses for the year ended
G&A Expenses: General and administrative expenses for the fourth quarter of 2019 decreased by
General and administrative expenses for the year ended
Net Loss: Net loss for the fourth quarter of 2019 was
Net loss for the full year 2019 was
Shares Outstanding: Weighted average shares outstanding for the fourth quarter of 2019 was 35,175,624 as of
Cash Guidance: Five Prime expects full-year 2020 net cash used in operating activities to be between
Conference Call Information
Five Prime will host a conference call and live audio webcast today at
About
Cautionary Note on Forward-looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as "may," "will," "expect," "plan," "anticipate," "estimate," "intend" and similar expressions (as well as other words or expressions referencing future events, conditions or circumstances) are intended to identify forward-looking statements. These forward-looking statements are based on Five Prime's expectations and assumptions as of the date of this press release. Each of these forward-looking statements involves risks and uncertainties. Forward-looking statements contained in this press release include statements regarding (i) the timing of progress and scope of clinical trials for Five Prime’s product candidates, including the timing of the planned futility analysis for the FIGHT trial; (ii) the potential use of Five Prime’s product candidates, including in combination with other products, to treat certain patients; (iii) the extent of protein overexpression in certain patient populations; (iv) the timing of the presentation of data for Five Prime’s product candidates; (v) Five Prime's potential receipt of upfront and milestone payments and royalties under the license agreement with Seattle Genetics; (vi) the impact of the
Source:
Selected Balance Sheets Data | ||||||
(in thousands) | ||||||
2019 |
2018 |
|||||
Balance Sheet Data: | ||||||
Cash, cash equivalents and marketable securities |
$ |
157,923 |
$ |
271,681 |
||
Total assets |
|
223,873 |
|
321,534 |
||
Total current liabilities (excluding deferred revenue) |
|
21,727 |
|
26,059 |
||
Deferred revenue (in total, including short term portion) |
|
6,141 |
|
11,893 |
||
Total stockholders' equity |
|
150,473 |
|
265,139 |
Condensed Statement of Operations | ||||||||||||||||
(in thousands, except per share data) | ||||||||||||||||
For The Three Months Ended | For The Year Ended | |||||||||||||||
2019 |
2018 |
2019 |
2018 |
|||||||||||||
Collaboration and license revenue |
$ |
3,210 |
|
$ |
4,031 |
|
$ |
14,874 |
|
$ |
49,868 |
|
||||
Operating expenses: | ||||||||||||||||
Research and development |
|
25,937 |
|
|
34,733 |
|
|
114,063 |
|
|
156,352 |
|
||||
General and administrative |
|
9,372 |
|
|
9,579 |
|
|
42,749 |
|
|
39,671 |
|
||||
Total operating expenses |
|
35,309 |
|
|
44,312 |
|
|
156,812 |
|
|
196,023 |
|
||||
Loss from operations |
|
(32,099 |
) |
|
(40,281 |
) |
|
(141,938 |
) |
|
(146,155 |
) |
||||
Interest income and other loss, net |
|
744 |
|
|
1,528 |
|
|
4,740 |
|
|
5,792 |
|
||||
Other (lss)/gain), net |
|
(2 |
) |
|
- |
|
|
(4 |
) |
|
(84 |
) |
||||
Loss before income tax |
|
(31,357 |
) |
|
(38,753 |
) |
|
(137,202 |
) |
|
(140,447 |
) |
||||
Income tax provision |
|
- |
|
|
- |
|
|
- |
|
|
- |
|
||||
Net loss |
$ |
(31,357 |
) |
$ |
(38,753 |
) |
$ |
(137,202 |
) |
$ |
(140,447 |
) |
||||
Basic and diluted net loss per common share |
$ |
(0.89 |
) |
$ |
(1.12 |
) |
$ |
(3.92 |
) |
$ |
(4.13 |
) |
||||
Weighted-average shares used to compute basic and diluted net loss per common share |
|
35,175 |
|
|
34,675 |
|
|
34,967 |
|
|
33,976 |
|
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Media and Investor Contact
VP, Investor Relations & Corporate Communications
415-365-5625
martin.forrest@fiveprime.com
Source: