UNLEASHING THE PROMISE OF CELL THERAPY FOR CANCER AND AUTOIMMUNE DISEASES
JUNE 12, 2024
Nasdaq: ATRA
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Forward-Looking Statements
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Differentiated Allogeneic T-Cell Immunotherapy Pipeline
Program
Indication
Target
Preclinical
Phase 1
Phase 2
Phase 3
Registration
Next Milestone
ATA3219
(Oncology)
ATA3219
(Autoimmune)
ATA3431
Tab-cel® or EbvalloTM (tabelecleucel)
ATA188
Non-Hodgkin's Lymphoma (NHL) | CD19 | Q4 2024: Initial NHL Ph 1 | |||||
clinical data expected | |||||||
Lupus Nephritis (LN) | H1 2025: Initial LN Ph 1 | ||||||
CD19 | clinical data expected | ||||||
Systemic Lupus Erythematosus | |||||||
H2 2025: Initial SLE Ph 1 | |||||||
(SLE) without lymphodepletion | |||||||
clinical data expected | |||||||
B-cell malignancies | CD19/CD20 | IND targeted for H2 2025 | |||||
Autoimmune disease | |||||||
RR EBV+ PTLD following HCT | EBV | ALLELE | Study | EU Approved | Q2 2024: BLA submitted | ||
and SOT* | |||||||
Multi-Cohort(Label-Expansion): | EBV | EBVision Study | Ongoing enrollment | ||||
EBV+ cancers(1) | |||||||
Progressive MS | EBV(2) | Evaluating strategic | |||||
EMBOLD Study | options following | ||||||
completion of the study | |||||||
Excluding EbvalloTM in EU, these investigational agents are not approved by any regulatory agencies and efficacy and safety have not been established
EBV+ PTLD: Epstein-Barr Virus Associated Post-Transplant Lymphoproliferative Disease; RR: rituximab relapsed/refractory; HCT: allogeneic hematopoietic cell transplant; SOT: solid organ transplant;
NHL: non-Hodgkin's lymphoma
Atara has entered into an agreement with Pierre Fabre to commercialize tab-cel® for EBV+ cancers worldwide
*Indication pursued as monotherapy for treatment of adult and pediatric patients two years of age and older with Epstein-Barr virus positive post-transplant lymphoproliferative disease (EBV+ PTLD) who have received at least one prior therapy. For solid organ transplant patients, prior therapy includes chemotherapy unless chemotherapy is inappropriate
Other programs: EBV vaccine and other hematological malignancies and solid tumor AlloCAR T programs
- Phase 2 multi-cohort initiated in Q3 2020, with possible indications including EBV+ PTLD with CNS involvement, front-linetreatment in EBV+ PTLD including front line with CNS involvement, EBV+ PID/AID LPD, and other potential EBV-associated diseases
(2) Targeted antigen recognition technology; Phase 2 Randomized Controlled Trial | 3 |
Atara Is Leveraging T-Cell Biology to Develop Differentiated, Off-the-Shelf CAR T Programs
Atara Overview
- Unique allogeneic cell therapy platform leveraging EBV T-cell biology and next gen CAR T construct
- First company to obtain regulatory approval for an allogeneic T-cell immunotherapy with tabelecleucel (tab-cel® or EbvalloTM) EMA approval
- U.S. tab-cel BLA submitted in Q2 2024
- Pierre Fabre global tab-cel partnership: $640M potential consideration + significant royalties
- Cash runway into 2027 enables key pipeline readouts
Atara's Allogeneic CAR T Programs
Hematological Malignancies
Hematological Malignancies
ATA3219 | ATA3431 |
CD19 CAR: | CD19/20 CAR: |
Initial NHL Ph1 Data Expected | IND Targeted for H2 |
Q4 2024 | 2025 |
B-cell Driven Autoimmune Diseases
ATA3219
Initial LN Ph1 Data Expected H1 2025
Initial SLE Without LD Data Expected H2 2025
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Atara Is the Most Advanced Allogeneic Cell Therapy Company
Differentiated
Platform
Supportive
Clinical Data
Based on natural biology of EBV T cells
First and only approved allogeneic T-cell therapy with EbvalloTM
First allogeneic T-cell therapy BLA submission to FDA
Robust allogeneic T-cell experience with favorable safety profile in 600+ patients
Pioneered the use of allogeneic T-cell therapy with no lymphodepletion Third party clinical data reinforce attributes of Atara's CAR T platform
Operating | Proven EBV T-cell scaled up manufacturing process, efficient supply and distribution |
Experience | network |
Over a decade of real-world experience across clinical, regulatory, manufacturing and | |
supply | |
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Innovating Next-Gen CAR T Leveraging the Only Allogeneic T-cell Platform With an Approved Product
Allogeneic EBV T-Cell (EBVALLOTM) | Next-gen Allogeneic CAR T |
Healthy
Donor Cells
EBV TCR | Chimeric Antigen Receptor | CAR |
EBV TCR
Manufacturing
Viral Vector | |
EBV T Cell | EBV CAR T Cell |
- No gene editing of the TCR or MHC
- Minimal HLA matching (only 2 of 10 alleles)
- No lymphodepletion
- Favorable safety profile in 600+ patients with outpatient experience
- Robust manufacturing with biologic-like COGM
- Retain features of EBV T cells
- Does not require complex gene edits
- Leverages novel CD3ζ signaling domain (1XX)
- CAR-targetedactivity - can be modified to express single or dual targets
EBV = Epstein-Barr Virus; HLA = Human Leukocyte Antigen; CAR = Chimeric Antigen Receptor; TCR = T-cell Receptor; MHC = major histocompatibility complex
Tab-cell® (EbvalloTM) is approved in the European Union
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Atara's Allogeneic CAR T Platform Designed to Improve Patient Journey and Expand Access Versus Autologous Cell Therapies
Current Autologous CAR T Patient Journey
Apheresis
- Time consuming, extra logistics, requirement to stop treatment
Lymphodepletion
- Chemotherapy side effects
- Infection risk
- Safety risks in women of child-bearing age
- Genotoxic
- Added cost and complexity
CAR T Treatment
- 2-5weeks-long process to engineer and deliver autologous CAR T cells
- 30+ minute infusion
Post Infusion Monitoring
- 1-2weeks inpatient monitoring at hospital
- Cytokine release syndrome
- Neurotoxicity
Atara T Cells Offer Unique Potential Advantages in the Allogeneic Field (as evaluated in tab-cel & ATA188 clinical development studies)
Off-the-Shelf | No Lymphodepletion | 5-10 Minute Infusion | 1-2 Hours Monitoring |
(No Patient Apheresis) | |||
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Atara's CAR T Platform Closely Retains Autologous T-Cell Biology While Offering the Benefits of an Allogeneic Approach
Atara's Allogeneic CAR T Platform
Atara's CAR Platform
EBV | |||
Specificity | Partial HLA | ||
Retained | 2 | 3 | |
Matching | |||
TCR | 1 |
5 | ||
Less | ||
Differentiated | 4 | 1XX Costimulatory |
PhenotypeDomain
CAR
1. Tanchot et al, Science 1997. 2. Myers et al, Trends Immunology 2017. 3. Polic et al, PNAS 2001. 4. Curran ASTCT 2020, ASH 2023; 5. Atara clinical experience; Prockop et al, JCI 2020. 6. Feucht et al, Nature Medicine, 2018
Key Features
1• Retained TCR: Unedited TCR serves as a key T cell survival signal1,2,3 contributing to functional persistence3
2• EBV Specificity: Low GvHD risk due to TCR recognition of viral antigens
3• Partial HLA Matching: Enables allogeneic approach that avoids host versus graft rejection4,5
4• 1XX Costimulatory Domain: Novel CD3ζ signaling domain6 optimizes potency, expansion and mitigates T-cell exhaustion
5• Less Differentiated Phenotype: αβ T cell manufactured with less differentiated phenotype contributes to potency and durability of clinical response
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αβ = alpha beta; Graft-versus-host disease (GVHD)
Atara's CAR T Platform Offers Unique Advantages Versus Other Allogeneic Approaches in the Field
αβ T cell
Gene edited
αβ TCR
Gene Editing to Knockout TCR and Other Edits
NK cell
Lacks TCR
γδ T cell
γδ TCR
Invariant TCR
Atara | αβ T Cell | |||
EBV CAR | NK Cell | γδ T Cell | ||
T Cell | Gene edited | |||
(αβ unedited) | ||||
Safety | 600+ patients | Lower CRS/ICANS risk than auto CAR T | ||
safely treated3 | ||||
(EBV Platform) | ||||
Expansion | Robust | Moderate | Minimal | Minimal-to- |
(CAR preclinical) | Moderate | |||
- Aggressive lymphodepletion often required
- Gene editing and/or stealth approaches to limit alloreactivity impact expansion and persistence1
- Minimal expansion drives need for high cell dose
- Non-physiologicstimulation leads to T cell exhaustion2
Persistence | Several | ~3-4 weeks | Suboptimal | Suboptimal |
Months3 | ||||
(EBV Platform) | ||||
Durability | Robust | Moderate | Suboptimal | Suboptimal |
(CAR preclinical) | ||||
1. Wang et al, Nature CMI 2021. 2. Zhang et al, Nature Comm 2023. 3. Clinical experience with allo EBV T-cells | |
including tab-cel and ATA188; Prockop et al, JCI, 2020; Bhat et al, ISNI 2023 | 9 |
αβ = alpha beta; NK = natural killer; γδ = gamma delta |
Novel 1XX Costimulatory Domain Proof of Concept in Both Oncology and Lupus Models
1XX Rationale and Design
1XX Pre-Clinical Proof Points
Challenge: Signaling via CD28 and CD3ζ domains overstimulate T cells, leading to exhaustion; 4-1BB slower to activate1
Solution: Modified CD3ζ costimulatory domain (1XX), including two inactivating ITAM mutations, drives physiologic levels of signaling2
- Avoids activation-induced cell death
- Reduces cytokine release syndrome
- Improves persistence
Oncology:
Rapid tumor eradication with 1XX in tumor model2
Lupus:
Functional benefit using two mutated ITAMs in lupus model3,4
CAR T | CAR T |
CD28 | 1XX |
Tumor burden (average radiance)
Days after T cell injection
Control | CAR T |
PBS | Two mutated ITAMs |
Reduced immune complex deposition in the
kidney (C3 / IgG) with CAR T 3
1. Salter et al, Sci Signal, 2018. 2. Feucht et al, Nature Medicine, 2018. 3. Jin et al, Cell Mol Immunol, 2021. 4. Kansal et al, Sci Transl Med, 2019. ITAM = Immunoreceptor Tyrosine Activation Motif; PBS = Phosphate Buffered
Saline; LD = lymphodepletion | 10 |
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Atara Biotherapeutics Inc. published this content on 12 June 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 12 June 2024 13:28:04 UTC.