Cellectis Showcased Preclinical Data at an Oral Presentation and Two Poster Presentations at the 29th International Society for Cell & Gene Therapy (ISCT 2023) Annual Event

On June 5, 2023 Cellectis (the "Company") (Euronext Growth: ALCLS – NASDAQ: CLLS), a clinical-stage biotechnology company using its pioneering gene-editing platform to develop life-saving cell and gene therapies, reported preclinical data at an oral presentation and two poster presentations at the International Society for Cell & Gene Therapy (ISCT) 29th annual event that took place at the Paris Convention Center in Paris, France on May 31 – June 3, 2023 (Press release, Cellectis, JUN 5, 2023, View Source [SID1234632507]).

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"Our breadth of scientific presence at the 29th ISCT annual event reflects the type of cutting-edge research our teams undertake, which we believe is essential to address patients’ unmet medical need. We are proud of the pre-clinical results presented and remain deeply focused on the development of our product candidates to deliver breakthrough treatments that could benefit thousands of patients worldwide," said André Choulika, Ph.D., Chief Executive Officer at Cellectis.

Oral Presentation

UCART20x22: allogeneic dual CAR T-cells for the treatment of B-cell malignancies

Autologous CAR T-cell therapies have shown outstanding responses in the treatment of selected blood cancers, predominantly B-cell malignancies. Nevertheless, long term studies revealed that some patients treated with CD19 or CD22 CAR T-cells can relapse due to low target antigen expression in tumor cells or to antigen loss. The therapeutic options after CAR T-cell relapses are limited, emphasizing the need to develop novel therapies to improve current survival rates. There is also need for allogeneic "off-the-shelf" therapies that could be readily available at the time of treatment decision and overcome limitations of current autologous approaches.

UCART20x22 is Cellectis’ first dual-targeting, allogeneic cell therapy product candidate targeting CD20 and CD22, to address the current challenges in the treatment of B-cell malignancies.

UCART20x22 features TALEN-mediated disruptions of the TRAC gene (to minimize the risk of graft-versus-host disease) and of the CD52 gene (to permit use of a CD52-directed monoclonal antibody in patients’ lymphodepletion regimen) to enhance CAR T engraftment, expansion, and persistence.

Cellectis demonstrates that UCART20x22 displays robust activity in vitro and in vivo, against targets expressing heterogeneous levels of CD22 and CD20. We have used in vitro cytotoxicity assays against different tumor cell lines, showing strong activity whether these cells express a single antigen (CD20 or CD22) or both antigens simultaneously, as well as IFNg release in response to antigen specific stimulation.

The oral presentation highlighted the following preclinical data:

Robust in vitro and in vivo cytolytic activity against tumors expressing different antigen combinations.
Efficient in vitro targeting of primary B-cell Non-Hodgkin Lymphoma (B-NHL) samples harboring different CD20 and CD22 expression levels, suggesting that UCART20x22 has the potential to reach a large patient population.
Dose dependent tumor control in vivo, using batches manufactured internally, harboring a tumor cell line as well as in a Patient Derived Xenograft (PDX) model of B-NHL.
Overall, Cellectis provided pre-clinical proof-of-concept data for a first allogeneic dual CAR T-cell to overcome current mechanisms of resistance to CAR T-cell therapies in B-NHL, while providing a potential therapeutic alternative to CD19 targeting and allowing to reduce the time from treatment decision to infusion.

UCART20x22 is currently evaluated in the NATHALI-01 Phase 1/2a clinical study in patients with relapsed/refractory B-NHL (NCT05607420).

The oral presentation is available on Cellectis’ website: View Source

Poster Presentations:

Non-viral DNA delivery associated to TALEN gene editing leads to highly efficient correction of sickle cell mutation in long-term repopulating hematopoietic stem cells

Sickle cell disease stems from a single point mutation in the HBB gene which results in sickle hemoglobin. For patients who are not eligible for an allogeneic stem cell transplantation, nuclease-based gene therapy approaches provide a relevant therapeutic alternative to restore functional hemoglobin production.

Cellectis leveraged TALEN technology to develop a gene editing process leading to highly efficient HBB gene correction via homology directed repair, while mitigating potential risks associated to HBB gene knock-out. Furthermore, we compared viral (TALEN-V) and non-viral (TALEN-NV) DNA template delivery strategies in mobilized healthy donor (HD) or non-mobilized homozygous sickle patient (HbSS) hematopoietic stem and progenitor cells (HSPCs).

Both strategies led to high and comparable efficiencies of HBB gene correction in vitro in HD and HbSS, without affecting viability, purity or clonogenic potential of corrected HSPCs.

The poster presentation highlighted the following data:

TALEN-mediated engineering efficiently corrects the mutated HBB gene in clinically relevant HSPCs and promote phenotype correction in fully mature RBCs.
Cellectis optimized TALEN gene editing process mitigates potential safety challenges by reducing the frequency of HBB gene inactivation (<10% β-thal cells).
Non-viral DNA template-mediated HBB repair mitigates p53 DNA damage response activation, preserves edited LT-HSCs fitness and enables their efficient engraftment in vivo using an immunodeficient murin model.
These results show that non-viral DNA delivery associated to TALEN gene editing reduces the toxicity usually observed with viral DNA delivery and allows high levels of HBB gene correction in long-term repopulating hematopoietic stem cells.

The poster presentation is available on Cellectis’ website: View Source

Comprehensive Analysis of the Editing Window of TALE Base Editors

One of the most recent advances in the genome editing field has been the addition of the so-called "C-to-T TALE base editors" (TALE-BE), an innovative platform for cell therapy that relies on the deamination of cytidines within double strand DNA, through the formation of an uracil (U) intermediate. These molecular tools are fusions of a transcription activator-like effector (TALE) domain for the binding of a specific DNA sequence, split-DddA deaminase halves that will catalyze the conversion of a cytosine (C) to a thymine (T) upon reconstitution, and an uracil glycosylase inhibitor (UGI).

Cellectis aimed to systematically investigate the influence of the sequence context surrounding the targeted Cytosine on TALE-BE C to T conversion efficiency.

Recently we developed a strategy that allowed us to comprehensively characterize editing efficiencies in function of the TC position within the TALE-BE editing windows. This method is specifically taking advantage of the highly precise and efficient TALEN mediated ssODN knock-in in primary T cells, allowing to focus on how target composition and spacer variations can affect TALE-BE activity/efficiency.

The poster presentation highlighted the following data:

Determined optimal spacer length (13/15 bp) for highly efficient TALE-BE for both C40/C40 and C11/C11 scaffolds.
Determined optimal common sequence context for high editing rates.
Determined that editing efficiency of the C11/C11 scaffold is highly dependent on Cytosine position requirements, resulting in more stringent activity in a context of 15 bp spacer size and decreasing the effects of bystander editing.
Overall, we believe that the knowledge obtained will allow to better design efficient TALE-BE while improving the specificity profiles of this innovative editing platform.

The poster presentation is available on Cellectis’ website: View Source

Foundation Medicine Announces Collaboration with Merck KGaA, Darmstadt, Germany to Develop Companion Diagnostics for Selected Marketed and Pipeline Treatments

On June 5, 2023 Foundation Medicine, Inc., a pioneer in molecular profiling for cancer, reported that it has entered a strategic collaboration with Merck KGaA, Darmstadt, Germany to develop FoundationOneLiquid CDx and FoundationOneCDx as companion diagnostics in the U.S. market for selected marketed and pipeline treatments (Press release, Foundation Medicine, JUN 5, 2023, View Source [SID1234632502]). This new agreement builds on the data solutions partnership Merck KGaA, Darmstadt, Germany and Foundation Medicine entered in 2020 to help accelerate the development of novel targeted therapies, individually and in combination.

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"We look forward to ongoing collaboration as they leverage our portfolio of end-to-end solutions to generate meaningful evidence, help optimize therapy development, and deliver companion diagnostic solutions using our tissue and liquid comprehensive genomic profiling tests."

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If the companion diagnostic indications are approved, based on tissue availability and the presentation of individual patients, oncologists will be able to use FoundationOne CDx or FoundationOne Liquid CDx to identify those with genomic alterations that may make them eligible for a specific targeted therapy.

"We’re proud to announce this new phase of our partnership with Merck KGaA, Darmstadt, Germany, and continue building on our shared commitment to advance personalized treatment options for patients," said Jason Adams, vice president of biopharma enterprise partnerships at Foundation Medicine. "We look forward to ongoing collaboration as they leverage our portfolio of end-to-end solutions to generate meaningful evidence, help optimize therapy development, and deliver companion diagnostic solutions using our tissue and liquid comprehensive genomic profiling tests."

Foundation Medicine’s portfolio of FDA-approved comprehensive genomic profiling tests offer physicians both blood- and tissue-based testing options for detecting genomic alterations that help guide personalized treatment decisions. The company’s robust suite of data and assay solutions support biopharmaceutical organizations as they work to design and deliver new targeted therapies, starting with biomarker discovery and clinical trial enrollment through to companion diagnostic development and commercialization.

CatalYm Announces Initial Data from Ongoing Phase 2a Trial Evaluating GDF-15-targeting Antibody Visugromab in Combination with Nivolumab at ASCO 2023

On June 5, 2023 CatalYm reported first Phase 2a data from its ongoing GDFather-2 trial (GDF-15 Antibody-mediaTed Human Effector Cell Relocation Phase 2) (NCT04725474) at the American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Annual Meeting 2023 in Chicago, Illinois (Press release, Catalym, JUN 5, 2023, View Source [SID1234632501]). The early data presented during today’s oral "Developmental Therapeutics-Immunotherapy" session revealed lasting and confirmed responses in several solid tumor types investigated following treatment with visugromab and the anti-PD-1 inhibitor nivolumab. In addition, the combination continues to demonstrate a good safety and tolerability profile across all cohorts. CatalYm’s lead candidate, visugromab, is a humanized, monoclonal antibody designed to neutralize the tumor-produced Growth Differentiation Factor-15 (GDF-15), a central regulator of tumor resistance development.

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"These early data from our Phase 2a cohorts corroborate the encouraging anti-tumor-response we have seen in the Phase 1 study and further elucidate the considerable therapeutic potential of visugromab in very advanced and anti-PD1/PD-L1 relapsed/refractory solid tumor patient populations. They also confirm and further refine our scientifically guided indication selection to identify the solid tumor patients that would most benefit from a GDF-15 modulating approach," said Prof. Dr. Eugen Leo, Chief Medical Officer at CatalYm.

The presentation at ASCO (Free ASCO Whitepaper) by International Coordinating Investigator Prof. Dr. Ignacio Melero Bermejo, MD, Co-Director of Immunology and Immunotherapy (CIMA) at the Universidad de Navarra, Pamplona/Spain, builds on the further matured Phase 1 trial data announced in September 2022 which showed a significant clinical benefit in last line tumor patients that were anti-PD1/-L1 relapsed or refractory with an overall response rate of 17% in an advanced-stage mixed tumor population (RECIST, all responses confirmed). The Phase 2a study cohorts were selected based on a translational research program and include several major solid tumor types identified in Catalym’s translation research program as potentially being GDF-15 influenced.

The emerging phase 2a efficacy data further extend the initial encouraging data from Phase 1 with durable, confirmed responses as per RECIST criteria in several major tumor indications. Furthermore, investigation of potentially response-predictive biomarkers identified during phase 1 dose-escalation are ongoing through tumor biopsy analyses. The cumulative safety and tolerability profile for the Phase 1/2a study confirmed, so far, a well-acceptable safety profile when treating advanced-stage cancer patients, an important aspect for combination therapy in this critically ill patient population and earlier treatment lines.

Dr. Phil L’Huillier, Chief Executive Officer at CatalYm added: "The data revealed in today’s presentation illustrate the strides we have made in developing a completely novel treatment option by neutralizing GDF-15 in a variety of indications. We will continue in our broad multi-arm Phase 2 development program (GDFATHER-2) in 2023 and anticipate sharing more data and an update on our late-stage clinical development strategy later this year. I am grateful for the study patients and dedicated clinicians who have been a part of our clinical development program to this stage."

The Phase 2a GDFATHER-2 program was initiated in March 2022. The ongoing study consists of two segments with up to seven cohorts, expected to enroll a total of over 200 patients in Simon-2-stage designs and in a biomarker-evaluation directed cohort.

Mature data readouts for efficacy and safety data of the core phase 2a program as well as main biomarker-correlations are expected to become available before the end of 2023.

About the GDFATHER-2 Trials

The GDFATHER-2a trial (GDF-15 Antibody-mediaTed Human Effector Cell Relocation Phase 2) (NCT04725474) is an ongoing Phase 2a trial with several cohorts investigating the effect of visugromab (CTL-002) as monotherapy and/or in combination with a PD-1 checkpoint inhibitor in patients in various advanced-stage, relapse/refractory solid tumor types and a biomarker-selected cohort. The study can enroll > 200 patients in Simon-2-stage designs and a biomarker-evaluation directed cohort to confirm certain response rates and potential biomarker-based responder patient selection.

About Visugromab (CTL-002)

Visugromab is a humanized monoclonal antibody that neutralizes the tumor-derived Growth Differentiation Factor-15 (GDF-15). GDF-15 is an essential player in feto-maternal tolerance, a powerful mechanism that cancer cells hijack to create an immunosuppressive environment to evade destruction. By neutralizing GDF-15, visugromab reverses the immunosuppressive effects that block an efficient anti-tumor immune response in the tumor microenvironment and the draining lymph nodes. Visugromab drives an activated and differentiated immune cell infiltration into the solid tumor as well as enables priming of T cells and enhances the tumor killing effects of T cells and NK cells. GDF-15 is currently investigated in an ongoing Phase 2 program that includes confirmatory studies in multiple solid tumor indications and the analysis of a predictive response biomarker to better identify the patients benefiting from this new class of immunotherapy.

Oncoinvent Presents 15-Month Safety and Efficacy Data from Ongoing RAD-18-002 Phase 1/2A Trial of Radspherin® in Colorectal Cancer Patients at the 2023 ASCO Annual Meeting

On June 5, 2023 Oncoinvent AS, a clinical stage company advancing alpha emitter therapy across a variety of solid cancers, reported the presentation of new 15-month safety and efficacy data from its ongoing Phase 1/2A clinical trial evaluating the safety, tolerability, and signal of efficacy of Radspherin in patients with peritoneal carcinomatosis from colorectal cancer at the 2023 American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Annual Meeting, being held at McCormick Place in Chicago, IL from June 2- 6, 2023 (Press release, Oncoinvent, JUN 5, 2023, View Source [SID1234632500]). The poster, titled "15-month safety and efficacy data after intraperitoneal treatment with 224Radium-labelled microparticles after CRS-HIPEC for peritoneal metastasis from colorectal cancer" will be presented by Dr Stein Larsen from the Norwegian Radium Hospital during the "Gastrointestinal Cancer – Colorectal and Anal" session from 8:00 a.m. to 11:00 a.m. ET on June 5, 2023. There will additionally be a poster discussion session from 1:15 p.m. to 2:45 p.m. on June 5, 2023.

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"We are excited to share these compelling and critical safety and efficacy 15-month data at ASCO (Free ASCO Whitepaper), which continue to demonstrate that recommended dose levels of Radspherin are well tolerated and now also showing promising effects on recurrence levels," said Kari Myren, Chief Medical Officer of Oncoinvent. "The data presented continue to give us confidence in the potential of Radspherin to prolong time to peritoneal recurrence and improving progression free survival in patients with a difficult prognosis. In particular, with the recommended dose cohort of 7 MBq, only 25% of patients recurred and none of these patients had peritoneal recurrences; these data are highly encouraging and represents an improvement compared to the expectations of the current standard of care. We look forward to presenting longer-term results of Radspherin for both ongoing Phase 1/2A studies to treat peritoneal carcinomatosis from colorectal cancer and ovarian cancer, respectively."

Details of the poster presentation are as follows:

Poster Presentation Title: 15-month safety and efficacy data after intraperitoneal treatment with 224Radium-labelled microparticles after CRS-HIPEC for peritoneal metastasis from colorectal cancer.
Session Title: Poster Discussion Session – Gastrointestinal Cancer—Colorectal and Anal
Poster Session Display Date and Time: 6/5/2023, 8:00 a.m.-11:00 a.m. ET
Poster Board Number: 218
Poster Discussion Session Date and Time: 6/5/2023, 1:15 p.m.-2:45 p.m. ET

This Phase 1/2A study is designed to evaluate the safety, tolerability, and signal of efficacy of Radspherin injected intraperitoneally two days after the completion of CRS-HIPEC. A dose of 7 MBq was recommended following the completion of dose escalation 1-2-4-7 MBq. A total of 23 patients with peritoneal metastasis from colorectal cancer were enrolled; 12 received the recommended dose of 7MBq with 9 receiving a single dose and 3 receiving split doses of 3.5 MBq each. Assessment of safety and efficacy was performed every three months; this dataset includes safety and survival data at the 15-month mark.

Key results:

Only 2.5% of all adverse events reported were found to be related to Radspherin, all of which were grade 1-2
No serious adverse events were reported as related to the treatment of Radspherin
At 15 months, 39% of patients had recurred, with less than half recurring in the peritoneum
25% of patients recurred with the recommended dose cohort of 7MB but none had peritoneal recurrences
Median PFS was not reached in both populations
Radspherin is also being evaluated at the 7Mbq dose in a Phase 1 clinical trial in subjects with peritoneal carcinomatosis from ovarian cancer following complete cytoreductive surgery.

CERo Therapeutics, Inc. and Phoenix Biotech Acquisition Corp. Announce Merger Agreement to Create Public Company Advancing the Development of Next Generation Engineered T Cell Therapeutics

On June 5, 2023 CERo Therapeutics, Inc. ("CERo"), an innovative immunotherapy company seeking to advance the next generation of engineered T cell therapeutics that employ phagocytic mechanisms, and Phoenix Biotech Acquisition Corp. (NASDAQ:PBAX) ("PBAX"), a special purpose acquisition company formed for the purpose of acquiring or merging with one or more businesses, reported they have entered into a definitive business combination agreement (Press release, Cero Therapeutics, JUN 5, 2023, View Source [SID1234632499]). Upon closing of the transaction, anticipated to occur in the second half of 2023, the combined company will be named CERo Therapeutics Holdings, Inc. and will be led by CERo and PBAX’s founding members, including Daniel Corey, M.D., CERo’s CEO, Chris Ehrlich, PBAX’s CEO, and Brian G. Atwood, the Chairman of PBAX. The combined company’s common stock is expected to be listed on the Nasdaq Capital Market under the ticker symbol "CERO." Mr. Atwood will serve as Chief Executive Officer of the combined company, Mr. Ehrlich will serve as its Chief Financial Officer and Chief Operating Officer and Dr. Corey will serve as its Chief Technology Officer.

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"We are thrilled to join forces with PBAX ," said Daniel Corey, CEO of CERo. "With CERo technology we see an opportunity to engage the body’s full immune repertoire for optimized cellular immunotherapy. Chris and Brian bring a wealth of experience to the CERo team during this important time as we look to test the first CER T cell therapeutic candidate in the clinic."

"After an exhaustive search for the right target for PBAX, we are thrilled to merge with CERo. The talented founding team has done a tremendous job of creating value in a timely and capital efficient manner and we look forward to working together with them to advance their promising technology to the next level," stated Chris Ehrlich, CEO and director of PBAX.

"CERo technology is an exciting step forward in cancer cell therapy and I’ve been following the significant progress the company has made since its first round of institutional funding in 2019," said Brian G. Atwood, Chairman of PBAX. "I’m excited to join Daniel Corey and his team to lead the company’s first therapy, CER-1236, into clinical trials beginning in lymphoma and leukemia, and shortly afterward solid tumors."

CERo Therapeutics is pioneering a new and powerful class of cell-based therapies that combine the innate and adaptive arms of the immune system into single T cells, effectively creating cells that both phagocytose ("eat") and lyse ("explode") targeted cancer cells. This technology drives a more comprehensive and durable anti-tumor response, and demonstrated this in the company’s experiments. Since its Series A financing in 2019, the company has repeatedly demonstrated the ability to destroy cancer cells and tumors across several experimental models of liquid and solid tumors, in both in vivo and in vitro experiments. The company plans to file its first IND in 2024.

The resources of the combined company are expected to provide CERo with the capital to advance CER-1236, its lead product candidate, into clinical trials for hematologic malignancies and expand the clinical development of CER-1236 into other difficult to treat cancers, including solid tumors.

Key Transaction Terms

Upon the closing of the business combination, and assuming no redemptions of shares of PBAX by its public stockholders, CERo would expect to receive up to $13.7 million of cash held in trust. The business combination reflects a pre-money equity value of $50 million for CERo and a pro forma capitalization of the combined company of $145 million. The business combination is subject to a minimum cash condition of $30 million, net of transaction expenses, which is expected to be funded through proceeds of the trust account and additional financing, including investments from existing stockholders of CERo. The parties intend to seek to secure such additional financing through a private placement.

The boards of directors of both CERo and PBAX have unanimously approved the proposed transaction with expected completion in the second half of 2023. The closing of the transaction is subject to approval of PBAX shareholders and the satisfaction, or waiver of, the minimum cash condition and certain other customary closing conditions.

Additional information about the transaction will be provided in a Current Report on Form 8-K to be filed by PBAX with the Securities and Exchange Commission ("SEC") and will be available on the SEC’s website at www.sec.gov. In addition, PBAX intends to file a registration statement on Form S-4 with the SEC, which will include a proxy statement/prospectus, and will file other documents regarding the proposed transaction with the SEC.

Advisors

Cooley LLP and Ellenoff Grossman & Schole LLP are acting as legal counsel to CERo. Cohen and Company Capital Markets, a Division of J.V.B. Financial Group, LLC is acting as the financial advisor and lead placement agent to PBAX. Goodwin Procter LLP is serving as legal counsel to PBAX.