Insight that enriches. Precision that empowers.
Corporate Presentation
June 2024
Disclaimer
Statements contained in this presentation regarding matters that are not historical facts are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Words such as "anticipates," "believes," "expects," "intends," "plans," "potential," "projects," "would" and "future" or similar expressions are intended to identify forward-looking statements. Each of these forward-looking statements involves substantial risks and uncertainties that could cause actual results to differ significantly from those expressed or implied by such forward-looking statements. Forward-looking statements contained in this presentation include, but are not limited to, statements regarding the initiation, timing, progress and results of our current and future preclinical studies and clinical trials, including specifically our clinical trials of lunresertib, camonsertib, RP-1664, and preclinical studies of RP-3467; the expected timing of program updates and data disclosures; the timing of filing INDs and other regulatory documents; the timing and likelihood of seeking regulatory approval for our product candidates; the competitive landscape for our product candidates; our ability to identify and develop additional product candidates using our SNIPRx platform; and our estimates regarding expenses, future revenue, capital requirements, cash runway and needs for additional financing.
These forward-looking statements reflect our current beliefs and expectations. Many factors may cause differences between current expectations and actual results, including the duration and impact of the COVID-19 pandemic on our business and market volatility, unexpected safety or efficacy data observed during preclinical or clinical studies, clinical site activation rates or clinical trial enrollment rates that are lower than expected, changes in expected or existing competition, changes in the
regulatory environment, and unexpected litigation or other disputes. These and other risks are described more fully in our filings with the Securities and Exchange Commission ("SEC"), including the "Risk Factors" section of our Annual Report on Form 10-Q filed with the SEC on May 7, 2024, and other documents we subsequently filed with or furnished to the SEC. All forward-looking statements contained in this presentation speak only as of the date on which they were made. Except as required by law, we assume no obligation to update any forward-looking statements contained herein to reflect any change in expectations, even as new information becomes available.
This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and growth and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. Neither we nor any other person makes any representation as to the accuracy or completeness of such data or undertakes any obligation to update such data after the date of this presentation. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk.
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Developing
Next-Generation
Precision
Oncology
Medicines
Differentiated, proprietary
clinical pipeline
- Lunresertib: First-in-class oral PKMYT1 inhibitor (Phase 1/2)
- Camonsertib: ATR inhibitor (Phase 1/2)
- RP-1664:First-in-class selective PLK4 inhibitor (Phase 1)
Proprietary CRISPR-
enabled SNIPRx platform
- Focused on genomic instability and DNA damage repair
- Clinical trials enriched for patients with tumors carrying a network of synthetic lethal alterations (STEP2)
Multiple clinical catalysts
expected in 2024
- Key readouts from ongoing trials
- New clinical entries (PLK4 and Polθ ATPase inhibitors)
Strong balance sheet
- Cash and investments of ~$237M1 fund operations to mid-2026
- Multiple clinical catalysts in that timeframe
3 | 1 As of March 31, 2024. |
33 |
Targeting the untargetable through synthetic lethality
Precision oncology last 20 years:
Targetable gain of function (e.g., EGFR)
~29%
~17% | ||
Focused on 71% untapped | ||
target space, conventionally | ||
untargetable |
Gain of function (e.g.,
~54% | CCNE1, 17%) | |
| Loss of function (no known | |
driver; e.g., BRCA1, 54%)
Specifically targeting and disrupting genes essential for cancer cell survival
SNIPRx identifies and targets necessary genes to induce synthetic lethality
- Highly targeted & tumor-type agnostic approach
- Exploiting cancer cell genomic instability, including DNA damage repair
Platform validated with established and expanding clinical-stage pipeline
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Expanding pipeline of precision oncology therapeutics
PROGRAM | TUMOR LESION | DRUG TARGET | PRECLINICAL | PHASE 1 | PHASE 2 | PHASE 3 | RIGHTS | |
Camonsertib Combination | ||||||||
Lunresertib | CCNE1, | PKMYT1 | Chemotherapy Combinations (FOLFIRI/Gemcitabine) | |||||
(RP-6306)1 | FBXW7 + others | |||||||
Debio 0123 Wee1i Combination | ||||||||
Camonsertib | ATM + 16 | Monotherapy NSCLC Expansion | ||||||
STEP2 | ATR | |||||||
(RP-3500) | ||||||||
lesions | Other Combinations (PARP Inhibitors/Gemcitabine) | |||||||
RP-1664 | TRIM37-high | PLK4 | Monotherapy | |||||
RP-3467 | BRCA1/2 | Polθ ATPase | ||||||
SNIPRx® | Additional SL targets in advanced stages of development | |||||||
Platform | Discovery and validation of new SL precision oncology targets | |||||||
5 | 1 Excludes ISTs. |
Proven experience in drug discovery and development
Leadership Team
Lloyd M. Segal | Steve Forte, CPA |
President & CEO | Chief Financial Officer |
Michael Zinda, PhD | Maria Koehler MD, PhD |
Chief Scientific Officer | Chief Medical Officer |
Cameron Black, PhD | Philip Herman |
Head of Discovery | Chief Commercial, Portfolio |
Development Officer |
Kim A. Seth, PhD | Daniel Bélanger |
Chief Business Officer | Head of Human Resources |
Scientific Founders
Daniel Durocher, PhD
- Developed CRISPR SL platform
- Deep DNA repair knowledge
- Lunenfeld-TanenbaumResearch Institute (LTRI) & professor at University of Toronto
Agnel Sfeir, PhD
- DDR and cancer pathway investigator
- Pioneer in Polθ, genome instability
- Professor, MSKCC
Frank Sicheri, PhD
- Globally recognized structural biologist, expert in eukaryotic cell signaling, drug mechanism of action
- LTRI & professor at University of Toronto
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Lunresertib (RP-6306)
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Lunresertib:
First-in-class, oral, small molecule,
Large, genomically
defined potential addressable
patient population of ~90k
- 50% RECIST response in camonsertib combination in gynecological tumors
Anti-tumor activity
observed
- Across multiple tumor types and genotypes
- POC in patients established
- FDA agreed with RP2D; safe and well tolerated
PKMYT1 inhibitor
Repare discovered synthetic lethality of PKMYT1 inhibition
- Initially identified CCNE1 amplification
- STEP2 screen identified additional genes
- FBXW7 and PPP2R1A
- First and currently the only PKMYT1 inhibitor in clinical trials
Supported preclinical
synergy hypothesis and patient selection approach from proprietary SNIPRx platform
88 | POC, proof of concept; RP2D, recommended Phase 2 dose. |
Large, genomically defined potential patient population
~90K addressable patients including ~65K among top tumors with genetic alterations largely mutually exclusive
Top New Advanced Tumor Cases (US+UK/EU4)
Tumor Type
Uterine
Ovarian
Stomach
Colorectal
Bladder
Cervical
Esophageal
Sarcoma1
Lung Squamous2
Prevalence of Genes of Interest
3.8% | 12.9% | 7.6% | ||||||||||||||||||||||
20.0% | ||||||||||||||||||||||||
19.0% | ||||||||||||||||||||||||
17.7% | ||||||||||||||||||||||||
10.2% | 6.4% | |||||||||||||||||||||||
14.7% | ||||||||||||||||||||||||
13.1% | ||||||||||||||||||||||||
12.2% | ||||||||||||||||||||||||
5.8% | 6.3% | |||||||||||||||||||||||
11.8% | ||||||||||||||||||||||||
9.1% | ||||||||||||||||||||||||
11.5% | ||||||||||||||||||||||||
7.1% | 3.3% | |||||||||||||||||||||||
7.8% | ||||||||||||||||||||||||
7.1% | ||||||||||||||||||||||||
7.6% | ||||||||||||||||||||||||
4.7% |
4.7%
CCNE1
FBXW7
PPP2R1A
Multiple
Eligible Patients
28.9%7,000
6,300
9,000
24,500
6,200
1,300
4,500
1,200
5,300
- Based on estimated number of pts US+UK/EU4 treated in 1st line, advanced setting for diagnosed and new recurrent patients (CancerMPact®, Treatment Architecture, United States, 2021; accessed 5/19/23) and lesion prevalence (TCGA). 1 Soft Tissue Sarcoma only; 2 Squamous subtype of Non-Small Cell Lung Cancer only
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Evolving broad trial program: sponsored and collaborative
Lunresertib Combination Therapy
Future Opportunities
Key inclusion
Selected tumors with amplified
Ovarian, Lung,
Esophageal /
criteria:
Recurrent solid
tumors
CCNE1
amplification or
PPP2R1A
FBXW7
inactivating
mutations
MAGNETIC: + Gemcitabine
MYTHIC: + Camonsertib;
+ Debio 0123 (Wee1 inhibitor)
MINOTAUR: + FOLFIRI
Multiple Investigator Sponsored Trials
(CCTG1, Carbo/paclitaxel2)
Determine RP2D dose / schedule
Progress to late-stage trials
CCNE1
Selected tumors with FBXW7 loss
Tumors with high rate of sensitivity genes
Basket trial
Gastric
CRC,
Other GI,
Pan Tumor
Endometrial,
Bladder
Breast,
Sarcoma, Bile Duct
- Canadian Clinical Trial Group (CCTG) collaborations include NCT05605509 and NCT05601440.
- Standard of care ("SOC") for 1st line ovarian cancer is carbo/paclitaxel (6 cycles) + PARPi maintenance therapy or carbo/paclitaxel with bevacizumab + bev maintenance therapy; this IST supports future
10 potential 1st line combination studies as triplet therapy in patients with CCNE1 amplified tumors.
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Repare Therapeutics Inc. published this content on 10 June 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 10 June 2024 10:49:06 UTC.