Elicio Therapeutics, Inc. Common StockELTX
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Elicio Therapeutics, Inc. Common Stock H.C. Wainwright 28th Annual Global Investment Conference

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Transcript

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Robert BurnsManaging Director and Senior Biotech Analyst

Good afternoon, and welcome to our next fireside chat. I am Robert Burns, a managing director and senior biotech analyst at H.C. Wainwright & Co. I am joined today by Pete DeMuth, the CSO of Elicio. Pete, thank you for joining us today.

Robert BurnsManaging Director and Senior Biotech Analyst

Good to be here. Why don't we start off from a high level perspective?

Robert BurnsManaging Director and Senior Biotech Analyst

For those who may be unfamiliar with Elicio, can you provide a brief overview of the company, its technology, and your pipeline?

Pete DeMuthChief Scientific Officer

Yeah, of course. Great place to start. Elicio Therapeutics is a clinical-stage cancer immunotherapy company. We're focused on immunotherapies that are directed specifically to the lymph nodes. We believe that the lymph nodes are a key site in our body which orchestrate the immune response against cancer. To date, it's been a challenge to get these immunotherapies to the cells that matter in the lymph nodes. You can see here we're doing that with a platform approach, which we call Amphiphile or AMP. This is a technology developed at Massachusetts Institute of Technology intended to direct immunotherapy specifically to lymph nodes and the immune cells that reside there. We have proof of concept from 2 completed phase I trials and a randomized phase II, which had a final analysis earlier this summer. We can talk certainly about that.

Pete DeMuthChief Scientific Officer

The lead candidate is our ELI-002, which is a KRAS specific immunotherapy designed to target the seven most common mutant forms of KRAS. We have some exciting data from the randomized phase II trial, as well as from a series of patients that were on that trial that then went on to receive subsequent therapy, including a checkpoint- that had some notable radiographic responses in the metastatic setting.

Pete DeMuthChief Scientific Officer

So, excited to talk more about that.

Robert BurnsManaging Director and Senior Biotech Analyst

Awesome. Yeah, we are certainly going to dive into all those data sets. Why do not we level set and provide some historical context here? Obviously, cancer vaccines in the past have typically underperformed. Why have not they worked that well, and what is different about this current generation of cancer vaccines?

Pete DeMuthChief Scientific Officer

Yeah, there are two things that I would point to. The first one is just the technology has improved dramatically. Historically, cancer vaccines, especially the types that we work on, have had significant challenges in getting to the places where they can have their biological effect, the lymph nodes. There was a decade's worth of research done at MIT to study that, and then to develop this Amphiphile approach for lymph node targeted immunotherapy. What that does is get these agents directly to the immune cells, which then orchestrate the immune response against cancer. There is a potency challenge that needed to be overcome. The other thing that has been a challenge is the setting of disease.

Pete DeMuthChief Scientific Officer

We started out studying minimal residual disease, and we are now moving our way into metastatic disease. One of the things that has come alongside of that is checkpoint inhibition.

Pete DeMuthChief Scientific Officer

This is a tool that with the synergistic effect with a cancer vaccine, could become a very potent combination for future therapy in cancer.

Robert BurnsManaging Director and Senior Biotech Analyst

Yeah. Building on that point, obviously we saw that Moderna announced results from its phase III INTerpath-001 trial, which evaluated the combination of its mRNA based individualized neoantigen vaccine plus KEYTRUDA in the adjuvant setting. That was for completely resected stage IIB to IV melanoma, and it met its primary endpoint of RFS.

Robert BurnsManaging Director and Senior Biotech Analyst

Yep. Separately, maybe a week later, we saw BioNTech on the flip side of that, announce that it halted its phase II, evaluating its mRNA based neoantigen vaccine as adjuvant in stage 2, 3 colorectal cancer, who were ctDNA positive after R0 resection because of futility.

Robert BurnsManaging Director and Senior Biotech Analyst

While the full data sets have not been presented, maybe you could compare and contrast these divergent results and sort of hypothesize why we are seeing those opposite results.

Pete DeMuthChief Scientific Officer

Yeah. These are two very exciting readouts, and I think we can learn quite a bit from them. Firstly, melanoma is not CRC. I think on the spectrum of cancers that are thought to be sensitive to immunotherapy, melanoma is certainly at the far end, a place where you have abundant neoantigens, where the standard of care does involve immunotherapy already. So adding a vaccine to that checkpoint backbone therapy seems like a really good idea, and I think the data speaks for itself. The CRC setting is a little bit more challenging, perhaps a little bit more refractory to immunotherapy. The backbone standard therapy does not involve immunotherapy, so you're sort of building onto a foundation that does not yet exist.

Pete DeMuthChief Scientific Officer

I think it's important to note both of those approaches are personalized in nature, so they have some challenges with cost of goods, manufacturing time, complexity. They also target personalized, but not tumor driver or essential mutations most often. I think it remains to be seen. We'll see how the data plays out, but that could leave you open to escape mutations that would limit the durability of responses. Whereas what we're doing with our ELI-002 program is targeting a truncal driver mutation in KRAS- something that the tumor can't really get rid of and is essential for tumor progression.

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