Parabilis Medicines, Inc. Common StockPBLS
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Parabilis Medicines, Inc. Common Stock Morgan Stanley 24th Annual Global Healthcare Conference

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Transcript

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Speaker

Everyone. I'm very happy to be joined by Matthai Mammen, the CEO and Chairman of Parabilis. Thank you for joining us on day three of the Morgan Stanley Healthcare Conference. Thanks for being with us, Matthai.

Mathai MammenCEO and Chairman

Of course. I appreciate it.

Speaker

Just a quick disclaimer, please visit morganstanley.com/researchdisclosures for important disclosures relating to our conference. Let's start with the Parabilis story at a high level. Maybe you can take us back to the founding of the company and the original insight behind the Helicon platform. What problem in drug discovery were you trying to solve that conventional small molecules and antibodies couldn't address?

Mathai MammenCEO and Chairman

Yeah, thanks for that question. The company was founded by a Harvard professor called Greg Verdine, who was the same professor behind Warp Drive that got folded into Revolution Medicines, that's the basis of their product now, and Warp Drive and other companies as well. The problem he had been thinking about for a long time is one of drug ability, undruggability. Most proteins inside cells lack small molecule binding pockets. Pockets are required for any kind of small molecule or version of a small molecule we have today, from degraders to covalents to anything. So what to do then? Because 80% or so of proteins inside cells lack these, and yet the genetics and phenotypic screening efforts that abound in the industry now, they often point to one of those 80% as causes of various diseases. So if that's a cause, you're kind of out of luck.

Mathai MammenCEO and Chairman

The principle that he pushed then was, well, nature enables helical peptides to sit inside membranes, and perhaps that will allow us to put a protein, effectively a peptide, into a cell and function like an antibody might, that binds flat epitopes. Need for pockets is unnecessary, was his hypothesis. What he did with that was evolve a peptide platform that we call now the Helicon platform, that is comprised of stabilizing entities that hold this peptide as a helix, as an alpha helix, so it is constrained to be that way. Once it is constrained, you can go kind of crazy on the side chains. You can use whatever side chains you want. You do not have to stay within the 20 canonical amino acids.

Mathai MammenCEO and Chairman

We use now over 2,000 different amino acids, so it is an astronomical diversity of peptides that we can create, and what we found subsequent to the founding is through creation of very large data sets, how to predict compositions that both enter cells and engage proteins that are otherwise undruggable. That is the fundamental problem that we have solved.

Speaker

Your program, zolucatetide, is really the first major clinical test of this platform. If the drug continues to demonstrate activity across different genetically distinct diseases, how much does that validate the Helicon concept you just walked through as a broader drug discovery modality?

Mathai MammenCEO and Chairman

I think very much so. It should provide great confidence that this platform is not only validated biologically, not only validated through non-clinical tox studies, but now clinically, that this molecule that you are putting into the human is able to go and find its target that is inside a cell, so therefore get into a cell and adhere to it and engage it and keep it from having function and adequately dealing with side effects and kinetics and manufacturing and all the things that need to be true to get to that point. We feel really good about the validity of the platform as illustrated through zolucatetide.

Speaker

As we get into this program further and we think about beta-catenin as your target, why has this been so difficult historically to drug and what allowed Parabilis to finally directly inhibit the beta-catenin interaction?

Mathai MammenCEO and Chairman

Yeah. That is the question. First of all, why beta-catenin? Why was it tackled in the first place? It has been on the table forever. Not forever, but since 1990 when Bert Vogelstein first described it and its relationship to cancer. It was recognized alongside P53 and MYC as major elements of why a cancer is a cancer. You want to be able to do something about those proteins, and right now it is only beta-catenin through Parabilis where that has been possible. So why have we been able to do that? Why has it been difficult in the first place? Beta-catenin interacts with a key transcription factor, the family of them called TCFs, and it is that interaction that the Broad, DepMap, and other ways of pointing to causality points right at that node. That node is undruggable. It lacks a pocket.

Mathai MammenCEO and Chairman

It is a flat protein interacting with another flat protein. There is nothing there for a molecule to bind to. It has been therefore very challenging. It has actually been impossible. It is actually interesting anecdote is that both J&J and Merck, when I ran research at Merck and R&D at J&J, we tried very hard to drug that node, and I feel like I have personal experience failing twice on that. That was a not fun experience. It also provides some personal motivation and satisfaction for me.

Speaker

Never failing, just learning. That's right.

Mathai MammenCEO and Chairman

That's the right way to look at it.

Speaker

You often describe zolucatetide as a pipeline and a product, and I want to dig into the different indications you're targeting in greater detail, but what gives you confidence that inhibiting the same central node can actually produce meaningful clinical benefit across diseases that are as different as desmoid tumors, FAP, ACP, et cetera?

Mathai MammenCEO and Chairman

Yeah. This is the case actually often in cancer that something goes wrong in a critical system, in this case, beta-catenin. Either that protein, beta-catenin itself, is mutated, or the protein that it is constantly almost always bound to, APC, is mutated. A mutation in either of those two proteins results in a common biology where lots of beta-catenin then floods the system, engages with TCF, and drives a tumor program. If that happens to happen in a connective tissue that arises sarcoma, and it's called a desmoid, then it's a desmoid tumor. If it happens to rise in a cell in the pituitary stalk, it's ACP. If you're born with an APC mutation, like in FAP patients, and you pick up a second APC mutation during your life, it results in polyps. That's FAP. Depending on the tissue, the cell that an APC or beta-catenin mutation arises in, these have different names.

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