Stoke Therapeutics, Inc. Common StockSTOK
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Stoke Therapeutics, Inc. Common Stock 12th Annual Cantor Fitzgerald Global Healthcare Conference

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Transcript

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Pete StavropoulosDirector of Biotech Equity Research

Hello. Welcome to the Cantor Global Healthcare Conference. I'm Pete Stavropoulos, a biotech analyst with Cantor. With us, we have Stoke Therapeutics, a company I cover. I'm pleased to introduce Ian Smith, CEO, and Jason Hoitt, the Chief Patient Officer. With that, start off with a brief intro of yourselves, snapshot of the company, the pipeline, and key milestones that will shape the company over the next 12 to 18 months.

Ian SmithCEO

Thanks, Pete. You can breathe now. Pete just arriving. Thank you for the introduction. Happy that you took time out of your day to listen to the Stoke story and go through the Q&A with Pete. Today, Stoke is a company that has a phase III medicine to treat Dravet syndrome. We've fully recruited that phase III study. Anticipated readout should be the middle of next year, probably within the next 12 months. I'm happy to answer all questions regarding the opportunity of that phase III readout and how we think about it, how the trial is going, and also how post-data and also approval, how we think about the market.

Ian SmithCEO

That includes patients and what this medicine may be doing for those patients, as well as the value of that medicine, not just to the patients, but also to Stoke as a company, given that this medicine was created by Stoke from the bench- all the way through, hopefully, to the patients.

Ian SmithCEO

We've advanced as a company significantly over the last couple of years, rapidly and growing. We also have a growing pipeline. We have another medicine focused on ADOA, which is a genetic form of loss of eyesight, loss of vision. That study is progressing nicely in a dose escalation phase I/II study. We're into our second cohort of patients and expect to be soon into our third cohort of patients and talk about that. Financially, the company is in a very strong position. The balance sheet data that we provided to the investment community as of June 30, we had over $400 million of pro forma cash that took us through to early 2028. We're well capitalized and in a good position to continue to develop our medicines through to launch.

Pete StavropoulosDirector of Biotech Equity Research

All right. Just a high overview. There is a lot going on at Stoke. You mentioned phase III, phase I ADOA trial. If you're sitting here a year from now, and I ask you in the last 12 months, what have been the key value-creating accomplishments for Stoke, what would you like to say?

Ian SmithCEO

Obviously, the data readout from our phase III, that's within the 12 months, if we transport ourselves forward in that time machine. Looking back the 12 months, yes, clearly the readout from the phase III is a very important value-creating event. It'll establish the medicine. It'll establish the profile of the medicine. The design of the study goes beyond treating seizures for Dravet, but it goes to maybe a disease-modifying medicine to treat both the seizures and also cognition and behavioral morbidities within this disease. That would be the one big achievement, looking back.

Ian SmithCEO

I think also, throughout the next 12 months, if I now transport myself back to today, looking into the future, I think as the trial progresses and continuous updates on the trial and how the patients continue to move through the trial and potentially into a second treatment period in open label study post the 52-week trial, I think those are important metrics of how the study progresses. On the ADOA side, I do feel as though with cohort 3 and 4 in a four cohort for phase I, phase II, we start with cohort 3 and 4 getting into what we think is a therapeutic level of dosing. And we have potential to show that impacting OPA1, which is the genetic target, but impacting OPA1 does upregulate mitochondrial function and therefore enhances vision, as in improves vision. Doesn't just stabilize vision, but improves vision.

Ian SmithCEO

That's also within the next 12 months, and I think would be a defining event for the company as well because it'll be also emerging pipeline.

Pete StavropoulosDirector of Biotech Equity Research

All right. Moving into some of the clinical data that you generated with zorevunersen. In the phase I/II, there were initial loading doses where substantial seizure reductions were observed, remained durable in the OLE. Just contextualize the magnitude of reduction in seizures in these patients, especially in the backdrop of the anti-seizure med that they were on, including any data that you may have presented this weekend in Athens, Greece.

Ian SmithCEO

Yeah. To be honest, it's a long answer because when I think about the medicine itself, zorevunersen, just to give you a brief understanding of its mechanism of action, its target, this is a genetic therapy targeting the SCN1A depletion. What that means is that when you have a mutant gene, you're not producing enough protein, NAV1.1, which is the root cause of Dravet. Going from the bench targeting SCN1A to upregulate the protein NaV1.1 has always been the principle of this medicine because it addresses the root cause of the disease. Our studies preclinically have shown that we can get to potentially wild-type levels of NaV1.1 in our animal models.

Ian SmithCEO

Translating that through to the dose that we're using in the clinic and ultimately through to the Phase III, because you're addressing the root cause of the disease, our anticipation is that you would significantly reduce seizures, which we do see. To one of your questions, Pete. Also, we're seeing these patients that plateau at the age of 18 months to 24 months. We're starting to see them gain function when they go onto medicine. What I mean by gain function is like gaining tasks and ability to do certain tasks, the ability to communicate, ability to receive communication. We've seen all of that. What is really interesting today, and to your point, Pete, is the data that we have in our open label study.

Ian SmithCEO

Once these patients were through the Phase I, II study of this medicine, they had the opportunity to go to an OLE study, and certain patients have been in that OLE study now for four years. This is a chronic disease, and we dose the medicine chronically. As we dose the medicine chronically over a longer period of time, the seizure reduction has been sustained at levels of 75% plus minus. Also, we see this continuous gain of function and task as measured through a questionnaire called Vineland-3. You do see improved communication. You do see improved motor skills. That's what's been really fascinating about the longevity and the durability of the OLE data to support a chronic disease, but you're giving back function the longer they're on medicine, as well as sustaining those reductions in seizures.

Ian SmithCEO

Now, we have to now proceed and run a phase III trial that has seizure reductions as a primary endpoint and cognition and behavior as the key secondaries. We are well into that, and the trial is progressing very nicely.

Pete StavropoulosDirector of Biotech Equity Research

We did host a really great call with the Dravet Syndrome Foundation over the summertime. I think it is underappreciated. There were a couple of points that came out. One of them is the residual seizure burden these patients have, even though they are on, quote-unquote, "optimized" ASMs. They went through in detail their seizure plans, including rescue medication, how often these patients have to go to the ER, how they spend a day, 2 days, 3 days, disrupts the family's schedule, and especially when you have other kids. It turns things into a little bit of a mess, and it has a high impact on quality of life. These facts, I think, point to the residual seizure burden and whatsoever zorevunersen has brought to these patients.

Pete StavropoulosDirector of Biotech Equity Research

We did actually ask them, since they are close to individuals who are in the OLE, how is it viewed? They said that there has been profound, across-the-board reduction in seizures, and really promising, and feels something very different than from what has been shown by other anti-seizure meds, especially on the durability front, where it is not a honeymoon phase.

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