Lyell Immunopharma, Inc. Common Stock 2026 Global Healthcare Conference
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You ready to get started? Great. Thank you all for taking the time to join us for another session at the Baird Global Healthcare Conference today. My name is Jack Allen, for those who I haven't met in the audience, and I cover the biotech space. For this session, I'm joined by the CEO of Lyell Immunopharma, Lynn Seely. Lynn, thank you so much for taking the time to join us.
Thanks. Well, I'm delighted to be here and have a chance to tell you about Lyell Immunopharma. For those of you who are not as familiar with Lyell, we are a cell therapy company focused on next.
Thank you. Thank you. Great.
Well, I'll back up. Lynn, thank you again for taking the time to join us.
Well, thank you. I'm delighted to have a chance to tell you about Lyell Immunopharma. For those of you who are not as familiar, Lyell is a cell therapy company focused on next generation CAR T-cell therapies for patients with cancer, specifically hematologic malignancies, as well as solid tumors. We have two programs in the clinic. Our lead program is ronde-cel, which is a next generation CD19, CD20 CAR T-cell therapy in two pivotal trials for large B-cell lymphoma. We have a single arm study, the PiNACLE study, which is going to have a significant data update this year, and we expect our first BLA submission next year. Lyell is on its way to hopefully becoming a commercial company. We also have a first of its kind, head-to-head CAR T-cell therapy company of our product, ronde-cel, versus investigators' choice of one of the approved CD19 CARs, axicabtagene ciloleucel or lisocabtagene maraleucel.
Then we have a second program in the clinic, we call LYL273, which is a GCC-targeted CAR T-cell therapy for patients with metastatic colorectal cancer. It's a full lineup, and I'm pleased to report we also have our own manufacturing facility, which gives us a lot of control over our destiny, because that's a very important component of cell therapy.
Great. Thanks so much for the overview. I know we got a lot of ground to cover today, but maybe we can start with Ronde-cel and step back and take a 50,000-foot view of Ronde-cel and the design of the product. This is a CD19, CD20 OR-gated CAR T. What does that really mean? Does it mean you can hit either antigen? How does hitting both antigens change the safety and efficacy profile as compared to CD19 autologous CAR Ts?
Sure. Just to back up a little bit, I think many people are aware that CD19 CARs have really transformed the treatment for patients with large B-cell lymphoma, which was really a very deadly disease in the past, and they've made great benefit. But what became quite apparent is there's still significant room to improve upon outcomes, particularly driving more patients to complete remission or complete response, as well as driving longer duration of response. Because what patients are really looking for is this treatment-free, disease-free interval. The beautiful thing about CAR T-cell therapy is it's a one-time treatment, which really is designed to bring those sorts of meaningful responses. The inventor of Ronde-cel is an engineer turned biologist, a really brilliant scientist, Yvonne Chen at UCLA, who really rationally designed this CAR T-cell therapy.
What she did is she wanted to design a CAR that was full potency at either CD19 or CD20. This is really important because some malignant B cells have no CD19, and so therefore CD19 CAR T-cell therapy won't benefit the patients at all. In this case, if the patient has either CD19 or CD20, we can benefit them, and that's expected to drive more complete responses. In addition, we know that one of the main causes of escape from CD19 CARs is that the malignant B cells can drop the CD19 antigen itself as sort of this evolution to avoid therapy. Well, it's very difficult for these malignant B cells to drop two antigens. By having a dual targeted CAR, we can drive more complete responses and longer duration of responses.
She did one more thing, which was really quite special, is the field has really learned that if your CAR T-cell therapy product includes naive or central memory T cells, these are the, think of as the more fit and healthy younger T cells, that actually those are the cells that are associated with longer overall survival, for example, in the ZUMA trials of axicabtagene. She really designed this product to specifically have a high percentage of naive T cells. So we think it's this combination of the dual targeting plus this very novel manufacturing process that is helping with the benefits that we're seeing.
Yeah. To that end, the manufacturing process, while it does select, I believe it's CD62L is the marker that you select for, it's in line with CD19 autologous manufacturing process as it relates to timing from vein to vein.
Yes. How do you think about that?
We just in early summer presented data on the first 100 patients that we've treated. We had a 97% success rate in delivering product to patient, and the median vein to site time is 16 days. So very much in line with axicabtagene and better than what liso-cel or BREYANZI brings.
Yeah. It seems like it could be a real innovation as it relates to autologous CAR T, where you already have these CD19s, but you could displace them with this dual antigen approach. You touched on the safety and efficacy profile, but maybe could you dive a little bit more deeply into what you've seen so far in the clinical results with Ronde-cel, and what has you excited about the two ongoing pivotal studies?
Sure. Very much so. This product was designed with a specific outcome and intent, and in fact, that is exactly what we are seeing in the data. We are seeing this in translational data that we presented at ASH last year, really showing very nice cell expansion, long persistence, and duration of response. But most importantly, when we presented data at ASH last year, we had a 76% complete response rate in patients with third or later line disease, patients who had been failed by two prior lines of chemotherapy. That is important because if you look at the CD19 CARs, they have, in that line of therapy, about a 50% complete response rate, so a substantial improvement.
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