THE CUTTING-EDGE SCIENCE TO TARGET CRUCIAL DRIVERS
OF INFLAMMATION AND CANCER

Our proprietary drug discovery and development engine has identified several immune drivers that have the ability to be “tuned up” or “tuned down” to modulate the immune system, either to suppress an overactive immune response in allergic inflammatory diseases or to initiate an immune response against cancer.

Our lead inflammation drug candidate, RPT904, is a novel, subcutaneously administered, half-life extended humanized IgG1 monoclonal antibody (mAb) for the treatment of patients with food allergies, chronic spontaneous urticaria and other allergic inflammatory diseases. RPT904 is designed to bind free human immunoglobulin E (IgE), a key driver of allergic diseases. In a first-in-human healthy volunteer study, RPT904 demonstrated extended pharmacokinetics (PK) and pharmacodynamic (PD) properties compared to the first generation anti-IgE mAb omalizumab (Xolair®). With the extended half-life, RPT904 has the potential to be dosed every 8 to 12 weeks, compared to Xolair which is given every 2 to 4 weeks. RPT904 also has the potential to treat patients with high IgE and bodyweight who are currently not eligible to be treated with Xolair.
Our drug candidate, tivumecirnon (FLX475), targets the important cell surface receptor CCR4 (C-C Motif Chemokine Receptor 4). Receptors such as CCR4 bind to chemoattractant molecules called chemokines that orchestrate migration and homing of cells to specific tissues throughout the body. Chemokines specific to CCR4 are secreted from allergically inflamed tissues and from tumors, but not from healthy tissues. Our proprietary approach is designed to prevent the recruitment of disease-promoting immune cells into inflamed tissues and tumors in order to treat allergic inflammatory diseases and cancer.

ANTI-IGE IN INFLAMMATORY DISEASE:
addressing elevated immunoglobulin E (IgE) levels in allergy and immune disorders

Elevated immunoglobulin E (IgE) plays a key role in the allergic inflammatory process, which makes it an ideal drug target for allergic diseases. Anti-IgE therapy has been validated by an approved drug, omalizumab, which has been used to treat a number of allergic conditions for nearly two decades.
While a significant medical advance, there is a need for improvements in the potency and dosing schedule for anti-IgE therapy.

CCR4 INHIBITION IN INFLAMMATORY DISEASE:
“Down regulating” the inflammatory response

In inflammatory diseases, chemokines recruit helper T type 2 (Th2) cells to inflamed tissues. Once Th2 cells enter tissues such as the skin or the airways in the lung, they secrete proteins known to drive the inflammatory response.
In atopic dermatitis, there are higher levels of these inflammatory ligands compared with healthy humans and these ligands also correlate with the severity of disease.

CCR4 INHIBITION IN CANCER:
Unlocking antitumor immunity

In cancer, the secretion of certain chemokines from tumor cells and tumor-resident immune cells is responsible for the recruitment of immunosuppressive regulatory T cells (Treg) to tumor sites. Treg represents a dominant pathway for downregulating the immune response, and thus may limit the effectiveness of currently available therapies such as checkpoint inhibitors. Blocking the migration of Treg has the potential to restore naturally occurring antitumor immunity as well as to synergize with a variety of both conventional and immune-based therapies, such as radiation, chemotherapy, checkpoint inhibitors, immune stimulators and adoptive T cell therapy.
Our proprietary approach is designed to enable selective reactivation of the immune response within tumors without systemically depleting T cells or broadly suppressing the immune system, a side effect experienced with existing CCR4 therapies. We believe that the inhibition of CCR4 has the potential to bring therapeutic benefit to patients across a wide spectrum of tumors in a manner similar to other immuno-oncology therapies that have been shown to be effective against multiple tumor types, while also potentially deepening and/or broadening clinical responses to these therapies.