developing breakthrough therapies in nash and ...2).… · non-confidential –property of...
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Developing breakthrough therapies in
NASH and mucopolysaccharidosis
Corporate PresentationNovember 2019
Non-confidential – Property of Inventiva │ 2
DISCLAIMER
This document has been prepared by Inventiva (the "Company") solely for the purpose of this presentation. This presentation includes only summary information and does not purport to be
comprehensive. Any information in this presentation, whether from internal or from external sources, is purely indicative and has no contractual value. The information contained in this presentation
are provided as at the date of this presentation. Certain information included in this presentation and other statements or materials published or to be published by the Company are not historical
facts but are forward-looking statements. The forward-looking statements are based on current beliefs, expectations and assumptions, including, without limitation, assumptions regarding present
and future business strategies and market in which the Company operates, and involve known and unknown risk, uncertainties and other factors, which may cause actual results, performance or
achievements, or industry results or other events, to be materially different from those expressed or implied by these forward-looking statements. These risks and uncertainties include those
discussed or identified under Chapter “Risk factors” in the Company’s registration document (document de reference) filed with the French Financial markets authority (AMF – Autorité des marchés
financiers), available on the Company’s website (www.inventivapharma.com) and on the website of the AMF. The Company may not actually achieve the plans, intents or expectations disclosed in
its forward-looking statements and you should not place undue reliance on the forward-looking statements contained herein. There can be no assurance that the actual results of the Company’s
development activities and results of operations will not differ materially from the Company’s expectations. Factors that could cause actual results to differ from expectations include, among others,
the Company’s ability to develop safe and effective products, to achieve positive results in clinical trials, to obtain marketing approval and market acceptance for its products, and to enter into and
maintain collaborations; as well as the impact of competition and technological change; existing and future regulations affecting the Company’s business; and the future scope of the Company’s
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shall, nor has any duty to, update you.
Corporate Presentation | 2019
Non-confidential – Property of Inventiva │ 3Corporate Presentation | 2019
Inventiva: highlights
Clinical stage biotech with focus on oral small molecules for high unmet need in fibrosis,
lysosomal storage disorders and oncology
Two unencumbered late stage assets in two high value indications
– Lanifibranor – only pan-PPAR agonist in clinical development for NASH, Phase IIb data
due H1 2020
– Odiparcil – first orally available therapy for MPS, Phase IIa data due H2 2019
A clinical stage partnership with AbbVie
– ABBV-157 RORg program with potential in several auto-immune indications: first phase I
completed and second one in 60 healthy volunteers and patients with chronic plaque
psoriasis ongoing
Compelling early stage pipeline
– YAP-TEAD program in late pre-clinical stage, clinical candidate selection expected in 2019
State of the art R&D capabilities including wholly owned ‘pharma scale’ discovery facilities
Strong US and European shareholder base and experienced senior management team
with a track record of operational and scientific excellence
Cash position allowing a runway until end of Q3 2020 post Phase IIb results in NASH
Non-confidential – Property of Inventiva │ 4
Validated oral small molecule-focused discovery engine targeting
nuclear receptors, transcription factors and epigenetic modulation
Corporate Presentation | 2019
Power of discovery engine underpins deep pipeline
of clinical and discovery stage assets
Library of ~240,000
compounds of which
60% proprietaryWholly-owned
129,000 square
foot pharma-like
R&D facilities
Expertise: nuclear
receptors,
transcription
factors, epigenetic
targets
Strong
scientific team
of ~70 people
Non-confidential – Property of Inventiva │ 5
Deep pipeline approaching major near term value inflection points
Corporate Presentation | 2019
Candidate /
ProgramIndication Discovery
IND
EnablingPhase I Phase II Phase III
Commercial
Rights
Lanifibranor NASH
Phase IIb
results: H1
2020
Odiparcil MPS VI
Phase IIa
results: H2
2019
ABBV-157 Moderate to
severe psoriasis
Next
milestone:
H1 2020
HippoNon-small cell
lung cancer and
mesothelioma
Candidate
Selection:
2019
TGF-β Idiopathic
pulmonary
fibrosis (IPF)
Lead Op(1)
GAG clearance
ROR𝛾
pan-PPAR
YAP/TEAD
(1) Lead optimization means refining molecules in advance of selecting candidates
Non-confidential – Property of Inventiva │ 6
Key financials and shareholder base
ISIN code FR0013233012
Market Euronext Paris
Shares outstanding 26.846.112
Market cap(Nov. 4 2019)
€77m
Cash position(September 30 2019)
35,3m compared to €56,7m as
of December 2018. Runway to
end of Q3 2020 post NASH
phase IIb results
Revenues in H1
2019(September 30, 2019)
€3,4m compared to €2,2m in
2018 (9 months period)
R&D expenditures
in H1 2019(June 30, 2019)
€19,6m compared to €15,9m
in H1 2018
Key financials Shareholder base
Analyst coverage
HC Wainwright
LifeSci Capital
Jefferies
KBC
Société Générale
Gilbert Dupont
Ed Arce
Patrick Dolezal
Peter Welford
Lenny Van Steenhuyse
Delphine Le Louët
Jamila El Bougrini
Free float*13,3%
BVF20.2%
NEA11.6%
Novo 8.7%Sofinnova 7.0%
Employees & others 2.8%
Founders36.4%
* Including
Perceptive Advisors
Corporate Presentation | 2019
Lanifibranor in Nonalcoholic
Steatohepatitis (NASH)
Non-confidential – Property of Inventiva │ 8
Lanifibranor is a differentiated pan-PPAR agonist with moderate and
well balanced activity on the 3 PPAR isoforms
Corporate Presentation | 2019
CompoundPPARa
EC50 (nM)
PPARd
EC50 (nM)
PPARg
EC50 (nM)
Lanifibranor(1) 1630 850 230
Fenofibrate 2400 - -
Pioglitazone - - 263
Rosiglitazone - - 13
Elafibranor(2) 10 100 -
Seladelpar(3) - 2 -
Lanifibranor human dose response curves and EC50s for various PPAR agonists
-10 -8 -6 -40
25
50
75
100
125
150
%A
cti
vati
on
hPPARa
hPPARd
hPPARg
Lanifibranor (M)
Potency scale: red 10 nM; grey: 500 nM; green 5 000 nM
Lanifibranor binds differently than rosiglitazone to PPARγ inducing different coactivator
recruitment(4)
Source: (1) Company data (2) Hanf R et al, Diabetes & Vascular Dis Res 2014 (3) Cymabay company presentation (4) J Med Chem. 2018 Feb 15. doi: 10.1021/acs.jmedchem.7b01285
Non-confidential – Property of Inventiva │ 9
Favorable safety profile differing from previously developed PPARs
Corporate Presentation | 2019
OrganPPAR isoforms
activated
Reported
PPAR liabilities
Lanifibranor
effects
Heart PPARg Fluid retention
Cardiac hypertrophyNot observed
Skeletal
muscle PPARa Myofiber degeneration Not observed
Kidney PPARa
> 50% increases in
creatinine,
degenerative changes
in renal tubules
Not observed
Urinary
bladder PPARg
Proliferative changes
in bladder epitheliumNot observed
Source: Company data
Lanifibranor not associated with typical single or dual PPAR liabilities
Non-confidential – Property of Inventiva │ 10
Lanifibranor favorable safety profile supported by long and extensive
studies
Corporate Presentation | 2019
6 month tox in rodents
6 month tox data in primates
12 month tox data in primates
2 year carcinogenicity studies in rats and mice
200+ healthy volunteers treated in Phase I trials
47 T2DM patients treated in Phase IIa study
97 SSc patients treated in a Phase IIb
Safety package
Recently generated safety data
Fourth and last DSMB for NATIVE trial in NASH recommending to continue the trial as
planned based on safety data from 228 patients, including 139 patients treated for
the whole study period
After review of carcinogenicity studies, FDA has lifted PPAR class clinical hold and
allowed long-term clinical studies in NASH with lanifibranor
Non-confidential – Property of Inventiva │ 11
Phase I and Phase IIa clinical studies(1) demonstrated lanifibranor
beneficial effects on key metabolic markers
Corporate Presentation | 2019
Lanifibranor has beneficial effects on key metabolic markers in type II diabetic patients
Source: Company data ; (1) Conducted by Abbott
(2) A placebo controlled trail of Pioglitazone in subjects with nonalcoholic steatohepatitis Belfort et Al; N Engl J Med 355;22 November 30, 2006; 6 month treatment
(3) Effects of the new dual PPAR α/δ agonist GFT505 on lipid and glucose homeostasis in abdominally obese patients with combined dyslipidemia or impaired glucose metabolism ; Diabetes Care. 2011 Sep;34(9):2008-14.
doi: 10.2337/dc11-0093. Epub 2011 Aug 4. 4 week treatment study 1
(4) A Novel Peroxisome Proliferator Receptor-δ Agonist: Lipid and Other Metabolic Effects in Dyslipidemic Overweight Patients Treated with and without Atorvastatin The Journal of Clinical Endocrinology & Metabolism,
Volume 96, Issue 9, 1 September 2011, Pages 2889–2897, https://doi.org/10.1210/jc.2011-1061; 8 week treament
Placebo 400 mg 800 mg 1400 mg 0
100
200
300
IVA337 IVA337IVA337
p=0.08
p=0.05
p=0.05
Pe
rce
nt
ch
an
ge
of
base
lin
e
Adiponectin (PPARg)
Perc
en
t ch
an
ge f
rom
baselin
e
lanifibranor lanifibranor lanifibranor
Placebo 400 mg 800 mg 1400 mg 0
10
20
30
40
IVA337 IVA337IVA337
p=0.13
p<0.05
p<0.05
Pe
rce
nt
ch
an
ge
of
base
lin
e
HDL Cholesterol (PPARa/d)
Perc
en
t ch
an
ge f
rom
baselin
elanifibranor lanifibranor lanifibranor
Placebo 400 mg 800 mg 1400 mg -50
-40
-30
-20
-10
0
IVA337 IVA337IVA337
p=0.08
p<0.05
p<0.05
Pe
rce
nt
ch
an
ge
of
base
lin
e
Triglycerides (PPARa/d)
Perc
en
t ch
an
ge f
rom
baselin
e
lanifibranor lanifibranor lanifibranor
HDL increase:
Lanifibranor (800/1400mg): +18%/28%
Elafibranor(3) (80mg): +7,8%
Seladelpar(4) (50mg): +9,9%
TG decrease:
Lanifibranor (800/1400mg): -24%/28%
Elafibranor (80mg)(3): -16,7%
Seladelpar(4) (50mg): -32,4%
Adiponectin fold:
Lanifibranor (800/1400mg): +2.8/+3.2
Pioglitazone(2) (45mg): +2.3
Homa-IR:
Lanifibranor (800/1400mg): -20%/-44%
Non-confidential – Property of Inventiva │ 12
NASH overview
Source: NASH Market, Allied Market Research 2016 ; Deutsche Bank Markets Research; Intercept website.; Epidemiology and natural history of non-alcoholic steatohepatitis.Clinical Liver Disease.2009 Nov;13(4):511-31.
Corporate Presentation | 2019
The overall NASH prevalence in the adult population of the United States is
believed to be approximately 12%
A severe disease with no currently approved treatment
Hepato-
carcinomaDeath
Liver transplant
Reversible
40-50%
15-20%
Severe liver
damage
Healthy
Liver
NASHNAFLD
Cirrhosis
NASH
with
fibrosis2-3% per year 30-40%
Non-confidential – Property of Inventiva │ 13
Lanifibranor’s mechanism of action addresses all the key features of
NASH
Corporate Presentation | 2019
Insulin sensitivity
HDLc
TG
PPARa,d,g
Metabolism
FA uptake
FA catabolism
Lipogenesis
PPARg
Steatosis
Inflammation and Ballooning
NFkB-dependent gene
activation
Inflammasome
Ballooning
PPARa,d,g
Stellate cell proliferation
and activation
Collagen and fibronectin
production
PPARg
Fibrosis
Vascular
Portal pressure
LSEC capillarization
Intrahepatic vascular
resistance
PPARa,g
Non-confidential – Property of Inventiva │ 14
Lanifibranor shows consistent improvements in metabolic
parameters and histology while displaying anti-fibrotic activity
Corporate Presentation | 2019
Methionine Choline
Deficient diet (MCD)
Choline-deficient amino-acid and
high fat diet
Foz / Foz
Carbon tetrachloride
(CCL4)Thiocetamide (TAA)
Diet induced obesity
high fat / high sucrose
HSC biologyMacrophages biologyHepatoma and muscle
cells biology
Endothelial biology
Metabolic models
NASH & NAFLD
models Fibrosis models Cirrhosis models
Lanifibranor improves
Insulin resistance
Non fasting glucose
Homa-IR
Lipid profile
Lanifibranor maintains
body weight
Lanifibranor reduces
Steatosis
Inflammation
Ballooning
Lanifibranor improves
NAS score
Lanifibranor reduces
fibrosis
Lanifibranor inhibits
stellate cell activation
Lanifibranor reverses
NASH
Lanifibranor reduces
Portal pressure
Established fibrosis
In Vivo
In Vitro
Non-confidential – Property of Inventiva │ 15
Pioglitazone PPARg NASH resolution efficacy
results are still unmatched
Corporate Presentation | 2019
Pioglitazone Cusi study (45 mg, 18 month), Annals of Internal Medicine, 2016 ; Ocaliva Regenerate Phase III study (25 mg, 18 months), press release Feb. 19, 2019
CVC Centaur Phase II study (150 mg, 12 months), Hepatology 2017 ; Elafibranor Golden 505 Phase II study (120 mg, 12 months), Gastroenterology. 2016
MGL-3196 Phase II study (100mg, 8 months), corporate presentation March 2019 page 14 ; Aramchol Arrest Phase II study (600 mg, 12 months) – press release June 12, 2018
pbo
19%
pbo
8%
pbo
12% pbo
6%pbo
6%
pbo
7%
51%
12%
19%
8%
25%
19%
0%
10%
20%
30%
40%
50%
60%
Pioglitazone Ocaliva Elafibranor CVC MGL-3196 Aramchol
Pati
en
ts w
ith
im
pro
vem
en
t, %
Resolution of NASH without worsening of fibrosis
Non-confidential – Property of Inventiva │ 16
NATIVE phase IIB study
Corporate Presentation | 2019
More information on: http://www.native-trial.com/
Trial design
225 patients treated for 24 week + 4 week safety follow-up
Double blind randomized placebo controlledEnd of treatment Liver biopsyPlacebo, 75 patients
Lanifibranor, 800 mg once daily, 75 patients
Lanifibranor, 1200 mg once daily, 75 patients
Screening Liver biopsy
Principal investigators
Prof. Sven Francque (Antwerp University, Belgium)
Prof. Manal Abdelmalek (Duke University, USA)
Randomisation
1/1/1, stratification on T2DM patients
Study powered with 75 patients per group
Central reading
Status
Recruitment completed with 247 patients
randomized
4 positive DSMB reviews recommending to
continue the study without any changes
Clinicaltrials.gov identifier
NCT03008070
Inclusion criteria
Liver biopsy
Severe patients with an inflammation and ballooning score of 3 or 4
Steatosis score ≥ 1 and fibrosis score < 4 (no cirrhosis)
Primary endpoint
Decrease from baseline ≥ 2 points of the inflammation and
ballooning score without worsening of fibrosis
Key secondary endpoints
Decrease of at least 2 points in NAS
Resolution of NASH (to NAFLD: steatosis ± mild inflammation)
Change in fibrosis score
Change in liver enzymes, inflammatory markers, glucose
metabolism parameters, plasma lipids parameters, adiponectin, …
Safety
Non-confidential – Property of Inventiva │ 17
NATIVE trial in NASH is fully recruited and results
are expected for first-half 2020
Corporate Presentation | 2019
17 countries
►13 in EU
►United States
►Canada, Australia
►Mauritius
>70 sites
recruited
patients
14 sites in the
United-States
247 patients randomized, exceeding the initial target of 225 patients
Patients with moderate/severe NASH recruited: ~72% with NAS ≥ 6 and ~76% F2 or F3
~40% have type 2 diabetes allowing to conduct the planned sub-analyses
167 patients(1) had already completed the six-month study confirming that the treatment is
well tolerated
Results expected first-half 2020(1) Database extraction October 8 2019
CountryPatients
randomized
Europe 183 (74%)
US 36 (15%)
Australia 13 (5%)
Canada 8 (3%)
Mauritius 7 (3%)
Total 247 (100%)
Non-confidential – Property of Inventiva │ 18
NATIVE trial: baseline characteristics
Corporate Presentation | 2019
Parameters
Patients without
diabetes
(N = 148 ; 60%)
Patients with
diabetes
(N = 99 ; 40%)
Total
(N = 247 ; 100%)
Gender Female 57% 60% 58%
Male 43% 40% 42%
Age Mean ± SD 51.8 ± 13.5 56.3 ± 10.4 53.6 ± 12.5
Median 54.0 57.0 55.0
Min ; Max 20 ; 76 28 ; 77 20 ; 77
Weight (kg) Mean ± SD 93.5 ± 19.0 92.8 ± 18.8 93.2 ± 18.9
Median 91.0 90.0 91.0
Min ; Max 51 ; 142 55 ; 145 51 ; 145
BMI (kg/m²) Mean ± SD 32.8 ± 5.5 33.0 ± 5.3 32.9 ± 5.4
Median 32.2 32.9 32.4
Min ; Max 21 ; 45 23 ; 44 21 ; 45
Male waist
circumference (cm)Mean ± SD 109.6 ± 12.6 112.2 ± 12.2 110.6 ± 12.4
Median 108.0 110.0 110.0
Min ; Max 88 ; 134 89 ; 142 88 ; 142
Female waist
circumference (cm)Mean ± SD 104.8 ± 13.5 105.7 ± 12.0 105.2 ± 12.9
Median 106.0 106.0 106.0
Min ; Max 76 ; 139 75 ; 138 75 ; 139
Fibrosis Score (%) F0 – F1 27% 20% 24%
F2 44% 36% 41%
F3 29% 43% 35%
Non-confidential – Property of Inventiva │ 19Corporate Presentation | 2019
Parameters DSMB # 1 DSMB # 2 DSMB # 3 DSMB # 4
Date of DSMB meeting June 2018 October 2018 March 2019 September 2019
# patients reviewed / % of
total patients in the study52 / 21% 94 / 38% 156 / 63% 227 / 92%
# patients having finished the
study / % of total patients in
the study
18 / 7% 36 / 15% 86 / 35% 139 / 57%
DSMB conclusion: continue
study as planned
NATIVE trial: lanifibranor is well tolerated and safe
as confirmed by four positive DSMBs
Non-confidential – Property of Inventiva │ 20
Ongoing Phase II trial in type 2 diabetes patients with NAFLD
evaluating the effect of lanifibranor on hepatic insulin sensitivity
(1) Intrahepatic triglycerides (2) Magnetic resonance elastography (3) De-novo lipogenesis ; (4) Levin J., EASL 2018. Bril, F & Cusi, K, 2017 Diabetes Care, 40:419-430. Younossi, Z., et al, 2018. Nat Rev Gastroenterol
Hepatol, 15(1): 11-20
Lanifibranor could be the drug of choice for NASH patients with TD2M: ~48% of NASH
patients have TD2M(4)
Corporate Presentation | 2019
64 patients
24 week treatment
Double blind randomized placebo controlled
Healthy non-obese control group, 10 subjects
Placebo, 32 patients
Lanifibranor, 800 mg once daily, 32 patients
Principal investigator
Prof. Kenneth Cusi (University of Florida)
Randomisation
Randomized (1:1), double-blind, placebo-controlled
Non-obese subject control group for the metabolic
and imaging procedures
N=64 calculated assuming a 35% relative reduction
of IHGT(1)
Status
IND approved
First Patient First Visit: August 2018
Results expected second-half of 2020
Primary endpoint
Change from baseline to week 24 in IHTG
Key secondary endpoints
Proportion of responders (IHTG, NAFLD
resolution)
Change in hepatic fibrosis (MRE(2), biomarkers)
Change in metabolic outcomes (insulin
sensitivity, DNL(3), glycemic control, lipids)
Safety
Clinicaltrials.gov identifier: NCT03459079
Trial design
Odiparcil – MPS
Non-confidential – Property of Inventiva │ 22
Mucopolysaccharidoses (MPS) are devastating diseases with high
unmet medical need
Corporate Presentation | 2019
Source: (1) Source: Rheumatology 2011 Therapy for mucopolysaccharodises; Vassili Valayannopoulos and Frits A. Wijburg
Autosomal recessive disorders characterized by accumulation of
glycosaminoglycan(s) (GAGs) due to deficient lysosomal enzymes
Seven distinct clinical types based on the enzyme affected: odiparcil could
be the first substrate reduction therapy for five forms of MPS with the
following incidences: Kathleen (MPS I)
Scotty (MPS II)
Karima (MPS VI)
MPS is a group of inherited lysosomal storage disorders
MPS has devastating clinical consequences: example MPS I, II and VI
MPS I
Mental retardation
Coarse facies, short stature
Dysostosis multiplex
Joint stiffness
Spinal cord compression
Organomegaly
Poor vision (corneal clouding)
Hearing loss
Cardiac/respiratory disease
MPS II MPS VIConsequences
(1) Retinal degeneration with no corneal clouding Odontoid hypoplasia
Kyphoscoliosis, genu valgum
Pebbled skin
Diarrhoea
(1)
Non-confidential – Property of Inventiva │ 23
Unique mechanism of action potentially synergistic with ERT
Corporate Presentation | 2019
Odiparcil diverts endogenous protein-bound GAG synthesis to soluble odiparcil-bound
chondroitin sulfate (CS) and dermatan sulfate (DS) synthesis
Galactosyl transferase I (GTI)
Synthesis of
proteoglycans
(HS, CS, DS)
Synthesis
of soluble
DS and CS
Odiparcil
Odiparcil
Galactosyl transferase I (GTI)
Normal
GAGs level
Healthy Patient
Normal GAG
degradation
Odiparcil
GAGs level
reduction
Intracellular GAGs
reduction
MPS
GAGs
accumulation
GAG degradation is
defective
Normal
GAGs level
Odiparcil original mechanism of action could provide additive benefit to enzyme
replacement therapies (ERT) in MPS I, II, IVA, VI and VII patients
Non-confidential – Property of Inventiva │ 24
By producing soluble dermatan and chondroitin sulfates, odiparcil
can address several types of MPS
Source: Rheumatology 2011 Therapy for mucopolysaccharodises; Vassili Valayannopoulos and Frits A. Wijburg
MPS Type Name DS CS HS KS
MPS I-H Hurler syndrome
MPS I-S Scheie syndrome
MPS I-H/S Hurler-Scheie syndrome
MPS II Types A & B Hunter syndrome
MPS IV Type A Morquio syndrome
MPS VIMaroteaux-Lamy
syndrome
MPS VII Sly syndrome
Corporate Presentation | 2019
Non-confidential – Property of Inventiva │ 25
Odiparcil decreases intracellular GAG accumulation in vitro in MPS
VI patient cells
Corporate Presentation | 2019
Source: H. Noh, J. I. Lee; Current and potential therapeutic strategies for mucopolysaccharidoses; Journal of Clinical Pharmacy, company data
MPS VI fibroblasts
GAG overloaded
cells
Intracellular CS storage
Extracellular GAG
0
5
10
15
20
25
10- 8 10- 7 10- 6 10- 5
MPS VI (IC50=3 µM)
Veh.
Odiparcil concentration (M)
To
tal su
lfate
d G
AG
S (
µg
/mL
)
0
100000
200000
300000
10- 8 10- 7 10- 6 10- 5
Control (IC50=2.8 µM)
MPS VI (IC50=2.7 µM)
Veh.
Odiparcil concentration (M)
Flu
ore
scence inte
nsity
Odiparcil observed to reduce GAG accumulation in MPS VI patient cells
Odiparcil
Non-confidential – Property of Inventiva │ 26
Odiparcil decreases GAG accumulation and restores mobility
in a mouse model of established MPS VI disease
Corporate Presentation | 2019
Source: Company data
Odiparcil decreases GAG accumulation in tissues
Odiparcil restores mobility
Whole eyeLiver
Knee
(Distal femoral growth plate)
Odiparcil decreases knee
cartilage thickness
Decrease of GAG accumulation was also observed in spleen, kidney, and heart
Age at treatment onset: 12
weeks
Treatment duration: 6 months
0
5
10
15
20***
WT MPS VI MPS VI + Odi
*
GA
G in
liv
er
[Are
a *
Index]
0
10
20
30
40
50***
WT MPS VI MPS VI + Odi
**
tim
e o
n p
ole
[sec]
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0 * * *
- 3 2 %
W T M P S V I
* * *
M P S V I + O d i
Di
st
al
f
em
or
al
g
ro
wt
h
pl
at
e
th
ic
kn
es
s[
µm
]
-40%
-66%
0
1
2
3
4
5 p<0.001
Sulfate
d G
AG
(µg/m
g o
f w
et tisues)
WT MPS VI MPS VI + Odi
p<0.001
-67%
p<0.001 p<0.05
p<0.001 p<0.01 p<0.001 p<0.001
Wild-type and MPS VI mice
Non-confidential – Property of Inventiva │ 27
Odiparcil decreases GAG accumulation in leukocytes which are
excreted through the urine
Corporate Presentation | 2019
Source: Company data
Odiparcil decreases intracellular
GAG levels in leukocytes
Soluble GAG produced from
Odiparcil are excreted in urine
0
2000
4000
6000 p<0.0001
WT MPS VI MPS VI + OdiSulfa
ted G
AG
(µg/m
g o
f cre
atin
ine)
Wild-type and MPS VI mice
0
20
40
60
80
%cells
with
> 1
0 G
AG
gra
nule
s
p<0.001p<0.001
MPS VI MPS VI+OdiWT
Non-confidential – Property of Inventiva │ 28
Odiparcil has the potential to positively differentiate versus current
MPS treatment options
Corporate Presentation | 2019
Source: Company evaluation
Effect on mobility
Effect on eye,
cartilage, bones,
heart valves, spinal
cord compression
Distribution type Oral Intravenous Infusion Transplantation
OdiparcilAldurazyme, Elaprase,
Naglazyme, Vimizim, Mepsevii HSCT
(Hematopoietic stem
cell transplantation)
Non-confidential – Property of Inventiva │ 29
iMProveS Phase IIa trial of odiparcil in MPS VI
Corporate Presentation | 2019
More information on: http://www.improves-mpsvi-trial.com/
End of treatment
4 weeks
Placebo + ERT
Odiparcil, 250 mg bid + ERT
Odiparcil, 500 mg bid + ERT
Odiparcil, 500 mg bid and no ERT
Follow up
15 patients double blind + 5 patients open label
26 week treatment 4 weeks
Screening,
baseline and
randomization
6 weeks
Screening
(4w) and
preliminary
safety
assessment
(2w)
Safety
Clinical and biological
assessments (standard tests)
Pharmacokinetics
Odiparcil plasma levels
Efficacy
Leukocyte, skin and urinary GAG content
Activity and mobility tests (6 minute walk test, upper limb function, shoulder mobility
range)
Cardiac, vascular and respiratory functions
Eye impairment, hearing capacity, pain assessment, quality of life questionnaires
Endpoints
≥ 16yo
Phase IIa
► Phase III enabling study with evidence for dose selection
and PK / PD response characterization
► Clinicaltrials.gov identifier: NCT03370653
Population
Status
1st DSMB (Oct 2018): no safety concerns;
recommendation to initiate the core study
Four centers selected: UK, Germany, France, Portugal
Recruitment completed
Results expected second-half of 2019
15 patients
5 patients
ABBV-157
Non-confidential – Property of Inventiva │ 31
Key validating collaboration with AbbVie
Corporate Presentation | 2019
Successful first Phase I and launch of a new clinical study
(1) Source: clinicaltrial.gov
Inventiva eligible to future milestone payments and sales royalties: next milestone
payment is expected for the first half of 2020
Target Product Profile: Humira in a pill + oral + better safety
Single ascending dose Phase I completed and second clinical study initiated: a randomized, double-blind,
placebo-controlled, multiple-dose study in 60 healthy volunteers and patients with chronic plaque psoriasis
(clinicaltrials.gov identifier: NCT03922607): start date May 2019 and completion September 2020(1)
RORg is a master regulator of Th17
differentiation and IL-17 expression
ABBV-157, a potent RORg, addresses large markets dominated by biologics
• Psoriasis, Rheumatoid Arthritis, Multiple Sclerosis, IBD, Uveitis, …
RORgt = Retinoic acid-related OrphanReceptor, gamma (thymus)
IL approach has been validated by several
successful biologics
ABBV-157 could target several diseases
Brand Name Company TargetSales
(2018, B€)
Stelara Janssen IL-12 and IL-23 4,7
Cosentyx Novartis IL-17A 2,5
Actemra Genentech IL-6 1,9
Taltz Eli Lilly IL-17A 0,8
Upcoming catalysts
Non-confidential – Property of Inventiva │ 33
Three transformational clinical outcomes expected in the short-term
Corporate Presentation | 2019
Results phase IIa in MPS VI - H2 2019
ABBV-157 milestone when first psoriatic patient is treated - H1 2020
Results: phase IIb NASH - H1 2020
Lanifibranor
Odiparcil
ABBV-157
Contacts
Inventiva
Frédéric Cren
CEO
+33 (0)3 80 44 75 00
Brunswick
Yannick Tetzlaff / Tristan Roquet Montégon
Media relations
+ 33 1 53 96 83 83
LifeSci Advisors
Monique Kosse
Investor relations