PureTech Health plc PureTech Health plc Annual report and accounts 2018
Annual report and accounts 2018 and accounts Annual report
DEVELOPING MEDICINES
BRAIN IMMUNE GUT PureTech Health
Developing BIG medicines
PureTech Health Dedicated to tackling some of the • a proven and seasoned most important health issues facing management team of business PureTech Health, plc (HQ: Boston, society in order to improve patients’ leaders with an outstanding Board of MA; LSE: PRTC) (“PureTech Health”, lives and generate significant value actively‑engaged industry pioneers “PureTech” or the “Company”) is an for PureTech’s shareholders, PureTech and academic stalwarts and an advanced biopharmaceutical company Health is pioneering new frontiers in extensive network of leading scientific developing medicines for dysfunctions medicine with: experts from around the world; of the Brain-Immune-Gut (BIG) axis across its affiliates and its own internal • an impressive track record of • relationships with leading labs. The Company’s focus is driven execution – including one United pharmaceutical companies or their Overview by deep insights into the connection States Food and Drug Administration investments arms, including Amgen amongst these three systems that make (FDA)-cleared product (Gelesis’ Ventures, Boehringer Ingelheim, up the BIG axis and their resulting roles PLENITY™) and one actively seeking Bristol-Myers Squibb, Eli Lilly, in diseases that have proven resistant to FDA clearance (Akili’s AKL-T01) – with Janssen Biotech Inc., Merck Ventures, established therapeutic approaches. By several high value catalysts expected Novartis, and Roche; harnessing this emerging field of human over the next 12 to 18 months; • an innovative and entrepreneurial biology, PureTech Health is developing • multiple novel clinical stage culture that attracts and retains new categories of medicines with the platforms and programmes that have top talent and is poised to bring potential to have great impact on cleared key safety and/or efficacy ground-breaking new medicines to people with serious diseases. regulatory hurdles; patients; and PureTech’s entrepreneurial, non-binary, • a strong capital base with • a strong and growing IP portfolio and capital-efficient innovation engine $425.0 million in group cash and of more than 500 patents and is led by a team with a proven track short-term investments as at patent applications providing long record of developing new therapeutics 31 December 20181; periods of exclusivity for innovative and building shareholder value. product candidates. Together, this team has achieved numerous significant milestones by progressing therapeutic candidates through human proof-of-concept to regulatory clearance and forging strategic relationships with major pharmaceutical companies, leading academic scientists and institutions.
Overview Highlights of the Year 2 The Board 51 Affiliate pipeline 4 Corporate and Social Responsibility 55 Internal R&D pipeline 6 Directors’ Report 58 Letter from the Chairman 7 Report of the Nomination Committee 63 Report of the Audit Committee 64 Strategic report Directors’ Remuneration Report 66 Letter from the Chief Executive Officer 8 Directors’ Remuneration Policy 68 Letter from the Chief Scientific Officer 10 Annual Report on Remuneration 72 Letter from the Chief Financial Officer 12 How PureTech Health is building value for investors 14 Financial statements Affiliate snapshots 18 Independent Auditor’s Report to the Members of PureTech Health plc 79 Internal R&D snapshot 34 Consolidated Statements of Comprehensive Income/(Loss) 88 Consolidated Statements of Financial Position 89 Governance Consolidated Statement of Changes in Equity 90 Risk management 36 Consolidated Statements of Cash Flows 92 Viability 39 Notes to the Consolidated Financial Statements 94 Key performance indicators 40 PureTech Health plc Statement of Financial Position 136 Financial review 41 PureTech Health plc Statement of Changes in Equity 137 Chairman’s overview 45 PureTech Health plc Statement of Cash Flows 138 Board of Directors 46 Notes to the Financial Statements 139 Management team 49 Directors, Secretary, and Advisors to PureTech Health plc 140
1 Group cash and short-term investments includes consolidated cash and short-term investments plus the cash and short-term investment position of Independent Affiliates (resTORbio and Akili) which are not included in our consolidated statement of financial position.
PureTech Health plc Annual report and accounts 2018 1 Highlights of the Year – 2018 Highlights of the Year — continued
2018 PureTech cash and 2018 consolidated cash 2018 group cash and short-term Amount of funding secured Cumulative number of patents Number of short-term investments and short‑term investments investments (APM) for affiliates and patent applications partnerships entered $177.7m 1 $250.9m1 $425.0m1,2 $274.0m 3,4 5455 53
2017: $126.7m 2017: $188.7m 2017: $242.1m 2017: $102.9m 2017: 5216 2017: 8 2016: $192.1m 2016: $281.5m 2016: $281.5m 2016: $98.2m 2016: 288 2016: 6 2015: $255.5m 2015: $313.7m 2015: $313.7m 2015: $74.6m 2015: 209 2015: 4 2014: $53.2m 2014: $62.7m 2014: $62.7m 2014: $8m 2014: 111 2014: 2
In 2018, PureTech Health made significant clinical progress across its Affiliates division, which includes seven clinical- Affiliates attracted $274 million in equity investments and non-dilutive funding, including $242 million from third parties:
Overview stage programmes and three preclinical programmes focused on the biological processes associated with the Brain- • Karuna received gross proceeds of approximately $124 million in preferred stock financings in 2018 and in the 2019 post- Overview Immune-Gut (BIG) axis. Clinical developments included the following: period. A $42 million Series A round, including the issuance of $22 million in shares upon conversion of debt into equity, was • Gelesis filed an application with the United States Food and Drug Administration (FDA) for review of its lead product announced in August 2018. In the 2019 post-period, Karuna completed an $82 million Series B financing round, including the candidate in weight management. In the April 2019 post-period, Gelesis received FDA clearance for PLENITY™ as an aid issuance of $7 million in shares upon conversion of debt into equity. Proceeds will be used to advance Karuna’s lead product for weight management in adults with a Body Mass Index (BMI) of 25-40 kg/m2, when used in conjunction with diet and candidate, KarXT (Karuna-xanomeline-trospium chloride), which is being evaluated in a Phase 2 study in patients with exercise. Gelesis also filed PLENITY for marketing authorisation in Europe in the first quarter of 2019 and expects to receive schizophrenia and the expansion into other therapeutic areas, including a non-opiate pain indication. feedback in 2019. • Akili completed a $68 million financing round in 2018 to advance its pipeline of prescription digital treatment candidates. • Akili also filed an application with FDA in 2018 for review of its lead product candidate in paediatric attention deficit/ In the March 2019 post-period, Akili entered into a strategic partnership with Shionogi & Co., Ltd. for the commercialisation hyperactivity disorder (ADHD). Also in 2018, Akili successfully completed a Phase 2 study of AKL-T03 in depression and of two of Akili’s digital medicine product candidates, AKL-T01 and AKL-T02 (in development for children with Autism a proof-of-concept study of AKL-T03 in multiple sclerosis. Full analyses are underway, and – based on the results of the Spectrum Disorder), in Japan and Taiwan. Under the terms of the agreement, Akili will build and own a newly created R&D studies – both programmes are expected to advance into larger studies in 2020. and commercial platform and receives upfront payments totalling $20 million with potential milestone payments for Japan • resTORbio announced positive results from a Phase 2b study of its proprietary target of rapamycin complex 1 (TORC1) and Taiwan commercialisation of up to an additional $105 million in addition to substantial royalties. inhibitor, RTB101. In the March 2019 post-period, resTORbio announced a positive end of Phase 2 meeting with the FDA • resTORbio completed an initial public offering (IPO) on NASDAQ in 2018, raising gross proceeds of $97.8 million. In the and the planned initiation of a global Phase 3 programme for RTB101 in 2019. In the April 2019 post-period, resTORbio March 2019 post-period, resTORbio completed another offering raising gross proceeds of approximately $50 million. announced the initiation of a Phase 1b/2a trial of RTB101 alone or in combination with sirolimus, in Parkinson’s disease. • Gelesis completed a $30 million financing round in March 2018 to support commercial-stage manufacturing, product • Karuna initiated a Phase 2 study of KarXT (Karuna-Xanomeline-Trospium), its lead product candidate, for the treatment of launch preparations, company operations and the clinical advancement of its pipeline of additional product candidates psychosis in schizophrenia, with results anticipated by the end of 2019. Karuna is using a proprietary co-formulation of KarXT for gastrointestinal disorders, including type 2 diabetes and non-alcoholic steatohepatitis/non-alcoholic fatty liver disease that successfully demonstrated tolerability at a dose level exceeding those shown to be efficacious in previous studies of (NASH/NAFLD). xanomeline alone. • Vor completed a $42 million Series A round in the February 2019 post-period to advance its lead cell therapy product • Vedanta Biosciences advanced two clinical-stage product candidates. In October, the company announced results from candidate for the treatment of acute myeloid leukaemia (AML). a successful Phase 1a/1b study of lead candidate VE303 in recurrent Clostridium difficile (rCDI). A Phase 2 study of VE303 • Vedanta Biosciences announced a $27 million Series C financing in December 2018 to advance its clinical pipeline of was initiated in December 2018, and results are anticipated in early 2020. In November, Vedanta Biosciences’ partner microbiome-derived product candidates. Janssen Biotech, Inc. also initiated a Phase 1 clinical study of inflammatory bowel disease (IBD) candidate VE202. Results are • Sonde completed a $16 million Series A round, including the issuance of $6 million in shares upon conversion of debt into anticipated in the second half of 2019. equity, in the April 2019 post-period to expand its capability across additional health conditions and device types and to • Follica made significant progress towards the initiation of a pivotal study in androgenetic alopecia, which is anticipated to fund commercialisation activities. begin in 2019 following the completion of an ongoing optimisation study. • Alivio was awarded a $3.3 million grant in September 2018 from the US Department of Defense to support Alivio’s preclinical • Sonde has expanded development of its proprietary technology in neurodegenerative disease, respiratory and research and development activities for product candidate, ALV-107, which is being advanced for the treatment of interstitial cardiovascular disease, and other health and wellness conditions. cystitis/bladder pain syndrome (IC/BPS) with Hunner’s lesions. ALV-107 is also being advanced under a partnership with Purdue Pharma LP, which was announced in the January 2019 post-period. Under the terms of the agreement, Alivio will PureTech Health also announced the formation of its internal labs, with a focus on tissue selective immunomodulation. receive up to $14.75 million in upfront and near-term license exercise payments and is eligible to receive royalties on product Key developments included the following: sales and over $260 million in research and development milestones. • In July, PureTech Health announced a collaboration with Roche to advance PureTech’s milk-derived exosome platform technology for the oral administration of Roche’s Locked Nucleic Acid (LNA) antisense oligonucleotide platform, designed The Group continued to build on its leading intellectual property position, with more than 500 owned and licensed to facilitate the oral administration of complex payloads. PureTech Health receives up to $36 million in upfront payments, patents and patent applications as of 31 December 2018, including the issuance of: research support, and preclinical milestones and is eligible to potentially receive over $1 billion in development milestones. • A first-in-class US patent broadly covering compositions and therapeutic methods related to Vor’s technology platform • Also in July, PureTech’s central nervous system (CNS) lymphatics programme was published as the cover story in Nature. for the treatment of haematological malignancies, including acute myeloid leukaemia (AML). The publication by our collaborator Jonathan Kipnis, PhD, revealed that modulation of lymphatic function in the brain may • Two key US patents broadly covering compositions of matter and other aspects of Alivio’s inflammation-targeting prevent or delay diseases associated with ageing, including Alzheimer’s disease, Huntington’s disease and age-associated technology platform. cognitive decline. The same programme was also published in Nature Neuroscience in September, highlighting the key role • Broad coverage in the US and Australia for methods of assessing mental and physical conditions from human speech for of brain lymphatics in neuroinflammatory conditions like multiple sclerosis. Sonde’s vocal biomarkers technology. • In the April 2019 post-period, PureTech Health presented posters detailing its immuno-oncology programmes at the American Association for Cancer Research (AACR) Annual Meeting. The posters detailed PureTech’s development of first- in-class, fully-human monoclonal antibodies (mAbs) targeting Galectin-9 (LYT-200) and immunosuppressive γδ1 (gamma 1 Vor’s fundraising of $42.0 million, Karuna’s fundraising of $82.0 million, and Sonde’s fundraising of $16 million occurred in the 2019 post-period and delta) T cells (LYT-210). LYT-200 and LYT-210 are unique mAbs targeting foundational, novel mechanisms of tumoural are therefore not included in these figures. immune escape and immunosuppression in cancer, and have been tested as single agents, as well as in combination with 2 Group Cash is an alternative performance measure (APM) which includes $174.1 million of cash reserves and short-term investments from our Independent Affiliates (resTORbio and Akili). These Independent Affiliates are not included in the consolidated statement of financial position. anti-PD1 in preclinical murine and human-derived ex vivo models. Also in the April 2019 post-period, PureTech Health Therefore Group Cash is considered to be more representative of the Group’s cash available to advance product candidates within its Independent entered into a partnership with Boehringer Ingelheim (BI) to advance BI’s immuno-oncology product candidates using Affiliates which could ultimately result in value accretion for the Group. PureTech’s lymphatic targeting platform. Under the terms of the agreement, PureTech Health will receive up to $26 million, 3 Number represents figure for the relevant fiscal year only and is not cumulative. including upfront payments, research support, and preclinical milestones, and is eligible to receive more than $200 million in 4 This number includes the issuance of $22 million in shares upon conversion of debt into equity as part of Karuna’s Series A financing round. development and sales milestones, in addition to royalties on product sales. Of the $22 million converted into equity, $2 million came from the $8 million Wellcome Trust award. Excluded from the amount of funding secured for affiliates is $12 million in milestone payments made to Vedanta Biosciences from Janssen Biotech, Inc as part of an ongoing collaboration. 5 This number does not include issued patents or patent applications exclusively licensed or owned by Independent Affiliates, resTORbio and Akili. 6 This number does not include issued patents or patent applications exclusively licensed or owned by Independent Affiliate, resTORbio.
2 PureTech Health plc Annual report and accounts 2018 PureTech Health plc Annual report and accounts 2018 3 Affiliate pipeline Our affiliate pipeline — continued
For Internal R&D pipeline, see page 6
PRTC Ownership2 Preclinical Phase 1 Phase 2 Phase 3/Pivotal FDA Filing Clearance/Approval
Brain Targeting and activating specific Akili* 35.1% neural systems in the brain to treat cognitive dysfunction
Targeting muscarinic receptors KarunaR 35.9% in the brain while overcoming GI tolerability issues for the treatment of neuropsychiatric disorders
Developing vocal biomarkers to Sonde 55.8% monitor and diagnose neurological, Overview immune and other conditions Overview
Immune Inhibiting TORC1 for conditions of resTORbio* 27.8% ageing, e.g., immunosenescence and neurodegeneration
Modulating the immune system Vedanta 63.0% via the gut microbiome to address immune-mediated diseases
Enabling follicle neogenesis FollicaR 62.3% and skin rejuvenation through immune response to wounding
Selectively targeting cancer Vor 30.2% cells while sparing normal cells using modified HSCs
Site specific inflammation targeting Alivio 82.8% that spares non-inflamed tissue in GI and other systems
Developing mechanotherapeutics GelesisR 19.7% Gut FDA to treat obesity, GI disorders Cleared and repair the gut barrier
Enabling the delivery of biologics Entrega 73.9% via the gut epithelium to local and distal sites of the body
Potential value-driving catalysts 1 potential FDA 1 1 Phase 1 readout 1 Phase 1 initiation expected over the next 12 months : clearance 2 Phase 3 initiations Multiple financings 1 potential CE mark and strategic 3 Phase 2 initiations 2 Phase 2 readouts transactions
1 Company expectations. 2 Relevant ownership interests were calculated on a diluted basis as of 31 December 2018 (Vor: 14 February 2019, resTORbio: 22 March 2019, Karuna: 8 April 2019, Sonde: 11 April 2019), including issued and outstanding shares, outstanding options and warrants, and written commitments to issue options, but excluding unallocated shares authorised to be issued pursuant to equity incentive plans and any shares issuable upon conversion * Independent affiliate of outstanding convertible promissory notes. R PureTech Health has a right to royalty payments as a percentage of net sales from Gelesis, Karuna, and Follica.
4 PureTech Health plc Annual report and accounts 2018 PureTech Health plc Annual report and accounts 2018 5 Internal R&D Pipeline: Focusing on the BIG axis through Letter from the Chairman the lens of tissue-selective immunomodulation
“Reflecting on PureTech’s most ambitious year yet, it PureTech Health has already achieved remarkable things in this field through has been a pleasure to observe the growth in value its Affiliate division and is breaking new scientific ground to address Our approaches to tissue-selective immunomodulation: across the breadth and depth of its programmes.” indications with significant unmet need. In April 2019, Gelesis achieved a truly exciting milestone as it received clearance from the United States Food and Drug Administration (FDA) for its first product, PLENITY™, a new and Target newly Harness the lymphatic highly differentiated aid for weight discovered foundational infrastructure for management in adults with a Body Mass Index (BMI) of 25-40 kg/m2, in Overview immunosuppressive autoimmune, oncology, conjunction with diet and exercise. Overview Akili also is seeking clearance from FDA mechanisms in oncology and CNS indications for its digital medicine that is designed for the targeted activation of specific neural systems in the brain to treat cognitive dysfunction in paediatric ADHD without pharmacological intervention – a treatment that is the first of its kind. Internal R&D programmes, meanwhile, have rapidly advanced by leveraging the Group’s considerable expertise in Our programmes Discovery Lead Optimisation IND-Enabling Clinical the BIG axis. Drawing on these insights, the PureTech Health team is identifying LYT-200 Reflecting on PureTech’s most Our Board of Directors includes some promising technologies, including the Solid tumours Expect to file Anti-Galectin-9 MAb IND H1 2020 ambitious year yet, it has been of the most seasoned and experienced exciting prospect of intervening in a pleasure to observe the growth in healthcare experts, and I thank them a wide range of diseases by modulating value across the breadth and depth for another year of steady oversight and immunity at a local level, such as of its programmes. First-ever late thoughtful counsel. Their guidance and via the immune-cell highway of the LYT-210 Solid tumours stage milestones, including filings for commitment to the highest standards lymphatic system. Anti-Delta-1 MAb regulatory review of two first-in-class of governance enable PureTech Health Within PureTech Health lies the vision, therapeutics and multiple other clinical to focus on its core mission of delivering talent and organisational capability advances, have complemented the bold ideas to transform healthcare. to seize opportunities where others expansion and validation of our internal Lymphatic therapeutics Collaboration To that end, PureTech Health do not think to look, and I thank our R&D activity, which we see as a major programme #1 with Roche has fostered the development of shareholders for supporting and driver of long-term, sustainable growth. multiple exceptional technologies, enabling that vision. Every year, the Scientific excellence, value-driving drawing on its emergence as a major PureTech Health team’s success Collaboration Lymphatic therapeutics partnerships, and prudent stewardship global hub of expertise around the validates its daring and transformative with Boehringer programme #2 of growth are the heart of biopharma Brain-Immune-Gut (BIG) axis. This spirit and takes the company to new Ingelheim development. As Chairman, I have biological framework continues to gain heights. I very much look forward to found it rewarding to watch PureTech momentum as the key to understanding the advances and milestones that lie Health continue to deliver on all these the human body’s response to the ahead in 2019. Lymphatic therapeutics fronts, burnishing its credentials as one external environment via adaptive, programme #3 (CNS) of the most productive and innovative inherently modifiable systems. biopharma companies in the industry with a management team that leads with a highly effective combination of vision and practicality. Joichi Ito Chairman 16 April 2019
6 PureTech Health plc Annual report and accounts 2018 PureTech Health plc Annual report and accounts 2018 7 Strategic report “ 1 At PureTech Health, our vision is to pioneer new (BIG) of PureTech’s axis, the heart R&D strategy.” Brain-Immune-Gut the harnessing in breakthroughs business and patients as we continued to pursue that goal, delivering significant value forboth the that we haveto report taken major toward strides frontiers in medicine. year, In the past I’m pleased whether orwhether not they have other weight- 8 PLENITY product, first its market to Administration Drug and received clearance from the US Food 2019, Gelesis April in when came date to milestone affiliate important most Our review. regulatory into and study clinical through successfully candidates those guide then –and patients for impact maximum have to designed candidates therapeutic novel into lab turn momentous discoveries in the repeatedly that our talented team can R&D strategy. We have demonstrated PureTech’s of heart the axis, (BIG) Brain-Immune-Gut the in harnessing we continued to breakthroughs pursue as patients and business the both for value that goal, significant delivering toward strides major taken have we that report to year, I’m pleased past the pioneer new frontiers in medicine. In to is vision PureTech our At Health, Executive Chief Officer the from Letter low as 25 kg/m 25 as low as a BMI with adults overweight by use management to product be cleared for weight prescription only the is PLENITY management. weight for aid overweight range) through 40 kg/m 40 through range) overweight
PureTech Health plc Health PureTech Important safety information regarding PLENITY can be found at www.myplenity.com. at found be can PLENITY regarding information safety Important 2 (the beginning of the the of beginning (the Annual report and Annual 2018 accounts report 1 , a first-in-class , a first-in-class 2 , disorder (ADHD), major depressive includinghyperactivity attention-deficit neurology conditions, and psychiatry across multipletherapeutic effect for (CNS) system nervous central and brain the of plasticity the leverage to approach a ground-breaking developed has which Akili, is pioneering are we a frontier of example Another shareholders. our to value significant deliver to potential the has also It FDA clearance. to concept from way the all them bring and transformational technologies and unique identify to ability our showcased it PureTech as for Health, moment a landmark was clearance PLENITY’s 2020. in US the in prescription by available broadly be will PLENITY anticipates 2019of and half second the in PLENITY of launch US a targeted initiate to plans Gelesis therapies. available other of nature surgical or effects side the to due treatment forego may who obesity or overweight with adults for option new a brand PLENITY makes label broad That issues. health related Among our milestones in 2018: programmes. our for set we impact patient for bar high the deliver not will they suggests data emerging away from where programmes resources move to –and ideas exciting on capitalise to quickly resources move to us allows development drug unbiased to commitment and structure entrepreneurial nimble, Our labs. internal our and affiliates our across axis BIG the on focus our from stemming science as we ground-breaking advance PureTech at Health progress excellent the of examples two just are these report, this throughout see will you As andtargeted motor sensory stimuli. precisely through brain the in systems neural specific of activation the through and disorders (ASD), autism spectrum disorder (MDD), multiple sclerosis (MS), •
patients worldwide. –for therapeutics other of array a wide potentially –and drugs cancer important of efficacy the improve to potential the has partnership This sales. product on royalties to addition in milestones, sales and development in million $200 than more receive to eligible is and milestones, preclinical and support, research payments, upfront including million, $26 to up receive to PureTech stands Health trafficking. and education cell immune of sites to directly drugs ferry to way targeted more a far offering vasculature aroundlymphatic the gut, the –into technology targeting lymphatic the in wrapped – once therapies direct will body the that is concept scientific Our therapies. BI’sbe paired with immuno-oncology will approach The platform. targeting broad validation of our lymphatic for potential 2019, the April in opens IngelheimBoehringer (BI), announced with partnership Another Roche. with partnership this under sales product on royalties receive to eligible exceed $1 billion. PureTech is also could milestones development in total payments payments; preclinical early and support R&D fees, upfront in million $36 to up PureTech receives Health milk-derived exosome technology. our advance to Roche with research collaborative in engaged now We are companies. major pharmaceutical two with partnerships validating Our Internal division secured Letter from the Chief Executive Officer Executive Chief the from Letter • • • • 3 2
ENDO, and EASL. ENDO, and conferences like AACR, ObesityWeek, scientific top at present to invited were Communications Science Translational Medicine our affiliates have raised million $140 raised have our affiliates 2019 post-period, In the investors. party third from $242 million including transactions, in financing party investors. party third $121.2 from was which of million medicine (Akili and Sonde). and (Akili medicine inflammation(Alivio) anddigital (Vor), oncology in including fields patents US broad with IP foundational granted were affiliates Our in multiple including journals, top-tier the researchpublished in cutting-edge Our affiliates andcollaborators $274 million raised affiliates Our inhibitor OPDIVO inhibitor PD-1 immune checkpoint Squibb’s Bristol-Myers evaluate to collaboration trial a clinical announced Vedantapartnerships: Biosciences significant secured also affiliates Our substantial royalties. to addition in $105 million additional an to up of Taiwan commercialisation and Japan for payments milestone potential with million $20 totalling payments upfront receives Akili Under the terms of the agreement, candidates in Japan and Taiwan. of Akili’s digital medicine product Ltd. for the commercialisation of two &Co., Shionogi with partnership period, Akili entered into a strategic 2019 post- March the in Additionally, PureTech model. the Health through clinic the toward rapidly advanced new developed technology and exciting an of validation significant of example another is This financing. equity next Alivio’s in invest to option an has also Purdue payments. royalty and milestone future for eligible is and fees $14.75 to up upfront in million receive will Alivio (IC/BPS). syndrome pain cystitis/bladder of interstitial development for the treatment Alivio’s under therapy non-opioid advance to Pharma Purdue with 2019 January in a deal announced Also,cancers. Alivio Therapeutics orpatients with advanced metastatic in consortium, bacterial human rationally-defined a patented and VE800, combination with in This number includes an issuance of $7 million in shares upon conversion of debt into equity as part of Karuna’s Series B financing round, all of which which of all round, Bfinancing Series Karuna’s of part as equity into debt of conversion upon shares in million $7 of issuance an includes number This This number includes an issuance of $22 million in shares upon conversion of debt into equity as part of Karuna’s Series A financing round. Of the the Of round. Afinancing Series Karuna’s of part as equity into debt of conversion upon shares in million $22 of issuance an includes number This came from the Wellcome Trust award announced in June 2018. It also included an issuance of $7.3 million and $6 million in shares upon conversion of of conversion upon shares in million $6 and $7.3 of million issuance an included 2018. also It June in announced award Trust Wellcome the from came affiliates is $12 million in milestone payments made to Vedanta Biosciences from Janssen Biotech, Inc as part of an ongoing collaboration. ongoing an of part as Inc Biotech, Janssen from Biosciences to Vedanta made payments milestone in is $12 million affiliates debt into equity as part of Vor’s Series A financing round and Sonde’s Series A-2 financing round, respectively. round, financing A-2 Series Sonde’s and round Afinancing Series Vor’s of part as equity into debt $22 million converted into equity, $2 million came from the $8 million Wellcome Trust award. Excluded from the amount of funding secured for for secured funding of amount the from Excluded award. Trust Wellcome million $8 the from came million $2 equity, into converted $22 million Nature , Nature Neuroscience , and Obesity, and ® (nivolumab) , and , , Nature 2 — continued
3 , “ through the clinic, including several clinic, several the including through andoncology autoimmune medicines of dozens brought successfully has who immunologist a leading Bolen, Joe Officer Scientific Chief our of leadership scientific the have to fortunate We are foundational immune mechanisms. insights into these recently appreciated our leverage that compounds stage clinical- promising a few reviewing been have we and 2020 of half first the in IND an file to expect we and clinic, the toward rapidly moving is cancers other and colorectal pancreatic, of candidate for the potential treatment lead Our disorders. CNS-related and treatment of oncology, autoimmune, immunomodulationselective for the division, which is centred on tissue- in our Internal promising new medicines develop and discover identify, to rigour scientific unbiased and strategies similar applying We are operations. achievements to the benefit of all our those leveraged we’ve how of and Affiliates, of our achievements We are exceedingly proud of the trials. clinical successful several of conclusion the reported have to pleased especially Iam so patients, to medicines new delivering toward directed ultimately is activity this All energetic than ever about delivering onour vision.” year for our team. We approach 2019 more the BIG made axis 2018 an incredibly rewarding builttherapeutics around onour unique expertise These successes advancing a portfolio of These successes advancing a portfolio at Bristol-Meyers Squibb, during the annual PureTech Health BIG Summit. BIG PureTech Health annual the during Squibb, at Bristol-Meyers Development Business and Strategy President, Vice Senior Biondi, Paul with Zohar Daphne PureTech Health plc Health PureTech patients in need. patients to therapies first-in-class high-value, advance our shared vision of bringing we as shareholders existing and new our of support the for appreciative also I am year. this we’vemade progress terrific and collaborators,Directors for the our as well as PureTech team, Health dedicated incredibly the thank to like I’d States. United the in opportunities markets evaluating capital consider also may we evolution, ongoing our of part as and vision, our on delivering more energetic than ever about 2019 We approach team. our for year rewarding incredibly 2018 an made axis BIG the around expertise unique our on built therapeutics of a portfolio advancing successes These page. next on the efforts R&D internal our of potential the highlights Joe FDAto approval. Daphne Zohar 16 April 2019 16 April Chief Executive Officer Annual report and accounts 2018 accounts and report Annual
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Annual 2019 Research Cancer for Association American prestigious the at abstracts accepted two with programmes our debuted have to pleased were we and immune mechanisms to treat cancer, involves modulating foundational priorities research core our of One of life. quality patients’ improve transformational that therapies will develop to insights our leveraging goal: that about thinking always are we lab, the in advances by get we as incrediblyAs diseases. difficult excited with living patients to a difference make truly will that therapies novel deliver and develop to –is R&D our all with –as programmes both with goal Our oncology. in mechanisms immunosuppressive discovered Second, we are targeting newly (CNS) system nervous indications. autoimmune, oncology, and central develop new modalities for treating to infrastructure lymphatic powerful andunderappreciated undeniably the leverage to seek we First, areas. core two on focuses R&D internal Our according to medical need. response immune and tuning the Letter from the Chief Scientific Officer Scientific Chief the from Letter as many as 70 per cent of circulating of cent 70 per as many as the intestine, for instance, programme The mesenteric lymph nodes around tissues. specific to them trafficking immuneand cells forfunctions specific programming in role a crucial plays system lymphatic the that know We now proved otherwise. until one of our scientificcollaborators – brain the in vasculature lymphatic no was there that held wisdom the Conventional system. circulatory of cousin unimportant a relatively as our bodies was overlooked, dismissed throughout vasculature that extends lymphatic of network vast the years, For class therapeutics. first-in- develop to system lymphatic the into insights new leveraging involves priority research core A second tumour activity. anti- strong generate and responses immune adaptive and innate both LYT-210 modulate We believe can of activation anti-tumourspurs T cells. LYT-210 cells, those targeting by that show data preclinical Our T cells. gamma-delta immunosuppressive harbour which cancers, breast and such astumours pancreatic, colon solid in potential strong has approach microenvironment. We believe this inimmunosuppression the tumour to connected is which class, T cell antibody to target the gamma-delta LYT-210, is anti-Delta-1 an pipeline internal our in LYT-200 behind Just 2020. of half first the in IND an file to expect and LYT-200 on work preclinical additional through rapidly moving We are therapies. oncology combination with existing immuno- — continued for patients worldwide. – therapeutics other of array a wide eventually, –and drugs cancer of toxicity the reduce and efficacy the improve could approach this that hopeful We are targeting. it’s cells tumour the with contact direct into and – gut the into directly ferried be there, from and vasculature lymphatic the enter should a fat, as masked now drug, GI lymphatic targeting to platform their our affix to Ingelheim Boehringer with we announced a partnership when validation external significant This approach recently received excitement. great with progressing we’re a prospect It’s circulation. drug‘disguised’ straight into systemic the shunt could which centres’, immune ‘regional crucial the nodes, lymph mesenteric the to access drug the give and liver the of metabolism primary the bypass to possible it make may body to like process therapeutics fat the Enabling platform. targeting through lymphatic our proprietary fats as drugs mask to approaches advancing are we example, For treatment. of modalities new identifying and states disease exploring for lens new exciting an us gives also system lymphatic the on focus rigorous Our forimmunotherapies cancer. as well as diseases, autoimmune and CNS gastrointestinal, for therapeutics develop to system immune the tool forpowerful modulating a potentially us give could process this in Intervening dysfunction. their from potentially huge systemic ramifications suggests which cells, immune adaptive ‑ directed immunotherapies. The immunotherapies. The directed PureTech Health plc Health PureTech 16 April 2019 16 April Officer Scientific Chief Bolen Dr Joseph as we advance. we as updates additional sharing to forward immune modulating medicines. I look of generation next the deliver to year, positioned PureTech is Health past this laid we’ve foundation the to Thanks patients. to therapies new powerful delivering of goal urgent the R&D, with innovative our forward moving continue to excited truly I am therapeutic development. to taking these recent discoveries into forward look and platform technology this to license exclusive an We hold our collaborator Dr Jonathan Kipnis. by brain the in vessels lymphatic of discovery the on built publications These sclerosis. multiple as such debilitating neuroinflammatory diseases address potentially to pathway a novel to point which system, lymphatic meningeal the and brain the between then identifiedthe connection direct publication in Nature Neuroscience A subsequent Huntington’s. and Alzheimer’s ageing, including with prevent or delay diseases associated may brain the in function lymphatic of publication revealed that modulation Nature in story a cover as technologylymphatics was published CNS Our career. my in seen I’ve science exceptional most the of some by been highly strategic and informed has technologies of selection Our Annual report and accounts 2018 accounts and report Annual
in 2018. The 2018. The in
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Strategic report Strategic report “In my manager, prior position as a portfolio 12 activities. value-creating its of depth the and with PureTech’s capabilities impressed more grown only I have team the on year first my In impact. patient to maximising commitment and experience, passion, their by 2018, drawn early in team the I joined opportunities. breakthrough to identify innovators in the world, pulling together and researchers informed and insightful most the of some are These network. scientific advisory expert and a wide-ranging of involvement active the and team the of calibre bolsteredstrength was further by the genuinely novelits technologies. This and model R&D new its for unique as me struck immediately Company the 2017, PureTech in at team Health the technology, and need. I When met talent, of mix compelling most the of search in companies evaluating time significant Ispent manager, a portfolio as position prior my In Officer Financial Chief the from Letter PureTech’s of its depth the and capabilities team Ihave only grown more with impressed technology, and need...In myyear first the on in search of compelling the most mix of talent, I spent significant time evaluating companies value
PureTech Health plc Health PureTech ‑ creating activities.” Annual report and Annual 2018 accounts report Affiliate division. division. Affiliate our through programmes R&D a number of highly differentiated across and way efficient a capital such in occurred having for remarkable developer,therapeutics but even more any for achievement a great stage, technologies to an advanced multiple taken PureTech has Health listing, since years four than less In potential cure. from management to prevention or could move the standard-of-care that diseases chronic complex for into promising options therapeutic to translate technologies these ability an We have demonstrated manner. capital-efficient a highly in andcapture evaluate new technologies to us enable entrepreneurship of spirit nimble and partnerships, high-value advisors, expert structure, affiliate Our pipeline that has put us on the map as as map the on us put has that pipeline R&D internal an in resulted has cycle entrepreneurial climate. This virtuous our culture, research excellence and in day every reflected value this see We organisation. the across value experience that continues to deliver and creativity, expertise, of mass a critical creating portfolio, and operations its of strength the from benefits PureTech team The Health 16 April 2019 16 April Officer Financial Chief the years ahead. years the we in welcome your continued support new; and long-term both shareholders, organisation. Special to thanks our a remarkable of successes and capabilities the building in team this with work to proud am and ahead milestones exciting the to forward I look parent company level. a PureTech on held Health was million) $177.7 2018: $196.7 June (30 million 2018: $416.9 June which of (30 million), 31 December 2018 were $425.0 million at reserves cash Group’s year. The last $274.0 of million sum aggregate an raised affiliates our report, this of Highlights the in discussed As a placing. million) through $100 (£72 million of approximately proceeds gross PureTech Health successfully raised 2018, April In future. foreseeable the in divisions Internal and Affiliate its across catalysts meaningful additional deliver to position excellent an in is Health PureTech base, capital a strong With note. of biopharma axis a pre Dr Joep Muijrers Muijrers Dr Joep ‑ eminent Brain-Immune-Gut (BIG) Brain-Immune-Gut eminent
DEVELOPING Letter from the Chief Financial Officer Financial Chief the from Letter PureTech Health R&D Model – Capital efficient, non-binary, and unbiased and non-binary, efficient, –Capital Model R&D Health PureTech with a strong with R&DBIG science sources of significant upside sources ofsignificant team and leading scientists team leading and Collaboratively advancing Non-binary BRAIN — continued with multiple with
IMMUNE Unbiased aligned with shareholders with aligned entrepreneurial, shared PureTech Health plc Health PureTech Capital efficient – efficient Capital resources, nimble
GUT decision-making – decision-making MEDICINES Annual report and accounts 2018 accounts and report Annual
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Strategic report Strategic report 1 deep understanding of the BIG axis, axis, BIG the of understanding deep PureTech’s from Derived labs. internal PureTech’s through is path second The level. company parent the at funding non-dilutive of a source as well as value mid-term near-to creates affiliates the in ownership significant having of position levels. PureTech’s advantageous regional or global the at partnerships and industry strategic transactions, IPOs, financing, equity of rounds private potential including growth, continued avenuesvarious of funding to fuel their to access have affiliates The concept. clinicaldemonstrated proof-of- have that candidates product other multiple as well as PLENITY™), (Gelesis’ (FDA) Administration Drug and Food US the by cleared been has that product one includes which affiliates, the through is path first The medicines. new advance to ways two support that resources financial and insights intellectual inresulted deep has record PureTech’s track proven each entity. in ownership maintaining significant while manner a capital-efficient in achieved been has this All of institutions. and scientists academic leading and companies major pharmaceutical with has also forged strategic relationships Group the time, same the At clearance. human proof-of-concept to regulatory medicines for serious diseases through BIG (Brain-Immune-Gut) progressing by vision this against executed successfully has Group the years, the Over investors. third-party validating as needed from internal resources and raised was cash and entity, corporate historically housed in an independent for patients. Each programme was science into promising new medicines breakthrough advance to a vision with founded was “the Company”), 14 affiliates its and PureTech plc of Health comprised is PureTech which Health, How PureTech for investors value building is Health
As used herein, “affiliates” means Gelesis, Akili, resTORbio, Karuna, Vedanta, Sonde, Follica, Alivio, Vor, and Entrega. resTORbio and Akili are referred referred are Akili and resTORbio Entrega. Vor,and Alivio, Follica, Sonde, Vedanta, Karuna, resTORbio, Akili, Gelesis, means “affiliates” herein, used As to herein as independent affiliates as they were deconsolidated in the Group’s financial statements in 2018. PureTech Health maintains an equity stake stake equity an maintains PureTech2018. in Health statements financial Group’s the in deconsolidated were they as affiliates independent as herein to in all four independent affiliates, but it no longer holds a majority equity position or majority board control in each of these independent companies. these of each in control board majority or position equity a majority holds longer no it but affiliates, independent four all in PureTech Health plc Health PureTech 1 (together, “the Group,” or Group,” “the or (together, Annual report and Annual 2018 accounts report “PureTech’s proven record track has resulted new medicines.”new ways to two resources advance that support financial and insights intellectual deep in commercialisation. and approaching development clinical multiple advancing programmes in 2018, with of course the over progress excellent made have PureTech’s affiliates Affiliates vision. this executing towards divisions both 2018 across in progress exceptional made has Company the advisors, scientific leading and Board, outstanding an team, management a seasoned with Together some of the greatest medical needs. address to a mission and axis BIG the on focus a shared through connected are pipeline internal and PureTech’s affiliates level. company parent Health a PureTech on shareholding through programmes internal these access only can investors Equity pipeline. Internal immunomodulation grow to this further also focus around tissue-selective will that assets, stage clinical and additional innovative approaches review and identify to activities sourcing its continue will Company The programme. lymphatics (CNS) system nervous a central and Nybo) as known (formerly programme immuno-oncology an Calix), and Glyph as known (formerly therapeutics of a range of administration oral enable that interface gut-immune the by inspired programmes two including pipeline, internal this into consolidated been have that programmes the of four date, PureTech Health has announced To infrastructure. lymphatic the harness andoncology novel that approaches mechanisms inimmunosuppressive foundationalnewly-discovered, targeting on focus a near-term and CNS-related disorders, with the treatment of oncology, autoimmune, immunomodulation for tissue-selective on centred are programmes these a Body Mass Index (BMI) of 25-40 kg/m 25-40 of (BMI) Index Mass a Body with adults in management weight for aid an as PLENITY™ for clearance post-period, Gelesis received FDA 2019 April the In respectively. (ADHD), disorder attention deficit/hyperactivity weight management and paediatric in candidates product lead their of review FDA US for the with applications filed Akili and 2018, Gelesis In affiliates stage Clinical a $30 million raise in March 2018. 2018. March in raise million a $30 completed Gelesis FDAto clearance, build towards commercialisation prior and work preclinical and clinical ongoing this To support 2020. in begin to (CIC) is expected constipation idiopathic chronic in GS500 of study a pivotal is and ongoing, mucositis intestinal and (IBD) disease bowel inflammatory for GS400 on 2019.in Preclinical work concept to is study expected begin A proof-of- (NAFLD). disease liver (NASH) and non-alcoholic fatty of non-alcoholic steatohepatitis is being evaluated for the treatment which GS300, candidate, product third its on work preclinical completed also Gelesis 2020. in out read to expected is that 2study a Phase in evaluated and prediabetes, is currently being 2diabetes type with people in control glycaemic and loss weight for optimised a hydrogel 2018. Gelesis200, in platform mechanobiology novel its on based of candidates additional product Gelesis also advanced broad its pipeline PLENITY, with success its on Building 2019. in feedback receive to expects 2019 of and quarter first the in Europe in authorisation marketing for PLENITY filed also Gelesis 2020. in US the in prescription by available broadly be will PLENITY anticipates 2019 of and half second the in PLENITY of launch US a targeted initiate to plans Gelesis exercise. and diet with conjunction in used when 2 , How PureTech Health is building value for investors of 2018, and in the March 2019 post- March the in 2018, and of half second the in released was study 2b Phase the from data 24-week Additional (RTIs). infections tract respiratory with associated and mortality morbidity of risk increased at patients elderly in RTB101 of trial clinical 2b Phase ranging positive topline results from dose- its on NASDAQ, resTORbio announced 2018 IPO January its Following system. immune ageing the of function the of improvement the 1(TORC1), for complex rapamycin of target the of inhibitor RTB101, a selective candidate, product lead its advance to resTORbio continued addition to substantial royalties. in $105 million additional an to up of Japan and Taiwan commercialisation for payments milestone potential with million $20 totalling payments upfront receives and platform commercial and R&D created a newly own and build will Akili agreement, the of terms the Taiwan. Under and Japan in Disorder), for children with Autism Spectrum development AKL-T01 AKL-T02 (in and digital medicine candidates, product of Akili’s of two commercialisation the for &Co., Ltd. Shionogi with partnership a strategic into entered Akili 2019 post-period, March the In 2018. infinancing million a $68 completed Akili pipeline, its of deployment and development advance To further applications. care monitors and measurement-based and clinical integrated complementary developing is Akili work, clinical this to addition In lupus. and delirium, injury, brain ICU traumatic disease, in including Parkinson’s underway, also inplatform additional indications is technology Akili’s of evaluation clinical published in December. Early-stage were ADHD, co-occurring with (ASD) children disorder with autism spectrum candidateproduct being evaluated in AKL-T02, a third Akili’s of study pilot a successful of Results 2020. in indications both in studies clinical larger initiate to plans Akili studies, these of results the on Based sclerosis. multiple AKL-T03 of in study a proof-of-concept in major disorder (MDD) depressive and AKL-T03 of 2study a Phase completed successfully 2018, Akili late In psychiatry. neurology and conditions across symptoms associated with medical improve and deficiency cognitive pipeline of digital medicines to treat industry-leading its from candidates product other of a number progressed Akili ADHD, AKL-T01 paediatric in candidate product lead of review for FDA US the with filing to addition In in addition to royalty payments. Top-line Top-line payments. royalty to addition in million, $339 of a total to up of payments and commercialisation milestone a collaboration that has development of 2015 part in as Biosciences Vedanta from VE202 licensed which Inc., Biotech, Janssen with VE202 candidate (IBD) disease bowel inflammatory of study 1clinical a Phase initiated also In November, Vedanta Biosciences 2020. in anticipated are results and wasVE303 initiated in December, difficile Clostridium recurrent in VE303 candidate lead of 1a/1bPhase study a successful from results announced company the October, In studies. and the initiation of additional two study clinical one from results including immune-mediatedaddress diseases, candidates to product consortia-based bacterial ofpipeline rationally-defined Biosciences rapidly advanced its year, Vedanta past the During equity. into debt of conversion upon shares in million $7 of issuance the including Series B, million $82 an period the company also completed 2019 post- the in and equity, into debt of conversion upon shares in million $22 of financing round, including the issuance A Series million a $42 completed successfully 2018, Karuna year. August In Alzheimer’s disease psychosis later this treating towards work clinical and volunteers healthy in study pain 1b experimental a Phase initiate to plans xanomeline alone. Additionally, Karuna of studies previous in efficacious be to shown those exceeding level a dose at tolerability demonstrated successfully that 2study Phase its in KarXT of is using a proprietary co-formulation 2019. of end the by Karuna anticipated psychosis in schizophrenia, with results of treatment the for candidate, product (Karuna-Xanomeline-Trospium), lead its KarXT of 2study a Phase of initiation In October, announced the Karuna in Alzheimer’s disease, and pain. including schizophrenia, psychosis central system (CNS) nervous disorders, across impairment cognitive and psychosis of treatment the for receptors cholinergic muscarinic of targeting the on based pipeline its 2018 advance to in work completed also has Karuna Parkinson’s disease. in 1b/2a study a Phase initiated also resTORbio 2019 post-period, April In the 2019. of quarter second the in begin to RTB101 expected for is programme Phase 3 a global of initiation The FDA. the with 2meeting Phase of end period, resTORbio announced a positive — continued (rCDI). A Phase 2 study of of 2study A Phase (rCDI). PureTech Health plc Health PureTech results from this study are anticipated anticipated are study this from results two US patents broadly covering covering broadly patents US two received which clinic, the towards targeting immunomodulation platform inflammation-Alivio its advanced in trials 2018.clinical human towards progress significant made all have Vor, Entrega Alivio, and Preclinical affiliates optimisation study. ongoing an of completion the following 2019 in study a pivotal begin to expects company The alopecia. androgenetic in study a pivotal of initiation the towards progress good made has Follica to fund commercialisation activities. and types device and conditions health additional across capability its expand to equity, into debt of conversion upon shares in million $6 of issuance the including Around, a $16 Series million 2019 post-period, Sonde completed April the In disease. Parkinson’s and failure, heart congestive asthma, ofdetection depression, suicidality, the for subjects 14,000 over from data Sonde generated and analysed voice collaborators and participants. study available tointerface academic administrator and app research mobile cross-platform scalable its made has on devices. commonly-owned Sonde voice individual’s an from obtained monitor for disease using information and screen effectively to potential the technology, which has demonstrated biomarker vocal its advanced has Sonde 2019. in allergy food VE416 in candidate product of study 1b/2 a Phase of initiation the anticipates candidates. Vedanta Biosciences pipeline of microbiome-derived product in December to advance clinical its announced a $27 million financing round post-period. Vedanta Biosciences also Nature journals scientific top the of one in published was VE800 identification anddevelopment of the supporting research Preclinical to isstudy expected begin mid 1b/2 a Phase and rights, commercial R&D global including and programme, VE800 its of control maintain will metastatic Vedanta cancers. Biosciences or advanced with patients in consortium, bacterial human a rationally-defined VE800, Biosciences’ Vedanta with Opdivo (nivolumab) in combination inhibitor checkpoint (PD-1) immune Myers Squibb’s programmed death-1 collaboration to evaluate Bristol- a clinical announced company the 2019. of half December, In second the in Annual report and accounts 2018 accounts and report Annual in the January January the in ‑ 201 9.
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Strategic report Strategic report 16 clinic, the towards (AML) leukaemia myeloid acute of treatment the for candidate Vor’s lead advance to used be will which from proceeds the round, Afinancing Series million a $42 post-period,February Vor announced targeted immunotherapies. In the enable to HSCs modified novel using and therapeutic methods related to compositions covers broadly it and fieldkind in the immuno-oncology its of first the is patent foundational This malignancies. of haematological fortechnology platform the treatment this covering broadly patent class a first-in- granted was company the November in and platform, therapy haematopoietic stem cell (HSC) Vor has also progressed engineered its targeting technology. utilising Alivio’s inflammation- number of additional compounds a limited on collaborate to option an has development milestones. Purdue also and research in million $260 over and sales product on royalties receive to license exercise payments and is eligible near-term and $14.75 upfront in million to up receive will Alivio agreement, the 2019 post-period. Under the terms of which was announced in the January LP, Pharma Purdue with a partnership ALV-107 is also being advanced under ALV-107. candidate, product for activities development and research preclinical supports which September, in grant Technology/Therapeutic Development (DoD) Defense of Department US million a $3.3 awarded was lesions Hunner’s with IC/BPS in work Alivio’s Additionally, Nature Communications journals, scientific leading the of one in published were which of results the including in models of osteoarthritis, models, preclinical in multiple validated been has technology platform the and (IBD), disease bowel inflammatory BPS), inflammatorypouchitis, and (IC/ syndrome pain cystitis/bladder includes candidates for interstitial pipeline Alivio’s interest. of molecules microfibre materialswith embedded of the inflammation-targetingaspects other and matter of compositions How PureTech Health is building value for investors
PureTech Health plc Health PureTech Annual report and Annual 2018 accounts report , in April. April. , in “ has rapidly progressed to select and and select to progressed rapidly has The programme cancer. colon of types cholangiocarcinoma, and certain inhibitors, such as pancreatic cancer, checkpoint approved to well respond not do that cancers treat to difficult target to potential the has LYT-200 a tumour-permissive microenvironment. to facilitating multiple partners, by immunosuppression bindingexerts which Galectin-9 against directed IgG4 a human is LYT-200 cancer. in mechanisms of immunosuppression are aimed at countering fundamental human monoclonal antibodies that fully first-in-class, two developing on approach focused an immuno-oncology is programme PureTech’s internal lead related disorders. CNS- and autoimmune, oncology, of immunomodulation for the treatment centredprogrammes on tissue-selective internal of pipeline its advancing progress made also PureTech has Health Internal R&D academic collaborators. with research preclinical ongoing of programme pending the outcome allocate resources further to this not will it but property, intellectual all retain to decided has Health Commense.to PureTech de-prioritise decision the PureTech made Health 2019 post-period, January the In ongoing. animals additional formulation work in large with animals, large of bloodstream the ofdelivery therapeutic peptides into proof-of-concept data demonstrating candidates. Entrega has also generated technology to Lilly certain therapeutic delivery peptide Entrega’s apply to worked they as year past the over collaboration with Eli Lilly progressed research Entrega’s orally. taken when are not otherwise efficientlyabsorbed that drugs other and vaccines, biologics, of delivery oral the for platform its Entrega has continued to progress haematologic malignancies. treat to pipeline its build further to and oncology, disorders.” autoimmune, CNS-related and immunomodulationselective for the treatment of pipelineits of internal programmes centred ontissue- PureTech Health has also made progress advancing — continued for Cancer Research (AACR) 2019 (AACR) Research Cancer for Association prestigious American the at data efficacy preclinical and LYT-210 and LYT-200 development detailing posters two presented Health PureTech 2019 post-period, April the In T cells. effector inhibitors re-activates checkpoint to respond not do that tumours solid aggressive multiple in targeting immunosuppressive that demonstrated PureTech has Health them uniquely in targetable cancer. make to properties functional as well as phenotype, a distinct have which against γδ immunosuppressive oncology candidate, LYT-210, is directed immuno- second The 2020. of half first the in application (IND) drug new investigational an of filing the enable to way, under analytics and toxicology with of studies action have been executed, efficacy/mode pharmacology Preclinical candidate. clinical lead the characterise release the drug at the site of interest. interest. of site the at drug the release to optimised a linker via interest of drug the to fat a dietary attaching reversibly by this achieves platform proprietary This system. lymphatic the into drugs ofthe orally-administered transport mechanisms to substantially enhance transport lipid natural body’s the uses that approach targeting a lymphatic developing also PureTech is Health royalties. and milestones sales to addition in $1 of over billion, payments milestone is also eligible to receive development PureTech Health milestones. preclinical early and support research payments, upfront including million, $36 to up agreement, PureTech Health receives the of terms the Under platform. LNA antisense oligonucleotide Roche’s of administration oral the for technology this advance to Roche with announced a multiyear collaboration Company July, the In molecules. small and peptides acids, nucleic as such of payloads complex administration oral the facilitate to designed is which milkits exosome-based technology, progressed also PureTech has Health Meeting. Annual γδ T cells, T cells How PureTech Health is building value for investors and is eligible to receive more than than more receive to eligible is and and preclinical milestones, support, research payments, upfront including million, $26 to up receive will Health terms of the agreement, PureTech lymphatic targeting platform. Under this using candidates product oncology BI’s immuno- advance to (BI) Ingelheim Boehringer with a collaboration period PureTech Health announced 2019 post- April the In species. higher into technology this of translation of supportive are animals large in studies pharmacokinetic studies. Successful in preclinical targeting lymphatic have promising demonstrated selective which chemistries, linker and drugs new encompass to approach this extended successfully PureTech has Health 2020 2019 in and value PureTech’s drive to expected are milestones upcoming Numerous • • • • • • • • • • •
Topline data results from Ph1b/2a in Parkinson’s disease Ph1b/2a Parkinson’s in from results data Topline RTIs in Ph3 from results data topline and of Initiation Initiation of pivotal for study for GS500 chronic constipation obesity and overweight with adolescents in loss weight for Gelesis100 for study FIM of Initiation NASH/NAFLD in Ph2 of Initiation Ph2 Gelesis200 from results data Topline immunomodulation therapeutics programmes ofSelection clinical candidates for lymphatic and tissue selective in collaboration with Boehringer Ingelheim Continued development of lymphatic targeting platform in collaboration with Roche Continued development of milk exosome technology LYT-210 for activities related and CMC IND-enabling for LYT-200 filing IND
Continued progress of Internal R&D and affiliates preclinical
“ Financings & strategic transactions likelyFinancings & strategic transactions In the April 2019In the April PureTech post-period Health targeting platform.” lymphatic this using candidates product BI’s (BI) advance to Ingelheim immuno-oncology announced a collaboration with Boehringer identified the physical connection identifiedthe physical connection Nature in Neurosciencefeatured was collaborator our from research decline. In September, additional disease and age-associated cognitive Alzheimer’s disease, Huntington’s ageing, including with associated diseases delay or prevent may brain modulation of in the lymphatic function Nature journal scientific prestigious the in story cover the as July in collaborator our by (CNS) system was lymphatics published around the central system nervous another internal programme centred Foundational science underlying sales. product on royalties to addition in milestones, sales and development in million $200 — continued . The research revealed that that revealed research . The • • • • • • • • • •
Initiation of clinical work in geriatric psychosis volunteers healthy in trial pain Ph1b of experimental Initiation Ph2 from results data Topline completion of ongoing optimisation study Initiation of pivotal in study androgenetic alopecia following Proof-of-concept in results additional indications ADHD paediatric in AKL-T01 of clearance FDA Potential immunotherapy candidate Initiation of and topline data from results Ph1b/2 for cancer allergy Ph1b/2 food in from results data topline and of Initiation rCDI in Ph2 from results data Topline trial subject Ph1 IBD healthy from results PK/PD that that PureTech Health plc Health PureTech
By Order of the Board the of Order By such as multiple sclerosis (MS). in many neuroinflammatoryconditions, symptoms improve to potential the has modulation of pattern this trafficking publication that also demonstrated central system (CNS). nervous The the of out traffic cells immune which through lymphatics, meningeal the and reservoirs fluid brain’s the between 16 April 2019 16 April Company Secretary Stephen Muniz Annual report and accounts 2018 accounts and report Annual
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Strategic report Strategic report 1 18 kg/m 25-40 of Index Mass a Body with adults in management weight for aid class a first-in- (Gelesis100), PLENITY™ Administration for product, first its Drug and Food US the from clearance received 2019, Gelesis April In diseases. chronic of course the alter potentially to pathway GI the in mechanically act to designed is approach proprietary Gelesis’ (GI)gastrointestinal pathway. the to related diseases chronic other and obesity treat to on a novel technology platform basedhydrogel therapeutics isGelesis developing first-in-class PureTech Health, by Founded barrier gut the repair and treat obesity, GI diseases to mechanotherapeutics Developing Gelesis How PureTech Health is building value for investors conjunction withconjunction diet and exercise pursuant to equity incentive plans. incentive equity to pursuant issued be to authorised shares unallocated excludes but shares, purchase to warrants and options as well as shares outstanding and This calculation includes issued basis. a diluted on 19.7 cent per approximately was Gelesis of PureTech’s percentage ownership 2018, 31 December of As 2020. in study a pivotal initiate constipation (CIC) and plans to idiopathic chronic in study a pilot completed also has Gelesis (IBD). disease bowel inflammatory and alcoholic steatohepatitis (NASH), non- (NAFLD), disease liver fatty non-alcoholic as such a role, play potentially permeability gut and where gut barrier dysfunction in other GI-related conditions studies preclinical with a pipeline through advanced being also are the Gelesis technology platform based on mechanotherapeutics hydrogel Novel prediabetes. and 2diabetes type with patients in control glycaemic and loss weight for optimised is which second candidate, Gelesis200, its for study a proof-of-concept Additionally, Gelesis is conducting GI-Related Diseases Mechanotherapeutics for Mechanotherapeutics Mechanism
Important Safety Information: PLENITY is contraindicated in patients who are pregnant or are allergic to cellulose, citric acid, sodium stearyl fumarate, fumarate, stearyl sodium acid, citric cellulose, to allergic are or pregnant are who patients in contraindicated is PLENITY Information: Safety Important group experiencing a GI-related TRAE. The overall incidence of AEs in the PLENITY group was no different than the placebo group. Rx Only. For the the For Only. Rx group. placebo the than different no was group PLENITY the in AEs of incidence overall The TRAE. a GI-related experiencing group Avoid carefully. Use for Instructions the of 8.3 6and Sections Read medications. of absorption the alter may PLENITY oxide. titanium or gelatin, safe and proper use of PLENITY, refer to the Instructions for Use. for Instructions the to refer PLENITY, of use proper and safe related adverse events (TRAEs) were GI-related TRAEs with 38 per cent of adults in the PLENITY group and 28 per cent of adults in the placebo placebo the in adults of cent 28 per and group PLENITY the in adults of cent per 38 with TRAEs GI-related were (TRAEs) events adverse related in patients with: active GI conditions such as gastro-esophageal reflux disease (GERD), ulcers, or heartburn. Overall, the most common treatment treatment common most the Overall, heartburn. or ulcers, (GERD), disease reflux caution with gastro-esophageal Use as such motility. and conditions GI transit GI active with: affect could patients that in surgery (GI) as (such gastrointestinal prior from strictures complications or suspected disease); rings; and Crohn’s with diverticuli, patients webs, including anomalies, anatomic esophageal conditions: following the with patients in use PureTech Health plc Health PureTech 2 , when used in in used , when Annual report and Annual 2018 accounts report
1 . potential market need and Patient milestones Expected validation External achieved Milestones Team property Intellectual the problem for solving approach Innovative Obesity, NAFLD, NASH, IBD, CIC IBD, NASH, Indication(s) • • • • • • • • • • • • • • • • • • • • • • • • • — continued
in people with prediabetes or type 2 diabetes in 2020. in 2 diabetes type or prediabetes control with glycaemic people in and loss weight for study LIGHT-UP Gelesis200 the from anticipated are Results 2019. in NASH/NAFLD for studies proof-of-concept initiate to expects Gelesis 2020. in constipation chronic for GS500 of study a pivotal initiate to plans Gelesis 2020. in obesity or with overweight adolescents in loss weight for Gelesis100 of study man in a first initiate to plans Gelesis Union. European the in PLENITY for approval mark CE potential anticipates Gelesis 2020. in US the in prescription by available broadly be will PLENITY anticipates 2019 and of half second the in PLENITY of launch US a targeted initiate to plans Gelesis Society. Obesity The and and Surgery Metabolic Bariatric for Society American the of congress combined annual the 2018, at session ObesityWeek oral an and award, recognition a special receiving one posters, three as presented journal Obesity the in published were study clinical GLOW Gelesis’ from data loss weight pivotal The events. adverse over risks serious no and safety placebo increased no demonstrating prototypes, their and Gelesis200 or either Gelesis100 with treated people 550 than more with trials clinical seven completed has To Gelesis date, 2018. March in round financing million a $30 completed Gelesis liver. the on diet a high-fat of effects harmful prevents Congress) Liver thatsuggesting the Company’s hydrogel proprietary formulation, Gel-B prototype), (GS300 International (The meeting EASL 2019 annual the at poster one presented Gelesis with mice in injury. wall function gut severe barrier gut restore can platform hydrogel proprietary Gelesis’ from candidate derived product a different suggesting data preclinical highlighted a third and Gelesis100, study of GLOW pivotal the from data clinical expanded shared presentations Two the of medicine. and science endocrine in event 2019, premier ENDO the at posters three presented Gelesis a pivotal of study Gelesis100. study, placebo-controlled multi-centre, double-blind, clinical (GLOW) Weight of Loss Gelesis its from data expanded announced Gelesis Union. European the in Gelesis100 for application Mark a CE submitted has Gelesis kg/m 25-40 of (BMI) Index with Mass a Body adults in management weight for aid an as PLENITY™ for clearance FDA received has Gelesis USA). Ingelheim Boehringer of (Chairman MBA Fonteyne, Paul and Takeda)), by Pharmaceuticals (acquired Millennium Amgen), by (acquired (Abgenix Kucherlapati Dr Raju Capital), Boms Mr Elon (Launch Pfizer), (previously LaMattina Dr John University), (TOS)), (Laval Tremblay Society Dr Angelo Obesity the of President Past Colorado, of (University Hill Dr James Hospital), Luke’s-Roosevelt (St Geliebter Dr Allan Clinic), (Scripps Fujioka Dr Ken Copenhagen), of Astrup Dr Arne (University Hospital), General (Massachusetts MKaplan Dr Lee College), Medical (Weill- Cornell JAronne Dr Louis Center), Medical (Boston Apovian Dr Caroline include advisors Key Dr Alessandro and Amylin), Sannino (inventor of Gelesis’ technology platform). (previously Chiquette Dr Elaine Sanofi), (previously Heshmati (previously Walgreens), Dr Hassan Leider Dr Harry Ingelheim), Boehringer (previously Pass, Dr David includes The team PureTech Health). (previously Zohar Mr Yishai by led is and developed was Gelesis develop to science and commercialise candidates. product its materials and research obesity in expertise extensive has team Gelesis The obesity. treating and loss weight predicting as well as control, glycaemic and management weight in use for hydrogels making of polymer methods and use, of methods matter, of composition pharmaceutical cover filings The Korea. South and Russia, Japan, EU, Canada, the including jurisdictions, foreign numerous and US the in issued are which of several 172 applications patents, of (11) including eleven families in worldwide, coverage property intellectual broad has platform Gelesis’ product the absorbed, candidates are treated as devices for regulatory approval purposes. systemically not is and mechanically acts technology Gelesis’ Because fullness. and satiety promote to intestine small and stomach the in volume occupies and acid (citric cellulose) that form a novel, ingredients food composition and patent-protected three-dimensio
and the paper was selected as an Editor’s Choice manuscript. The data were also also were data The manuscript. Choice Editor’s an as selected was paper the and Preclinical Phase 1 Phase 2 , when used in conjunction with diet and exercise. and diet with conjunction in used , when Phase 2 Phase Phase 3 Phase FDA filing Clearance Clearance/ Approval FDA 1
* How PureTech Health is building value for investors PLENITY is a first-ever prescription weight management option for a large and underserved group underserved and a large for option management weight prescription a first-ever is PLENITY Gelesis hydrogels in the tract gastrointestinal GELESIS200* GS400* GELESIS100* GS300* GS500* PLENITY™ PLENITY™ (GELESIS100) Product The Gelesis platform is targeting multiple significant GI-related diseases
Gelesis hydrogel hydrogel Gelesis o Products are investigational and have not been cleared by the FDA for use in the United States. States. United the in use for FDA the by cleared been not have and investigational are Products with water prior PLENITY™ (Gelesis100) indicated to aid in weight management in overweight and obese adults with with adults obese and overweight in management weight in aid to indicated (Gelesis100) PLENITY™ administered to a meal to capsules capsules 25-27 a Body Mass Index (BMI) of 25-40 kg/m 25-40 of (BMI) Index Mass a Body 33m BMI BMI >75% of Overweight/Obese >75% Overweight/Obese of and Patients Obese Control in Patients with Type 2 Type 2 with Patients in Control Overweight and Obese Patients Obese and Overweight Chronic Constipation (CIC) Weight Loss and Glycaemic Glycaemic and Loss Weight Weight in Loss Adolescent Weight Loss in Overweight Overweight in Loss Weight NAFLD/NASH Mucositis/IDD Diabetes and Pre-diabetes Research Focus Patient/Physician Willingness to Accept Safety Risk Safety Accept to Willingness Patient/Physician Particles released Particles 27-30 absorbing water absorbing 47m BMI BMI US Population BMI 25-40+ kg/m 25-40+ BMI Population US in stomach by by stomach in and expand 30-35 50m BMI BMI stomach contents stomach increased volume volume increased homogeneously homogeneously and elasticity of elasticity and fullness due to to due fullness — continued Completed Preclinical Particles mix mix Particles Ongoing Ongoing 2 enhancing enhancing , when used in conjunction with diet and exercise. and diet with conjunction in used , when with food 35-40 23m BMI BMI 2 Study Completed Pilot Clinical LIGHT-UP Completed Ongoing Clinical digestion process process digestion FLOW Particles maintain maintain Particles their 3D structure with the digested digested the with and are cleared throughout the small intestine 19m BMI BMI >40 food to the the to food