Professional Documents
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of autoimmune disease
Corporate Presentation
30 January 2023
Executive Summary
Disease modifying, multi-target therapeutics for oral treatment of chronic inflammatory disease
• Platform-in-a-product using core drugs plus adjuvants to tailor responses against key
cytokine pathways matched to specific diseases. Focusing on (multi-target responses),
including pro-inflammatory NF-kβ, cytokine signaling (TNF-α, IL-17, IL-23), and
promote expansion of Treg cells which suppress autoimmunity
2
PASI: Psoriasis Area and Severity Index; IGA: Investigator's Global Assessment
Leadership Team
Experienced team with over 40 drugs developed, ten prior exits, and over $600M in prior raises
3
SFA Utilizes a Platform to Regulate Key Immunomodulator Pathways
SFA’s patented platform modulates multiple cellular signaling pathways involved in autoimmune diseases
SFA’s platform matches specific
Short Chain Fatty Acids (bacterial
metabolites engineered as small
molecules) to regulate key
cytokines associated with
specific diseases. We are
selecting specific metabolites to
match specific disease profiles.
Adjuvants may also be added to
enhance the effect for specific
diseases. In this way, cytokines
can be upregulated or
downregulated based on the
disease being targeted.
Examples include TNFa, IL-17, IL-
23 and IL-12 (down-regulated)
and IL-10 (up-regulated).
4
SFA Therapeutics Pipeline
Pipeline in autoimmune diseases, liver diseases and oncology
Oncology (HCC)
FDA Orphan Drug Designation for HCC
NASH (fibrosis)
Phase 1b: IND authorized by FDA for clinical trial in NASH (Q1 2023)
AML: Acute Myeloid Leukemia; CLL: Chronic Lymphocytic Leukemia; HCC: Hepatocellular Carcinoma; NASH: Nonalcoholic Steatohepatitis 5
Autoimmune Disease: The Problem
Treating the Root Cause of Autoimmune DiseaseTM
7
Limitations of Current Autoimmune Therapies
Marketed autoimmune therapies are limited by single / dual target approach and safety
Mono / Dual Current therapies are mono or dual targeted, while autoimmune
Targeted diseases (including psoriasis) involve multiple targets
Oral, Multi-target
small molecule with proprietary formulation
Immunomodulator
that returns the immune system to normal,
downregulates multiple key psoriasis targets,
including TNF-a, IL-17, IL-23 and IFNg
Disease-Modifying Potential
that targets the root cause of autoimmune
disease and has the potential to treat multiple
autoimmune diseases
9
SFA-002 is a Patented Combination of Short Chain Fatty Acids
Activity at receptor sites demonstrates physiological effects important in autoimmune disorders
FoxP3: Transcription factor; CHS1: Conserved Non-coding Sequence 1; GPR43: G Protein Coupled Receptor 43; HDAC: Histone Deacetylase 10
Pathophysiology and SFA-002 Mechanisms in Psoriasis
SFA-002 targets and blocks the key psoriasis pathways and mechanisms
TNFα: butyrate facilitates
degradation of mRNA of TNF-α
(Fukae 2005).
Summary of MOA
Acts on multiple therapeutic
pathways (multi-target)
Acts as an immunomodulator
12
SFA-002’s Compelling Preliminary Clinical Results
Caucasian/ Plaque
2 48 M
Ukraine
None Alcohol
Psoriasis
Severe 15 28 days 80 None
Hypertension,
Caucasian Losap for Plaque
3 72 M
Ukraine
Stage 3 (8 yrs);
hypertension Psoriasis
Mild 15 31 days 80 None
Asthma (12 yrs)
14
SFA-002 Significantly Reduces Psoriasis Lesions
Durable response achieved in severe psoriasis patient
Patient 1 with severe
psoriasis for >25 years
Before SFA-002 ✓ Clinically significant
Treatment reduction of psoriasis
lesions
• PASI 90
✓ No adverse events
✓ Durable response
Off Treatment
>1 Year • Patient remains off
treatment for >1 year
with no return of
symptoms
✓ No adverse events
✓ Durable response
SFA-002 Treatment
• Patient remains off
at 6 Months
treatment for >1.5 years with
no return of symptoms
Before SFA-002
Treatment
SFA-002 Treatment
at 6 weeks
18
SFA-002’s Strong Improvement in Murine Psoriasis Model
SFA-002 significantly decreased psoriasis severity in the murine IMQ-psoriasis model
19
SFA-002’s Strong Multi-Target Engagement
SFA-002 demonstrated significant response in human ex vivo skin psoriasis model
TNF-α IL-23
• SFA-002 demonstrated
better responses compared
to Otezla
• Surprisingly, Otezla
significantly upregulated
TNF-α in comparison to
untreated control
20
SFA-002 Downregulated TNF-α in the LPS Murine Model
SFA-002 rapidly reduced plasma TNF-α within 26 hours in the LPS model of acute inflammation
Plasma TNF-α
Plasma TNF-α measured by commercially available ELISA. Data are mean (+/ -) SEM and analyzed by one-way ANOVA with fisher’s 21
uncorrected LSD test (*P<0.05, ***P<0.001, Compared to VEH/LPS group, n=8/group)
SFA-002 Competitive Positioning
SFA-002 is well-positioned to become a first-in-class oral immunomodulatory therapy for psoriasis
Injectable
PASI 75
Oral
Brands / Assets
Stelara
PASI 90-100
BAT2206
AK101
Humira
Biosimilars Remicade
Enbrel
DMB-3116 Cosentyx Skyrizi
ABP-654 SCT-630 Siliq Tremfaya
FYB-202 Taltz
SB-17 Biosimilars: Otezla; Deucravaci- AUR-101; IBI-112 ABY-035
CT-P43 ABP-501 608* Orismilast* tinib (BMS); cedirogant- Mirikizu- AK-111
AVT-04 301s BCD-085 Hemay-005 NDI-034858 (ABBV-157) Ilumya Cimzia CF-101 Jaktinib KBL-697 SCD-044 mab SHR-1314 Bimzelx SFA-002
TNF-⍺
PEG-TNF-⍺
IL-17A
PDE-4
IL-23A
JAK 1/2
S1P1a
IL-23A
IL-17A
TYK2
RORγt
IL-17F, IL-17A
IL-12, IL-23
A3AR agonist
IL-17A, IL-23,
Lactobacillus
TNF-⍺, IFN-γ
gasseri
TNF-α,
SFA-002 is the only oral immunomodulatory therapy with the potential to achieve PASI 90 - 100
22
SFA-002 vs. TYK-2s in Psoriasis – Clinical Comparisons
SFA-002 has faster onset, superior efficacy and better safety
SFA-002 targets and blocks the key psoriasis pathways and mechanisms
Above represent data in label for approved drugs. US only. Adult PsO only.
• SFA-002 uses core drugs plus adjuvants to tailor responses against key cytokine pathways matched to specific diseases. Multi-target responses, including pro-
inflammatory NF-kβ, cytokine signaling (TNF-α, IL-17, IL-23), and promotes expansion of Treg cells which suppress autoimmunity
• SOTYKTU Efficacy: PASI 90 36%, PASI 100 14% - at 16w. Safety: AEs in >1% of subjects; upper respiratory tract infection (19.2%), blood creatine phosphokinase increase
(2.7%), Herpes simplex (2%), mouth ulcers (1.9%), folliculitis (1.7%), acne (1.4%); infections occurred in 29% of the SOTYKTU group (pneumonia, covid-19); lab
abnormalities included increased CPK, liver enzyme elevations (ALT, AST) in 22 subjects, decreased GFR in 4 subjects, lipid elevations
• Nimbus (acquired by Takeda); Ph2 efficacy results not yet available.
• TYK2 mediates IFN-α/β, IL-12, IL-23, IL-10, IL-22, and IL-6 signaling (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9488612/figure/f0002/) 23
Intellectual Property and CMC
Robust patent portfolio including composition of matter and methods of use
24
Key Investors and Collaborators
Industry validating investors and academic partnerships
ASYMMETRY
25
SFA-002 Development Plan, Timeline and Use of Proceeds
SFA is seeking a $25 M raise to accelerate the clinical development of SFA-002
Phase 2 Study2 $3 M
Formulation Optimization $1 M
Other Costs (i.e., IP protection, milestone payments, reserves, Phase 3 estimate) $17 M
1 Phase 1B Studies (data readout mid-2023): 30 subjects to optimize formulation, 2 cohorts of 15 subjects
2 Phase 2 Study (data readout early 2025): 75 subjects over 6 months, designed to determine PASI & IGA scores 26
Investment Opportunity
Treating the Root Cause of Autoimmune DiseaseTM
27
Thank You
Appendix
SFA-002 Phase 1b Clinical Trial Design
Two combinations currently being evaluated for safety and efficacy in 30 subjects
30
Preclinical Data in Liver Disease Formed the Basis for the Platform
Data showing major effects at validated disease targets provides major platform opportunity
Microarray analysis
of several cancer related pathways and
immune molecules associated with the
pathogenesis of HCC.
Among mice developing cancer, tumor
pathways known to be activated in HCC are
strongly down-regulated. Inflammatory
pathways were identified as another
potential area for drug development.
Included in US 10,143,669 B2
31
Microarray Analysis of SFA SCFA Liver Disease Formulation in mice
Scientific Pathways Have Been Elucidated and Are Understood
A “Master Switch” for Inflammation and Carcinogenesis
Proteomics
analysis showed
down-regulation
of molecules
critical for
inflammation and
carcinogenesis
Included in US
11,065,217 B2
32
SFA-001 Delays Onset and Progression of Liver Cancer
HBxTg Transgenic Mice Treated with SFA001 Showed Delayed Onset and Progression of HCC
In mice bred with the gene for liver cancer, 50% of the treated
mice developed no tumors, the other 50% treated mice had
fewer and smaller tumors
33
SFA-001 Reduces Tumor Growth and Cancer Cell Viability
SFA-001 Blocks Human Xenograft Liver Cancer Growth and Reduced Viability of Cancer Cells
SFA001 Treated Mouse Control Mouse
A B • Immunocompromised nude mice
were subcutaneously injected with
human liver cancer cells (Huh7X)
CMO, ADC Therapeutics; Chair, Board of MaliHealth Kate Hermans, MBA Commercialization Planning
Joseph Camardo, MD Member of Scientific Advisory Committee at DNDi
Director, Vice Chair, and Chief, Pittsburgh Liver Sri Sriadibhatla, PhD Ben Franklin Technology Partners,
Satdarshan Monga, MD Research Center, Division of Experimental Pathology, Board Observer
University of Pittsburgh