8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): January 13, 2020

 

 

TURNING POINT THERAPEUTICS, INC.

(Exact name of Registrant as Specified in Its Charter)

 

 

 

Delaware   001-38871   46-3826166

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

10628 Science Center Drive, Suite 200, San Diego, CA   92121
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s Telephone Number, Including Area Code: (858) 926-5251

N/A

(Former Name or Former Address, if Changed Since Last Report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instructions A.2. below):

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

Common Stock, $0.0001 par value per share   TPTX   The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or Rule 12b-2 of the Securities Exchange Act of 1934.

Emerging growth company  ☒

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☒

 

 

 


Item 7.01.

Regulation FD Disclosure.

Beginning on January 13, 2020, representatives of Turning Point Therapeutics, Inc. (the “Company”) will be providing presentation materials (the “Presentation”) to certain interested parties. A copy of the Presentation is attached hereto as Exhibit 99.1 and incorporated herein by reference.

 

Item 8.01

Other Events.

On January 13, 2020, the Company issued a press release providing program updates, including announcing that the U.S. Food and Drug Administration has granted Fast Track designation to the Company’s lead drug candidate repotrectinib for the treatment of ROS1-positive advanced non-small cell lung cancer patients who have been previously treated with one prior line of platinum-based chemotherapy and one prior line of a ROS1 tyrosine kinase inhibitor. A copy of the press release is attached hereto as Exhibit 99.2 and is incorporated herein by reference.

The information contained in this Current Report on Form 8-K under Item 7.01 and Exhibit 99.1 hereto are being furnished and shall not be deemed to be “filed” for the purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section and will not be incorporated by reference into any registration statement filed by the Company, under the Securities Act of 1933, as amended, unless specifically identified as being incorporated therein by reference.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit

Number

  

Description

99.1    Presentation Materials of Turning Point Therapeutics, Inc.
99.2    Press Release issued by Turning Point Therapeutics, Inc. on January 13, 2020


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

    TURNING POINT THERAPEUTICS, INC.
Date: January 13, 2020     By:  

/s/ Annette North

      Annette North
      Executive Vice President and General Counsel
EX-99.1

Slide 1

38th Annual J.P. Morgan Healthcare Conference Next-Generation Precision Oncology Medicines Athena Countouriotis, M.D., President and CEO January 15, 2020 Exhibit 99.1


Slide 2

Disclaimer Forward-Looking Statements Statements in this Presentation that are not statements of historical fact are forward-looking statements. Such forward-looking statements include, without limitation, statements regarding our research and clinical development activities and plans, business strategy and plans, regulatory matters, objectives of management for future operations, market size and opportunity, our ability to complete certain milestones and our expectations regarding the relative benefits of our drug candidates versus competitive therapies. Words such as “believe,” “can”, “continue,” “anticipate,” “could,” “estimate,” “plan,” “predict,” “expect,” “intend,” “will,” “may,” “goal,” “upcoming,” “near term”, “milestone”, “potential,” “target” or the negative of these terms or similar expressions are intended to identify forward-looking statements, though not all forward-looking statements necessarily contain these identifying words. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. Risks that contribute to the uncertain nature of the forward-looking statements include, without limitation: our preclinical studies and clinical trials may not be successful; regulatory authorities, including the U.S. Food and Drug Administration (FDA) may not agree with our interpretation of the data from clinical trials of our drug candidates; we may decide, or regulatory authorities may require us, to conduct additional clinical trials or to modify our ongoing clinical trials; we may experience delays in the commencement, enrollment, completion or analysis of clinical testing for our drug candidates, or significant issues regarding the adequacy of our clinical trial designs or the execution of our clinical trials may arise, which could result in increased costs and delays, or limit our ability to obtain regulatory approval; our drug candidates may not receive regulatory approval or be successfully commercialized; unexpected adverse side effects or inadequate therapeutic efficacy of our drug candidates could delay or prevent regulatory approval or commercialization; and we may not be able to obtain additional financing. These forward-looking statements should not be taken as forecasts or promises nor should they be taken as implying any assurance or guarantee that the assumptions on which such forward-looking statements have been made are correct or exhaustive. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date this Presentation is given. Other risks and uncertainties affecting us are described more fully in our filings with the Securities and Exchange Commission. We undertake no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made. This Presentation discusses drug candidates that are under clinical study and which have not yet been approved for marketing by the U.S. Food and Drug Administration. No representation is made as to the safety or effectiveness of these drug candidates for the use for which such drug candidates are being studied.


Slide 3

Precision Oncology Platform with Potentially Best-in-Class Drug Candidates in Four Ongoing Clinical Trials 1 Data cut-off date of July 22, 2019. 2 cORR: Confirmed Overall Response Rate Highly potent, structurally differentiated TKIs bind completely inside the ATP pocket Potential to be best-in-class in TKI-naïve and -treatment resistance settings Note: $424 million in cash, cash equivalents and marketable securities as of Sept. 30, 2019 expected to fund operations beyond 2021 Novel Structure-Based Design Lead Asset in Phase 2 Registrational Study with Strong POC Additional Pipeline Assets Repotrectinib: ROS1 and TRK Inhibitor Phase 1 portion of TRIDENT-1: ROS1+ advanced NSCLC in 40 patients1: TKI-naïve 91% cORR2; 65% likelihood of DOR ³ 18 months TKI-pretreated 57% cORR2 with 1 prior platinum-based regimen and TKI CNS activity in both populations; generally well-tolerated safety profile As of 1/6/2020, 35% (14/40) patients remain on treatment of which 50% > 24 months Confirmed response achieved in TRK+ TKI-naïve and –pretreated patients Fast Track Designation granted in TKI-pretreated ROS1+ NSCLC patient subset Three assets targeting: MET (Ph 1); RET (Ph 1/2); and ALK (IND-enabling studies)


Slide 4

MET, RET and ALK Candidates Expand Potential Addressable Opportunity to 15% of Advanced NSCLC Driver Oncogenes Annual Cases of Advanced Non-Small Cell Lung Cancer in U.S. and EU5 ~280,0002 Turning Point Pipeline: Potential to Address up to 15% of the Advanced NSCLC Targeted Therapy Opportunity as Single Agents 1 Adapted from Hirsch, F.R., et al: Lancet 2017 2 160,000 U.S. and 117,000 EU5 Patient estimates includes Stage III unresected and metastatic populations, adjusted for treatable population and those that are tested for the targeted biomarkers; assumes 85% biomarker testing rate; SEER 2015 5-year diagnosed prevalence, grown at 0.7% in line with U.S. population growth; estimate as of 2018. Frequency of Molecular Aberrations in Driver Oncogenes in Advanced NSCLC1


Slide 5

Extensive Pipeline in Four Ongoing Clinical Studies Against Well-Validated Oncogenic Targets 1 Not required for Phase 2 registrational clinical trials ROS1+ advanced NSCLC in TKI-naïve patients NTRK+ advanced solid tumors in TKI-naïve patients NTRK+ advanced solid tumors in TKI-pretreated patients ROS1+ advanced NSCLC TKI-pretreated w/o prior chemo Repotrectinib in pediatric advanced solid tumors Repotrectinib combinations ROS1+ advanced NSCLC in platinum based chemo- and TKI-pretreated patients TRIDENT-1 Registrational cohorts RET+ advanced solid tumor patients ALK+ advanced NSCLC MET+ advanced solid tumor patients Repotrectinib (ROS1/TRK) TPX-0022 (MET/CSF1R/SRC) TPX-0046 (RET/SRC) TPX-0131 (ALK) Candidate Selection IND Enabling Studies Phase 1 Phase 2 Phase 31


Slide 6

Our Highly Potent TKIs Bind Completely Inside the ATP Pocket, Active Against Both Wild-Type and Resistant Mutations Conventional Oversized Type II TKI Conventional Oversized Type I TKI Solvent Front Mutation ATP Gatekeeper Mutation Small and Compact Type I TKI ATP pocket Kinase Solvent front Back pocket Kinase inhibitor competes with ATP Development of solvent front mutation Development of gatekeeper mutation Mutation depletes kinase inhibitor, not ATP û û Our Approach


Slide 7

H High Potency Against Solvent-Front Mutations (Cell IC50) TRK A/B/C repotrectinib 0.2/1.7/1.0 nM4 cPR in a TRKC SFM patient8 ROS1 repotrectinib 3.3 nM5 (G2032R) cORR 43%8 ALK TPX-0131 0.2 nM6 (G1202R) RET TPX-0046 16.9 nM7 (G810R) Uniquely Positioned: In Addition to TKI-Naïve Setting, Large Potential Opportunity Addressing Solvent Front Mutations ~45%1 ~41%2 ~42%3 Data Emerging TRK ROS1 ALK RET Clinically Observed Solvent-Front Mutation Rate 1Hyman, D et al. AACR Oral Presentation 2019. Solvent front mutations identified in 14 (45%) of 31 patients. 2Gainor JF et al., JCO Precis Oncol 2017. G2032R solvent front mutation identified in 7 (41%) of 17 biopsy specimens. 3Shaw A et al., J Clin Oncol 37:1370-1379. G1202R solvent front mutation identified in 19 (42%) of 45 patients who developed a resistant mutation. 4Drilon A et al, AACR; Cancer Res 2019;79(13 Suppl):Abstract nr 442 5Deng W et al., AACR; Cancer Res 2019;79(13 Suppl):Abstract nr 1319 6Cell proliferation assay in Ba/F3 EML4-ALK G1202R cells 7Drlon A et al, Annals of Oncology, Volume 30, Issue Supplement_5, October 2019, mdz244.068 8 Drilon A et al, “Safety and Preliminary Clinical Activity of Repotrectinib in Patients with Advanced ROS1/TRK Fusion-Positive Solid Tumors (TRIDENT-1 Study), European Society for Medical Oncology, September 2019, Presentation #444PD


Slide 8

Repotrectinib Key Areas of Differentiation in ROS1 and TRK 1 Based on published information and data. NA = Not Applicable Repotrectinib Xalkori (Crizotinib)1 Rozlytrek (Entrectinib)1 Vitrakvi (Larotrectinib)1 Development Stage Registrational Phase 2 study for ROS1+ NSCLC and NTRK+ adv. solid tumors Approved in ROS1+ NSCLC Approved for ROS1+ NSCLC and NTRK+ adv. solid tumors Approved for NTRK+ adv. solid tumors TKI Naïve Activity (ROS1+ NSCLC) ü ü ü NA TKI Pretreated Activity (ROS1+ NSCLC) ü û û NA CNS Activity (ROS1+ NSCLC) ü û Not reported ü NA No Grade 3 or 4 ALT/AST Elevation ü As of July 22 Data Cut-off û monitor liver tests û monitor liver tests û monitor liver tests TKI Pretreated Activity in NTRK+ Adv. Solid Tumors ü NA û Not reported û Not reported


Slide 9

TRIDENT-1 Preliminary Efficacy of Repotrectinib in TKI-Naïve ROS1+ NSCLC by BICR 1 Estimated using Kaplan-Meier method | 2 For patients with CNS measurable disease at baseline BICR: Blinded Independent Central Review | Clinical Benefit Rate: CR + PR + SD ≥ 2 Cycles Data cut-off date of July 22, 2019 , Drilon A et al, “Safety and Preliminary Clinical Activity of Repotrectinib in Patients with Advanced ROS1/TRK Fusion-Positive Solid Tumors (TRIDENT-1 Study), European Society for Medical Oncology, 2019, Presentation #444PD Confirmed ORR (cORR), n/N (%) 95% CI (%) cORR at 160mg QD or above 10/11 (91%) (59 ─ 100) 6/7 (86%) Duration of response (DOR), months % DOR > 18 months1 Range 65% 3.7+ ─ 23.3+ Intracranial cORR (IC-ORR)2, n/N (%) 95% CI (%) 3/3 (100%) (29 ─ 100) Median follow-up time, months Range 20.1 5.3 – 24.9+ Duration of Treatment (Investigator reported as of Jan. 6, 2020) 7 of 11 (64%) patients remain on treatment All 7 patients on > 14 months 5 of 7 patients on > 24 months 2 of 7 patients on > 30 months Median duration of response was not mature at time of data cut-off, 5 out of 10 (50%) responders by BICR were ongoing without an event at the time of this analysis: 3.7+, 14.8+, 16.4+, 17.6+, and 23.3+ months Duration of cPR in 3 patients with IC-ORR were 14.8+, 17.6+, and 23.1 months


Slide 10

TRIDENT-1 Preliminary Efficacy of Repotrectinib in TKI-Pretreated ROS1+ NSCLC by BICR 1 ORR of 36% (5 of 14) with prior platinum & 1 prior TKI 2 For patients with CNS measurable disease at baseline 3 Estimated including all TKI-pretreated patients using Kaplan-Meier method BICR: Blinded Independent Central Review | Clinical Benefit Rate: CR + PR + SD ≥ 2 Cycles Confirmed ORR1 (cORR), n/N (%) 95% CI (%), 1 Prior TKI 7/18* (39%) (17 ─ 64) cORR at 160 mg QD or above 1 prior chemotherapy and 1 prior TKI 6/11 (55%) 4/7 (57%) Intracranial cORR (IC-ORR)2, n/N (%) 95% CI (%), 1 Prior TKI 3/4 (75%) (19 ─ 99) Median follow-up time, months3 Range 7.3 0.6 – 19.3+ cORR -2 Prior TKIs, n/N (%) 2/7 (29%) cORR-1 or 2 Prior TKIs with G2032R Solvent Front Mutation 3/7 (43%) Duration of Treatment – 1, 2 or 3 Prior TKIs (Investigator reported as of Jan. 6, 2020) 7 of 29 (24%) remain on treatment All 7 patients on > 7 months 5 of 7 patients on > 10 months 2 of 7 patients on > 24 months * 2 of 7 patients remain in cPR both at 5.5+ months. Data cut-off date of July 22, 2019 , Drilon A et al, “Safety and Preliminary Clinical Activity of Repotrectinib in Patients with Advanced ROS1/TRK Fusion-Positive Solid Tumors (TRIDENT-1 Study), European Society for Medical Oncology, 2019, Presentation #444PD


Slide 11

Safety Summary: Treatment-Emergent and Treatment-Related AEs Repotrectinib was generally well-tolerated Most treatment emergent adverse events (TEAEs) and treatment-related adverse events (TRAEs) were Grade 1 or 2 No Grade 4 TRAEs The most commonly reported TEAE was low grade dizziness Of the 54 patients who reported dizziness, 43 (80%) reported Grade 1 No cases of dizziness have led to treatment discontinuation No Grade 3 or Grade 4 ALT or AST elevations were reported 1 Additional Grade 4 TEAEs: cerebrovascular accident, influenza, hyperkalemia, bacterial pneumonia, sepsis (n=1 each), respiratory failure (n=2); None were determined to be related to treatment. Grade 5 TEAEs: respiratory failure (n=2), pneumonia, sepsis, sudden death (n=1 each); Only the case of sudden death was determined to be possibly related to treatment. Data cut-off date of July 22, 2019 All Treated Patients (N=93) TEAEs (≥10% of patients) TRAEs All Grades Grade 3 Grade 41 Grade 3 Grade 4  Adverse Event n(%) n(%) n(%) n(%) n(%) Dizziness 54 (58.1) 3 (3.2) --- 3 (3.2) --- Dysgeusia 45 (48.4) --- --- --- --- Anemia 28 (30.1) 11 (11.8) --- 3 (3.2) --- Constipation 28 (30.1) --- --- --- --- Fatigue 28 (30.1) 2 (2.2) --- --- --- Dyspnea 27 (29.0) 5 (5.4) 1 (1.1) 1 (1.1) --- Paraesthesia 27 (29.0) --- --- --- --- Nausea 21 (22.6) 2 (2.2) --- --- --- Cough 18 (19.4) --- --- --- --- Pyrexia 17 (18.3) --- --- --- --- Headache 15 (16.1) 1 (1.1) --- --- --- Vomiting 13 (14.0) --- --- --- --- Ataxia 12 (12.9) --- --- --- --- Myalgia 11 (11.8) --- --- --- --- Upper respiratory tract infection 11 (11.8) --- --- --- --- Abdominal pain 10 (10.8) --- --- --- --- Muscular weakness 10 (10.8) 1 (1.1) --- --- --- Pain in extremity 10 (10.8) 1 (1.1) --- --- ---


Slide 12

ROS1+ Advanced NSCLC Pivotal Cohorts (n=195) NTRK+ Advanced Solid Tumors Pivotal Cohorts (n=95) EXP-3 2 Prior ROS1 TKI AND 1 Platinum-based Chemotherapy (n=40) EXP-1 ROS1 TKI-naïve (n=55) EXP-2 1 Prior ROS1 TKI AND 1 Platinum-based Chemotherapy (n=100) EXP-5 TRK TKI-naïve (n=55) EXP-6 TRK TKI-pretreated (n=40) ROS1+ Advanced NSCLC Exploratory Cohort (up to n=30) EXP-4 1 Prior ROS1 TKI AND no prior Chemotherapy (up to n=30) Pivotal Phase 2 TRIDENT-1 Study Design Revised and Ongoing Single-agent repotrectinib studied in six cohorts (n=~320)  Starting dose at 160 mg QD, which may be increased after 14 days to 160 mg BID based on tolerability Fast Track Designation granted for treatment of ROS1+ advanced NSCLC patients previously treated with one prior platinum-based chemotherapy and one prior ROS1 TKI Phase 2 Primary Objective cORR by BICR in each expansion cohort Phase 2 Secondary Objectives DOR, PFS, and OS IC-ORR and CNS-PFS Revised based on Ongoing Dialogue with Health Authorities on Prior Platinum Use; EXP-2 In line with Fast Track Designation


Slide 13

Repotrectinib Selectivity Profile Potentially Expands Opportunity Beyond ROS1 & TRK for Combinations 1 Denotes SRC family member. Kinome illustration reproduced courtesy of Cell Signaling Technology, Inc. (CSTI) (www.cellsignal.com). Each branch of the dendogram represents an individual human kinase. The foregoing website is maintained by CSTI Repotrectinib in Preclinical Models: In addition to potent inhibition of ROS1 and TRK kinases: Inhibits JAK2, SRC and FAK Leads to modulation of STAT3 (Signal Transducer and Activator of Transcription 3) signaling, one of the major signaling pathways for both intrinsic and acquired resistance Potential to lead to longer duration of response Kinase Selectivity Index ROS1 1 (IC50 0.071 nM) TRKA, TRKB, TRKC 1< SI <10 ALK, JAK2, FYN1 10< SI <20 LYN1, YES11, FGR1, SRC1, TXK, ARK5, DDR1, FAK 20< SI <250


Slide 14

Advancing Next-Generation Pipeline of Kinase Inhibitors


Slide 15

TPX-0022 – Highly Potent MET Inhibitor, Also Inhibits SRC, CSF1R Oncogenic Signaling 1 Enzymatic IC50 value against MET of 0.14 nM for TPX-0022 as compared to 0.20 nM for capmatinib proxy chemical compound 2 Enzymatic IC50 value against SRC of 0.12 nM and against CSF1R of 0.71 nM for TPX-0022 TPX-0022 Differentiation Potent MET inhibition preclinically1 Secondary targeting of SRC/CSF1R to suppress bypass mechanisms, potentially improving DOR2 Target Population MET exon14 deletion NSCLC MET amplification MET KD mutation/MET Fusions Development Stage Initiated Phase 1 study in July 2019 Early Interim Phase 1 Data anticipated in 2H 2020


Slide 16

TPX-0022 Phase 1 Study Ongoing 1 Food effect study will also be conducted in additional n=~10. Confidential Dose Escalation (n=~30)1 Dose Expansion (n= ~80) RP2D MET Exon14 deletion Non-Small Cell Lung Cancer (NSCLC) MET inhibitor naïve MET inhibitor pre-Tx MET Amplification NSCLC, Gastric or Gastro-Esophageal Junction Cancers, Hepatocellular Carcinoma MET KD mutation/MET fusions All cancers, Exploratory Key Endpoints Primary: Incidence of Dose Limiting Toxicities, Recommended Phase 2 Dose Secondary: Objective Response Rate by Blinded Independent Central Review, Clinical Benefit Rate, Time to Response, Duration of Response, Progression Free Survival, Intracranial Objective Response Rate Adult advanced solid tumor patients with MET genetic alterations Starting dose: 20 mg QD x 28 days cycle Presence of MET alteration measured by local testing


Slide 17

TPX-0046 – Novel, Highly Potent RET/SRC Inhibitor NR: Not reported 1 All of the compounds were tested on the same plates in multiple experiments and the data represents an average of the results 2 Data based on evaluation of corresponding proxy chemical compound purchased from a commercial source rather than from the pharmaceutical company commercializing or developing the kinase inhibitor TPX-0046 Differentiation Comparable potency against WT RET to proxy chemical compounds of other investigational RET agents1 Only drug candidate with reported potency against the RET solvent-front mutation G810R Target Population Advanced solid tumors with abnormal RET genes TKI-naïve and pretreated Development Stage Initiated Phase 1/2 study in November 2019 Enzymatic Kinase Activity at 10 mM ATP IC50 (nM)1 Cell Proliferation IC50 (nM)1 Inhibitor RET RET-CCDC6 RET M918T SRC VEGFR2 Ba/F3 KIF5B-RET WT Ba/F3 KIF5B-RET G810R (solvent front mutation) Ba/F3 KIF5B-RET G810S (solvent front mutation) Ba/F3 KIF5B-RET V804M (gatekeeper mutation) TPX-0046 1.0 0.5 0.3 1.0 >1000 0.4 16.9 0.4 533 BLU-6672 1.7 0.8 0.5 NR NR 0.7 749 4.9 1.1 LOXO-2922 1.9 0.9 0.4 NR NR 0.2 568 62.8 23.4


Slide 18

RP2D TPX-0046 Phase 1/2 Study Ongoing 1 Food effect study will also be conducted in additional n=~12. Phase 1 Dose Escalation (n=~40)1 RET fusion+ NSCLC RET TKI naïve RET fusion+ NSCLC 1 Prior RET TKI treated RET mutation + Medullary Thyroid Carcinoma RET TKI naïve RET mutation + Medullary Thyroid Carcinoma 1 Prior RET TKI treated Phase 2 (n=~300) RET fusion or mutation + Other solid tumors RET TKI naïve RET fusion or mutation + Other solid tumors RET TKI-Pretreated 1 2 3 4 5 6 Adult advanced solid tumor patients with RET genetic alterations (mutations or fusions) Starting dose: 10 mg QD 3+3 Design (Intra-patient dose escalation allowed) RP2D Multiple RET+ patients with solvent-front mutations previously treated with other investigational RET inhibitors dosed with TPX-0046 in ongoing Phase 1/2 study


Slide 19

TPX-0131: Potential Best-in-Class Next-Generation ALK Inhibitor TPX-0131 Differentiation Potently inhibit WT ALK and solvent front/compound mutations Solvent front mutation G1202R reported in ~42% of patient biopsies with a resistance mutation1 Target Population ALK+ NSCLC and other solid tumors Development Stage IND-enabling studies; IND planned by early 2021 Ba/F3 Cell Proliferation IC50 (nM) ALK WT ALK G1202R ALK G1202R/ L1196M ALK G1202R/ L1198F ALK G1202R/ C1156Y ALK L1196M/ L1198F TPX-0131 <1.0 0.2 <2.0 <0.2 <0.2 <0.2 Alectinib 2.8 10000 >10000 1787 2171 837 Brigatinib 16 176 1152 1578 925 134 Ceritinib 5.1 265 1298 1681 1395 624 Lorlatinib 1.3 58 4087 921 435 462 Crizotinib 44.8 369 764 135 898 112 1Shaw A et al., J Clin Oncol 37:1370-1379


Slide 20

2020 Anticipated Milestones Milestones Timing Present ALK Inhibitor TPX-0131 Preclinical Data at a Scientific Forum 1H Present Preclinical repotrectinib Combination Data 1H Report Early Interim Data from Initial Patients treated with repotrectinib in Some TRIDENT-1 Registrational Cohorts 2H Report Early Interim Data from Initial Patients in TPX-0022 Phase 1 Study 2H ALK Inhibitor TPX-0131 IND Submitted Early 2021 2020 anticipated milestones do not currently include potential clinical data updates from Phase 1 TRIDENT-1 study, Phase 1/2 repotrectinib pediatric study or Phase 1/2 TPX-0046 Study


Slide 21

38th Annual J.P. Morgan Healthcare Conference Next-Generation Precision Oncology Medicines Athena Countouriotis, M.D., President and CEO January 15, 2020

EX-99.2

Exhibit 99.2

LOGO

FOR IMMEDIATE RELEASE

Contact:

Jim Mazzola

jim.mazzola@tptherapeutics.com

858-342-8272

TURNING POINT THERAPEUTICS ANNOUNCES PROGRAM UPDATES AND MILESTONES FOR 2020

 

   

Repotrectinib Granted Fast Track Designation in Previously Treated ROS1-Positive Advanced Non-Small Cell Lung Cancer Patient Subset; Registrational Phase 2 Study Continues Site Activation and Patient Enrollment

 

   

Multiple RET-Positive Patients with Solvent-Front Mutations Previously Treated with Other Investigational RET Inhibitors Dosed with TPX-0046

 

   

Next-Generation ALK Inhibitor Candidate Nominated, Entering IND-Enabling Studies; Demonstrates Potent Activity Against Wildtype ALK and Resistant Mutations

SAN DIEGO, Jan. 13, 2020 – Turning Point Therapeutics, Inc. (NASDAQ: TPTX), a precision oncology company developing next-generation therapies that target genetic drivers of cancer, today provided program updates for its four drug candidates and ongoing clinical studies.

“Following a transformational year in 2019, we are pleased with the progress in our ongoing clinical studies, our recent Fast Track designation for repotrectinib and nomination of our ALK inhibitor candidate for IND-enabling studies,” said Athena Countouriotis, M.D., president and CEO.

“In addition, we have now dosed multiple patients with our RET/SRC-inhibitor, TPX-0046, who presented with solvent-front mutations and were previously treated with other investigational RET inhibitors. The emergence of RET solvent-front mutations is an indication of the need for a next-generation RET inhibitor given the limited treatment options for these patients.”

 

1


PROGRAM UPDATES AND 2020 MILESTONES

Repotrectinib

Clinical study of repotrectinib continues to progress in the Phase 2 registrational portion of the TRIDENT-1 global study and Phase 1/2 study in pediatric patients. With sites activating globally in the TRIDENT-1 study, the company continues to anticipate reporting early interim data from initial patients in some of the registrational cohorts in the second half of the year.

The company announced today that repotrectinib has been granted Fast Track designation by the U.S. Food and Drug Administration for the treatment of ROS1-positive advanced non-small cell lung cancer (NSCLC) patients who have been previously treated with one prior line of platinum-based chemotherapy and one prior line of a ROS1 tyrosine kinase inhibitor (TKI). There are currently no approved targeted therapies for TKI-pretreated ROS1-positive NSCLC patients.

Following ongoing dialogue with health authorities, the company recently amended the TRIDENT-1 protocol for expansion cohorts 2 and 3 to clarify that ROS1-positive advanced NSCLC patients must have had one prior platinum-based chemotherapy regimen in addition to one prior TKI (cohort 2) or two prior TKIs (cohort 3). This amendment to cohort 2 is in line with the patient population granted fast track designation. Additionally, based on the potential future treatment paradigm, expansion cohort 4 has been amended to enroll only ROS1-positive advanced NSCLC patients with one prior TKI and no prior chemotherapy. This amendment is aimed at expanding enrollment in multiple ROS1-positive advanced NSCLC TKI-pretreated patient populations.

TPX-0022 – MET/CSF1R/SRC Inhibitor

Study of TPX-0022 continues to progress in a Phase 1 clinical trial in advanced solid tumor patients with MET genetic alterations. The company continues to anticipate reporting early interim data from initial patients during the second half of the year.

TPX-0046 – RET/SRC Inhibitor

Study of TPX-0046 continues to progress in a Phase 1/2 clinical trial, with early enrollment including multiple RET-positive patients with solvent-front mutations previously treated with other investigational RET inhibitors. In preclinical studies against proxy molecules for other investigational RET inhibitors, TPX-0046 showed comparable or stronger potency against wildtype and certain RET solvent-front mutations.

TPX-0131, A Next-Generation ALK Inhibitor

The company today announced the advancement of TPX-0131, its next-generation ALK inhibitor candidate, into IND-enabling studies. TPX-0131 has been designed with a compact macrocyclic structure and in preclinical studies has been shown to potently inhibit wildtype ALK and numerous ALK mutations, in particular the clinically observed G1202R solvent-front mutation and G1202R/L1196M compound mutation. ALK-driven tumors are estimated to represent up to 7 percent of driver oncogenes in NSCLC and of patients who develop a resistance mutation, G1202R has been reported in approximately 42 percent.

2020 Milestones

Key milestones anticipated in 2020 include:

 

   

Additional TPX-0131 preclinical data during the first half of the year;

 

   

Present preclinical repotrectinib combination data;

 

2


   

Early interim data from initial patients in some of the registrational cohorts of the repotrectinib TRIDENT-1 Phase 2 study during the second half of the year;

 

   

Early interim data from initial patients treated with TPX-0022 during the second half of the year; and

 

   

Submitting the IND for TPX-0131 by early 2021.

About Turning Point Therapeutics Inc.

Turning Point Therapeutics is a clinical-stage precision oncology company with a pipeline of internally discovered investigational drugs designed to address key limitations of existing cancer therapies. The company’s lead drug candidate, repotrectinib, is a next-generation kinase inhibitor targeting the ROS1 and TRK oncogenic drivers of non-small cell lung cancer and advanced solid tumors. Repotrectinib, which is currently being studied in a registrational Phase 2 study in adults and a Phase 1/2 study in pediatric patients, has shown antitumor activity and durable responses among kinase inhibitor treatment-naïve and pre-treated patients. The company’s pipeline of drug candidates also includes TPX-0022, targeting MET, CSF1R and SRC, which is currently being studied in a Phase 1 trial of patients with advanced or metastatic solid tumors harboring genetic alterations in MET; TPX-0046, targeting RET and SRC, which is currently being studied in a Phase 1/2 trial of patients with advanced or metastatic solid tumors harboring genetic alterations in RET; and TPX-0131, a next-generation ALK inhibitor entering IND-enabling studies. Turning Point’s next-generation kinase inhibitors are designed to bind to their targets with greater precision and affinity than existing therapies, with a novel, compact structure that has demonstrated an ability to potentially overcome treatment resistance common with other kinase inhibitors. The company is driven to develop therapies that mark a turning point for patients in their cancer treatment. For more information, visit www.tptherapeutics.com.

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Forward Looking Statements

Statements contained in this press release regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements include statements regarding, among other things, the efficacy, safety and therapeutic potential of Turning Point Therapeutics’ drug candidates, repotrectinib, TPX-0022, TPX-0046 and TPX-0131, the results, conduct, progress and timing of Turning Point Therapeutics’ development programs and clinical trials including the Phase 2 TRIDENT-1 clinical study, the Phase 1/2 pediatric clinical study of repotrectinib, the Phase 1 clinical study of TPX-0022 and the Phase 1/2 clinical study of TPX-0046, plans regarding future clinical trials and regulatory submissions, and the regulatory approval path for repotrectinib. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. Words such as “plans”, “will”, “believes,” “anticipates,” “expects,” “intends,” “goal,” “potential” and similar expressions are intended to identify forward-looking statements. These forward-looking statements are based upon Turning Point Therapeutics’ current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation, risks and uncertainties associated with Turning Point Therapeutics’ business in general, and the other risks described in Turning Point Therapeutics’ filings with the SEC. All forward-looking statements contained in this press release speak only as of the date on which they were made. Turning Point Therapeutics undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.

 

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