Adaptimmune Reports Fourth Quarter and Full Year 2021 Financial Results and Business Update

- SPEARHEAD-1 met its primary endpoint - planning for afami-cel BLA submission in Q4 2022 for people with synovial sarcoma -

- Moving to late-phase development with ADP-A2M4CD8: SURPASS-2 initiated in esophageal and EGJ cancers; initiating SURPASS-3 in ovarian cancer in 2022 -

- Allogeneic platform on-track for planned IND submission in 2023 for first product targeting MAGE-A4 -

- Started our strategic collaboration for allogeneic T-cell therapies with Genentech - $150 million upfront payment received -

- Scaling up autologous patient supply at Navy Yard facility and construction underway of a dedicated allogeneic cell manufacturing facility in the UK -

- Appointed Cintia Piccina as Chief Commercial Officer -

- Financial guidance confirmed: funded into early 2024 -

- Conference call to be held today at 8:30 a.m. EDT (12:30 p.m. GMT) -

PHILADELPHIA and OXFORDSHIRE, United Kingdom, March 14, 2022 (GLOBE NEWSWIRE) -- Adaptimmune Therapeutics plc (Nasdaq: ADAP), a leader in cell therapy to treat cancer, today reported financial results for the fourth quarter and full year ended December 31, 2021, and provided a business update.

“We are focused on four things in 2022: filing our first BLA, building our MAGE-A4 franchise, scaling up our manufacturing capabilities, and making progress with our allogeneic platform,” said Adrian Rawcliffe, Adaptimmune’s Chief Executive Officer. “Last year, we delivered major milestones of our ‘2-2-5-2’ strategic plan. SPEARHEAD-1 met its primary endpoint and we identified further indications for late-stage development with our next-gen SPEAR T-cells targeting MAGE-A4. Furthermore, not only did we enter a strategic collaboration with Genentech, but we also made tremendous progress with our wholly owned allogeneic therapy targeting MAGE-A4, which is on-track for an IND in 2023.”

Progress with the Company’s “2-2-5-2” strategic plan to be delivered by 2025
“2” marketed SPEAR T-cell products targeting MAGE-A4
Roadmap to BLA submission for afami-cel1 in 2022 (first-generation product targeting MAGE-A4)

  • Advanced/metastatic synovial sarcoma is a rare and clinically challenging disease, with no clear standard of care after progression following chemotherapy, with reported response rates with second line therapies of 18% or lower
  • SPEARHEAD-1 has met its primary endpoint2
  • As of the data cut-off of September 1, 2021 (CTOS), the overall response rate (ORR) per Independent Review was 34% (36% in patients with synovial sarcoma and 25% for patients with myxoid/ round cell liposarcoma [MRCLS])
  • Afami-cel continues to show a favorable benefit:risk profile with more than 100 patients treated to date across multiple trials
  • Cohort 1 of the SPEARHEAD-1 trial has completed, and treatment in Cohort 2 initiated in 2021
  • Pediatric plans agreed with regulatory agencies
  • Adaptimmune is commencing preparation of the BLA and targeting a BLA submission to the US Food and Drug Administration (FDA) in Q4 2022

Further indications for late-stage clinical development for SPEAR T-cells targeting MAGE-A4

  • Initiated recruitment in the Phase 2 SURPASS-2 trial for people with esophageal and esophagogastric junction (EGJ) cancers
  • Initiating the Phase 2 SURPASS-3 trial for people with ovarian cancer in 2022

2” additional BLAs for SPEAR T-cell products targeting MAGE-A4
Phase 1 SURPASS trial with next-generation ADP-A2M4CD8 SPEAR T-cells targeting MAGE-A4

  • Overall response rate of 36% with a complete response in ovarian cancer, and partial responses in ovarian, head and neck, EGJ, bladder, and synovial sarcoma cancers (ESMO 2021)
  • Most patients experienced antitumor activity with a disease control rate of 86% (ESMO 2021)
  • The benefit:risk profile of ADP-A2M4CD8 cell therapy remains favorable
  • The SURPASS trial continues to enroll, focusing on people with gastroesophageal, head and neck, lung, bladder, and ovarian cancers
  • Combination with a checkpoint inhibitor to be started this year
  • Data confirmed preclinical observations that the enhanced TCR interaction in ADP-A2M4CD8 results in a more potent product (SITC 2021)

Other clinical updates

  • Closed enrollment in the SPEARHEAD-2 trial investigating afami-cel in combination with a checkpoint inhibitor for people with head and neck cancer in 2021
  • Presented data from the radiation sub-study of the completed Phase 1 trial with afami-cel (SITC 2021), which closed to enrollment in 2021
  • Reported clinical benefit to people with liver cancer from the Phase 1 ADP-A2AFP trial (ILCA 2021)
    • This trial closed to screening in 2021
    • The Company continues to focus development on new cell therapies to target liver cancer

“5” autologous products in the clinic
Preclinical pipeline update

  • Filed a clinical trial application (CTA) for tumor-infiltrating lymphocytes (TILs) incorporating IL-7 (a potent stimulator of T-cell proliferation and survival) in collaboration with the Center for Cancer Immune Therapy (CCIT, a leading TIL center) in Denmark, with the intent to initiate a single-center clinical trial in 2022
  • Planning to initiate a Phase 1 trial in multiple indications with a new next-generation SPEAR T-cell targeting MAGE-A4, being developed in collaboration with Noile-Immune Biotech Inc., that incorporates IL-7 and CCL19 (to increase migration of SPEAR T-cells into tumors)
  • Adaptimmune continues to develop TCRs to additional HLAs and new targets, as well as further next-generation approaches

“2” allogeneic products in the clinic
Allogeneic pipeline update

  • Wholly owned allogeneic platform on track for planned IND submission in 2023 for first product targeting MAGE-A4
  • Announced a strategic collaboration with Genentech to research, develop, and commercialize allogeneic T-cell therapies
    • Collaboration covers the research and development of “off-the-shelf” cell therapies for up to five shared cancer targets and the development of a novel allogeneic personalized cell therapy platform
    • Adaptimmune received $150 million upfront payment under the terms of the agreement
  • First preclinical data presented from the Company’s mesothelin HLA-independent TCR (HiT) program, which is being co-developed with Astellas, demonstrating antigen-specific tumor cell killing in vitro and complete tumor regression in an animal model (ASGCT 2021).
  • The animal model also demonstrated that Adaptimmune’s HiT T-cells targeting mesothelin outperformed a comparator TRuC construct (ASGCT 2021)
  • Second target nominated for allogeneic product development in collaboration with Astellas

Patient supply

  • To date, Adaptimmune has successfully manufactured hundreds of autologous batches in-house at its Navy Yard facility (Philadelphia, PA) across multiple products and tumor types
  • Work underway at Navy Yard to scale up GMP manufacturing to meet commercial and clinical trial patient supply demands
  • Started construction of a new cell manufacturing facility dedicated to allogeneic therapies in the UK, planned to be opened later this year
  • Continued improvement of manufacturing processes including addition of an AKT inhibitor (AKTi). Data demonstrate that addition of AKTi during the ex vivo T-cell expansion phase of manufacturing provides further proliferative potential and enhanced memory phenotype of next-gen SPEAR T-cells (SITC 2021)

Corporate

  • The Company appointed Cintia Piccina as its Chief Commercial Officer

Financial Results for the fourth quarter and year ended December 31, 2021

  • Cash / liquidity position: As of December 31, 2021, Adaptimmune had cash and cash equivalents of $149.9 million and Total Liquidity3 of $369.6 million, compared to $56.9 million and $368.2 million, respectively, as of December 31, 2020.
  • Revenue: Revenue for the fourth quarter and year ended December 31, 2021 was $1.4 million and $6.1 million, respectively, compared to $1.5 million and $4.0 million for the same periods in 2020. Revenue for the year ended December 31, 2021 has increased primarily due to an increase in development activities under our collaboration arrangements.
  • Research and development (R&D) expenses: R&D expenses for the fourth quarter and year ended December 31, 2021 were $29.5 million and $111.1 million, respectively, compared to $25.8 million and $91.6 million for the same periods in 2020. R&D expenses increased due to an increase in the number of employees engaged in research and development, increases in subcontracted expenditures, and an increase in share-based compensation costs. These increases were partially offset by an increase in reimbursements receivable for research and development tax and expenditure credits.
  • General and administrative (G&A) expenses: G&A expenses for the fourth quarter and year ended December 31, 2021 were $14.8 million and $57.3 million, respectively, compared to $13.2 million and $45.8 million for the same periods in 2020 due to increases in employee-related costs, share-based compensation expense, and professional fees.
  • Net loss: Net loss attributable to holders of the Company’s ordinary shares for the fourth quarter and year ended December 31, 2021 was $38.8 million and $158.1 million respectively ($(0.04) and $(0.17) per ordinary share), compared to $36.6 million and $130.1 million ($(0.04) and $(0.15) per ordinary share) for the same periods in 2020.

Financial Guidance
The Company believes that its existing cash, cash equivalents and marketable securities, together with the upfront and additional payments under the Strategic Collaboration and License Agreement with Genentech, will fund the Company’s current operations into early 2024, as further detailed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021, filed with the Securities and Exchange Commission prior to this earnings release.

Conference Call Information
The Company will host a live teleconference and webcast to provide additional details at 8:30 a.m. EDT (12:30 p.m. GMT) today, March 14, 2022. The live webcast of the conference call will be available via the Events page of Adaptimmune’s corporate website at www.adaptimmune.com. An archive will be available after the call at the same address. To participate in the live conference call, if preferred, please dial (833) 652-5917 (US or Canada) or +1 (430) 775-1624 (International). After placing the call, please ask to be joined into the Adaptimmune conference call and provide the confirmation code (1343635).

About Adaptimmune
Adaptimmune is a clinical-stage biopharmaceutical company focused on the development of novel cancer immunotherapy products for people with cancer. The Company’s unique SPEAR (Specific Peptide Enhanced Affinity Receptor) T-cell platform enables the engineering of T-cells to target and destroy cancer across multiple solid tumors. 

Forward-Looking Statements
This release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA). These forward-looking statements involve certain risks and uncertainties. Such risks and uncertainties could cause our actual results to differ materially from those indicated by such forward-looking statements, and include, without limitation: the success, cost and timing of our product development activities and clinical trials and our ability to successfully advance our TCR therapeutic candidates through the regulatory and commercialization processes. For a further description of the risks and uncertainties that could cause our actual results to differ materially from those expressed in these forward-looking statements, as well as risks relating to our business in general, we refer you to our Annual Report on Form 10-K filed with the Securities and Exchange Commission (SEC) on March 14, 2022 and our other SEC filings. The forward-looking statements contained in this press release speak only as of the date the statements were made and we do not undertake any obligation to update such forward-looking statements to reflect subsequent events or circumstances.

Total Liquidity (a non-GAAP financial measure)

Total Liquidity (a non-GAAP financial measure) is the total of cash and cash equivalents and marketable securities (available-for-sale debt securities). Each of these components appears separately in the condensed consolidated balance sheet. The U.S. GAAP financial measure most directly comparable to Total Liquidity is cash and cash equivalents as reported in the condensed consolidated financial statements, which reconciles to Total Liquidity as follows (in millions):

                 
    December 31,   December 31,
    2021   2020
Cash and cash equivalents   $ 149,948     $ 56,882  
Marketable securities - available-for-sale debt securities     219,632       311,335  
Total Liquidity   $ 369,580     $ 368,217  
                 

The Company believes that the presentation of Total Liquidity provides useful information to investors because management reviews Total Liquidity as part of its assessment of overall solvency and liquidity, financial flexibility, capital position and leverage.

Condensed Consolidated Statement of Operations
(unaudited, in thousands, except per share data)

                       
    Three months ended   Year ended
    December 31,   December 31,
    2021     2020     2021     2020  
Development revenue     1,417       1,502       6,149       1,122  
Revenue   $ 1,417     $ 1,502     $ 6,149     $ 3,958  
Operating expenses                        
Research and development     (29,505 )     (25,777 )     (111,090 )     (91,568 )
General and administrative     (14,776 )     (13,238 )     (57,305 )     (45,795 )
Total operating expenses     (44,281 )     (39,015 )     (168,395 )     (137,363 )
Operating loss     (42,864 )     (37,513 )     (162,246 )     (133,405 )
Interest income     179       538       1,095       2,313  
Other income (expense), net     4,036       414       3,852       1,162  
Loss before income tax expense     (38,649 )     (36,561 )     (157,299 )     (129,930 )
Income tax expense     (210 )     (52 )     (791 )     (162 )
Net loss attributable to ordinary shareholders   $ (38,859 )   $ (36,613 )   $ (158,090 )   $ (130,092 )
                         
Net loss per ordinary share                        
Basic and diluted   $ (0.04 )   $ (0.04 )   $ (0.17 )   $ (0.15 )
                         
Weighted average shares outstanding:                        
Basic and diluted     937,328,712       928,676,161       934,833,017       854,783,763  
                         

Condensed Consolidated Balance Sheets
(unaudited, in thousands, except share data)

             
    December 31,   December 31,
    2021     2020  
Assets            
Current assets            
Cash and cash equivalents   $ 149,948     $ 56,882  
Marketable securities - available-for-sale debt securities     219,632       311,335  
Accounts receivable, net of allowance for doubtful accounts of $0 and $0     752       139  
Other current assets and prepaid expenses     45,126       29,796  
Total current assets     415,458       398,152  
             
Restricted cash     1,718       4,602  
Operating lease right-of-use assets, net of accumulated amortization     20,875       18,880  
Property, plant and equipment, net of accumulated depreciation of $36,253 (2020: $31,097)     30,494       27,778  
Intangible assets, net of accumulated amortization     1,000       1,730  
Total assets   $ 469,545     $ 451,142  
             
Liabilities and stockholders’ equity            
Current liabilities            
Accounts payable   $ 8,113     $ 6,389  
Operating lease liabilities, current     2,320       2,773  
Accrued expenses and other accrued liabilities     29,909       27,079  
Deferred revenue, current     22,199       2,832  
Total current liabilities     62,541       39,073  
             
Operating lease liabilities, non-current     23,148       20,938  
Deferred revenue, non-current     177,223       49,260  
Other liabilities, non-current     673       644  
Total liabilities     263,585       109,915  
             
Stockholders’ equity            
Common stock - Ordinary shares par value £0.001, 1,240,853,520 authorized and 937,547,934 issued and outstanding (2020: 1,038,249,630 authorized and 928,754,958 issued and outstanding)     1,337       1,325  
Additional paid in capital     959,611       935,706  
Accumulated other comprehensive loss     (11,142 )     (10,048 )
Accumulated deficit     (743,846 )     (585,756 )
Total stockholders' equity     205,960       341,227  
             
Total liabilities and stockholders’ equity   $ 469,545     $ 451,142  
                 
                 

Condensed Consolidated Cash Flow Statement
(unaudited, in thousands)

             
    Year ended   Year ended
    December 31,   December 31,
    2021     2020  
Cash flows from operating activities            
Net loss   $ (158,090 )   $ (130,092 )
Adjustments to reconcile net loss to net cash used in operating activities:            
Depreciation     5,630       6,627  
Amortization     937       967  
Share-based compensation expense     20,629       10,414  
Unrealized foreign exchange gains/(losses)     540       (1,333 )
Amortization/(accretion) on available-for-sale debt securities     5,276       3,836  
Other     1,173       (55 )
Changes in operating assets and liabilities:            
(Increase)/decrease in receivables and other operating assets     (19,358 )     1,747  
Decrease/(increase) in non-current operating assets           2,458  
Increase in payables and other current liabilities     4,207       3,867  
Increase in deferred revenue     149,785       47,973  
Net cash provided by/(used in) operating activities     10,729       (53,591 )
             
Cash flows from investing activities            
Acquisition of property, plant and equipment     (8,574 )     (2,341 )
Acquisition of intangible assets     (207 )     (565 )
Maturity or redemption of marketable securities     224,343       105,022  
Investment in marketable securities     (139,762 )     (381,040 )
Net cash provided by/(used in) investing activities     75,800       (278,924 )
             
Cash flows from financing activities            
Proceeds from issuance of common stock from offerings, net of commissions and issuance costs     2,529       334,388  
Proceeds from exercise of stock options     759       5,663  
Net cash provided by financing activities     3,288       340,051  
             
Effect of currency exchange rate changes on cash, cash equivalents and restricted cash     365       (960 )
Net increase/(decrease) in cash, cash equivalents and restricted cash     90,182       6,576  
Cash, cash equivalents and restricted cash at start of period     61,484       54,908  
Cash, cash equivalents and restricted cash at end of period   $ 151,666     $ 61,484  
             

Adaptimmune Contacts:

Media Relations:

Sébastien Desprez — VP, Corporate Affairs and Communications
T: +44 1235 430 583
M: +44 7718 453 176
Sebastien.Desprez@adaptimmune.com

Investor Relations:

Juli P. Miller, Ph.D. — VP, Investor Relations
T: +1 215 825 9310
M: +1 215 460 8920
Juli.Miller@adaptimmune.com

1 Afamitresgene autoleucel “afami-cel” (formerly ADP-A2M4)
2 The primary endpoint is evaluated using a one-sided exact-based Clopper-Pearson 97.5% confidence interval (CI). Because the lower bound of the CI exceeds the response rate reported with historical second line therapy(ies) (18%), the trial has met the pre-specified threshold for demonstrating efficacy.
3 Total liquidity is a non-GAAP financial measure, which is explained and reconciled to the most directly comparable financial measures prepared in accordance with GAAP below


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Source: Adaptimmune Therapeutics plc