UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
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(Exact name of Registrant as Specified in Its Charter)
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Relay Therapeutics, Inc.
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(Former Name or Former Address, if Changed Since Last Report)
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| Item 7.01 | Regulation FD Disclosure. |
On October 7, 2021, Relay Therapeutics, Inc. (the “Company”) issued a press release announcing preclinical data for RLY-2608, a copy of which is furnished herewith as Exhibit 99.1. In addition, on October 8, 2021, the Company issued a press release announcing interim clinical data from its ongoing dose-escalation first-in-human clinical trial of RLY-4008 (the “RLY-4008-101 Trial”), a copy of which is furnished herewith as Exhibit 99.2. The Company intends to host a conference call to discuss the interim clinical data from its RLY-4008-101 Trial and preclinical data for RLY-2608 on October 8, 2021 at 12:30 p.m. E.T. The Company has made available a slide presentation to accompany the call, a copy of which is being furnished as Exhibit 99.3 to this Current Report on Form 8-K. The Company undertakes no obligation to update, supplement or amend the materials attached hereto as Exhibit 99.3.
The information in this Item 7.01, including Exhibit 99.1, Exhibit 99.2 and Exhibit 99.3 attached hereto, is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.
| Item 8.01 | Other Events. |
RLY-2608
On October 7, 2021, at the AACR-NCI-EORTC Molecular Targets Conference, the Company announced preclinical data for RLY-2608, its inhibitor of cancer-associated mutant variants H1047X, E542X, and E545X of phosphoinostide 3-kinase alpha (“PI3Kα”). RLY-2608 is the lead program of the Company’s multiple preclinical efforts to discover and develop mutant selective inhibitors of PI3Kα.
The data show that in preclinical models, RLY-2608 preferentially binds mutant PI3Kα at a novel allosteric site discovered by the Company’s DynamoTM platform. In biochemical and cellular assays, RLY-2608 inhibited the three major classes of PI3Kα oncogenic mutations (H1047X, E542X and E545X) while sparing wild-type PI3Kα. The data further suggest that RLY-2608 is also highly selective against other PI3K family members and exquisitely selective across the kinome. The data suggest that projected clinically relevant doses of RLY-2608 achieved tumor regression in PIK3CA mutant in vivo xenograft models representing H1047R and E545K mutations with significantly reduced impact on glucose metabolism compared to non-mutant selective active site inhibitors. In higher species, dosing of RLY-2608 resulted in exposures exceeding 90% inhibition of mutant PI3Kα in cells without resulting in elevated glucose levels or histopathological changes associated with dysregulation of glucose metabolism that are seen with non-mutant selective inhibitors.
The Company believes these results support advancement of RLY-2608 into clinical development as a differentiated mechanism of mutant PI3Kα inhibition. In addition, the Company believes that due to the preclinical selectivity that RLY-2608 has shown against the PI3Kα mutant variants H1047X, E542X, and E545X, RLY-2608 could potentially address over 100,000 patients per year in the United States. The Company expects to initiate a first-in-human clinical trial of RLY-2608 in the first half of 2022, subject to submission of an investigational new drug application and acceptance by the FDA.
RLY-4008
On October 8, 2021, at the AACR-NCI-EORTC Molecular Targets Conference, the Company will also announce interim clinical data from the RLY-4008-101 Trial of its investigational fibroblast growth factor receptor 2 (“FGFR2”) inhibitor, RLY-4008, in patients with FGFR2 altered tumors regardless of prior FGFR inhibitor treatment. The clinical trial is designed to determine the maximum tolerated dose and recommended Phase 2 dosing as well as assess initial safety and tolerability. Approximately 125 patients are planned to enroll in the trial, which is being conducted in two parts, a dose escalation (part 1) and a dose expansion (part 2).
The Company believes the interim clinical data suggest robust inhibition of FGFR2 in the first 49 subjects that was not shown to be limited by off-target toxicities, including hyperphosphatemia and diarrhea. The initial toxicity data suggest that certain dose levels administered can achieve >85% continuous inhibition of FGFR2. At those levels, acute toxicities that would limit dose intensity have generally not been observed to date. The interim clinical data included results from FGFR2-altered solid tumors, with approximately 80% of all patients treated having achieved reductions in tumor size as of September 9, 2021 (the “Data Cut-off Date”). In pan-FGFR inhibitor treatment-naïve cholangiocarcinoma patients, RLY-4008 demonstrated tumor shrinkage in all six pan-FGFR treatment-naïve FGFR2 fusion positive cholangiocarcinoma patients, with three achieving confirmed partial responses. Three of these six patients remain on study and a fourth patient went on to surgery with curative intent. The Company plans to select a once daily recommended Phase 2 dose and initiate expansion cohorts of the RLY-4008-101 Trial prior to the end of 2021.
As of the Data Cut-off Date, 48 of the 49 patients enrolled had a primary FGFR2 alteration, of which a majority were FGFR2 fusion cholangiocarcinoma. Most patients had high disease burden with multiple prior treatments including pan-FGFR inhibitors, and several had FGFR2 resistance mutations detected by circulating tumor DNA (“ctDNA”), at baseline. Patients were treated at nine different once daily (“QD”), or twice daily (“BID”) dose levels, ranging from 20 mg QD to 70 mg QD and 20 mg BID to 100 mg BID. As of the Data Cut-off Date, duration of treatment ranged from 4 to 45 weeks.
Initial Safety Analysis
The interim clinical data of the RLY-4008-101 Trial indicate that RLY-4008 has generally been well tolerated in the 49 patients treated as of the Data Cut-Off Date. With regard to dosing, the QD dosing schedule has been prioritized due to its preferable tolerability (as only one dose limiting toxicity (“DLT”) was observed across all dose levels) and high target coverage (lowest dose of 20 mg exceeded 85% receptor occupancy). Within the BID dosing schedule there were five DLTs observed, and receptor occupancy ranged from 90% to 98% across the BID doses.
Across all QD doses only 16% of patients, all Grade 1 or 2, experienced hyperphosphatemia, a toxicity that has been shown to limit dose intensity for pan-FGFR inhibitors in other studies. These data indicate that RLY-4008 had little or no FGFR1 inhibition at the examined dose levels. Additionally, little or no diarrhea was observed with RLY-4008 treatment suggesting minimal or no FGFR4 inhibition in treated patients to date across dose levels. Together, the interim data suggest that RLY-4008 is a highly selective FGFR2 inhibitor in humans.
Most treatment emergent adverse events were low-grade adverse events and manageable. There have been no Grade 4 or 5 adverse events. Given that retinal toxicity has been observed with FGFR inhibitor treatment, the trial is designed to assess retinopathy and retinal pigment epithelial dystrophy adverse events, which have been observed in seven patients (14%), three of which occurred in the QD dosing regimen. All seven of these events were Grade 1-2, which were self-limiting or resolved upon treatment interruption.
Initial Efficacy Analysis
The interim clinical data of the RLY-4008-101 Trial indicate that RLY-4008 has the potential to provide tumor reduction across a number of FGFR2 alterations and lines of treatment. Key interim data include:
| • | Promising early activity in FGFR inhibitor naïve cholangiocarcinoma FGFR2 fusion patients, with confirmed RECISTv1.1 partial responses observed in 3 out of 6 patients with deep tumor regressions (-56% to -83%) and 3 out of 6 patients continuing on treatment and a fourth who went on to surgery with curative intent. |
| • | Radiographic tumor shrinkage and complete clearance of ctDNA in 70% of patients with acquired resistance mutations (N=10), including molecular brake (N550) and gatekeeper (V565) mutations, suggesting the potential for RLY-4008 to treat or prevent on-target acquired resistance. |
| • | Early signs of activity observed outside of FGFR2 fusion positive cholangiocarcinoma, including tumor reduction in 6 out of 8 evaluable patients with activating mutations (1 confirmed partial response, (“PR”), 1 unconfirmed PR, and 4 stable disease (“SD”) (based on RECISTv1.1 criteria)) and 3 out of 3 patients with amplifications (all SD). |
| • | Approximately 80% of all patients treated achieved radiographic tumor regressions; this was observed across all dose levels, tumor types and FGFR2 alterations, and in patients with prior FGFR inhibitor treatment. |
Consistent with the preclinical profile of RLY-4008, these early clinical data support the Company’s belief that RLY-4008 has broad therapeutic potential across FGFR2 alterations and tumor types.
Cautionary Note Regarding Forward Looking Statements
This Current Report on Form 8-K and certain of the materials furnished or filed herewith contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements regarding: the Company’s strategy, business plans and focus; the progress and timing of updates on the clinical development of the programs across the Company’s portfolio, including the timing of selecting a recommended phase 2 dose, initiating expansion cohorts of its first-in-human clinical trial of RLY-4008 and the timing of initiation of a first-in-human clinical trial of RLY-2608; potential therapeutic effects and clinical benefits of RLY-2608 and RLY-4008, and whether preclinical or preliminary results from the Company’s ongoing trials of its product candidates will be predictive of the final results of the trial or any future clinical trials; and the potential target patient population of RLY-2608. The words “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “expect,” “estimate,” “seek,” “predict,” “future,” “project,” “potential,” “continue,” “target” and similar words or expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.
Any forward-looking statements are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this Current Report on Form 8-K or the materials furnished or filed herewith, including, without limitation, risks associated with: the impact of COVID-19 on countries or regions in which the Company has operations or does business, as well as on the timing and anticipated results of the Company’s clinical trials, strategy and future operations; the delay of any current or planned clinical trials or the development of the Company’s drug candidates; the risk that the results of the Company’s clinical trials may not be predictive of future results in connection with future clinical trials; the Company’s ability to successfully demonstrate the safety and efficacy of its drug candidates; the timing and outcome of the Company’s planned interactions with regulatory authorities; and obtaining, maintaining and protecting its intellectual property. These and other risks and uncertainties are described in greater detail in the section entitled “Risk Factors” in the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, as well as any subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent the Company’s views only as of today and should not be relied upon as representing its views as of any subsequent date. The Company explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.
| Item 9.01. | Exhibits |
(d) Exhibits
| 99.1 | Press release for RLY-2608 issued by Relay Therapeutics, Inc. on October 7, 2021, furnished herewith. | |
| 99.2 | Press release for RLY-4008 issued by Relay Therapeutics, Inc. on October 8, 2021, furnished herewith. | |
| 99.3 | Corporate presentation, dated October 2021, furnished herewith. | |
| 104 | Cover Page Interactive Data File (embedded within Inline XBRL document). | |
SIGNATURE
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.
| RELAY THERAPEUTICS, INC. | ||||||
| Date: October 8, 2021 | By: | /s/ Brian Adams | ||||
| Brian Adams, J.D. | ||||||
| General Counsel | ||||||
Exhibit 99.1
Relay Therapeutics Announces Preclinical Data that Support RLY-2608 as the First Known Allosteric Pan-Mutant Selective Inhibitor of PI3Kα
RLY-2608 preferentially binds mutant PI3Kα at a novel allosteric site discovered by the Dynamo™ platform
Preclinically, achieved tumor regressions in vivo with significantly reduced impact on glucose metabolism compared to active site inhibitors
RLY-2608’s pan-mutant inhibition has the potential to address over 100,000 patients per year in the U.S.
Cambridge, MA – October 07, 2021 – Relay Therapeutics, Inc. (Nasdaq: RLAY), a clinical-stage precision medicine company transforming the drug discovery process by combining leading-edge computational and experimental technologies, today shared preclinical data at the virtual AACR-NCI-EORTC Molecular Targets Conference for RLY-2608, the first allosteric, pan-mutant (H1047X, E542X and E545X) and isoform-selective PI3Kα inhibitor.
The data presented at the conference show that in preclinical models, RLY-2608 preferentially binds mutant PI3Kα at a novel allosteric site discovered by the Dynamo™ platform. Scientists at Relay Therapeutics solved the full-length structure of PI3Kα, performed long time-scale molecular dynamic simulations to elucidate differences in motion between wild-type (WT) and mutant PI3Kα, and leveraged these insights to enable the design of RLY-2608. In biochemical and cellular assays, RLY-2608 inhibited the three major classes of PI3Kα oncogenic mutations (H1047X, E542X and E545X) while sparing WT PI3Kα. The data further suggest that RLY-2608 is also highly selective against other PI3K family members and exquisitely selective across the kinome. The data suggest that projected clinically relevant doses of RLY-2608 achieved tumor regression in PIK3CA mutant in vivo xenograft models representing H1047R and E545K mutations with significantly reduced impact on glucose metabolism compared to non-mutant selective active site inhibitors. In higher species, dosing of RLY-2608 resulted in exposures exceeding 90% inhibition of mutant PI3Kα in cells without resulting in elevated glucose levels or histopathological changes associated with dysregulation of glucose metabolism that are seen with non-mutant selective inhibitors.
These results support advancement of RLY-2608 into clinical development as a differentiated mechanism of mutant PI3Kα inhibition with the first-in-human study anticipated to start in the first half of 2022. RLY-2608 is the lead program of multiple preclinical efforts at Relay Therapeutics to discover and develop mutant selective inhibitors of PI3Kα.
RLY-2608 has the potential to address over 100,000 patients per year in the United States, one of the largest patient populations for a precision oncology medicine. Selectivity for all three mutation hot spots (H1047X, E542X and E545X) has the potential to effectively double the addressable patient population compared to selectivity for only H1047X.
“The data shared today provide another proof point that we’re developing what we believe to be the first known pan-mutant selective allosteric inhibitor of PI3Kα,” said Don Bergstrom, M.D., Ph.D., executive vice president of R&D at Relay Therapeutics. “We believe RLY-2608 has the potential to address a significant unmet medical need in a large population and have validated our approach for developing mutant selective inhibitors of PI3Kα. RLY-2608 is only the start of our PI3Kα efforts, and by leveraging our Dynamo™ platform, we plan to build a franchise around this target for the long-term.”
Conference Call Information
Relay Therapeutics will host a live webcast and conference call tomorrow, October 8, beginning at 12:30 pm E.T. to discuss the results of this presentation and the RLY-4008 presentation tomorrow. To access the live call, please dial (833) 540-1168 (domestic) or (929) 517-0359 (international) and refer to conference ID 4657916. A webcast of the conference call will be available under “News and Presentations” in the Media & Investors section of Relay Therapeutics’ website at http://ir.relaytx.com. The archived webcast will be available on Relay Therapeutics’ website approximately two hours after the conference call and will be available for 30 days following the call.
The data presentation from the AACR-NCI-EORTC Molecular Targets Conference is also available on the Relay Therapeutics website under “Publications/Presentations” at https://relaytx.com/pipeline/.
About RLY-2608
RLY-2608 is the lead program of multiple preclinical efforts to discover and develop mutant selective inhibitors of PI3Kα. PI3Kα is the most frequently mutated kinase in all cancers, with oncogenic mutations detected in about 13% of patients with solid tumors. Traditionally, the development of PI3Kα inhibitors has focused on the active, or orthosteric, site. The therapeutic index of orthosteric inhibitors is limited by the lack of clinically meaningful selectivity for mutant versus WT PI3Kα and off-isoform activity. Toxicity related to inhibition of WT PI3Kα and other PI3K isoforms results in sub-optimal inhibition of mutant PI3Kα with reductions in dose intensity and frequent discontinuation. The Dynamo™ platform enabled the discovery of RLY-2608, the first known allosteric, pan-mutant (H1047X, E542X and E545X), and isoform-selective PI3Kα inhibitor designed to overcome these limitations. Relay Therapeutics solved the full-length cryo-EM structure of PI3Kα, performed computational long time-scale molecular dynamic simulations to elucidate conformational differences between WT and mutant PI3Kα, and leveraged these insights to support the design of RLY-2608. RLY-2608 is on path to initiate a first-in-human clinical trial in the first half of 2022, subject to submission of an investigational new drug application and acceptance by the FDA.
About Relay Therapeutics
Relay Therapeutics (Nasdaq: RLAY) is a clinical-stage precision medicines company transforming the drug discovery process by combining leading-edge computational and experimental technologies with the goal of bringing life-changing therapies to patients. Relay Therapeutics is the first of a new breed of biotech created at the intersection of disparate technologies. Relay Therapeutics’ Dynamo™ platform integrates an array of leading-edge computational and experimental approaches designed to drug protein targets that have previously been intractable. Relay Therapeutics’ initial focus is on enhancing small molecule therapeutic discovery in targeted oncology and genetic disease. For more information, please visit www.relaytx.com or follow us on Twitter.
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements regarding: Relay Therapeutics’ strategy, business plans and focus; the progress and timing of updates on the clinical development of the programs across Relay Therapeutics’ portfolio, including the timing of initiation of a first-in-human clinical trial of RLY-2608; potential therapeutic effects and anticipated clinical benefits of RLY-2608; Relay Therapeutics’ plans to build a franchise around PI3Kα; the potential target patient population of RLY-2608; and whether preclinical results of RLY-2608 will be predictive of future clinical trials of RLY-2608. The words “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “expect,” “estimate,” “seek,” “predict,” “future,” “project,” “potential,” “continue,” “target” and similar words or expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.
Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks associated with: the impact of COVID-19 on countries or regions in which Relay Therapeutics has operations or does business, as well as on the timing and anticipated results of its clinical trials, strategy and future operations; the delay of any current or planned clinical trials or the development of Relay Therapeutics’ drug candidates; the risk that the results of its clinical trials may not be predictive of future results in connection with future clinical trials; Relay Therapeutics’ ability to successfully demonstrate the safety and efficacy of its drug candidates; the timing and outcome of Relay Therapeutics’ planned interactions with regulatory authorities; and obtaining, maintaining and protecting its intellectual property. These and other risks and uncertainties are described in greater detail in the section entitled “Risk Factors” in Relay Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, as well as any subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent Relay Therapeutics’ views only as of today and should not be relied upon as representing its views as of any subsequent date. Relay Therapeutics explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.
Contact:
Pete Rahmer
Senior Vice President, Corporate Affairs and Investor Relations
617-322-0715
prahmer@relaytx.com
Media:
Dan Budwick
1AB
973-271-6085
dan@1abmedia.com
Exhibit 99.2
Relay Therapeutics Announces Interim Clinical Data that Support RLY-4008 as a Highly Selective FGFR2 Inhibitor
Interim data suggest that RLY-4008 is a highly selective FGFR2 inhibitor that has not shown to be limited by off-target toxicities of hyperphosphatemia (FGFR1) and diarrhea (FGFR4)
RLY-4008 demonstrated tumor shrinkage in all six pan-FGFR treatment-naïve FGFR2 fusion positive cholangiocarcinoma patients with three achieving confirmed partial responses
Interim data support potential clinical benefits of optimized inhibition of FGFR2 regardless of alteration (fusions, mutations, and amplifications), line of treatment or tumor type
Relay Therapeutics anticipates selecting a once daily recommended phase 2 dose and initiating expansion cohorts prior to the end of 2021
Relay Therapeutics to host a conference call today at 12:30 pm E.T.
Cambridge, MA – October 08, 2021 – Relay Therapeutics, Inc. (Nasdaq: RLAY), a clinical-stage precision medicine company transforming the drug discovery process by combining leading-edge computational and experimental technologies, today announced interim clinical data for RLY-4008, a highly selective irreversible and oral small molecule inhibitor of FGFR2, in a first-in-human trial in patients with FGFR2-altered cholangiocarcinoma and multiple other solid tumors. The data are being presented today at the virtual AACR-NCI-EORTC Molecular Targets Conference and suggest that RLY-4008 is the first investigational therapy designed to selectively bind to FGFR2 to avoid off-isoform toxicities for the treatment of patients with FGFR2-altered tumors.
As will be presented at the conference, study investigators reported robust inhibition of FGFR2 in the first 49 subjects that was not shown to be limited by off-target toxicities, including hyperphosphatemia and diarrhea, in the interim clinical data. The initial toxicity data suggest that certain dose levels administered can achieve >85% continuous inhibition of FGFR2. At those levels, acute toxicities that would limit dose intensity have generally not been observed to date. The interim clinical data included results from FGFR2-altered solid tumors, with approximately 80% of all patients treated achieving reductions in tumor size at the cut-off date of September 9, 2021. In pan-FGFRi treatment-naïve cholangiocarcinoma patients, RLY-4008 demonstrated tumor shrinkage in all six pan-FGFR treatment-naïve FGFR2 fusion positive cholangiocarcinoma patients, with three achieving confirmed partial responses. Three of these six patients remain on study and a fourth patient went on to surgery with curative intent. Relay Therapeutics anticipates selecting a once daily recommended phase 2 dose and initiating expansion cohorts prior to the end of 2021.
“RLY-4008 clinical data exemplifies the power of the Relay Therapeutics Dynamo™ platform and approach to discovering innovative medicines,” said Don Bergstrom, M.D., Ph.D., executive vice president of R&D at Relay Therapeutics. “Not only has the platform succeeded in creating a selective and purpose-built investigational therapy, but the initial clinical evidence of RLY-4008 has also shown the potential to positively impact the course of disease for patients with FGFR2 altered cancers. We continue to evaluate the once daily dose schedule to determine which dose to take forward into expansion cohorts before year-end. Using the same approach, we are building a deep portfolio of precision medicine programs that have the potential to impact patients with the hard-to-treat diseases. Thank you to the patients, investigators and clinical trial teams who have put their faith in our investigational therapy.”
RLY-4008 First-in-Human Trial Interim Results
RLY-4008 is currently being evaluated in an ongoing dose-escalation first-in-human trial in patients with FGFR2 altered tumors regardless of prior FGFRi treatment. The study is designed to determine the maximum tolerated dose and recommended Phase 2 dosing as well as assess initial safety and tolerability. Approximately 125 patients are planned to enroll in the study, which is being conducted in two parts, a dose escalation (part 1) and a dose expansion (part 2). As of the cut-off date of September 9, 2021, 48 of the 49 patients enrolled had a primary FGFR2-alteration, of which a majority were FGFR2-fusion cholangiocarcinoma. Most patients had high disease burden with multiple prior treatments including pan-FGFR inhibitors, and several had FGFR2 resistance mutations detected by ctDNA at baseline. Patients were treated at nine different once daily (QD) or twice daily (BID) dose levels, ranging from 20 mg QD to 70 mg QD and 20 mg BID to 100 mg BID. As of the cut-off date, duration of treatment ranged from 4 to 45 weeks.
Initial Safety Analysis
RLY-4008 has generally been well tolerated in the 49 patients treated as of September 9, 2021. With regard to dosing, the QD schedule has been prioritized due to its preferable tolerability (only one dose limiting toxicity (DLT) observed across all dose levels) and high target coverage (lowest dose, 20 mg, exceeding 85% receptor occupancy). Within the BID dosing schedule there were five DLTs observed, and receptor occupancy ranged from 90% to 98% across the BID doses.
Across all QD doses only 16% of patients, all Grade 1 or 2, experienced hyperphosphatemia, a toxicity that has been shown to limit dose intensity for pan-FGFR inhibitors in other studies. These data indicate that RLY-4008 had little or no FGFR1 inhibition at the examined dose levels. Additionally, little or no diarrhea was observed with RLY-4008 treatment suggesting minimal or no FGFR4 inhibition in treated patients to date across dose levels. Together, the interim data suggest that RLY-4008 is a highly selective FGFR2 inhibitor in humans.
Most treatment emergent adverse events were low-grade adverse events and manageable. There have been no Grade 4 or 5 adverse events. Given that retinal toxicity has been observed with FGFRi treatment, the trial is designed to assess retinopathy and retinal pigment epithelial dystrophy (RPED) adverse events, which have been observed in seven patients (14%), three of which occurred in the QD regimen. All seven of these events were Grade 1-2, which were self-limiting or resolved upon treatment interruption.
To date, a maximum tolerated dose has not been reached and QD dose exploration is ongoing to determine the recommended phase 2 dose (RP2D).
Initial Efficacy Analysis
The interim clinical data indicate that RLY-4008 has the potential to provide tumor reduction across a number of FGFR2 alterations and lines of treatment. Key interim data include:
| • | Promising early activity in FGFRi naïve cholangiocarcinoma FGFR2 fusion patients, with confirmed RECISTv1.1 partial responses observed in 3/6 patients with deep tumor regressions (-56% to -83%), and 3/6 patients continuing on treatment and a fourth who went on to surgery with curative intent. |
| • | Radiographic tumor shrinkage and complete clearance of circulating tumor DNA (ctDNA) in 70% of patients with acquired resistance mutations (N=10), including molecular brake (N550) and gatekeeper (V565) mutations, suggesting the potential for RLY-4008 to treat or prevent on-target acquired resistance. |
| • | Early signs of activity observed outside of FGFR2-fusion positive cholangiocarcinoma, including tumor reduction in 6 out of 8 evaluable patients with activating mutations (1 confirmed PR, 1 unconfirmed PR, and 4 SD (based on RECISTv1.1 criteria)) and 3 out of 3 patients with amplifications (all SD). |
| • | Approximately 80% of all patients treated achieved radiographic tumor regressions; this was observed across all dose levels, tumor types and FGFR2 alterations, and in patients with prior FGFR inhibitor treatment. |
Consistent with the preclinical profile, these early clinical data support Relay Therapeutics’ belief that RLY-4008 has broad therapeutic potential across FGFR2 alterations and tumor types.
Relay Therapeutics anticipates selecting an RP2D and initiating expansion cohorts before the end of 2021. Relay Therapeutics also expects to give a data update from this ongoing first-in-human study in 2022.
Conference Call Information
Relay Therapeutics will host a live webcast and conference call today beginning at 12:30 pm E.T. to discuss the results. To access the live call, please dial (833) 540-1168 (domestic) or (929) 517-0359 (international) and refer to conference ID 4657916. A webcast of the conference call will be available under “News and Presentations” in the Media & Investors section of Relay Therapeutics’ website at http://ir.relaytx.com. The archived webcast will be available on Relay Therapeutics’ website approximately two hours after the conference call and will be available for 30 days following the call.
The data presentation from the AACR-NCI-EORTC Molecular Targets Conference is also available on the Relay Therapeutics website under “Publications/Presentations” near the bottom of https://relaytx.com/pipeline/.
About RLY-4008
RLY-4008 is a potent, selective and oral small molecule inhibitor of FGFR2, a receptor tyrosine kinase that is frequently altered in certain cancers. FGFR2 is one of four members of the FGFR family, a set of closely related proteins with highly similar protein sequences and properties. Preclinically, RLY-4008 demonstrated FGFR2-dependent killing in cancer cell lines and induced regression in in vivo models, while minimal inhibition of other targets was observed, including other members of the FGFR family. In addition, RLY-4008 demonstrates strong activity against known clinical on-target resistance mutations in cellular and in vivo preclinical models. RLY-4008 is currently being evaluated in a first-in-human clinical trial designed to evaluate the safety and tolerability of RLY-4008 in patients with advanced or metastatic FGFR2-altered solid tumors. To learn more about the first-in-human clinical trial of RLY-4008, please visit here.
About Relay Therapeutics
Relay Therapeutics (Nasdaq: RLAY) is a clinical-stage precision medicines company transforming the drug discovery process by combining leading-edge computational and experimental technologies with the goal of bringing life-changing therapies to patients. Relay Therapeutics is the first of a new breed of biotech created at the intersection of disparate technologies. Relay Therapeutics’ Dynamo™ platform integrates an array of leading-edge computational and experimental approaches designed to drug protein targets that have previously been intractable. Relay Therapeutics’ initial focus is on enhancing small molecule therapeutic discovery in targeted oncology and genetic disease. For more information, please visit www.relaytx.com or follow us on Twitter.
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements regarding: Relay Therapeutics’ strategy, business plans and focus; the progress and timing of updates on the clinical development of the programs across Relay Therapeutics’ portfolio, including the timing of selecting a recommended phase 2 dose, initiating expansion cohorts of its first-in-human clinical trial of RLY-4008 and a data update of RLY-4008; and potential therapeutic effects and clinical benefits of RLY-4008, including its potential efficacy and tolerability, and whether preliminary results from the first-in-human clinical trial of RLY-4008 will be predictive of the final results of the trial or any future clinical trials of RLY-4008. The words “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “expect,” “estimate,” “seek,” “predict,” “future,” “project,” “potential,” “continue,” “target” and similar words or expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.
Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks associated with: the impact of COVID-19 on countries or regions in which Relay Therapeutics has operations or does business, as well as on the timing and anticipated results of its clinical trials, strategy and future operations; the delay of any current or planned clinical trials or the development of Relay Therapeutics’ drug candidates; the risk that the results of its clinical trials may not be predictive of future results in connection with future clinical trials; Relay Therapeutics’ ability to successfully demonstrate the safety and efficacy of its drug candidates; the timing and outcome of Relay Therapeutics’ planned interactions with regulatory authorities; and obtaining, maintaining and protecting its intellectual property. These and other risks and uncertainties are described in greater detail in the section entitled “Risk Factors” in Relay Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, as well as any subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent Relay Therapeutics’ views only as of today and should not be relied upon as representing its views as of any subsequent date. Relay Therapeutics explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.
Contact:
Pete Rahmer
Senior Vice President, Corporate Affairs and Investor Relations
617-322-0715
prahmer@relaytx.com
Media:
Dan Budwick
1AB
973-271-6085
dan@1abmedia.com
Corporate Update Call: Data Presentations at AACR-NCI-EORTC Molecular Targets Conference October 2021 Exhibit 99.3
Disclaimer This presentation contains forward-looking statements and information about our current and future prospects and our operations and financial results, which are based on currently available information. All statements other than statements of historical facts contained in this presentation, including statements regarding our strategy, future financial condition, future operations, projected costs, prospects, plans, objectives of management and expected market growth, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as ‘‘aim,’’ ‘‘anticipate,’’ ‘‘assume,’’ ‘‘believe,’’ ‘‘contemplate,’’ ‘‘continue,’’ ‘‘could,’’ ‘‘design,’’ ‘‘due,’’ ‘‘estimate,’’ ‘‘expect,’’ ‘‘goal,’’ ‘‘intend,’’ ‘‘may,’’ ‘‘objective,’’ “opportunity,” ‘‘plan,’’ ‘‘predict,’’ ‘‘positioned,’’ ‘‘potential,’’ ‘‘seek,’’ ‘‘should,’’ ‘‘target,’’ ‘‘will,’’ ‘‘would’’ and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology. These forward-looking statements include express or implied statements about the initiation, timing, progress and results of our current and future clinical trials, including the cohort expansion of our ongoing clinical trial for RLY-4008, the initiation of a clinical trial for RLY-2608 and additional data disclosures for RLY-4008 and RLY-2608, and current and future preclinical studies of our product candidates; the potential therapeutic benefits of our product candidates, including potential efficacy and tolerability, and combination potential of our product candidates; whether preliminary results from our preclinical or clinical trials will be predictive of the final results of the trials or any future clinical trials of our product candidates; the possibility that unconfirmed results from these trials will not be confirmed by additional data as the clinical trials progress; the market opportunities for our product candidates; the expected strategic benefits and potential receipt of payments under our collaborations; our ability to successfully establish or maintain collaborations or strategic relationships for our product candidates; expectations regarding current and future interactions with the U.S. Food and Drug Administration (FDA); our ability to manufacture our product candidates in conformity with the FDA’s requirements; the capabilities and development of our DynamoTM platform; our financial performance; the effect of the COVID-19 pandemic, including mitigation efforts and economic effects, on any of the foregoing or other aspects of our business operations, including but not limited to our preclinical studies and future clinical trials; our plans to develop, manufacture and commercialize our current product candidates and any future product candidates; and the implementation of our business model and strategic plans for our business, current product candidates and any future product candidates. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements we make due to a number of risks and uncertainties. These and other risks, uncertainties and important factors are described in the section entitled "Risk Factors" in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, as well as any subsequent filings with the Securities and Exchange Commission. Any forward-looking statements represent our views only as of the date of this presentation and we undertake no obligation to update or revise any forward-looking statements, whether as a result of new information, the occurrence of certain events or otherwise. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements. Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and our own internal estimates and research. While we believe these third-party studies, publications, surveys and other data to be reliable as of the date of this presentation, we have not independently verified, and make no representation as to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources. In addition, no independent source has evaluated the reasonableness or accuracy of our internal estimates or research and no reliance should be made on any information or statements made in this presentation relating to or based on such internal estimates and research. This presentation contains trademarks, trade names and service marks of other companies, which are the property of their respective owners.
Relay Tx Has Delivered Against All Key Objectives Clear focus on execution Programs RLY-4008 (FGFR2) RLY-1971 (SHP2) RLY-2608 (PI3Kα) Goal Set at Time of July 2020 IPO Status Limit off-target toxicities / be highly selective for FGFR2 Show initial data to support promising tolerability Show initial data demonstrating potential for tumor reduction across a number of FGFR2 alterations and lines of treatment Initiate Phase 1 clinical trial in 2H 2020 Potentially increase addressable population Design molecule with H1047X mutant selectivity Additional mutant selectivity demonstrated in E545X and E542X, potentially increasing addressable patient population to ~100K Design molecule with PI3Kα isoform selectivity Begin IND-enabling studies in 2021 Identify strategic development path Genentech partnership Goal Set at Time of July 2020 IPO Status Dynamo™ Platform and Capabilities Continue platform evolution ZebiAI acquisition Prove clinical development execution Excellent enrollment of 2 Phase 1 studies during a global pandemic Expand scope of research (genetic diseases) Create scale in research Build team out across all key functions
FGFR2 – Highlights from Recent RLY-4008 Interim Clinical Data Disclosure Robust inhibition of FGFR2 with promising initial tolerability data Safety and Tolerability Early evidence of tumor regressions across several tumor and alteration types (with 3 out of 6 fusion positive cholangiocarcinoma FGFR-inhibitor naïve patients exhibiting confirmed PRs) Early Efficacy No significant hyperphosphatemia (FGFR1) or diarrhea (FGFR4) observed to-date Selectivity RLY-4008 data support: Implications for Relay Tx Relay Tx’s Dynamo™ platform and approach Relay Tx’s clinical development execution capabilities Ability to achieve rapid proof-of-concept to enable further clinical development RLY-4008 Data Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Preliminary data as of 09-Sept-2021
PI3Kα Opportunity Is Among the Largest Ever for Precision Oncology Sources: FoundationInsights® database; SEER 1. Annual incidence of solid tumors with KRAS G12C, PI3K H1047R, PI3K H1047X, PI3K E542X + E545X alterations; 2. KRAS wild-type colorectal cancer; 3. Head & Neck Squamous Cell Carcinoma; 4. Clear Cell Ovarian Cancer PI3Kα alterations observed across multiple tumor types – select indications Relay Tx has a unique understanding of PI3Kα Kinase domain mutation hotspot H1047 Helical domain mutation hotspots E542 and E545 Orthosteric site Pan-mutant selective drug represents significant clinical opportunity K K K ~600 CCOC4 HNSCC3 HER2- Breast Cervical Endometrial KRAS WT CRC2 US Patients - Comprehensive Incidence (Annual) 2010s Pan-PI3K inhibitors: Significant toxicity 2019 PI3Kα-predominant inhibitor (alpelisib): PFS benefit with limited TI Pan-mutant selective inhibitor needed Today K K 40K K K 20K K G12C ~156K (excl. H1047R) US Patients – Solid Tumors Incidence (Annual)1 Pan-PI3K/mTOR inhibitors: Significant toxicity First gen
PI3Kα – Highlights from Recent RLY-2608 Preclinical Data Disclosure Mutant-selective binding to novel allosteric site discovered by Dynamo™ platform Novel Mechanism Inhibited not only H1047X, but also E542X and E545X, potentially doubling the addressable population, while sparing WT PI3Kα Pan-Mutant Selectivity Achieved tumor regressions in vivo at doses projected to be clinically relevant with significantly reduced impact on glucose metabolism compared to non-mutant selective inhibitors Tolerability RLY-2608 represents the start of Relay Tx’s emerging PI3Kα franchise First-in-human study anticipated to start in 1H22* Approaching Clinic Implications for Relay Tx RLY-2608 Data *Subject to submission and acceptance of IND by the FDA
DISCOVERY DISCOVERY IND ENABLING CLINICAL Selection of Validated Target Motion-Based Hypothesis Supporting Preclinical Data Selection of DC Clinical Execution Supporting Early Clinical Data Innovators (Wholly owned programs) FGFR2 RLY-4008 RLY-4008 PI3Kα Franchise PI3KαPAN RLY-2608 Pan-mutant allosteric inhibitor PI3KαSPECIFIC H1047R-specific allosteric inhibitor Additional Oncology Programs (3) Add’l oncology programs (3) Genetic Disease Programs (2) Add’l genetic disease programs (2) Challengers (Partnered programs) SHP2 RLY-1971 RLY-1971 Relay Tx – We Have Validated Our Approach Elucidation of novel disease biology Commercialization and generation of real world data Execution of precision medicines clinical trials Creation of new medicines Selection of validated targets
Relay Tx – Our Vision Current focus Future focus Additional therapeutic areas Additional modalities Franchise expansion Validated targets Small molecule inhibitors Oncology and genetic diseases The more we do, the better we get Motion-Based Drug Design™ Chemical biology insights Deep structural understanding Physics-based simulations AI / ML Dynamo™️ Platform EXPERIMENTATION COMPUTATION Innovator programs FGFR2, PI3Kα Challenger programs SHP2 Collaboration
Innovators (Wholly-owned programs) FGFR2 RLY-4008 Mutant + WT 3-5K Fusion 5-15K Amp/Mut PI3Kα Franchise PI3KαPAN RLY-2608 Pan-mutant allosteric inhibitor RLY-2608 Pan-mutant allosteric inhibitor 25-110K H1047X, E542X, E545X 10-45K H1047R To be announced at DC or clinical start PI3KαSPECIFIC H1047R-specific allosteric inhibitor RLY-1047R H1047R allosteric inhibitor PI3KαOTHER Other PI3Kα allosteric programs Additional Other novel mutant selective mechanisms Other oncology 3 programs To be announced at DC or clinical start Genetic diseases 2 programs To be announced at DC or clinical start Challengers (Partnered programs) SHP2 RLY-1971 55-90K Combo --- --- To be announced at DC or clinical start Extensive Precision Medicines Pipeline Note: Patient #’s refer to total annual number of US patients with late-line cancers compared to comprehensive annual incidence that may be amenable to treatment with our programs Target Program Annual US patient # IND enabling Phase 1 Phase 2 Phase 3 Discovery
Relay Tx Programs
Extensive Precision Medicines Pipeline – Innovators Note: Patient #’s refer to total annual number of US patients with late-line cancers compared to comprehensive annual incidence that may be amenable to treatment with our programs Innovators (Wholly-owned programs) FGFR2 RLY-4008 Mutant + WT 3-5K Fusion 5-15K Amp/Mut PI3Kα Franchise PI3KαPAN RLY-2608 Pan-mutant allosteric inhibitor RLY-2608 Pan-mutant allosteric inhibitor 25-110K H1047X, E542X, E545X 10-45K H1047R To be announced at DC or clinical start PI3KαSPECIFIC H1047R-specific allosteric inhibitor RLY-1047R H1047R allosteric inhibitor PI3KαOTHER Other PI3Kα allosteric programs Additional Other novel mutant selective mechanisms Other oncology 3 programs To be announced at DC or clinical start Genetic diseases 2 programs To be announced at DC or clinical start Challengers (Partnered programs) SHP2 RLY-1971 55-90K Combo --- --- To be announced at DC or clinical start Target Program Annual US patient # IND enabling Phase 1 Phase 2 Phase 3 Discovery
FGFR2 – Highlights from Recent RLY-4008 Interim Clinical Data Disclosure Robust inhibition of FGFR2 with promising initial tolerability data Safety and Tolerability Early evidence of tumor regressions across several tumor and alteration types (with 3 out of 6 fusion positive cholangiocarcinoma FGFR-inhibitor naïve patients exhibiting confirmed PRs) Early Efficacy No significant hyperphosphatemia (FGFR1) or diarrhea (FGFR4) observed to-date Selectivity RLY-4008 data support: Implications for Relay Tx Relay Tx’s Dynamo™ platform and approach Relay Tx’s clinical development execution capabilities Ability to achieve rapid proof-of-concept to enable further clinical development RLY-4008 Data Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Preliminary data as of 09-Sept-2021
FGFR2 – Validated Target Present in Several Tumor Types FGFR2 Annual Cases (US, comprehensive) FGFR2-altered cancers remain a high unmet medical need Pancreatic Breast Endometrial Skin Melanoma Stomach Lung Bladder CUP Ovarian ~5K-15K patients in the US per year1 ~3K-5K patients in the US per year1 FGFR2 alterations are observed across multiple tumor types2 Three classes of driver alterations in FGFR2 Sources: FoundationInsights® database, using 8 copies as the threshold for amplification, and including only mutations with known or likely functional significance; SEER and ACS databases 1. Patient #’s refer to total annual number of US patients with late-line cancers vs. comprehensive annual incidence that may be amenable to treatment with our programs; 2. Cholangio, cholangiocarcinoma; CUP, carcinoma unknown primary Cholangio Current FDA Accelerated Approvals for FGFR2-Altered Cancers Tumor Type FGFR2 Fusion & Rearrangement FGFR2 Oncogenic Mutation FGFR2 Amplification FGFRi-naïve Cholangio-carcinoma 23-36% ORR Pemigatinib Infigratinib FGFRi-resistant Cholangio-carcinoma Other FGFR2-altered solid tumors No FDA-approved therapy
FGFR2 – Selective Inhibitor Required to Address Large Unmet Medical Need A selective inhibitor of FGFR2 with broad activity against acquired resistance mutations is necessary to address significant unmet need in patients with FGFR2-altered tumors Compound Company Stage FGFR2 Selective Response Rate Dosing Schedule % of Patients with Hyperphosphatemia1 % of Patients with Diarrhea % of Patients Discontinued or Dose Reduced Pemigatinib Approved3 No 36% (ICC) 2 weeks on, 1 week off 94% 47% 23% Infigratinib Approved3 No 23% (ICC) 3 weeks on, 1 week off 90% 24% 75% Futibatinib Phase 2/3 No 42% (ICC) Once daily dosing 91% ~28% 56% Erdafitinib Approved3 No 32% (Urothelial Carcinoma) Personalized dosing based on phosphate levels2 76% 47% 66% High toxicity limits efficacy of non-selective FGFR inhibitors Sources: Pemigatinib – Prescribing information; Infigratinib – Prescribing information; Futibatinib/TAS-120 – AACR 2021 (diarrhea %s approximated from presentation); Erdafitinib – Prescribing information; N.R. = not reported; FOLFOX – ABC-06 Publication in Lancet Oncology 2021 1 As defined by increased serum phosphate; except for infigratinib which is not specified 2 Initial dose (8 mg QD) adjusted to 9 mg QD only in absence of hyperphosphatemia 3 Currently have accelerated approval Second Line: FGFRi Treatment Naïve Precedent Late-Line: Retreating with Chemo Precedent Regimen Trial Stage Population Response Rate Progression-Free Survival (median) Overall Survival (median) % Deaths Due to Chemo % of Patients Discontinued or Dose Reduced FOLFOX Chemotherapy ABC-06 Phase 3 All Comers, 2L 3% (ICC) 3.3 months (ICC) 5.7 months (ICC) 4% 74% Late-line treatment with chemotherapy is highly toxic and only results in incremental efficacy Late-line treatment with chemotherapy can be highly toxic and only results in incremental efficacy FGFRi treatment naïve patient population
FGFR2 – Standard Approach to Discovery Has Had Limited Success Standard Approach FGFR1 FGFR2
FGFR2 – Increasing Experimental Resolution Reveals New Opportunities FGFR1 FGFR2 Down Up Down Up Down Up Down Up Down Up Up Up Down Down Down Up Exploiting the dynamic difference between FGFR1 and FGFR2 enabled Relay Tx to design a selective FGFR2 inhibitor We predicted that a segment of FGFR1 would be fully extended outwards more frequently than the same segment in FGFR2
FGFR2 – RLY-4008 Is Potentially the First Highly Selective Irreversible FGFR2 Inhibitor Pan-FGFR Inhibitors RLY-4008 AZD4547 Erdafitinib Pemigatinib Futibatinib FGFR2 Note: Single experiment that tested each compound run at 500nM against 468 targets in the absence of ATP and without preincubation Source: KINOMEscanTM by Eurofins DiscoverX FGFR1 FGFR2 FGFR3 FGFR4 Percent Control Percent Control
FGFR2 – RLY-4008 Designed to be Active Against Resistance Mechanisms Note: Left figure adapted from: Goyal L et al. 32nd EORTC/AACR/NCI Virtual Symposium. Abstract 49 and Varghese AM et al. JCO Precision Oncology. 2021;5: 44-50. Heat map displaying fold‑change in potency (IC50) for the indicated inhibitors against FGFR2 WT and the indicated FGFR2 mutant. Numbering of mutant residues refers to the FGFR2 IIIb isoform. Fold‑change of 1 indicates equivalent potency on FGFR2 WT and the indicated FGFR2 mutant. Activity against acquired resistance mutations Reported on target resistance mutations for pan-FGFR inhibitors Gatekeeper Molecular Brake Other V565F V565L V565I N550K E566A K642N L618V K660M M538I RLY-4008 Pemigatinib Infigratinib Futibatinib Erdafitinib Debio-1347
FGFR2 – RLY-4008 Has Potent In Vivo Antitumor Activity Against Primary FGFR2 Alterations and Common Resistance Mutations Note: End-of-treatment waterfall plots (change in tumor volume) for tumor models treated with 30 mg/kg RLY-4008 or the indicated pan-FGFRi used at doses equivalent to their recommended human doses. CC6702 cholangiocarcinoma xenograft with FGFR2-TTC28 fusion (Figure A); ICC13-7 cholangiocarcinoma xenograft harboring FGFR2-OPTN fusion with an V565F gatekeeper resistance mutation introduced by CRISPR (Figure B); Gastric adenocarcinoma PDX, FGFR2-WDR11 fusion (Figure C); AN3 CA endometrial adenocarcinoma xenograft, with FGFR2 N550K activating mutation (Figure D); and SNU-16 gastric carcinoma xenograft with FGFR2 amplification (FGFR2 copy number=39) (Figure E). ICC: Intrahepatic cholangiocarcinoma. A. FGFR2-fusion+ ICC FGFRi-naïve B. FGFR2-fusion+ ICC FGFRi-resistant (V564F mutation) C. FGFR2-fusion+ non-ICC D. FGFR2-mutation+ (N549K mutation) E. FGFR2-amplification+ (Copy number=38) A. FGFR2-fusion+ ICC FGFRi-naïve B. FGFR2-fusion+ ICC FGFRi-resistant (V565F mutation) C. FGFR2-fusion+ non-ICC D. FGFR2 activating mutation+ (N550K mutation) E. FGFR2-amplification+ (Copy Number=39)
FGFR2 – RLY-4008 First-in-Human (FIH) Study Design Orally dosed; BID and QD schedules explored using the Bayesian Optimal Interval Escalation (BOIN) design; Starting dose was 50 mg BID Key Objectives: MTD/RP2D, safety, pharmacokinetics, biomarkers (ctDNA, tumor markers), preliminary anti-tumor activity MTD, maximum tolerated dose; RP2D: recommended phase 2 dose. Unresectable or metastatic solid tumors FGFR2-alterations per local assessment (tumor tissue or blood) Both FGFRi-naïve & FGFRi-treated allowed Part 1: Dose Escalation – Enrolling RP2D Part 2: Dose Expansion – Anticipated to Open by YE’21 FGFR2-fusion+ intrahepatic cholangiocarcinoma with prior FGFRi FGFR2-fusion+, non intrahepatic cholangiocarcinoma with/without prior FGFRi FGFR2-amplified, advanced solid tumors with/without prior FGFRi FGFR2-mutant, advanced solid tumors with/without prior FGFRi FGFR2-fusion+ intrahepatic cholangiocarcinoma without prior FGFRi First patient treated in Sept 2020 49 patients recruited over first ~1 year à excellent execution to-date
FGFR2 – RLY-4008 FIH Study: Baseline Characteristics Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference ECOG, Eastern Cooperative Oncology Group; PS, performance status; RECIST v1.1, Response Evaluation Criteria in Solid Tumors version 1.1. *Soft tissue sarcoma patient enrolled in dose escalation without a documented oncogenic FGFR2 genomic alteration. Parameter Total (N=49) Sex, n (%) Female 29 (59%) Male 20 (41%) Age (years), median (range) 60 (23-87) Race, n (%) White 38 (78%) Asian 6 (12%) Black/African American 4 (8%) Unknown 1 (2%) ECOG PS, n (%) 0-1 46 (94% ) 2 3 (6%) Prior lines of systemic therapy, n (%) 1 9 (18%) 2 11 (23%) 3+ 29 (59%) Parameter Total (N=49) Tumor types, n (%) Cholangiocarcinoma (CCA) 40 (82%) Breast cancer 4 (8%) Endometrial cancer 1 (2%) Prostate adenocarcinoma 1 (2%) Soft-tissue sarcoma* 1 (2%) Uterus 1 (2%) Melanoma (rectum) 1 (2%) Baseline sum of target lesions (RECIST v1.1, cm), median (range) 9.3 cm (1.4-22.0) FGFR2 oncogenic alteration, n (%) 48/49 (98%) FGFR2 fusion 32 (67%) FGFR2 mutation 12 (25%) FGFR2 amplification 4 (8%) Preliminary data as of 09-Sept-2021
Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference; Pemigatinib – NDA Multi-Disciplinary Review Document, pg 70 BID, twice a day; QD, once a day; RO, receptor occupancy. Predicted receptor occupancy: projected level of engagement of oncogenic FGFR2 at given plasma concentration. Error bars correspond to the standard deviation measures. *Pemigatinib label: 13.5 mg orally once daily for 14 days followed by 7 days off therapy treatment regimen FGFR2 – RLY-4008 FIH Study: Pharmacokinetics and Predicted Receptor Occupancy Support QD Dosing Preliminary data as of 09-Sept-2021 Receptor Occupancy (RO) RLY-4008 showed ≥85 % predicted median receptor occupancy (based on modeling) across all dose levels Pemigatinib 13.5mg QD achieves 76% inhibition of FGFR2 at trough* Receptor Occupancy (RO) RLY-4008 QD Schedule RLY-4008 BID Schedule 75% RO Half-life ~15-30h supports QD dosing
FGFR2 – RLY-4008 FIH Study: Parallel Bayesian Dose Optimization Ongoing MTD not defined per protocol, RP2D selection is ongoing with the QD dosing schedule Preliminary data as of 09-Sept-2021 Dose reductions 2020 2021 SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP Dose cohort enrollment periods – Bayesian dose optimization with enrichment (ongoing) DLT rate Deprioritized 6/7 (86%) 2/7 (29%) 50 BID 3/3 (100%) 2/3 (67%) 100 BID 2/3 (67%) 1/3 (33%) 30 BID 1/4 (25%) 0/4 (0%) 20 BID RLY-4008 QD dose optimization continues 1/7 (14%) 0/7 (0%) 70 QD 4/11 (36%) 1/11 (9%) 50 QD 0/4 (0%) 0/4 (0%) 30 QD 0/5 (0%) 0/5 (0%) 20 QD 0/5 (0%) 0/5 (0%) 40 QD Enrollment ongoing Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference
Tolerability Profile of Pan-FGFR Inhibitors for Relevant FGFR1 and FGFR4 AEs Sources: Infigratinib (Truseltiq) Prescribing Information; Pemigatinib (Pemazyre) Prescribing Information; Futibatinib – AACR 2021 Presentation (Goyal et al) (diarrhea %s approximated from presentation) ~ ~ ~ Hyperphosphatemia Diarrhea
FGFR2 – RLY-4008 FIH Study: Initial Evidence of RLY-4008’s FGFR2 Selectivity Hyperphosphatemia Diarrhea Preliminary data as of 09-Sept-2021 Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference
FGFR2 – RLY-4008 FIH Study: Initial Support for FGFR1- and FGFR4-Inhibition Sparing in the Clinic Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference EOT, End of Treatment Normal range BID Schedule BID Schedule FGFR1 sparing: Hyperphosphatemia: n=9/49 (18%) patients, all low grade (Grade 1-2). Only 1/49 (2%) patients was prescribed phosphate binders. FGFR4 sparing: Diarrhea: n=3/49 (6%) patients, all low grade (Grade 1-2) and unrelated. QD Schedule Normal range QD Schedule Preliminary data as of 09-Sept-2021
FGFR2 – RLY-4008 FIH Study: Treatment-Emergent Adverse Events (TEAEs) ≥ 20% No Grade 4-5 AE Most AEs are low-grade, including hyperphosphatemia and diarrhea TEAEs profile consistent with FGFR1- and FGFR4-sparing Retinopathy/Retinal Pigment Epithelial Detachment (RPED): 7 cases BID n=4/17 (24%) QD n=3/32 (9%) All events were Gr 1-2, self-limiting or resolved upon treatment interruption QD Schedule (n = 32) Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference; Bemarituzumab ASCO 2021 Presentation. This presentation notes corneal AEs are defined by Standardised MedDRA Queries (SMQ) of corneal disorders, which includes dry eye. *Included preferred terms of nail disorder, nail discoloration, nail ridging, onychalgia, onychoclasis, onycholysis, onychomadesis, paronychia. **Included preferred terms of retinal pigment epithelium detachment, retinopathy, blurred vision, subretinal fluid. Preliminary data as of 09-Sept-2021 BID Schedule (n=17) QD Schedule (n=32) RLY-4008 QD dosing Dry eye: 9% all grades, 0% grade 3+ Corneal AEs: 13% all grades, 0% grade 3+ Bemarituzumab (Phase 2) Dry eye: 26% all grades, 3% grade 3+ Corneal AEs: 67% all grades, 24% grade 3+
Tolerability Profile of Pan-FGFR Inhibitors Sources: Infigratinib (Truseltiq) Prescribing Information; Pemigatinib (Pemazyre) Prescribing Information; Futibatinib – AACR 2021 Presentation (Goyal et al) (%s approximated from presentation for dry eye, alopecia, dry skin, diarrhea, fatigue, dry mouth, stomatitis) 1. Nail toxicities Includes onycholysis, nail disorder, nail discoloration, onychomadesis, paronychia; 2. PPE stands for Palmar plantar erythrodysesthesia syndrome (hand foot syndrome); 3. alanine transaminase; 4. aspartate aminotransferase Nausea Vomiting Abdominal pain Nail toxicities1 Dry skin Alopecia Dry mouth Stomatitis AST elevation4 PPE2 Dry eye Retinal disorders Fatigue ALT elevation3 Hyper-phosphatemia Diarrhea ~ n/a n/a n/a ~ ~ ~ ~ ~ ~
FGFR2 – RLY-4008 FIH Study: Promising Emerging Tolerability Profile of FGFR2 Selective Targeting Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference 1. Nail toxicities Includes onycholysis, nail disorder, nail discoloration, onychomadesis, paronychia; 2. PPE stands for Palmar plantar erythrodysesthesia syndrome (hand foot syndrome); 3. alanine transaminase; 4. aspartate aminotransferase Preliminary data as of 09-Sept-2021 On-target AEs have been mostly low grade (no Gr 4/5, < 10% in the QD dosing regimen), and all of them have been reversible, manageable with dose modification or no intervention and monitorable Nausea Vomiting Abdominal pain Nail toxicities1 Dry skin Alopecia Dry mouth Stomatitis AST elevation4 PPE2 Dry eye Retinal disorders Fatigue ALT elevation3 Hyper-phosphatemia Diarrhea RLY-4008 data reflect QD population only, with QD dose optimization ongoing
FGFR2 – RLY-4008 FIH Study: RLY-4008 Induced Radiographic Tumor Regression in FGFR Inhibitor-Naïve FGFR2-Fusion+ Cholangiocarcinoma Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference *Confirmed PR; #Tumor resection after data cut off. FGFRi, fibroblast growth factor receptor inhibitor PR, partial response. Preliminary data as of 09-Sept-2021 Best RECIST change from baseline 3/6 patients exhibit a confirmed PR 3/6 patients ongoing on treatment, and 1 patient had resection with curative intent Relative change from baseline in tumor size Pan-FGFR benchmark in this population is 23-36% ORR * * * # 70 QD Resection 50 QD 30 QD ## Most Recent Dose 50 QD Doses 100 BID 50 BID 70 QD 50 QD 30 QD 70 QD 30 QD 30 QD (ongoing) Dose reduced patient with deepening response over time Doses 100 BID 50 BID 70 QD 50 QD 30 QD
35-year-old male with FGFR2-FLIP1 fusion ICC. Prior treatment: Gemcitabine/Cisplatin 70 mg QD dosing (no dose modification). Relevant AEs: Gr 1 dry eye, Gr 1 onycholysis, Gr 2 stomatitis Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Courtesy: Dr. V. Sahai (U Michigan) Baseline Cycle 7 31.9 mm à Not detected 13.2 mm à Not detected 19.0 mm à 10.2 mm 31.9 mm 13.2 mm 19.0 mm 19.1 mm Lesion not detected Lesion not detected FGFR2 – RLY-4008 FIH Study: RLY-4008 Resulted in Near Complete Regression in a Patient with FGFR2-Fusion, FGFRi-Naïve Cholangiocarcinoma, Leading to Surgical Resection Target Lesion 1 (liver lesion) Target Lesion 2 (liver lesion) Target Lesion 3 (lymph node) Preliminary data as of 09-Sept-2021 Confirmed PR (near CR) -83% by RECIST v1.1 Patient underwent resection with curative intent
FGFR2 – RLY-4008 FIH Study: RLY-4008 Exhibited Activity in Pan-FGFR Inhibitor Resistant FGFR2-Fusion Cholangiocarcinoma Regardless of FGFR2 Resistance Mutations Preliminary data as of 09-Sept-2021 Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Note: (N550, N549), (V565, V564), (E566, E565), (L618, L617) are different terminology for the same mutated site; ctDNA, circulating DNA; FGFRi, fibroblast growth factor receptor inhibitor Testing pending No resistance mutation at baseline Resistance mutation not cleared at C2D1 Resistance mutation cleared at C2D1 Clearance of resistance clones implies greater duration in earlier line patients 13/21 (62%) patients with tumor reduction > 10% 7/10 (70%) patients with FGFR2 resistance mutations at baseline had all identified resistance mutations rendered undetectable at C2D1 No resistance mutation detected at baseline Testing pending N550 V565 E566 L618 ≥ 1 resistance mutation detected at baseline, and all rendered undetectable at C2D1 ≥ 1 resistance mutation detected at baseline and C2D1 N550 V565 E566 L618
FGFR2 – RLY-4008 FIH Study: RLY-4008 Produced Tumor Regression in a Patient with FGFR2-Fusion+ Cholangiocarcinoma Pretreated with Futibatinib 51-year-old female with FGFR2-CIT fusion ICC. Prior treatments: Gemcitabine/Cisplatin, Futibatinib Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Note: E566 and E565 are different terminology for the same mutated site Courtesy: Dr. L. Goyal (Mass. General Hospital) 60 x 46 mm 42 x 35 mm ctDNA: Baseline FGFR2-E566V mutation is undetectable at C2D1 Sustained tumor reduction at Cycle 7 - 21% by RECIST v1.1 Antitumor activity: Sustained tumor reduction at C7 (-21% per RECIST v1.1) Safety and tolerability: No dose interruption or modification RLY-4008 treatment is ongoing (50 mg QD) Baseline Cycle 7 Pelvic lesions Preliminary data as of 09-Sept-2021 FGFR2 E566V AID1A Q781fs AID1A Q782T HNF1A G288G 53 x 27 mm 23 x 22 mm
65-year-old male with FGFR2-WAC fusion CCA and 3 FGFR2 resistance mutations: N550K, N550D, V565I. Prior FGFR treatment: Infigratinib. RLY-4008 treatment is ongoing at C3 (30 mg QD). Data as of 01OCT21- post data lock Note: (N550, N549), (V565, V564) are different terminology for the same mutated site Courtesy: Dr. V. Subbiah (MD Anderson) Unconfirmed PR Efficacy data received after data lock and not included in the October 8 AACR-NCI-EORTC Molecular Targets Conference presentation data Multifocal right lobe liver lesions Manubrium bone lesion Baseline Cycle 3 Complete regression of the lesion Clear tumor reduction of the right lobe liver met Reduction of the multifocal liver lesions Chest pain resolution within 2 weeks of initiating RLY-4008 dosing No dose interruption No dose reduction PR (cycle 3) -72% by RECIST v1.1 (pending confirmation) FGFR2 – RLY-4008 FIH Study: Yet to Be Confirmed Partial Response with 30mg QD in FGFR2 Fusion+ CCA Pretreated with Infigratinib
FGFR2 – RLY-4008 FIH Study: RLY-4008 Showed Radiographic Tumor Regression in FGFR2 Oncogenic Mutations and in FGFR2 Amplifications Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference *Confirmed PR with increased tumor reduction after data cut; ^PR pending confirmation. FC, fold change; CN, copy number. Preliminary data as of 09-Sept-2021 * ^ ^ FGFR2 Oncogenic Mutations FGFR2 Amplifications No FDA-approved FGFR targeted therapies Patient remains on treatment in C12 at 50mg QD
Confirmed PR at Cycle 5 - 41% by RECIST v1.1 Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference Note: N550 and N549 are different terminology for the same mutated site Courtesy: Dr. A. Schram (MSKCC) 60-year-old female with breast cancer ER+ HER2- ESR1 mut PIK3CA mut FGFR2 N550K-mut, 12 prior lines of therapy including Alpelisib (PI3Ki) + Palbociclib (CDKi) FGFR2 – RLY-4008 FIH Study: RLY-4008 Resulted in Confirmed PR in a Patient with Heavily Pretreated FGFR2 N550K Mutant Breast Cancer Antitumor activity: Confirmed PR at Cycle 5: -41% (after data cut off), initial PR at Cycle 3 : -30% Significant reduction in CA 15-3 by Cycle 2: –62% C3D1 Baseline Cycle 5 Liver lesion Preliminary data as of 09-Sept-2021 First ever known reported response in FGFR2 mutated breast cancer for an FGFR inhibitor Safety and tolerability Relevant AEs: G2 PPE, G1 stomatitis, G1 nail changes No dose reduction; RLY-4008 treatment is ongoing (70 mg QD)
FGFR2 – RLY-4008 FIH Study: Time on Treatment and Response by FGFR2-Alteration N=48 patients 26/48 patients (54%) ongoing on treatment Most treatment discontinuations (73%) due to Progressive Disease Duration on treatment: range 4-45 weeks Preliminary data as of 09-Sept-2021 Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference FGFRi, fibroblast growth factor receptor inhibitor; NE, not evaluable; PR, partial response; PD, progressive disease; SD, stable disease.
FGFR2 – RLY-4008 FIH Study: RLY-4008 Initial Observations RLY-4008 is potentially the first highly selective FGFR2 inhibitor in the clinic that targets driver alterations and FGFR inhibitor resistance mutations Robust FGFR2 inhibition observed with ≥ 85% receptor occupancy and minimal off-isoform toxicity to-date across a wide dose range Promising QD PK and generally well-tolerated profile Encouraging anti-tumor activity FGFRi-naïve, FGFR2-fusion+ cholangiocarcinoma: 3/6 patients with confirmed partial responses FGFRi-resistant, FGFR2-fusion+ cholangiocarcinoma: 62% patients showed tumor shrinkage ≥10% Early signs of activity also observed in FGFR2-mutant and -amplified tumors, beyond cholangiocarcinoma Interim results support selective targeting of FGFR2 and suggest RLY-4008 has potential to overcome FGFRi resistance Preliminary data as of 09-Sept-2021 Selectivity Data Safety and Tolerability Data Early Efficacy Data Source: RLY-4008 data as presented at 2021 AACR-NCI-EORTC Molecular Targets Conference
PI3Kα – Highlights from Recent RLY-2608 Preclinical Data Disclosure Mutant-selective binding to novel allosteric site discovered by Dynamo™ platform Novel Mechanism Inhibited not only H1047X, but also E542X and E545X, potentially doubling the addressable population, while sparing WT PI3Kα Pan-Mutant Selectivity Achieved tumor regressions in vivo at doses projected to be clinically relevant with significantly reduced impact on glucose metabolism compared to non-mutant selective inhibitors Tolerability RLY-2608 represents the start of Relay Tx’s emerging PI3Kα franchise First-in-human study anticipated to start in 1H22* Approaching Clinic Implications for Relay Tx RLY-2608 Data *Subject to submission and acceptance of IND by the FDA
PI3Kα – Existing Inhibitors Establish POC but Have Limited Therapeutic Window Data from PhI/Ib Inavolisib Combination Trial in HR+, HER2-, PIK3CAmut mBC presented at SABC 2020 Dose modifications: 36% Hyperglycemia: 61% (23% Grade 3/4) GI toxicity: 48% Rash: 19% Dose modifications: 64% Hyperglycemia: 64% (36% Grade 3/4) GI toxicity: 58% Rash: 36% André F et.al., N Engl J Med. 2019 May 16;380(20):1929-1940 Confirmed response rate: Alpelisib + Fulvestrant 26.6% Placebo + Fulvestrant 12.8% Triple combo confirmed response rate in HR+ BC: 40% Alpelisib + fulvestrant vs. placebo + fulvestrant GDC-0077 + fulvestrant + palbociclib
PI3Kα – Relay Tx Has a Unique Understanding of PI3Kα PI3Kα Franchise PI3KαPAN RLY-2608 Pan-mutant allosteric inhibitor PI3KαSPECIFIC H1047R-specific allosteric inhibitor PI3KαOTHER Other PI3Kα allosteric programs Relay Tx has a unique understanding of PI3Kα RLY-2608 (pan-mutant selective) is the foundation of our franchise Kinase domain mutation hotspot H1047 Helical domain mutation hotspots E542 and E545 Orthosteric site KRAS experience teaches us pan-mutant coverage is required Similarities between PI3K and KRAS: Clear oncogenic driver Mutations cluster at a few key hotspots Hotspot mutations can occur with multiple different alleles On-target resistance to mutation-specific inhibitors can result in escape via different allele at same site or mutation at another hotspot Examples of on-target resistance mechanisms KRAS G13D KRAS G12V KRAS Y96D KRAS G12C Source: Hata, Helst, & Corcoran et al, Cancer Discovery 2021
PI3Kα – Proprietary Insights Unlock Additional Approaches A differentiated understanding of the structure of PI3Kα and its relationship to function equips Relay Tx to design optimal mutant-selective inhibitors of PI3Kα Designed mutant selective PI3Kα inhibitor Discovered novel allosteric pocket favored in mutant protein Solved first full-length structures of PI3Kα (mutant and wild-type) Mutant PI3Kα Orthosteric Site
PI3Kα – RLY-2608 Has Shown Mutant and Isoform Biochemical Selectivity Potency (nM) H1047R E542K E545K WT Alpelisib GDC-0077 RLY-2608 RLY-2608 has shown biochemical selectivity for mutant over wild type PI3Kα α-mut Potency (nM) β δ Alpelisib RLY-2608 GDC-0077 RLY-2608 was inactive on other isoforms γ α-mut β δ γ α-mut β δ γ PI3K Isoforms Mutant vs. WT PI3Kα potency Mutant PI3Kα vs. other isoform potency δ (delta) isoform is an important anti-target for GI toxicity H1047R E542K E545K WT H1047R E542K E545K WT
PI3Kα – RLY-2608 Is Selective Across the Kinome RLY-2608 inhibited only PI3Kα, with preferential inhibition of mutant
PI3Kα – RLY-2608 Inhibited Mutant PI3Kα More Potently in Cells RLY-2608 was more potent against mutant cells Orthosteric binders were equipotent between WT and mutant Alpelisib GDC-0077 RLY-2608
PI3Kα – RLY-2608 Potently Inhibited Signaling and Viability in PIK3CA Mutant Cancer Cell Lines Activity observed in both kinase and helical domain mutant cell lines Activity observed in both kinase and helical domain mutant cell lines pAKT Viability
PI3Kα – In Vivo Tumor Regressions Across Both Mutation Hotspots (Mouse Study) H1047R mutant (HCC1954) (mouse) 1. This model also carries a second mutation at K567R; 2. HSC2 model; 3. Consistent results observed at 1hr timepoint in MCF7 (E545K) model; 4. Subject to submission and acceptance of IND by the FDA E545K mutant (MDAMB361) (mouse)1 RLY-2608 achieved max efficacy with less insulin than orthosteric inhibitors2 IND enabling studies initiated, with clinical start expected in 1H 20224 Insulin levels after repeat dosing in tumor-bearing mice Consistent results for 1-hour time point3
In higher species, dosing of RLY-2608 for 28 days showed no histopathological or ophthalmic findings associated with hyperglycemia PI3Kα – RLY-2608 Had Reduced Impact on Glucose Homeostasis (28-Day Dog Study) Adapted from Hanker Cancer Disc 2019 Less uptake increases glucose in blood Pancreas Liver cell Tumor cell Increased glucose leads to insulin feedback Inhibition of WT PI3Kα leads to hyperglycemia Repeat dosing of RLY-2608 did not cause hyperglycemia in tox species (dog) 28-Day Repeat Dose Dog Study Equivalent exposures to efficacious mouse doses Projected human oral bioavailability ~60% and half-life ~16h
Extensive Precision Medicines Pipeline – Challengers Note: Patient #’s refer to total annual number of US patients with late-line cancers compared to comprehensive annual incidence that may be amenable to treatment with our programs Innovators (Wholly-owned programs) FGFR2 RLY-4008 Mutant + WT 3-5K Fusion 5-15K Amp/Mut PI3Kα Franchise PI3KαPAN RLY-2608 Pan-mutant allosteric inhibitor RLY-2608 Pan-mutant allosteric inhibitor 25-110K H1047X, E542X, E545X 10-45K H1047R To be announced at DC or clinical start PI3KαSPECIFIC H1047R-specific allosteric inhibitor RLY-1047R H1047R allosteric inhibitor PI3KαOTHER Other PI3Kα allosteric programs Additional Other novel mutant selective mechanisms Other oncology 3 programs To be announced at DC or clinical start Genetic diseases 2 programs To be announced at DC or clinical start Challengers (Partnered programs) SHP2 RLY-1971 55-90K Combo --- --- To be announced at DC or clinical start Target Program Annual US patient # IND enabling Phase 1 Phase 2 Phase 3 Discovery
What To Expect From Relay Tx Nearer-term milestones Medium-term drivers $671M Cash, cash equivalents and investments as of the end of Q2 2021 Continued evolution of our Dynamo™️ platform 5 additional innovator programs Pursuit of challenger targets through partnerships Execution focus underpins value creation Clinical start expected in 1H 2022*; Add’l preclinical data at SABCS (Dec 2021) RLY-2608 (PI3KαPAN) Expansion cohorts open by 2021 year end; Additional data update expected in 2022 RLY-4008 (FGFR2) Next target to be disclosed in 1H 2022 Next target in pipeline GDC-6036 (KRAS G12C) combo trial initiated in July 2021 RLY-1971 (SHP2) Innovators Challengers Continued expansion of pipeline scope and scale *Subject to submission and acceptance of IND by the FDA
