EX-99.2 3 tm258686d1_ex99-2.htm EXHIBIT 99.2

Exhibit 99.2

 

1 ESK - 001, a Highly S elective O ral TYK2 Inhibitor : 52 - Week Phase 2 Study Results In Moderate - to - Severe Plaque Psoriasis Andrew Blauvelt 1 , Shahram Jacobs 2 , Michael Bukhalo 3 , Howard Sofe n 4 , Elisa Muscianisi 5 , Grace Ma 5 , Gabriel Lau 5 , Michelle Bettinger 5 , Roman G. Rubio 5 , Elena Hitraya 5 , and Kim Papp 6 1 Blauvelt Consulting LLC, Annapolis, MD , USA ; 2 Unison Clinical Trials, Sherman Oaks, CA , USA ; 3 David Geffen UCLA School of Medicine, Division of Dermatology, Los Angeles, CA, USA; 4 Arlington Dermatology, Rolling Meadows, IL, USA ; 5 Alumis Inc., South San Francisco, CA, USA; 6 Probity Medical Research, Waterloo, ON, Canada .

〉 AbbVie: Advisory Board, Investigator 〉 Acelyrin : Investigator 〉 Almirall: Advisory Board, Investigator 〉 Alumis : Advisory Board, Investigator 〉 Amgen: Advisory Board, Investigator 〉 Anaptysbio : Advisory Board 〉 Apogee: Advisory Board 〉 Arcutis : Advisory Board , Investigator 〉 Boehringer Ingelheim: Advisory Board, Investigator 〉 Bristol - Myers Squibb: Advisory Board, Investigator 〉 Celltrion: Advisory Boar d 〉 Corvus: Advisory Board 〉 Dermavant Sciences: Advisory Board , Investigator 〉 Eli Lilly and Company: Advisory Board, Investigator, Speaker 〉 Galderma: Advisory Board, Investigator 〉 GlaxoSmithKline : Advisory Board 2 Disclosure of relationships with industry Andrew Blauvelt, MD, MBA Late Breaking Research: Session 1 〉 Immunovant : Advisory Board 〉 Incyte Corporation: Advisory Board, Investigator 〉 IQVIA: Advisory Board 〉 Janssen Pharmaceuticals: Advisory Board, Investigator 〉 Leo Pharma: Advisory Board, Investigator 〉 Lipidio : Advisory Board, Stock Owner 〉 Merck Serono: Advisory Board, Investigator 〉 Novartis: Advisory Board, Investigator 〉 Oruka : Advisory Board, Stock Owner 〉 Paragon: Advisory Board 〉 Pfizer: Advisory Board, Investigator 〉 Regeneron: Advisory Board , Investigator 〉 Sanofi: Advisory Board, Investigator 〉 Spherix Global Insights: Advisory Board 〉 Sun Pharmaceutical Industries: Advisory Board, Investigator 〉 Syncona : Advisory Board 〉 Takeda Pharmaceuticals: Advisory Board, Investigator 〉 UCB: Advisory Board, Investigator , Speaker 〉 Union: Advisory Board 〉 No patient care recommendations are made

3 ESK - 001: a potent and selective oral allosteric TYK 2 inhibitor designed to achieve durable maximal target inhibition for 24 hours ESK - 001, a highly selective allosteric TYK2 inhibitor 〉 Intrinsic TYK2 selectivity to JH2 domain allows maximal target engagement and avoids classic JAK inhibitor liabilities ESK - 001 Kinase active JH1 domain Allosteric binding JH2 domain TYK2 ESK - 001 Phase 1 Multidose Healthy Volunteers Study PK measurements taken at trough (i . e ., at steady state ) prior to next dose IFN α stimulated human whole blood IC50 and IC90 (dotted lines) ESK - 001 maintained IC90 coverage at trough with 40 mg BID dosing ESK - 001 Mean Concentrations (ng/mL) Study Day 10 mg QD 20 mg QD 20 mg BID 30 mg BID 40 mg BID 60 mg QD Robust PK/PD relationship guided selection of Phase 2 doses 〉 Maximal target inhibition achieved at highest clinical dose ( 40 mg BID ) 〉 Maintained across 24 hour - dosing period ESK - 001 is an investigational product, and its safety and efficacy has not yet been established by any Regulatory Agency IB Version 6.0, 23 September 2024 No food effect nor drug - drug interactions

4 STRIDE Study: ESK - 001 dose - dependent response, with 40 mg BID demonstrating highest response (also reflected by blood/skin biomarkers) * PASI - 75 0.0 19.4 33.3 56.4 56.4 64.1 0 10 20 30 40 50 60 70 80 90 100 *** *** *** *** ** Proportion of Patients with Response (%) N 39 36 36 39 39 38 Primary endpoint at Week 12 ESK - 001 inhibition of Type 1 IFN gene signature* ESK - 001 reduced skin inflammatory markers to unaffected skin levels Blood and Skin Biomarkers 4 *p<0.05; **p< 0.005; ***p<0.001. P - value: Proportion of responders of each active arm vs placebo. Missing data wa s imputed based on n on - responder imputation (NRI). *In blood by RNA - seq from STRIDE psoriasis study ; blood sampled at baseline and pre - dose (trough) at W eek s 2 & 12 . 40 mg BID 20 mg BID 40mg QD 20 mg QD 10 mg QD Placebo Timepoints: Baseline nonlesional (Unaffected skin), baseline lesional (Affected skin), Week 12 lesional (ESK - 001 Rx).

5 OLE Study: thorough dose selection to identify maximum benefit/risk for evaluation of long - term safety/efficacy of ESK - 001 OLE Study - Study Design Elements 〉 95% of eligible STRIDE patients rolled over to OLE study 〉 Two highest dose arms from STRIDE , 40 mg QD and 40 mg BID, with QD patients switching to 40 mg BID arm after Week 28** 〉 Primary objective: to assess the long - term safety and tolerability of ESK - 001 〉 Secondary objectives: to evaluate long - term efficacy of ESK - 001 (changes in skin and PROs), clinical response, and PK *1 patient in the original 40 mg BID arm was not dosed . **Upon clear identification of most beneficial dose (Week 28 cut), 40 mg QD patients switched to 40 mg BID arm between Weeks 40 and 64 . 5 Primary endpoint Wk 12 STRIDE Wk 16/ Day 1 OLE STRIDE Phase 2 Study Patient Screening + Treatment Assignment Baseline Open Label Extension (OLE) Study Wk 8 Wk 2 Wk 4 Wk 12 Wk 16 End of Study Quarterly visits ( ongoing ) Wk 28 4 - week Safety Follow - up Double - b linded Period ESK - 001 10 mg QD (N=36) ESK - 001 20 mg QD (N=36) ESK - 001 40 mg QD (N=39) ESK - 001 20 mg BID (N=39) ESK - 001 40 mg BID (N=39) Placebo (N=38) Wk 52 ESK - 001 40 mg BID (N=83*) ESK - 001 40 mg QD (N=82) OLE Dose STRIDE Ph2 Dose 40mg BID 40 mg QD 9 (11%) 17 (21%) Placebo 30 (37%) 10 mg QD 26 (32%) 20 mg QD 30 (36%) 20 mg BID 17 (21%) 9 (11%) 40 mg QD 27 (33%) 40 mg BID Dose Assignment from STRIDE to OLE

6 OLE demographics and baseline disease characteristics were well - balanced across study arms Overall (N=165) ESK - 001 40 mg BID*​ (N=83**)​ ESK - 001 40 mg QD (N=82) 49.2 (12.4) 50.8 (12.1) ​ 47.5 (12.7)​ Age (years), mean (SD) ​ 117 (70.9) 61 (73.5) ​ 56 (68.3)​ Male, n (%)​ 133 (80.6) 11 (6.7) 6 (3.6) 15 (9.1) 70 (84.3)​ 4 (4.8)​ 1 (1.2)​ 8 (9.6)​ 63 (76.8)​ 7 (8.5)​ 5 (6.1)​ 7 (8.5)​ Race, n (%)​ White ​ Asian ​ Black/African American ​ Other​/not reported 32.4 (8.12) 31.7 (7.4)​ 33.1 (8.8)​ BMI (kg/m 2 ), mean (SD)​ 19.8 (13.0) 22.3 (14.3) ​ 17.2 (10.9)​ Psoriasis duration (years), mean (SD)​ 80 (48.5) 42 (50.6)​ 38 (46.3)​ Previously exposed to biologics or JAK inhibitors, n (%)​ 8.5 (7.2) 6.8 (7.0) ​ 10.2 (7.2)​ PASI, mean (SD)​ 62 (37.6) 19 (11.5) 0 ​ 23 (27.7) ​ 7 (8.4)​ 0​ ​ 39 (47.6)​ 12 (14.6)​ 0 ​ sPGA score, n (%)​ 3 (moderate) ​ 4 (marked) ​ 5 (severe) ​ 10.8 (12.5) 8.7 (11.1)​ 12.9 (13.4)​ BSA involvement (%), mean​ (SD) Data are based on the intention - to - treat analysis population and present OLE baseline data. *Based on original dose assignment at start of OLE; **1 patient in the original 40 mg BID arm was not dosed. BMI, body mass index; PASI, Psoriasis Area and Severity Index; sPGA , static Physician’s Global Assessment; BSA, body surface area.

7 OLE Safety profile of ESK - 001: no significant safety findings throughout 52 weeks Overall (N=164) ESK - 001 40 mg BID* (N=147) ESK - 001 40 mg QD (N=82) EAIR n (%) EAIR n (%) EAIR n (%) 108.18 108 (66) 102.33 73 (50) 122.76 50 (61) Subjects with ≥ 1 TEAE 3.29 6 (4) 3.39 4 (3) 3.10 2 (2) Subjects with ≥ 1 TE SAE 1 15.70 26 (16) 13.83 15 (10) 20.19 12 (15) Subjects with TEAE related to study drug 2.17 4 (2) 1.67 2 (1) 3.10 2 (2) Subjects with SAE related to study drug - 0 - 0 - 0 Subjects with TEAE leading to death 3.26 6 (4) 4.19 5 (3) 1.55 1 (1) Subjects with TEAE leading to study drug discontinuation 2 4.42 8 (5) 5.12 6 (4) 4.66 3 (4) Subjects with TEAE ≥ Grade 3 8.09 9.20 5.71 6.17 14 (9) 16 (10) 10 (6) 11 (7) 5.15 11.66 4.28 6.88 6 (4) 13 (9) 5 (3) 8 (5) 16 . 88 4.71 8.28 4.74 10 (12) 3 (4) 5 (6) 3 (4) Most frequent TEAEs (≥5% in any treatment group) Nasopharyngitis Upper respiratory tract infection Headache COVID - 19 Data are based on the safety analysis population (all treated patients). Safety data displayed are based on 06 SEP 2024 data cut of ongoing OLE study. *Includes subjects who were randomized to ESK - 001 40 mg BID from the start of OLE and who switched from 40 mg QD to 40 mg BID. 1 TE SAE: inflammatory arthritis, asthma exacerbation, cellulitis, peritonsillar abscess, septic shock, sepsis, non - small cell lung carcinoma, renal ce ll carcinoma. 2 40 mg QD: non - small cell lung carcinoma ; 40 mg BID: dyspepsia, hypersensitivity, osteomyelitis, pruritus, renal cell carcinoma. TEAE, treatment - emergent adverse event; SAE, serious adverse event; EAIR, exposure - adjusted incidence rate per 100 patient years .

0 20 40 60 80 100 Baseline STRIDE W12 Day 1 W2 W4 W8 W12 W16 W28 W40 W52 Patients with R esponse (%) PASI-75 (40 mg BID) PASI-90 (40 mg BID) PASI-100 (40 mg BID) 53.7 24.4 11.0 46.3 23.2 6.1 82.7 63.0 30.9 77.5 38.8 61.3 Washout STRIDE OLE 8 ESK - 001 response over 52 weeks of treatment: increasing PASI - 90 and PASI - 100 responses over time ( mNRI *) 40 mg BID includes only patients originally assigned to 40 mg BID at the start of OLE * mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF (i.e., last observation carried forward). NUMBER OF SUBJECTS 80 82 81 81 82 82 81 76 82 82 82 40 mg BID

0 20 40 60 80 100 Baseline STRIDE W12 Day 1 W2 W4 W8 W12 W16 W28 W40 W52 Patients with R esponse (%) PASI-75 (40 mg QD) PASI-90 (40 mg QD) PASI-100 (40 mg QD) PASI-75 (40 mg BID) PASI-90 (40 mg BID) PASI-100 (40 mg BID) - - 80 80 81 81 81 79 81 82 82 80 82 81 81 82 82 81 76 82 82 82 1 Patients switched from 40 mg QD to BID at Week 40 and onwards. A s a result, the QD series are plotted up to Week 28 only. 40 mg QD 40 mg BID * mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF (i.e., last observation carried forward). NUMBER OF SUBJECTS 25.6 4.9 1.2 19.8 6.2 1.2 67.5 45.0 18.8 53.7 24.4 11.0 46.3 23.2 6.1 82.7 63.0 30.9 77.5 38.8 61.3 Washout STRIDE OLE 1 9 ESK - 001 response over 52 weeks of treatment: increasing PASI - 90 and PASI - 100 responses over time ( mNRI *) 40 mg BID includes only patients originally assigned to 40 mg BID at the start of OLE

0 20 40 60 80 100 Baseline STRIDE W12 Day 1 W2 W4 W8 W12 W16 W28 W40 W52 Patients with R esponse (%) sPGA 0 (40 mg QD) sPGA 0/1 (40 mg QD) sPGA 0 (40 mg BID) sPGA 0/1 (40 mg BID) 10 ESK - 001 response over 52 weeks of treatment: increasing sPGA 0 and 0/1 responses over time ( mNRI *) Washout STRIDE OLE 1 - - 80 80 81 81 81 78 81 82 82 80 82 81 81 82 82 81 76 80 82 82 40 mg QD 40 mg BID NUMBER OF SUBJECTS 61.3 38.8 25.6 51.2 38.8 13.6 67.9 51.3 11.0 2.4 6.3 1.2 18.8 34.6 1 Patients switched from 40 mg QD to BID at Week 40 and onwards. A s a result, the QD series are plotted up to Week 28 only. * mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF ( ie , last observation carried forward). 40 mg BID includes only patients originally assigned to 40 mg BID at the start of OLE

11 Of the original OLE 40 mg BID, 62% patients showed continued improvement in PASI response at Week 52 compared to Week 12 *Of the 18 non - responders at Week 52, 11 discontinued study early. mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF (i.e., last observation carried forward). n = 38 n = 24 n = 11 n = 9 n = 18 n = 13 n = 18 n = 31 n = 2 * STRIDE Study Week 12 OLE Study Week 52 40 mg BID includes only patients originally assigned to 40 mg BID at the start of OLE Shift of patients from STRIDE at Week 12 who showed IMPROVEMENT in PASI response

n = 38 n = 24 n = 11 n = 9 n = 18 n = 13 n = 18 n = 31 * STRIDE Study Week 12 OLE Study Week 52 Shift of patients from STRIDE at Week 12 who showed IMPROVEMENT in PASI response Of the original OLE 40 mg BID, 80 % of ≥PASI - 75 responders in STRIDE main tain ed their ≥PASI - 75 response at Week 52 12 40 mg BID includes only patients originally assigned to 40 mg BID at the start of OLE *Of the 18 non - responders at Week 52, 11 discontinued study early. mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF (i.e., last observation carried forward). Shift of patients with ≥ PASI - 75 from STRIDE at Week 12 who MAINTAINED ≥ PASI - 75 response n = 2

Based on the modified intention - to - treat analysis population. mNRI analysis: if patient discontinued due to AE or inadequate response, then imputed as a non - responder; if discontinued for other reasons, then imputed using LOCF (i.e., last observation carried forward). DLQI, Dermatology Life Quality Index; NRS, numerical rating scale. 13 Patient - reported outcomes throughout Week 52 for original 40 mg BID 58.5 61.3 0 20 40 60 80 100 Proportion of Patients (%) DLQI 0/1 73.2 81.3 0 20 40 60 80 100 Proportion of Patients (%) Average pruritus NRS score <4 STRIDE W12 (N=82) OLE W52 (N=80) Robust and rapid improvements in quality of life and control of itch maintained over time STRIDE W12 (N=82) OLE W52 (N=80)

14 ESK - 001 OLE: 52 - week summary and conclusions Safety summary 〉 ESK - 001 (40 mg BID) remained generally safe and well - tolerated over 52 weeks; majority of TEAEs were mild - to - moderate in severity and self - limited; no safety signals to date Efficacy summary 〉 40 mg BID patients showed high levels of response throughout the study 〉 PASI - 75 (77.5%), PASI - 90 (61.3%) and PASI - 100 (38.8%) ( mNRI ) scores at Week 52 〉 80% of ≥ PASI - 75 responders at Week 12 in STRIDE maintained or improved their response at Week 52; 62% improved response over 52 weeks of treatment 〉 Rapid and sustained improvement in DLQI 0/1 and itch ESK - 001 pivotal program status 〉 ONWARD Phase 3 development program in plaque psoriasis ongoing, with over 600 patients enrolled to date 〉 Modified release (once daily) formulation development ongoing