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BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS MARCH 24, 2014 P AGE A17 OF 26 Emerging Company Profile Bullet: Idiotype builder By Michael Flanagan Senior Writer Bullet Biotechnology Inc. is using new sequencing and manufacturing methods to develop an idiotype cancer vaccine that it anticipates will be more effective than first-generation products. President and CEO Willie Quinn said the first wave of idiotype vaccines established proof of principle by showing that an epitope lifted from the clonal immunoglobulin region of a patient’s malignant B cells can be reintroduced along with an immune stimulator and engender an immune response against the cancerous cells. He thinks products like Genitope Corp.’s MyVax lymphoma vaccine never made it across the finish line for two main reasons — they were tested in the wrong patients and did not always generate an immune response due to poor conjugation. MyVax was an autologous idiotype protein coupled to keyhole limpet hemocyanin carrier protein (KLH) given with GM-CSF. It failed a Phase III trial to treat follicular non-Hodgkin’s lymphoma (NHL) in 2007, and Genitope went out of business the following year. “The first vaccines were treating patients who had received chemotherapy or Rituxan, which do a lot of damage to the immune system,” making them poor candidates for products designed to work by stimulating an immune response, said Quinn. He noted the first-generation vaccines took six to nine months to prepare, which likely played a role in the decision to test them after patients had undergone treatment with chemotherapy or Rituxan. He also believes the 33-40% response rates reported in the literature for the first-generation products were likely a result of inadvertent changes to the epitope structure during the conjugation process, which resulted in diminished immune stimulation. Quinn thinks Bullet can overcome the problems of laborious production cycles and poor epitope expression through use of new manufacturing and sequencing technologies. Bullet Biotechnology Inc. Menlo Park, Calif. Technology: Active immunotherapies consisting of virus-like particles combined with antigens and immune stimulants Disease focus: Cancer Clinical status: Preclinical Founded: 2011 by Willie Quinn and Thomas Theriault; James Swartz and Diego Fonstad University collaborators: Stanford University Corporate partners: Aragen Bioscience Inc. and Applied Immunology Inc. Number of employees: 2 Funds raised: $2.5 million Investors: Individual investors CEO: Willie Quinn Patents: None issued The company uses next-generation sequencing to identify the idiotype epitope from hundreds of thousands of B cells. The epitope then is conjugated without modification to a synthetic virus-like particle plasmid that triggers an adaptive immune response. Bullet is not disclosing many details about the design of its vaccine, though Quinn said toll-like receptor (TLR) ligands on the outside of the product help engage the innate immune system. Lead vaccine BB-001 is being tested in in vitro and in vivo models of lymphoma. Quinn said unpublished data show the compound significantly improved eventfree survival vs. first-generation KLH-based vaccines in a mouse model of lymphoma. Importantly, Quinn said the company will be able to manufacture an entire sixmonth course of monthly therapy of BB001 from a fraction of a single blood draw. “Our manufacturing process takes less than a month,” he said. Quinn also said Bullet’s product should not be significantly more expensive than a small molecule. “We will not struggle with issues on cost of goods or cumbersome manufacturing and distribution processes,” he said, adding that the company’s vaccines will be stable at room temperature. Bullet’s plan is to move BB-001 into the clinic for chronic lymphocytic leukemia (CLL) and NHL in 2015. “The key will be showing it is safe enough to test in front-line patients or, if not there, then just behind it with kinase inhibitors as part of a cytoreductive therapy,” Quinn said. Indeed, Quinn thinks BB-001 will be complementary to kinase inhibitors like Imbruvica ibrutinib as well other immune stimulating agents, such as agents that target checkpoint targets like programmed cell death 1 (PDCD1; PD-1; CD279) or CTLA-4 (CD152). Pharmacyclics Inc. and Johnson & Johnson market Imbruvica, a Bruton’s tyrosine kinase (Btk) inhibitor, for CLL and mantle cell lymphoma (MCL). Bullet raised $2.5 million in two tranches of a series A round that closed last summer. The company is using a virtual model with minimal infrastructure and has enlisted Aragen Bioscience Inc. to conduct the preclinical mouse studies and Applied Immunology Inc. to handle the peripheral blood processing. Quinn expects Bullet to raise $5-$15 million in a series B round this year. Rituxan rituximab is marketed by Biogen Idec Inc. and Roche’s Genentech Inc. unit. COMPANIES AND INSTITUTIONS MENTIONED Applied Immunology Inc., Menlo Park, Calif. Aragen Bioscience Inc., Morgan Hill, Calif. Biogen Idec Inc. (NASDAQ:BIIB), Weston, Mass. Bullet Biotechnology Inc., Menlo Park, Calif. Genentech Inc., South San Francisco, Calif. Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. Pharmacyclics Inc. (NASDAQ:PCYC), Sunnyvale, Calif. Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland Stay Alert with BioCentury: A Custom Publications Alert Service