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Officers

Gene therapy…

Can this change the course of today’s diseases?

 

Biotechnology & Drugs, Sector: Healthcare, NASD: TGEN

Targeted Genetics Corp.

1100 Olive Way, Suite 100, Seattle, WA  98101, Phone No. 206-623-7612

Ms. H. Steward Parker, President/CEO

Interview conducted by: Walter Banks, Co-Publisher

CEOCFOinterviews.com, December 2000

 

President & CEO’s introduction and history:

I have been a member of the biotechnology community for many years now.  I was the first employee of another biotech company, Immunex Corp., which is now a leading biopharmaceutical company. I worked at that company for ten years, which allowed me to manage various functions of the company as we grew and take on a lot of different responsibilities. I focused most of my career there on corporate development, business planning, and strategic planning.  Most of early stage biotech development involves turning chaos into order, which is how I like to talk about it.  So, building companies in the biotechnology field is really what I’ve been able to do.  We spun Targeted Genetics out of Immunex in 1992.  Since then we have grown from a core group of about four people to a company of about 150 employees now.  

Ceocfointerviews: Can you please explain Targeted in terms that the average investor would understand?

Ms. Parker: There has been a lot of press on the race to define the human genome, and a lot of publicity about the role that genes play as the basic instruction codes for your body.  The public is developing a greater appreciation for how genes control so many different functions in the body, everything from how you look to how you behave, and to how your body functions in terms of physical activity and health.  What Targeted Genetics is trying to do is take advantage of that genetic information and harness it’s power to create therapeutics either for genetic diseases -diseases where you have a defective or missing gene and therefore the body is unable to perform a necessary function- or for diseases that are acquired, such as cancer or infectious diseases.   You can actually harness the power of genes to treat both classes of disease.  Our focus at Targeted Genetics is not on discovering new genes, which is an area in which there are a number of established players. Rather, we work on making improved delivery systems for getting genes into cells.  With gene therapy we can actually introduce new genes into cells and the cells now read new genetic information as if it were their original information.  Then they can read the new instruction code and produce the new proteins, the ones that weren’t being produced before, which then result in a therapeutic effect.   So what we work on are gene delivery systems that get that new genetic information into cells.  We have a number of different delivery systems in our technology portfolio, and that allows us to introduce genes into a number of different types of target cells.   Because each cell in your body is different and has differing characteristics, you’re going to need a different type of vehicle to treat different types of diseases.  So, in a broad sense, we are working on new therapies for acquired and inherited diseases and in the process, are capitalizing on genomics information to create new therapeutic product opportunities. 

Ceocfointerviews: Which would you like to focus on, your systems or your products?

Ms. Parker: We need the systems to make the products. What we’re really all about is making therapeutic products.  We want to be able to treat diseases that people can’t treat right now.  We have two products currently in clinical trials.  One is a treatment for cystic fibrosis, or CF, which is one of the most common gene deficiencies and affects about 60,000 patients worldwide.   It’s a defect in cells within the lung and this defect ultimately leads to lung failure.  The average age of mortality is about 31, so it’s a very serious disease.  What we’re doing in our CF program is introducing a normal copy of the gene that is defective, and we’re using a delivery system that can be administered via inhalation as an aerosol formulation. Once the inhalation process takes place, the gene is taken up into the target cells and expressed.  We’re just beginning Phase II clinical trials in that area and that’s going to be very exciting for us over the next year. 

Ceocfointerviews: Does that drug have a name?

Ms Parker: It is called tgAAV-CF.

Ceocfointerviews: How did the clinical trials go?

Ms. Parker: The trials are ongoing, but so far we have treated over 70 patients and we’ve seen absolutely no side effects related to the drug.  We’ve had evidence of very good gene transfer, so we know that the genes are getting into the right types of cells.  We are just now beginning to look at the classic efficacy measurements that you want to look at: how efficiently the lungs are functioning, reduction in the need for antibiotics, reduction in infections, things like that.  We’ve found some evidence that shows that we are getting some functional correction at a molecular level, but that’s not classical efficacy measurements at this point. It’s a hint that something good is happening but we are just beginning to measure the classic efficacy endpoints.

Ceocfointerviews: Are we talking about a cure or an improvement of living?

Ms. Parker: Currently there’s no treatment that addresses the underlying disease and available therapies only treat the symptoms. What we can envision is a therapy where a patient could go to a cystic fibrosis treatment center, have the inhalation therapy, go his or her way for a month or, potentially, several months without actually having any problems with the disease.  This would occur because the lungs would have taken up the gene, and the gene would be functioning in a normal way in the cells as long as those cells are alive.  When the cells die off we lose the gene function, so we’ll have to reintroduce the therapy periodically, but it shouldn’t be that often and it may result in a situation where the patient is, in effect, cured over a long period of time. 

Ceocfointerviews: Is this for use regardless of the age of the patient or is it for a certain age group?

Ms. Parker: We intend to target younger and younger patients for several reasons, but this doesn’t mean that older patients would not benefit from it.  CF is a progressive disease.  Individuals with CF have normal lungs when they are born, but over time the lungs become scarred and damaged.  tgAAV-CF may help to prevent this damage from occurring by providing the normal function of the CFTR gene, but it can’t reverse the damage that has already been done in the cystic fibrosis setting.  As patients get older, there is an increase in lung damage and we can’t reverse that.  So we believe that our best approach may be to treat patients before they develop lung damage, in which case we may be able to keep their lungs fresh and healthy.  We also may be able to prevent any more damage from occurring in patients who already have demonstrated signs of disease.

We also have a cancer product that is in clinical trials.  We are in Phase I studies for the treatment of Ovarian Cancer and shortly will be starting a Phase II study in head and neck cancer.  This product uses a completely different gene and a completely different delivery system from our cystic fibrosis product.  This opportunity is one that we are also very excited about.  So far, we’ve been able to see some partial responses and one complete response in the head and neck clinical trials that we’ve conducted.   We’ve also seen some promising results in ovarian cancer, and we currently have a Phase I study ongoing that combines our cancer product, called tgDCC-E1A, with chemotherapy. 

Ceocfointerviews: Are there any risks at all to the patient in gene therapy?   I mean because there is a difference in taking a naturally produced medicine as opposed to chemotherapy, what’s the difference or risk factor to a cancer patient who is taking something or looking for some-     thing that isn’t going to throw their whole system out of whack?

Ms. Parker: I would answer that by saying that with every therapy that mankind develops to treat disease, there is a cost benefit profile.  Look at the chemotherapeutic agents and the serious side effects that occur from chemotherapy but they’re worth the costs in terms of side effects because they can, in some cases, cure cancer.  In gene therapy the genes are naturally occurring so we don’t expect that there will be these sorts of issues.  However, the challenge comes with selecting the right gene and then using the right delivery system for the right target cell.  Just to illustrate that, there have been cases of side effects with one particular gene delivery system, one that Targeted Genetics does not use to a significant degree, that is based on the adenovirus.  This is a naturally occurring virus and it delivers genetic information into cells very efficiently. So this system, known as an adenoviral vector, would seem to have a lot of potential as a gene delivery system. But your body is designed to recognize this virus as a pathogen, so when you use an adenoviral vector as a gene delivery system it often causes an immune response to the delivery system and that, in turn, can cause some fairly significant side effects. So you have to be very careful about which delivery system you are using for a specific disease and try to match the properties of the vector with the therapeutic requirements for treating that disease.  In the case of these adenoviral vectors, they’re probably very useful for a disease such as cancer, in which case stimulating an immune response to cells that have been infected with the virus might help speed the process by which cancer cells are destroyed. 

Ceocfointerviews: Is this the drug that you’re working with?

Ms. Parker: Well, we do have a program involving adenoviral vectors and it is focused on cancer and is part of our collaboration with Biogen.  We have a number of gene delivery systems that we can use, and that is one of our most significant strategic differences from our competitors. With access to multiple delivery systems, we can pick the right system for the right disease, which should enable us to develop effective therapies and maximize our market opportunities.  

Ceocfointerviews: Before we leave these two products, is there any competition in this area of technology, to put it into play before someone else does?  What is the competitive nature of this and how do you feel that your company is ahead of the competition in delivering and developing this?

Ms. Parker: In the product areas we always have competition and you’re probably not doing anything interesting if you don’t have competition. That said, in the case of cystic fibrosis I think we definitely have a lead in terms of the competitive position.  Other companies in the gene therapy field have attempted to work in the cystic fibrosis field but they’ve used the wrong delivery systems.  They’ve either used these adenoviral vectors which, as I mentioned, can cause an undesirable immune response, or they’ve used systems that are non-viral based but result in a very short period in which the protein is functioning.  So with the non-viral system you have to dose fairly often and that’s not going to be very cost effective or patient friendly.  So we have a system, called “adeno-associated viral vectors” or AAV, and it has two characteristics that are very important: It expresses genes for long periods of time so you may be able to dose patients once every few months, and it also is very safe. AAV is a naturally occurring virus but it is not known to cause any disease in humans.   We don’t really now why it exists other than to be used for a gene delivery system.  So it’s very safe and, as I’ve said, we’ve never seen any side effects, while at the same time these vectors express genetic information for a long period of time.  So with that combination we believe it is the right vector for cystic fibrosis and for other chronic diseases which are going to require treatment over long periods of time. 

Ceocfointerviews: In cystic fibrosis, does this gene therapy have a major affect on the chronic inflammation that occurs?

Ms. Parker: We’ve been able to show that we can reduce the production of a hormone that causes the inflammatory response.  This is a protein called IL-8 and we’ve been able to show that we can reduce the presence of IL-8 when the drug is used.   We think this decrease in IL-8 means that we may be able to reduce the inflammatory response, which in turn may reduce or prevent lung damage. That’s something about which we are very excited. 

Ceocfointerviews: These are your two products that we spoke about, the one for the cystic fibrosis and the one for the cancer are they the closest to market?

Ms. Parker: They are indeed. 

Ceocfointerviews: Can you give a time period of when you think they might be going to market?

Ms. Parker: It will really be a function of how well the next trials go.   I think we’ll have a much better sense of that in 2001.  We’re in Phase II clinical trials in both areas and if the data from these studies look good then we may be able to move things along very quickly. 

Ceocfointerviews: Than you might enter Phase III in 2001?

Ms. Parker: It’s possible that we may enter pivotal studies in late 2001 or the first part of 2002. 

Ceocfointerviews: What is your plan for commercialization? 

Ms. Parker: Our early products are products that will be partnered and we will not market these products ourselves.  It is part of our strategy for the long term to take products through to product registration and approval and marketing, but I think that is something that biotech companies have to be very careful about.  The tremendous resources that are required to do that and the tremendous distraction that comes with building the sales and marketing force should not be taken lightly.  Our strategy is to build a solid product base, initially with products that are partnered. We have a number of partnerships now.

Ceocfointerviews: Ok before you get into that I just want to ask you something...do you have any alliances or partners that you have spoke with on the two products that we have spoken about previously?

Ms. Parker: The cystic fibrosis product is partnered with Celltech Group plc, which is a pharmaceutical company based in the UK.  The cancer product is not partnered, and we’ve decided to take that further in development to acquire some additional clinical data, which should help raise the value of that product before we partner it. 

Ceocfointerviews: Let’s talk about the newer product that you mentioned to me earlier. 

Ms. Parker: The new partnership for one of our new programs, again using the AAV delivery system, is with the Genetics Institute, which is a subsidiary of American Home Products Corporation.  We’re really excited about it because, although we have competition in the hemophilia field in gene therapy, American Home Products, selected Targeted Genetics as its partner of choice in this area.  Genetics Institute was the first to develop recombinant protein replacement therapies for hemophilia, so this is a market with which they are intimately familiar and in which they already have proven themselves to be innovators.  We view their selection of Targeted Genetics as their partner for expanding their franchise in hemophilia therapies as an important validation of our underlying gene delivery technologies and our expertise in product development and manufacturing.

Ceocfointerviews: Why do you feel they picked you?

Ms. Parker: I think because of our expertise in this AAV arena.  We have significant intellectual property and capabilities for making large amounts of products in a very cost-effective way.  We’ve really tried to approach the manufacturing and scale up of these delivery systems like a classic pharmaceutical company would.  So what we’re doing in this area is trying to make sure that people in the pharmaceutical industry can see what we’re doing, understand it and appreciate it.  We’ve use proprietary manufacturing techniques and we have a well-developed infrastructure in place in this area. This is important because in the area of AAV development no one else can do what we can do.  We’ve gotten a lot more attention from pharmaceutical companies who are looking for people who can make cost-effective products and that’s something at which we excel.  This is a 3-year research partnership that is structured to create new products for the treatment of factor VIII deficiency, which causes hemophilia A, a blood clotting disorder.  We may collaborate in the area of factor IX deficiency as well.  Factor IX deficiency causes another blood clotting disorder known as hemophilia B. 

Ceocfointerviews: What is it that American Homes Products does in this agreement?

Ms. Parker: They will fund the research at Targeted Genetics Corporation.   We received $5 million dollars up front and we’ll receive up to $15 million dollars over three years in research funding.   Then Genetics Institute and AHP are responsible for managing the clinical trials and the regulatory interactions with the FDA related to the clinical development of the product. Ultimately they will be responsible for marketing and selling the product.  We’ll be responsible for manufacturing it, which is important, because it provides a mechanism by which we can derive long-term revenue from the collaboration. 

Ceocfointerviews: In manufacturing it, would you have to set up a different plant for that?

Ms. Parker: We are now expanding out our existing manufacturing capabilities at our facility in Seattle and we will be breaking ground in 2001 for a much larger manufacturing facility which will allow us to manufacture product at the 2000 liter scale.   Our ability to scale-up manufacturing in a cost-effective manner should enable us to meet demand for products.

Ceocfointerviews:  When this product finally reaches the market, you will receive revenues from obviously the manufacturing, am I correct?

Ms. Parker: That’s right, what we have built in is a supply agreement which gives us a very nice double digit fixed percentage of sales as a payment for manufacturing and inherently built in royalties. 

Ceocfointerviews: How many products do you have in the pipeline, currently?

Ms. Parker: Probably 5 additional preclinical products. One is another cancer therapy, which is being developed for the treatment of metastatic disease, the types of cancer that are spread throughout the body.  We have a delivery system that localizes to tumor cells when it is delivered intravenously.  This is something that has not been achieved with any other delivery system, as far as we know, so we’re very excited about it. We have another product for the treatment of rheumatoid arthritis, which also is in preclinical studies.  We’ve been able to show that we can really have an impact in animal studies on the swelling of the joints that occurs from rheumatoid arthritis. 

Ceocfointerviews: What is the name of this product?

Ms. Parker: It’s called tgAAV-TNFR:Fc. 

Ceocfointerviews:  And the cancer product’s name?

Ms. Parker:  Well, the cancer product that I just mentioned is called tgLPD-E1A.  That is the metastatic cancer disease product.  The rheumatoid arthritis product is called tgAAV-TNFR:Fc.  Then we have the Factor VIII product, which, as I mentioned, is the subject of our collaboration with American Home Products, and that also, is in preclinical studies.  We have another product for the treatment of hyperlipidemia.  It’s actually in the earlier stages of research and development, so I’m not going to say much about it at this time. We’ve got a lot on our plate right now for a company our size. 

Ceocfointerviews:  What about the partnership with Elan

Ms. Parker:  That’s a research partnership, one that we are really excited about, and it’s a joint venture called “Emerald Gene Systems”.  The focus of the collaboration is on marrying our gene delivery technology with Elan’s drug delivery technology and coming up with different ways to deliver genes in an enhanced fashion.   The types of systems we are looking at, for example, are ones that might be useful for oral gene delivery or more targeted delivery to specific cell types. We’re in the second year of a three-year research partnership and we are mixing and matching various components of each company’s technologies.   We’re now getting some systems that are looking very exciting, and I think we’ll have more to say about that in the next year. 

Ceocfointerviews:  What about T cell expansion technology?

Ms. Parker:  The T-cell expansion technology is the subject of a news announcement that we made recently.  We announced that we are forming a subsidiary of Targeted Genetics, called CellExSys, and we’re planning to spin out the T-cell expansion technology into the new company and have that company focus on ex vivo cell therapy for the treatment of infectious diseases and cancers.  Having put together the subsidiary, our plan is to do some additional preclinical work in various areas, with the goal of doing a private financing for CellExSys in 2001.

Ceocfointerviews:  What’s the goal of T-cell expansion technology, can you tell us just a little bit about it?

Ms. Parker:  Our proprietary technology in this area is a technology for growing large numbers of antigen specific T cells.  These are the T cells that occur in your body naturally and that are your body’s major weapon for fighting off infectious diseases and cancers.  The problem is that in some diseases there just aren’t enough of them in the body and your body is overwhelmed, with infectious agents for example, and the T cells just can’t respond in a reasonable amount of time to prevent the spread of the infection.  What we’ve been able to do is develop technology to isolate these T cells and then grow them very rapidly into large numbers of cells, even millions and billions of cells and then reinfuse them into the body.  When these cells are reinfused, every single one of them will go seek out the infected cell or cancer cell and destroy it.  It’s a very specific interaction and we have seen very few side effects. The proprietary process also allows us to grow these cells in a very cost-effective manner, which is what will enable this technology to be the basis of commercial products.  Some of the other approaches being evaluated by others in this area seem to work well at the laboratory scale but are unwieldy and expensive to scale up.

Ceocfointerviews:  Is that gene therapy

Ms. Parker:  No it’s cell therapy

Ceocfointerviews: What made you decide to spin it off and what are going to be the benefits of it long term

Ms. Parker:  Well as Targeted Genetics has evolved we’ve been moving more and more into   in vivo gene delivery, which is delivering genes to cells inside the body rather than manipulating cells outside the body and then reimplanting them. At the time when Targeted Genetics was first spun out from Immunex, most gene delivery technologies required taking cells out of the body, genetically modifying them and then re-infusing them. As the Company has grown and the technology has evolved we have moved more toward trying to develop our products in a manner that will allow them to be manufactured, marketed and sold just like classic pharmaceutical products.  As a consequence of that evolution, the cell therapy area has been of lesser focus at Targeted Genetics for the last four or five years.  However, the cell therapy technology in our portfolio has enormous potential and we want to try to leverage what we’ve already done in that area.  We believe that bringing in some additional outside funding while still maintaining a significant equity ownership in CellExSys is the best way to realize value for our shareholders and move this very powerful technology closer to commercialization. This structure should enable the cell therapy team to get their legs under them and generate more data to show that this technology is capable of being an important approach to new therapies and has utility in other drug development initiatives.  So it’s just a great opportunity for us to try to maximize the value of the investment we’ve made in this technology.  Potentially, this technology could yield a number of novel therapies for infectious diseases and cancer.

Ceocfointerviews:  Which do you see or think that might be the best revenue producer for the future out of all of these that we’ve talked about

Ms. Parker:  That’s a hard question to answer because all of these products are very interesting. For example, in cystic fibrosis the average treatment cost per patient now is about $65,000 a year.    Even if we could capture a part of that as an annual therapy, we could save the health care system significant amount money and yet we could still have a major market opportunity.  Analysts estimate it at between half a billion to a billion dollars, so that’s a nice opportunity for Targeted Genetics and one that may also help to improve quality of life for the patients.  Our rheumatoid arthritis product is still in preclinical development, but we think that it might be given once every three months instead of twice a week. So that is another opportunity that we believe may be a great money maker for Targeted Genetics and that also may save the health care system a lot of money.  Moreover, it may provide more patient-friendly treatment regimens. It’s somewhat hard for me to say which product has the most potential but I think the ones that currently are in clinical trials have the most near-term potential.

Ceocfointerviews:  Now you have a lot of things in the works and your pipeline’s quite full of different drugs that you are working on.  Do you have any strategy for external growth, such as acquisitions?

Ms. Parker:  Well, yes actually we’ve just completed an acquisition of another gene therapy company called Genovo.   This was an opportunity for us to amalgamate technology that was very complementary to ours, bring in some new product opportunities and two new partnerships.  We really want to be a consolidator in the field, not a “consolidatee” if you will, and so we’re often looking for new opportunities to bring in some new products or products that are in later stages of development or new technologies that might complement what we have.  This is certainly a key area for growth in the company, in addition to doing partnerships, which allow us to fund greater amounts of research and growth. 

Ceocfointerviews:  With that in mind and the fact that you still have a way to go with some of these products in terms of taking them through clinical trials and expanding your manufacturing facilities.  Do you have the cash or credit to carry out all of these plans?

Ms. Parker:  Right now, according to our current operating plan, we have cash that gets us through mid 2003.  The corporate partnerships that we have done to date have a total potential value of over $275 million dollars, so I think we’re pretty well poised to move our programs forward.  Now this doesn’t mean that if the market brightens up and we have some interest from the investment community that we would not take advantage of that and go to the market, but we have no need currently to raise additional funds.  We could make considerable progress in our clinical trials without raising additional cash

Ceocfointerviews:  What does your current burn rate look like

Ms. Parker: At the moment it is in a state of flux because of the acquisition and the new deal we just established with American Home Products. It’s been running at about a million and a half a month and it will likely go up next year as a result of our increased clinical trial activities.

Ceocfointerviews:  Where do you envision your company three years from now

Ms. Parker:  Well I would hope that by three years from now we would be close if not at the point where we would have a product on the market.  I just see enormous promise for gene therapy in general as we and others move products through the clinical trial process.  I believe that we’re going to be a large player in the biopharmaceutical arena.

Ceocfointerviews: Do you foresee any need in the near term for management      restructuring, or are you set with your team

Ms. Parker:  We have a great team for what we need to do right now.  I think that in the case of biotech it’s always good to be mean and lean on the business side, if you will, until you are a very stable company.  We want to focus our resources on the research and development effort and not so much on the administrative effort. That means that often the senior management gets a little bit stretched so we might consider at some point looking at opportunities for bringing in additional management expertise.

Ceocfointerviews:  What is the key thought that you convey to your staff?

Ms. Parker:  It’s too bad you are not in our facility, because when we walk in the door every day we see written on the wall our vision statement, which says “ We discover, develop and deliver molecular medicines to cure disease.” Gene therapy development has been a tough row to hoe, but we’ve always taken the view that it’s a marathon not a sprint.   What we are doing takes a lot of focus and determination but we’re also doing something that is very gratifying because we really believe we can make a difference in people’s lives. We have to be able to maintain a sense of focus on making that vision a reality,  but we also make sure to have some fun in the process.  This is a tough job and a tough business and it can be risky and it’s very much of a roller coaster, so if we aren’t having fun then it’s going to be hard.  We try to balance all that and it seems to work out very well

Ceocfointerviews:  In closing, you’ve got a bunch of investors that will be looking at your story in our publication and obviously you probably have your own shareholders that will be seeing this story, what is the thought that you would like to leave in their minds?  Any biotech investor has to look at the long term, so what kind of thought would you like to leave with them

Ms. Parker: I think that this is a great time to be looking at Targeted Genetics and I would use an analogy, comparing the technology sector that we are in to that of a sector called monoclonal antibodies.  I think this analogy shows that, as new technologies develop, there are ups and downs along the road. If you look at monoclonals, way back in the 80’s they were thought to be the magic bullet, the “answer to cancer,” and that was really promising more than the technology available at that time could deliver.  The technology got over hyped and disappointment resulted when there were technical hurdles that slowed the process of translating some very seminal scientific discoveries into new products.   So investors ignored monoclonals and just figured they were bad and would never work and meanwhile the people in the field were working hard on overcoming those technical hurdles and figuring out how to build commercial products on this very exciting science.   Then suddenly you have products, such as Genentech’s Herceptin and Idec Pharmaceuticals’ Rituxan, that show that monoclonal antibodies work well in clinical settings and also have block-buster potential from a sales and revenue perspective. Some of the largest companies are developing monoclonals now, and so the investors that caught the ride at the point when, I like to joke, monoclonals were the dog you like to kick, and then held on for the ride to the top have made tremendous amounts of money. I really feel that gene therapy is following a similar trajectory and that it is approaching that stage where people are less interested in kicking us and more interested in understanding how gene delivery technologies can be developed and commercialized now that the technological hurdles are being overcome. We are delivering clinical data and we are beginning to show, and will continue to show over the next year, that this sector is real and that it’s producing a number of products that have real clinical data and commercial potential. So I see this time as a nice opportunity for people to take a serious look at gene therapy in general. But within that area we believe that Targeted Genetics’ expertise in both viral and non-viral delivery systems, our clinical programs, our product pipeline and the number and caliber of our corporate partners make us the leader in the field.

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