GH Research
Corporate Presentation
GH Research PLC (NASDAQ: GHRS)
November 2023
2023© GH Research PLC | 1 |
Disclaimer Regarding Forward-Looking Statements
This presentation has been prepared by GH Research PLC ("GH Research") for informational purposes only and not for any other purpose. Nothing contained in this presentation is, or should be construed as, a recommendation, promise or representation by the presenter or GH Research or any director, employee, agent, or adviser of GH Research. This presentation does not purport to be all-inclusive or to contain all of the information you may desire.
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Any statements contained herein that do not describe historical facts are forward-looking statements that are based on management's expectations and are subject to certain factors, risks and uncertainties that may cause actual results, outcomes, timing and performance to differ materially from those expressed or implied by such statements. These factors, risks and uncertainties include, but are not limited to: the costs and uncertainties associated with GH Research's research and development efforts; the inherent uncertainties associated with the conduct, timing and results of nonclinical and clinical studies of GH Research's product candidates; GH Research's expectations related to the clinical hold on the GH001 IND, including plans and expectations for progressing any nonclinical programs and any other work to lift the clinical hold, the timing required to lift such clinical hold and for discussions with the FDA and the outcomes and resolution of such discussions; GH Research's ability to obtain, maintain, enforce and defend issued patents; the adequacy of GH Research's capital resources, the availability of additional funding and GH Research's cash runway; and other factors, risks and uncertainties described in GH Research's filings with the U.S. Securities and Exchange Commission.
Except as otherwise noted, these forward-looking statements speak only as of the date of this presentation, and GH Research undertakes no obligation to update or revise any of such statements to reflect events or circumstances occurring after this presentation. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond GH Research's control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in any such forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. GH Research cautions you not to place undue reliance on the forward-looking statements contained in this presentation.
2023© GH Research PLC | 2 |
Seeking
Ultra-Rapid, Durable Remissions
in Depression
2023© GH Research PLC | 3 |
Pipeline
Stage of Development
PROGRAMS | INDICATION | PRECLINICAL | PHASE 1 | PHASE 2a | PHASE 2b | PHASE 3 | CURRENT STATUS | |
Treatment-Resistant | Phase 2b | |||||||
RDBPC trial initiated | ||||||||
Depression (TRD) | ||||||||
(GH001-TRD-201) | ||||||||
GH001 | ||||||||
Mebufotenin (5-MeO-DMT) | ||||||||
for inhalation | Bipolar II Disorder* | Phase 2a | ||||||
administration | POC trial initiated | |||||||
(BDII) | ||||||||
(GH001-BD-202) | ||||||||
Postpartum Depression | Phase 2a | |||||||
POC trial initiated | ||||||||
(PPD) | ||||||||
(GH001-PPD-203) | ||||||||
GH002 | Psychiatric or | Phase 1 | ||||||
Mebufotenin (5-MeO-DMT) | HV trial initiated | |||||||
Neurological Disorder | ||||||||
for i.v. administration | (GH002-HV-105) | |||||||
GH003 | Psychiatric or | Pre-clinical | ||||||
Mebufotenin (5-MeO-DMT) | development | |||||||
Neurological Disorder | ||||||||
for nasal administration | ongoing | |||||||
Complete | Ongoing |
*Bipolar II disorder with a current major depressive episode
5-MeO-DMT,5-Methoxy-N,N-Dimethyltryptamine; i.v., intravenous; RDBPC, Randomized, Double-Blind,Placebo-Controlled; POC, Proof-of-Concept; HV, Healthy Volunteer
2023© GH Research PLC | 4 |
The Problem for Patients with Depression
Established Therapies are Slow-Acting
(STAR*D study, Remission Rate Over Time, Treatment Step 1 = Citalopram)
Patients) | 100% | |||||||
90% | ||||||||
80% | ||||||||
(% | 70% | |||||||
Rate | ||||||||
60% | ||||||||
Remission | 50% | |||||||
40% | Average time to | |||||||
30% | remission is ~6 weeks | |||||||
Cumulative | ||||||||
20% | ||||||||
10% | ||||||||
0% | ||||||||
0 | 2 | 4 | 6 | 8 | 10 | 12 | 14 | |
Week |
Adapted from Trivedi et al., Am J Psychiatry 2006 and Rush et al., Am J Psychiatry 2006
TRD, Treatment-Resistant Depression
... Remission Rates in TRD < 15%
(STAR*D study, Remission Rates Treatment Steps 1 to 4)
100% | ~33% no remission | 100% | |||||
90% | 90% | (line) | |||||
despite 4 treatment steps | |||||||
(%) (bar) | 80% | 80% | |||||
Rate (%) | |||||||
70% | 70% | ||||||
60% | 67% | 60% | |||||
Remission Rates | 62% | Cumulative Remission | |||||
50% | 56% | 50% | |||||
40% | 37% | 40% | |||||
31% | |||||||
30% | 30% | ||||||
20% | 14% | 13% | 20% | ||||
10% | 10% | ||||||
0% | 0% | ||||||
1 | 2 | 3 | 4 |
Treatment Step
2 or more prior therapies = TRD
2023© GH Research PLC | 5 |
Large and Open Depression Market in the EU and US
First Line MDD
- Diagnosed: ~48M
- Treated (pharmacotherapy ± psychotherapy): ~24M
Second Line MDD
- Non-responseto first line: ~13M
Treatment-Resistant Depression (TRD)
- Non-responseto two prior lines: ~9M
Patients cycle through ineffective therapies for TRD
Company estimates based on: https://www.nimh.nih.gov/health/statistics/major-depression.shtml; Wittchen et al., The size and burden of mental disorders and other disorders of the brain in Europe 2010, European Neuropsychopharmacology (2011); Rush et al., Acute and
Longer-Term Outcomes in Depressed Outpatients Requiring One or Several Treatment Steps: A STAR*D Report, Am J Psychiatry 2006 MDD, Major Depressive Disorder
2023© GH Research PLC | 6 |
Mebufotenin (5-MeO-DMT) and GH001
- Mebufotenin (5-Methoxy-N,N-Dimethyltryptamine,5-MeO-DMT)
- Naturally-occurringpsychoactive substance from tryptamine class
- Highly potent agonist on 5-HT1A and 5-HT2A receptors
Mebufotenin (5-MeO-DMT)
- GH001 (Mebufotenin administration via a proprietary pulmonary inhalation
approach)
- Psychoactive effects with ultra-rapid onset (within seconds) and short duration (5 to 30 min)
- High propensity to induce peak experiences (PE), which may be a surrogate marker for therapeutic effects
- Intraday individualized dosing regimen (IDR) for maximization of ultra-rapid and durable
remissions
- Single visit initial treatment, with no structured psychotherapy
- Potential for convenient and infrequent retreatment
2023© GH Research PLC | 7 |
GH001 - Individualized Dosing Regimen (IDR)
for Maximization of Ultra-Rapid and Durable Remissions
GH001 Single Dose:
Inter-Person Variability
score
Dose 1 | GH001 Individualized Dosing Regimen (IDR): | ||
Maximization of Ultra-Rapid and Durable Remissions | |||
Hypothetical Patient 1
MADRS score
Dose 1
No remission
Hypothetical Patient 1
MADRS
MADRS score
Remission
Dose 1
Dose 2
No remission
Hypothetical Patient 2
MADRS score
Dose 1
Remission
Hypothetical Patient 2
Hypothetical Patient 3
MADRS score
Dose 1
Dose 2
No remission
Remission
Dose 3
No remission
Remission
MADRS, Montgomery-Åsberg Depression Rating Scale
2023© GH Research PLC | 8 |
Phase 1 Trial in Healthy Volunteers
GH001-HV-101
(Completed)
Clinicaltrials.gov ID: NCT04640831
2023© GH Research PLC | 9 |
Design of Phase 1 Trial in Healthy Volunteers (GH001-HV-101)
Part A (Single Dose)
GH001 2 mg (n=4)
Primary Endpoint: | ||||
GH001 | 6 mg (n=6) | |||
HV | • | Safety until day 7 | ||
(n=18) | • | Peak Experience | ||
GH001 12 mg (n=4) | ||||
Scale (PE Scale)1 | ||||
GH001 18 mg (n=4)
Part B (IDR)
GH001 IDR | Primary Endpoint: | ||
HV | 6, 12, 18 mg to | • | Safety until day 7 |
achieve PE | |||
(n=4) | • | Peak Experience | |
(up to 3 doses, | |||
3h interval) | Scale (PE Scale)1 |
GH001 | Day 1 | Day 7 | |||
Administration | |||||
Key Assessments | Safety | Safety | Safety | ||
PE Scale | Cognitive function | ||||
Cognitive | |||||
function | |||||
HV, Healthy Volunteer; PE, Peak Experience; | 1The PE Scale averages answers scored by the subject by marking a visual analogue scale between 0 and 100 for the following three questions: | ||||
IDR, Individualized Dosing Regimen | 1. How intense was the experience; 2. To what extent did you lose control; 3. How profound (i.e., deep and significant) was the experience? |
2023© GH Research PLC | 10 |
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GH Research plc published this content on 09 November 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 14 November 2023 15:12:08 UTC.