Travere Therapeutics Corporate Overview
May 2024
Forward-Looking Statements
contains forward-looking statements, including but not limited to statements about: continued progress with the FILSPARI launch; the anticipated and outcome of the FDA's review of our sNDA submission for FILSPARI in IgAN; the potential for FILSPARI and pegtibatinase to become new treatment standards in IgAN and HCU; additional development and regulatory milestones, including expected data from additional studies; statements regarding plans to engage with the FDA on potential regulatory pathways for sparsentan in FSGS and the anticipated timing thereof; the advancement of our pipeline throughout the year; expectations regarding the Phase 3 HARMONY Study and the other studies described herein, including anticipated timing for topline data; the potential inclusion of FILSPARI in the KDIGO guidelines; statements regarding potential future milestone and royalty payments; statements regarding potential changes to treatment paradigms; statements regarding estimates of potential addressable market sizes; and statements regarding financial metrics and expectations related
thereto. These forward-looking statements may be accompanied by such words as "anticipate," "believe," "estimate," "expect," "forecast," "intend," "may," "plan,"
"project," "schedule," "target," "will," and other words and terms of similar meaning. You should not place undue reliance on these statements.
These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements. Among the factors that could cause actual results to differ materially from those indicated in the forward-looking statements are risks and uncertainties associated with the regulatory review and approval process, as well as risks and uncertainties associated with our business and finances in general, success of our commercial products, and risks and uncertainties associated with our preclinical and clinical stage pipeline. Specifically, we face risks associated with the ongoing commercial launch of FILSPARI, market acceptance of our commercial products including efficacy, safety, price, reimbursement, and benefit over competing therapies, as well as risks associated with the successful development and execution of commercial strategies for such products, including FILSPARI. The risks and uncertainties we face with respect to our preclinical and clinical stage pipeline include risk that our clinical candidates will not be found to be safe or effective and that current or anticipated future clinical trials will not proceed as planned. Specifically, we face risks related to the timing and potential outcome of our Phase 3 HARMONY Study and the other studies described herein, and the timing and potential outcome of the FDA's review of our sNDA submission for full approval of FILSPARI in IgAN. There is no guarantee that regulators will grant full approval of sparsentan for IgAN or FSGS. We also face the risk that we will not receive some or all of the potential future milestone and/or royalty payments described herein, the risk that our cash runway might not last as long as currently anticipated and the risk that we will be unable to raise additional funding that may be required to complete development of any or all of our product candidates, including as a result of macroeconomic conditions; risks relating to our dependence on contractors for clinical drug supply and commercial manufacturing; uncertainties relating to patent protection and exclusivity periods and intellectual property rights of third parties; risks associated with regulatory interactions; and risks and uncertainties relating to competitive products, including current and potential future generic competition with certain of our products, and technological changes that may limit demand for our products. We also face additional risks associated with global and macroeconomic conditions, including health epidemics and pandemics, including risks related to potential disruptions to clinical trials, commercialization activity, supply chain, and manufacturing operations, and the other risks and uncertainties that are described in the Risk Factors section of our most recent annual or quarterly report and in other reports we have filed with the SEC.
These statements are based on our current beliefs and expectations and speak only as of the date of this presentation. We do not undertake any obligation to publicly update any forward-looking statements.
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© 2024 Travere Therapeutics, Inc.
rare for life.
Travere Therapeutics, we are a biopharmaceutical company that comes together every day to help patients, families,
caregivers of all backgrounds as they navigate life with a rare disease. On this path, know the need for treatment options is
urgent - that is why our global team works the rare disease community to identify, develop, and deliver life-changing therapies.
3
Travere Has
a Vital Role in
Rare Kidney and
Rare Metabolic
Diseases
30k-50k | ||
addressable | ||
>$10B | IgAN patients | |
in U.S. | ||
Market Size | ||
7k-10k | ||
addressable | 15k-30k | |
HCU patients | ||
addressable | ||
globally* | FSGS patients |
In U.S.*
With two future potential treatment standards for rare kidney and metabolic disorders in global markets projected to exceed $10B, we are breaking down barriers in treating diseases with historically little innovation
Through further clinical development and commercial execution, we will solidify our position as a leader in rare kidney and metabolic diseases
Continue diversifying our growth through external innovation and applying our expertise developing therapies through to successful commercialization
* If approved | 4 |
Pipeline of Potential First-in-Class Programs
Targeting Rare Kidney and Metabolic Diseases
PROGRAM | THERAPEUTIC AREA | PRECLINICAL | PHASE 1 | PHASE 2 | PHASE 3 | APPROVED | COMMERCIAL | |
FILSPARI®
(sparsentan)1,2IgAN
Sparsentan3FSGS
PegtibatinaseHCU (TVT-058)
ALGSALGS
Collaboration
Thiola EC® and | Cystinuria | |
Thiola® (tiopronin) | ||
IgAN: IgA nephropathy; FSGS: focal segmental glomerulosclerosis; HCU: classical homocystinuria; ALGS: Alagille syndrome 1On February 17, 2023, the FDA granted approval of sparsentan under the | ||
accelerated approval pathway for the reduction of proteinuria in IgA nephropathy (IgAN) for adults at risk of rapid disease progression. CSL Vifor has exclusive commercial rights for sparsentan in | ||
Europe, Australia, and New Zealand. Renalys Pharma has exclusive commercial rights for sparsentan in Japan, South Korea, Taiwan, and Southeast Asian nations. 2In May 2024, the FDA granted | ||
Priority Review for the sNDA to convert FILSPARI from accelerated approval to full approval for the treatment of IgAN in the U.S., with a PDUFA target action date of September 5, 2024. 3On May 1, | ||
2023, the Company announced the topline results from the two-year primary efficacy endpoint in the pivotal phase 3 DUPLEX Study of sparsentan in FSGS, as described in the Corporate Press | ||
Release (https://ir.travere.com/news-releases/news-release-details/travere-therapeutics-announces-topline-results-two-year-primary). | 5 | |
© 2024 Travere Therapeutics, Inc.
Expected Key Milestones Driving Our Mission to Deliver Life- Changing Therapies to People Living with Rare Disease
Dec '23 | HCU | Dec '23 | IgAN | Feb '24 | IgAN | Mar '24 | IgAN |
Initiation of Phase 3 | UpToDate guidelines | Positive CHMP opinion on | sNDA submission to convert |
study of pegtibatinase | updated for FILSPARI® use | the conditional EU approval | FILSPARI accelerated approval |
in HCU | of sparsentan for IgAN1 | to full approval in U.S. |
• Regular |
updates on |
2023 4Q23
Sep '24 | IgAN
PDUFA target action date
for full approval of
FILSPARI for IgAN in U.S.
2024 | 1Q24 | Continued launch of FILSPARI | ||
P3 enrollment of PegT | ||||
H2 '24 | IgAN | May '24 | IgAN | Apr '24 | IgAN | ||
EC grants | ||||
First launch of FILSPARI for | FDA grants Priority Review of sNDA to | 2Q24 | ||
conditional | ||||
convert to FILSARI to full approval in | ||||
IgAN in European markets | marketing | |||
U.S. | ||||
authorization | ||||
(CMA) of FILSPARI | |
3Q24 | for IgAN in Europe |
commercial |
launch of |
FILSPARI |
• Multiple |
regulatory and |
clinical events |
FY24 | FY '24 | IgAN | FY '24 | IgAN | FY '24 | FSGS | |||
Update on studies evaluating | KDIGO guidelines anticipated to be | Establish potential pathway to approval | ||||
FILSPARI + SGLT2i and potential | updated for FILSPARI use | based on additional analyses of FSGS | ||||
effect as first-line treatment | data and engagement with regulators | |||||
2025 | ||||||
to advance |
pipeline |
HCU: Focal segmental glomerulosclerosis, CHMP: Committee for Medicinal Products for Human Use, EU: European Union, IgAN: Immunoglobulin A nephropathy, sNDA: supplemental new drug application, | |
EC: European Commission, SGLT2i: sodium-glucosecotransporter-2 inhibitor, FSGS: Focal segmental glomerulosclerosis | |
1In partnership with European collaborator CSL Vifor | 6 |
© 2024 Travere Therapeutics, Inc.
FILSPARI® (sparsentan)
First and only endothelin and angiotensin II receptor antagonist in development for rare kidney disorders
IgA
Nephropathy
(IgAN)
1Le W, et al. Nephrol Dial Transplant 2012; 27:1479-1485;2McGrogan A, et al. Nephrol Dial Transplant. 2011;26:414-430;3Nasri H, et al. J Nephrol. 2015; 4:1-5;4currently addressable population numbers are estimates sourced from McGrogan et al. Nephrol Dial Transplant (2011); Sim et al., AJKD (2016); Simon et al., 2004; Zara et al. Nephrol Dial Transplant (2013); Braun et al., Int Urol Nephrol (2011), and data on file; 5estimated potential growth through 2033, 6Source: independent market research, data on file 7Barratt J, et al. "Natural History of IgA Nephropathy: Analysis of a UK National RaDaR IgA Nephropathy Cohort." ASN 2021; Poster presentation (Abstract P01577); , 8Nair R & Walker PD. Kidney Int 2006; 69:1455-1458;9Uffing A et al. Clin J Am Soc Nephrol. 2021 Aug;16(8):1247-1255.
is a Serious Unmet Rare Kidney Disease (RKD)
IgAN is the most prevalent primary glomerulonephritis worldwide1
Often uncontrolled, progressive IgAN is a major cause of kidney failure2,3
30k-50k | ~11 years |
Currently addressable IgAN | median time to |
population for FILSPARI®4; | kidney failure in high-risk |
potential to grow up to ~70k | adult patients7 |
patients5,6 |
25-39 | 30-40% |
peak incidence age of | of transplants fail due to |
IgAN8 | disease recurrence9 |
8
The Progression of IgA Nephropathy to Kidney Failure is Driven by Two Critical Pathways - Endothelin-1(ET-1) and Angiotensin II (ANG-II)1-3
Galactose-deficient,IgA-containing immune complexes are deposited in the mesangium4
ET-1 levels
ET-1and
ANG-IImutually upregulate
one another2ANG-II levels
ET-1 and ANG-II act | Causes | Rapid | ||||
together to damage | proteinuria | decline in | Progression | |||
the glomerular | to rise to | kidney | to kidney | |||
filtration barrier and | detrimental | function | failure8 | |||
tubulointerstitium1,2 | levels1,2 | (eGFR)5-8 | ||||
FILSPARI® | Blocks actions of | Reduces | |
Dual Endothelin Angiotensin | |||
ET-I and ANG-II | proteinuria | ||
Receptor Antagonist | |||
Ang II: angiotensin II; ET-1:endothelin-1; IgAN: Immunoglobulin A Nephropathy. | |||
Figure adapted from Lai K, et al. Nat Rev Dis Primers. 2016;16001 | |||
1Komers R, et al. Am J Physiol Regul Integr Comp Physiol. 2016;310(10):R877-R884.2Kohan DE, et al. Kidney Int. 2014;86(5):896-904.3Raina R, et al. Kidney Dis. 2020;6(1):22-34.4Ebefors K, Bergwall L, | |||
Nyström J. Front Med (Lausanne). 2022;8:740527. doi:10.3389/fmed.2021.740527. 5Zoja C, Morigi M, Figliuzzi M, et al. Am J Kidney Dis. 1995;26(6):934-941.6Morigi M, Buelli S, Angioletti S, et al. Am J | |||
Pathol. 2005;166(5):1309-1320.7Tejera N, Gómez-Garre D, Lázaro A, et al. Am J Pathol. 2004;164(5):1817-1826.8Lai K, et al. Nat Rev Dis Primers. 2016;2:160001. | 9 | ||
© 2024 Travere Therapeutics, Inc. |
Phase 3 PROTECT Study* is the Only Head-to-Head, Active- Controlled Trial in IgAN to Date
Objective | Test the efficacy and safety of FILSPARI® vs. | Endpoints | • | Primary efficacy endpoint: change |
active control (irbesartan) in a global, | in UPCR from baseline to week 36 | |||
multicenter, double-blind, randomized study of | • | Key secondary efficacy endpoint: eGFR | ||
404 patients with IgAN, ages 18+ | slope: total (day 1 - week 110) and chronic | |||
(week 6 - 110) |
Maximized
ACEi/ARBs
- ≥12 weeks prior to screening
- ≥50% maximum approved dose
Randomized (1:1) and received study drug
(N=404)
- Adults (≥18 years)
- Biopsy-provenIgAN
- UPCR ≥1 g/day
- eGFR ≥30 mL/min/1.73 m2
Double-blind treatment
110 weeks, randomized 1:1
FILSPARI®
200 mg / day →
400 mg / day at week 2
Irbesartan
150 mg / day →
300 mg / day at week 2
4 weeks post-cessation of randomized treatment
Study drug
withdrawal period;
resume SOC ACEi/ARBs
Week -12 | Day -1 | Day 1 | Week 36 |
Discontinue maximized | Baseline UP/C | Primary efficacy endpoint: | |
ACEi/ARBs (no washout) | Initial dose | interim analysis |
Week 110 | Week 114 |
End of randomized | End of double- |
treatment | blind period |
UPCR: urine protein/creatinine ratio, g/day: grams per day, eGFR: estimated glomerular filtration rate, ACEi: angiotensin converting enzyme inhibitors, ARBs: angiotensin receptor blockers, SOC: standard of | |
care | |
*ClinicalTrials.gov ID: NCT03762850 | 10 |
© 2024 Travere Therapeutics, Inc. |
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Travere Therapeutics Inc. published this content on 15 May 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 16 May 2024 21:09:01 UTC.