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AC Immune Receives Second Milestone Payment Following Progress in Phase 2b ReTain Trial of ACI-35.030 in Preclinical Alzheimer’s Disease

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AC Immune SA (NASDAQ: ACIU) has received a second milestone payment of CHF 24.6 million from Janssen Pharmaceuticals for the rapid prescreening rate in the Phase 2b ReTain trial of ACI-35.030 (JNJ-2056) for preclinical Alzheimer's disease. This brings the total milestone payments for this trial to CHF 40 million. The potentially registrational trial aims to enroll about 500 participants with pre-symptomatic AD.

Key points:

  • JNJ-2056 received FDA Fast Track designation in July 2024
  • AC Immune has received approximately CHF 425 million in milestone and upfront payments from collaborations
  • The company has a three-year cash runway
  • ACI-35.030 targets pathological phosphorylated-Tau protein (pTau)
  • The trial is the first to test an active immunotherapy in preclinical AD population

AC Immune SA (NASDAQ: ACIU) ha ricevuto un secondo pagamento di pietra miliare di 24,6 milioni di CHF da Janssen Pharmaceuticals per il rapido tasso di preselezione nel trial di fase 2b ReTain di ACI-35.030 (JNJ-2056) per la malattia di Alzheimer preclinica. Questo porta il totale dei pagamenti di pietra miliare per questo trial a 40 milioni di CHF. Il trial, potenzialmente registrabile, mira a reclutare circa 500 partecipanti con AD pre-sintomatica.

Punti chiave:

  • JNJ-2056 ha ricevuto la designazione Fast Track dalla FDA nel luglio 2024
  • AC Immune ha ricevuto circa 425 milioni di CHF in pagamenti di pietra miliare e anticipati da collaborazioni
  • La società ha una liquidità di tre anni
  • ACI-35.030 punta alla proteina tau fosforilata patologica (pTau)
  • Il trial è il primo a testare un'immunoterapia attiva nella popolazione AD preclinica

AC Immune SA (NASDAQ: ACIU) ha recibido un segundo pago por hitos de 24,6 millones de CHF de Janssen Pharmaceuticals por la rápida tasa de preselección en el ensayo de fase 2b ReTain de ACI-35.030 (JNJ-2056) para la enfermedad de Alzheimer preclínica. Esto eleva el total de pagos por hitos para este ensayo a 40 millones de CHF. El ensayo, potencialmente registrable, tiene como objetivo inscribir aproximadamente a 500 participantes con AD pre-sintomática.

Puntos clave:

  • JNJ-2056 recibió la designación Fast Track de la FDA en julio de 2024
  • AC Immune ha recibido aproximadamente 425 millones de CHF en pagos por hitos y pagos anticipados de colaboraciones
  • La compañía tiene un flujo de efectivo para tres años
  • ACI-35.030 se dirige a la proteína Tau patológicamente fosforilada (pTau)
  • El ensayo es el primero en probar una inmunoterapia activa en una población de AD preclínica

AC Immune SA (NASDAQ: ACIU)는 Janssen Pharmaceuticals로부터 ACI-35.030(JNJ-2056)의 임상 전 알츠하이머병에 대한 2상 ReTain 시험의 신속한 사전 선별 비율에 대해 2460만 스위스 프랑의 두 번째 이정표 지급을 받았습니다. 이로 인해 이 시험의 총 이정표 지급액은 4000만 스위스 프랑에 이릅니다. 잠재적으로 등록 가능한 이 시험은 약 500명의 증상 전 알츠하이머병(AD) 참가자를 모집하는 것을 목표로 하고 있습니다.

주요 사항:

  • JNJ-2056는 2024년 7월에 FDA의 패스트 트랙 지정을 받았습니다
  • AC Immune는 협력사로부터 약 4억 2500만 스위스 프랑의 이정표 및 선불 지급을 받았습니다
  • 회사는 3년의 현금 운영 기간을 보유하고 있습니다
  • ACI-35.030은 병리학적으로 인산화된 타우 단백질(pTau)을 목표로 합니다
  • 이 시험은 임상 전 AD 집단에서 활성 면역요법을 시험하는 첫 번째 시험입니다

AC Immune SA (NASDAQ: ACIU) a reçu un deuxième paiement d'étape de 24,6 millions de CHF de la part de Janssen Pharmaceuticals pour le taux rapide de présélection dans l' d'ACI-35.030 (JNJ-2056) pour la maladie d'Alzheimer préclinique. Cela porte le total des paiements d'étape pour cet essai à 40 millions de CHF. L'essai, potentiellement enregistrable, vise à recruter environ 500 participants présentant des symptômes précurseurs de la MA.

Points clés :

  • JNJ-2056 a reçu la désignation Fast Track de la FDA en juillet 2024
  • AC Immune a reçu environ 425 millions de CHF en paiements d'étape et paiements initiaux provenant de collaborations
  • La société dispose de liquidités pour trois ans
  • ACI-35.030 cible la protéine Tau phosphorylée de manière pathologique (pTau)
  • L'essai est le premier à tester une immunothérapie active chez une population d'AD préclinique

AC Immune SA (NASDAQ: ACIU) hat eine zweite Meilensteinzahlung von 24,6 Millionen CHF von Janssen Pharmaceuticals für die schnelle Vorab-Screening-Rate in der Phase 2b ReTain-Studie zu ACI-35.030 (JNJ-2056) bei präklinischer Alzheimer-Krankheit erhalten. Damit beläuft sich die Gesamtsumme der Meilensteinzahlungen für diese Studie auf 40 Millionen CHF. Die potenziell registrierungsfähige Studie zielt darauf ab, etwa 500 Teilnehmer mit prä-symptomatischer AD zu rekrutieren.

Wichtige Punkte:

  • JNJ-2056 erhielt im Juli 2024 die Fast Track-Auszeichnung der FDA
  • AC Immune hat etwa 425 Millionen CHF aus Meilenstein- und Vorauszahlungen aus Kooperationen erhalten
  • Das Unternehmen verfügt über eine dreijährige Liquiditätsreserve
  • ACI-35.030 zielt auf das pathologische phosphorylierte Tau-Protein (pTau) ab
  • Die Studie ist die erste, die eine aktive Immuntherapie bei einer präklinischen AD-Population testet
Positive
  • Received second milestone payment of CHF 24.6 million, totaling CHF 40 million for the ReTain trial
  • FDA Fast Track designation granted for ACI-35.030 (JNJ-2056) in July 2024
  • High interest in the Phase 2b ReTain trial with prescreening rate outperforming expectations
  • Solid financial position with three years of cash for operations
  • Total of CHF 425 million received in milestone and upfront payments from collaborations to date
  • Potential for additional milestone payments exceeding CHF 4.3 billion, plus royalties on potential sales
Negative
  • None.

Insights

The rapid prescreening rate for ACI-35.030's Phase 2b ReTain trial signals strong interest in this novel approach to treating preclinical Alzheimer's disease (AD). This active immunotherapy targeting phosphorylated-Tau (pTau) represents a paradigm shift in AD treatment, focusing on prevention rather than symptom management.

The FDA Fast Track designation underscores the potential impact of this therapy. If successful, ACI-35.030 could revolutionize AD treatment by intervening before symptom onset, potentially slowing or halting disease progression. This approach aligns with the growing consensus that early intervention is important in neurodegenerative diseases.

However, it's important to note that success in preclinical trials doesn't guarantee efficacy in symptomatic patients. The long-term safety profile of active immunotherapies in healthy individuals will be a critical factor to monitor.

AC Immune's receipt of a CHF 24.6 million milestone payment from Janssen is a significant financial boost. This brings the total payments for ACI-35.030 to CHF 40 million, demonstrating strong partner confidence in the program's potential.

The company's track record of securing CHF 425 million in milestone and upfront payments, with potential future milestones exceeding CHF 4.3 billion, highlights its robust partnership strategy. This latest payment extends AC Immune's cash runway to three years, providing financial stability during a critical development phase.

Investors should note the dual revenue potential from both therapeutic and diagnostic products, as exemplified by the Fast Track designations for ACI-35.030 and PI-2620 Tau-PET diagnostic. This diversified approach could mitigate risks and enhance long-term value.

AC Immune Receives Second Milestone Payment Following Progress in Phase 2b ReTain Trial of ACI-35.030 in Preclinical Alzheimer’s Disease

  • Prescreening rate of Phase 2b ReTain trial triggers clinical development milestone payment in September
  • Potentially registrational trial is targeting enrollment of approximately 500 participants with pre-symptomatic AD
  • FDA Fast Track designation granted in July for ACI-35.030 (now “JNJ-2056”) for AD

Lausanne, Switzerland, September 17, 2024 – AC Immune SA (NASDAQ: ACIU), a clinical-stage biopharmaceutical company pioneering precision therapeutics for neurodegenerative diseases, today announced that it will receive the second ReTain-related milestone payment (CHF 24.6 million) under its agreement with Janssen Pharmaceuticals, Inc. (Janssen), a Johnson & Johnson company.

The milestone payment has been triggered by the rapid rate of prescreening in the potentially registrational Phase 2b ReTain trial investigating active-immunotherapy candidate ACI-35.030 (now called “JNJ-2056”) to treat preclinical (pre-symptomatic) Alzheimer’s disease (AD). With last December’s milestone payment, this brings the total milestone payments received for ACI-35.030 related to this trial to CHF 40 million.

Dr. Andrea Pfeifer, CEO of AC Immune SA, commented: “This early milestone demonstrates that the medical community and members of the public believe, as we do, that second generation therapeutics for Alzheimer’s disease, like our active immunotherapy targeting pathological phosphorylated-Tau protein (pTau), may provide an important benefit to those diagnosed early, prior to the development of disease symptoms. Early diagnosis and treatment are needed to combat neurodegeneration.

“This payment also re-affirms the quality and productivity of AC Immune’s technology platforms and drug development capabilities. We have now received a total of approximately CHF 425 million in milestone and upfront payments from all of our collaboration deals to date, and there are outstanding potential milestone payments exceeding CHF 4.3 billion, plus royalties on potential sales. Importantly, in these challenging financial markets, this milestone payment adds to our already solid financial position, providing us with three years of cash for operations, in which time we expect to achieve several potentially transformational milestones.”

JNJ-2056 received Fast Track designation from the U.S. Food and Drug Administration (FDA) in July, an important recognition of its differentiation and its potential value for patients. It is the second active immunotherapy from AC Immune to achieve this regulatory milestone, after ACI-24.060, which targets Abeta. AC Immune’s PI-2620 Tau-PET diagnostic, which is in Phase 3 development, also received Fast Track designation this August.

ACI-35.030 has been shown in Phase 1b/2a clinical testing to induce an antibody response targeting pTau while sparing normal endogenous forms of Tau. ReTain has attracted a high level of interest among potential participants with the rate of prescreening outperforming expectations.

“The Phase 2b ReTain trial is a potentially important step in the fight against neurodegeneration, as it is the first time any active immunotherapy is being tested in the preclinical AD population. Active immunotherapies like ACI-35.030 could offer therapeutic advantages, together with improved convenience and access, and the recent Fast Track designation is an important recognition of its potential value for patients,” Dr. Pfeifer said.

About the Phase 2b ReTain Study (ClinicalTrials.gov Identifier: NCT06544616)
The Phase 2b ReTain trial is a potentially registration-enabling randomized, multicenter, double-blind, placebo-controlled clinical study in participants with preclinical AD to assess the clinical effect of active immunization with JNJ-64042056 (JNJ-2056). It is designed to test the hypothesis that JNJ-2056 has a disease-modifying effect that can delay or prevent the onset of cognitive impairment or other clinical symptoms in individuals with preclinical AD through inhibition of seeding and spreading of pathological Tau.

The study will include approximately 500 participants with preclinical AD (cognitively normal, Tau positive), who will be randomized in a 1:1 ratio to a single dose level of JNJ-2056 or placebo and administered as intramuscular injections for a maximum of 4 years. It is currently being conducted at more than 40 clinical trial sites in the U.S., Japan, UK and Australia, and more are expected to open shortly.

The primary endpoint will measure cognitive decline as assessed by the Preclinical AD Cognitive Composite 5 (PACC-5) score. The key secondary efficacy endpoint will assess the effect of JNJ-2056 on the propagation and/or accumulation of Tau pathology compared with placebo, as measured by Tau PET imaging.

The ReTain trial is fully funded and conducted by Janssen Pharmaceuticals, Inc. (Janssen), a Johnson & Johnson company, pursuant to a global license, development and commercialization agreement.

About ACI-35.030 (JNJ-2056)
ACI-35.030, derived from AC Immune’s SupraAntigen® platform, has been shown in clinical studies to induce a strong polyclonal antibody response that matures and is maintained against key pathological forms of Tau believed to drive Tau aggregation and disease progression. ACI-35.030 is designed to enhance the formation of broad-spectrum protective antibodies against pTau. This investigational candidate has the potential to reduce pathological Tau spreading in the early stages of AD, and thereby may reduce or prevent disease progression.

About AC Immune SA
AC Immune SA is a clinical-stage biopharmaceutical company and a global leader in precision prevention for neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, and NeuroOrphan indications driven by misfolded proteins. The Company’s two clinically validated technology platforms, SupraAntigen® and Morphomer®, fuel its broad and diversified pipeline of first- and best-in-class assets, which currently features sixteen therapeutic and diagnostic programs, including five in Phase 2 development and one in Phase 3. AC Immune has a strong track record of securing strategic partnerships with leading global pharmaceutical companies, resulting in substantial non-dilutive funding to advance its proprietary programs and >$4.5 billion in potential milestone payments plus royalties.

SupraAntigen® is a registered trademark of AC Immune SA in the following territories: AU, EU, CH, GB, JP, RU, SG and USA. Morphomer® is a registered trademark of AC Immune SA in CN, CH, GB, JP, KR, NO and RU.

The information on our website and any other websites referenced herein is expressly not incorporated by reference into, and does not constitute a part of, this press release.

For further information, please contact:

SVP, Investor Relations & Corporate Communications
Gary Waanders, Ph.D., MBA
AC Immune
Phone: +41 21 345 91 91
Email: gary.waanders@acimmune.com



U.S. Investors
Corey Davis, Ph.D.
LifeSci Advisors
Phone: +1 212 915 2577
Email: cdavis@lifesciadvisors.com

International Media
Chris Maggos
Cohesion Bureau
Phone: +41 79 367 6254
Email: chris.maggos@cohesionbureau.com

 

Forward looking statements
This press release contains statements that constitute “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements are statements other than historical fact and may include statements that address future operating, financial or business performance or AC Immune’s strategies or expectations. In some cases, you can identify these statements by forward-looking words such as “may,” “might,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “projects,” “potential,” “outlook” or “continue,” and other comparable terminology. Forward-looking statements are based on management’s current expectations and beliefs and involve significant risks and uncertainties that could cause actual results, developments and business decisions to differ materially from those contemplated by these statements. These risks and uncertainties include those described under the captions “Item 3. Key Information – Risk Factors” and “Item 5. Operating and Financial Review and Prospects” in AC Immune’s Annual Report on Form 20-F and other filings with the Securities and Exchange Commission. Forward-looking statements speak only as of the date they are made, and AC Immune does not undertake any obligation to update them in light of new information, future developments or otherwise, except as may be required under applicable law. All forward-looking statements are qualified in their entirety by this cautionary statement.

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FAQ

What is the purpose of AC Immune's Phase 2b ReTain trial for ACI-35.030?

The Phase 2b ReTain trial is testing ACI-35.030 (JNJ-2056), an active immunotherapy, in preclinical (pre-symptomatic) Alzheimer's disease patients. It's the first trial to test an active immunotherapy in this population, aiming to treat AD before symptoms develop.

How much did AC Immune (ACIU) receive in milestone payments for the ACI-35.030 ReTain trial?

AC Immune received a second milestone payment of CHF 24.6 million, bringing the total milestone payments for the ACI-35.030 ReTain trial to CHF 40 million.

What regulatory milestone did ACI-35.030 (JNJ-2056) achieve in July 2024?

ACI-35.030 (JNJ-2056) received Fast Track designation from the U.S. Food and Drug Administration (FDA) in July 2024, recognizing its potential value for Alzheimer's disease patients.

How many participants is the Phase 2b ReTain trial of ACI-35.030 targeting to enroll?

The Phase 2b ReTain trial of ACI-35.030 is targeting enrollment of approximately 500 participants with pre-symptomatic Alzheimer's disease.

What is AC Immune's (ACIU) current financial position following the milestone payment?

Following the milestone payment, AC Immune reports having a solid financial position with three years of cash for operations, during which time they expect to achieve several potentially transformational milestones.

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