8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported): September 10, 2015

 

 

GALECTIN THERAPEUTICS INC.

(Exact name of registrant as specified in its charter)

 

 

 

Nevada   001-31791   04-3562325
(State or Other Jurisdiction
of Incorporation)
  (Commission
File Number)
 

(IRS Employer

Identification No.)

4960 PEACHTREE INDUSTRIAL BOULEVARD, Ste 240

NORCROSS, GA 30071

(Address of principal executive office) (zip code)

Registrant’s telephone number, including area code: (678) 620-3186

N/A

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


SECTION 7 – REGULATION FD

Item 7.01 Regulation FD Disclosure.

On September 10, 2015, Galectin Therapeutics Inc. made a corporate presentation Rodman & Renshaw 17th Annual Global Investment Conference that contains, among other information, a summary of development of GR-MD-02 for Non-Alcoholic Steatohepatitis (NASH) With Advanced Fibrosis and Cirrhosis, which presentation is attached as Exhibit 99.1.

The information in this report is being furnished pursuant to this Item 7.01 and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, and it shall not be deemed incorporated by reference in any filing under the Securities Act of 1933 or under the Exchange Act, whether made before or after the date hereof, except as expressly set forth by specific reference in such filing to this report.

SECTION 9 – FINANCIAL STATEMENTS AND EXHIBITS

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit Number

  

Description

99.1    Corporate presentation

 

- 2 -


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, Galectin Therapeutics Inc. has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

    Galectin Therapeutics Inc.
Date: September 10, 2015     By:   /s/ Jack W. Callicutt
      Jack W. Callicutt
      Chief Financial Officer

 

- 3 -

EX-99.1
Rodman
&
Renshaw
17
th
Annual
Global
Investment Conference
September 10, 2015
NASDAQ: GALT
www.galectintherapeutics.com
© 2015 Galectin Therapeutics Inc.
Exhibit 99.1


2
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
This presentation contains, in addition to historical information, forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995. These statements relate to future events
or future financial performance, and use words such as “may,” “estimate,” “could,” “expect” and others.
They are based on our current expectations and are subject to factors and uncertainties which could
cause actual results to differ materially from those described in the statements. These statements include
those regarding potential therapeutic benefits of our drugs, expectations, plans and timelines related to
our clinical trials, potential partnering opportunities and estimated spending for 2015. Factors that could
cause our actual performance to differ materially from those discussed in the forward-looking statements
include, among others, our trials may not lead to positive outcomes or regulatory approval.  We may
experience delays in our trials, which could include enrollment delays.  Future phases or future clinical
studies may not begin or produce positive results in a timely fashion, if at all, and could prove time
consuming and costly. Plans regarding development, approval and marketing of any of our drugs are
subject to change at any time based on the changing needs of our company as determined by
management and regulatory agencies. Strategies and spending projections may change.  We may be
unsuccessful in developing partnerships with other companies or obtaining capital that would allow us to
further develop and/or fund any studies or trials. We are currently the subject of litigation, which may
impact our human and capital resources. To date, we have incurred operating losses since our inception,
and our future success may be impacted by our ability to manage costs and finance our continuing
operations. For a discussion of additional factors impacting our business, see our Annual Report on Form
10-K
for
the
year
ended
December
31,
2014,
and
our
subsequent
filings
with
the
SEC.
You
should
not
place undue reliance on forward-looking statements. Although subsequent events may cause our views
to change, we disclaim any obligation to update forward-looking statements.
Forward-Looking Statements


3
James Czirr, Executive
Chairman
Peter G. Traber, M.D.
President, CEO, CMO
Harold
H. Shlevin, Ph.D.
COO & Corporate
Secretary
Jack
W. Callicutt
CFO
Experienced Executive Leadership Team
© 2015 Galectin Therapeutics  |  NASDAQ:GALT


4
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Organ Fibrosis
Organ Fibrosis
45% of U.S. deaths estimated to be associated with
fibrotic disease
1
Lead indication is liver fibrosis/cirrhosis due to fatty liver
disease
(75%
of
all
liver
disease
in
U.S.
2
)
Potentially applicable to other fibrotic diseases based on
pre-clinical studies
Cancer
Cancer
Focus on combination immunotherapy, one of the most
promising approaches to cancer therapy
Lead indication is advanced melanoma, but technology
applicable to other cancers
1
Wynn, TA. Nat Rev Immunol. 2004;4:583–594. doi:10.1038/nri1412
2
Younossi, et al. Clin. Gasto. Hepatol. 2011;9:524-530
Developing Products For Major Unmet Medical Needs


5
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Role in Disease
Role in Disease
Gal-3 is increased in inflammation and fibrogenesis
Genetic modification in mice that eliminates gal-3 prevents
fibrosis in liver, lung, kidney and heart
The majority of cancers express high levels of gal-3, which
promotes tumor growth and inhibits immune response
Galectin-3 Protein
Galectin-3 Protein
Binds to galactose residues (sugars) in glycoproteins and
promotes interactions between these proteins
High expression in immune cells (macrophages)
Modulates cell signaling and immune cell function
Lead Drug
Candidate
GR-MD-02
Lead Drug
Candidate
GR-MD-02
A
complex carbohydrate that disrupts gal-3 function,
particularly affecting immune/repair function in macrophages
Extensive analytical analysis using state-of-the-art methods to
support human use
Existing patent coverage through 2031 with 2 composition
and 5 method patents issued
Efficacy in preclinical models with encouraging human results
Drugs That Target Galectin-3 Protein May Address These
Unmet Medical Needs


© 2015 Galectin Therapeutics  |  NASDAQ:GALT
6
Clinical Focus
Stage of Development
Drug
Indication
Discovery
Preclinical
Phase 1
Phase 2
Phase 3
Fibrosis
GR-MD-02
NASH cirrhosis
NASH advanced fibrosis
Lung, Kidney,
Cardiovascular
fibrosis
Cancer Immunotherapy (combination therapy)
GR-MD-02 +
Yervoy
Melanoma
GR-MD-02 +
Keytruda
Melanoma
Plaque Psoriasis (exploratory)
GR-MD-02
Moderate-severe
New Galectin-3
Inhibitors
Discovery program to identify
subcutaneous and oral forms of
carbohydrates
and oral small molecules
Pipeline of Indications for GR-MD-02
2H 2015
2H 2015
Sept 2015
Sept 2015


ADVANCED FIBROSIS AND CIRRHOSIS
DUE TO FATTY LIVER DISEASE
NASH:
(NON-ALCOHOLIC STEATOHEPATITIS)
Lead Indication in Organ Fibrosis
7
© 2015 Galectin Therapeutics  |  NASDAQ:GALT


Fatty Liver Disease (NASH) Is An Epidemic With
No Approved Therapies
Estimates for number of people with NASH is 18-30M in the US
5-9M people in U.S. may have NASH AND advanced fibrosis (Stage 2/3).
1-2M people may have cirrhosis (stage 4), the most advanced disease.
Major global problem driven by increasing obesity & diabetes.
NASH causes need for liver transplants and affects survival. Patients
with NASH on transplant list increasing nearly 15% per year, while
number of patients with hepatitis C and B are decreasing.  
U.S. NASH market could be $25 Billion by 2025
Based on 1 million patients with advanced NASH being treated in the U.S.
Global market (U.S., E.U., and Japan) could be $35-40 Billion by 2025
8
© 2014 Galectin Therapeutics  |  NASDAQ: GALT
1
Who will be the kings of NASH-ville? Key players and an overview. May 21, 2015, Alethia
Young,
Deutsche Bank Markets Research
Extracted
from
Deutsche
Bank
Markets
Research
1


9
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Fibrosis
Progression
Stage 1
Stage 2
Stage 3
Stage 4
Liver
biopsy
(Blue = fibrosis)
Cirrhosis
Scarring (Fibrosis) Of The Liver In Advanced NASH
Leads To Patient Morbidity and Mortality
Early Disease (low stage fibrosis)
Late Disease (advanced fibrosis)
No increased mortality*
Increased mortality*
*All cause mortality as compared to reference group with prospective follow-up of up to 33
years (Ekstedt, et al. Hepatology 2015;61:1547-1554)


Galectin Therapeutics Is Targeting Late-Stage NASH
10
GR-MD-02 (Galectin)
Reduce inflammation*
Reduce fibrosis progression*
Reverse existing fibrosis*
Simtuzumab
(Gilead)
Reduce fibrosis progression*
© 2015 Galectin Therapeutics   NASDAQ:GALT
Companies in Phase 2; multiple other companies in discovery and Phase 1
Early Disease (low stage fibrosis)
Late Disease (advanced fibrosis)
Stage 1
Stage 2
Stage 3
Stage 4 (Cirrhosis)
Obeticholic
Acid (Intercept)
GFT505 (Genfit)
Liraglutide
(Novo Nordisk)
Aramchol
(Galmed)
Cysteamine
(Raptor)
Cenicriviroc
(Tobira)
Emricasan
(Conatus)
PX104 (Gilead/Phenex)
KD025 (Kadmon)
NGM282 (NGM (Merck))
Pradigastat
(Novartis)
Roflumilast/Pioglitazone (Takeda)
*Based on effects seen in preclinical studies and mechanisms of action


Strong Scientific Basis For GR-MD-02 Development
Published in Peer-Reviewed Scientific Journals
Mouse model of NASH
Reduces inflammation, fat, and cell death
Prevents as well as reverses fibrosis
Rat model of liver cirrhosis
Reduces inflammation and cell death
Reverses fibrosis and cirrhosis
Reduces portal hypertension associated with cirrhosis
11
© 2015 Galectin Therapeutics  |  NASDAQ: GALT
Control (No treatment)
GR-MD-02 (4 weekly doses)


Study GT-020: Multiple dose escalation, double-blind, placebo-
controlled trial in NASH patients with advanced fibrosis
GR-MD-02 was safe and well tolerated
Doses in targeted therapeutic window for drug administration
Highest dose tested may have an effect on liver fibrosis
Reduced serum alpha-2 macroglobulin, a marker of fibrosis
Reduced
liver
stiffness
assessed
by
FibroScan
®
Study GT-029: No interaction between GR-MD-02 and midazolam
Adds to strong safety profile
Allows for expansion of number of patients eligible to be included in
Phase 2 clinical trials and future commercial population
In total, 38 subjects receiving 132 doses of GR-MD-02 showed
excellent safety profile
Fast Track designation from FDA
12
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Two Completed Phase 1 Trials Provide Strong
Foundation For Phase 2 Clinical Program


© 2015 Galectin Therapeutics  |  NASDAQ:GALT
13
80%
120%
Placebo
GR-MD-02 (8 mg/kg)
3 of 5 patients treated with GR-MD-02 had reduction in liver stiffness to
below 80% of baseline values (red squares)*
Evidence Of Reduced FibroScan
®
Scores In Cohort 3
Patients Treated With GR-MD-02
*FS added during cohort 2, but only available at most centers for cohort 3. In cohort 3 there were technically adequate scans at
baseline, Day 38 and Day 63 in 5 patients administered GR-MD-02 and 3 patients administered placebo. Five patients in cohort 3 were
not available for FibroScan
®
analysis (3 placebo and 2 active) because of unavailability of the instrument at the site (1 placebo and 1
active), unavailability of the appropriate instrument probe (1 active), a technically inadequate baseline scan (1 placebo), and the Day
63 scan not being performed (1 placebo).


Phase 2 Clinical Trials Focus On Two Indications In
NASH Patients With Advanced Fibrosis
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
14
1 Year of
Therapy
Indication
NASH with
Cirrhosis
(Stage 4)
Objective
Expectation From
Successful Study
Reduction of
portal pressure
and liver fibrosis
Has potential to be
a pivotal trial
NASH-CX
4
Months of
Therapy
Reduction of liver
fibrosis as assessed
using three non-
invasive tests
Basis for future
Phase 2b or
Phase 3 trials
NASH-FX
NASH with
Advanced
Fibrosis, but
not Cirrhosis
(Stage 3)
With positive results, either of these studies could be basis for FDA Breakthrough application
For more details on clinical trials, please visit clinicaltrials.gov


Summary of NASH Advanced Fibrosis Program
Preclinical studies show galectin-3 to be a well-validated target that is
inhibited by GR-MD-02
In preclinical models GR-MD-02 has multiple effects
Reduces inflammation, fat and ballooning hepatocytes in NASH
Reduces and reverses liver fibrosis and cirrhosis
Reduces portal pressure, an endpoint of NASH-CX trial
NASH is an unmet medical need with a very large potential market
GR-MD-02 is well suited to target NASH with advanced fibrosis and
cirrhosis, an area with less competition than early NASH
In NASH patients with advanced fibrosis, GR-MD-02 is safe and well
tolerated, therapeutic doses have been defined, and there is evidence
of effect on fibrogenic process in patients
Phase 2 clinical trial program addresses different patient populations
NASH-CX trial in cirrhosis with top line results end of 2017
NASH-FX trial in stage 3 fibrosis with top line results 2H 2016
15
© 2015 Galectin Therapeutics  |  NASDAQ: GALT


ADVANCED MELANOMA
Lead Indication in Cancer Immunotherapy
16
© 2015 Galectin Therapeutics  |  NASDAQ:GALT


17
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Focus on
Immunotherapy
Focus on
Immunotherapy
Immunotherapy is a major breakthrough in cancer
Galectin-3 plays an important role in reducing the
ability of immune system to fight cancer
Critical
Collaboration
Established
Critical
Collaboration
Established
Robert W. Franz Cancer Research Center, Earle A.
Chiles Research Institute Providence-Portland Medical
Center (PPMC), Portland Oregon
Demonstrated clinical trial expertise in melanoma and
tumor immunology basic science research
Ability to conduct clinical trials and assist in funding
Cancer Therapy Strategy
Advanced
Melanoma as
Initial Indication
Advanced
Melanoma as
Initial Indication
In U.S. 76,000 new diagnoses and 9,100 deaths per year*
Even with newly approved drugs, a substantial unmet
medical need remains
*Siegel, et al. CA Cancer J Clin
2012;62:10


© 2015 Galectin Therapeutics  |  NASDAQ:GALT
18
GR-MD-02 May Be Used In Combination With Other
Immunotherapies To Enhance Patient Survival
Note: these are illustrative
curves not representative of
actual data; redrawn from
figure of the American
Association for Cancer
Research, 2013
PPMC preclinical studies in mice demonstrated that GR-MD-02 has a
synergistic effect on multiple tumors in combination with other immunotherapies


19
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
PPMC Conducting Two Melanoma Phase 1b
Clinical Trials With GR-MD-02
Phase 1b Clinical Trial In Patients With Advanced Melanoma
Using GR-MD-02 In Combination With Yervoy®
Advanced melanoma with indication for Yervoy
®
treatment
Dose
escalation
with
GR-MD-02
plus
standard
Yervoy
®
Measure tumor and immune system response
Two dosing groups complete showing no dose-limiting toxicity
Study details on clinicaltrials.gov
Phase 1b Clinical Trial In Patients With Advanced Melanoma
Using
GR-MD-02
In
Combination
With
KEYTRUDA
®
Melanoma
progression
after
Yervoy
®
and/or
BRAF
targeted
therapy
Melanoma progression after KEYTRUDA
®
monotherapy
Remainder of design mirrors first study
Plan to initiate in 2H 2015


Summary of Cancer Immunotherapy Program
Collaboration with investigative group at PPMC who have
significant expertise in basic tumor immunology and
translational clinical trials
Preclinical studies demonstrate in multiple cancers that GR-MD-
02 augments the anti-tumor effects of monoclonal antibody
checkpoint inhibitors
Initial target is advanced melanoma, but also applicable to other
cancer types
Two Phase 1b clinical trials funded by PPMC
May get early evidence of effect since advanced immune
response markers being used to evaluate drug effect in addition
to tumor response
20
© 2015 Galectin Therapeutics  |  NASDAQ: GALT


Exploratory Indication
Moderate-to-severe plaque psoriasis
Patient in Phase 1 trial had apparent remission of severe psoriasis
while receiving 4 mg/kg of GR-MD-02
Galectin-3 plays important role in skin and there is increase in skin
vessels of patients with psoriasis
1,2
Open-label, single-site, 10-patient study to evaluate the effect of 3
months of GR-MD-02 on the number of patients who have at least
75% improvement in Psoriasis Activity Severity Index (PASI-75)
Details on clinicaltrials.gov
https://clinicaltrials.gov/ct2/show/NCT02407041?term=GR-MD-02&rank=5
21
© 2015 Galectin Therapeutics  |  NASDAQ: GALT
1
Larsen L, et al. J. Derm
Sci. 2011;64:85-91
2
Lacina
L, et al. Folia Biologica. 2006;52:10-15


Study
Indication
Endpoints
Start
Data Reporting
Phase 1b:
Yervoy
®
Advanced
melanoma
Safety
ir-RECIST
Immune
markers
Underway
Dose
Group
1:
complete
Dose
Group
2:
complete
Dose Group 3: initiated
Phase 1b:
KEYTRUDA
®
Advanced
melanoma
Safety
ir-RECIST
Immune
markers
2h 2015
TBD
22
© 2015 Galectin Therapeutics  |  NASDAQ:GALT
Advanced Liver Fibrosis/Cirrhosis
Advanced Melanoma
Study
Indication
Endpoints
Start
Data
Reporting
GT-026
“NASH-CX”
NASH with cirrhosis
Portal pressure (HVPG);
liver biopsy
Underway
End 2017
GT-028
“NASH-FX”
NASH with
advanced fibrosis
Multi-parametric MRI
Comparisons
include
MRE and FibroScan
®
Sept.
2015
2H 2016
Expected Development Program Milestones
Study
Indication
Endpoints
Start
Data Reporting
Phase 2a:
GT-030
Moderate-to-severe
plaque psoriasis
Psoriasis Activity
Severity Index (PASI
75)
Sept. 2015
Q3 2016
Psoriasis


Program Summary
NASH (non alcoholic steatohepatitis) is an unmet medical need
with a very large potential global market
Late-stage NASH, with advanced fibrosis/cirrhosis is desirable
from regulatory and commercial perspectives
Preclinical studies with GR-MD-02 indicated positive effects on
multiple aspects of NASH, including fibrosis reversal
Completed Phase 1 studies demonstrated drug was safe and well
tolerated and provided proof-of-concept on anti-fibrotic activity
Currently engaged in two Phase 2 NASH clinical trials in cirrhosis
and advanced fibrosis without fibrosis
Investigator-initiated studies in cancer immunotherapy and
psoriasis enhance the GR-MD-02 opportunity
Strong executive leadership team with extensive experience
23
© 2015 Galectin Therapeutics  |  NASDAQ: GALT


Company Blog:  CEO Perspectives
New communication feature to provide in depth information on clinical
development programs and other news
http://perspectives.galectintherapeutics.com/
Most recent posts
The Potential for Treatment of Liver Fibrosis With Galectin’s Drug Candidate GR-MD-02
Clinical Development Program in Liver Fibrosis
Successful Phase 1 Clinical Trial Supports Phase 2 Clinical Development Program
Clinical Trial to Establish Efficacy of GR-MD-02 in NASH Cirrhosis
Please sign up on web site to receive notification of blog articles
24
© 2015 Galectin Therapeutics  |  NASDAQ: GALT


Thank You
NASDAQ: GALT
www.galectintherapeutics.com
© 2015 Galectin Therapeutics Inc.