The View from the Cutting Edge: Gaining the Perspective of Industry Leaders

8:20 am Chair’s Opening Remarks

8:30 am Lumevoq Gene Therapy in Leber Hereditary Optic Neuropathy (LHON)

Synopsis

  • LHON is a maternally inherited mitochondrial disease. It is a rare disease, with an incidence of 1500 new patients per year in Europe and in the US.
  • The 11778 mutation on the ND4 mitochondrial gene is the mutation causing the most severe clinical form of LHON. Lumevoq specifically targets this mutation
  • Lumevoq is a recombinant adenovirus vector type 2, containing the wild type ND4 DNA. Lumevoq is injected via Intravitreal Injection
  • GenSight Biologics have filed for EMA registration in September 2020, and then be moving to BLA for US registration in 2021

9:00 am What About the Long-Run? Questions we Should be Asking About Cell & Gene Therapy Reimbursement

  • Anna Kaltenboeck Senior Health Economist and Program Director, Drug Pricing Lab, MSKCC

Synopsis

  • The first cell and gene therapies to launch in the US have set a high bar for pricing, creating challenges for existing reimbursement practices
  • Novel financing approaches and outcomes-based contracts have been proposed as solutions to prevent the high price points of these therapies from acting as barriers to access
  • However, these approaches do not address important uncertainties about the performance of new treatments, the potential long-term consequences of their wide-scale adoption, and incentives for future innovation

9:30 am Tactical Implementation of Patient- Centricity in Gene Therapy Development Programs

  • Leone Atkinson Executive Medical Director, Rare Disease & Pediatrics Team, Covance

10:00 am Setting Out the Gene Therapy Landscape: Where Are We Now?

Synopsis

  • Establishing the context and understanding how far the field has come in just a few years
  • Understanding how the investment and clinical landscapes are evolving
  • How has the field progressed in the last year and what kinds of challenges have come to the fore?

10:30 am Morning Refreshments & Networking

CMC & ANALYTICAL Aligning Regulatory Expectations with Current CMC Challenges


11:00 am Gene Therapy CMC Strategies, Approaches & Lessons Learned

  • Mauricio Umana Associate Director, Global Regulatory CMC Lead , Biogen

Synopsis

  • What does the final CMC package need to look like?
  • Beyond individual assays – how does the entire CMC strategy take shape and what are the unique challenges involved in gene therapy CMC approaches?
  •  Discussing the ever-evolving regulatory requirements in the field

11:30 am Can a Platform Approach Address CMC Challenges Specific to CGT for Rare Disorders?

Synopsis

  • Discussing technical challenges faced due to novelty of product modality, manufacturing process and limited prior experience
  • Understanding the limited time for CMC development due to accelerated pathways
  •  Addressing the manufacturing experience due to small number of clinical batches

12:00 pm Talk Details To Be Confirmed

MANUFACTURING SCALE-UP
Establishing Scalable Manufacturing Processes

11:00 am Effective Approaches to Industrialize the Manufacturing of AAV Vectors for Gene Therapy Applications

Synopsis

  • CMC competencies required for effective AAV product development
  • Building internal vs. leveraging external capabilities
  • Production platform choices and consequences
  • Outlook for AAV manufacturing

11:30 am State of Gene therapy Manufacturing

Synopsis

  •  Insights into the quality and purity of material generated by various manufacturing methods
  • Investigating new developments to optimize the productivity of the platforms currently available
  • Highlighting the approaches most amenable to scale-up and late-stage development

12:00 pm Roadmap to Successful Commercialization

Synopsis

With the current increase in development and investment, gene therapy companies will be looking at the manufacturing and commercialization of their therapies. In this presentation, we will present:

  • Critical factors to successful commercialization
  • Discuss what’s needed for late-phase and commercial manufacturing
  • Discuss how to pick the right strategic partner CMO

CLINICAL
Understanding Product Differentiation in an Increasingly Crowded Therapeutic Landscape

11:00 am Landscape Review of Gene Therapies for Rare Disorders

Synopsis

A landscape review of the therapy and trials within gene therapy and rare disorder space

  • With focus on some of the specific disease areas where gene therapies are seeing success and setbacks (blood disorders, neurology and ophthalmology disorders, etc.)
  •  The take at the later phase assets and how they will contribute to the future of gene therapy

11:30 am Speaking Position Reserved for Veristat

Synopsis

12:00 pm Speaking Position Reserved for the Jackson Laboratory

Synopsis

COMMERCIAL Articulating the Value of Gene Therapies to Overcome Market Access Challenges/span>

11:00 am Textbook vs. Reality: How the “Real World” Evaluates Gene Therapies

Synopsis

From an academic and clinical perspective, the use case for gene therapies seems open and shut. Yet, when we objectively evaluate current and potential gene therapies in development many questions loom large. Queries touch upon multiple areas – not just clinical, and economic, but also sensitive ethical and
psychological dilemmas stakeholders might face. This presentation will highlight how to best recognize and address these questions through education and evidence generation to ensure optimal launch success.

11:30 am Uncovering Creative Approaches to Generate Relevant Data to Support Access to these Therapies

  • Doug Danison VP, Head of Access, Value & Evidence Strategy (AVES), bluebird bio

Synopsis

  • Understanding approaches to articulate the value of gene therapies to put you in a position to provide access to these therapies
  • What are the stipulations to provide access to gene therapy products?
  • Highlighting the importance of early evidentiary needs assessment and high-quality data collection to illustrate the benefits of one-time treatments to support reimbursement decisions

12:00 pm Speaking Position to be Confirmed

12:30 pm Networking Lunch

CMC & ANALYTICALEvaluating and Guaranteeing the Quality of Raw Materials




1:39 pm Tackling Key Challenges Involving Raw & Starting Materials for Gene Therapy Manufacturing

Synopsis

  • Understanding the quality of raw materials required for gene therapy products
  • Establishing effective standards and parameters to maintain the quality of raw materials
  • How can you re-evaluate raw material strategies during scale-up to ensure they are appropriate?

2:00 pm ROUNDTABLE SESSION: Transitioning Effectively to GMP Raw Materials

Synopsis

  • What does phase-appropriate development really mean in the context of raw materials?
  • How can you re-evaluate raw material strategies during clinical process to ensure they are appropriate?
  • Investigating the technical requirements at each stage of development

MANUFACTURING SCALE-UP
Investigating the Key Factors Involved in Implementing Cost-Effective and Efficient Manufacturing Processes at Every Scale

1:30 pm Challenges of Manufacturing Gene Therapies into Commercial Realities

Synopsis

  • Overview of bluebird bio’s efforts to advance gene therapies for severe genetic disorders and cancer immunotherapy
  • Challenges faced in manufacturing cell therapies as they move toward commercial phase – with a particular focus on managing a network of CDMOs
  • Approaches bluebird bio is implementing to overcome some of these challenges

2:00 pm Technology Breakthroughs and Solutions in Plasmid and Viral Vector Manufacturing

  • Shelly Parra Director, Global Field Applications, Repligen

Synopsis

  • Breakthrough clarification and harvest technology that can signal a paradigm shift in mAbs bioprocessing
  •  Advances in multiple disciplines, combining novel polymer technology, various filtration modes, hardware, systems and automated process management
  • Potential benefits to productivity, product quality, yield and workflow efficiency will be discussed

CLINICAL
Channelling Patient Input for a More Successful Gene Therapy Program



1:30 pm Overcoming Barriers to Patient Recruitment for Clinical Trials

  • Emily McGinnis Chief Patient Officer & Head of Government Affairs, Taysha Gene Therapies

Synopsis

  • Realizing the need for earlier and better diagnosis
  •  Minimizing practical hurdles to reaching the clinic
  • Clarifying eligibility of patients for trials – matching the right trial to the patient

2:00 pm Partnering with Patient Advocacy Groups: An Integrated Approach to Gene Therapy

Synopsis

  •  Discussing when and how best to establish connections with patient advocacy groups
  •  Liaising with advocates in a way that maximises outcomes for all stakeholders
  • Understanding the role patient advocacy groups play at multiple stages of the program

COMMERCIALEvaluating Rare Disease Business Models & Integrating the Patient Perspective in Affordability & Access Discussions


1:30 pm Rare Disease Portfolio: Financial Engineering Can Help Bring More Funding to Develop Orphan Drugs

Synopsis

  •  The portfolio approach reduces volatility of investing in rare disease therapeutics
  •  Leveraged financing using structured debt can reduce risk and increase returns
  •  Increased funding can help more rare disease patients have access to much needed therapies

2:00 pm Value-Based Agreements: In Theory vs In Practice

Synopsis

  •  Articulating value of gene therapy to each stakeholder will be important regardless of reimbursement model
  • Value-based models sound good in principle – how will this play out in practice?
  •  Will every gene therapy need a bespoke reimbursement model?

2:30 pm Afternoon Refreshments & Networking

Involving the Patient Perspective in Gene Therapy Development & Commercialization

3:00 pm Remaining Resilient after 2020: Utilizing Cleanrooms on Demand to Accelerate Early-Phase Biopharmaceutical Manufacturing

Synopsis

  •  Current industry challenges around the transition from R&D through early phase clinical manufacturing:
  • Unique challenges with novel therapeutics such as Cell and Gene Therapy and Microbiome based therapies
  • Comparison of existing options to overcome such challenges versus Cleanrooms on Demand

 

3:30 pm Emphasizing the Role of the Patient in Trial Design

Synopsis

  • Understanding what a meaningful outcome is for the patient
  • Designing trials to minimise impact on patient everyday life
  • Establishing meaningful endpoints using patient input

4:00 pm Incorporating the Patient Voice at Every Stage of the Program

Synopsis

  • Understanding patient views to explain their unmet needs to regulators for trial approval
  • Strategies to allow optimal patient input for clinical programs
  • Different approaches for different circumstances

4:30 pm Integrating Patient Preferences into Payment & Access Mechanisms for Transformative Gene Therapy Treatments

  • Leslie Powell Director, Policy & Advocacy, Cystic Fibrosis Foundation

Synopsis

  • Bridging the gap between patients and payers
  • Case study: How the Cystic Fibrosis Foundation is addressing cost, affordability and access
  • Investigating the realities of patient access to high-priced treatments

5:00 pm Our Life…Our Fight. We need a cure for NF2

Synopsis

• Patient’s perspective on living with a progressing debilitating rare disease
• How patients and families are fighting back
• Novel therapies hope for NF2 (Neurofibromatosis type 2)

5:30 pm Panel Discussion: How Can Patients, Advocacy Groups and Companies Work More Effectively with Payers?

Synopsis

  • Including the patient voice to educate and inform payers with real-life experiences from patient advocates
  • Understanding the implications of reimbursement strategies on patients and the wider family
  •  Contrasting the discussions in indications with existing therapeutic options and those with a lack of treatment options

6:00 pm Chair’s Closing Remarks