Immune Tolerance

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Cue Biopharma (CUE) 2025 Conference Transcript
2025-09-05 13:00
Summary of Cue Biopharma Conference Call Company Overview - Cue Biopharma is based on a protein engineering platform developed from the Albert Einstein School of Medicine, focusing on designing molecules that interact specifically with T cells and lymphocytes [3][4][5] - The company has developed several bioprotein assets, including CUE-401 and CUE-501, targeting autoimmune diseases and oncology [4][36] Key Points on CUE-401 - CUE-401 is engineered to foster TGF-β binding signaling along with IL-2, essential for maintaining regulatory T cells (Tregs) and immune balance [10][19] - The mechanism of action involves conditional binding, requiring both TGF-β and IL-2 to activate targets, which enhances safety profiles compared to traditional therapies [12][13][34] - Preclinical data shows significant proliferation of Tregs, with a notable increase in induced regulatory T cells (IT-regs) from T effector cells [18][20] - In a graft-versus-host disease model, 100% of treated animals survived longer than control groups, demonstrating the potential for long-term immune tolerance [21][22] - The company plans to file an IND for CUE-401 in June 2026, with ongoing GLP toxicology studies [24][23] Development Strategy and Market Potential - Cue Biopharma aims to target multiple autoimmune diseases, with atopic dermatitis as a primary indication for initial trials [27][35] - The company believes that CUE-401 will not require chronic dosing, establishing durable Treg populations to manage diseases [26][34] - The broader application of CUE-401 is anticipated across various autoimmune diseases, including ulcerative colitis and rheumatoid arthritis [35] CUE-501 and Partnership with Boehringer Ingelheim - CUE-501 targets B cell depletion and has been partnered with Boehringer Ingelheim, focusing on differentiating from existing bispecific therapies [39][41] - The partnership includes a $12 million upfront payment and ongoing preclinical studies to define lead candidates for IND filing [45] - The preclinical data indicates equivalent B cell killing efficacy compared to bispecifics without the associated cytokine release, highlighting a favorable safety profile [42][43] Financial Overview - Cue Biopharma ended the last quarter with $28 million in cash, with an annual burn rate of approximately $25 to $28 million [51] - The company anticipates strategic partnerships and milestone payments to enhance its financial position [51] Market Dynamics and Competitive Landscape - The company is positioned to capture the pediatric market for acute graft-versus-host disease, with a significant opportunity in the adult market as well [64][68] - The competitive landscape includes existing therapies like Jakafi, which has limitations in pediatric applications and efficacy in severe cases [79][82] - Cue Biopharma's approach is expected to establish itself as a first-line therapy in children and potentially in adults with severe disease [80][82] Regulatory Engagement - Positive feedback was received from the FDA regarding the T-reg induction mechanism, with guidance towards earlier intervention in treatment protocols [22][90] - The company is aligning its clinical strategy with regulatory expectations to maximize market entry and patient impact [91]