Dr. RJ Tesi
Thank you, David. For our first quarter 2025 call, I will review key takeaways and provide an update on our platform programs. Following my comments on recent developments, Dr. Mark Lowdell, INmune Bio CSO and inventor of both CORDstrom and INKmune, will provide an update on those programs. David Moss, INmune Bio CFO, will then conclude with a review of first quarter financial results and update future catalysts. Then we will be happy to take your questions. I’m sure everyone on this call knows we will soon be reporting topline results from MINDFuL, that is our Phase 2 trial in patients with early Alzheimer’s disease. The results are expected mid-to-late June. That is, in give or take 50 days, we will know the answer to the question, what happens in Alzheimer’s disease when you properly target neuroinflammation? Our last investor update call was just a short six weeks ago. But there have been important and I believe positive changes in the Alzheimer’s disease marketplace during that short period of time. We believe these changes will be beneficial to expose market opportunity in early Alzheimer’s disease. Last month at ADPD, which is the largest Alzheimer’s disease meeting in Europe, INmune Bio reported the biomarker profile of patients enrolled in the MINDFuL study. The data confirmed that we have been underestimating the market opportunity for XPro in patients with early AD. Historically, we stated that up to half of the early Alzheimer’s patients will qualify for XPro based on the biomarkers we used as our enrollment criteria. Based on the data INmune Bio and other companies presented at ADPD, we now believe more than two-thirds of early Alzheimer’s disease patients will be eligible for XPro based on ApoE4 status alone. I remind you that ApoE4 positivity was one of the four enrichment or enrollment criteria we used in the MINDFuL study. The ApoE4 status of patients in the MINDFuL is almost identical to what is reported in recent major trials in Alzheimer’s. Patients with at least one ApoE4 allele make up more than two-thirds of the patients in these trials. This means the market opportunity for XPro in early AD has increased to nearly 70% of early AD patients, not the 40% we have previously been talking about. On the call six weeks ago, I also mentioned the safety profile of XPro in the MINDFuL trial. Nothing has changed. There are no reports of area. No patients have had unscheduled MRIs due to pNF symptoms or headache, et cetera, and there have been no deaths. So far, XPro is safe and well-tolerated in this patient population that has an average age of 73 years old, and many of them have a long list of comorbidities. The excellent safety profile of XPro in these patients provides a unique ApoE4-related market opportunity for XPro. Let me explain. Both the EU and the U.K. have approved lecanemab, the aside biasing drug, for patients with early Alzheimer’s disease who have none or one copy of the ApoE4 gene. The market authorizations specifically exclude patients who carry two ApoE4 alleles. In the early AD trials that report ApoE4 status, ApoE4 homozygotes, that’s the patients that have two ApoE4 alleles, are 15% of the patients. That means because of labeling restrictions on lecanemab in the U.K. and EU, early Apo -- early Alzheimer’s patients who are ApoE4 homozygotes will not be eligible for therapy with the anti-amyloid drugs. This group now is an important unmet need ideally suited for XPro therapy. In the U.S., recent surveys of practice patterns indicate that this population is not treated in many centers due to the risk of area. So even in the U.S., where the labeling is different than you see in the U.K. and Europe, we believe that after approval, XPro will be the best and only treatment option available for this subgroup, important subgroup, of early Alzheimer’s patients. We should have an exclusive biologically based market. Finally, the biomarker landscape of Alzheimer’s disease is really evolving quite quickly. And it’s evolving in a way that highly, that really benefits our focus in these patients. Now, once the diagnosis of Alzheimer’s is made, p-tau217 in blood has become the biomarker of most important interest by clinical teams treating these early Alzheimer’s patients. P-tau217 levels define the severity of Alzheimer’s. P-tau217 levels in the blood have prognostic value and correlate with stage of disease. In the near future, we predict that changes in p-tau217 blood levels will be used as a pharmacodynamic blood marker of therapeutic response in these patients. As a reminder, XPro significantly decreased p-tau217 during the three-month Phase 1 study, and this biomarker is included in the package of biomarkers that we are studying in the MINDFuL’s Phase 2 program. Having a great drug is a necessary element for a successful clinical program, but it is only part of the story. Since the last patient was enrolled in November, we have been highlighting the hard work needed to report the topline data in June. These are the busiest of times. For example, after the last patient has their final safety visit, but before the database is locked, a complex series of critical data management and quality assurance tasks are undertaken to ensure the data are complete, accurate and ready for analysis. The process begins with data cleaning, where we review case report forms and entries into the electronic data capture system, and to resolve discrepancies, fill in missing data and look for outliers. This is a patient-by-patient process. It is labor-intensive. Queries are issued to trial sites to clarify inconsistencies, and there is source data verification to confirm that the recorded data matches the source documents, for instance, the medical records. This phase also involves ensuring compliance with regulatory standards, such as DCP, by maintaining eye trails and documenting all changes. After data cleaning are complete, the focus shifts to the final quality checks and preparation for database lock. A comprehensive review of the data is performed to confirm that all queries are resolved, deviations documented and validation checks satisfied. The statistical plan is cross-checked to ensure that all data points are present and correctly formatted, and that data monitoring committees conduct final safety and efficacy reviews. We don’t lock the database until we are sure the database is clean and accurate. I will also say that this is all done with blinded data. No one knows who got what during this process. We don’t run the statistical programs until the database are locked, and it’s only when that statistical package comes out that the real unblinding occurs. We remain on track for this process to be completed in mid-to-late June, and I can tell you we can hardly wait to see the fruits of our labors. This is a moment we’ve been anticipating for several years. We are confident we will report results that will change the care of patients with early Alzheimer’s disease, and this confidence is highlighted by management’s substantial share ownership. Like you, we are investors in INmune Bio. Our interests are aligned with yours. As important as MINDFuL our Alzheimer’s trial is to the company and our investors, it’s not our only program. Correction for the treatment of children with receptive dystrophic epidermolysis bullosis or RDEB is expected to file a BLA in 2026. The INKmune program continues to move forward in men with metastatic cascade-resistant prostate cancer. The light is shining more brightly on cords from these days. It is an orthodontic disease program, and after recent comments from the FDA, we are increasingly excited by its prospects. The FDA has stated their intention to move rare disease treatments through the approval process faster, with more input from patients and caregivers. In RDEB, CORDstrom provides a systemic therapy for systemic genetic disease that has the support of patients and caregivers. But enough from me. I will turn the microphone over to Mark Lowdell, the CSO and inventor of both CORDstrom and INKmune, to give you a more in-depth update on those programs. Mark?