Form 8-K - Current report
27 Janvier 2025 - 1:30PM
Edgar (US Regulatory)
0001374339false00013743392025-01-272025-01-27
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): January 27, 2025
PROMIS NEUROSCIENCES INC.
(Exact name of registrant as specified in its charter)
| | | | |
Ontario, Canada | | 001-41429 | | 98-0647155 |
(State or other jurisdiction of incorporation) | | (Commission File Number) | | (IRS Employer Identification No.) |
| | | | |
Suite 200, 1920 Yonge Street, Toronto, Ontario | | | | M4S 3E2 |
(Address of principal executive offices) | | | | (Zip Code) |
Registrant’s telephone number, including area code: (416) 847-6898
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:
☐ 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))
Securities registered pursuant to Section 12(b) of the Act:
| | | | |
Title of Each Class | | Trading Symbol(s) | | Name of Each Exchange on Which Registered |
Common Shares, no par value per share | | PMN | | The Nasdaq Capital Market |
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter)
Emerging growth company ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 7.01 Regulation FD Disclosure.
On January 27, 2025, ProMIS Neurosciences Inc. posted to its website an updated corporate presentation. A copy of the corporate presentation is attached hereto as Exhibit 99.1.
The information in Item 7.01 of this Current Report on Form 8-K, including Exhibit 99.1 hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| PROMIS NEUROSCIENCES INC. |
| | |
Date: January 27, 2025 | By: | /s/ Neil Warma |
| | Name: Neil Warma |
| | Title: Chief Executive Officer |
Exhibit 99.1
| NASDAQ: PMN
Targeting the underlying cause
of neurodegenerative diseases |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Legal Disclaimers
This slide deck may contain certain forward-looking information. Such information involves known
and unknown risks, uncertainties and other factors that may cause actual results, performance or
achievements to be materially different from those implied by statements herein, and therefore these
statements should not be read as guarantees of future performance or results. All forward-looking
statements are based on ProMIS Neurosciences Inc.’s (the “Company”) current beliefs as well as
assumptions made by and information currently available to it, as well as other factors. Readers are
cautioned not to place undue reliance on these forward-looking statements, which speak only as of
the date of this slide deck. Due to risks and uncertainties, including the risks and uncertainties
identified by the Company in its public securities filings available online at sec.gov, actual events
may differ materially from current expectations. The Company disclaims any intention or obligation
to update or revise any forward-looking statements, whether as a result of new information, future
events, or otherwise.
2 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Unique potential in areas
of great unmet need
Clinical-stage biopharma with
pipeline selectively targeting
specific, disease-causing
misfolded proteins
3
• Unique selectivity may create potential to
address the unmet need for safer, more
efficacious therapies
• Significant market potential across a
range of neurodegenerative diseases
• Seasoned leadership team with global
development and deep domain experience
• Funding to strive to hit milestones, with up
to $122.7 million secured from PIPE in July
2024 from leading healthcare specialty
funds |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PRECISE-AD: Lead program PMN310 in ongoing placebo-controlled
Phase 1b clinical study in Alzheimer’s patients
4
Humanized monoclonal antibody designed to bind
toxic amyloid-beta oligomers (AbOs), NOT
monomers or plaques
Phase 1a: PMN310 was well-tolerated
in healthy volunteers, crossed the blood-brain barrier and
achieved concentrations suggesting sufficient target
engagement with a half-life supportive of monthly dosing
PRECISE-AD: Phase 1b clinical trial is ongoing in AD
patients. 12-month endpoints include clinical outcomes,
safety (incidence of ARIA) and biomarkers
Broad pre-clinical pipeline: Includes antibody and
vaccine candidates targeting ALS, MSA, Parkinson’s,
Dementia with Lewy bodies, and others |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Experienced Leadership Team
5
Josh Mandel-Brehm, M.B.A.
Independent Director
Maggie Shafmaster, Ph.D., J.D.
Lead Independent Director
Neil K. Warma, M.B.A., B.Sc.
Chief Executive Officer
William Wyman, M.B.A.
Independent Director
Patrick Kirwin, B.A., J.D.
Independent Director
Executive
Management
Eugene Williams, M.B.A.
Chairman and Co-founder
Neil Cashman, M.D.
Chief Scientific Officer and Co-founder
Gavin Malenfant
Chief Operating Officer
David Wishart, Ph.D.
Chief Physics Officer
Neil Cashman, M.D.
Chief Scientific Officer
Dan Geffken
Chief Financial Officer
Johanne Kaplan, Ph.D.
Chief Development Officer
Larry Altstiel, M.D., Ph.D.
Chief Medical Officer
Neil K. Warma
Chief Executive Officer
Board of
Directors
Clinical Advisory
Board
Henrik Zetterberg, MD, PhD
University of Gothenburg, Sweden
Dr. Michael Weiner
UCSF, San Francisco, CA
Howard Fillit, MD
ADDF, New York, NY
Suzanne Hendrix, PhD
Pentara, Millcreek, UT |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Lead programs targeting growing opportunities in neurodegeneration
6
Clinical Phase 1b
Alzheimer’s Disease (AD)
Amyotrophic Lateral
Sclerosis (ALS)
Synucleinopathies
(MSA, PD, DLB, etc.)*
*MSA - Multiple system atrophy; PD - Parkinson’s
disease; DLB: Dementia with Lewy bodies
1Alzheimer’s Association 2024 AD Facts and
Figures, Alzheimer's Disease Facts and Figures
2Arthur et al, 2016, Nature Communications
12.7 M1
Expected by
2050
6.9 M
People with AD
in U.S today
Unmet Needs
Opportunity
Selectivity Targets toxic amyloid-beta
(Aβ) oligomers, believed to
be the key driver of AD
progression
Selectively targets pathogenic
cytoplasmic TDP-43
aggregates to preserve the
function of normal TDP-43
Despite new therapies,
lack of broad efficacy and
safety concerns remain
Targets toxic alpha-synuclein
oligomers and small soluble
fibrils, does not bind
physiologic monomers and
tetramers
Uniformly fatal illness
with limited effective
treatment
Increasing prevalence
with over 376,000 cases
worldwide by 20402
Symptomatic treatment but no
disease modifying therapies
for PD. No effective treatment
for MSA and DLB
Growth driven by increasing
prevalence and awareness,
aging population |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
The ProMIS Solution – The best of precision medicine and AI
driving development of selective monoclonal antibodies
Our Novel, Proprietary Target Discovery Engine + Antibody Development
Computational Modeling Epitope Construct & Antibody
Candidate Generation
Normal
protein
Toxic misfolded
protein
Screening for selectivity
and protective activity
Confirms that antibody
selectively neutralizes toxic
form creating potential to slow
or halt disease progression
Enables identification of
disease-specific target
epitopes on misfolded
toxic proteins
Allows for efficient
generation of selective
antibodies that strongly bind
disease-associated epitopes
7
Allows the body to eliminate
disease-causing toxic proteins
without affecting the normal protein
Humanized IgG1 monoclonal
antibodies with high effector function
Target epitope
Immunization
Target epitope
construct
Antibody
Normal
protein Toxic
misfolded
protein
Antibody |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Product
Candidate Target Protein Disease
Indication(s) Discovery Pre-Clinical Phase 1 Phase 2 Phase 3
ANTIBODY PMN310 Amyloid-Beta AD
PMN267 TDP-43 ALS
PMN442 Alpha-Synuclein MSA1
VACCINE PMN440 Alpha-Synuclein Vaccine Multiple
synucleinopathies
PMN311 Amyloid-Beta Vaccine Alzheimer’s
Prevention
DISCOVERY Tau Alzheimer’s2,
FTLD, PSP, CBD
RACK1 ALS2, HD
DISC1+Interactome Schizophrenia
1 The company plans to investigate additional synucleinopathies, including PD: Parkinson’s disease and dementia with Lewy bodies 2Initial indication AD: Alzheimer’s disease, ALS: Amyotrophic lateral sclerosis,
MSA: Multiple system atrophy, HD: Huntington’s disease, FTLD: Frontotemporal lobar degeneration, PSP: Progressive supranuclear palsy, CBD: Corticobasal degeneration
Platform generating robust pipeline targeting
toxic misfolded proteins
8 |
| Lead Clinical Candidate
PMN310 in Alzheimer’s Disease
Selectivity for
Toxic Aβ Oligomers |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Amyloid-beta protein exists in different forms and different concentrations
10
Aβ Monomers:
Abundant, produced
over lifetime
Have a beneficial
biologic role
Highly toxic Aβ Oligomers:
Small, soluble clusters of Aβ –
Main driver of disease
Damage the brain cells and cause
cognitive decline and dementia
ESTIMATED RELATIVE ABUNDANCE OF Aβ SPECIES
Goure et al, 2014, Alz Res & Ther
Toxic Aβ
Oligomers
Aβ Plaque:
Large, insoluble
aggregates of Aβ
Form in spaces between
nerve cells in the brain
• Hallmark of Alzheimer’s disease;
can cause neuroinflammation but
not a primary driver of disease
• Antibody binding to plaque is
associated with increased risk
of ARIA
Aβ Plaque
Aβ Monomers |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Soluble toxic Aβ oligomers, not plaque, are the most
neuropathogenic Aβ species in Alzheimer’s Disease
• Synapse abnormalities and memory impairment
correlate poorly with plaque burden in human
and mouse AD1,2
• Aβ monomers and plaque have little or no
demonstrable toxicity in vitro or in vivo3-5
• Soluble Aβ oligomers show the highest degree
of neurotoxicity6
– Toxicity in primary neuron cultures and brain slices3,5,7-9
– Induction of cognitive impairment in rodents3,4,10
11
1Jacobsen et al., 2006 PNAS; 2Brier et al., 2016, Science Trans Med; 3Shankar et al,. 2008, Nature Med; 4Cleary et al., 2005, Nature Neuroscience; 5Hong et al., 2016, Science; 6Benilova et al., 2012, Nature Neuroscience - Review; 7Lacor et al., 2007, J Neuroscience; 8Jin et al., 2011, PNAS; 9Lauren et al., 2009, Nature; 10Balducci et al., 2010, PNAS
In vivo impairment of recognition memory by
Ab oligomers, not monomers and not plaque10
Normal Monomers Oligomers Fibrils
Ab species injected
Monomers Oligomers Plaque
Discrimination Index
0.6
0.5
0.4
0.3
0.2
0.1 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Selectivity for toxic AβOs creates potential for improved efficacy & safety
Why Target Toxic AβOs?
• AbOs destroy synapses leading to neurodegeneration;
believed to be THE key driver of AD progression over
insoluble plaques
• Antibodies that bind abundant Ab monomers are directed
away from the toxic oligomer target, reducing efficacy
• Antibodies that bind Ab plaque are associated
with an increased risk of brain edema and
microhemorrhages (ARIA-E and ARIA-H)1
• Despite complete or near-complete plaque clearance,
approved therapies slow cognitive decline only
~22-29%, with ~15-35% incidence of ARIA2-4
• Upon cessation of treatment (gap period), plaque
removal persists but cognitive decline resumes,
suggesting that removal of soluble toxic oligomers must
be maintained for continued efficacy (CTAD 2019)
12
1ARIA = Amyloid-Related Imaging Abnormalities; 2Budd Haeberlein et al, 2022,
J Prev Alz Dis; 3Sims et al, 2023, JAMA; 4van Dyck et al, 2023, N Engl J Med
Complete plaque removal only achieves
modest inhibition of cognitive decline
Treatment stopped
Cognition
declines
Plaque
stays down
N: 10 on placebo, 19 on 10 mg/kg monthly and 10 on 10 mg/kg biweekly
Placebo 10 mg/kg monthly 10 mg/kg biweekly
Predicted PET SUVR change from Core baseline (+/- SE)
Plaque Reduction
Core Baseline
Predicted CDRSB change from Core baseline (+/- SE)
Lecanemab Gap Period
Continued clinical progression in spite of persistent plaque reduction Disease Worsening
18m Visit OLE Baseline |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Specific targeting of toxic Aβ oligomers is needed for increased
efficacy and improved safety profile
Avoiding off-target delivery of drug, to more
plentiful monomers and plaque
• Most drugs cross-react with several species of Ab
• Less drug getting to oligomer target potentially
reducing efficacy and increasing side effects
Selective targeting of only the toxic
oligomer species
• Needed to improve efficacy AND avoid ARIA
• May allow for lower dosing (drug is not misdirected)
PMN310 designed to
selectively bind Aβ
oligomers without binding
monomers or plaque
• Selectivity for toxic oligomers
without monomer distraction
may increase clinical activity
• Avoidance of plaque may carry a
reduced risk of ARIA
The Challenge
The Potential Solution
1
2
13 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Importance of selectivity for toxic amyloid-β oligomers (AβOs)
14
Monomers Oligomers Plaque
Abundant, produced
over lifetime
Have a beneficial biologic role
Small, soluble clusters of Aβ –
Main driver of disease
Damage the brain cells and cause
cognitive decline and dementia
Large, insoluble
aggregates of Aβ
Form in spaces between nerve cells
in the brain Clinical Benefit
None
None
None
Modest
Modest
Modest
Potentially high
solanezumab
gantenerumab
crenezumab
lecanemab
aducanumab
donanemab
Note: No head-to-head clinical PMN310
studies have been conducted |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN310 – Demonstrated best-in-class resistance
to Aβ monomer competition
• Antibodies that failed in the
clinic had toxic oligomer binding
abrogated by monomer exposure
• Antibodies with positive clinical
trial data were more resistant to
monomer competition and
retained significant binding to
toxic oligomers
• PMN310 targeting of toxic Aβ
oligomers least impacted by
monomer competition to date
15
CREZ GANT PRX DONA ADUC LECAN ACU193 PMN310
0 -> 5µM 0 -> 5µM 0 -> 5µM 0 -> 5µM 0 -> 5µM 0 -> 5µM
No
binding
0 -> 5µM
0
No
binding
0 -> 5µM
0
20
40
60
80
100
120
Percent Binding Response
No Clinical Benefit Modest Clinical Benefit
COMPETING MONOMER CONCENTRATION
CREZ: crenezumab; GANT: gantenerumab; PRX: Prothena; DONA: donanemab;
ADUC: aducanumab; LECAN: lecanemab; ACU193: Acumen mAb
Kaplan et al, 2024, bioRxiv, https://www.biorxiv.org/content/10.1101/2024.04.20.590412v2
Binding to toxic oligomer-enriched fraction of AD brain
with monomer competition from 0-5 µM |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Plaque-binding antibodies associated with increased risk of ARIA-E PMN310 shows no detectable plaque binding
PMN310 – Only antibody exclusively targeting toxic oligomers
while avoiding Aβ plaque in preclinical studies
16
Reported ARIA rates: Sperling RA et al, 2011, Alzheimer’s and Dementia; Budd Haeberlein S et al, 2022, J Prev Alz Dis; Mintun MA et al, 2021, NEJM; Swanson CJ et al, 2021, Alzheimer’s Research and Therapy;
https://www.roche.com/media/releases/med-cor-2022-11-14; Siemers E et al, 2023, J Prev Alz Dis; Tam S et al, 2021, Alzheimer’s and Dementia; Ostrowitzki S et al, 2022, JAMA Neurol
Scale bars = 50 µm
Kaplan et al, 2024, bioRxiv, https://www.biorxiv.org/content/10.1101/2024.04.20.590412v2
PMN310
No detectable
plaque staining
Gantenerumab
ARIA-E ~25%
huIgG1
Isotype control
No plaque staining
Aducanumab
ARIA-E ~35%
Donanemab
ARIA-E ~24%
Lecanemab
ARIA-E ~13%
Solanezumab
Targets Ab monomers
– No clinical benefit
Minimal plaque binding
Low incidence of ARIA-E
ACU193
Phase 1 – ARIA-E
21.4% at top dose
PRX h2731
PRX012 Phase 1
ongoing |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
NO ARIA-H
No microhemorrhages observed in brain
sections from 29 vehicle control (placebo)
mice and 29 PMN310-treated mice
PMN310 – High-dose treatment in AD mice did not cause
microhemorrhages (ARIA-H)
17
• Plaque-binding antibodies have been
reported to induce microhemorrhages in
transgenic huAPP mouse models
• Transgenic huAPP mice dosed weekly
for 26 weeks with high doses of murine
version of PMN310 (800 mg/kg) or placebo
Perls’ stain
No microhemorrhage
Amylo-Glo staining
Plaque present
PMN310 vs. Placebo after 26 weeks
Placebo Placebo
PMN310
800 mg/kg/wk
PMN310
800 mg/kg/wk
Kaplan et al, 2024, bioRxiv, https://www.biorxiv.org/content/10.1101/2024.04.20.590412v2 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN310 preserved memory in AD mouse model
18
#p<0.05 vs AbO; *p<0.05 vs vehicle
Gibbs et al, 2019, Scientific Reports
AbO +/- PMN310
7 days
Injection of toxic AbO in
the brain ventricles of mice
destroys their ability to remember
and distinguish between a novel
object and a familiar object seen
previously (discrimination index).
Discrimination index = (Time exploring new object – time exploring familiar object) / total exploration time.
PMN310 prevented short-term memory loss caused by toxic oligomers in a novel object recognition (NOR) assay
Mice injected
with PMN310 were
completely protected. |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN310 preserved memory and learning in AD mouse model
19
*p<0.05 vs vehicle-treated hAPP-Tg for both vehicle-treated non-Tg and
PMN310-treated Tg mice
Kaplan et al, 2024, bioRxiv, https://www.biorxiv.org/content/10.1101/2024.04.20.590412v2 Training 1
Training 2
Training 3
Training 4
0
500
1000
1500
2000
Distance (cm)
Non-Tg, Vehicle
hAPP-Tg, Vehicle
hAPP-Tg, PMN310
(30 mg/kg/week)
Training 1
Training 2
Training 3
Training 4
0
30
60
90
Time (s)
*
PMN310 normalized
time required to
find platform
Training 1
Training 2
Training 3
Training 4
0
500
1000
1500
2000
Distance (cm)
*
PMN310 normalized
swimming distance
to find platform
• Morris Water Maze test: Over successive training days, mice learn and
remember where a hidden platform is located in a pool of water, reducing
the time and swimming distance required to reach the platform.
• Mice transgenic for human Ab have cognitive deficits and do not perform
as well (more time, longer swimming distance needed)
PMN310 delivered systemically corrected the cognitive defect of hAPP/L transgenic mice in the Morris Water Maze task
Transgenic AD mice
treated with PMN310
were completely
protected and performed
as well as normal mice. |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Healthy volunteers
(N=8 per cohort)
First subject
dosed Nov.
2023
Dose
2.5 mg/kg
(N = 6:2)
Dose
5 mg/kg
(N = 6:2)
Dose
10 mg/kg
(N = 6:2)
Dose
20 mg/kg
(N = 6:2)
Dose
40 mg/kg
(N = 6:2)
PMN310
Placebo-Controlled
Study
(2.5-40 mg/kg)
Positive data from PMN310 Phase 1a first-in-human single
ascending dose (SAD) study reported at CTAD 2024
• PMN310 generally well-tolerated in healthy volunteers
across all five dose levels tested
• PMN310 crossed the blood brain barrier, achieving CSF
concentrations believed necessary for target engagement
• Pharmacokinetics support
possible once-monthly
dosing and potential
subcutaneous formulation
• Safety and tolerability data
enabled dose selection
for Phase 1b study
SAD, Single Ascending Dose; MAD, Multiple Ascending Dose; AD, Alzheimer’s Disease
Per protocol, doses fixed per cohort with a 70 kg body weight assumption
Dose-proportional
increase of PMN310 CSF
levels on days 3 and 29
Day 3
Day 29
Phase 1a Met All Objectives
20 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Clinical endpoints (cognition) measured at
baseline and months 6 & 12:
• CDR-SB
(Clinical Dementia Rating, Sum of Boxes)
• ADAS-cog
• ADAS-ADL
• IADRS
• Clinical Global Impression of Change
CSF/ Plasma Biomarkers:
0, 3, 6, 9, 12 month
• p-tau217, p-tau243
• GFAP
• Neurogranin
• SNAP-25
• Ab42/40
• NfL
Efficacy: Assess pharmacodynamic
markers of treatment effect at baseline, 3,
6, 9, 12 months; Sufficient power to detect
biomarker changes at 6 months
Safety: Powered to provide 95%
confidence to detect at least one ARIA
case
MRI for ARIA
at baseline
and months
2, 4, 6, 9, 12
Ab PET
PRECISE-AD: PMN310 Phase 1b MAD trial design in AD patients
12-month double-blinded treatment, interim 6-month data, N=100 completers
12 Month double-blinded treatment,
staggered start
5 mg/kg
16 patients: 3:1 Active:Placebo
10 mg/kg
56 patients: 3:1 Active:Placebo
20 mg/kg
56 patients: 3:1 Active:Placebo
Enroll 128 patients to
achieve 100 completers
6 Month Interim Data
PMN310
Placebo-Controlled Study
(IV monthly dosing )
21 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PRECISE-AD: 6-month interim analysis to show impact of biomarker and
incidence of ARIA; Final analysis to include clinical outcome measures
Biomarker Relevance
p-tau 217 Measure of disease progression
p-tau 243 Measure of downstream tau phosphorylation
GFAP Neuroinflammation
Neurogranin Post-synaptic function
SNAP-25 Pre-synaptic function
Ab42/40 Disease stage
NfL Neuronal damage
22
Clinical Endpoionts Relevance
CDR-SB
(Clinical Dementia Rating, Sum of Boxes)
FDA-preferred measure of clinical outcome
ADAS-cog Validated measure of clinical outcome
INTERIM AND FINAL ANALYSIS
FINAL ANALYSIS
ARIA
Interim and final analysis
• Average placebo rates:
1-3%
• Current marketed therapies:
~15-35%
Reported ARIA rates: Sperling RA et al, 2011, Alzheimer’s and Dementia; Budd Haeberlein S et al, 2022, J Prev Alz Dis; Mintun MA et al, 2021, NEJM; Swanson CJ et al, 2021, Alzheimer’s Research and Therapy;
https://www.roche.com/media/releases/med-cor-2022-11-14; Siemers E et al, 2023, J Prev Alz Dis; Tam S et al, 2021, Alzheimer’s and Dementia; Ostrowitzki S et al, 2022, JAMA Neurol
Scale bars = 50 µm
Kaplan et al, 2024, bioRxiv, https://www.biorxiv.org/content/10.1101/2024.04.20.590412v2 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN310 target product profile
23
CATEGORY DETAILS
Indication Treatment of Alzheimer's Disease (AD)
Mechanism of Action Humanized monoclonal antibody selectively targeting toxic amyloid-beta (Aβ) oligomers
Formulation Intravenous (IV) administration
Target Population
Patients with mild cognitive impairment (MCI) due to AD or mild AD dementia confirmed by biomarkers:
- Amyloid positivity (e.g., CSF, PET imaging)
- Evidence of neurodegeneration (e.g. imaging)
Efficacy Goals Primary Endpoint: Slowing cognitive and functional decline (e.g., CDR-SB, ADAS-Cog)
Secondary Endpoints:
• Reduction in biomarkers that predict disease progression
• Imaging evidence of slowed neurodegeneration (e.g., MRI hippocampal volume)
• Quality of life improvements for patients
Safety Goals Minimize ARIA and infusion reactions
Superior safety profile to existing anti-amyloid therapies
Dosing and Administration Frequency: Monthly dosing
Route: Intravenous infusion, with potential for subcutaneous formulations in the future
Goals for Competitive
Differentiation Selectivity: Targets toxic oligomers, avoiding monomers and plaque
Efficacy: Early cognitive benefit compared to existing treatments
Safety: Lower incidence of ARIA than other amyloid-directed antibodies
The target product profile represents goals for the PMN310 development program. No head-to-head clinical studies have been conducted. |
| Lead Pipeline Candidates
Antibody and Vaccine
Candidates Targeting a Range
of Neurodegenerative Diseases |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN267: Lead antibody candidate targeting pathogenic TDP-43
25
Why TDP-43?
• TAR DNA-binding protein 43 (TDP-43) essential to neuronal cell
survival1; plays important roles in RNA regulation
• Pathogenic TDP-43 aggregates frequently observed in multiple
neurodegenerative diseases: both loss-of-function1 and gain of function2
PMN267 – Initial proof of concept to target Amyotrophic Lateral
Sclerosis (ALS)
• Target candidate profile specific for binding epitope of pathogenic TDP-43
with high affinity in sub-nanomolar range. No reactivity with normal TDP-43.
• Inhibit cell-to-cell propagation of toxic misfolded TDP-43
• Promote degradation of cytoplasmic aggregates of misfolded TDP-43
without affecting cell viability
1. de Boer, EMJ et al, 2020, J Neurol Neurosurg Psychiatry; 2. Neumann et al, 2006, Science; 3. Pokrishevsky et al, 2016, Scientific Reports; 4. Chou et al, 2018, Nat Neurosci; 5. Endo et al, 2018, Biological Psych
TDP-43
Healthy (motor)
neuron
Degenerating
ALS/FTD
(motor) neuron |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN267 advancing to IND-enabling studies
26
Nuclei
Misfolded DNLS-TDP-43 (HA Tag) ProMIS mAb Merge
Potential across neurodegenerative disease with TDP-43 proteinopathy including
ALS, Frontotemporal dementia (FTD), AD, and Limbic-predominant age-related TDP-43 encephalopathy (LATE)
• Misfolding DNLS-TDP-43 forms cytoplasmic
aggregates
• PMN267 selectively binds to the misfolded
aggregates in the cytoplasm (co-localization) and
does not react with normal TDP-43 in the nucleus.
An enhanced, highly selective binding profile with intracellular and extracellular activity has the
potential to lead to optimal clinical outcomes by focusing activity on pathogenic TDP-43 and
preserving the essential functions of normal TDP-43
PMN267 has been humanized in a human IgG1 framework for IND-enabling studies |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN442: Lead antibody candidate targeting toxic α-Synuclein
27
Why Alpha-Synuclein (α-syn)?
• α-syn plays a role in synaptic activity, including regulating release of
dopamine and maintaining synaptic vesicles
• In synucleinopathies, α-syn misfolds and clumps into toxic aggregates
implicated in: Multiple system atrophy (MSA), Parkinson’s Disease (PD),
and Dementia with Lewy bodies (DLB)
PMN442 – Initial Proof of Concept to Target Multiple System Atrophy (MSA)
• Target candidate profile specific for toxic oligomers and small soluble fibrils,
avoiding monomers and tetramers to reduce potential adverse events
• Protect dopaminergic neurons against killing by α-syn toxic oligomers
• Inhibit the processes involved in the cell-to-cell propagation of pathogenic
α-syn aggregates
Pathogenic
α-syn Neuronal
uptake
Neurodegeneration
Diseased
neuron
Microglial
activation |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN442 advancing to IND-enabling studies
28
CONTROL a-SYN OLIGOMERS a-SYN OLIGOMERS + PMN442
PMN442 has been humanized in a human IgG1 framework for IND-enabling studies
Potential across range of synucleinopathies including
Multiple System Atrophy (MSA), Parkinson's disease (PD) and Dementia with Lewy bodies (DLB)
• Toxic a-syn oligomers kill
dopaminergic neurons in culture
• PMN442 protected neurons against
toxic oligomers
An enhanced, highly selective binding profile has the potential to lead
to optimal clinical outcomes |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
The ProMIS platform potential in vaccine applications
Epitopes of toxic misfolded proteins identified by the ProMIS platform can also potentially
be used for direct vaccination to induce production of selective protective antibodies
• Pursuing vaccination strategies against AD and other neurodegenerative diseases offers potential
advantages over chronic administration of a therapeutic antibody
• Lead vaccine compositions and formulations have been selected for an Aβ oligomer vaccine against
AD and an α-syn vaccine against synucleinopathies based on mouse vaccination studies
29
Conformational epitope
prediction
Conformational
epitope
construction
Normal
protein
Misfolded
protein
Selective targeting of
misfolded toxic protein Immunization for
monoclonal antibodies
(passive immunization)
epitope Normal
protein
Misfolded
protein
Vaccine construct
(active immunization) |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
PMN311: Positive early results presented at AAIC 2024
30
• Testing of 15 possible combinations of 1 to 4 conformational Aβ oligomer epitopes in mouse vaccination
studies led to the selection of PMN311 as the lead vaccine candidate for further development.
• PMN311 is composed of a single epitope, the target of PMN310. It elicited maximal antibody binding
to a toxic oligomer-enriched low molecular weight fraction of soluble AD brain extracts.
No advantage of combination with additional epitopes.
300 301
303 305
Quad
6E10 – Pan Aβ mAb
Antibodies in immune sera bind Aβ oligomers and
not monomers by surface plasmon resonance (SPR)
The antibodies induced by conformational AβO
epitopes do not bind plaque in AD brain
> Oligomer-selective antibody response
300 301 303 305 Quad
0
10
20
30
40
50
60
70
Binding Response Units (BRU)
Aβ Oligomers
Aβ Monomers
300 301 303 305 Quad
0
10
20
30
40
50
60
70
Binding Response Units (BRU)
Aβ Oligomers
Aβ Monomers
300 301 302 305 Quad
0
10
20
30
40
50
60
70
Binding Response Units (BRU) |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Product
Candidate Target Protein Disease
Indication(s) Discovery Pre-Clinical Phase 1 Phase 2 Phase 3
ANTIBODY PMN310 Amyloid-Beta AD
PMN267 TDP-43 ALS
PMN442 Alpha-Synuclein MSA1
VACCINE PMN440 Alpha-Synuclein Vaccine Multiple
synucleinopathies
PMN311 Amyloid-Beta Vaccine Alzheimer’s
Prevention
DISCOVERY Tau Alzheimer’s2,
FTLD, PSP, CBD
RACK1 ALS2, HD
DISC1+Interactome Schizophrenia
1 The company plans to investigate additional synucleinopathies, including PD: Parkinson’s disease and dementia with Lewy bodies 2Initial indication AD: Alzheimer’s disease, ALS: Amyotrophic lateral sclerosis,
MSA: Multiple system atrophy, HD: Huntington’s disease, FTLD: Frontotemporal lobar degeneration, PSP: Progressive supranuclear palsy, CBD: Corticobasal degeneration
Platform generating robust pipeline of selective candidates
targeting toxic misfolded proteins
31 |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Enrollment of Cohorts 1 (5 mg/kg), 2 (10 mg/kg),
3 (20 mg/kg)
Initiated
PRECISE-AD
Key Anticipated Milestones
32
H1’25 H2’25 H1’26 H2’26
Achieving these milestones will drive the company’s strategic growth and potential
for transformative partnerships and generate significant shareholder value
Actions
• Build clinical and scientific awareness
• Host investor and analyst updates
• Advance strategic partnering discussions
• Strengthen IP
6-month Interim Results
(blinded)
Biomarkers, ARIA
Top-line Results
Clinical, Biomarkers,
ARIA |
| Copyright 2025, ProMIS Neurosciences, Inc. | Non Confidential
Committed to patients with novel approach to battling
neurodegenerative diseases
33
Clinical data and milestones
could unlock significant potential and demonstrate
proof of concept for PMN310 in AD
Advancing preclinical pipeline
could further validate the ProMIS platform and the
potential across therapeutics and vaccines
Strong track record of execution and
seasoned leadership team
with significant CNS product development experience
Committed financing
supports programs through key inflection points
ProMIS has leveraged AI/ML to create
a novel technology platform that has
generated a robust pipeline of candidates
against Alzheimer’s, ALS, MSA and
other challenging diseases
Clinical candidate PMN310 highly
differentiated; data from ongoing
Phase 1b clinical trial aims to evaluate
safety and tolerability to assess
PMN310’s potential to halt Alzheimer’s
disease progression |
| NASDAQ: PMN
For further information, contact:
info@promisneurosciences.com |
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ProMIS Neurosciences (NASDAQ:PMN)
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De Jan 2025 à Fév 2025
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