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Shattuck Labs (STTK) investor relations material
Shattuck Labs Evercore ISI 8th Annual HealthCONx Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Scientific rationale and differentiation
Targeting the TL1A receptor (DR3) offers potential advantages over ligand-blocking, including reduced immunogenicity and improved efficacy due to stable receptor expression on lymphocytes.
Ligand-blocking antibodies form immune complexes that drive high rates of antidrug antibodies (ADA), while receptor-blocking avoids this liability.
The receptor is not shed, eliminating immune complex formation and associated toxicity seen in ligand-blocking approaches.
Blocking the receptor ensures all TL1A-mediated inflammation and fibrosis are addressed, as TL1A only signals through DR3.
Persistent receptor blockade may provide more consistent efficacy compared to chasing pulsatile ligand expression.
Preclinical and clinical progress
Preclinical studies in non-human primates showed no evidence of receptor agonism or toxicity at any dose.
Phase 1 study in healthy volunteers is about halfway complete, with early indicators supporting a differentiated immunogenicity profile.
Receptor occupancy and lack of ADA in phase 1 are expected to provide confidence for efficacy in future patient studies.
Chronic toxicology studies are ongoing for both the lead and half-life extended antibody variants, with clinical readiness expected post-study.
Plans include rapid transition to phase 2 studies in non-IBD indications, leveraging recent financing.
Competitive landscape and future plans
Multiple TL1A programs are advancing, with up to four new indications expected to report data next year.
The company is not waiting for backup molecules and is prioritizing non-IBD phase 2 studies.
Half-life extension and bispecific antibody programs are in development, with the potential for quick clinical integration.
Combination strategies, including DR3 bispecifics with IL-23, are under consideration for future trials.
A large phase 2 platform trial with multiple indications and biosimilar combinations is possible within the next few quarters.
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