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8-K - FORM 8-K - CATALYST BIOSCIENCES, INC.d8k.htm
Copyright ©2011 Targacept, Inc. –
All rights reserved
ICOSR, April 2011
The Alpha7 Nicotinic Receptor Agonist TC-5619
had Beneficial Effects with Favorable
Tolerability in a Phase 2 Trial in Cognitive
Dysfunction in Schizophrenia
G Dunbar,  D Hosford,  JA Lieberman,  A Segreti
Exhibit 99.1


Copyright © 2011 Targacept, Inc. – All rights reserved
This
presentation
includes
“forward-looking
statements”
made
under
the
provisions
of
the
Private
Securities
Litigation
Reform
Act of 1995.  Forward-looking statements include statements that are not purely historical in nature regarding, without
limitation: any future development of TC-5619, including the indication(s) for which TC-5619 may be developed; the
commercial opportunity in any particular indication; the benefits that may be derived from TC-5619; the competitive position of
TC-5619; the timing for a decision by AstraZeneca as to whether to license TC-5619; or Targacept's plans, expectations,
objectives,
prospects
or
future
operations,
financial
position,
revenues,
costs
or
expenses.
The
words
“may,”
“will,”
“could,”
“would,”
“should,”
“expect,”
“intend,”
“plan,”
“anticipate,”
“believe,”
“estimate,”
“predict,”
“project,”
“forecast,”
“potential,”
“continue,”
“ongoing,”
“scheduled”
and similar expressions are intended to identify forward-looking statements.  Actual results,
performance or experience may differ materially from those expressed or implied by any forward-looking statement as a result
of various important factors, including, without limitation, risks and uncertainties relating to: whether any future clinical trials of
TC-5619
that
may
be
conducted
will
be
sufficient
to
obtain
approval
for
cognitive
dysfunction
in
schizophrenia,
residual
phase
schizophrenia
or
any
other
indication;
the
timing
and
success
of
submission,
acceptance
and
approval
of
regulatory
filings;
AstraZeneca’s discretion in determining whether to license TC-5619; whether a filing under the Hart-Scott-Rodino Antitrust
Improvements
Act
will
be
required
in
connection
with
any
license
of
TC-5619
by
AstraZeneca
and,
if
so,
whether
all
required
clearances
will
be
obtained;
and
the
risks
and
uncertainties
described
in
greater
detail
under
the
heading
“Risk
Factors”
in
Targacept's most recent Annual Report on Form 10-K and in other filings that Targacept makes with the Securities and
Exchange Commission.  As a result of the risks and uncertainties, the results or events indicated by the forward-looking
statements may not occur.  In addition, any market or industry statistics contained in this presentation are based on
information available to Targacept that it believes to be reliable but has not independently verified.
All forward-looking statements included in this presentation speak only as of the date the presentation is made and should not
be relied upon as representing Targacept's views as of any date after the presentation is made.  Targacept specifically
disclaims any obligation to update any forward-looking statement, except as required by applicable law.
Cautionary Note re:
Forward-Looking Statements
2


Copyright © 2011 Targacept, Inc. – All rights reserved
Significant Unmet Medical Need:             
“Residual Phase Schizophrenia”
3
Cognitive
Dysfunction
(CDS)
Negative
Symptoms
Dr. Tom Laughren has suggested the term “residual phase
schizophrenia”
to
encompass
both
CDS
and
negative
symptoms.
Current antipsychotics have little effect against cognitive
dysfunction or negative symptoms.
These residual symptoms are a large unmet medical need.
1
Laughren and Levin 2011.  Schiz Bull. doi:10.1093/schbul/sbq162
1


Copyright © 2011 Targacept, Inc. – All rights reserved
TC-5619:
A Selective Alpha7 NNR Modulator
Promising preclinical results
Complete profile with repeat tox, genotox, reprotox, safety
pharmacology
Beneficial effects in preclinical models of memory and of sensory
gating (schizophrenia)
Completed single and multiple ascending dose studies
Maximum tolerated dose between 406mg and 609mg (free base)
No clustering of AE signals through 406mg
Positive signal in Power of Attention measured at 6.8mg
Half-life 20-24 hrs
Phase 2 study objectives to assess the efficacy, safety and
tolerability  of TC-5619 as augmentation therapy to quetiapine or
risperidone to improve cognition in stable outpatients with
schizophrenia
4


Copyright © 2011 Targacept, Inc. – All rights reserved
Key Inclusion/Exclusion Criteria
Male or female subjects ages 18 –
60 years
Stable outpatients with DSM-IV criteria for schizophrenia
Lack of psychiatric hospitalization for 2 months before Screening
On unchanged dose of quetiapine or risperidone for 2 months before
Screening
Score </= 4 on PANSS items of delusions, hallucinations, conceptual
disorganization, unusual thought content at Screening and at Baseline
No other co-morbid Axis 1 or Axis 2 psychiatric disorder
No unstable medical disorder
5


Copyright © 2011 Targacept, Inc. – All rights reserved
Clinical Trial Design
Subjects enrolled at sites in India (12) and US (7)
Goal to enroll approximately 200 subjects with 120 to
complete
2 treatment cohorts
TC-5619 (1mg, 5mg, 25mg each for 4 weeks)
Placebo
Primary Outcome Measure: Change from Baseline (Day 1) in
Groton
Maze
Learning
(GML)
test
score
as
a
function
of
treatment over 3 time points (Weeks 4, 8 and 12)
Pre-defined success: p < 0.10 (one-tailed) against the 3 time points
(Weeks 4, 8 and 12) using the Hochberg adjustment for multiplicity
6
Target for each cohort:
50% tobacco-users &
50% non-users


Copyright © 2011 Targacept, Inc. – All rights reserved
Clinical Trial Schematic
7
8
14
(F/U)
4
-4
TC-5619
1 mg
GML of CSB
CSB
Composite
SANS
CGI-I
CGI-S
SGI-Cog
Day 1
TC-5619
5 mg
TC-5619
25 mg
Placebo + quetiapine or risperidone
Screening
12
WEEK
TC-5619 + quetiapine or risperidone


Copyright © 2011 Targacept, Inc. – All rights reserved
Demographics of Randomized Subjects
(N=185)
8
Placebo: n (%)
TC-5619: n (%)
Variable
91 (49%)
94 (51%)
Age
36.3 yrs
36.3 yrs
Gender
Male
63 (69%)
65 (69%)
Female
28 (31%)
29 (31%)
Race
Asian
60 (66%)
61 (65%)
African-American
25 (28%)
26 (28%)
Hispanic / Latino
2 (2%)
1 (1%)
Caucasian
4 (4%)
6 (6%)
Tobacco status
User
41 (45%)
45 (48%)
Non-user
50 (55%)
49 (52%)
BMI
24.9
25.0
Completed HS or above
60 (66%)
62 (66%)


Copyright © 2011 Targacept, Inc. – All rights reserved
Disposition of Subjects
9
Subjects Screened
N = 242
Randomized Placebo
N = 91
Randomized TC-5619
N = 94
Screen-Failed
N = 57
Discontinued
N = 13
Completed
N = 78 (86%)
Completed
N = 76 (81%)
Discontinued
N = 18
Reasons for placebo discontinuation
Adverse event: n = 3
Consent withdrawn: n = 2
Positive illicit drug screen: n = 1
Non-compliance: n = 3
Lost to follow-up: n = 2
Other: n = 2
Reasons for TC-5619 discontinuation
Adverse event: n = 4
Consent withdrawn: n = 7
Positive illicit drug screen: n = 3
Non-compliance: n = 0
Lost to follow-up: n = 3
Other: n = 1


Copyright © 2011 Targacept, Inc. – All rights reserved
TC-5619: Generally Well Tolerated -
Most Common Adverse Events
10
Adverse Event
(preferred term)
Placebo:  Subject N (%)
TC-5619:  Subject N (%)
Constipation
2 (2%)
4 (4%)
Nausea
0
5 (5%)
(4 mild, 1 moderate)
Body temperature
increased
2 (2%)
3 (3%)
Decreased appetite
5 (5%)
4 (4%)
Somnolence
2 (2%)
3 (3%)
Schizophrenia
0
3 (3%)
Headache
2 (2%)
3 (3%)
Insomnia
0
3 (3%)


Copyright © 2011 Targacept, Inc. – All rights reserved
No Clinically Meaningful Changes or
Cohort Differences in Other Safety Measures
11
Both SAEs were deemed by the investigator to be unrelated to study drug:
gastritis (placebo); and acute exacerbation of schizophrenia (TC-5619)
several weeks after a subject stopped taking quetiapine
7
AEs
leading
to
discontinuation
(all
deemed
by
the
investigator
to
be
unrelated to study drug ): 3 in placebo cohort and 4 in TC-5619 cohort
Physical exam, vital signs, clinical chemistry, hematology or urinalysis
assessments unchanged from baseline
There were no abnormal involuntary movements as a function of
treatment, assessed by AIMS
QTcF unchanged within and between cohorts after dosing began
No evidence of suicidality after treatment began as assessed by the
Columbia Suicide Severity Rating Scale
No signs of depression after treatment began as assessed by the Calgary
Depression Scale for Schizophrenia


Copyright © 2011 Targacept, Inc. – All rights reserved
Primary Outcome Measure: Groton Maze
Learning (GML)
All Patients
GML (Total Error) LOG
Visit
Treatment
Adjusted
Mean
Standard Error of
Adjusted Mean
Mean Difference ±
SE between
TC-5619 and Placebo
(Placebo-TC5619)
One-sided 90%
Confidence Interval
for
Mean Difference
One-sided P-
Value
Week 1
Placebo
-0.02
0.01
TC-5619
-0.01
0.01
-0.01 ±
0.02
(-0.03
,
)
0.6709
Week 4
Placebo
0.02
0.02
TC-5619
-0.03
0.02
0.05 ±
0.02
(0.02
,
)
0.0180
Week 8
Placebo
-0.02
0.02
TC-5619
-0.05
0.02
0.02 ±
0.02
(-0.00
,
)
0.1308
Week12
Placebo
-0.02
0.02
TC-5619
-0.06
0.02
0.04 ±
0.02
(0.01
,
)
0.0405
Primary outcome measure, log (10) transformed due to skew, is statistically
significant based on Hochberg adjustment for 3 comparisons (at Weeks 4, 8 and
12; one-sided p = 0.054)
CDS
0.8523
0.0143
0.0858
0.0016
Tobacco
users


Copyright © 2011 Targacept, Inc. – All rights reserved
Secondary Outcome Measure:
Negative Symptoms
13
TEST
WEEK 4
WEEK 8
WEEK 12
SANS:
ALL SUBJECTS
0.255
0.118
0.015
SANS:
TOBACCO USERS
0.098
0.054
0.033
One-tailed p-values
This effect on the SANS was driven by statistically significant
scores on 3 of 5 items:
Anhedonia 
Avolition / Apathy
Affect
Negative
Symptoms


Copyright © 2011 Targacept, Inc. – All rights reserved
Secondary Outcome Measures:
Clinical and Subject Global Impressions
14
TEST
WEEK 4
WEEK 8
WEEK 12
CGI-I
ALL SUBJECTS
TOBACCO USERS
0.049
0.047
0.253
0.075
0.150
0.189
SGI-COG
ALL SUBJECTS
TOBACCO USERS
0.428
0.607
0.491
0.313
0.046
0.109
CGI-S
ALL SUBJECTS
TOBACCO USERS
0.674
0.434
0.544
0.224
0.450
0.307
One-tailed p-values


Copyright © 2011 Targacept, Inc. – All rights reserved
CogState Item Scores
15
TEST
WEEK 4
WEEK 8
WEEK 12
Composite score *
0.838
0.821
0.326
[0.098, tobacco users]
Detection  *
(psychomotor processing)
0.693
0.650
0.567
[0.265, tobacco users]
Identification  *
(attention)
0.311
0.111
0.063
[0.057, tobacco users]
1-
Card Learning *
(visual learning)
0.660
0.899
0.841
[0.338, tobacco users]
1-Back  *
(working memory)
0.691
0.647
0.042
[0.020, tobacco users]
Int’l Shopping List
(verbal memory)
0.970
0.813
0.177
[0.027, tobacco users]
Social-Emotional Cognition *
0.259
0.217
0.546
[0.752, tobacco users]
One-tailed p-values
*Analyzed in dataset meeting integrity criteria predefined by CogState


Copyright © 2011 Targacept, Inc. – All rights reserved
Summary of Results
Statistically significant results favoring TC-5619 on:
GML
primary outcome measure
executive function (objective measure)
SANS, CGI-I and SGI-Cog
secondary outcome measures
negative
symptoms
-
Week
12,
and
global
improvement
-
Week
(clinician measures)
global cognitive improvement -
Week 12 (subject measure)
Other CogState outcome measures
attention
and
working
memory
-
Week
12
(objective
measures)
These results were driven by tobacco users and often better in the
US
TC-5619 was generally well tolerated, without any clinically
noteworthy changes in physical examination, vital signs, ECG,
laboratory findings, or suicidality
16


Copyright © 2011 Targacept, Inc. – All rights reserved
Conclusion and Opportunity
17
Cognitive
Dysfunction
(CDS)
Negative
Symptoms
TC-5619 represents a novel mechanism with unique
potential to treat “residual phase schizophrenia”:
Cognitive dysfunction
Negative symptoms


Copyright ©2011 Targacept, Inc. –
All rights reserved
ICOSR, April 2011
The Alpha7 Nicotinic Receptor Agonist TC-5619
had Beneficial Effects with Favorable
Tolerability in a Phase 2 Trial in Cognitive
Dysfunction in Schizophrenia
G Dunbar,  D Hosford,  JA Lieberman,  A Segreti