Oruka Therapeutics : March 6, 2025 AAD 2025 — Characterization of ORKA 002

ORKA

#64919

Characterization of ORKA-002, a Novel Extended Half-life Monoclonal Antibody Targeting IL-17A/F for the Treatment of Psoriasis and Other Indications

1Paragon Therapeutics, Waltham, MA, United States; 2Departments of Dermatology and Medicine, Division of Rheumatology, UT Southwestern Medical Center, Dallas, TX, USA; 3Blauvelt Consulting, LLC, Portland, OR, USA; 4Oruka Therapeutics, Menlo Park, CA, and Waltham, MA, USA

Introduction

ORKA-002: A novel highly specific extended half-life monoclonal antibody targeting IL-17A and F

'YTE' amino acid substitutions increase the pH-dependent affinity of the Fc region for FcRn, extending antibody half-life

• M252Y/S254T/T256E

("YTE") substitution to the

Fc region of antibodies increases the pH-dependent binding affinity to FcRn

• YTE substitution results in increased antibody recycling, causing less lysosomal degradation and thus a prolonged half-life

©2024 FigureO r ukadapteda TfromherApogeeapeuticTherapeuticss

Fig. 1: ORKA-002 binds IL-17A and F at a similar epitope as bimekizumab with similar affinity

Fig. 2: ORKA-002 shows similar potency to bimekizumab across multiple in vitro assays

IL-17A surface

ORKA-002

epitope

Bimekizumab

epitope

ORKA-002

IL-17A

IL-6 secretion from NHDF

NFκB activation in reporter cell line

0.01

0.1

1

IC50 (nM)

B

100

κNF

80

fo

60

Inhibition%

40

20

0

0.00010.001

0.01

0.1

1

10

[Ab] (nM)

Bimekizumab

IL-17F

0.1

1

10

100

IC50 (nM)

0 .1

1

1 0

1 0 0

1 0 0 0

[A b ] (n M )

Abbreviations: NHDF, normal human dermal fibroblasts

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Fig. 3: ORKA-002 demonstrates a significantly extended half-life

in non-human primates (NHP) compared to bimekizumab

Pharmacokinetics of ORKA-002 vs. bimekizumab in NHPs

Plasma concentration (µg/mL)

1000

100

10

0

10

20

30

40

50

Time Post-Injection (days)

Half-life (d)

ORKA-002

(IV)

31

ORKA-002

(SC)

32

Bimekizumab (IV)

9

Bimekizumab (SC)

10

ORKA-002 has a >3-fold longer half-life than bimekizumab in NHPs

Notes: Study completed at Day 49

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Fig. 4: Predictive simulations of ORKA-002 PK in humans

support dosing every four to six months

Projected exposure of illustrative ORKA-002 regimens vs. approved bimekizumab regimens

ORKA-002 (~50d half-life):

ORKA-002 (~75d half-life):

Bimekizumab: 320 mg

320 mg W0, 4 then Q4M

320 mg W0, 4 then Q6M

W0, 4, 8, 12, 16 then Q8W

50

Cmax bimekizumab

40

Q4W maintenance

g/mL)μ(

30

[Ab]

20

10

Ctrough bimekizumab

Q8W maintenance

0

0

8

16

24

32

40

48

56

64

72

0

8

16 24 32 40 48 56 64 72 80

Weeks

Weeks

Notes: Bimekizumab modeling, Cmax, and Ctrough are based on published PK parameters from FDA and EMA review documents

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Conclusions

Disclosures: BK, GF, JM, JM, DR, JO, and HS are employees and stockholders of Paragon Therapeutics; CF, EV, and JS are employees of Oruka Therapeutics;

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AB, CF, EV, JS are stockholders of Oruka Therapeutics

Disclaimer

Oruka Therapeutics Inc. published this content on March 06, 2025, and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on March 07, 2025 at 13:52:40.761.