MaRS BioEntrepreneurship Series Event, June 12, 2007
Speaker: Wayne Schnarr, Senior VP, Life Sciences, The EquicomGroup
More information including a video: http://www.marsdd.com/bioent/june12
8447779800, Low rate Call girls in Kotla Mubarakpur Delhi NCR
BioEntrepreneurship: Effective Communications - Selling your story
1. effective
communications
selling your story
Wayne Schnarr MaRS
Senior VP, Life Sciences BioEntrepreneurship
The Equicom Group June 12, 2007
Forward-looking statement
Certain information included in this document is forward-looking and is
subject to important risks and uncertainties. The results or events
predicted in these statements may differ materially from actual results or
events. For additional information with respect to certain of these and
other factors, see the reports filed by the various companies mentioned in
this presentation with the Securities Commissions of Ontario, Alberta and
British Columbia. These companies disclaim any intention or obligation
to update or revise any forward-looking statements, whether as a result of
new information, future events or otherwise. This document does not
constitute an offer to sell or a solicitation of an offer to buy securities in
the United States. No securities have been registered under the United
States Securities Act of 1933, as amended or any state securities laws.
1
2. always remember
what are YOU selling
to whom are YOU selling
what is the sales process
never stop selling
2
3. you are selling
or you are on the receiving
end of sales pitches
every day
giving lectures
what are you selling
information, passion, ability to think
to whom are you selling
the students in the chairs
what is the sales process
lectures plus
never stop selling
or they fall asleep or don’t attend
3
4. writing grant proposals
what are you selling
your intellectual capabilities
to whom are you selling
granting agencies
what is the sales process
annual submissions
selling never stops
unfortunately not
selling your story to
the financial community &
the health care industry
4
5. the financial community
why do people invest in biotechnology companies?
to make money!
how do VCs make money from investing in
biotechnology companies?
through an IPO
through sale of the company
nobody invests in early stage biotechnology companies
for a 10% ROI
“you have to show them the 10-bagger”
- Michael Denny
biotech investors buy growth
based on the current and future sales of products and
services
approved products
growth of sales and earnings
no approved products
progress in preclinical and clinical development
independent product validation by partners
5
6. biotech investors balance risk and reward
reward
multi-billion dollar market
first-in-class
best-in-class
cure
risk
market risk
clinical risk
scientific risk
biotech investors balance risk and reward
reward
what are you selling?
• a potential reward that justifies the current valuation
• a potential reward that is large enough to allow an
IPO or M&A transaction
risk
what are you selling?
• you are NOT selling a risk-free opportunity
• that you clearly understand the scientific risk
• that you can mitigate the clinical risk
• that you understand the market risk
6
7. effective
presentations:
PowerPoint 101
PowerPoint is on your
computer –
which does not mean
that you are an expert at
creating presentations.
7
8. powerpoint 101
the presentation should:
• be there for the audience, not for the presenter
• be useful for multiple audiences
• be useful both on the screen and as a handout
• not contain every piece of information that is in
your business plan
• be about 30 slides for a general audience or
introductory meeting
• have a consistent format, colour scheme and font
• be talked to or about, not read
• use appropriate animal and human pictures
• some slides transmit information
– critical slides SELL
need expressed:
what is the hunger?
how big is the hunger?
no big hunger …
no one cares
8
9. need expressed
what is the hunger?
• what is the specific disease or medical condition
• is there a specific subgroup that is being targeted
• what are the currently approved drugs, if any, and
what are their deficiencies
• what is the unmet medical need
how big is the hunger?
• be realistic
• not every potential patient gets diagnosed or
treated
• use patient numbers from independent sources
• use sales of currently approved drugs where
applicable
Real-time Cardiac Imaging System
Opportunity and Unmet Need
• 400,000 CABG procedures annually
• 10 to 20% complications: expensive and life
threatening
Stent Graft • 7,000 TMR procedures
• Potentially 30,000 with SPY System
JAMA report on graft failure
• Up to 30% of vein grafts used in heart bypass
surgery fail at one year or less
100% <10% validation
12 peer-reviewed journals - 2000 patient data
validation
• Improves clinical outcome: 5 - 8% revisions
• Equivalent to X-Ray angiography in real-time
9
10. Real-time Vascular Imaging System
Opportunity and Unmet Need
• US Market
– 300,000 plastic and reconstructive surgeries
– 60,000 solid organ transplants
– 100,000+ tumor margin detection
• 30% of breast reconstructive surgeries may
experience complications
• Poor perfusion: #1 contributor to complications and
failed procedures
• No other practical method of assessing tissue or
organ perfusion
Coronary Heart Disease
Number
one 20%
killer! of all deaths
10
11. There are
54 million with
Americans
low HDL
World’s Largest Drug Market
Top 3 drug categories 2004 annual sales
$30.2B
}
$25.5B
5 blockbuster
drugs
$23.8B
Cytostatics Cholesterol &
Antiulcerants
(Cancer) triglyceride
(GI tract)
reducers
11
12. The Old Ophthalmic World Order
Allergan & Alcon
Nothing disruptive
No blockbusters
23
iCo Therapeutics | IPO presentation |
Now Lucentis is a Big Success
$940
million*
95
Revenue
% $380
million*
efficacy in
treating wAMD F2007
2006
Decimated incumbent therapies
24
iCo Therapeutics | IPO presentation |
*Source: Genentech documents and Rodman & Renshaw analyst reports
12
13. Lucentis is a big success, but it is not over
Only Requires
targets monthly
one growth injections to
factor (VEGF) retain efficacy
25
iCo Therapeutics | IPO presentation |
wAMD
is not
DME
(diabetic macular edema)
Our Focus is DME
26
iCo Therapeutics | IPO presentation |
13
14. wAMD vs DME
DME
wAMD
Acute event
Disease progression Gradual deterioration
Working years
Elderly
Average onset
VEGF bFGF IGF-I
Predominantly VEGF
Pathology
EPO HGF integrins
27
iCo Therapeutics | IPO presentation |
DME: Leaking Vasculature at Back of Eye
Proliferation of new blood vessels in PDR
More blood brought to area
Vessels are permeable
Blood leaks into retina area
Causes swelling & deformation of retina
28
iCo Therapeutics | IPO presentation |
14
15. DME: Disease State
Normal Retina Retina with DME
29
iCo Therapeutics | IPO presentation |
DME Treatment Options are Currently Limited
Laser Photocoagulation
Unsuccessful
Kenalog or
Vitrectomy
Recurrent
Successful
DR DME
5.3 MM pts 1.6 MM pts
Kenalog or Vitrectomy
• Even well-timed and adequate laser treatment only effectively
controls edema in 50% of patients with CSME and repeated laser
therapy (more than three or four treatments) is contraindicated due
to cumulative destruction of the visual field. Patients with diffuse
or cystic macular edema tend to have a poorer response to laser.
• Kenalog is gaining usage in these patients, and those with vitreous
traction are candidates for vitrectomy.
30
iCo Therapeutics | IPO presentation |
DH Insight Briefing – Ophthalmology | November, 2005 pg. 44
15
16. Multiple Sclerosis (MS) TSX:MS
Inappropriate immune attack
on the protective coating
(myelin) surrounding the nerves
of the brain and spinal cord
MBP8298 suppresses immune
attack at the most common
molecular target
MS Susceptibility Factors TSX:MS
Geography Genetics
DR2/ DR2/
DR4 DR4
DR2/
DR4
up to of all MS patients
75%
2.5 million patients
have HLA-DR2 or
HLA-DR4 genes
(our responder group)
32
16
17. TSX:MS
33
MS has Two Major Populations TSX:MS
Market
Relapsing
40-45%
Remitting MS
of MS patients
(RRMS)
MBP8298 Phase II trial
50% convert 90% convert
in 10 yrs in 25 yrs
Secondary Market
40-45%
Progressive MS
of MS patients
(SPMS)
MBP8298 Phase III trials
17
18. MS has Two Major Markets TSX:MS
Relapsing US$5.8B
~500,000 treated
current
patients annually of
Remitting MS
market
>1 million patients
(RRMS)
Secondary
Few patients treated of Blockbuster
Progressive MS
market
>1 million patients
(SPMS) potential
35
MS has Two Major Markets TSX:MS
US$5.8B
Approved Products
Relapsing Biogen Idec: Avonex®
current
Remitting MS Bayer Schering Pharma AG: Betaseron®
Teva: Copaxone®
market
(RRMS) Merck Serono S.A: Rebif®
Biogen Idec/Elan: Tysabri®
Secondary Approved Products
Blockbuster
Betaseron® (No proven delay in
Progressive MS progression, only approved with
market
relapses)
(SPMS) potential
Novantrone® (Cardiotoxicity
limits use to 2 – 3 years)
36
18
19. BREAKING THROUGH
AF Incidence
arrhythmias 1 in 4 adults will get AF (age 40+)
6 million
patients in the world
Annual incidence: 700,000 * Wang et al. Circulation: Journal of the
American Heart Association. August 2004.
BREAKING THROUGH
Current treatment drawbacks
drugs heat ablation
used in <3% of cases
treats symptoms only
only when drugs fail
high procedural risks:
30 – 60% effectiveness
PV stenosis
diminishes over time
Thrombosis
Esophageal perforation
serious side effects
19
20. BREAKING THROUGH
Healthcare ramifications and risks
leading cause of stroke >15%
1
leads to chronic heart failure
2 >20%
3 leading cause of hospitalizations 415,000 (U.S.)
4 cost to healthcare US$6.6 billion
no practical solution!
* Donald M Lloyd-Jones, Md, ScM, FACC.
Medscape Cardiology 8 (2). 2004.
AF Business Opportunity
Untreated Pool New Cases/Year
2.2 million 160,000
>$2 Billion
Annual Business Opportunity
2.1 million 145,000
4.3 million 305,000
20
21. need addressed:
solution to
the hunger -
the value
proposition
need addressed
what is your product?
• type of drug, device, diagnostic
• what is the mechanism of action
what is the value of your product?
• the value is in the data
• human data is more valuable than animal data
• if you have human data, eliminate or minimize the
animal data
• consider the audience when assessing the
complexity and presentation of the data being used
21
22. Neuradiab Survival Data
Clinically compelling difference
42%
91
Surgery + Radiation + Temozolomide + Neuradiab
weeks
64
2005 Surgery + Radiation + Temozolomide
weeks
1980
53
Surgery + Radiation
to
weeks
2004
0 15 30 45 60 75 90 105
Survival in weeks 43
iCo–007
for the treatment of
DME
22
23. iCo-007: Method of Action (MOA) - VEGF Plus
Growth factors
initiate
signal
VEGF
HGF
EPO
c-Raf
Retina
Signal through c-Raf
45
iCo Therapeutics | IPO presentation |
iCo-007: MOA - VEGF Plus
Growth factors
Modulate
signal
Retina
iCo-007 inhibits the production of c-raf, thereby
preventing the signaling of growth factors, which in
turn prevents the production of new and
permeable blood vessels
46
iCo Therapeutics | IPO presentation |
23
24. iCo-007: MOA - VEGF Plus
The production of c-Raf The inhibition of c-Raf
Signal pathway Signal pathway interrupted
iCo-007
mRNA ribosome
Inhibits c-Raf production which prevents cell
growth and permeability
47
iCo Therapeutics | IPO presentation |
Preclinical Evidence: Inhibition of c-Raf
c-Raf immunostaining
% Saline Control
of porcine eye
120
100
Control
80
60
40
20
107189
Treated
0
D7 D7 D14
Saline
34μg 180μg 180μg
48
iCo Therapeutics | IPO presentation |
24
25. Preclinical Evidence: Inhibition of new
blood vessel growth in mouse eye
Saline 14μg ISIS 15770
49
iCo Therapeutics | IPO presentation |
Preclinical Evidence:
3 month dosing achievable
Half life
44 days
Single
intravitreal (90 μg)
injection
50
iCo Therapeutics | IPO presentation |
25
26. MBP8298: Overview TSX:MS
Only novel agent for SPMS
Indications: SPMS & RRMS
in Phase III trials
Synthetic peptide for
Designer drug specific responder group
(up to 75% of MS patients)
Epitope-specific tolerance, not
Unique mechanism general immunosuppressant
Convenient administration IV ’push’ every six months
Delayed median time to progression
Long-term efficacy* for 5 years in responder group
Side effect: minor injection site
Very safe* irritation
* Based on previous clinical trial results
TSX:MS
MBP8298 slows the progression of MS
52
26
27. MBP8298: Drug discovery/
development for progressive MS TSX:MS
Analysis of CSF autoantibodies guided development
• RRMS: Autoantibodies detectable only during relapse events
• SPMS/PPMS: Autoantibodies continuously present – useful indicator of drug effect
Drug concept: Induction of antigen-specific tolerance
• Observed in early vaccine development
• High dose intravenous administration of soluble antigen
MBP8298 was designed to replicate the most common antibody target
• IV administration suppressed CSF autoantibody levels in most patients
• HLA-DR2-restricted T-cells target the same sequence
HLA-DR genes
• Direct the fine specificity of immune responses
• HLA-DR2 and -DR4 predispose to MS and make up the majority of patients
• Easy genetic test for HLA type
MBP8298 Replicates the Myelin Target TSX:MS
T-cells & B-cells from immune system attack 82-98 portion of
1
myelin in HLA-DR2 (and other) patients
MBP8298
17 amino acid peptide
Identical to the natural
sequence
Blood Brain Nerve Fiber
Blood Vessel
Barrier
27
28. MBP8298 Treatment Induces Tolerization TSX:MS
“Classic” Tolerization
Principle: 2
500mg dose
every six
“Reverse” of vaccination
months
Established in vaccine
research 50+ years ago
Shown to cure or prevent
EAE animal models of MS
MBP8298
synthetic peptide
identical to
dominant site of
immune attack
Blood Vessel Blood Brain Nerve Fiber
Barrier
Immune System is Tolerized TSX:MS
Tolerization Result:
Eliminates antibodies to
3
MBP8298 for six+ months
Requires dose every six
months
Clinical delay in disease
4
progression
Blood Vessel Blood Brain Nerve Fiber
Barrier
28
29. Published Efficacy Results TSX:MS
“Long-term follow-up treatment and assessment of patients in
this responder group showed a median time to progression
of 78 months for MBP8298 treated patients compared
with 18 months for placebo-treatment (Kaplan–Meier
analysis, P = 0.004…)”
Five Year Delay in Progression TSX:MS
100
Phase II Trial: Kaplan-Meier Analysis of
HLA-DR2 and/or DR4
80
% Not Progressed
patients at 84 Months
60
40
Endpoint: Time to 1st confirmed
Placebo progression on EDSS
20 18 months
MBP8298
78 months
0
MBP8298
Placebo
29
30. Insulin - Exploding Demand
Who is going to fill the gap?
16,000 kg
2012
2006
6,000 kg
13
Company estimates
Fermentation is One Alternative
$
1.2B
2006: 6,000 kg of insulin (est.)
Capital invested in existing
manufacturing plants
2.5X
2012: 16,000 kg of insulin
More capital required
4 to 6 years
Long lead times
14
30
31. Supplying World Insulin Demand
15,000 acres or Supply
3 commercial farms for the entire planet
in 2012
1 commercial farm
1 mile
15
Economics of Plant-Produced Insulin
Safflower Enabling technology to meet
insulin demand
insulin expression of
1.2 % total seed protein
~1.0 acre produces 1 kg of insulin
acres to supply 2012
15,000
Seed
Floret projected insulin demand
est. capital cost for 1,000 kg
$80M of plant-produced insulin
Capital cost
%
70 reduction
compared to
fermentation
16
31
32. Insulin - Chemical Equivalence
Electrospray Mass Spectrometry
Safflower-derived insulin:
Commercial • chemically equivalent to
pharmaceutical-
commercially-available human
grade insulin:
insulin
Molecular mass
5807 Da
• folds identically to commercially-
available human insulin
V8 protease fingerprinting
Safflower-
derived insulin:
Molecular mass
5807 Da
17
Insulin - Functional Equivalence (mouse)
Safflower Insulin Tolerance Test
120
% Initial Blood Glucose
100
80
60
40
error bars = +/- SEM
20
0 50 100 150
Minutes Post Injection
Saline Insulin (Humulin® R-Eli Lilly)
USP Insulin (pharma grade standard) Insulin (SemBioSys)
18
32
33. creating value:
the action plan
action plan
you have already sold them:
• the unmet medical need
• the value proposition
what is left to sell them?
• that you can increase the value of the product by
appropriately spending their money
33
34. Regulatory Path
Conclusions from the meeting:
• Insulin can follow the abbreviated
There is a 505(b)(2) rule
clear regulatory • First human trial will be a Phase II for
pharmacokinetics & pharmacodynamics
process for Reverses
• 50 subjects, 1 month study
safflower- • Second human trial will be a
plaque build-up
Phase III for longer-term safety
derived insulin • 500 subjects, 6 months, 2 arms
safflower insulin and Humulin®
• 500 subjects, 6 months, 1 arm
safflower insulin only
Met with the FDA for a pre IND
• No special regulations related to plant,
consultation in October 2006
QC/OA requirements cover all host
related issues
19
Trial Design
Dr. Scott Cousins
Dr. David Boyer
Durham NC
Beverly Hills CA
Dr. Philip Rosenfeld
Miami FL
- 15-30 patients
- Single administration - 6 month follow-up
- Ascending dosage - Open label
- 3 planned centres - Secondary efficacy endpoint
68
iCo Therapeutics | IPO presentation |
34
35. iCo-007: Achievements and Milestones
Phase 1
In-license
Results P2 P3 NDA
- IND Accepted
Safety
- Manufacturing scale-up
H2 H1 H2 H2
2005 2007 2007 2008
- License from ISIS
Initiate Phase 1
- World wide rights
- 15-30 patient trial
Out License
- All therapeutic indications
- Dose escalation study
- Minimal upfront payment
- Back-end loaded milestones
- Royalty rate doesn’t impede partnering
69
iCo Therapeutics | IPO presentation |
Ongoing Clinical Development TSX:MS
MAESTRO-01
Pivotal Phase III SPMS trial – Canada and Europe
• Powered for HLA DR2 & DR4 responder group
• Placebo-controlled, double blind, 2-year treatment period
• Recruitment is complete
• Includes approximately 550 patients
• Interim analysis: mid-2008
MAESTRO-02
Open-Label, Follow-on Portion to MAESTRO-01
• After patients have completed 2 years of treatment in
MAESTRO-01, patients may chose to receive MBP8298
• MAESTRO-02 will primarily evaluate long-term safety
• Support regulatory submissions
35
36. Ongoing Clinical Development TSX:MS
MAESTRO-03
Pivotal Phase III SPMS trial – United States
• Received FDA clearance to proceed with pivotal phase III
• Placebo-controlled, double blind, 2-year treatment period
• Powered for HLA DR2 & DR4 responder group
• Up to 510 patients
MINDSET-01
Phase II RRMS trial – Europe
• Fifteen month, double-blind, placebo-controlled
• Up to 215 patients from 30 sites
• Followed by 12-month active treatment open label extension
period
MAESTRO-01 Phase III SPMS Trial TSX:MS
Lead
Investigators
Dr. Mark Freedman
Ottawa General Hospital
Canada
Dr. Carolyn Young
The Walton Centre
Clinical Trials Centre
Liverpool, UK
Dr. Tomas Olsson
Karolinska
Universitetssjukhuset, Solna
Stockholm, Sweden
Canada & Europe Professor Hans-Peter
Hartung
• 48 trial sites
Neurologische Klinik
• 10 countries
Heinrich-Heine-Universität
Düsseldorf, Germany
72
Trial sites around the world
36
37. Target Clinical Timelines TSX:MS
MBP8298 Timelines
2007 2008 2009 2010 2011
Phase III
Data Analysis &
Trial
SPMS Trial submission
MAESTRO-01
Interim Analysis
Phase III SPMS
Regulatory Data Analysis &
Trial (US Trial) Enrollment Trial
Submission submission
MAESTRO-03 Interim Analysis
Phase II Open Label
Data Analysis &
Enrollment
RRMS Trial Extension
Trial Phase III Trial
submission
MINDSET-01
Trial Completion
Near-Term Milestones TSX:MS
Interim analysis in MAESTRO-01 trial (mid-2008)
Initiate enrolment in Phase III MAESTRO-03 trial in
United States (mid-2007)
Complete enrolment in Phase II MINDSET-01 RRMS
trial in Europe (mid-2007)
Completion of MINDSET-01 Phase II trial (mid-2008)
Potential Partnerships
37
38. Milestones
SPY System Q3 2005 Q4 2005 Q1 2006
U.S. sales partner X
Installed in 25 U.S. hospitals X
Initiate studies for expanded indications X
OPTTX System
Initiate North American multi-centre trial X
Initiate combo trial with multi-national partner X
File for Canadian and European approval X
Pipeline Strategy &
Corporate Overview
Real-time medical imaging in the
operating room
38
39. Real-time Image Guidance in the Operating Room
Pipeline Product Strategy
Trials Market
FDA
Development Launch
for FDA Clearance
Design / POP
Install base in US 70+ devices
Cardiac
Install base in US 150+ devices
TMR
Plastic / Launch
FDA cleared Q1 2007
Recon /
H2-07
Transplant
FDA Launch
Surgical clearance
Health Canada Approved
H1-08
Urology Q3-07
Human POP
Prostate
Launch
2008
Human POP
Other Urological
H2-07
Procedures
Launch
Human POP
MINI
MIS
H1-08
H2-07
Real-time Image Guidance in the Operating Room
&
Marketed products opportunity
$900 million
$600MM+
$250MM* Recurring
$50MM*
860,000 / year
400,000 / year 60,000 / year revenue model
$700
Average kit price
$200
Cost of goods
*Selling Price Country-specific
39
40. Real-time Image Guidance in the Operating Room
& MINI
Pipeline product opportunity
$1 Billion
$700MM
$250MM* Recurring
$50MM*
1,000,000 / year
400,000 / year 60,000 / year revenue model
$700
Average kit price
$200
Cost of goods
*Selling Price Country-specific
Multi-Center Pivotal Trial Design
Structure: Newly Diagnosed GBM Endpoints
Randomized Primary
1 arm is standard of care Overall Survival
1 arm adds Neuradiab as adjunct Final analysis at 456 events
therapy
Secondary
1 and 2 year survival
Multicenter Progression-free survival
310 patients per arm
30-40 sites Exploratory Analysis
Larger than Temodar study
Potential to see incremental
benefit in non-Temodar
responders
11
80
40
41. Trial Design Recent Events
FDA consultation CRO selection
FDA approved Bradmer’s CRO selected by Bradmer
plan for Phase III trial for Phase III trial
Prologue Research International
November 2006
End of Phase II meeting Oncology specialist; former
oncology clinical op’s team from
Q2 2007
Pharmacia-Adria
Final protocol and manufacturing
data to be submitted Big pharma and biotech clients
Experience with
radiopharmaceutical trials
111
8
cGMP Manufacturing – Transition to Commercial
Laureate Pharma MDS Nordion
Antibody Producer Radiolabeling Partner
Status Report:
Antibody scale-up complete
Sufficient supply to complete Phase III
cGMP antibody product completed in January
> 2 dozen successful equivalence tests
Final formulation, optimization of radiolabel process ongoing at Nordion
Clinical trial material to be released mid year
112
82
8
41
42. Neuradiab Pivotal Trial Timeline
Full Data
Analysis
Enrollment
Complete
Trial Launch
Mid 2007
Trial Preparation
Mfg / FDA / Site
Prep / Svc Providers
License from Duke
Q4 2005
2006 2007 2008 2009 2010 2011
“Open Label” Trial NDA
submission
83
can you do it all in a few
slides?
yes!
42
43. PAC-113
Uncontrolled Infectious Disease
Healthy State Immune Compromised
Candida albicans Oral Candidiasis
90% of AIDS patients
(and up to 43% of HIV patients)
present in up to
75% 30% of asthma patients treated with
corticosteroids
of the population
Patients being treated
for cancer and diabetes
Impaired immune system
Immune system permits attack by resident
controls growth of resident fungus and bacteria
fungus and bacteria
High probability of recurrence
43
44. Current Treatments Deficient
Nystatin Azoles Amphotericin B
Topical Systemic/Topical Systemic
52% efficacy Potential for resistance Severe side effects
Current treatments are ineffective, cause drug resistance,
cause severe side effects
A novel, safe and effective treatment has the potential to generate
US$300 – US$400 million per year worldwide.
Fighting Infectious Disease: PAC-113
Based on natural antimicrobial peptide occurring in saliva
PAC-113, delivered as mouthwash, binds to fungus surface and kills quickly
Highly active against Candida, greater than 95% efficacy in vitro
44
45. Safety Established Clinically
Four safety and efficacy trials completed
Indication: gingivitis (gum disease)
300+ patients
Conducted in the U.S. by Periodontix Inc.
Well tolerated
No drug related adverse events
Dose related improvement in clinical endpoints
PAC-113 Clinical Strategy
PAC-113 Nystatin
Head to head comparison
Randomized, examiner-blinded, parallel design
44 HIV patients per arm
14-day treatment phase 14-day follow-up period day 28 follow-up visit
Clinical objectives:
Safety and tolerability
Efficacy in eliminating or reducing clinical signs and symptoms of infection
Microbiological response
Initiated Results from Initiate dosing
Phase I/II trial Phase I/II trial in Phase II trial
Q1-06 Q1-07 Q3-07
45
46. Significant Market Potential
Treatment of Treatment of
oral candidiasis topical fungal infections
US $300-$400M US $1.6B
90% of all AIDS patients PAC-113 has demonstrated activity against:
30% of asthmatics on steroids – C. albicans
patients on chemotherapy / – C. glabrata
radiation – C. parapsilosis
– C. tropicalis
PAC-G31P
46
47. Uncontrolled Immune Response
Healthy State Diseased State
1. Pathogens induce 3. Excess neutrophils
an inflammatory can create
response by the serious medical
immune system complications
ARDS
2. One component of
Asthma
the inflammatory
COPD
response is
neutrophil
Pneumonia
infiltration
Regulating Immune Responses: PAC-G31P
cytokine
CXCR1
Cytokines bind to PAC-G31P closely
CXCR1 and CXCR2 resembles cytokines
receptors, attracting and blocks CXCR 1/2
and activating
neutrophils CXCR2
neutrophil
47
48. PAC-G31P Effective in Animal Models
30
Neutrophil count
High dose PAC-G31P
Endotoxin control
15
Low dose PAC-G31P
Normal animal
0
October 2005, The Journal of Leukocyte Biology
PAC-G31P Clinical Strategy
Manufacturing Toxicity Study Asian Clinical Study North American Ph. I
Ongoing H1-07 H1-07 H2-07
Currently manufacturing clinical materials
Proceed with preclinical toxicology work for systemic administration
Proof-of-concept clinical study in Asia in 2007 in collaboration
with a third party
Start North American Phase I single dose clinical trial in healthy
volunteers by the end of 2007
48
49. Markets
Asthma
ARDS COPD
150,000 20.5 million 10.7 million
people affected Americans were American adults
annually estimated to have were believed to
in the U.S. Asthma (2004) have COPD (2003)
ARDS:
– Mortality is 30% to 40%
– No approved drugs for prevention or treatment
Asthma:
– 1.8 million emergency room visits in 2004
– Total cost to the U.S. in 2004 was $16.1 billion
COPD:
4th leading cause of death in the U.S.
–
– The cost to the U.S. in 2004 was in excess of $37 billion
are you
finished selling?
never!
49
50. don’t stop selling
What is left to sell?
management
board and other advisors
intellectual property
manufacturing
quality of current shareholders
financial situation
exit opportunities
investment highlights
etc.
Product Pipeline
Class Product Indication Launch
Pharmaceutical
Diabetes
Insulin 2010
Apo AI Atherosclerosis 2014
DermaSphere® Personal care 2005
Non-pharmaceutical
StratoDerm™ OTC / Topical Rx 2008
ImmunoSphere™ Animal health 2008
Nutritional supplements 2008
GLA Rich Oil
Nutritional supplements
DHA Rich Oil 2010
35
50
51. Corporate Overview
Established: 1994: Spin out –
University of Calgary
Stock Market: TSX: SBS.TO
Market cap: $67MM
Cash: $28.8MM (31/03/07)
Burn rate: - 2006: $1.0 MM per month
- Cash to early 2009
Employees: 65 (19 Ph.D.s)
36
Board of Directors
Richard Smith (Chairman) Former President & CEO
Dow AgroSciences Canada, Inc.
Andrew Baum Director, President & CEO
SemBioSys Genetics Inc.
Alexander R. Giaquinto, Ph.D. Former, Sr. VP, Global Compliance
Schering-Plough
Douglass Given M.D., Ph.D. Partner, Bay City Capital
Nancy Harrison Former Senior VP
Ventures West Management Inc.
David Howard Chairperson
Angiotech Pharmaceuticals, Inc.
37
51
52. Patents
Protecting the platform
11 U.S. patents and applications
139
Production of recombinant proteins in plants using
the oilbody-oleosin technology platform
patents issued
(19 U.S.)
Protecting the tools
8 U.S. patents and applications
139
Tools and techniques to make our products
patents pending
Protecting the products (16 U.S.)
As of January 12, 2007
16 U.S. patents and applications
Composition of matter, manufacturing method, and
method of use claims directed to formulations
comprising oilbodies
38
Upcoming Milestones
Insulin
Q4 2007 Submit insulin IND to FDA
Q1 - Q2 2008 Initiate Phase II trials with completion by Q2, 2008
Q2 - Q4 2008 Partnership Opportunities
Apo A1
Q3 2007 Animal Data in Model System – Arabidopsis
Q3 2007 Achieve commercial levels of Apo AI expression in safflower
Q4 2007 - Q2 2008 Partnership Opportunities
Other
Initiation of new pharmaceutical product development program
Q3 2007
Complete Dermasphere Facility and begin full scale manufacturing
Q3 2007
and sales
Execute commercialization plan for ImmunoSphere™product and
Q2 2007 - Q1 2008 launch in Q1 2008
39
52
53. Corporate Data
Founded 2005
Raised to Date $7.5 million
Cash on Hand $2.7 million
Burn-rate $600,000 month
Head Office Vancouver, BC, Canada
105
iCo Therapeutics | IPO presentation |
Management and Directors
Strategic Advisory Board
Management Non-Executive Directors
Richard Glickman
Andrew Rae, MBA Sidney Himmel, CA
Co-founder, CEO and Chairman,
Founder & CEO Chairman
Aspreva Pharmaceuticals
President and Chief Executive
John Clement, PhD Officer, Trigon Uranium Corp. George Lasezkay, JD
Principal, Turning Point Consultants, LLC
Founder & Chief Technical &
William Jarosz, JD
Development Officer Julia Levy, PhD
Cartesian Capital Group, LLC Co-founder of QLT
Santa Jeremy Ono, PhD
Alan C. Bird, MD
Richard Barker, PhD
Chief Scientific Officer
Emeritus Professor, UCL
Director General of the
Association of the British David Boyer, MD
Peter Hnik, MD, MHSc.
Pharmaceutical Industry Retina-Vitreous Associates Medical Group
Chief Medical Officer
Philip Rosenfeld, MD, PhD
John Meekison, BA, CIM, P. Log. Professor, Bascom Palmer Eye Institute,
Founder & Chief Financial Officer University of Miami, School of Medicine
Jason Slakter, MD
Clinical Professor, NYU School of
Medicine
Extensive public company and life science experience | Solid operational and product
development expertise | Ophthalmic specific expertise
106
iCo Therapeutics | IPO presentation |
53
54. Hot Therapeutic Arena
Novartis
Pfizer Allergan
Sirna Genentech
Eyetech
(wAMD + other ophthalmic (wAMD)
(wAMD)
diseases)
Novartis
Bayer Alcon
QLT
Regeneron Amgen
(wAMD)
(wAMD) (Ophthalmic Therapies)
Pfizer OSI Merck
Angiosyn Eyetech Sirna
(wAMD) (wAMD) (wAMD)
107
iCo Therapeutics | IPO presentation |
Investment Highlights
iCo-007 has large >$1 billion potential
market/blockbuster potential Phase 1 commencing now
iCo 008 targets Initial market - $100 million potential
multiple indications Phase 2 commencing now
Management team / advisory
Very attractive valuation
board with extensive ocular
experience
108
iCo Therapeutics | IPO presentation |
54
56. Forward-looking statement
Certain information included in this document is forward-looking and is
subject to important risks and uncertainties. The results or events
predicted in these statements may differ materially from actual results or
events. For additional information with respect to certain of these and
other factors, see the reports filed by ARIUS Research Inc. with the
Securities Commissions of Ontario, Alberta and British Columbia. ARIUS
Research Inc. disclaims any intention or obligation to update or revise any
forward-looking statements, whether as a result of new information,
future events or otherwise. This document does not constitute an offer to
sell or a solicitation of an offer to buy securities in the United States. No
securities have been registered under the United States Securities Act of
1933, as amended or any state securities laws.
Breakthrough antibody drugs
“The mission of ARIUS is to discover and
develop the next wave of antibody drugs to
address the needs of patients and
physicians for safe, effective treatments.”
56
57. Hitting a target doesn’t guarantee success
1000’s of high affinity
Antibodies have been identified
In the last decade,
only ~20 have
been approved and
successful
There is a target within the target
The desired effect (cell death / cell
signaling) will only be triggered by
specific areas within the targeted antigen
57
58. ARIUS focuses on FunctionFIRST™
“Does the antibody kill cancer cells
while leaving normal cells alone?”
If YES, then,
we have successfully
hit the target within the target
Proprietary antibody discovery and
selection platform
ARIUS Discovery Paradigm
Patent
Select ARIUS
Identify
Immunize antibodies antibody
target and
with for
Generate and all
eliminate
primary function
Antibodies epitopes
those with
human (In vivo on target
prior
tumor activity) with
patents
positive
efficacy
58
59. FunctionFIRST™ yields results
A pipeline of
400
Three
Five antibodies
partnerships lead candidates
Genentech Oxford bioMedica
Takeda PDL BioPharma
Medarex
$400 Million
in potential milestone payments
Our Partners
59
61. Our Products
CD44 Cancer Stem Cell Program
Antibody AR001
CD44 cancer stem cell program
Produces Breast Cancer Regression
Buffer Control
800
20mg/kg
700
10mg/kg
Treatment Period
600
Tumor Volume (mm3)
• Aberrant expression of CD44
2mg/kg
0.2mg/kg
500
occurs in a variety of tumors 400
300
• CD44 implicated as a
200
100
functional cancer stem cell 0
0 10 20 30 40 50
marker in leukemia, breast and
Increased Survival in Breast Cancer
prostate cancer
120
Treatment period
• Arius lead antibody targets the
post-treatment period
100
Percent Survival (%)
CD44 antigen 80
60
• ARH460-16-2 efficacy shown in 40
breast and prostate tumors 20
Buffer Control
Isotype Control
0 ARH460-16-2
0 20 40 60 80 100 120 140
Days Post-Implantation
61
62. CD44 – cancer stem cell marker
Cancer stem cells Targeting cancer
are the factory of stem cells may be
the tumour more effective
Chemotherapy Cancer building
shrinks tumour ability is reduced
Survival is
Tumour returns
extended
CD44 cancer stem cell program
AR001 demonstrates
Significant inhibition of
tumor growth and
metastases in a dose
response, human
liver cancer model
62
63. Trop-2 Signal Transduction Program
Antibody AR002
Trop-2 signal transduction program
Inhibits tumor growth and increases
survival in prostate cancer models
• Trop-2 identified as a major Buffer
AR002
determinant of tumor growth 1400
Treatment Period
and metastasis
1200
Tumor Volume (mm )
3
1000
800
• Over-expression of Trop-2 600
increases growth rates in
400
200
several types of cancer 0
0 10 20 30
Days Post-Implantation
• ARIUS Trop-2 antibodies are Buffer Control
120
AR002.
the first to demonstrate
100
Percent Survival (%)
80
efficacy 60
40
20 Treatment
Period
0
0 20 40 60 80 100
Days Post Implantation
63
65. CD59 immune modulator program
Shrinks tumors in breast cancer
MDA-MB-468 in female athymic nude mice
• CD59 widely expressed in
No Treatment
400 Vehicle
Tumor Volume (mm3)
Treatment Period AR003 (20mg/kg)
malignant tumors, allowing
350
Taxotere (30mg/kg)
300
cancer cells to evade immune
250
200
system 150
100
50
• AR36A36.11.1 could help 0
30 35 40 45 50 55 60 65 70 75 80
activate immune system in Days Post Implantation
Increases survival in lung cancer
addition to targeting cells
models
directly
• AR36A36.11.1 has been 120 Treatment Period Buffer Control
demonstrated effective in a
AR003
100
Survival (%)
80
number of tumor types 60
40
20
0
0 20 40 60 80 100
Days Post-Implantation
CD59 immune modulator program
Epitope location for Non-function-
blocking antibodies
Epitope location for function-
blocking antibodies
Epitope location for ARIUS Antibodies
65
66. Arius antibody pipeline
Robust and growing intellectual property estate
16 issued and allowed patents
- Composition of matter of antibodies
- Methods of treatment
- Antibody discovery technology platform
61 published patent applications
149 patents pending
66
67. Opportunities
9 licensing deals in 90 days!
AstraZeneca and
Regeneron
Genentech and Genentech and
Pharmaceuticals
Seattle Genetics BioInvent
US$120M
US$860M US$190M
plus royalties
plus royalties plus royalties
PDL
GSK and Pfizer and Wyeth and Medarex Cambridge
BioPharma
Antitope Elusys Raven and Antibody and
and Trellis
Limited Therapeutics Biotechnologies Compugen iCoTherapeutics
Bioscience
67
68. Multiple acquisitions in last 12 months
August 2006
May 2006 May 2006 AstraZeneca
Merck Merck acquires
acquires acquires Cambridge
GlycoFi Abmaxis Antibody
US$400M US$80M US$1.3B
November 2006 December 2006 March 2007
Genentech GSK Eisai
acquires acquires acquires
Tanox Domantis Morphotek
US$919M US$454M US$350M
ARIUS Milestones 2007
• Sign additional strategic collaboration/partnering
agreements
• Advance our programs:
– Complete pre-clinical toxicity studies for stem cell program
– Pre-IND meeting with the FDA
– Develop expression cell lines for other 2 lead programs and
transfer to cGMP manufacturer
– Advance IND enabling studies for 2 additional programs
• Expand intellectual property and library of antibody
drug candidates
68
69. About ARIUS
Headquarters: Toronto, Canada
Symbol: TSX:ARI
Employees: 40 current (18 last year)
Cash: $19 million
Burn-rate: $2.3 million (Q1, 2007)
Management and Board
Management Board of Directors
David S. Young William T. Bodenhamer
Chairman, President Director
and Chief Executive Officer
Carl L. Gordon
Helen Findlay Director
Executive Vice President
Joe Zakrewzski
and Chief Business Officer
Director
Warren Whitehead
Diane Kalina
Chief Financial Officer
Director
Susan Hahn
Dan Andersen
Director of Development
Board Observer
Daniel Pereira
Chau Q. Khuong
Vice President of Research
Board Observer
Daniel Rubenstein
Chief Medical Officer
Robert Gundel
Chief Scientific Officer
69
71. if you had only one slide
need expressed: hunger
market opportunity: greed
need addressed: value proposition
creating value: the action plan
entrepreneurs
life sciences
71