2. Executive Summary
Problem
2
Solution
Practice
92% of drugs fail clinical trials. They have โunacceptable toxicityโ or
โdonโt workโ ... Robert Califf, MD, Former FDA Commissioner
Select smarter drug targets.
Increase the quality and quantity of drug candidates.
Our preclinical prototypes have low toxicity and high efficacy
Treat multiple diseases with each drug.
3. Overview of Akhu Therapeutics
3
Delaware C-Corp, Oct 30, 2015
Startup, Irvine, CA
Spin-out of Texas A&M University
Location
Formation
Origin
4. Customer Need
Depression
Antidepressant
Market
Unmet Needs
4
o Increases mortality for 350M.
o It is the #1 cause of disability.
o Increases susceptibility to other diseases.
o $15B in 2015
o 30M U.S. users
o Efficacy >> Speed > Duration
o Pipeline is drying up.
13. Cost of Developing a New Drug: Tufts Center for the Study of Drug Development (2014)
Examination of Clinical Trial Costs & Barriers for Drug Development: DHHS, ASPE (2014)
Path to New Drug Application
13
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Total
Phase Preclinical Phase 0 Phase 1/2 Phase 3
Patients 15 80 1,000
Milestone IND Safety POC Efficacy & Dosage NDA
Cost $0.6M $0.7M $5.3M $90.3M $96.9M
14. Akhuโs Management
Caurnel Morgan, PhD
CEO & President
Neurobiology & Physiology
27 years
Stanley Watson, MD, PhD
Scientific Consultant
Psychiatry Research
40 years
James Gibbs, MD
Medical Consultant
Psychiatry and Research
40 years
14
15. Assumption: Price point is $2,000 per year
Five-Year Financial Projections
15
Year 1 Year 2 Year 3 Year 4 Year 5
Sales $298M $570M $939M $1,254M $1,532M
Expenses $8.5M $8.8M $9.1M $9.5M $9.8M
Net Profit $284M $550M $913M $1,223M $1,495M
Customers 148,901 284,723 469,328 626,965 765,816
16. Summary
Products
Market
Need
Team
Competitive
Advantages
MC5R blockers lead our alternative treatments.
Unmet needs plague depression and other areas.
Alternative treatments are severely limited.
We have the highest level of domain expertise.
Our prototypes have potential for high efficacy,
tolerability, and ROI.
16
17. Caurnel Morgan, PhD
CEO, President
Address: 383 Shadow Oaks, Irvine, CA 92618
Tel: 949-545-9972
Email: camorgan@akhutherapeutics.com
Website: http://akhutherapeutics.com
18. Preclinical Studies, Akhu Therapeutics;
Health News (2016)
Clinical Trials:
JNJ-10229570, Janssen, NCT01492647 (2013)
MTC896, Mimetica, NCT02395549 (2016)
18
More Attributes of MC5R Blockers
Anxiety: 50M in USA
Unmet Needs: Efficacy; Safety
USA Market: $1B (2016)
Mostly generics
Acne: 40-50M in USA
Harris Williams & Co (2016)
Unmet Needs: Efficacy; Safety
USA Market: $10B (2013)
$13B (2017)
19. MC5R Blocker for Pet Separation Anxiety
Twitter Polls, Akhu (2016); Federal Trade
Commission (2015); Dodman, Tufts University
Veterinary School (2016); Braitman, Salon (2014);
Pollack, New York Times (2014); AVMA (2015)
Unmet Need: Efficacy
First Movers:
Clomicalm (clomipramine) Novartis
Reconcile (fluoxetine) Elanco/Eli Lilly
SILEO (dexmedetomidine) Pfizer/Zoetis
Distribution: 44,000 U.S. Veterinarians
for companion animals
SOM: $100M
SAM: $14.4B (24M x $600/year)
R&D Remaining: $2M over 2 years
19
24. Phone Interviews of KOLs (4 respondents)
Akhu & KGI Market Analysis Team (2015)
โRemission & response rates are lower than what we would like.โ
โOf the 60% โฆ that somewhat respond โฆ, half are almost having a full
remission and โฆ half are getting a 50% benefit.โ
โSTAR*D revealed ~50% better, but the problem โฆ is relapse.โ
24
Key Opinion Leaders Confirm Unmet Needs
25. FDA Fast Track: superior characteristics;
imminent need (6-months vs 12-18 months)
Source: www.fda.gov
2008 FDA First Cycle Review
Performance
.
1stCycleApproval(%)
Nonlife Life Nonlife Life
0
20
40
60
80
100 2003-2007
Follow-On Novel
.
1stCycleApproval(%)
Chemicals Biologics
0
20
40
60
80
100 2003-2007
Regulatory Hurdles
25
28. Responses to Non-selective Melanocortin Blockers
NormalDepressedTreatment for 2-5 daysTreatment for 2-5 daysDiscontinuation 100 DaysDiscontinuation 100 Days
29. Poorly Defined Drug Targets for Depression
Low efficacy
Slow onset
Low tolerability
30. Best Defined Drug Target for Depression
High efficacy
Fast onset
High tolerability
31. Depression Treatment Efficacy
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
Sources:
Turner et al., 2008
Kirsch et al., 2014
McGirr et al., 2015
Ehrensing et al., 1994
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
3 d
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
6 d
Hamilton Scale
.
PatientScore
N
ullPlacebo
SSR
I
K
etam
ine
M
IF1
0
5
10
15
20
25
30
Normal
Mild
Moderate
Severe
Very Severe
13 d
32. Potential for Acquisition
Naurex acquired by Allergan, 2015
$560M upfront Undisclosed milestones
Phase II injectable antidepressant adjuvant
CNS Therapeutics, 2005-12
$205M upfront $153M milestones
Phase II
Healthcare Report, Silicon Valley Bank (2013);
FierceBiotech (2015)
32
33. Assumptions Year 1 Year 2 Year 3 Year 4 Year 5
Customers Targeted 4,024,354 4,326,180 4,650,644 4,999,442 5,374,400
Customer Acquisition Rate (%) 4% 4% 6% 6% 6%
Customer Retention Rate (%) 100% 75% 75% 75% 75%
Customers Acquired 148,901 284,723 469,328 626,965 765,816
Annual Price $2,000 $2,000 $2,000 $2,000 $2,000
Assumptions for Financial Statements
33