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Global Medical Affairs
A Santen company
InnFocus mission
Develop the first, FDA-approved, minimally invasive standalone
procedure for the treatment of mild-, moderate-, and severe-stage
open-angle glaucoma, that lowers and sustains intraocular
pressure under 15 mmHg, and eliminates eye drop medications in
most patients
InnFocus MicroShunt® differentiation
 The MicroShunt® is the first and only surgical device/procedure to provide treatment for
mild-, moderate-, and severe-stage standalone POAG
– No requirement to remove the cataract (but this can be done)
– Standalone procedure allows treatment of the largest population of patients with POAG
– Clinical outcomes meet AGIS1 objective (IOP <15 mmHg)
 It is the only device undergoing FDA randomized clinical study
vs trabeculectomy
 The intellectual property of the MicroShunt® is protected
2
AGIS, Advanced Glaucoma Intervention Study; FDA, Food and Drug Administration; IOP, intraocular pressure; POAG, primary open-angle glaucoma
1. Ederer F et al. Control Clin Trials. 1994;15(4):299–325
The SIBS material
 There is current, real-world experience with SIBS
– SIBS has been used for over 15 years in >1 million patients as a cardiac-stent coating
(TAXUS®)1
– It has also been used as an investigational product for over 8 years in the eye2
 SIBS is a stretchy biomaterial that will not provoke scar tissue formation in the
eye3
 SIBS has proven biocompatibility4
 SIBS is an ultra-stable material and will not degrade in the body5
– No degradation means no chronic inflammation and minimal scarring6
3
SIBS, poly(styrene-block-isobutylene-block-styrene)
1. Silber S et al. Circulation. 2009;120(15):1498–1504; 2. InnFocus data on file; 3. Acosta AC et al. Arch Ophthalmol. 2006;124(12):1742–1749;
4. Pinchuk L et al. Biomaterials 2008;29(4):448–460; 5. Strickler F et al. J Biomed Mater Res A. 2010;92(2):773–782;
6. Pinchuk L et al. J Biomed Mater Res A. 2017;105(1):211–221
N NM
X
M
Poly(styrene-block-isobutylene-block-styrene)
“SIBS”
MicroShunt® design
 Soft to conform to the curvature of the eye
 Lumen sufficiently large to allow cells to pass; yet, small and long enough to prevent
hypotony1
 Fin to prevent migration and leakage around the outside of the tube2
41. Arrieta EA et al. Ophthalmic Surg Lasers Imaging. 2011;42(4):338–345; 2. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65
4.5 mm
8.5 mm
350 micron
70 micron
lumen
Benefits to the glaucoma surgeon
 Potential replacement product for trabeculectomy and tubes
– Advantage in safety and operating time
 Potential advantage in post-operative patient follow up compared with
trabeculectomy
 A potential replacement for some laser procedures that only deliver temporary
relief1
 May reduce or remove the need for patients to administer multiple eye drops
sooner compared with other procedures2
 A procedure that may halt the progression of the patient
towards blindness2,3
5
1. Lam D et al. Asia Pac J Ophthalmol (Phila). 2016;5(1):2–4; 2. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65;
3. Ederer F et al. Control Clin Trials. 1994;15(4):299–325
Change in mean IOP over time
6IOP, intraocular pressure
30
25
20
15
10
05
00
IntraocularPressure(mmHg)
Time
N
IOP %Rdctn
Meds/Pt
%Off Meds
%< 5 mmHg
Failures
Kaplan/Meier
Pre-Op
373
n/a
3.0±1.3
9
n/a
n/a
100
Day-1
302
61
0
99
15.
0
100
Week-1
341
60
0.1±0.4
98
7.8
0
100
Week-3
281
54
0
98
3.6
0
100
Week-4
299
48
0.1±0.5
93
2.1
1
99.7
Week-6
240
46
0.1±0.5
96
0.8
0
99.5
Month-3
270
44
0.2±0.6
90
1.2
1
99.2
Month-6
242
39
0.4±0.9
82
0
3
98.4
Month-9
142
37
0.4±0.9
79
0
2
97.9
Year-1
148
36
0.5±1.0
75
0
8
95.7
Year-2
51
40
0.6±1.0
68
2.0
4
94.6
Year-3
22
53
0.9±1.4
64
0
1
94.4
Year-4
21
51
1.1±1.7
65
5.0
0
94.4
Year-5
20
50
0.8±1.4
61
0
1
94.1
= 22.7 ± 6.7 mm HgPre-Op IOP
on Full Meds
Mean change in IOP over time by
Mitomycin C dose
7IOP, intraocular pressure; MMC, Mitomycin C
Higher MMC concentration results in lower IOP and fewer
medications/patient (P <0.05 from Day 21 to Year 1)
Medications
/patient
169
168
162
145
146
129
130
88
63
57
23
126
126
114
93
98
77
83
71
68
63
26
35
30
25
20
15
10
5
N
0.2 mg/mL MMC
0.4 mg/mL MMC
IOP(mmHg)
Day 0 Day 1 Day 7 Day 21 Day 30 Day 42 Mon 3 Mon 6 Mon 9 Year 1 Year 2
US glaucoma surgical market
 InnFocus have focused on the
total glaucoma surgical market
– Competitors1 have mainly
focused only on niche cataract
with glaucoma (~10%)
 US potential procedure market
was estimated to be 7 million
USD in 20142
 Projected >40% CAGR for
glaucoma surgical procedures
from 2015 to 20202
– This represents the largest
growth opportunity in
ophthalmology
8
CAGR, compound annual growth rate; USD, United States dollars
1. Glaukos, Transcend, Ivantis; 2. Market Scope 2014
Open angle 59%
Closed angle
22%
Glaucoma with cataract 10%Other 9%
Glaucoma surgical procedure market2
InnFocus provides 5 times the market opportunity vs the
competitors
MicroShunt® competitive advantage
 Bio-inert material with real world use
– SIBS material is ultra-stable; no evidence
of degradation1
– >1 million in-patient device implants (TAXUS®
Stent)2
– Over 15 years in-human use – 8 years in eyes
– Dr. Paul Palmberg3 – “The eye doesn’t know this
material is in the eye”
 Design shown to prevent chronic hypotony4,5
– Outer diameter (350 µm), lumen diameter (70
µm), length (8.5 mm)
9
SIBS, poly(styrene-block-isobutylene-block-styrene)
1. Strickler F et al. J Biomed Mater Res A. 2010;92(2):773–782; 2. Silber S et al. Circulation. 2009;120(15):1498–1504;
3. University of Miami, Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL;
4. Arrieta EA et al. Ophthalmic Surg Lasers Imaging. 2011;42(4):338–345; 5. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65
InnFocus MicroShunt® summary
 Standalone procedure allows access to largest patient population
 First and only surgical device/procedure to provide treatment for mild-, moderate-
, and severe-stage standalone POAG
 Clinical data shows IOP lowering capabilities with acceptable safety and
tolerability profile
 MicroShunt® is the only device undergoing FDA randomized clinical study vs
trabeculectomy
 Unique patented material as a glaucoma product with long-term material
biocompatibility
10FDA, Food and Drug Administration; IOP, intraocular pressure; POAG, primary open-angle glaucoma
Global Medical Affairs
THANK YOU
11

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Ophthalmology Innovation Showcase 1 - InnFocus (A Santen Company)

  • 1. Global Medical Affairs A Santen company InnFocus mission Develop the first, FDA-approved, minimally invasive standalone procedure for the treatment of mild-, moderate-, and severe-stage open-angle glaucoma, that lowers and sustains intraocular pressure under 15 mmHg, and eliminates eye drop medications in most patients
  • 2. InnFocus MicroShunt® differentiation  The MicroShunt® is the first and only surgical device/procedure to provide treatment for mild-, moderate-, and severe-stage standalone POAG – No requirement to remove the cataract (but this can be done) – Standalone procedure allows treatment of the largest population of patients with POAG – Clinical outcomes meet AGIS1 objective (IOP <15 mmHg)  It is the only device undergoing FDA randomized clinical study vs trabeculectomy  The intellectual property of the MicroShunt® is protected 2 AGIS, Advanced Glaucoma Intervention Study; FDA, Food and Drug Administration; IOP, intraocular pressure; POAG, primary open-angle glaucoma 1. Ederer F et al. Control Clin Trials. 1994;15(4):299–325
  • 3. The SIBS material  There is current, real-world experience with SIBS – SIBS has been used for over 15 years in >1 million patients as a cardiac-stent coating (TAXUS®)1 – It has also been used as an investigational product for over 8 years in the eye2  SIBS is a stretchy biomaterial that will not provoke scar tissue formation in the eye3  SIBS has proven biocompatibility4  SIBS is an ultra-stable material and will not degrade in the body5 – No degradation means no chronic inflammation and minimal scarring6 3 SIBS, poly(styrene-block-isobutylene-block-styrene) 1. Silber S et al. Circulation. 2009;120(15):1498–1504; 2. InnFocus data on file; 3. Acosta AC et al. Arch Ophthalmol. 2006;124(12):1742–1749; 4. Pinchuk L et al. Biomaterials 2008;29(4):448–460; 5. Strickler F et al. J Biomed Mater Res A. 2010;92(2):773–782; 6. Pinchuk L et al. J Biomed Mater Res A. 2017;105(1):211–221 N NM X M Poly(styrene-block-isobutylene-block-styrene) “SIBS”
  • 4. MicroShunt® design  Soft to conform to the curvature of the eye  Lumen sufficiently large to allow cells to pass; yet, small and long enough to prevent hypotony1  Fin to prevent migration and leakage around the outside of the tube2 41. Arrieta EA et al. Ophthalmic Surg Lasers Imaging. 2011;42(4):338–345; 2. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65 4.5 mm 8.5 mm 350 micron 70 micron lumen
  • 5. Benefits to the glaucoma surgeon  Potential replacement product for trabeculectomy and tubes – Advantage in safety and operating time  Potential advantage in post-operative patient follow up compared with trabeculectomy  A potential replacement for some laser procedures that only deliver temporary relief1  May reduce or remove the need for patients to administer multiple eye drops sooner compared with other procedures2  A procedure that may halt the progression of the patient towards blindness2,3 5 1. Lam D et al. Asia Pac J Ophthalmol (Phila). 2016;5(1):2–4; 2. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65; 3. Ederer F et al. Control Clin Trials. 1994;15(4):299–325
  • 6. Change in mean IOP over time 6IOP, intraocular pressure 30 25 20 15 10 05 00 IntraocularPressure(mmHg) Time N IOP %Rdctn Meds/Pt %Off Meds %< 5 mmHg Failures Kaplan/Meier Pre-Op 373 n/a 3.0±1.3 9 n/a n/a 100 Day-1 302 61 0 99 15. 0 100 Week-1 341 60 0.1±0.4 98 7.8 0 100 Week-3 281 54 0 98 3.6 0 100 Week-4 299 48 0.1±0.5 93 2.1 1 99.7 Week-6 240 46 0.1±0.5 96 0.8 0 99.5 Month-3 270 44 0.2±0.6 90 1.2 1 99.2 Month-6 242 39 0.4±0.9 82 0 3 98.4 Month-9 142 37 0.4±0.9 79 0 2 97.9 Year-1 148 36 0.5±1.0 75 0 8 95.7 Year-2 51 40 0.6±1.0 68 2.0 4 94.6 Year-3 22 53 0.9±1.4 64 0 1 94.4 Year-4 21 51 1.1±1.7 65 5.0 0 94.4 Year-5 20 50 0.8±1.4 61 0 1 94.1 = 22.7 ± 6.7 mm HgPre-Op IOP on Full Meds
  • 7. Mean change in IOP over time by Mitomycin C dose 7IOP, intraocular pressure; MMC, Mitomycin C Higher MMC concentration results in lower IOP and fewer medications/patient (P <0.05 from Day 21 to Year 1) Medications /patient 169 168 162 145 146 129 130 88 63 57 23 126 126 114 93 98 77 83 71 68 63 26 35 30 25 20 15 10 5 N 0.2 mg/mL MMC 0.4 mg/mL MMC IOP(mmHg) Day 0 Day 1 Day 7 Day 21 Day 30 Day 42 Mon 3 Mon 6 Mon 9 Year 1 Year 2
  • 8. US glaucoma surgical market  InnFocus have focused on the total glaucoma surgical market – Competitors1 have mainly focused only on niche cataract with glaucoma (~10%)  US potential procedure market was estimated to be 7 million USD in 20142  Projected >40% CAGR for glaucoma surgical procedures from 2015 to 20202 – This represents the largest growth opportunity in ophthalmology 8 CAGR, compound annual growth rate; USD, United States dollars 1. Glaukos, Transcend, Ivantis; 2. Market Scope 2014 Open angle 59% Closed angle 22% Glaucoma with cataract 10%Other 9% Glaucoma surgical procedure market2 InnFocus provides 5 times the market opportunity vs the competitors
  • 9. MicroShunt® competitive advantage  Bio-inert material with real world use – SIBS material is ultra-stable; no evidence of degradation1 – >1 million in-patient device implants (TAXUS® Stent)2 – Over 15 years in-human use – 8 years in eyes – Dr. Paul Palmberg3 – “The eye doesn’t know this material is in the eye”  Design shown to prevent chronic hypotony4,5 – Outer diameter (350 µm), lumen diameter (70 µm), length (8.5 mm) 9 SIBS, poly(styrene-block-isobutylene-block-styrene) 1. Strickler F et al. J Biomed Mater Res A. 2010;92(2):773–782; 2. Silber S et al. Circulation. 2009;120(15):1498–1504; 3. University of Miami, Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL; 4. Arrieta EA et al. Ophthalmic Surg Lasers Imaging. 2011;42(4):338–345; 5. Batlle JF et al. J Glaucoma. 2016;25(2):e58–65
  • 10. InnFocus MicroShunt® summary  Standalone procedure allows access to largest patient population  First and only surgical device/procedure to provide treatment for mild-, moderate- , and severe-stage standalone POAG  Clinical data shows IOP lowering capabilities with acceptable safety and tolerability profile  MicroShunt® is the only device undergoing FDA randomized clinical study vs trabeculectomy  Unique patented material as a glaucoma product with long-term material biocompatibility 10FDA, Food and Drug Administration; IOP, intraocular pressure; POAG, primary open-angle glaucoma