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The Business of Biotech
   October 16, 2006



     Lynne Zydowsky
   Zydowsky Consultants
Agenda
•   Overview of the Biotechnology Market
     – Industry overview and critical issues
     – Current and future markets/disease indications
     – Economics and risks of drug development
     – Future drivers of the Industry
•   Viable Business Models and Strategies
     – Business models and value creation
     – Developing a commercial plan and effective strategy
     – Financing the entity: venture capital, partnerships, M&A
•   New Opportunities
•   Case Study
     – Academic scientist to successful entrepreneur - Ramon Felciano,
       Founder and CTO of Ingenuity Systems
•   Discussion
Overview of the Biotechnology Market

  -Industry overview and critical issues

  -Current and future markets/disease indications

  -Economics and risks of drug development

  -Future drivers of the Industry
Biotechnology Industry: Year 2006
• The Biotech Industry started in San Francisco (Genentech
  ‘76) and Boston (Biogen ‘78). Today these areas still have
  the largest biotech clusters.
• To be perceived as credible today companies must have
  products in the clinic and corporate partnerships.
• Investors are far more risk adverse and would rather pay
  more for a later stage of development.
• Continued high hurdles in raising capital with a greater
  emphasis on speed to POC and market.
• Emergence of new financing paradigms (M&A, hedge
  funds, private equity, reverse mergers…).
• Continued issues with regulatory approval for new drugs.
Biotechnology: Science-based Business
• One of the biggest challenges still remains the melding of
  scientific entrepreneurship with “commercial reality” and
  making science a profitable business.

• The Genentech Model for Monetizing IP:
   – Transfer of university technology to the private sector for
     company creation.
   – Venture capital and public equity markets funding
     critical stages while rewarding those who take risks.
   – Creation of a market for know-how (scientists provide IP
     and intellectual capital) to established enterprises in
     exchange for funding.
30 Years of Genentech
• 1976 founded based on recombinant DNA technology
  developed by Herb Boyer with VC Bob Swanson.
• 1978 established partnership with Eli Lilly:
   – In exchange for marketing/manufacturing rights, Lilly
     funded R&D for recombinant insulin and paid royalties
     to Genentech.
   – Marked Pharma’s first outsource of a proprietary
     program to a for-profit entity.
• 1980 IPO raised $35M and allowed for vertical integration.
• 1982 Insulin, 1st rDNA drug on the market.
• 1985 Protropin,1st rDNA drug marketed by a biotech.
• 1990 $2.1B merger with Roche (56% ownership).
Amgen vs. Genentech
Biotech Companies
Biotech’s Booms and Busts




            Burrill & Company, Life Sciences: A Changing Prescription
IPO Market: 2003-2006
Pharma vs. Biotech Market Cap
Pharma vs. Biotech Market Cap
Selected Biotech Mergers
The History of Biotech
Generations of Drug Discovery




               Burrill & Company, Life Sciences: A Changing Prescription
Genomic Revolution
• 1988 Congress funds Human Genome Project
• 2000 first human genome sequence published
• Movement towards development of Dx for identification
  and molecular pathologies of disease

• Greatest future impact of genomics may be cases
  where this knowledge will enable us to:
  – more selectively choose therapies
  – understand disease at a molecular level
  – select patients for clinical trials increasing the efficiency
    of drug development

                                       Personalized Medicine
Systems Biology Revolution
• Computational methods and capabilities allow for a better
  understanding/prediction of complex biological systems
• Development of molecular, cellular, tissue, organ, and
  whole-body systems-level model will allow for a better
  understanding of disease mechanisms and create the
  ability to test putative therapeutic targets




 Integration of “omics” information    systems biology, the
 basis for the body to be viewed as a whole working system
Disease Indications
• Current market focus on:
   – Cancer, CV, anti-inflammation, CNS

• Future markets indications with emphasis on:
   – Memory and Alzheimer's
   – Anti-aging
   – Obesity and obesity related diseases (diabetes, heart disease,
     hypertension, stroke…)
   – Anti-infectives and pandemic disease
   – Wellness or preventive medicine

• Niche markets
   – Genetic disorders and life threatening diseases (priority review)
   – Targeted therapies
15 Top $B Blockbuster Drugs
Top 20 Biotech Drugs

•=




              Burrill & Company, Life Sciences: A Changing Prescription
Blockbuster Model: Multi-billion $$$ Drugs
• Focus on R&D to discover the next blockbuster drug
• Dominate therapeutic category and necessitate large
  sales/marketing force
• Majority are “me too” drugs and will soon be off patent
Blockbuster Model: Issues
•   In the last decade the Pharma industry has been predicated on the
    blockbuster making it one of the most profitable industries and
    enabling large R&D spends.
•   Approx 80% of growth of the Pharma industry came from ~ 8 drugs
    in the last 10 years.
•   However the impact of the recall of Vioxx is an example of how
    something like this can dramatically decrease revenues coupled
    with the impact of lawsuits.
•   Growing concern that going forward healthcare will only pay for 1-2
    drugs in each class.
•   Future drugs will be based on smaller markets and more targeted
    therapies in hopes to protect themselves from damaging effects of
    recalls.
•   There is a shift away from blockbusters. Only 33 of the top 200
    drugs are of blockbuster status.
•   This will call for more stream lined approach to R&D with a focus on
    fewer disease areas and more strategic partnerships.
Industrialized R&D




                     Harvard Business Review Oct 2006
Attrition in Drug Development
Risks and Uncertainty of R&D




                     2001 Nature Publishing Group biotech.nature.com
Drug Development Costs




               Burrill & Company, Life Sciences: A Changing Prescription
R&D Costs




            Harvard Business Review Oct 2006
Innovation Gap




                 Burrill & Company, Life Sciences: A Changing Prescription
Escalating Costs for R&D

• Increasing R&D costs are due to:
   – Increase clinical trial size, inefficiency of the process and misguided
     strategies (blockbuster vs. science driven development)
   – Enormous development costs ~ $800M - $1B
   – Long development times ~ 8-12 yrs from discovery to NDA
   – High attrition rate ~ 9 of 100 preclinical drugs get approved
   – Failure rate in Phase II has increased from 35 to 50%
   – Partial efficacy in patients ~40 – 60% and potential for adverse
     effects
   – Shortened life due to followers and generics

      Increased expenditures do not necessarily yield
  better drugs nor better returns
Summary: Future of Drug Discovery

• Rising costs of R&D, coupled with a decline in productivity,
  resulted in a decrease in return on investment.

• Genomics will impact the model of selling one drug to
  millions (blockbuster) vs. selling limited more specialized
  drugs to selected populations (predictive medicine and
  targeted medicine).
Future of Drug Discovery: Biological Centric
Regulatory Approval: FDA
•   2005 was a politically charged year at the FDA and the fear overall
    is that the FDA is becoming a highly politicized organization.
•   Struggling (since 2000) with lack of leadership and long term vision
    – McClellan, Crawford, and Von Eschenbach.
•   The McClellan era fostered an environment conducive to innovation
    and collaboration between the Industry and FDA. Now we have
    returned to the “regulator vs. industry” mentality with concerns about
    collaborations due to conflict.
•   Issues re drug safety were center stage with the removal of Vioxx
    and have forced the FDA and companies to become more proactive
    and now include submission of risk management plans.
•   Currently there is a 50% (vs. 30%) failure rate in phase III. Is this the
    result of conservatism of the reviewers or the Industry submitting
    poorly documented applications.
•   Focus on life-threatening disease allows for “Priority Review”
    However there is the need to understand the risk/benefit balance of
    therapy (removed and returned, Tysabri).

                                                  Nature Biotechnology February 2006
Personalized, Predictive & Preventative Medicine

FDA Pharmacogenomic Submission and Critical Path
Initiative (established in 2004 by McClellan) are geared
towards more effective and targeted medicines.
                Selected Targeted Treatments
                - Personalized cancer vaccines
                - Gleevec (Novartis)
                - Iressa (AstraZeneca)
                - Tarceva (Genentech/OSI)
                - Erbiutx (Imclone/BMS)
                - Avastin (Genentech)
                - Herceptin (Genentech)
Regulatory Approval: FDA
•   Establishment of Interdisciplinary Pharmacogenomics Review
    Group (IPRG) to review genomics data outside of the clinical review
    process under the Voluntary Genomics Data Submission (VGDS).
    Data ranges from preclinical signatures to phase 4 data. This
    agency may be the “bridge” between the regulators and the Industry.
•   IPRG drafted the 2005 Drug Test Co-development Concept Paper
    for parallel development of drugs and diagnostics. IPRG’s position is
    biomarkers are critical at earlier stages of development. Feedback
    shows a gap between the agency’s view and industry reality.
•   Prescription Drug User Fee Act (PDUFA, designed to foster new
    initiatives) is up for renewal and will probably include drug safety
    and monitoring.
    Bottom line, drug safety goes beyond regulatory approval.

                                           Nature Biotechnology February 2006
Drug Approvals: Trends 2005 - 2006
•   Key trend in 2005 approvals. 2005 provided no sign of recovery in
    productivity and was marred by regulatory uncertainty. The year was
    punctuated by setbacks to development time lines brought on by the need
    for further clinical safety data; approvals conditional on the production of
    post-marketing safety data; approval failures; and restrictions placed on the
    marketing of certain products. The significant volume of black-box
    warnings issued was also a stark reminder that marketing approval
    does not guarantee success.
    Key trend in 2006 approvals. 2006 depends on how regulators manage
    the tension between addressing product safety concerns and the need
    to support innovation and reduce the time drugs take to reach the
    market. The industry is waiting to see what balance regulators strike
    between risk and benefit, particularly for 'first in class' candidates.
    Stakeholders will also watch how the FDA will provide its critics with
    assurance of its ability to function without conflict of interest while
    working alongside the industry to progress projects such as the
    Critical Path Initiative. Ultimately 2006 must provide greater certainty over
    the future state of the regulatory environment, or confidence will be further
    undermined.
•
                                     Leland Gershell, SG Cowen & Co
FDA: The Critical Path Initiative
•   In 2004, the FDA launched the Critical Path Initiative, intended to
    promote research into ways to help drugs clear the hurdles of
    demonstrating efficacy and safety more quickly and cheaply. The
    initiative's latest report, released in March, includes projects to
    speed drug development, such as developing better disease
    models and developing surrogate markers to measure drug
    efficacy more quickly. But the most far-reaching and revolutionary
    aspect of the report is the FDA's embrace of the idea that the way to
    get more drugs approved is by “tailoring therapy” to each patient.

•   Although tailored medicine might increase the number of drugs that
    make it to market, how it will affect the drug-making business seems
    unclear. Drug approval might be made faster and cheaper, but
    the number of patients that can be treated by any particular
    drug will be smaller. Will this threaten the development of
    billion-dollar blockbuster drugs, and can Pharma survive
    without them? Will tailored medicine open up new
    opportunities, such as in biomarker tests, which can
    compensate?                                  Nature Medicine 12, 481 (2006)
Value of Healthcare: Bench to Bedside




                            BioCentury Sept 2006
Pricing: Cost of Goods




                         BioCentury Sept 2006
Pricing Models for Drugs: What is Fair?




                              BioCentury Sept 2006
The Influence of Managed Care
Biogenerics




              Burrill & Company, Life Sciences: A Changing Prescription
The Reimbursement Issue
• 125 million Americans have at least 1 chronic disease
• Chronic disease accounts for ~ 75% of all healthcare costs
  with current costs for chronic disease approaching $1trillion
• By 2015 annual healthcare costs will be ~ $4 trillion with $1
  in every $5 dollars spent on healthcare
• Generics will become more part of the solution to lower
  prescription drug-benefit costs
• Healthcare issues are on everyone’s agenda


      Companies need to start factoring in the likelihood
     of reimbursement prior to approval by the FDA
Summary: Economic Risks of R&D
• Rising costs of R&D coupled with declining productivity
• Regulatory issues associated with drug approval
   – 14 NCE’s were approved in 2005 ave time 13 – 16 mo’s
   – 37 black box warnings given to drugs in 2005
   – Vioxx, Bextra and Tysabri withdrawn in 2004/2005
   – 9 blockbuster drug patents expiring in 2005 and 2006
   – Continued change in FDA due to organizational (need
     for leadership and vision) and operational issues.
• Social and political pressures on pricing
• Price pressures of managed care
• Competition from generics
Future Drivers of the Industry
             Regulatory Change
             Dx, Theranostics, Biomarkers
             FDA Critical Path Initiative



                                    Market Change
Technology Change
                     R&D            Generics
Enabling and
                                    Pricing and Reimbursement
Disrupting
                                    New Markets (Aging, Obesity
Technologies &
                                    Regenerative Medicine, Anti-
Systems Biology
                Manufacturing       infectives)
                Change              Personalized/Predictive Medicine
                Biologics           Molecular Diagnostics
                                    Biomarkers
Viable Business Models and Strategies


  -Business models and value creation

  -Developing a commercial plan and effective strategy

  -Financing the entity
Common Issues of Emerging Companies
• Positioning the company in the context of today’s
  market (consideration to current and future drivers)
• Financial challenges ($$ and valuation)
• Lack of Infrastructure and minimal staffing (many with
  little to no start-up nor business experience)
• Parallel tracks with multiple goals
• Need to focus on value-add milestones
• Potential for founder issues, ensuring continued
  creativity and opportunities for contribution
Building Value in Emerging Companies
•   Strength of intellectual property
    – Originates from universities and companies or generated in-house
    – Strength of IP -> patentability + freedom to operate
    – Developing an IP strategy integrated with overall business strategy
•   Strength of technology and science
    – Products (sm molecules, proteins, biologics, genes), platform, drug
      delivery, devices……Everything rests on the data
•   People
    – Management, founders, investors, board of directors, scientific advisors
•   Commercial strategic plan
    – Defining the opportunity and need and other issues (e.g. regulatory)
    – Assessing the competitive landscape (e.g. niche market, time to market)
•   Operating plan and budget
    – Defining the value-add milestones (milestones to $$), revenue generation
      (near/long term), and looking “over the horizon”
•   Financing strategy
    – Defining a strategy and identifying investors for this stage and type of
      company.
Definition of Success
• Develop new medicines           Molecules in man
  and a better way to discovery   Improved drugs
  and develop drugs

• Build a lasting                 Sustainable pipeline
  company                         and balanced
                                  portfolio


• Create significant              3-10X returns in
  shareholder value               5+yrs
Value Creation
Valuation

• Valuations must be consistent with engaging
  entrepreneurial instincts as well as be realistic.
• Timelines and key value-add milestones must be
  consistent with the “hockey stick” valuation curve.
• Investment size must be commensurate with true needs
   – Balance financial risk with leadership risk
   – Balance financial risk with starvation risk


-> Are we heading towards a new model for private
   equity financing? Old model to invest $100M with 5-
   7yr return vs. new to invest $250M+ with 10yr return.
Creating Value and ROI




                         BioCentury Sept 2006
Biotech Development Stages
Business Models: Defined By Product
• Drug development or therapeutic area driven
   – Drug discovery and development focused on therapeutic
     areas (e.g. Anacor, Millennium)
   – In-licensing late stage drug development plays (e.g.
     Cerimon, Jazz)
• Technology platform
   – breadth and depth (e.g. Alnylam, Millennium)
• Instruments and reagents
   – (e.g. Affymetrix)
• Diagnostics
   – (e.g. Celera)
Therapeutic Area: Anacor Founded 2002
Anacor: Commercial Strategy
• 1997 DARPA grant funded the initial research.
• Shapiro’s (Stanford) discovery of an essential gene in
  Gram-negative bacteria, a novel target for antibiotic drug
  development, coupled with Benkovic’s (Penn State)
  inhibitors of the target, novel boron-containing
  compounds, formed the basis of Anacor's proprietary
  technology.
• Founded in 2002 based on capital from a “non-dilutive”
  source - $21M DARPA and USAMRIID contract
• Additional capital raised in a VC-based financing totaling
  $7M in 2002 and $25M in 2005.
• Sole focus in area of infectious disease.
• 2006 value creation in 4 yrs from inception with Phase II
  demonstration of efficacy in lead compounds
Drug Development: Cerimon Founded 2004




                         Raised $70M in Series A
                         With a focus on:
                         - Expanding markets
                         - Expand indications
                         - Expand pipeline
MLNM: Early Business Strategies
• Millennium’s strategy in moving from platform-based
  to product-focused was “by design”.
• The transition to drug developer was done with 3 major
  strategies:
   – Generation of revenue (near term) from strategic
     alliances based on target discovery and licensing of
     platform technology in >20 collaborations and >$2B of
     “committed funding” in revenue.
   – Royalty-based revenues (long term) on drugs created
     by partners with Millennium’s targets and technology
     and candidates discovered and sold to partners.
   – Generation of a drug pipeline (building a sustainable
     business) by internal discovery and development and
     M&A
MLNM: Commercial Strategy
• Founded in 1993 with IPO in 1996
• Generated $2B in early partnership revenue
• Raised $400M in convertible debt and $768M in a
  secondary offering in 2002
• Acquired by M&A: Leukocyte (Velcade), Cambridge
  Discovery Chemistry, COR (Integrilin)
• Established franchises in oncology, inflammation and CV
• Velcade was launched in 2003 and generating $143M in
  revenue by 2004
• Executed co-promotion agreements for: Velcade with J&J
  and Integrilin with Schering-Plough
MLNM: Platform to Fully Integrated




           >$700M in cash -> more M&A in 2006?
Platform Technology
• Enabling platforms have both the “breadth and depth”
• Perform feasibility studies to assess potential and allow for
  the generation of data to fully leverage the platform
• License access to all data and/or technology
• License or partner off plums to fund further development of
  the platform and drug discovery programs
• Retain option to keep some programs for conversion to
  drug discovery and development model (e.g. early
  Millennium, Exelixis, HGS, and Aurora)
Platform Technology
•   Broad platform creates multiple product opportunities and can be
    highly leveraged to raise money (MLNM, ALNY)
•   Platform must produce enough products to sell/partner + keep to
    develop as internal programs
Platform: Alnylam Founded 2002
ALNY: 2004 IPO
Enabling Technology: Novartis-Alynlam
ALNY: Summary of Commercial Strategy
• Founded in 2002 to discover/develop therapeutics based
  on RNAi
• Raised $17M in Series A/B + add’l $24M upon acquisition
  in 2002
• Completed IPO in 2004 for $34M
• 2005 landmark Nature paper showing systemic delivery
  and efficacy in primates
• Executed partnerships with: Merck (2003), Medtronic
  (2005), Novartis (2005), Biogenidec (2006), NIAID (2006)
  $23M contract for biodefense + licensed technology
• Established programs in oncology, RSV, pandemic flu,
  CF, neuropathic pain, Parkinsons, CNS disease……..
Reagents: Affymetrix
AFFX: Founded 1991
AFFY: Business Model
• Initial strategy was a “value-based” pricing model that was
  royalty driven. Issues were both internal due to deferred
  cash flow and external due to resistance from customers re
  the “reach-through”.
• Revised model was “fee based” using a NPV calculation
  based on projected revenue from royalties
   – Initial model consisted of large upfront ($2-4M) +
      reasonable fee for easy access to other products.
      Resulted in early cash flow, but also created “cap” on
      the value of reagents.
   – Moved to model with variable fees based on cost +
      “value of information”, i.e. information content of chip.
Diagnostics: Celera Founded 1998
CRA: Founded 1998
• Founded in1998 by C Venter
• 1999 begin sequencing the human genome and pioneers
  “shotgun” sequencing
• 2000 subscription-based model for its genetic database
  and announces completion of human genome
• 2001 Celera founds “Celera Diagnostics” and acquires
  Axys Pharmaceuticals (sm molecule drug discovery)
• 2002 FDA approval for HIV genotyping test
• 2004 strategic partnerships: Abbott, Seattle Genetics, GE
• 2005 Celera discontinues genetic database subscriptions
• 2006 Celera Genomics merges with Celera Diagnostics
Diagnostic Market
• IVD industry will play a prominent role in healthcare
  decisions due to molecular diagnostics and molecular
  imaging.
• 2005 WW market is ~ $36B with US accounting for ~
  43% of the revenue and Europe (26%), Japan (10%) and
  rest of world (22%).
• US demand is expected to grow ~6% annually to $17.9B
  by 2009
• Clinical diagnostics are divided by:
   – Dedicated Companies (BD, Beckman Coulter),
   – Pharma (Roche, Bayer, Abbott, J&J),
   – Biotech (Affymetrix, Third Wave, Gen-Probe)
Access To Capital Markets
• Venture capital
   – Seed stage -> full rounds
• Hedge funds ($1 trillion under management) or other
  public (mutual) funds and private equity players
• Quasi-public or “big brother” (e.g. Genentech + Roche)
• M&A including acquisition of early stage technology (e.g.
  Amgen + Avidia)
• IPO, market barrier to entry remains high.
   – 1st US company to do IPO in Japan Medici Nova raised $107M
• Reverse mergers (e.g. Infinity + Discover Partners)
Jazz Raises $250M Financing




                 - Financing: a mix of VC,
                 private equity, healthcare
                 funds, private investors……
US IPO Market
Infinity Completes Reverse Merger




                  - Financing: a mix of VC,
                  private equity, healthcare
                  funds, private investors……
Capital Raised
Corporate Partnerships: What’s Needed
Partnering: Pharma and Biotech
Strategic Alliances: Jun 2004 – Jul 2005
Corporate Partnerships
Summary: Building Companies
• Emerging companies need:
  – Strong IP, solid technology, and good data
  – World-class team
  – Well thought-out commercial strategy and
    operating plan
  – Near-term and long-term financing strategy
    with realistically aggressive value-add
    milestones
  – Maintain flexibility and awareness of the
    external environment
Building Companies in Canada: Issues
• People
  – Entrepreneurs and management with little to
    no biotech experience
• Money
  – Access to capital markets and VC funds
    outside of Canada
  – Lack of NIH or SBIR like funding and other
    early stage money to support research longer
    in academic environment
New Opportunities for Biotech

- Personalized medicine, molecular diagnostics and
biomarkers and theranostics (DxRx)
- High through-put technologies to sequence genomes
- RNAi as a new modality
- Infectious disease and the emerging field of biodefense
- Regenerative medicine and stem cell research
- Next generation of protein therapeutics
- Synthetic biology, Green Biotech and Nanomedicine
- And more…………
Genomics, Genetics and Modern Medicine
Molecular Diagnostics




                Burrill & Company, Life Sciences: A Changing Prescription
Diagnostics Value to Therapeutics: DxRx
• Product Differentiation
   – Better clinical information
   – Greater efficacy
   – Less adverse effects
   – Improved dose benefit
   – Improved risk benefit and health economics
• Market Expansion
   – Improved diagnosis
   – Increased compliance
   – Rapid growth in: cancer, CV, genetics, diabetes,
     infectious disease
Rapid Sequencing: The $1000 Genome




               -Sequencing of individual genomes, a
               key resource for personalized medicine
               -Solexa, 454, Pacific Biosciences,
               Helicos – all novel sequencing
               technologies
RNAi: A New Therapeutic Modality
Antibacterials: The Unmet Need
• The emergence of resistance has brought the Industry to
  the point of requiring a paradigm shift in how
  antibacterials are developed and brought to market.
• There needs to be a better vision of the importance of
  antibiotic resistance, this is becoming a public health
  concern.
• Prioritization of resources away from R&D efforts
  focused on the development of antibiotics, due to a shift
  in business strategies, have been driven by the lack of
  commercial value in lieu of treating chronic diseases (the
  blockbusters).
• There is a critical need for re-engagement of Pharma
  directly or in partnership with biotech to address this
  problem.
Antibacterials: The Need for Better Drugs
•   2003 Project Bioshield developed a 10 year, $5.6B initiative for the
    research and development of biocounter measures.
•   Recently, the ISDA (Infectious Disease Society of America) called
    on Congress to launch Bioshield II to address the need for new anti-
    bacterials.
•   Tax breaks, patent extensions are other incentives (money from the
    DOD) are being established in an effort to get the Industry back into
    this field.
•   Pharma wants broad spectrum drugs which have highest probability
    of resistance (and commercial success). Inadequate diagnosis also
    necessitates the use of broad spectrum reagents.
•   Biotech companies are approaching this area with new creative
    strategies, targets and other tools yielding many novel new
    antibacterials in clinical development. Strategies to leverage
    government funding can be an effective means to financing R&D.
The Evolving Field of Biodefense
Stem Cell Research Breakthroughs


                                                                                                Nov 2001
1972                              1993                            Aug 2001
                                                                                                Scientist at US biotech clone
Transplantation of frog           US split embryos to create      Bush allows limited funding
                                                                                                Hu embryos by replacing egg
Embryos into unfertilized         Genetically identical twins     of stem cell research using
                                                                                                nuclei with mature nuclei from
Frog eggs – British clone frogs   And grow to 32 cell stage       stem cell lines already
                                                                                                adult cells
                                                                  derived

                                          1996                  1998
                                          Dolly, the sheep is   US clone 3 generations of
                                          cloned from adult     mice from adult cells
                                          cells
Stem Cell Research Breakthroughs


                                                                 Aug 2005
                            2004
Dec 2001                                                         Hwang announced 1st cloned
                            Hwang from South Korea                                                  Oct 2005
US scientists clone first                                        dog and 11 stem cell lines
                            announced cloning of                                                    Senate pushes back debate
cloned pet - cat                                                 from skin of individual patients
                            30 human embryos                                                        On Stem Cell Res
                                                                                                    Enhancement Act of 05 to 06

                                                                                                    StemCells receives clearance
                                       Feb 2005                 May 2005
                                                                                                    from FDA to begin phase I trials
                                       Intro of Stem Cell Res   San Francisco chosen as
                                                                                                    To Tx Batten disease. Uses Hu
                                       Enhancement Act of       Headquarters for CA $3B
                                                                                                    Neural stem cells as potential
                                       2005. Bill would         stem cell initiative
                                                                                                    Therapeutic agent
                                       require NIH to fund
                                       stem cell research.
                                       Lawsuits filed.
Stem Cell Research Breakthroughs


Nov 2005
                              Dec 2005                                           Oct 6, 2006
Establish CIRM in SF, CA
                              Investigation of Hwang’s                           CIRM in CA announces 10
                              work finds fabricated data                         yr strategic plan for $3B
Hwang admits using eggs
                                                                                 including how initial $150M
From paid donors and members of
                                                                                 will be allocated
his team, resigns position


                                                           Feb 2006
Sept 2005
                                                           International
Till & McCullough win the Lasker Prize
                                                           consortium on stem
for experiments that first identified a
                                                           cell ethics law
stem cell.
                                                           produces guidelines




                           Regenerative medicine and stem cell research
The Future of Biologics
•   Pharma has historically focused on sm molecules. This will change
    with ~60% of revenue growth forecast to come from biologic
    products (therapeutic proteins and monoclonal antibodies)
•   By 2010, annual sales of biologics will have increased by $26B
    (compared to a $13B increase for sm molecules)
•   Within the Pharma peer set, the revenue growth rate to 2010
    forecast for biologics is a robust CAGR of 13.0%, outstripping the
    near-static CAGR of 0.9% predicted for sm molecules - depressed
    by exposure to intense generic competition
•   Pharma has assumed a strong position within the antibody
    market, a major attraction being the total absence of generic
    risk. In contrast, bio-similars are an emerging threat for members of
    the therapeutic protein class
•   Roche is the leading Pharma player within the biologics
    market; Its strong position in the antibody market is thanks to its
    1990 merger with Genentech. Roche is forecast to record the
    highest sales growth rate to 2010 within the peer set
                                                  Datamonitor 2006
Next Generation Protein Therapeutics
AstraZeneca and CAT
Codon Devices: Synthetic Biology
Codon Devices: Constructive Biology
Amyris: Synthetic Biology




                            Platform Technology
                            -$42.6M grant from Gates
                            Foundation in 12/04
                            -$20M in Series A 10/06
Synthetic Genomics: Green Biotech
Angiotech: NanoMedicine
Summary: More New Opportunities
•   Improved drug delivery (oral delivery of biologics)
•   Continuous monitoring feedback devices
•   Functional imaging (molecular diagnostics + imaging)
•   Neuro economics- convergence of brain imaging, behavioral sciences -
    --the “ultimate mind reader”
•   Exploration of periodic table for compound libraries resulting in
    expanded chemical diversity and properties of molecules
•   Improvements in complex synthetic chemistry to enable hitting protein-
    protein interactions
•   Gene therapy - use sm molecules to get indigenous cells to do
    something different rather than trying to introduce cells into the
    organism.
•   Devices: species bar-coding, emerging pathogens and for biodefense
•   Enzyme mining with all the metagenomics and
    genotyping/resequencing across microbial, human and everything in
    between. Application to biofuels (e.g., cellulose breakdown), industrial
    enzymes, biotherapeutics.
Biotechnology Industry: Year 2026
•   Move from US to global markets (China, India, Europe, Japan).
•   Capital markets will continue to play a key role in reshaping the
    industry with moving towards more M&A .
•   Pharma will continue to access innovation through Biotech
•   See move from blockbusters to niche markets.
•   Move from genomics and systems biology to personalized and
    predictive medicine.
•   See more reform of the FDA especially with regards to safety.
•   Healthcare costs and reimbursement issues will influence pricing
    strategies and revenue for the Industry.
•   Evolution of science will change the way we view life-threatening and
    debilitating diseases (e.g. regenerative medicine).
•   Research on antibiotics/anti-virals will expand with an increased
    emphasis on pandemic disease.
•   Move from small molecules -> proteins, Ab, gene therapy, stem cells.
The Business of Biotech Industry in 2006

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The Business of Biotech Industry in 2006

  • 1. The Business of Biotech October 16, 2006 Lynne Zydowsky Zydowsky Consultants
  • 2. Agenda • Overview of the Biotechnology Market – Industry overview and critical issues – Current and future markets/disease indications – Economics and risks of drug development – Future drivers of the Industry • Viable Business Models and Strategies – Business models and value creation – Developing a commercial plan and effective strategy – Financing the entity: venture capital, partnerships, M&A • New Opportunities • Case Study – Academic scientist to successful entrepreneur - Ramon Felciano, Founder and CTO of Ingenuity Systems • Discussion
  • 3. Overview of the Biotechnology Market -Industry overview and critical issues -Current and future markets/disease indications -Economics and risks of drug development -Future drivers of the Industry
  • 4. Biotechnology Industry: Year 2006 • The Biotech Industry started in San Francisco (Genentech ‘76) and Boston (Biogen ‘78). Today these areas still have the largest biotech clusters. • To be perceived as credible today companies must have products in the clinic and corporate partnerships. • Investors are far more risk adverse and would rather pay more for a later stage of development. • Continued high hurdles in raising capital with a greater emphasis on speed to POC and market. • Emergence of new financing paradigms (M&A, hedge funds, private equity, reverse mergers…). • Continued issues with regulatory approval for new drugs.
  • 5. Biotechnology: Science-based Business • One of the biggest challenges still remains the melding of scientific entrepreneurship with “commercial reality” and making science a profitable business. • The Genentech Model for Monetizing IP: – Transfer of university technology to the private sector for company creation. – Venture capital and public equity markets funding critical stages while rewarding those who take risks. – Creation of a market for know-how (scientists provide IP and intellectual capital) to established enterprises in exchange for funding.
  • 6. 30 Years of Genentech • 1976 founded based on recombinant DNA technology developed by Herb Boyer with VC Bob Swanson. • 1978 established partnership with Eli Lilly: – In exchange for marketing/manufacturing rights, Lilly funded R&D for recombinant insulin and paid royalties to Genentech. – Marked Pharma’s first outsource of a proprietary program to a for-profit entity. • 1980 IPO raised $35M and allowed for vertical integration. • 1982 Insulin, 1st rDNA drug on the market. • 1985 Protropin,1st rDNA drug marketed by a biotech. • 1990 $2.1B merger with Roche (56% ownership).
  • 9. Biotech’s Booms and Busts Burrill & Company, Life Sciences: A Changing Prescription
  • 11. Pharma vs. Biotech Market Cap
  • 12. Pharma vs. Biotech Market Cap
  • 14. The History of Biotech
  • 15. Generations of Drug Discovery Burrill & Company, Life Sciences: A Changing Prescription
  • 16. Genomic Revolution • 1988 Congress funds Human Genome Project • 2000 first human genome sequence published • Movement towards development of Dx for identification and molecular pathologies of disease • Greatest future impact of genomics may be cases where this knowledge will enable us to: – more selectively choose therapies – understand disease at a molecular level – select patients for clinical trials increasing the efficiency of drug development Personalized Medicine
  • 17. Systems Biology Revolution • Computational methods and capabilities allow for a better understanding/prediction of complex biological systems • Development of molecular, cellular, tissue, organ, and whole-body systems-level model will allow for a better understanding of disease mechanisms and create the ability to test putative therapeutic targets Integration of “omics” information systems biology, the basis for the body to be viewed as a whole working system
  • 18. Disease Indications • Current market focus on: – Cancer, CV, anti-inflammation, CNS • Future markets indications with emphasis on: – Memory and Alzheimer's – Anti-aging – Obesity and obesity related diseases (diabetes, heart disease, hypertension, stroke…) – Anti-infectives and pandemic disease – Wellness or preventive medicine • Niche markets – Genetic disorders and life threatening diseases (priority review) – Targeted therapies
  • 19. 15 Top $B Blockbuster Drugs
  • 20. Top 20 Biotech Drugs •= Burrill & Company, Life Sciences: A Changing Prescription
  • 21. Blockbuster Model: Multi-billion $$$ Drugs • Focus on R&D to discover the next blockbuster drug • Dominate therapeutic category and necessitate large sales/marketing force • Majority are “me too” drugs and will soon be off patent
  • 22. Blockbuster Model: Issues • In the last decade the Pharma industry has been predicated on the blockbuster making it one of the most profitable industries and enabling large R&D spends. • Approx 80% of growth of the Pharma industry came from ~ 8 drugs in the last 10 years. • However the impact of the recall of Vioxx is an example of how something like this can dramatically decrease revenues coupled with the impact of lawsuits. • Growing concern that going forward healthcare will only pay for 1-2 drugs in each class. • Future drugs will be based on smaller markets and more targeted therapies in hopes to protect themselves from damaging effects of recalls. • There is a shift away from blockbusters. Only 33 of the top 200 drugs are of blockbuster status. • This will call for more stream lined approach to R&D with a focus on fewer disease areas and more strategic partnerships.
  • 23. Industrialized R&D Harvard Business Review Oct 2006
  • 24. Attrition in Drug Development
  • 25. Risks and Uncertainty of R&D 2001 Nature Publishing Group biotech.nature.com
  • 26. Drug Development Costs Burrill & Company, Life Sciences: A Changing Prescription
  • 27. R&D Costs Harvard Business Review Oct 2006
  • 28. Innovation Gap Burrill & Company, Life Sciences: A Changing Prescription
  • 29. Escalating Costs for R&D • Increasing R&D costs are due to: – Increase clinical trial size, inefficiency of the process and misguided strategies (blockbuster vs. science driven development) – Enormous development costs ~ $800M - $1B – Long development times ~ 8-12 yrs from discovery to NDA – High attrition rate ~ 9 of 100 preclinical drugs get approved – Failure rate in Phase II has increased from 35 to 50% – Partial efficacy in patients ~40 – 60% and potential for adverse effects – Shortened life due to followers and generics Increased expenditures do not necessarily yield better drugs nor better returns
  • 30. Summary: Future of Drug Discovery • Rising costs of R&D, coupled with a decline in productivity, resulted in a decrease in return on investment. • Genomics will impact the model of selling one drug to millions (blockbuster) vs. selling limited more specialized drugs to selected populations (predictive medicine and targeted medicine).
  • 31. Future of Drug Discovery: Biological Centric
  • 32. Regulatory Approval: FDA • 2005 was a politically charged year at the FDA and the fear overall is that the FDA is becoming a highly politicized organization. • Struggling (since 2000) with lack of leadership and long term vision – McClellan, Crawford, and Von Eschenbach. • The McClellan era fostered an environment conducive to innovation and collaboration between the Industry and FDA. Now we have returned to the “regulator vs. industry” mentality with concerns about collaborations due to conflict. • Issues re drug safety were center stage with the removal of Vioxx and have forced the FDA and companies to become more proactive and now include submission of risk management plans. • Currently there is a 50% (vs. 30%) failure rate in phase III. Is this the result of conservatism of the reviewers or the Industry submitting poorly documented applications. • Focus on life-threatening disease allows for “Priority Review” However there is the need to understand the risk/benefit balance of therapy (removed and returned, Tysabri). Nature Biotechnology February 2006
  • 33. Personalized, Predictive & Preventative Medicine FDA Pharmacogenomic Submission and Critical Path Initiative (established in 2004 by McClellan) are geared towards more effective and targeted medicines. Selected Targeted Treatments - Personalized cancer vaccines - Gleevec (Novartis) - Iressa (AstraZeneca) - Tarceva (Genentech/OSI) - Erbiutx (Imclone/BMS) - Avastin (Genentech) - Herceptin (Genentech)
  • 34. Regulatory Approval: FDA • Establishment of Interdisciplinary Pharmacogenomics Review Group (IPRG) to review genomics data outside of the clinical review process under the Voluntary Genomics Data Submission (VGDS). Data ranges from preclinical signatures to phase 4 data. This agency may be the “bridge” between the regulators and the Industry. • IPRG drafted the 2005 Drug Test Co-development Concept Paper for parallel development of drugs and diagnostics. IPRG’s position is biomarkers are critical at earlier stages of development. Feedback shows a gap between the agency’s view and industry reality. • Prescription Drug User Fee Act (PDUFA, designed to foster new initiatives) is up for renewal and will probably include drug safety and monitoring. Bottom line, drug safety goes beyond regulatory approval. Nature Biotechnology February 2006
  • 35. Drug Approvals: Trends 2005 - 2006 • Key trend in 2005 approvals. 2005 provided no sign of recovery in productivity and was marred by regulatory uncertainty. The year was punctuated by setbacks to development time lines brought on by the need for further clinical safety data; approvals conditional on the production of post-marketing safety data; approval failures; and restrictions placed on the marketing of certain products. The significant volume of black-box warnings issued was also a stark reminder that marketing approval does not guarantee success. Key trend in 2006 approvals. 2006 depends on how regulators manage the tension between addressing product safety concerns and the need to support innovation and reduce the time drugs take to reach the market. The industry is waiting to see what balance regulators strike between risk and benefit, particularly for 'first in class' candidates. Stakeholders will also watch how the FDA will provide its critics with assurance of its ability to function without conflict of interest while working alongside the industry to progress projects such as the Critical Path Initiative. Ultimately 2006 must provide greater certainty over the future state of the regulatory environment, or confidence will be further undermined. • Leland Gershell, SG Cowen & Co
  • 36. FDA: The Critical Path Initiative • In 2004, the FDA launched the Critical Path Initiative, intended to promote research into ways to help drugs clear the hurdles of demonstrating efficacy and safety more quickly and cheaply. The initiative's latest report, released in March, includes projects to speed drug development, such as developing better disease models and developing surrogate markers to measure drug efficacy more quickly. But the most far-reaching and revolutionary aspect of the report is the FDA's embrace of the idea that the way to get more drugs approved is by “tailoring therapy” to each patient. • Although tailored medicine might increase the number of drugs that make it to market, how it will affect the drug-making business seems unclear. Drug approval might be made faster and cheaper, but the number of patients that can be treated by any particular drug will be smaller. Will this threaten the development of billion-dollar blockbuster drugs, and can Pharma survive without them? Will tailored medicine open up new opportunities, such as in biomarker tests, which can compensate? Nature Medicine 12, 481 (2006)
  • 37. Value of Healthcare: Bench to Bedside BioCentury Sept 2006
  • 38. Pricing: Cost of Goods BioCentury Sept 2006
  • 39. Pricing Models for Drugs: What is Fair? BioCentury Sept 2006
  • 40. The Influence of Managed Care
  • 41. Biogenerics Burrill & Company, Life Sciences: A Changing Prescription
  • 42. The Reimbursement Issue • 125 million Americans have at least 1 chronic disease • Chronic disease accounts for ~ 75% of all healthcare costs with current costs for chronic disease approaching $1trillion • By 2015 annual healthcare costs will be ~ $4 trillion with $1 in every $5 dollars spent on healthcare • Generics will become more part of the solution to lower prescription drug-benefit costs • Healthcare issues are on everyone’s agenda Companies need to start factoring in the likelihood of reimbursement prior to approval by the FDA
  • 43. Summary: Economic Risks of R&D • Rising costs of R&D coupled with declining productivity • Regulatory issues associated with drug approval – 14 NCE’s were approved in 2005 ave time 13 – 16 mo’s – 37 black box warnings given to drugs in 2005 – Vioxx, Bextra and Tysabri withdrawn in 2004/2005 – 9 blockbuster drug patents expiring in 2005 and 2006 – Continued change in FDA due to organizational (need for leadership and vision) and operational issues. • Social and political pressures on pricing • Price pressures of managed care • Competition from generics
  • 44. Future Drivers of the Industry Regulatory Change Dx, Theranostics, Biomarkers FDA Critical Path Initiative Market Change Technology Change R&D Generics Enabling and Pricing and Reimbursement Disrupting New Markets (Aging, Obesity Technologies & Regenerative Medicine, Anti- Systems Biology Manufacturing infectives) Change Personalized/Predictive Medicine Biologics Molecular Diagnostics Biomarkers
  • 45. Viable Business Models and Strategies -Business models and value creation -Developing a commercial plan and effective strategy -Financing the entity
  • 46. Common Issues of Emerging Companies • Positioning the company in the context of today’s market (consideration to current and future drivers) • Financial challenges ($$ and valuation) • Lack of Infrastructure and minimal staffing (many with little to no start-up nor business experience) • Parallel tracks with multiple goals • Need to focus on value-add milestones • Potential for founder issues, ensuring continued creativity and opportunities for contribution
  • 47. Building Value in Emerging Companies • Strength of intellectual property – Originates from universities and companies or generated in-house – Strength of IP -> patentability + freedom to operate – Developing an IP strategy integrated with overall business strategy • Strength of technology and science – Products (sm molecules, proteins, biologics, genes), platform, drug delivery, devices……Everything rests on the data • People – Management, founders, investors, board of directors, scientific advisors • Commercial strategic plan – Defining the opportunity and need and other issues (e.g. regulatory) – Assessing the competitive landscape (e.g. niche market, time to market) • Operating plan and budget – Defining the value-add milestones (milestones to $$), revenue generation (near/long term), and looking “over the horizon” • Financing strategy – Defining a strategy and identifying investors for this stage and type of company.
  • 48. Definition of Success • Develop new medicines Molecules in man and a better way to discovery Improved drugs and develop drugs • Build a lasting Sustainable pipeline company and balanced portfolio • Create significant 3-10X returns in shareholder value 5+yrs
  • 50. Valuation • Valuations must be consistent with engaging entrepreneurial instincts as well as be realistic. • Timelines and key value-add milestones must be consistent with the “hockey stick” valuation curve. • Investment size must be commensurate with true needs – Balance financial risk with leadership risk – Balance financial risk with starvation risk -> Are we heading towards a new model for private equity financing? Old model to invest $100M with 5- 7yr return vs. new to invest $250M+ with 10yr return.
  • 51. Creating Value and ROI BioCentury Sept 2006
  • 53. Business Models: Defined By Product • Drug development or therapeutic area driven – Drug discovery and development focused on therapeutic areas (e.g. Anacor, Millennium) – In-licensing late stage drug development plays (e.g. Cerimon, Jazz) • Technology platform – breadth and depth (e.g. Alnylam, Millennium) • Instruments and reagents – (e.g. Affymetrix) • Diagnostics – (e.g. Celera)
  • 55. Anacor: Commercial Strategy • 1997 DARPA grant funded the initial research. • Shapiro’s (Stanford) discovery of an essential gene in Gram-negative bacteria, a novel target for antibiotic drug development, coupled with Benkovic’s (Penn State) inhibitors of the target, novel boron-containing compounds, formed the basis of Anacor's proprietary technology. • Founded in 2002 based on capital from a “non-dilutive” source - $21M DARPA and USAMRIID contract • Additional capital raised in a VC-based financing totaling $7M in 2002 and $25M in 2005. • Sole focus in area of infectious disease. • 2006 value creation in 4 yrs from inception with Phase II demonstration of efficacy in lead compounds
  • 56. Drug Development: Cerimon Founded 2004 Raised $70M in Series A With a focus on: - Expanding markets - Expand indications - Expand pipeline
  • 57. MLNM: Early Business Strategies • Millennium’s strategy in moving from platform-based to product-focused was “by design”. • The transition to drug developer was done with 3 major strategies: – Generation of revenue (near term) from strategic alliances based on target discovery and licensing of platform technology in >20 collaborations and >$2B of “committed funding” in revenue. – Royalty-based revenues (long term) on drugs created by partners with Millennium’s targets and technology and candidates discovered and sold to partners. – Generation of a drug pipeline (building a sustainable business) by internal discovery and development and M&A
  • 58. MLNM: Commercial Strategy • Founded in 1993 with IPO in 1996 • Generated $2B in early partnership revenue • Raised $400M in convertible debt and $768M in a secondary offering in 2002 • Acquired by M&A: Leukocyte (Velcade), Cambridge Discovery Chemistry, COR (Integrilin) • Established franchises in oncology, inflammation and CV • Velcade was launched in 2003 and generating $143M in revenue by 2004 • Executed co-promotion agreements for: Velcade with J&J and Integrilin with Schering-Plough
  • 59. MLNM: Platform to Fully Integrated >$700M in cash -> more M&A in 2006?
  • 60. Platform Technology • Enabling platforms have both the “breadth and depth” • Perform feasibility studies to assess potential and allow for the generation of data to fully leverage the platform • License access to all data and/or technology • License or partner off plums to fund further development of the platform and drug discovery programs • Retain option to keep some programs for conversion to drug discovery and development model (e.g. early Millennium, Exelixis, HGS, and Aurora)
  • 61. Platform Technology • Broad platform creates multiple product opportunities and can be highly leveraged to raise money (MLNM, ALNY) • Platform must produce enough products to sell/partner + keep to develop as internal programs
  • 65. ALNY: Summary of Commercial Strategy • Founded in 2002 to discover/develop therapeutics based on RNAi • Raised $17M in Series A/B + add’l $24M upon acquisition in 2002 • Completed IPO in 2004 for $34M • 2005 landmark Nature paper showing systemic delivery and efficacy in primates • Executed partnerships with: Merck (2003), Medtronic (2005), Novartis (2005), Biogenidec (2006), NIAID (2006) $23M contract for biodefense + licensed technology • Established programs in oncology, RSV, pandemic flu, CF, neuropathic pain, Parkinsons, CNS disease……..
  • 68. AFFY: Business Model • Initial strategy was a “value-based” pricing model that was royalty driven. Issues were both internal due to deferred cash flow and external due to resistance from customers re the “reach-through”. • Revised model was “fee based” using a NPV calculation based on projected revenue from royalties – Initial model consisted of large upfront ($2-4M) + reasonable fee for easy access to other products. Resulted in early cash flow, but also created “cap” on the value of reagents. – Moved to model with variable fees based on cost + “value of information”, i.e. information content of chip.
  • 70. CRA: Founded 1998 • Founded in1998 by C Venter • 1999 begin sequencing the human genome and pioneers “shotgun” sequencing • 2000 subscription-based model for its genetic database and announces completion of human genome • 2001 Celera founds “Celera Diagnostics” and acquires Axys Pharmaceuticals (sm molecule drug discovery) • 2002 FDA approval for HIV genotyping test • 2004 strategic partnerships: Abbott, Seattle Genetics, GE • 2005 Celera discontinues genetic database subscriptions • 2006 Celera Genomics merges with Celera Diagnostics
  • 71. Diagnostic Market • IVD industry will play a prominent role in healthcare decisions due to molecular diagnostics and molecular imaging. • 2005 WW market is ~ $36B with US accounting for ~ 43% of the revenue and Europe (26%), Japan (10%) and rest of world (22%). • US demand is expected to grow ~6% annually to $17.9B by 2009 • Clinical diagnostics are divided by: – Dedicated Companies (BD, Beckman Coulter), – Pharma (Roche, Bayer, Abbott, J&J), – Biotech (Affymetrix, Third Wave, Gen-Probe)
  • 72. Access To Capital Markets • Venture capital – Seed stage -> full rounds • Hedge funds ($1 trillion under management) or other public (mutual) funds and private equity players • Quasi-public or “big brother” (e.g. Genentech + Roche) • M&A including acquisition of early stage technology (e.g. Amgen + Avidia) • IPO, market barrier to entry remains high. – 1st US company to do IPO in Japan Medici Nova raised $107M • Reverse mergers (e.g. Infinity + Discover Partners)
  • 73. Jazz Raises $250M Financing - Financing: a mix of VC, private equity, healthcare funds, private investors……
  • 75. Infinity Completes Reverse Merger - Financing: a mix of VC, private equity, healthcare funds, private investors……
  • 79. Strategic Alliances: Jun 2004 – Jul 2005
  • 81. Summary: Building Companies • Emerging companies need: – Strong IP, solid technology, and good data – World-class team – Well thought-out commercial strategy and operating plan – Near-term and long-term financing strategy with realistically aggressive value-add milestones – Maintain flexibility and awareness of the external environment
  • 82. Building Companies in Canada: Issues • People – Entrepreneurs and management with little to no biotech experience • Money – Access to capital markets and VC funds outside of Canada – Lack of NIH or SBIR like funding and other early stage money to support research longer in academic environment
  • 83. New Opportunities for Biotech - Personalized medicine, molecular diagnostics and biomarkers and theranostics (DxRx) - High through-put technologies to sequence genomes - RNAi as a new modality - Infectious disease and the emerging field of biodefense - Regenerative medicine and stem cell research - Next generation of protein therapeutics - Synthetic biology, Green Biotech and Nanomedicine - And more…………
  • 84. Genomics, Genetics and Modern Medicine
  • 85. Molecular Diagnostics Burrill & Company, Life Sciences: A Changing Prescription
  • 86. Diagnostics Value to Therapeutics: DxRx • Product Differentiation – Better clinical information – Greater efficacy – Less adverse effects – Improved dose benefit – Improved risk benefit and health economics • Market Expansion – Improved diagnosis – Increased compliance – Rapid growth in: cancer, CV, genetics, diabetes, infectious disease
  • 87. Rapid Sequencing: The $1000 Genome -Sequencing of individual genomes, a key resource for personalized medicine -Solexa, 454, Pacific Biosciences, Helicos – all novel sequencing technologies
  • 88. RNAi: A New Therapeutic Modality
  • 89. Antibacterials: The Unmet Need • The emergence of resistance has brought the Industry to the point of requiring a paradigm shift in how antibacterials are developed and brought to market. • There needs to be a better vision of the importance of antibiotic resistance, this is becoming a public health concern. • Prioritization of resources away from R&D efforts focused on the development of antibiotics, due to a shift in business strategies, have been driven by the lack of commercial value in lieu of treating chronic diseases (the blockbusters). • There is a critical need for re-engagement of Pharma directly or in partnership with biotech to address this problem.
  • 90. Antibacterials: The Need for Better Drugs • 2003 Project Bioshield developed a 10 year, $5.6B initiative for the research and development of biocounter measures. • Recently, the ISDA (Infectious Disease Society of America) called on Congress to launch Bioshield II to address the need for new anti- bacterials. • Tax breaks, patent extensions are other incentives (money from the DOD) are being established in an effort to get the Industry back into this field. • Pharma wants broad spectrum drugs which have highest probability of resistance (and commercial success). Inadequate diagnosis also necessitates the use of broad spectrum reagents. • Biotech companies are approaching this area with new creative strategies, targets and other tools yielding many novel new antibacterials in clinical development. Strategies to leverage government funding can be an effective means to financing R&D.
  • 91. The Evolving Field of Biodefense
  • 92. Stem Cell Research Breakthroughs Nov 2001 1972 1993 Aug 2001 Scientist at US biotech clone Transplantation of frog US split embryos to create Bush allows limited funding Hu embryos by replacing egg Embryos into unfertilized Genetically identical twins of stem cell research using nuclei with mature nuclei from Frog eggs – British clone frogs And grow to 32 cell stage stem cell lines already adult cells derived 1996 1998 Dolly, the sheep is US clone 3 generations of cloned from adult mice from adult cells cells
  • 93. Stem Cell Research Breakthroughs Aug 2005 2004 Dec 2001 Hwang announced 1st cloned Hwang from South Korea Oct 2005 US scientists clone first dog and 11 stem cell lines announced cloning of Senate pushes back debate cloned pet - cat from skin of individual patients 30 human embryos On Stem Cell Res Enhancement Act of 05 to 06 StemCells receives clearance Feb 2005 May 2005 from FDA to begin phase I trials Intro of Stem Cell Res San Francisco chosen as To Tx Batten disease. Uses Hu Enhancement Act of Headquarters for CA $3B Neural stem cells as potential 2005. Bill would stem cell initiative Therapeutic agent require NIH to fund stem cell research. Lawsuits filed.
  • 94. Stem Cell Research Breakthroughs Nov 2005 Dec 2005 Oct 6, 2006 Establish CIRM in SF, CA Investigation of Hwang’s CIRM in CA announces 10 work finds fabricated data yr strategic plan for $3B Hwang admits using eggs including how initial $150M From paid donors and members of will be allocated his team, resigns position Feb 2006 Sept 2005 International Till & McCullough win the Lasker Prize consortium on stem for experiments that first identified a cell ethics law stem cell. produces guidelines Regenerative medicine and stem cell research
  • 95. The Future of Biologics • Pharma has historically focused on sm molecules. This will change with ~60% of revenue growth forecast to come from biologic products (therapeutic proteins and monoclonal antibodies) • By 2010, annual sales of biologics will have increased by $26B (compared to a $13B increase for sm molecules) • Within the Pharma peer set, the revenue growth rate to 2010 forecast for biologics is a robust CAGR of 13.0%, outstripping the near-static CAGR of 0.9% predicted for sm molecules - depressed by exposure to intense generic competition • Pharma has assumed a strong position within the antibody market, a major attraction being the total absence of generic risk. In contrast, bio-similars are an emerging threat for members of the therapeutic protein class • Roche is the leading Pharma player within the biologics market; Its strong position in the antibody market is thanks to its 1990 merger with Genentech. Roche is forecast to record the highest sales growth rate to 2010 within the peer set Datamonitor 2006
  • 96. Next Generation Protein Therapeutics
  • 100. Amyris: Synthetic Biology Platform Technology -$42.6M grant from Gates Foundation in 12/04 -$20M in Series A 10/06
  • 103. Summary: More New Opportunities • Improved drug delivery (oral delivery of biologics) • Continuous monitoring feedback devices • Functional imaging (molecular diagnostics + imaging) • Neuro economics- convergence of brain imaging, behavioral sciences - --the “ultimate mind reader” • Exploration of periodic table for compound libraries resulting in expanded chemical diversity and properties of molecules • Improvements in complex synthetic chemistry to enable hitting protein- protein interactions • Gene therapy - use sm molecules to get indigenous cells to do something different rather than trying to introduce cells into the organism. • Devices: species bar-coding, emerging pathogens and for biodefense • Enzyme mining with all the metagenomics and genotyping/resequencing across microbial, human and everything in between. Application to biofuels (e.g., cellulose breakdown), industrial enzymes, biotherapeutics.
  • 104. Biotechnology Industry: Year 2026 • Move from US to global markets (China, India, Europe, Japan). • Capital markets will continue to play a key role in reshaping the industry with moving towards more M&A . • Pharma will continue to access innovation through Biotech • See move from blockbusters to niche markets. • Move from genomics and systems biology to personalized and predictive medicine. • See more reform of the FDA especially with regards to safety. • Healthcare costs and reimbursement issues will influence pricing strategies and revenue for the Industry. • Evolution of science will change the way we view life-threatening and debilitating diseases (e.g. regenerative medicine). • Research on antibiotics/anti-virals will expand with an increased emphasis on pandemic disease. • Move from small molecules -> proteins, Ab, gene therapy, stem cells.