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Answers for Cancer
SwedenBio 2006
2
What are we:
• Incorporated October 2000 – 5½ years• Cancer – small molecules• 8 products in the clinic - Mix of niche and large market products• Fruits of 3½ companies (TT, Prolifix, G2M-Frankfurt)• HDACi, Topoisomerase IIi, mTOR• Inlicensed - diphenal urea-based, oral chloride channel blocker (Endovion – NeuroSearch), and
a recombinant antibody (Zemab – Novartis)• 97 people spread over 3 sites• VCs are – BankInvest (Danish), Healthcap (Swedish),) and Deutche VC. • Raised a total €46m of equity capital– up to IPO (Prolifix was a cash purchase)• Pre money value – just under €90m• In IPO raised €35m – (11.5m shares) – 6 times oversubscribed – first IPO for 4 years.• 94% of our shares are currently free to trade.• Took VCs down from 80% to just under 60% • Market cap at date of float €120m. Trading in a range between -5 +10% for 9 months• Since April 65-75% up
6
8
Estimated costs to make a new drug
• PhRMA – 800 million $
• Tufts University – 900 million $
• Bain & Company – 1,7 billion $
The upside
• US prescription medicine 2003 216 billion $ !!
Biotech exists because the capital markets enable it to…
Computer/Software — customer decides
Biotech — capital market decides
4
The Party in 2000
Source: Venture One
$35$0
2500
2000
Number of Deals
3000
1500
1000
1994•
1995•
1996•
1997•
3500
VC$ Invested ($Billions)
1998•
Get Big FastConcepts FundedTime to IPOYoung EntrepreneursEntrepreneurs
Control Valuations
1999•
… And The “Morning After” Hangover
Get Profitable FastWhere’s the Business
Model?P2P: Path to
ProfitabilityExperienced
Veterans VC Controls
Valuation
NASDAQ Closing
3940
46974573
3861
3400
3000
3200
3400
3600
3800
4000
4200
4400
4600
4800
J an-00 Feb-00 M a r-00 A pr-00 M ay-00
Revitalization by acquisition
13
Broadly based geographical set-up
Copenhagen, Denmark – Headquarters• DNA damage control (topoisomerases)• Medicinal chemistry and cancer models• Clinical, regulatory and data management
TopoTarget UK limited, Oxford, UK• Chromatin (HDAC) and cell cycle control• Biochemistry, compound screening
TopoTarget Germany AG, Frankfurt, Germany• Chromatin (HDAC) control• Clinical and regulatory management• Laboratory unit, cancer models (Karlsruhe)
• 2002 – Acquisition of Prolifix Ltd, now TopoTarget UK Ltd
• 2005 – Acquisition of G2M Cancer Drugs, now TopoTarget Germany AG
14
TopoTarget – Strategy
Maintain a broad and risk-balanced product pipeline:
discover and develop novel small-molecule therapeutics with broad potential acquire cancer product candidates and companies with complementary expertise and products repurpose marketed drugs for new cancer indications
Key commercial objectives: market speciality cancer products partly by own sales force market novel cancer therapeutics with broad potential mainly through partners
2006 >2007 >2008
PXD101
Avugane™
Baceca®
Topotect
Savene™ Savicol®
15
Clinical pipeline: 8 drug candidates, >10 indications
Technology Product Indication
Topo IIi
Topo IIi
HDACi
HDACi
HDACi
HDACi
Anti-HER2
VRACi
Savene™
PXD101
Avugane™
Baceca®
Extravasation
MM (mono)
MM (+ Velcade)
T-cell lymphoma
Savicol™
Topotect
Zemab®
Endovion
Acne Vulgaris
BCC
FAP & Colon cancer
Brain tumours
Breast cancer
Cancer
mTOR
HDACi
E2F, HSP90 etc.
TOP216
More candidates
More candidates
Breast and prostate cancerCancer, malaria psoriasis etc.
Cancer
e2006
e2008
e2008+
e2008+
e2008+
e2008+
e2008
e2008+
e2008+
e2008+
e2008+
e2008+
Phase I expected in Q1 2007
Non-cancer indications will be out-licensed
Ovarian cancer
PC Phase I Phase II Phase III Reg. Launch
Constant pipeline in-flow of promising new cancer drug candidates
Colorectal cancer
16
Savene™ for extravasations (EV)
Extravasation- Accidental leaking of chemo to healthy tissue
A very serious complication - Affects 1 in 100 cancer patients
- Current therapy: surgery + rehabilitation Very costly for both patient and hospital
TopoTarget solution:
UK: Registration of extravasation cases
1460
237
121159
182
243295
367
416
0
50
100
150
200
250
300
350
400
450
'94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04
Source: Extravasation org UK
Complicated necrosis Savene™ treatment Current treatment
Extra-vasation accident
17
Savene™ - Approaching the market
2000: Pre-clinical P-o-C published
2004/5: Very convincing phase II/III results– 98% success in prevention of necrosis and surgeries– only one patient in the trial had surgery
Orphan Drug status in Europe and the US
Market launch expected Q4 2006 in Europe and the US
— Europe: MAA filed in August 2005
— US: NDA process initiated
•n •Surgery•Success
•rate
51 1 98%
TT01: P value < 0.025
TT02:P value < 0.025
From idea to brand in only 7 years!!1999
First results
2006
18
PXD101: unique HDAC inhibitor profile– highly potent prevents cancer cell growth– broad ranged potential against several tumours– Reduces cancer cell chemo resistance
Highly promising clinical results— Tumour reduction seen in a number of patients — Stable disease registered in cancer patients — no significant bone marrow toxicity
highly promising for use of PXD101 in combination therapy
Substantial clinical trial programme - 2 Phase II trials; multiple myeloma (MM) and T-cell lymphoma- 3 Phase Ib/II combination trials in ovarian and colon cancer + MM - NCI will initiate and finance 9-11 PhI or II trials; first trial initiated
PXD101 – Promising HDAC inhibitor
First Proof-of-concept data anticipated Q3 2006 (MM Phase II trial)
19
BCC is the most common of all cancers– 5m patients annually and incidence is growing– usually treated by surgical procedures
TopoTarget solution: Baceca®– Patent protected use of valproic acid (VPA),
a mild HDAC inhibitor– Potential as first effective topical treatment– 100% response in clinical efficacy study (pilot)
Two Phase IIb trials started in Q4 2005– Treatment: Retinoid (Vitamin A) +/- Baceca®– placebo-controlled, randomised (basis for
registration filing)
Commercial strategy– Baceca® will be partnered (dermatology player)
Baceca® for basal cell carcinoma (BCC)
•n•Full
response•Partial
response
•4
•No response
•0
Clinical efficacy data
Pictures shown for illustrative purposes
6 weeks
BACECA® & retinoid
Before treatment
•10 •6
20
Avugane™ for acne vulgaris
Large clinical need– ineffective therapies and adverse effects
Avugane™ – reformulation of the HDAC inhibitor valproic acid (VPA) – targets crucial causes of acne via inhibition of HDACs– provides an effective topical treatment – utilises synergistic activity of HDAC inhibition and retinoid function
Promising results from randomised Phase II trial - comparable efficacy compared to standard retinoid treatment- advantageous tolerability compared to standard retinoid treatment- indications of accelerated clinical response
Commercial strategy– to be out-licensed to experienced dermatology player
Approval expected in > 2008
21
Patient 1-3AVUGANE treated
Patient 4-5Isotretinoin treated
Avugane™: Phase II trial data / efficacy
22
Savicol™ for FAP and colon cancer
Clinical problem: FAP leads to colon cancer – FAP (Familial Adenomatous Polyposis) is a niche indication– Current therapy: removal of the colon
TopoTarget solution
– Savicol™ is a new formulation of VPA (HDACi)– Prevents polyp growth
Orphan Drug status in Europe and the US
Pivotal Phase II trial initiated in FAB in Feb06– 66 patients approved by EMEA
Commercial strategy– Sell in Europe through own sales force– Out-licence to partner in the US– Successful Savicol™ treatment can be applied to colon cancer
FAP colonic polyps
FAP disease model
23
Strong news flow since IPO
IPO with DKK 259m raised in new capital June
Closing of Savene™ (extravasation) multi-centre phase II/III trial June
FDA grants Orphan Drug Designation for Savicol™ against FAP July
Start Phase II PXD101 monotherapy trials in multiple myeloma in the US August
Submission of Savene™ (extravasation) registration file to EMEA August
Licensing agreement with NeuroSearch regarding NSD-551 against cancer August
Start of phase Ib PXD101 combination study against ovarian cancer Sept
Start of phase Ib PXD101 combination trial in colorectal cancer in the US Sept
Start of randomized, blinded proof-of-concept Baceca® phase II study in BCC October
Presentation at AACR-EORTC of phase I and pre-clinical results on PXD101 November
Presentation at American Society of Hematology Annual Meeting:PXD101 demonstrates promising safety profile and potential anti-tumour effect December
Pipeline expansion: Acquisition of promising mTOR drug programme December
Savene™ promotion agreement covering Eastern Europe and Austria December
Start of randomized, pivotal Savicol™ phase II study in FAP February
Start of phase II with PXD101 for t-cell lymphomas February
Start Phase Ib/II PXD101 and Velcade combination trials in multiple myeloma March
Start of first NCI sponsored PXD101 clinical trial April
Completion of Phase II of Avugane™ in acne vulgaris April
FDA grants priority review status to Savene™ April•
Event Timing
24
2006 – A continuously strong news flow
Savene™ for Extravasation: Marketing approval in Europe Marketing approval in the US Launch in both Europe and the US
PXD101 for cancer: Preliminary proof-of-concept data from first phase II trial in MM Results from phase Ib combination trial in ovarian cancer Results from phase Ib combination trial in colorectal cancer Start randomized phase II trials in multiple myeloma Start of several phase I or II trials under the NCI deal
Baceca® for BCC: Completion of phase II trials
Avugane™ for acne vulgaris: Final phase II proof-of-concept data
Topotect for BM: Completion of phase I/II etoposide combination trial Initiation of further phase I and of phase II trials
Savicol™ for FAP: Completion of first phase II trial
Zemab® for breast cancer: Initiation of phase II trial
Event
25
What do you need
• Capable management – can stand up to close scrutiny • Low risk - product close to market• Large market product – blue sky on horizon – opportunity for high reward to compensate for
high risk.• Science validated through partnering deals.• A full pipeline – constant stream of news.• A pre-money value approaching €100m – critical mass• Capability to replenish the pipeline • Cash in the bank – pre-IPO round – convince them that you don’t need them.• Not too many hurdles. (Product supply sourced)• Economic cycle in right phase (growth) – high beta stock do better in early stage of economic
cycle. Ramp up existing biotechs, become too expensive will look at new biotechs. • If not buying shares in proven biotechs, even less chance will buy in unproven.• List on right market - have Bankers appropriate to that market (Alfred Berg, Danske Bank and
Handelbanken). Local Hero.• Good team of auditors and lawyers, public relations firm. (Deloitte, Price Waterhouse,
Mazanti, Davis Polke – 144A compliance)• Don’t listen to market tittle tattle• Get offer price right – don’t be too greedy.
26
Pro’s
– Better access to capital – Allows M&A strategy using shares as a currency – Profile helps keep and attract best employees – Eases collaboration especially abroad – Success story to get through the eye of the needle– Strengthens project and financial revision – Increases focus on goals and P2P
– Exit opportunity for our VC’s and a healthy evolution out of VC era – Trade sale at a good price only for “first mover” platform-or single
project companies
27
Con’s
The IPO Process • Takes time – very time consuming and eats management resources • Dangerous for the day to day business • Challenging Logistics• Expensive • May fail
Post-IPO• No control of ownership – risk of hostile takeover – especially if traded below real value • Focus on long term value creation hampered by impatient market • Resource demanding • A challenge to secure correct interpretation of company messages – and control anticipation • New routes of communication, width and exposure • Stock exchange and market demands on visibility in strategy and projects may be a competitive
disadvantage
28
Relationships: Reputation
www.whateveryoudodontbuyacompaq.com
29
Disclose
“Returns to transparency . . . exceed returns to secrecy.”
To Tell the Truth: Consider adding an “intangibles audit” to your annual report. The audit can spell out your thinking about intangibles, communicate your goals, and assess your performance.
The Shell Report
31
Share information
IPO price (10 June 2005): DKK 22.50 RIC: TOPO.CO No. of shares (29 May 2006) : 40,674,207 Price (29 May 2006): DKK 40,20 Market Cap: DKK 1,635 million
IPO lock-up period for VC investors expired 10 Dec 2005
Main investors > 5%:BankInvestHealthCapAntiAnthra
Free float: > 94%
32
TopoTarget – Answers for Cancers
Early cash-flow from niche products Long-term growth from blockbuster products A leading European oncology company
Answers for Cancer
Technology Product Indication
Topo IIi
Topo IIi
HDACi
HDACi
HDACi
HDACi
Anti-HER2
VRACi
Savene™
PXD101
Avugane™
Baceca®
Extravasation
MM (mono)
MM (+ Velcade)
T-cell lymphoma
Savicol™
Topotect
Zemab®
Endovion
Acne Vulgaris
BCC
FAP & Colon cancer
Brain tumours
Breast cancer
Cancer
mTOR
HDACi
E2F, HSP90 etc.
TOP216
More candidatesMore candidates
Breast and prostate cancerCancer, malaria psoriasis etc.
Cancer
e2006
e2008
e2008+
e2008+
e2008+
e2008+
e2008
e2008+
e2008+
e2008+
e2008+
e2008+
Phase I expected in Q1 2007
Non-cancer indications will be out-licensed
Ovarian cancer
PC Phase I Phase II Phase III Reg. Launch
Constant pipeline in-flow of promising new cancer drug candidates
Colorectal cancer
Technology Product Indication
Topo IIi
Topo IIi
HDACi
HDACi
HDACi
HDACi
Anti-HER2
VRACi
Savene™
PXD101
Avugane™
Baceca®
Extravasation
MM (mono)
MM (+ Velcade)
T-cell lymphoma
Savicol™
Topotect
Zemab®
Endovion
Acne Vulgaris
BCC
FAP & Colon cancer
Brain tumours
Breast cancer
Cancer
mTOR
HDACi
E2F, HSP90 etc.
TOP216
More candidatesMore candidates
Breast and prostate cancerCancer, malaria psoriasis etc.
Cancer
e2006
e2008
e2008+
e2008+
e2008+
e2008+
e2008
e2008+
e2008+
e2008+
e2008+
e2008+
Phase I expected in Q1 2007
Non-cancer indications will be out-licensed
Ovarian cancer
PC Phase I Phase II Phase III Reg. Launch
Constant pipeline in-flow of promising new cancer drug candidates
Colorectal cancer
“It’s not enough that we succeed. Cats must also fail.”
MOTIVATION