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SWEDISH-AMERICAN LIFE SCIENCE SUMMIT August 19-21, 2009
An Introduction to Affibody
Corporate Background Privately held (HealthCap 43%, Investor 25%)
Founded in 1998 by scientists from KTH and KI
Based in Stockholm, Sweden
25 FTEs
Technology Platforms Affibody® platform - high affinity binders
AlbumodTM platform - extending the half life of biotherapeutics
Business Model Balanced business model generating SEK 28m (~USD 3.5m) in revenue 2008
10 deals with partners such as GE, Merck, Biovitrum, and Finnzymes
4 industrial products marketed by partners
Second generation antibody mimetics company
N
N
Affibody® Technology – Proprietary Triple Helical Platforms
Affibody® Platform AlbumodTM Platform
5 kDa 6 kDa
Two proprietary platforms – versatile business model
The Antibody Opportunity
More than 20 approved therapeutic mAbs
Blockbusters such as Rituxan®, Remicade®, Herceptin®, Avastin®, Humira®, Erbitux®, and Synagis®
Therapeutic mAb revenue projected at above USD 30bn in ’09
Expected 5-yr Sales CAGR >10%
Large pipeline of products in late-stage development
Monoclonal Antibody (mAb)
Monoclonal antibodies are reshaping the industry
Therapeutic mAbs
Affibody® molecule 6 kDa
Monoclonal Antibody (mAb)150 kDa
Affibody® Molecules – Next Generation Antibody
A fraction of the size packed with the same power
Small size (1/25th the size of a mAb)
High selectivity and affinity (high potency)
Rapid and reversibly folding (extreme stability)
Flexible low cost production (peptide synthesis or recombinant production)
Flexible engineering and formatting (modified properties and formats)
Anti-HER2 Affibody® Molecule vs. Trastuzumab
When you can see it you can treat it
mAb
High background
Extended exposure of non-target organs
6 h p.i.
6 h p.i.
124I-Trastuzumab, N87 Xenografted mice
124I-Anti-HER2 Affibody® Molecule, N87 Xenografted mice
24 h p.i.
24 h p.i.
Affibody® Molecule
Rapid high tumor uptake
Improved potency / side-effect ratio
N
N
Affibody® Technology – Proprietary Triple Helical Platforms
Affibody® Platform AlbumodTM Platform
5 kDa 6 kDa
Two proprietary platforms – versatile business model
AlbumodTM Platform – Extending Half-Life
Potency – sustained efficacy
Economy – reduced dosage
Safety – avoid high peak blood concentrations
Life cycle management / Biosuperiors
Half Life from Minutes to Days (primate)
5-fold Higher Dose on Tumor (mouse)
Half-life: from hours to days increased potency
Therapeutics and Imaging Portfolio Overview
Program Preclinical Research
Anti-HER2Affibody® Molecule
Clinical Development
TargetSelection
LeadIdentification
LeadOptimization
Preclinical
Breast Cancer, Phase I/IIa study approved, exploratory clinical data
Bladder Cancer, Phase I study approved
Breast and Bladder Cancer, pre-clinical efficacy
Phase I Phase II Phase III
Therapeutics
Imaging
Oncology
Anti-EGFRAffibody® Molecule
Head and Neck Cancer, ready for development
Anti-PDGFRβAffibody® Molecule
Anti-PSMAAffibody® Molecule
Cancer, ready for development
Prostate Cancer
Inflammation and autoimmune
Undisclosed Undisclosed
Hematology
Long-acting G-CSF Neutropenia,PK data
HER2 Program(Imaging and Therapy)
Anti-HER2 Affibody® Molecule Imaging Opportunity
Breast Cancer
Exploratory clinical data available
Phase I dose finding study approved
Bladder Cancer Imaging
Exploratory application approved
Safety and Immunology
Repeated dose tox demonstrated the molecule to be safe and well tolerated
Non-immunogenic after repeated dosing in rat
Clinical Development Plan
Phase I dose finding study (27 patients, 6 months)
Phase III confirmatory study (150-200 patients, 9 months)Breast Cancer patient with brain metastasis
Short time to market – limited number of patients
Orlova, A., et al. (2007) Cancer Research, 67: 2178-86.
HER2 Imaging – Novel Diagnostic Applications
Use cases demonstrated not possible with current standard (biopsy)
CORONAL TRANSVERSAL
Global HER2 status (2 h p.i., PET/CT)
Tumor
Tumor
17-AAGtreated
Monitoring therapy response (4 h p.i., SPECT)
Trends in Oncology mAb Therapy
Antibody-drug conjugation (payloads)
– T-DM1 (Herceptin + payload), Ph III, Genentech/ImmunoGen
Genentech plans to file 1-2 INDs on payload drugs annually
– SGN-35 (CD30 + payload), Ph III, Seattle Genetics
Focus on effector functions
– e.g. Xencor, Macrogenics, Glycart, Micromet – BiTE, Merrimack – HER2/HER3
The Affibody® molecule is an optimal payload carrier
0
200
400
600
800
1000
1200
0 5 10 15 20 25 30 35 40
days
tum
or
vo
lum
e, m
m3
Saline
Toxin fusion 250 g/kg
Tumor volumeBT474 Xenografts
PE38 toxin
Anti-HER2 Affibody® Molecule – Payload Therapeutics
Therapeutic Efficacy - HER2 Affibody® Toxin Fusion Protein
HER2 Affibody® Toxin Fusion shrinks solid tumors
Long-acting G-CSF(Therapy)
0
200
400
600
800
1000
1200
1400
1600
0 20 40 60 80 100 120
Time (h)
Co
nce
ntr
atio
n (
nM
)
G-CSF-ABD035
G-CSF
Long-acting G-CSF – A Biosuperior Opportunity
A single i.v. injection of equimolar amounts of G-CSF-ABD0 fusion (n=5) or G-CSF (Neupogen®) (n=2) to rats
10-Fold Increased Circulation Time Retained Specific Activity
10x increased circulation time and fully retained activity
0,0
0,5
1,0
1,5
2,0
2,5
1 10 100 1000Concentration (pg/ml)
Pro
life
rati
on
(O
D45
0)
Standard (Neupogen)
G-CSF Albumod
NFS-60 proliferation assay
Achievements During 2009
Therapeutics
– Preclinical efficacy demonstrated in collaboration with NCI (HER2)
– Prolonged circulation time with retained activity demonstrated (G-CSF)
Medical Imaging
– Approved Swedish Bladder Cancer Imaging Study
– Approved German Breast Cancer Imaging Study
Business Development
– Collaboration with Biovitrum
– New deals currently negotiated
Considerable achievements during 2009
The Value of Antibody Mimetics – Example of Deals
Amgen acquired Avidia for $290m (2006)
Amgen bought Avidia to get access to a small scaffold protein, based on only early preclinical data.
Pfizer bought BioRexis for an unknown amount (2006)
The acquisition gave Pfizer proprietary rights to transferin as a scaffold, and for halflife extension of peptides. Only preclinical data were available at the time of purchase.
GSK acquired Domantis for $455m (2006)
Domantis was a domain antibody scaffold company. Only preclinical data were available at the time of purchase.
BMS bought Adnexus for $430 million (2007)
Adnexus had proprietary rights to fibronectin as a scaffold, and for halflife extension of peptides. Only preclinical data were available at the time of purchase.
Significant values have been realized by similar technologies
Investment Case
Balanced portfolio – therapeutics and diagnostics
– From imaging to therapy in oncology
– Excellent payload carrier
Growing revenue stream
– Primarily driven by royalty revenue
Validating collaborations
Positioned to capitalize on the next wave of antibody therapeutics