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Important Information
June 2017
IMPORTANT: You must read the following before continuing. In accessing this document, you agree to be bound by the following terms and conditions.
This document has been prepared by Onxeo SA (together with its subsidiaries, the "Group") and is for information purposes only. The content of this document is provisional andfor information purposes only and is not to be construed as providing investment advice. The information, statements and opinions contained in this document (the“Information”) are provided as of the date of this document only and may be subject to significant changes at any time without notice. Neither the Group, nor its advisors, nor anyother person is under any obligation to update the Information. Subject to applicable law, none of the Company or its advisors accepts any responsibility whatsoever and makesno representation or warranty, express or implied, as to the fairness, accuracy, completeness or correctness of the Information. The Information has not been subject toindependent verification and is qualified in its entirety by the business, financial and other information that the Group is required to publish in accordance with the rules,regulations and practices applicable to companies listed on Euronext Paris, including in particular the risk factors in the Company’s Registration Document filed with the FrenchFinancial Markets Authority (Autorité des marchés financiers) under number D.17-0423 on April 24, 2017, in any other periodic report and in any other press release, which areavailable free of charge on the websites of the Group (www.onxeo.com) and/or the AMF (www.amf-france.org).
This document contains information on the use of the Group's products and its competitive position. Some of the Information is from third parties. While this third partyinformation has been obtained from sources believed to be reliable, there is no guarantee of the accuracy or completeness of such data. In addition, certain of the industry andmarket data comes from the Group's own internal research and estimates based on the knowledge and experience of the Group's management. While the Group believes thatsuch research and estimates are reasonable and reliable, they, and their underlying methodology and assumptions, have not been verified by any independent source for accuracyor completeness and are subject to change without notice. Accordingly, undue reliance should not be placed on any of the industry, market or competitive position data containedin the Information.
The Information is not directed to, or intended for distribution to or use by, any person or entity that is a citizen or resident of, or located in, any locality, state, country or otherjurisdiction where such distribution or use would be contrary to law or regulation or which would require any registration or licensing within such jurisdiction. The Informationdoes not constitute or form part of, and should not be construed as an offer or the solicitation of an offer to subscribe for or purchase of any securities. No public offering ofsecurities may be conducted in France prior to the delivery by the French Financial Markets Authority of a visa on a prospectus that complies with the provisions of Directive2003/71/CE as amended. This document is for information purposes only and does not constitute an offering document or an offer of securities to the public in the UnitedKingdom to which section 85 of the Financial Services and Markets Act 2000 of the United Kingdom applies. Securities may not be offered or sold in the United States absentregistration under the US Securities Act of 1933, as amended, or an exemption from registration thereunder.
This document contains certain forward-looking statements. All statements in this document other than statements of historical fact are or may be deemed to be forward lookingstatements. These statements are not guarantees of the Group's future performance. These forward-looking statements relate without limitation to the Group's future prospects,developments, marketing strategy regulatory calendar, clinical milestones, assumptions and hypothesis, clinical development approach and financial requirements and are basedon analyses of earnings forecasts and estimates of amounts not yet determinable and other financial and non-financial information. Forward-looking statements are subject to avariety of risks and uncertainties as they relate to future events and are dependent on circumstances that may or may not materialize in the future. Forward-looking statementscannot, under any circumstance, be construed as a guarantee of the Group's future performance as to strategic, regulatory, financial or other matters, and the Group’s actualperformance, including its financial position, results and cash flow, as well as the trends in the sector in which the Group operates, may differ materially from those proposed orreflected in the forward-looking statements contained in this document. Even if the Group’s performance, including its financial position, results, cash-flows and developments inthe sector in which the Group operates were to conform to the forward-looking statements contained in this document, such results or developments cannot be construed as areliable indication of the Group's future results or developments. The Group expressly declines any obligation to update or to confirm projections or estimates made by analysts orto make public any correction to any prospective information in order to reflect an event or circumstance that may occur after the date of this document.
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A publicly-traded biotech company specialized in orphan oncology
Developing innovative drugs to address unmet medical needs in Oncology
Based in Paris, Copenhagen and New York; listed on Euronext (Paris) and Nasdaq (Copenhagen)
A solid, diversified and well-balanced pipeline
Livatag®: Currently in Phase III for Hepatocellular Carcinoma (HCC)
Beleodaq®: Marketed in the US by Spectrum for 2nd line Peripheral T-Cell Lymphoma (PTCL)
AsiDNA™: 1st-in-class DNA Repair Signal Interfering with compelling Phase I data
…with significant sales potential
Livatag®: HCC estimated incidents 480,000 patients WW(1)
Beleodaq®: Potential Market Size from € 7.9 B in 2016 to € 19.3 B in 2025(2)
AsiDNA™: Potential Market Size up to € 2.1 B by 2025 just for the first pre-identified indication(3)
... and potentially value-creating near & mid-term milestones
Cash position expected to support currently planned operations until early 2018
Investment Thesis
(1) Internal estimate (2) Source GlobalData &Navigant for NSCLC +SCCHN+ PTCL indications(3) SourceGlobaData for TNBC indication
June 2017
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Onxeo’s laser-focused strategy
Crafting a solid and diversified orphan oncology pipeline
Active M&A strategy to enrich and diversify the pipeline
with innovative, first-in-class compounds
Bring innovation to orphan oncology patients
Create shareholder value througha proven business model
Develop products into clinical up to key inflexion points, attractive to pharmaceutical key players
Experienced team with demonstrated leadership
3 products already approved by FDA and/or EMA
Unparalleled skills from preclinical & CMC to Phase III
June 2017
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A complementary and experienced management team…
NICOLAS FELLMAN | CFO
Formerly Pfizer, Ernst & Young
FRANÇOISE BONO | PhD, CSO
Sanofi, Evotec
Evotec’s EVP until 2016
OLIVIER DE BEAUMONT | MD, CMO
Formerly Senior VP StallergenesGreer, Quintiles, Aventis
PHILIPPE MAITRE | EVP Onxeo Inc., CBDO
Leads the US subsidiary
Formerly Aventis, PPD, mAbRx
JUDITH GRECIET | Pharm.D, CEO
Formerly Wyeth, Eisai
Eisai France President until 2011
June 2017
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…advised by an international board of industry experts
JOSEPH ZAKRZEWSKIChairman of the Board
JUDITH GRECIETCEO
DANIÈLE GUYOT-CAPARROSIndependent director
CHRISTINE GARNIERIndependent director
JEAN-PIERRE BIZZARIIndependent director
THOMAS HOFSTAETTERIndependent director
JEAN-PIERRE KINETIndependent director
NICOLAS TREBOUTA Director, representingFinancière de la Montagne
ELVIRA SANZIndependent director
June 2017
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Livatag® mechanism of action optimal for liver cancer
Nanoparticle formulation of doxorubicin
Proprietary Transdrug™ nanotechnology platform
Nanoformulation designed to evade tumor cell resistance mediated by Multi Drug Resistance (MDR) efflux pumps
– Up to 12-fold increased exposure to liver tumor cells compared to doxorubicin
Mechanism of action
Absorption to the cell surface
Release of doxorubicin close to the cell membrane as ion pair doxo/PEBCA(*)
Ion pair protects doxorubicin - reduced drug efflux through MDR-related protein
Increased nuclear delivery of free doxorubicin with subsequent cytotoxic effect
(*) PEBCA polymer = Poly-Ethyl-Butyl-CyanoacrylateJune 2017
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Designed to confirm promising Phase II efficacy results
n=28 Patients with unresectable HCC
Multicenter, controlled and randomized trial; up to 3 injections per week over 4 weeks
Median survival of 31.7 months vs. 15 months for patients on TACE (p < 0.05)
Acute respiratory adverse events leading to study termination and change of administration scheme in phase III
Phase III Study to assess efficacy (OS) and safety of Livatag® (20 and 30mg/m² - slow IV) vs Best Standard of Care after failure or intolerance to sorafenib
A favorable safety profile confirmed by Data Safety Monitoring Board (DSMB) reviews
10 consecutive DSMB reviews: positive recommendations to continue study w/o modification
No apparent pulmonary toxicity after more than 1000 infusions, no unexpected AE.
Preliminary results available before end of September 2017
Livatag® “ReLive” Phase III Pivotal Study
June 2017
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Livatag: ReLive Phase III Study - design
PHASE III
Randomized, comparative, 3 arms
390 patients (>= 18 years old)
11 countriesEU, US, MENA
70 active centers
6-hour IV infusion -20 mg/m²
n =130Best standard of care
n =130 <4 weeks>
n =130
< 4 weeks>
Preliminary resultsoverall survival
after 285 events
6-hour IV infusion - 30 mg/m²
< 4 weeks> < 4 weeks>< 4 weeks> … up to progression
< 4 weeks> < 4 weeks>< 4 weeks>
End of randomization
Jan 2017
Before end of Sept 2017
TARGET POPULATION
2nd line or more advanced HCC having progressed or intolerant to sorafenib, stage BCLC B or C with a Child-Pugh score from A5 to B7
ENDPOINTSPrimary endpoint: Overall Survival
Secondary endpoints: Progression Free Survival, Objective Response Rate, Optimal dose, Safety, PK, Predictive factors of safety and efficacy, Quality of life
… up to progression
June 2017
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In the large but under-served HCC market
Only one product approved (Sorafenib) in first line HCC
Estimated incidence of 120,000(1) eligible patients (US + Europe); 480,000(1) patients WW
Company will initiate Licensing discussions after Phase III results
Potential to explore Livatag full potential for HCC …
Targeting HCC 1st-line in combination with Tyrosine Kinase inhibitors
Livatag ®, a potential blockbuster
(1) internal estimateJune 2017
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Beleodaq® (IV belinostat) approved as 2nd line treatment for PTCL
Peripheral T-cell lymphoma (PTCL)
Subtype of non-Hodgkin’s lymphoma (NHL) which affects T-cells
Worldwide incidence = 38,000 to 58,000 cases(1) (10-15% of NHL cases) / 17,000 to 27,000 incident cases(1) in key pharmaceutical markets (US + EU28 + Japan + China)
FDA conditional approval in 2nd line PTCL following successful Phase II (Belief Study: n = 129)(2)
25.8 % ORR (CR&PR) - Median DoR of 13.6 months by IWG criteria (to disease progression)
Low incidence of Grade 3-4 hematologic toxicities (thrombocytopenia 7%; neutropenia 6.2%; anemia 10.9%)
Phase I Bel-CHOP combination performed to assess MTD and safety profile (n=23) in 1st Line PTCL
Belinostat MTD is 1000mg/m2 days 1-5 every 3 weeks + CHOP = approved doses
ORR 86%; CR 67% (CR CHOP ~50%), PR 19%
Phase III synopsis in PTCL 1st line under preparation with Spectrum Pharma
(1) International Peripheral T-Cell and Natural Killer/T-Cell Lymphoma Study , (J Clin Oncol 26 :4124-4130) and GLOBOCAN 2012, IARC data.
(2) Lee et al (FDA approval) Clin. Cancer Res. March 2015.June 2017
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Expand PTCL beyond the US (Europe – South America - ….)
Commercialized in the US by Spectrum since July 2014
Expansion to South America through licensing agreement with Pint Pharma
Patient early access program launched in Europe (PTCL)
Development of an oral formulation of Beleodaq® to expand product potential in particular for combination with immune checkpoint therapies
An important step providing opportunities for new indications & extended patent protection
Exploratory preclinical research program in combination with other anti-cancer agents
Follow-up studies ongoing to assess combination interest in various tumors, to enter clinic by year-end
Market for potential indications (IV and Oral forms combined): estimated at € 7.9 B in 2016 and € 19.3 B in 2025 (1)
belinostat / Beleodaq®: Build value potential beyond PTCL
(1) Source GlobalData and Navigant for NSCLC +SCCHN+ PTCL indicationsJune 2017
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AsiDNATM concept: leading tumor cells to death through the blinding of the DNA repair system
1
2
3
Multiple DNA repair pathways are activated in
cancer cells via the recruitment of
several enzymes allowing them to repair efficiently
damaged DNA and escape cell death
AsiDNA mimics DNA breaks into the cells and activates DNA damage signaling enzymes, thus inducing a “false” damage signal that
prevents the repair enzymes from being recruited at the site where they should act to repair the damage on the tumor cell’s chromosomes
Cancer cells are no longer able to continue dividing with damaged DNA, resulting in cell death
Why DNA repair inhibition?▪ Many cancer treatments rely on DNA damaging agents
▪ Tumor cells survive genotoxic treatment by repairing DNA damage
▪ DNA repair is a main mechanism of resistance to radiotherapy and chemotherapy for advanced stagetumors (exposition to DNA damage and replication accidents that need to be repaired)
June 2017
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5’
3’
3’
5’
1. Quanz M, et al. PLoS ONE. 2009 4(7), doi: 10.1371/journal.pone.0006298 2. Berthault N, et al. Cancer Gene Therapy (2011), 1-12, doi: 10.1038/cgt.2011.3
AsiDNA™ - A first-in-class molecule
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Phosphorothioate substitutions at the 5’ and 3’ ends to prevent degradation1
Efficient nuclear uptake of the DNA is mediated via a covalently linked cholesterol molecule2
32 bp DNA duplex with a 5´-Chol-TEG & a non-nucleotidic loop - Protected from disassociation and degradation and designed for optimal cellular uptake
Cholesterol - Vector that promotes cellular uptake
Loop- Coupling Agent
Active 32 bp DNA duplex
AsiDNA – First of a new class of DNA repair inhibitors
Binds and activates DNA-PK and PARP signaling enzymes
Sequence not specific, chosen to be non-homologous
Genomic DNA length optimized
June 2017
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Synergistic effect of AsiDNA™ combined with various PARP inhibitors including oloparib(2)
Increased unrepaired DNA break sites, DNA damages and cell lethality in 21 different tumor cell lines including BRCA mutated
No lethality observed in healthy cells
Strong indication that drug resistance to the combination would be a very rare event
Preclinical in vivo efficacy of AsiDNA™ vs. PARP inhibitors in mouse triple negative breast cancer model(1) : potential as monotherapy in genetically unstable tumors
(1) Jdey W, et al. Cancer Res. 2017 Jun 6. pii: canres.2693.2016. doi: 10.1158/0008-5472.CAN-16-2693(2) Jdey W, et al. Clin Can Res. 2016;22:DOI: 10.1158/1078-0432.CCR-16-1193.
AsiDNA™- Solid synergy in combination with PARP inhibitors
June 2017
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AsiDNA™- First clinical outcome and development strategy
DRIIM phase I (2015)(1)
23 metastatic melanoma patients, 12 centers in France
AsiDNA™ in combination with radiotherapy, (3 doses/week for 2 weeks, intratumoral admin.)
Good tolerance, strong immune tolerance and no evidence of inflammatory phenomena
ORR = 59%; CR = 30%; PR = 29% ( CR rate from low-dose radiotherapy alone less than 10% (Konefal et al, 1987; Olivier et al, 2007)
Strong evidence supporting activity by systemic administration
Preclinical animal models
Observations from DRIIM Phase I
Mechanistic and predictive biomarkers available to support clinical development
Next step to demonstrate potential when dosed via intravenous route
Phase I in mono and combination in preparation (2017)
Broad spectrum of potential indications : e.g. market size estimate for TNBC from
€ 0.8 B in 2016 to €2.1 B by 2025 (2)
(1) Le Tourneau C, et al. BJC. 2016;1-7; doi:10.1038/bjc.2016.120.(2): Source GlobalDataJune 2017
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Solid IP protection(*) for all products in the pipeline
Livatag®
Composition patent through 2019 with additional patents through 2032
US Patent on specific administration route protecting related claims until 2032
New patent filing on composition potentially protecting Livatag® WW until 2036
Orphan status in both Europe and US; Fast Track designation in US
Beleodaq®
Drug substance patent until 2021, drug product patent until 2027 (2026 o/US)
Orphan status in both EU & US - accelerated FDA approval July 2014for 2nd line PTCL
AsiDNA™
Proprietary technology (Method of Use) patent until 2024
Drug product and related compounds protected until 2031
(*) Not including potential supplementary protection certificate (SPC) or patent term extension (PTE).
June 2017
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Shareholder structure and financial profile
Shareholder structure (as of Feb. 28, 2017) Dual listing – ticker ONXEO
47M shares outstanding
Market capitalization €220M +/-(June 2017)
Cash position on 03/31/17: €21.7M
Expected cash runway to early 2018
June 2017
32%Institutional investors
54%Other free float
14%Financière de la Montagne
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2017 expected newsflow
June 2017
Livatag®
Beleodaq® Oral
June to Year-end 2017
Phase I/II initiation
Preclinical PoC of IV activity ( expected Q3 2017)
Phase I Initiation (Systemic administration)
AsiDNA™
Oral formulation preclinical results mono/ combo (expected Q3 2017)
ReLive Phase III trial preliminary results before end of September
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A differentiated biotech company in orphan oncology
A strong & diversified
product portfolioTargeting significant
unmet medical needs
Focused on indications with large
market potential
A proactive, experienced global team
June 2017
Contacts:Judith Greciet – CEONicolas Fellmann – CFOTel: +33 1 45 58 76 00 [email protected]
Company Information:www.onxeo.com