Earnings Release • Nov 13, 2018
Earnings Release
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13 November 2018 Richard Godfrey, CEO Rune Skeie, CFO
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Leaders in developing selective AXL inhibitors: innovative drugs for aggressive diseases, including immune evasive, drug resistant and metastatic cancers
Diversified pipeline, lead drug is tested in several indications of high unmet medical need and large market potential
Promising efficacy with sustained treatment benefit and confirmed favourable safety
Bemcentinib*: First-in-class highly selective oral AXL inhibitor
Developed as potential cornerstone of cancer therapy.
Cash runway through to 2020
Included in the OSEBX index from 1st June 2018
Proof of Concept Phase 2 data with bemcentinib
Phase 1 clinical trial with AXL antibody
38 staff
Headquarters and research in Bergen, Norway
Clinical Trial Management in Oxford, UK
5
ü IND filed, phase I trial to be initiated at the end of Q4
Cash position NOK398m, tight cost control. Cash to complete all ongoing clinical trials.
Drives tumour cell plasticity: non-genetic resistance mechanism
AXL drives features of aggressive cancer:
AXL is an innate immune checkpoint:
very low expression under healthy physiological conditions (ko mouse phenotypically normal)
overexpressed in response to hypoxia, immune reaction, cellular stress / therapy
overexpression correlates with worse prognosis in most cancers
Approximately half of previously treated NSCLC patients had AXL positive disease
Plasma shed AXL (sAXL) levels are inversely correlated to receptor activity
(part A, n = 20 pts evaluable for sAXL status)
Additional predictive soluble and tissue markers identified & under investigation
11
Bemcentinib is being combined with the major therapy classes to treat advanced NSCLC
13
Ø More than 1.76 million lung cancer deaths/yr worldwide1
| BGBC008 Phase 2 – Adenocarcinoma of the lung |
|||||
|---|---|---|---|---|---|
| Previously treated, unresectable |
Simon two stage | Status Nov 2018 | |||
| adenocarcinoma of the lung |
Single arm | ORR | ü Stage 1: 24 patients dosed Ø 1st efficacy endpoint met |
||
| up to 48 pts any PD-L1 expression any AXL expression no prior IO |
bemcentinib 200mg/d KEYTRUDA 200mg/3w |
Ø 40% ORR in AXL positive patients Ø 27% ORR in PD-L1 negative patients Ø Ca. 6 months PFS in AXL positive patients ü Stage 2 open and actively recruiting |
Median PFS in all AXL positive patients was 5.9 months: approximately 80% improvement over AXL negative disease (mPFS 3.3 months) Progression Free Survival: 5.9 months in AXL positive vs 3.3 in negative patients (ca 80% improvement)
Median PFS in AXL positive patients with negative to weak PD-L1 expression (TPS 0-49%) is 7.9 months (ongoing): benefit in AXL positive patients not driven by high PD-L1 expression Comparison of bemcentinib combination data (BGBC008) with selected anti-PD-1 monotherapy trial results
| Trial | PD-L1 status | ORR (%) | PFS (months) Median (95% CI): 7.9 months, ongoing (3.0-NR), n =7 |
|
|---|---|---|---|---|
| 0.8 | Mostly (75% | AXL+ | 40 | 5.9 |
| without disease progression BGBC008 |
of patients) 0 – 49% |
AXL- | 9 | 3.3 |
| 0.6 Keynote |
0 % | 9 | 2.1 | |
| 0011 0.4 |
1 – 49 % |
14 | 2.3 | |
| % of patients on trial CheckMate 0572 0.2 |
0 – 100 % |
reference values: pembrolizumab monotherapy mPFS ca 2.1 months in previously treated PD-L1 negative or weak positive patients |
19 | BGBC008 clinical study, stage 1: 2.3 bemcentinib + pembrolizumab mPFS: 7.9 months (ongoing) in previously treated AXL positive, |
| Dose escalation & expansion (ongoing) | September 2018 Status | ||||||
|---|---|---|---|---|---|---|---|
| Stage IIIb or IV disease EGFR mutation positive |
Phase Ib | Heavily pre-treated Arm A1: bemcentinib monotherapy Arm A2: Dose finding in combination |
Safety & efficacy |
Arm A1 - monotherapy: 25% CBR ü 2 SD including tumour shrinkage (19%) n=8 Arm A2– combination with erlotinib: 50% CBR ü 1 PR and 3 SD n=8. PR ongoing in excess of 2 years |
|||
| Phase II | Arm B: 2nd line Resistance reversal bemcentinib 200mg daily + erlotinib daily |
Arm B – 2L / combo w/ erlotinib: 33% CBR ü First efficacy endpoint met 1 PR & 2 SD n=9 |
|||||
| Phase II | Arm C: 1st line Resistance prevention bemcentinib 200mg daily + erlotinib daily |
Arm C – resistance prevention combo w/ erlotinib: ü PFS has surpassed that of erlotinib (TARCEVA) alone, currently 11.4 months and further maturing |
| Trial | PFS (months) |
|---|---|
| BGBC004 | 11.4 (further maturing) |
| TARCEVA | 10.41 |
"It is important to remember that most patients with lung cancer will eventually be treated with chemotherapy and for most patients, the benefit from chemotherapy is suboptimal."
Patient 004
| Targeted therapy | PD-1 blockade | Chemotherapy | |
|---|---|---|---|
| Bemcentinib | PoC phase II programme |
||
| bemcentinib single arm POC |
BGBC004 Reverse (2L) and prevent resistance (1L) to EGFR targeted therapy (Tx) |
BGBC008 Increase response rate - especially in PD-L1 negative |
BGBIL005 Increase response rate |
| Strategic considerations for randomised phase II programme based on phase II PoC | |||
| Bemcentinib ranodmised combos |
1L • First line Tx +/- bemcentinib 2L • non-mutation driven resistance to Tx |
1L • CT free combo (incl. PD-L1 neg) • Add to Pt CT 2L • Add to IO upon progression |
2L • Combo with docetaxel in IO / Pt CT / Tx progressors |
Randomised trial combining bemcentinib with nab-paclitaxel, gemcitabine and cisplatin chemotherapy combo in advanced pancreatic cancer
Sponsor: UT Southwestern, Dallas, TX, Dr Muhammad Beg
Supported by:
Phase II study combining bemcentinib with KEYTRUDA in malignant mesothelioma
AXL mAb – clinical trials start Dec 2018
AXL functionally blocking human antibody
Highly selective to human AXL High affinity (KD: 500pM)
robust, scaleable manufacturing process good titre and yield
Strong patent position on CDR sequences
Anti-tumour MoA and efficacy demonstrated (AML, NSCLC, pancreatic)
Corporate update: Building the organisation – to prepare for the next stage
• Mike Rogers HR Director
Rune Skeie CFO
Approval tax refund (Skatte funn) cost reduction in Q3´18 NOK 5.1 mill (Q3´17 NOK 2.3 mill) Other grants Q3´18 NOK 3.3 mill (Q3´17 NOK 0.5 mill)
Quarterly cash burn average at NOK 44.8m
Cash position gives runway to deliver key clinical read outs from ongoing clinical studies
Richard Godfrey
CEO
NSCLC KEYTRUDA combo: presentation of completed stage 1 data and initiate stage 2
AXL antibody BGB149: begin phase I clinical trial
Selective AXL inhibitors: a novel cornerstone approach to target immune evasive, drug resistant and metastatic cancers
Selected for high profile presentations at global medical conferences
Included in the OSEBX index from 1st June 2018
| (NOK 1000) Unaudited | Note | Q3 2018 | Q3 2017 | YTD 2018 | YTD 2017 | Full year 2017 |
|---|---|---|---|---|---|---|
| Revenue | 0 | 0 | 0 | 0 | 0 | |
| Expenses | ||||||
| Employee benefit expenses | 3 | 9 285 | 6 336 | 31 257 | 18 525 | 28 827 |
| Depreciation | 59 | 51 | 167 | 152 | 193 | |
| Other operating expenses | 6 | 28 773 | 30 174 | 112 206 | 117 519 | 154 686 |
| Total operating expenses | 38 116 | 36 561 | 143 630 | 136 197 | 183 707 | |
| Operating profit | -38 116 | -36 561 | -143 630 | -136 197 | -183 707 | |
| Finance income | 974 | 1 596 | 3 642 | 3 256 | 4 168 | |
| Finance expense | 513 | 461 | 685 | 1 634 | 2 668 | |
| Financial items, net | 461 | 1 135 | 2 956 | 1 622 | 1 500 | |
| Profit before tax | -37 656 | -35 426 | -140 673 | -134 574 | -182 207 | |
| Income tax expense | - | 0 | - | 0 | 0 | |
| Profit after tax | -37 656 | -35 426 | -140 673 | -134 574 | -182 207 | |
| Other comprehensive income | ||||||
| Items which will not be reclassified over profit and | ||||||
| loss | ||||||
| Actuarial gains and losses on defined benefit pension plans |
- | 0 | - | 0 | 0 | |
| Total comprehensive income for the period | -37 656 | -35 426 | -140 673 | -134 574 | -182 207 | |
| Earnings per share: | ||||||
| - Basic and diluted per share | 7 | -0,69 | -0,71 | -2,66 | -3,06 | -4,01 |
39 View Q3 2018 report for notes: http://www.bergenbio.com/investors/reports/quarterly-reports/
| Note | 30 SEP 2018 | 30 SEP 2017 | 31 DEC 2017 | |
|---|---|---|---|---|
| (NOK 1000) Unaudited | ||||
| ASSETS | ||||
| Non-current assets | ||||
| Property, plant and equipment | 460 | 416 | 557 | |
| Total non-current assets | 460 | 416 | 557 | |
| Current assets | ||||
| Other current assets | 5, 8 | 21 868 | 18 466 | 13 430 |
| Cash and cash equivalents | 398 166 | 399 152 | 370 350 | |
| Total current assets | 420 034 | 417 618 | 383 780 | |
| TOTAL ASSETS | 420 494 | 418 034 | 384 336 | |
| EQUITY AND LIABILITIES | ||||
| Equity | ||||
| Paid in capital | ||||
| Share capital | 9 | 5 471 | 4 976 | 4 992 |
| Share premium | 9 | 360 865 | 371 063 | 325 018 |
| Other paid in capital | 4, 9 | 21 396 | 20 237 | 20 340 |
| Total paid in capital | 387 731 | 396 276 | 350 350 | |
| Total equity | 387 731 | 396 276 | 350 350 | |
| Non-current liabilities | ||||
| Pension liability | 10 | 0 | 0 | 0 |
| Total non-current liabilities | 0 | 0 | 0 | |
| Current liabilities | ||||
| Accounts payable | 9 373 | 13 751 | 21 575 | |
| Other current liabilities | 15 195 | 4 917 | 9 391 | |
| Provisions | 8 194 | 3 091 | 3 020 | |
| Total current liabilities | 32 762 | 21 759 | 33 986 | |
| Total liabilities | 32 762 | 21 759 | 33 986 | |
| TOTAL EQUITY AND LIABILITIES | 420 494 | 418 034 | 384 336 |
| (NOK 1000) Unaudited | Note | YTD 2018 | YTD 2017 |
|---|---|---|---|
| Cash flow from operating activities | |||
| Loss before tax | -140 673 | -134 574 | |
| Non-cash adjustments to reconcile loss before tax to net cash flows | |||
| Depreciation of property, plant and equipment | 167 | 152 | |
| Calculated interest element on convertible loan | 0 | 0 | |
| Share-based payment expense | 3, 4 | 1 056 | 2 212 |
| Movement in provisions and pensions | 5 174 | -1 752 | |
| Working capital adjustments: | |||
| Decrease in trade and other receivables and prepayments | -8 438 | -6 164 | |
| Increase in trade and other payables | -6 398 | 2 245 | |
| Net cash flow from operating activities | -149 112 | -137 882 | |
| Cash flows from investing activities | |||
| Purchase of property, plant and equipment | -70 | -159 | |
| Net cash flow used in investing activities | -70 | -159 | |
| Cash flows from financing activities | |||
| Proceeds from issue of share capital | 9 | 176 998 | 375 368 |
| Paid in, not registered capital increase | 9 | 0 | |
| Net cash flow from financing activities | 176 998 | 375 368 | |
| Net increase/(decrease) in cash and cash equvivalents | 27 817 | 237 328 | |
| Cash and cash equivalents at beginning of period | 370 350 | 161 825 | |
| Cash and cash equivalents at end of period | 398 166 | 399 152 |
View Q3 2018 report for notes: http://www.bergenbio.com/investors/reports/quarterly-reports/
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