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ADALTA LIMITED — Investor Presentation 2017
Jan 16, 2017
64247_rns_2017-01-16_50e438d5-8dd0-4ab7-9d3f-5ddd911baca2.pdf
Investor Presentation
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i-bodies – a new class of protein therapeutics to treat human disease
January 2017
Sam Cobb, CEO and Managing Director AdAlta Limited (ASX:1AD) [email protected]
Disclaimer
Investment in AdAlta is subject to investment risk, including possible loss of income and capital invested. AdAlta does not guarantee any particular rate of return or performance, nor do they guarantee the repayment of capital.
This presentation is not an offer or invitation for subscription or purchase of or a recommendation of securities. It does not take into account the investment objectives, financial situation and particular needs of the investor. Before making any investment in AdAlta, the investor or prospective investor should consider whether such an investment is appropriate to their particular investment needs, objectives and financial circumstances and consult an investment advisor if necessary.
This presentation may contain forward-looking statements regarding the potential of the Company’s projects and interests and the development and therapeutic potential of the company’s research and development. Any statement describing a goal, expectation, intention or belief of the company is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties, particularly those inherent in the process of discovering, developing and commercialising drugs that are safe and effective for use as human therapeutics and the financing of such activities. There is no guarantee that the Company’s research and development projects and interests (where applicable) will receive regulatory approvals or prove to be commercially successful in the future. Actual results of further research could differ from those projected or detailed in this presentation. As a result, you are cautioned not to rely on forward-looking statements. Consideration should be given to these and other risks concerning research and development programs referred to in this presentation.
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Corporate and investment summary
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A drug discovery and development company focused on using its proprietary technology platform to generate a new class of protein therapeutics, known as i-bodies, for treating a wide range of human diseases
Investment highlights
Initial focus on treating fibrosis – high unmet medical need
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| Capital structure | |
|---|---|
| ASX code | 1AD |
| Shares on issue* | 101,037,617 |
| Shareprice(4January) | AU$0.185 |
| Market capitalisation | AU$18.7m |
| Current cash | $9m |
| TradingRange | AU$0.31 to$0.165 |
- 50.9m shares escrowed for 6-24 months from listing
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| Advanced lead fibrosis drug candidate AD-114 with significant pre-clinical validation Fully funded for phase 1 development of lead fibrosis drug and i-body pipeline Early commercialisation potential Experienced team with strong track record of drug development and ability to deliver |
Major Shareholders | % |
|---|---|---|
| Yuuwa Capital LP | 53.5 | |
| Platinum Asset Management | 7.97 | |
| Citycastle PtyLtd | 5.26 | |
| La Trobe University | 3.01 | |
| Robin Beaumont | 1.82 | |
| Other shareholders | 28.44 | |
| Total | 100% |
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i-body technology
AdAlta is developing a new technology platform that produces unique proteins known as i-bodies, that mimic the shape of shark antibody binding domain and engineers their key stability features into a human protein, for therapeutic intervention in disease.
Long loop that enables access to novel drug targets
The single domain antigen binding region of shark antibodies is extremely stable and has a long binding loop not present in either human or next generation antibodies.
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Advantages of i-bodies
High target specificity and high affinity for their target
Small proteins; 10% the size of a typical human antibody
Highly stable to proteases, high temperatures and low pH
- Long loop that can bind to a diverse range of therapeutically relevant targets including those that are difficult for current antibody therapies
Human Antibody
i-body human protein scaffold
Shark Antibody
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Human protein – reduced risk of immune response
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Fibrosis: unmet medical need with multiple indications
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Developing i-bodies as improved therapies for the treatment of fibrosis
- a condition that is prevalent in 45-50% of all diseases
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Fibrosis can occur in many tissues of the body as a result of inflammation or damage
-
it can result in scarring of vital organs causing irreparable damage and eventual organ failure
-
AdAlta’s initial focus is on lung fibrosis
Collectively fibrosis represents a large unmet clinical need
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Lung Eye Liver
IPF Wet-AMD & PVR NASH & CIRRHOSIS
Kidney Skin Heart
RENAL FIBROSIS SCLERODERMA CARDIAC FIBROSIS
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AD-114 lead program in Idiopathic Pulmonary Fibrosis (IPF)
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AD-114 is lead i-body candidate in pre-clinical development
-
Demonstrates both anti-fibrotic and anti-inflammatory activity in the lung
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Important for arresting and modifying the disease and tackling the treatment of idiopathic pulmonary fibrosis (IPF); this is the primary indication
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Lung
Idiopathic Pulmonary Fibrosis A chronic, highly lethal and rare disease. 50-70% mortality rate >135,000 people in US alone World wide sales ~$4.2B by 2020
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IPF
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Source: Evaluate Pharma, Orphan Drug Report 2015
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CXCR4 and idiopathic pulmonary fibrosis (IPF)
CXCR4 expression increased in fast progressing IPF patient tissue
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Patients that rapidly progress express more CXCR4 compared to slow IPF progressors
CXCR4 +ve cells (fibrocytes) significantly elevated in stable IPF patients, and further increased during acute exacerbations Fibrocytes not correlated with lung function but an independent predictor of early mortality
Fibrocyte numbers predict mortality
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7.5 months with more than 5% fibrocytes
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27 months with less than 5% fibrocytes
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more than 5% fibrocytes
REF: Moeller, et al. Am J Respir Crit Care Med Vol 179. pp 588–594, 2009
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AD-114 binds to lung tissue from patients with fibrosis
AD-114 was used for Immunohistochemical (IHC) staining of normal and diseased lung tissues to verify expression of CXCR4 in situ
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AD-114 does not bind lung tissue from normal lungs
AD-114 binds to lung tissue from lungs with fibrosis
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AD-114 prevents lung fibrosis in disease models
Extensive pre-clinical AD-114 studies have demonstrated positive in vitro (in the lab) and in vivo (in animals) data
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Normal IPF lung tissue lung tissue (lung disease mouse model)
IPF lung tissue + AD-114 dosed for 21 days (lung disease mouse model)
AD-114 reduces collagen content and inflammatory cell infiltration and demonstrates a similar architecture to that of the normal lung in the Bleomycin mouse model
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AD-114 prevents lung fibrosis in disease models
AD-114 significantly reduces Ashcroft scores in both prophylactic and therapeutic modes of the Bleomycin mouse model of fibrosis
Ashcroft Score Prophylactic Mode
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8
6
4
2
0
-2
NaïveBleomycin TreatedNegative i-body (10 mg/kg)AD-114 (10 mg/kg)
Ashcroft Score
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Ashcroft Score Therapeutic Mode
8
6
4
2
0
-2
NaiveVehicle (8 days)Vehicle (21 days)AD-114 (10 mg/mg)AMD3100 (10 mg/kg)
Ashcroft score
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AD-114 key advantages compared to existing IPF treatments
- AD-114 has greater in vitro efficacy compared to the only approved therapies Nintedanib and Pirfenidone for IPF treatment
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No effect Effect on Human tissue treatment on normal diseased / In vitro activity tissue IPF tissue – Existing IPF treatments have limited efficacy; either no effect or slow down disease progression i.e. no i-body AD-114 ✔ ✔ cure Nintedanib (Boehringer) ✗ ✔ Novel mechanism of action compared to other drugs targeting CXCR4 Pirfenidone (Roche) ✔ ✗ Very specific for diseased tissue and no effects on Other CXCR4 drug ✔ ✗ normal tissue (Sanofi)
- AD-114 has both anti-fibrotic and anti-inflammatory effects
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Novel mechanism of action for fibrosis treatment enabling a “first in class” therapy
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Global market interest in fibrosis treatments Recent transactions confirm that big pharma are actively acquiring fibrosis assets at an early stage – typically based on Phase I results
| Date | Company | Target | Acquired by | Deal value (US$) | Deal commentary |
|---|---|---|---|---|---|
| Sep-15 | Adheron Therapeutics |
SDP051 | Roche | $105M upfront, plus $475M in milestones |
SDP-51 at end of Phase I for IPF |
| Aug-15 | Promedior | PRM-151 | BMS | $150m upfront + $1.25B | Phase II IPF and myelofibrosis |
| Nov-14 | Galecto Biotech AB |
TD139 | BMS | $444M | Option to acquire at end of clinical POC (no later than 60 days following Ph 1b for IPF completion) |
| Aug-14 | Intermune | Esbriet / Pirfenidone |
Roche | $8.3B | Approval in Europe / Japan, phase III in the US |
| Jun-13 | MicroDose Therapeutx |
MMI0100 | Teva Pharmaceuticals |
$40M upfront $125M milestones |
MMI0100 was in pre-clinical development |
| Mar-12 | Stromedix | STX100 | Biogen Idec | $75M upfront $487.5M milestones |
End of phase I for IPF |
| Jul-11 | Amira / BMS | BMS-986020 | BMS | $325M upfront $150M milestones |
End of phase I for IPF |
Source: Medtrack Pharma Intelligence, Informa (all IPF deals since 2011)
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AD-114 and non-alcoholic steatohepatitis (NASH)
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Non-alcoholic steatohepatitis (NASH) is a pandemic, metabolic disease which has both inflammatory and fibrotic components
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AD-114 is lead i-body candidate in pre-clinical development
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Demonstrates both anti-fibrotic and anti-inflammatory activity in the liver
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Important for arresting and modifying the disease and tackling the treatment of NASH
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NASH
A chronic disease with high levels of morbidity and mortality About 3-5% of adults in the United States have NASH
Sales of drugs for the treatment of fibrosis caused by NASH are estimated to be US$1.6 billion by 2020.
Liver
NASH & CIRRHOSIS
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AD-114 prevents fibrosis in a mouse model of liver fibrosis
Therapeutic setting
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Normal NASH liver tissue liver tissue (liver disease mouse model)
NASH liver tissue + AD-114 dosed for 21 days (liver disease mouse model)
AD-114 significantly reduces hepatocellular ballooning, a key feature required for the diagnosis of NASH
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AD-114 prevents fibrosis in a mouse model of liver fibrosis
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AD-114 decreased serum ALT levels and non-alcoholic fatty liver disease (NAFLD) score compared with the vehicle or disease model group
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The improvement in serum ALT levels suggests that i-body ameliorated hepatocellular injury and inflammation preventing progression of disease
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Hepatocyte ballooning was significantly decreased compared with the vehicle or diseased group
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AD-114 possess hepatoprotective and anti-NASH effects
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AD-114 and eye fibrosis
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Infections or inflammation in the eye result in impairment of visual function and can ultimately lead to fibrosis. Complications from common eye diseases that can result in fibrosis occur in age related macular degeneration (AMD) and diabetic retinopathy. AD-114 is lead i-body candidate in pre-clinical development
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Demonstrates both anti-fibrotic and anti-leakage activity in the eye
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Important for arresting and modifying the disease and tackling the treatment of eye fibrosis
Eye Fibrosis
AMD is the commonest cause of severe visual impairment in people over the age of 50 years in the developed world >1m in AU and 2m in USA with AMD Market research estimates that the market size for AMD will be over US$10 billion by 2023 while the market size for diabetic retinopathy Eye will be US$10 billion in 2022. Wet-AMD & PVR
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AD-114 prevents eye fibrosis
AD-114 reduces contraction and lesion size in eye fibrosis mouse model
M ~~ouse chorodial neo-~~ vascularization model(CNV): laser burn to the retina
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No Treatment
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Contraction
0.5
0.4
0.3
0.2
0.1
0.0
no drug AD-114
contraction ratio
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Induces subretinal haemorrhage
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Contraction of retinal tissue
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~~Alteration in microglia and glial~~ response
Treatment with AD-114
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- Alteration in gene expression
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Lesion Size
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200
150
100
50
0
no drug AD-114
lesion size (um)
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IVT injection of single dose of i
-
body
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i-body AD114
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Improves retinal retraction and reduces lesion size
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Fibrosis gene expression reduced
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AD-114 reduces lesion size and number
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AD-114 is able to reduce the number and size of the lesion in both preventative and therapeutic models of CNV
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Eylea was also able to reduce lesion number and size in these models
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Retina lesion leakage number per eye Individual retina lesion leakage size
5 15 Vehicle
4
10
3
2
5
1 Negative
0 0 i-body
-1
-5
AD-114
Negative i-body (12mg/ml)Vehicle Eylea (60mg/ml)AD-114 (12mg/ml) Negative i-body (12mg/ml)Vehicle Eylea (60mg/ml)AD-114 (12mg/ml)
)
2
m
µ
Lesion number
Lesion size (
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AD-114 reduces fibrosis
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AD-114 is able to significantly reduce fibrosis as measured by trichrome staining in both preventative and therapeutic models of CNV Eylea was also able to reduce fibrosis in these models
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Fibrosis as
measured by
trichrome
staining for
collagen
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8
6
4
2
0
Negative i-body (12mg/ml)Vehicle Eylea (60mg/ml)AD-114 (12mg/ml)
Fibrosis vs Choroid Thickness Ratio
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AD-114 development: key milestones
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CY2017 CY2018
Q1 Q2 Q3 Q4 Q1 Q2
Partnering of lead
Manufacturing
candidate
based on other
Toxicology studies
benchmark deals
Orphan designation
Phase I
Publication of data
Other fibrosis indications
BD and partnerships
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Expected news flow next 12 months
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Q3 & Q4 2016 ü Commence manufacturing of material for toxicology testing with FujiFilm Diosynth Biotechnologies
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ü Additional AD-114 IPF fibrosis data
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ü Completion of evaluation of AD-114 with IPF clinicians Alfred Hospital
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ü Completion of AD-114 NASH animal study
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H1 2017 Hypertrophic scarring animal results for AD-114
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- Orphan Drug Designation (US FDA)
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Manufactured material for toxicology testing available
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H2 2017 Eye fibrosis additional data, funded by NHMRC development grant Completion of other pre-clinical study animal models of AD-114 AD-114 toxicology results
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AdAlta business model – strategy to create value
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Pharma &
biotech
partnerships
Revenues: Upfronts,
i-body FTEs, milestones & i-bodies new
royalties
technology drug class
platform and Potential in multiple
In-house disease indications
library Licence to
pipeline of
pharma
drug
Revenues: major
candidates upfronts + milestones
& royalties
Invest up to key
value inflection point
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Market benchmarks
| April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
April-16 with Abbvie $40m upfront + $645m milestones & royalties Dec -15 with Roche $6.4m upfront + $410m milestones & royalties Nov-15 with Novo-Nordisk €9m upfront + €182m milestones & royalties) Fibrosis lead AD-114 Next gen antibodies Sep-15 acquired by Roche $105m + $475m milestones phase I asset Nov-14 acquired by BMS $444m phase I asset Aug-15 acquired by BMS $150m + $1.25b milestones phase IIa asset |
Nov-14 acquired by BMS $444m phase I asset |
|---|---|---|---|---|---|---|
| Acquired by Celgene July-15 $8b Ph III, Ph II and GPCR platform |
April-16 with Boehringer €8m payment for Ph1 GPCR nanobody (€125m milestones & royalties) |
|||||
| GPCRs | Acquired Feb-15 by So $400m Phase Ib asset + 7 clinical leads |
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Management and Board in place to deliver strategy
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Sam Cobb: Founding CEO and Director
Extensive experience in raising equity, contract and grant funding
15 years of commercialisation and management experience
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Dr John Chiplin: Independent Director
CEO of investment Company NewStar Ventures Managing Director of acquired antibody company Arana Therapeutics
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Dr Paul MacLeman: Chairman
Managing Director of a ASX listed IDT Australia Ltd
Founded biologics companies, experienced ASX listed executive
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Liddy McCall & Dr James Williams : Yuuwa Capital Directors
Founders and investment Directors of Yuuwa Capital
Founders of iCeutica Inc (acquired 2011) and Dimerix Limited
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Dr Robert Peach
Founder and CSO of Receptos Inc, acquired by Celgene Corporation in 2015 for US$7.8bn
Deep experience in research and drug development
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Directors of several Australian biotech and Agritech companies
Multiple FDA, CE Mark and TGA approvals
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Scientific Advisory Board
Internationally recognised with proven track record of drug development
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David McGibney: pre-clinical and clinical advisor
20 years with Pfizer, including Head of European R&D
Ex Pfizer Ltd board member
Developed Viagra, and 10+ blockbuster drugs
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John Westwick: pulmonary drug discovery and development
Over 14 years experience at Novartis, head of respiratory drug discovery
Five product launches and 13 positive proof of concepts in respiratory, including a number of antibodies which are now in phase III.
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Brian Richardson: drug discovery and development expert
Ex-Sandoz and Novartis (40+ years), including Head of Pre-clinical Research Over 60 original peer reviewed research papers
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Dr Mick Foley, AdAlta CSO
Expert in phage display
NIH, NHMRC, ARC, Gates funding and over 70 scientific publications
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AdAlta investment summary
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Powerful proprietary technology platform to develop a pipeline of i-bodies for the treatment of a wide range of human diseases
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Initial focus on treating Idiopathic Pulmonary Fibrosis and other fibrotic diseases - high unmet clinical need
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Advanced lead candidate with significant pre-clinical validation of AD-114 demonstrating anti-fibrotic and anti-inflammatory effects
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Early commercialisation opportunity
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Experienced management and Board to drive AD-114 development and secure technology platform partnerships and product licensing deals
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IPO August 2016 raised $10M to meet major milestones: clinical trials of AD-114 in lung fibrosis and development of i-body pipeline
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