Investor Presentation • May 23, 2017
Investor Presentation
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Developing first-in-class drugs to treat aggressive cancer
First Quarter 2017 presentation May 23rd 2017
Certain statements contained in this presentation constitute forward-looking statements. Forward-looking statements are statements that are not historical facts and they can be identified by the use of forward-looking terminology, including the words "anticipate", "believe", "intend", "estimate", "expect", "will", "may", "should" and words of similar meaning. By their nature, forward-looking statements involve a number of risks, uncertainties and assumptions that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. Accordingly, no assurance is given that such forward-looking statements will prove to have been correct. They speak only as at the date of the presentation and no representation or warranty, expressed or implied, is made by BerGenBio ASA or its affiliates ("BerGenBio"), or by any of their respective members, directors, officers or employees that any of these forward-looking statements or forecasts will come to pass or that any forecast result will be achieved and you are cautioned not to place any undue influence on any forward-looking statement. BerGenBio is making no representation or warranty, expressed or implied, as to the accuracy, reliability or completeness of this presentation, and neither BerGenBio nor any of its directors, officers or employees will have any liability to you or any other person resulting from the use of this presentation.
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| Phase II clinical development program opened and enrolling  |
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| Lung cancer study in combination study with erlotinib opened first and second line cohorts. Â |
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| Lung cancer study in combination with docetaxel opened & dosed first patients  |
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| BGB324 | Melanoma study in combination with targeted & I-O therapies opened and dosed first patients  |
| Collaborative agreement with Merck & Co (MSD) Â |
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| Phase II combination trials (2) with MSD's immune checkpoint inhibitor KEYTRUDA® Â (pembrolizumab) in patients with advanced lung and triple negative breast cancer |
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| Clinical candidate BGB149 was nominated, a humanized anti-Axl monoclonal antibody  |
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| Pipeline | Cell line development and manufacturing of the antibody is underway with a leading biologics  contract manufacturer. |
| AACR* | Two presentations at AACR 2017: 1) Randomized Phase II Melanoma study 2) BGB324 blocks  resistance to check point inhibitors |
| IPO | |
| Â Closed 7 April, gross proceeds of NOK 400 million |
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| Â Ticker : ' BGBIO ' |
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| Corporate | Â Cash of NOK 95.4 million at end of Q1 2017 (excludes proceeds from IPO) |
| Â Stein H. Annexstad was elected Chair of the Board |
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|  Registered wholly owned subsidiary BerGenBio Limited, to facilitate UK organization  |
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BerGenBio – First-in-class Axl inhibitors for multiple aggressive cancers
90% of cancer deaths result from tumors spreading, becoming immune evasive and drug resistant
Axl is a key mediator of these traits in a broad range of cancers
BerGenBio is a world-leader in Axl biology and is developing an exciting pipeline of Axl inhibitors
BGB324 initially addressing an annual market potential of USD 11 Billion
| Discovery | Preclinical | Phase I | Phase II | Phase III | ||||
|---|---|---|---|---|---|---|---|---|
| BGB324 – Axl kinase inhibitor |
||||||||
| AML / MDS | Phase Ib / II – |
Single agent / Combination | ||||||
| NSCLC (mutation driven) |
Phase Ib / II – |
Combination with TARCEVA® (erlotinib) | ||||||
| NSCLC (adenocarcinoma) |
Phase II Combination with KEYTRUDA® (pembrolizumab) | |||||||
| TNBC | Phase II Combination with KEYTRUDA® (pembrolizumab) | |||||||
| Investigator-sponsored trials | ||||||||
| NSCLC | Phase II BGB324 in combination with Docetaxel | 6 | ||||||
| Melanoma | Phase II BGB324 in combination with current standard therapies, incl. CPIs | |||||||
| Antibody programs | ||||||||
| BGB149 – Oncology |
Anti-Axl mAb |
|||||||
| BGB601 – Metastatic cancer (Partnered) |
ADC | |||||||
| Discovery Pipeline – |
small molecule inhibitors | |||||||
| BGB002 – Oncology |
||||||||
| BGB003 – Oncology |
BGB324 has generated strong efficacy data in patients with no other existing treatment options
BerGenBio sponsored clinical trials
1) SEER Program – National Cancer Institute (National Institute of Health) http://seer.cancer.gov/; 3) Cancer.net; 4) Figure for male and female breast cancer; 5) Excluding rectum; 6) Estimates by Alacrita Consulting
| Target patient population | Target patient population (prevalence) | ||||
|---|---|---|---|---|---|
| USA (2017)1 | 3,848 | ||||
| Axl +ve (45%) |
1,731 | ||||
| Cost | of comparable drugs (US cost/pt/yr)2 | ||||
| AML relapsed/refractory  |
Gleevec (CML) |
(Imatinib) | \$230k | ||
| Age 60 or older  |
Iclusig (CML) |
\$224.5k | Total market |
\$635m | |
| Actively receiving treatment  pAxl +  |
Sprycel (CML) |
\$165.4k | potential | ||
| Prevalence in other Major Markets1 |
Average price compared to USA3 |
||||
| Japan | 1,546 | 50% | |||
| EU5 | 2,998 | 50% | |||
| Total Axl +ve (45%) |
2,045 |
1 Datamonitor Healthcare ("DMHC AML treatment datapack_12.19.2016.xls") Prevalent R/R AML patients over 60 years of age that are actively receiving treatment.; 2 PriceRx September 2016; assumes patient treated for 12 months; 3 "Biotech Forecasting & Valuation" David FS et al (2016)
| Patient population4 | Patient population (prevalence) | ||||
|---|---|---|---|---|---|
| USA (2011)1 | 60,000 | ||||
| High risk (23%)2 | 13,800 | ||||
| Axl +ve (45%) |
6,210 | ||||
| Cost | of comparable drugs (US cost/pt/yr)3 | ||||
| High risk MDS Â |
Revlimid (MDS) |
(USA) \$240k | Total market |
\$2.25bn | |
| pAxl + Â |
Prevalence in other Major Markets1 |
Average price compared to USA6 |
potential | ||
| Japan | nd5 | 50% | |||
| EU5 | 60,000 | 50% | |||
| Total high risk Axl +ve (45%) |
6,210 |
1 Mikkael, 2011; 2 IWG 2012 data, www.dacogen.com/MDS-Incidence-and-Prevalence.aspx; 3 PriceRx September 2016; assumes patient treated for 12 months; 4 Proportion of patients that are second line, decitabine failures is not available; 5 Prevalence not easily available in Japan; 6 "Biotech Forecasting & Valuation" David FS et al (2016)
| Target patient population | Target patient population (prevalence)1 | ||||
|---|---|---|---|---|---|
| USA (2017) | 13,883 | ||||
| Cost | of comparable drugs (US cost/pt/yr)2 | ||||
| NSCLC, non-squamous  |
Tarceva (NSCLC EGFR+) |
\$106k | |||
| EGFR+ patients  |
Tagrisso (NSCLC, T790M) |
\$200k | Total | ||
| Stage III and IV and distant  relapse First line or maintenance  |
Gilotrif 19 deletion or exon 20 L858R) |
(NSCLC, EGFR exon | \$110k | market potential |
\$4.7bn |
| therapy | Prevalence in other Major Markets1 |
Average price compared to USA4 |
|||
| Japan | 8,234 | 50% | |||
| EU5 | 12,223 | 50% |
1 Datamonitor Healthcare ("Non-Small Cell Lung Cancer Epidemiology Forecast.xls"): Prevalent patient population, EGFR+ NSCLC, Stage III and IV, pharmacologically treated with first line or maintenance therapy; 2 PriceRx September 2016; assumes patient treated for 12 months; 3 "Biotech Forecasting & Valuation" David FS et al (2016); 4 "Biotech Forecasting & Valuation" David FS et al (2016)
| Target patient population | Target patient population (prevalence) | ||||
|---|---|---|---|---|---|
| USA (2017)1 | 11,065 | ||||
| PD-L1+ (30%)3 | 3,320 | ||||
| Cost | of comparable drugs (US cost/pt/yr)2 | ||||
| NSCLC  Stage IV + distant relapse  |
Opdivo (NSCLC) |
\$185k | |||
| First line  |
Keytruda (NSCLC) |
\$136.4k | Total market |
\$1.6bn | |
| Not EGFR+ Â |
Crizoinib (ALK+) |
\$115k | potential | ||
| Not ALK+ Â PD-L1 >50% Â |
Prevalence in other Major Markets1 |
Average price compared to USA4 |
|||
| Japan | 10,792 | 50% | |||
| EU5 | 25,024 | 50% | |||
| PDL1+ve | 10,745 |
1 Datamonitor Healthcare ("Non-Small Cell Lung Cancer Epidemiology Forecast.xls"): Prevalent patients, with Stage IV receiving first line pharmacologic therapy, not EGFR+ or ALK+; 2 PriceRx September 2016; assumes patient treated for 12 months; 3 https://www.keytruda.com/hcp/nsclc/efficacy-first-line-treatment/; 4 "Biotech Forecasting & Valuation" David FS et al (2016)
| Target patient population | Target patient population (prevalence) | ||||
|---|---|---|---|---|---|
| USA (2017)1 | 8,852 | ||||
| Axl+ve | (50%)3 | 4,426 | |||
| Cost | of comparable drugs (US cost/pt/yr)2 | ||||
| TNBC Stage IV patients & Â |
Herceptin (Her2+ breast) |
\$253k | Total | ||
| distant relapse | Tykerb (Her2+ breast) |
\$93k | market | \$2bn | |
| receiving second line therapy  and beyond |
Afinitor | (advanced HR+ breast) | \$188k | potential | |
| pAxl+ 50%3 Â |
Prevalence in other Major Markets1 |
Average price compared to USA4 |
|||
| Japan | 2,283 | 50% | |||
| EU5 | 15,000 | 50% | |||
| Axl+ve | 8,640 |
1 Datamonitor Healthcare ("Breast Cancer Epidemiology Forecast.xls"): Prevalent Stage IV TNBC patients receiving second line, third line or fourth line therapy; 2 PriceRx September 2016; 3 Breast Cancer (2016) 2, 16033 ("Axl-associated tumor inflammation as a poor prognostic signature in chemotherapy-treated triple-negative breast cancer patients"); 4 "Biotech Forecasting & Valuation" David FS et al (2016)
Source: Chouaib, 2014; Hugo, 2016
KEYTRUDA is a therapeutic antibody that increases the ability of the body's immune system to detect and destroy tumor cells.
KEYTRUDA blocks the drug target PD-1 thereby activates T lymphocytes (CTLs)
KEYTRUDA is approved in the US for the treatment of:
Normal immune response When functioning properly, T cells are activated and can attack tumor cells.
Tumor evasion and T-cell deactivation Some tumors can evade the immune system through the PD-1 pathway. The PD-L1 and PD-L2 ligands on tumors can bind with PD-1 receptors on T cells to inactivate the T cells
T-cell reactivation with KEYTRUDA KEYTRUDA binds to the PD-1 receptor and blocks its interaction with PD-L1 and PD-L2, which helps restore the immune response. While having an effect on the tumor, this could also affect normal, healthy cells
§ Assess the safety and efficacy of BGB324 given together with standard treatment, pembrolizumab or dabrafenib and trametinib, compared to standard treatment alone
Primary outcome :
trial
Potential benefits from a successful companion diagnostic
| Accelerated | Patients in pivotal trial |
Patients in safety assessment |
Program duration (years) |
|
|---|---|---|---|---|
| Increased likelihood of |
Nivolumab (Hodgkin's Disease) |
95 | 263 | 4 |
| accelerated | Venetoclax (CLL with 17p deletion) |
106 | 240 | 5 |
| approval With |
Alectinib (ALK + NSCLC) |
225 | 253 | 4 |
| enriched | Traditional | |||
| smaller trials |
Cabozantinib (RCC) |
658 | 331 | 11 |
| Elotuzumab (multiple myeloma) |
646 | 318 | 7 | |
| Ramucirumab (gastric cancer) |
355 | 568 | 8 |
H-score validation during phase II
 pAxl positive patients show objective clinical response, as determined by pre-treatment screen of bone marrow
 Activated Axl (pAxl) absent pre-drug
| 2017 | 2018 | ||
|---|---|---|---|
| Phase II | Phase II Clinical Data | ||
| Ongoing | AML and MDS – Single agent / Combination |
P | |
| BGB324 | Ongoing | P | |
| NSCLC (adenocarcinoma) – Combination with KEYTRUDA |
P | ||
| TNBC – Combination with KEYTRUDA |
P | ||
| Companion diagnostic |
Ongoing | Method validation validation and collection of reference data set | Validated CDx P |
| BGB149 | First-in-man trials Manufacture and IND enabling work |
Phase I Clinical Data P |
Late stage, first-in-class assets will be highly sought after
| (NOK million) | Q1 2017 | Q1 2016 | FY 2016 |
|---|---|---|---|
| Operating revenues | - | - | - |
| Operating expenses | 65.8 | 20.7 | 131.6 |
| Operating profit (loss) | (65.8) | (20.7) | (131.6) |
| Profit (loss) after tax | (65.1) | (20.3) | (129.8) |
| Basic and diluted earnings (loss) per share (NOK) |
(1.93) | (75.21) | (419.68) |
| Cash position end of period | 95.4 | 163.2 | 161.8 |
| SHAREHOLDER | # SHARES |
% |
|---|---|---|
| METEVA AS | 14,923,000 | 30.00 |
| INVESTINOR AS | 6,609,800 | 13.29 |
| SARSIA SEED AS | 2,117,900 | 4.26 |
| VERDIPAPIRFONDET ALFRED BERG GAMBA | 1,852,500 | 3.72 |
| MP PENSJON PK | 1,780,300 | 3.58 |
| NORSK INNOVASJONSKAPITAL II AS | 1,273,100 | 2.56 |
| JPMORGAN CHASE BANK, N.A., LONDON | 1,272,000 | 2.56 |
| DATUM INVEST AS | 1,209,200 | 2.43 |
| SARSIA DEVELOPMENT AS | 1,195,000 | 2.40 |
| BERA AS | 1,084,800 | 2.18 |
| VPF NORDEA AVKASTNING | 972,354 | 1.95 |
| VERDIPAPIRFONDET ALFRED BERG NORGE | 845,000 | 1.70 |
| KLP AKSJENORGE | 830,067 | 1.67 |
| VERDIPAPIRFONDET HANDELSBANKEN | 720,000 | 1.45 |
| VPF NORDEA KAPITAL | 700,000 | 1.41 |
| KOMMUNAL LANDSPENSJONSKASSE | 627,188 | 1.26 |
| VERDIPAPIRFONDET ALFRED BERG AKTIV | 552,500 | 1.11 |
| BIRK VENTURE AS | 552,063 | 1.11 |
| STATOIL PENSJON | 440,000 | 0.88 |
| VERDIPAPIRFONDET NORDEA NORGE PLUS | 360,000 | 0.72 |
| Share facts | |||
|---|---|---|---|
| NOK | |||
| Oslo (NOK) | |||
| NO0010650013 | |||
| BGBIO | |||
| Biotechnology | |||
| NOK 1.1 bn |
|||
| 49,742,200 | |||
| 1,854 | |||
| Lung cancer (NSCLC) study with BGB324 in combination with TARCEVA opened (first and second line cohorts) | ✔ |
|---|---|
| IPO – NOK 400m to fund BGB324 Phase II clinical program and BGB149 into the clinic |
✔ |
| Data presentations as American Association for Cancer Research (AACR) | ✔ |
| Investigator-led Phase II trial opened, first NSCLC patients dosed with BGB324 in combination with docetaxel |
✔ |
| Investigator-led Phase II trial opened, first melanoma patients dosed with BGB324 in combination with KEYTRUDA or targeted therapy |
✔ |
| Phase II – TNBC study with BGB324 in combination with KEYTRUDA |
Q2 2017 |
| Phase II – Advanced lung cancer study with BGB324 in combination with KEYTRUDA |
Q2 2017 |
| Presentation of interim data from Phase II study of BGB324 in AML/MDS |
2H 2017 |
| Presentation of Interim data from Phase II study of BGB324 in EGFR+ NSCLC | 2H 2017 |
| Initiation of Phase I for BGB149 |
2H 2018 |
| Phase II Clinical proof-of-concept data from BGB324 studies |
|
| - AML/MDS - single agent/combination |
|
| - NSCLC (EGFR+) – combination with erlotinib |
2H 2018 |
| - NSCLC (adenocarcinoma) – combination with KEYTRUDA |
|
| - TNBC – combination with KEYTRUDA |
 Multiple Phase II programs with BGB324 are open and recruiting (4/6)
 Strong financial position to advance clinical and pipeline development through high-value inflection points
 Strong news flow drives value and supports high industry profile
 Continued corporate development to strengthen teams and drive the strategy
 Clear strategy to develop and commercialize assets
Developing first-in-class drugs to treat aggressive cancer
| AA | Accelerated approval |
FDA | US Food and Drug Administration |
|---|---|---|---|
| ADC | Antibody drug conjugate |
GLP | Good Laboratory Practice |
| ALK | Alkaline phosphatase |
IHC | Immunohistochemistry |
| AML | Acute myeloid leukemia | mAb | Monoclonal antibody |
| BLA | Biologic license application | MDS | Myeloid dysplastic syndrome |
| BT | Breakthrough therapy | NDA | New drug application |
| CAB | Clinical advisory board | NSCLC | Non-small cell lung cancer |
| CBR | Clinical benefit rate | pAxl | Phosphorylated Axl (activated Axl) |
| CDx | Companion diagnostic | PD | Progressive disease |
| CLIA | Clinical Laboratory Improvement Amendments | PR | Partial response |
| CLL | Chronic lymphocytic leukemia | RCC | Renal carcinoma |
| CPI | Checkpoint inhibitor | RP2D | Recommended Phase II Dose |
| CR | Complete response | RTK | Receptor tyrosine kinase |
| CTL | Cytotoxic T-lymphocytes | TAM | Tyro, Axl, Mer (family of kinases) |
| ECG | Electrocardiogram | TNBC | Triple negative breast cancer |
| EGFR | Epidermal growth factor receptor | sAxl | Soluble Axl |
| ELISA | Enzyme-linked immunosorbent assay | SD | Stable disease |
| EMT | Epithelial-to-mesenchymal transition | SoC | Standard of Care |
| EU5 | France, Germany, Italy, Spain, United Kingdom | QTcF | QT inverval, a measure of time in the heart's electrical cycle |
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