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BerGenBio — Investor Presentation 2018
May 15, 2018
3555_rns_2018-05-15_cc27594c-7c7b-465d-ac92-cadde907282d.pdf
Investor Presentation
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OSE:BGBIO Result First Quarter 2018
May 15th 2018 Richard Godfrey, CEO
Disclaimer
Certain statements contained in this presentation constitute forwardlooking 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 forwardlooking 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.
Copyright of all published material, including photographs, drawings and images in this presentation remain with BerGenBio and relevant third parties, as appropriate. Consequently, no reproduction in any form of the presentation, or parts thereof, is permitted without the prior written permission, and only with appropriate acknowledgements.
Corporate Snapshot
Background
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
Companion diagnostic
Bemcentinib (BGB324)
First-in-class highly selective oral AXL inhibitor
Broad phase II clinical programme in NSCLC, TNBC, AML/MDS, melanoma
Pipeline
Bemcentinib (BGB324) AXL antibody AXL ADC (partnered) Immunomodulatory small molecules
OSE:BGBIO
Cash runway through to 2020
Included in the OSEBX index from 1st June 2018
+117% year to date share price increase
Corporate
35 staff
Headquarters and research in Bergen, Norway; Clinical Trial Management in Oxford, UK
Agenda
1. Q1 2018 Highlights
-
- Bemcentinib's aspiring leadership position as the future cornerstone of cancer combination treatments
-
- Q1 update on bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
-
- Finance report
-
- Outlook
-
- Q&A
Q1 2018 results
Good progress advancing bemcentinib's phase II clinical development
- ü First efficacy endpoint met in Phase II trial of bemcentinib/TARCEVA® combination in NSCLC
- ü Recruitment completed in first stage of Phase II trial of bemcentinib/KEYTRUDA® combination in TBNC
- ü Bemcentinib shown to be well tolerated in all patients enrolled across three combination trials with KEYTRUDA
- ü Single agent therapy with bemcentinib led to increased immune activity in relapsed / refractory AML & MDS patients
Post period
Recruitment completed in first stage of Phase II trial of bemcentinib/KEYTRUDA® combination in NSCLC
Private placement raising NOK 187.5 million
Emerging promising pre-clinical data continues to support BerGenBio pipeline development
- Data highlighting potential of selective AXL inhibition to treat advanced non-alcoholic steatohepatitis (NASH) and idiopathic pulmonary fibrosis (IPF) presented at EASL annual meeting and pubished in American Journal of Respiratory and Critical Care Medicine, respectively
- Promising data highlighting bemcentinib's potential to reverse tumour immune suppression and enhance immune checkpoint inhibitor efficacy presented at AACR annual meeting
- Pre-clinical data supporting the clinical development of out-licensed AXL ADC BGB601 presented at AACR annual meeting
Pipeline of innovative AXL inhibitors
Agenda
-
- Q1 2018 Highlights
- 2. Bemcentinib's aspiring leadership position as the future cornerstone of cancer combination treatments
-
- Q1 update on bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
-
- Finance report
-
- Outlook
-
- Q&A
AXL supports the hallmarks of cancer*
- it drives key tumor survival programmes
Bemcentinib's mechanism: restore sensitivity to immune cell attack and therapy as well as prevent spread
AXL inhibition as cornerstone for cancer therapy bemcentinib proof-of-concept Phase II clinical trials
Bemcentinib as a foundation therapy
Bemcentinib clinical development summary
- ü 6 global phase II trials
- ü Monotherapy
- ü Combo with IO, targeted and chmo
Monotherapy activity demonstarted
- ü R/R AML and MDS
- ü NSCLC
Activity in
combination with targeted and chemo
reported
- ü NSCLC in combo with docetaxel ü NSCLC
- ü NSCLC in combo with EGFRi (TARCEVA)
ü melanoma
ü TNBC
Companion diagnostic development
- ü IHC established
- ü Blood based candidates identified
Selected patient populations
Pivotal trials in stratified patient populations
Agenda
-
- Q1 2018 Highlights
-
- Bemcentinib's aspiring leadership position as the future cornerstone of cancer combination treatments
- 3. Q1 update on bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
-
- Finance report
-
- Outlook
-
- Q&A
BGBC003 trial in AML/MDS
AML and high-risk MDS patients unfit for high intensity chemotherapy remain a very challenging patient population with no treatment options when driver mutations are absent
The BGBC003 trial is designed to test the hypothesis whether AXL inhibition with bemcentinib can
Elicit single agent effect and / or Enhance responses to low dose chemotherapy
when given as a single agent in relapsed / refractory AML and high risk MDS or in combination with azacitidine or decitabine in treatment naïve AML patients
BGBC003: Phase Ib/II trial in AML/high risk MDS
Bemcentinib monotherapy and/or in combination with chemo
BGBC004 trial in NSCLC
NSCLC patients tend to initially respond well to targeted therapies but virtually all acquire resistance over time.
The BGBC004 trial is designed to test the hypothesis whether AXL inhibition can
Reverse and / or
Prevent resistance to EGFRm targeted therapies
when given in combination with erlotinib in EGFRm NSCLC patients who have either progressed on or have just started EGFRm targeted therapy
BGBC004: Phase Ib/II trial in NSCLC of bemcentinib with TARCEVA (erlotinib) ®
| Dose escalation & expansion (ongoing) | Q1 2018 status | ||||||
|---|---|---|---|---|---|---|---|
| Stage IIIb or IV disease EGFR mutation positive 33 enrolled as of March 15th 2018 |
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 Ongoing and recruiting, 1 PR reported |
BGBC004: Phase II Arm B, erlotinib resistance reversal Primary efficacy end point met
Status January 2018
Ø 5 of 9 pts are Asian, 6 females
BGBC007/8 trials in TNBC and NSCLC
KEYTRUDA monotherapy showed 4% response rate in previously treated TNBC patients and 18% in NSCLC. PD-L1 negative patients remain particularly challenging.
The BGBC007 and 008 trials are designed to test the hypothesis whether AXL inhibition can
Enhance responses to immunotherapy when given in combination with KEYTRUDA (pembrolizumab) in previously treated, immunotherapy-naïve TNBC or NSCLC patients, respectively.
Clinical collaboration with Merck & Co. (MSD)
Combination studies with KEYTRUDA
Single arm bemcentinib 200mg/d KEYTRUDA 200mg/3w Simon two stage (interim after 22 pts) BGBC008 Phase 2 – Adenocarcinoma of the lung ü First stage fully recruited ü Combination tolerated (ASCO-SITC Jan 2018) Previously treated, unresectable adenocarcinoma of the lung up to 48 pts any PD-L1 expression any AXL expression no prior IO ORR Q1 2018 status
| BGBC007 Phase 2 – | TNBC | ||||
|---|---|---|---|---|---|
| Previously treated, unresectable or metastatic |
Simon two stage (interim after 28 pts) |
Q1 2018 status | |||
|---|---|---|---|---|---|
| TNBC | Single arm | ORR | First stage fully recruited ahead of schedule ü |
||
| up to 56 pts any PD-L1 expression any AXL expression no prior IO |
bemcentinib 200mg/d KEYTRUDA 200mg/3w |
Combination tolerated (ASCO-SITC Jan 2018) ü |
BerGenBio reception at ASCO – 2nd June 2018 Presentation of AXL biology and interim clinical data with bemcentinib
Saturday June 2nd 2018: 6-8 p.m. (Central)
ASCO conference and KOL reception
- ASCO:
- 4 abstracts to be presented, interim clinical data
- Ø NSCLC BGBC008
- Ø AML/MDS BGBC003
- Ø Melanoma BGBIL006
- Ø Companion diagnostics programme
- à Full abstracts available on May 16th
- BerGenBio KOL reception
- Short talks by KOLs and PIs
- Ø AXL biology
- Ø Bemcentinib interim clinical data
Agenda
-
- Q4 and FY 2017 Highlights
-
- A future directed phase II clinical trial programme in collaboration with the leaders in IO
-
- Q1 update on bemcentinib's global phase II development programme on track and delivering promising clinical data
- 4. Companion Diagnostic
- Predictive biomarker candidates identified soluble and cellular (Dec '17)
- AXL IHC established and rolled out for BGBC007 and BGBC008 (Jan '18)
-
- Finance report
-
- Outlook
-
- Q&A
BerGenBio companion diagnostics programme aligned with gold standard & emerging practice for personalised medicine
Cancer Diagnosis:
22
Standard (tissue) and emerging (blood) pathology techniques are used to diagnose cancer and determine optimal, personalised treatment
Tumour tissue biopsy – "the main way cancer is diagnosed"1
- Gold standard for diagnosing cancer & determining course of treatment
- Determine actionable driver mutations
- eg: EGFR, ALK, KRAS, BRAF, HER2, ROS1, and RET
- Determine PD-L1 status for check point inhibitors
- àPurpose of BerGenBio tissue CDx: determine AXL expression as part of routine assessments
Liquid biopsy – emerging technology
- Minimally invasive technique, less risky and can be done more frequently
- New technology can measure
- Without • ctDNA to determine mutations
- biomarker With biomarker • Proteins: cytokine profiles, soluble receptors, etc.
à Purpose of BGB blood CDx:
predict and monitor response to treatment by measuring BerGenBio biomarkers
Advantages of Companion Diagnostics (CDx)
Patients:
• Receive only treatments that are predicted o offer benefit
Drug developers:
- Patient stratification reduces clinical trial cost and time
- Defined patient populations offer regulatory and reimbursement advantages
AXL immunohistochemistry (IHC) test developed and validated, predictive blood biomarker candidates identified
AXL immunohistochemistry (IHC) developed and validated1, used with standard tissue biopsy analysis
- ü AXL detected in tumour and immune cells
- ü Tumours were found to have a varying degree of AXL, determined by a positive stain when tested with BerGenBio IHC method, in a prospective study performed on banked tumour samples (1)
Shown are squamous cell carcinoma FFPE patient samples stained for AXL (brown) as per BerGenBio's proprietary AXL IHC assay
Predictive biomarker candidates identified in relapsed & refractory AML/MDS2
- ü BGBM001 can be detected in blood as part of a routine blood draw
- ü Levels of BGBM001 were low in patients deriving benefit from bemcentinib treatment
- ü BGBM001 levels increase upon treatment with bemcentinib in patients deriving benefit
Agenda
-
- Q4 and FY 2017 Highlights
-
- A future directed phase II clinical trial programme in collaboration with the leaders in IO
-
- Q1 update on bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
- 5. Promising pre-clinical data supporting BerGenBio's pipeline
- Role of AXL and AXL inhibition via bemcentinib in fibrosis presented at leading conferences
- Pre-clinical data highlighting potential to improve efficacy of checkpoint inhibitors and chemotherapy presented at AACR
-
- Finance report
-
- Outlook
-
- Q&A
AXL inhibition as a potential therapy in fibrotic diseases
- Pre-clinical research data presented in Q1 by international KOLs
(1) Espindola et al American Journal of Respiratory and Critical Care Medicine 2018 (2) Barcena EASL 2018
25
Bemcentinib reverses immune suppression and enhances chemotherapy and immune checkpoint blockade
– preclinical data presented at AACR 20181
Bemcentinib is active in combination with chemotherapy
- ü Increased response
-
ü Reduced immunosuppression
-
ü Increased response
- ü Reduced immunosuppression
Agenda
-
- Q4 and FY 2017 Highlights
-
- A future directed phase II clinical trial programme in collaboration with the leaders in IO
-
- Bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
-
- Promising pre-clinical data supporting BerGenBio's pipeline
- 6. Finance report & business update
- Welcome to Rune Skeie, CFO
- Finance report
- Cash runway
-
- Outlook
-
- Q&A
Welcome to Rune Skeie, CFO
- Joined BerGenBio in March 2018
- Registered Accountant and State Authorised Public Accountant
- 20 years experience: financial management, corporate development and governance, public and private
- Most recent positions:
- Executive Director EY
- CFO REMA Franchise Norge AS (Bergen)
Key financials
• OPEX sequentially increased by 15% in Q118 from Q417, mainly because of increased social security tax on employee share option scheme.
• Robust cash position gives runway to deliver key clinical read outs on our ongoing clinical studies.
• Updated cash position at 11 May 2018: NOK 495 million, included fund raised from private placement announced April 13th.
http://www.bergenbio.com/investors/reports/quarterly-reports/
Cash runway / strengthened financial position
ü Anticipated cash runway to 1H 2020 based on current burn rate
- ü Cash position as at end Q1 2018 MNOK 329.2
- ü Private placement completed in April gross fund raise MNOK 187.5
- ü Shareholder structure broadened and enhanced
- ü Adding institutional investors in the US specialising in the biotechnology industry
ü Strengthened financial position to execute strategy
- ü To complete ongoing bemcentinib Phase II clinical development program
- ü To support clinical development activities
- ü To prepare regulatory strategy
Agenda
-
- Q4 and FY 2017 Highlights
-
- A future directed phase II clinical trial programme in collaboration with the leaders in IO
-
- Bemcentinib's global phase II development programme on track and delivering promising clinical data
-
- Companion Diagnostic
-
- Promising pre-clinical data supporting BerGenBio's pipeline
-
- Finance report
- 7. Outlook
- Significant milestones expected in next12-18 months
-
- Q&A
Significant milestones expected in 2018 & 2019
Significant milestones expected over the next 12 months:
Bemcentinib
- Interim clinical data from 6 ph II trials at ASCO
- Final readout from 4 phase 2 trials in H2
BGB149
• Initiation of AXL antibody BGB149 clinical trials in H2
BGBIO Investment case
First-in-class AXL inhibitors for aggressive cancers with addressable market in excess of \$20bn
Axl mechanism now widely accept by Pharma industry as a 'hot' target of great interest
Well funded & experienced organisation to deliver milestones
Bemcentinib preliminary Phase II proof-of-concept data already reported
Bemcentinib additional Phase II proof-of-concept data anticipated June 2018
Appendix
Condensed consolidated statement of profit and loss and other comprehensive income
| (NOK 1000) Unaudited | Note | Q1 2018 | Q1 2017 | Full year 2017 |
|---|---|---|---|---|
| Revenue | - | - | - | |
| Cost | ||||
| Employee benefit expenses | 3 | 15 672 | 6 294 | 28 827 |
| Depreciation | 54 | 50 | 193 | |
| Other operating expenses | 6 | 39 055 | 59 445 | 154 686 |
| Total operating expenses | 54 781 | 65 789 | 183 707 | |
| Operating profit | -54 781 | -65 789 | -183 707 | |
| Finance income | 1 046 | 1 119 | 4 168 | |
| Finance expense | 44 | 395 | 2 668 | |
| Financial items, net | 1 001 | 724 | 1 500 | |
| Profit before tax | -53 780 | -65 065 | -182 207 | |
| Income tax expense | - | - | ||
| Profit after tax | -53 780 | -65 065 | -182 207 | |
| Other comprehensive income | ||||
| Items which will not be reclassified over profit and loss | ||||
| Actuarial gains and losses on defined benefit pension plans | - | - | - | |
| Total comprehensive income for the period | -53 780 | -65 065 | -182 207 | |
| Earnings per share: | ||||
| - Basic and diluted per share |
7 | -1,08 | -1,93 | -4,01 |
35 View Q1 2018 report for notes: http://www.bergenbio.com/investors/reports/quarterly-reports/
Condensed consolidated statement of financial position
| Note | 31 MAR 2018 | 31 MAR 2017 | 31 DEC 2017 | |
|---|---|---|---|---|
| (NOK 1000) Unaudited | ||||
| ASSETS | ||||
| Non-current assets |
||||
| Property, plant and equipment | 503 | 518 | 557 | |
| Total non-current assets |
503 | 518 | 557 | |
| Current assets |
||||
| Other current assets |
5, 8 | 11 884 | 13 090 | 13 430 |
| Cash and cash equivalents | 329 224 | 95 387 | 370 350 | |
| Total current assets |
341 108 | 108 477 | 383 780 | |
| TOTAL ASSETS | 341 610 | 108 996 | 384 336 | |
| EQUITY AND LIABILITIES | ||||
| Equity | ||||
| Paid in capital | ||||
| Share capital | 9 | 4 993 | 3 374 | 4 992 |
| Share premium | 9 | 271 478 | 67 336 | 325 018 |
| Other paid in capital | 4, 9 | 20 376 | 18 593 | 20 340 |
| Total paid in capital | 296 846 | 89 303 | 350 350 | |
| Total equity | 296 846 | 89 303 | 350 350 | |
| Non-current liabilities | ||||
| Pension liability | 10 | - | - | - |
| Total non-current liabilities | - | 0 | 0 | |
| Current liabilities | ||||
| Accounts payable | 19 314 | 10 654 | 21 575 | |
| Other current liabilities | 14 001 | 4 520 | 9 391 | |
| Provisions | 11 449 | 4 519 | 3 020 | |
| Total current liabilities | 44 764 | 19 693 | 33 986 | |
| Total liabilities | 44 764 | 19 693 | 33 986 | |
| TOTAL EQUITY AND LIABILITIES | 341 610 | 108 996 | 384 336 |
36 View Q1 2018 report for notes: http://www.bergenbio.com/investors/reports/quarterly-reports/
Condensed consolidated statement of cash flow
| (NOK 1000) Unaudited | Note | YTD 2018 | YTD 2017 |
|---|---|---|---|
| Cash flow from operating activities | |||
| Loss before tax | -53 780 | -65 065 | |
| Non-cash adjustments to reconcile loss before tax to net cash flows | |||
| Depreciation of property, plant and equipment | 54 | 50 | |
| Calculated interest element on convertible loan | - | - | |
| Share-based payment expense | 3, 4 | 36 | 567 |
| Movement in provisions and pensions | 8 429 | - 324 |
|
| Working capital adjustments: | |||
| Decrease in trade and other receivables and prepayments | 1 546 | - 789 |
|
| Increase in trade and other payables | 2 348 | -1 249 | |
| Net cash flow from operating activities | -41 366 | -66 810 | |
| Cash flows from investing activities | |||
| Purchase of property, plant and equipment | - 159 |
||
| Net cash flow used in investing activities | - | - 159 |
|
| Cash flows from financing activities | |||
| Proceeds from issue of share capital | 9 | 240 | 531 |
| Net cash flow from financing activities | 240 | 531 | |
| Net increase/(decrease) in cash and cash equvivalents | -41 126 | -66 438 | |
| Cash and cash equivalents at beginning of period | 370 350 | 161 825 | |
| Cash and cash equivalents at end of period | 329 224 | 95 387 |