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BIOTRON LIMITED — Investor Presentation 2014
May 26, 2014
64528_rns_2014-05-26_ef8f33f0-bc75-479e-8d0e-ba76fa7f375c.pdf
Investor Presentation
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Level 2, 66 Hunter Street Sydney NSW 2000 Tel: (61-2) 9300 3344 Fax: (61-2) 9221 6333 E-mail: [email protected] Website: www.biotron.com.au
27 May 2014
The Manager Companies ASX Limited 20 Bridge Street Sydney NSW 2000
(26 pages by email)
Dear Madam
PRESENTATION TO INVESTORS
I attach a PowerPoint presentation as presented by Biotron Limited's CEO, Dr Michelle Miller, to investors.
For further information please contact Dr Michelle Miller on (61-2) 9805 0488.
Yours sincerely
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Peter J. Nightingale Company Secretary
pjn7742
BIOTRON
LIMITED (ASX:BIT)
Investor
Update May
2014
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This
presenta,on
may
contain
forward-‐looking
statements
with
respect
to
the
financial
condi,on, results
and
business
achievements/performance
of
Biotron
Limited
(ACN
086
399
144)
and
certain of
the
plans
and
objec,ves
of
its
management.
These
statements
are
statements
that
are
not historical
facts.
Words
such
as
“should”,
“expects”,
“an,cipates”,
“es,mates”,
“believes”
or
similar expressions,
as
they
relate
to
Biotron
Limited,
are
intended
to
iden,fy
forward-‐looking
statements. By
their
nature,
forward-‐looking
statements
involve
risk
and
uncertainty
because
they
reflect Biotron’s
current
expecta,ons
and
assump,ons
as
to
future
events
and
circumstances
that
may
not prove
accurate.
There
is
no
guarantee
that
the
expected
events,
trends
or
results
will
actually occur.
Any
changes
in
such
assump,ons
or
expecta,ons
could
cause
actual
results
to
differ materially
from
current
expecta,ons.
==> picture [720 x 50] intentionally omitted <==
**Key
Financial
Metrics**
**Shareholder
Register**
| Ticker Code | ASX: BIT | No. shareholders | 2100 | |||
|---|---|---|---|---|---|---|
| Share Price (26 May 2014) | A $0.09 | Top 20 shareholder ownership | 78.6 million (34.44%) | |||
| Market cap | A $20.4 million | Director/Management ownership | 14.6 million (6.40%) | |||
| 12 Month Trading Range | A $0.075 – 0.315 | |||||
| Shares Outstanding | 228 million | |||||
| Op,ons | 5 million (incen,ve op,on plan) |
|||||
| Cash Posi,on (03/14) | A $2.65mn | |||||
| Monthly Burn rate (2013 FY) | A $0.33mn |
Slide
1
-
HCV
market
is
high
growth,
mul,-‐billion
dollar
market -
Treatment
gaps
remain -
Phase
2a/2
clinical
trials
with
BIT225
have
demonstrated
efficacy -
BIT225
is
well
posi,oned
to
fill
significant
HCV
treatment
gaps -
HCV
Genotype
3 -
HIV/HCV
co-‐infected
pa,ents -
Cirrho,c
pa,ents -
Flexibility
to
combine
with
any
DAA
or
IFN/RBV
op,ons -
Significant
value
already
created -
Short-‐term
key
value
inflec,on
events -
HIV
provides
addi,onal
value
opportunity -
Significantly
undervalued
in
comparison
with
other
HCV
companies
Slide
2
-
Worldwide
market
for
Hepa,,s
C
forecast
to
grow
from
$4.7bn
in
2012
to
over
$18bn
by
2018 -
180
million
people
infected
worldwide
(3%
world
popula,on) -
5
million
pa,ents
in
US -
30
million
pa,ents
in
China -
New
drugs
have
demonstrated
significant
pricing
power -
Gilead’s
Solvaldi
(Sofosbuvir)
at
US$84,000
for
a
12
week
course -
JNJ’s
Olysio
(Simeprevir)
at
US$65,000
for
a
12
week
course -
Gilead’s
Solvaldi
–
Q1
2014
sales
US$2.3
bn -
Addi,onal
new
drugs
are
soon
to
enter
the
market -
Not
pan-‐genotypic -
12
weeks
treatment
minimum -
S,ll
room
for
new
players
such
as
BIT225
Slide
3
-
Focused
on
crea,ng
shareholder
value
with
clinical
programs
for
lead
drug,
BIT225 -
Novel
approach
to
trea,ng
HCV
and
HIV
infec,ons -
Unique
mechanism
of
ac,on -
Significant
value
has
been
already
created- Completed
Phase
2
clinical
trials
have
demonstrated
efficacy
against
HCV
and
HIV
- Completed
-
Ready
to
progress
into
Phase
2b
trials -
Patents
issued
and
pending
in
US
and
other
key
markets -
A
solid
package
of
data
will
support
a
licensing/M&A
transac,on
for
late-‐stage
clinical
development
Slide
4
- Leader
in
developing
viroporin
inhibitors
for
the
treatment
of
viral
infec,ons
• Target
proteins
are
present
in
influenza
(M2),
HIV
(Vpu),
Hep
C
(p7),
Dengue and
West
Nile
(M
protein),
SARS
(E
protein)
and
others
-
Rapid
proprietary
primary
screening
assays
for
target
proteins -
Pipeline
of
first-‐in-‐class
small
molecule
viroporin
inhibitors
for
key
markets
Slide
5
| INDICATION | COMPOUND |
DISCOVERY | PRECLINICAL | PHASE 1 | PHASE 2 | PHASE 3 |
|---|---|---|---|---|---|---|
| Hep C | BIT225 | |||||
| HIV/Hep C | BIT225 | |||||
| HIV | BIT225 | |||||
| Next generaHon - HCV |
BIT314 | |||||
| Dengue | Leads |
Slide
6
**BIT225
–
First
of
a
New
Class
of
HCV
DAA
Drugs**
ü Novel,
oral,
small
molecule
compound
POLYMERASE/PROTEASE INHIBITORS
e.g. Sofosbuvir/Simeprevir BIT225
-‐
ASSEMBLY/ BUDDING
INHIBITOR
ü Only
one
of
its
class
(p7
inhibitor)
in
clinical
trials
ü Inhibits
viral
assembly
and
infec,vity
ü Pan-‐genotype
ac,vity:
ü Ac,ve in
vitro against
all
main
genotypes
-
ü Clinically
ac,ve
against
hard-‐to-‐treat
HCV Gen
1
(1a
and
1b)
and
Gen
3 -
ü Also
ac,ve
against
HIV
hiding
in
reservoir
cells
Slide
7
-
Novel
target
and
mechanism
of
ac,on -
Target
difficult
to
treat
popula,ons -
Current
DAAs
are
poor
in
certain
pa,ent
groups -
Gen
3
and
Cirrho,cs -
Issues
with
some
DAAs
(e.g.
protease
inhibitors)
in
HIV/HCV
co-‐infecteds -
Poten,ally
safe
to
use
in
combina,on
with
IFN/RBV,
new
DAAs
and
HIV
ART
regimens -
New
class
–
may
prevent
resistance
to
other
DAAs
in
combina,on -
High
barrier
to
resistance
in
trials
to
date -
Strong
IP -
Available
for
licensing
Slide
8
**BIT225
–
DifferenHated
Product
Profile**
| Drug Class | HCV Genotype 1 |
HCV Genotype 3 |
HIV/HCV co-infected |
CirrhoHcs |
| Interferon & Ribavirin | ü | | ||
| NS5A inhibitors | ü | ü | ü | |
| NS5B polymerase inhibitors | ü | ü | ||
| NS3/NS4A protease inhibitors | ü | û | ||
| BIT225 (p7 inhibitor) | ü | ü | ü | ? |
-
~~Mul,ple pathways to demonstrate clinically relevant improvements in efcacy~~
-
Improved
SVR
rates
in
difficult-‐to-‐treat
popula,ons -
Shorter
treatment
dura,on -
Interferon
and
Ribavirin
(IFN/RBV)
free
regimens -
Demonstrate
3
months
safety
and
efficacy
with
new
and
old
SOC
in
HCV
Gen
3 -
BIT225-‐008
Trial
–
Gen
1
&
3
pa,ents
with
IFN/RBV
(Thailand
–
in
progress) -
• BIT225-‐009
Trial
–
Gen
3
pa,ents
in
combina,on
with
DAA - RBV
(USA/EU
-‐
proposed)
Slide
10
-
:
-
BIT225-‐001
Phase
1a,
single
dose,
dose
escala,ng
study
in
healthy
volunteers
(48
subjects;
Aust)
- BIT225-‐003:
Phase
1b,
7-‐day,
repeat
dose
study
in
HCV+
pa,ents
(35
and
200
mg
BID;
18
subjects;
Aust)
-
B ~~IT225-004:~~
-
B ~~IT225-005 :~~
-
B ~~IT225-006:~~
-
B ~~IT225-007:~~
-
BIT225-‐008:
-
~~Phase 2a, 10-day, repeat dose study in HIV+ pa,ents (400 mg BID; 21 subjects; Thailand) Phase 2a, 28-day, repeat dose study in HCV G1 pa,ents in combina,on with PEG/RBV (20~~ 0
and ~~400 mg BID; 24 pa,ents; Thailand)~~
~~Phase 2, 28-day, repeat dose, open label study in HIV/HCV G1 and 3 co-infected pa,ents~~ in ~~combina,on with PEG/RBV (300 mg BID; 12 pa,ents; Thailand)~~
~~Phase 1, BE/PK study in healthy volunteers, cross-over, single dose comparing capsule formula,on with exis,ng powder (400 mg BID; 12 subjects; Aust)~~
Phase
2,
3
month,
repeat
dose
study
in
HCV+
pa,ents
(G1
&
3)
in
combina,on
with
PEG/RBV ~~(200 mg BID; 60 subjects; Thailand) IN PROGRESS~~
NB
BIT225-‐002
was
an ex
vivo study
of
BIT225
on
HIV-‐infected
cells
isolated
from
HIV-‐posiFve
paFents
• BIT225-‐001
&
BIT225-‐003
Trials
-
Phase
1
studies
to
demonstrate
safety
and
iden,fy
ini,al
dose
response -
35mg
to
600mg
BIT225
single
dose
escala,on
in
48
healthy
volunteers -
35mg
and
200mg
BIT225
BID
for
7
days
in
18
HCV-‐infected
pa,ents -
Results
and
Conclusions -
BIT225
was
well
tolerated-
The
most
common
AEs
were
nausea,
vomi,ng
and
headaches -
No
SAEs
-
-
First
demonstra,on
of
BIT225
efficacy
in
HCV
pa,ents
Slide
12
-
Phase
2a
trial -
~~Double blind, placebo controlled trial in treatment naïve HCV Genotype 1 pa,ents (n=24)~~
-
200mg
and
400mg
BID
doses
of
BIT225
for
28
days
with
SOC
IFN/RBV
for
48weeks;
randomized
1:1:1 -
Results
-
BIT225
demonstrated
good
an,viral
ac,vity
against
HCV
Genotype
1a
and
1b-
Numerical
superiority
at
all
,me
points
in
both
doses -
BIT225
accelerated
the
decline
in
HCV
viral
load
vs
SOC
in
both
doses -
100%
receiving
400mg
BIT225
were
virus-‐free
at
48
weeks
-
-
BIT225
was
well
tolerated
with
IFN/RBV
where
most
common
AEs
were
fever,
vomi,ng
and
headache -
5
SAEs
in
the
trial-
Ø 1
SAE
occurred
2
days
awer
comple,on
of
treatment
and
symptoms
resolved
without
sequelae -
Ø 1
case
of
horizontal
diplopia
leading
to
blurred
vision;
pa,ent
discon,nued;
symptoms
resolved
without
sequelae -
Ø 3
SAEs
were
related
to
vomi,ng
and
ver,go
during
week
1;
pa,ents
ceased
treatment
for
1
to
5
days
un,l
symptoms resolved
and
all
returned
and
completed
the
full
28
day
treatment
with
no
further
issues
-
Slide
13
**BIT225
-‐
Clinical
AcHvity
in
BIT225-‐005**
| ~~n=8~~ | ~~Placebo~~ ~~+~~ ~~IFN/RBV~~ | ~~IFN/RBV~~ | ~~IFN/RBV~~ | |||||
|---|---|---|---|---|---|---|---|---|
| n=8 | BIT225 200 mg BID + IFN/RBV | EVR | ETVR | |||||
| IFN/RBV | IFN/RBV | |||||||
| n=8 | BIT225 400 mg BID + IFN/RBV | |||||||
| Week | 4 | 12 | 48 | |||||
| BIT225-005: HCV RNA Response (Baseline Adjusted Median Change) |
Median log reducHon | % Complete EVR | % ETVR | |||||
| BIT225 treatment window | Treatment | at 35 days | (<50 IU/ml at 12 weeks) | (<50 IU/ml at 48 weeks) | ||||
| Placebo | ||||||||
| 200 mg 400 mg |
400 mg BIT225 + SOC | -4.957 | 86 | 100 | ||||
| 200 mg BIT225 + SOC | -4.351 | 88 | 88 | |||||
| Placebo + SOC | -3.649 | 63 | 75 |
Slide
14
-
Phase
2
trial -
~~On-going, open label study in HIV/HCV Gen 1 & 3 co-infected pa,ents on stable ART regimens (n=12)~~
-
300mg
BID
BIT225
for
28
days
in
combina,on
with
IFN/RBV,
with
a
7
day
lead
in
with
IFN/RBV
prior
to
commencing
BIT225 -
• Results
(Interim) -
7
pa,ents
achieved
clearance
of
the
HCV
virus
by
week
12,
with
2
non-‐responders
and
3
drop
outs-
3
drop
outs
due
to
nausea,
vomi,ng
and
headache
within
14
days
of
star,ng
treatment -
2
non-‐responders
were
both
Gen
1a
pa,ents
and
IL28b
CT/GT
heterozygous
-
-
300mg
BIT225
BID
with
IFN/RBV
was
well
tolerated
in
pa,ents
on
stable
ART
regimens-
Most
common
AEs
were
headache,
hypokalemia
and
vomi,ng -
1
SAE
of
nausea
and
vomi,ng
in
a
pa,ent
with
neutropenia;
withdrew
from
study
-
•
Conclusions
(Interim)
-
All
Gen
3
paHents
on
remaining
on
trial
have
HCV
viral
loads
below
detectable
levels
at
24
weeks -
HCV
viral
load
reduc,ons
were
par,cularly
rapid
in
pa,ents
with
HCV
Gen
3
(n=8) -
300mg
BID
of
BIT225
generally
well
tolerated
in
combina,on
with
IFN/RBV
and
ART
in
pa,ents
co-‐infected
with
HCV
Gen
1
or 3
and
HIV-‐1
Slide
15
**BIT225
-‐
Clinical
AcHvity
in
BIT225-‐006
(interim
data)**
==> picture [720 x 334] intentionally omitted <==
----- Start of picture text -----
NB
All
paFents
were
stable
on
ART
before
and
throughout
the
study;
BIT225
300
mg
BID
+
IFN/RBV
–
HCV Genotype 1 n=4
HIV remained undetectable during the treatment period
n=12
IFN/RBV
IFN/RBV
BIT225
300
mg
BID
+
IFN/RBV
–
n=8
ETVR
HCV
Genotype
3
Week
1
5
48
----- End of picture text -----
Slide
16
**HIV
–
Towards
a
Cure**
-
Currently,
pa,ents
need
to
stay
on
an,retroviral
drugs
(ART)
to keep
virus
levels
under
control -
BIT225
targets
HIV
Vpu;
interferes
with
assembly
and
budding
of new
virions -
Industry
is
now
focused
on
developing
drugs
to
eradicate
or
cure HIV
infec,on -
Phase
2a
trial
demonstrated
BIT225
can
reduce
HIV
levels
in macrophage
cells in
vivo ,
paralleling in
vitro studies
==> picture [273 x 226] intentionally omitted <==
- BIT225
may
provide
addi,onal
benefit
in
HIV/HCV
co-‐infected pa,ents
due
to
an,-‐HIV
ac,vity
==> picture [302 x 182] intentionally omitted <==
----- Start of picture text -----
In
vitro
Effect
on
HIV
Replica3on
d14
infec,on
&
d21
BIT225
addi,on
200
150
100 +BIT225
50
16 17 19 21 22 23 24 25 26 27 28
Time
(days)
+HIV-‐1
----- End of picture text -----
Slide
17
• Efficacy
-
Pan-‐genotypic
ac,vity in
vitro -
Clinical
efficacy
demonstrated
in
HCV
Gen
1
and
Gen
3
and
HCV
in
HCV/HIV
co-‐infected
pa,ents -
Accelerated
decline
in
HCV
viral
load
over
IFN/RBV
•
Safety
-
Safety
profile
generally
consistent
with
IFN/RBV -
Well
tolerated
in
doses
up
to
400mg
BID
for
28
days -
Most
common
adverse
events
are
nausea,
vomi,ng
and
headache
within
the
first
7
days
of
treatment
• Next
Steps
-
12
week
treatment
with
BIT225
in
combina,on
with
IFN/RBV
(in
progress), -
Ini,ate
12
week
study
of
BIT225
with
newly
approved
DAA -
Demonstrate
benefit
for
difficult
to
treat
popula,ons
such
as
the
HCV
Gen
3,
HCV/HIV
co-‐infected
and
cirrho,c
pa,ents -
Partner
BIT225
for
combina,on
with
other
DAAs
in
development
Slide
18
**BIT225-‐008:
Phase
2
HCV
Three-‐Month
Dosing
Trial**
==> picture [653 x 134] intentionally omitted <==
----- Start of picture text -----
Placebo
+
IFN/RBV
n=20
(HCV
Genotype
1
or
3)
IFN/RBV
ETVR
n=20
BIT225 200 mg BID + IFN/RBV HCV Genotype 1 IFN/RBV
ETVR
BIT225
200
mg
BID
+
IFN/RBV
HCV
Genotype
3
IFN/RBV
n=20
Week
12
24
48
----- End of picture text -----
Design:
- -‐ Randomized,
placebo-‐controlled,
double-‐blind
trial
(n=60) -‐ Treatment
naïve,
HCV
gen
1
and
3
Aims:
- -‐ Demonstrate
safety
of
BIT225
with
3
months
dosing
- -‐ Extend
HCV
gen
3
efficacy
data
-
-‐ 3
months
dosing
with
BIT225
in
combina,on
with
IFN/RBV -
-‐ Using
new
capsule
formula,on -
-‐ 1.6
fold
higher
blood
levels
than
previous
formula,on -
-‐ IN
PROGRESS
(Thailand);
expect
to
complete
recruitment
mid-‐2014
Slide
19
**BIT225-‐009:
HCV
Phase
2
CombinaHon
Trial
with
DAA
(proposed)**
==> picture [651 x 130] intentionally omitted <==
----- Start of picture text -----
Placebo
+
DAA+
RBV
n=25
HCV
Genotype
3
BIT225+DAA+
RBV
n=25
HCV
Genotype
3
Week
4
8
12
----- End of picture text -----
NB
–
Trial
design
and
dosing
is
yet
to
be
finalized
and
is
subject
to
regulatory
approval
Design:
-
-‐ Randomized,
placebo-‐controlled,
double-‐blind
trial -‐ Treatment
naïve
Gen
3 -
-‐ 3
months
dosing
with
BIT225
in
combina,on
with
approved direct-‐ac,ng
an,viral
DAA)
drug
Aims:
-
-‐ Demonstrate
safety
of
BIT225
with
3
months
dosing -
-‐ Demonstrate
efficacy
of
BIT225
in
combina,on
with
DAA -
-‐ Show
improvement
in
treatment
of
difficult
to
treat
popula,on -
-‐ Using
new
capsule
formula,on -
-‐ Expected
to
commence
2H14
(Subject
to
funding
and
regulatory
approval)
Slide
20
**PotenHal
to
Create
Further
Value
of
BIT225
Program**
-
HCV
cirrho,c
pa,ents -
Safety profile
suggests
suitability
for
this
hard
to
treat
popula,on
with
major
unmet
need -
HIV/HCV
co-‐infected
study -
In
combina,on
with
DAA(s) -
Supported
by
DDI
study -
Poten,al
for
part-‐funding
from
bodies
such
as
ACTG -
Progress
next
genera,on
BIT314
through
IND-‐enabling
studies
into
first-‐in-‐man
phase
1
trial -
Promising
clean
preclinical
profile -
Potent
an,-‐HCV
ac,vity in
vitro -
Pipeline
development
of
earlier
stage
an,viral
programs,
including
Dengue
Slide
21
CONFIDENTIAL
-
Novel
approach
to
trea,ng
Hepa,,s
C
and
HIV
infec,ons -
Phase
2
clinical
trials
have
demonstrated
efficacy -
Strategically
posi,oned
for
use
in
hard-‐to-‐treat
subpopula,ons
of
Hepa,,s
C,
including-
Genotype
3 -
HCV/HIV
co-‐infected -
Cirrho,cs
-
-
Next
trials
will
demonstrate
3
months
safety
and
efficacy- Will
assist
with
partnering
within
the
DAA
landscape
- Will
-
Patents
issued
and
pending
in
US
and
other
key
markets
covering
composi,on
of
maxer
and
use -
Promising
next
genera,on
BIT314
ready
to
progress
to
IND-‐enabling
studies -
Company
is
well
posi,oned
to
axract
a
pharma
partner
at
conclusion
of
outlined
clinical
program
in
a
rela,vely short
,meframe -
Significant
valua,on
upside
compared
to
other
HCV
companies
Slide
24
Dr
Michelle
Miller Managing
Director +61
412
313329 [email protected] www.biotron.com.au
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