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CSL Ltd. Investor Presentation 2011

Dec 7, 2011

17854_rns_2011-12-07_e25ebbb5-d1f4-4ab6-a7ab-997cd272cf04.pdf

Investor Presentation

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R&D Briefing December 8, 2011

Disclaimer

Forward looking statements

The materials in this presentation speak only as of the date of these materials, and include forward looking statements about CSL’s financial results and estimates, business prospects and products in research, all of which involve substantial risks and uncertainties, many of which are outside the control of, and are unknown to, CSL. You can identify these forward looking statements by the fact that they use words such as “anticipate,” “estimate,” “expect,” “project,” “intend,” “plan,” “believe,” “target,” “may,” “assume,” and other words and terms of similar meaning in connection with any discussion of future operating or financial performance. Factors that could cause actual results to differ materially include: the success of research and development activities, decisions by regulatory authorities regarding whether and when to approve our products as well as their decisions regarding labeling and other matters that would affect the commercial potential of our products; competitive developments affecting our products; the ability to successfully market new and existing products; difficulties or delays in manufacturing; trade buying patterns and fluctuations in interest and currency exchange rates; legislation or regulations that affect product production, distribution, pricing, reimbursement or access; litigation or government investigations, including legal costs, settlement costs and the risk of adverse decisions or settlements; and CSL’s ability to protect its patents and other intellectual property. The statements being made in this presentation do not constitute an offer to sell, or solicitation of an offer to buy, any securities of CSL.

No representation, warranty or assurance (express or implied) is given or made in relation to any forward looking statement by any person (including CSL). In particular, no representation, warranty or assurance (express or implied) is given in relation to any underlying assumption or that any forward looking statement will be achieved. Actual future events may vary materially from the forward looking statements and the assumptions on which the forward looking statements are based. Given these uncertainties, readers are cautioned to not place undue reliance on such forward looking statements.

Subject to any continuing obligations under applicable law or any relevant listing rules of the Australian Securities Exchange, CSL disclaims any obligation or undertaking to disseminate any updates or revisions to any forward looking statements in these materials to reflect any change in expectations in relation to any forward looking statements or any change in events, conditions or circumstances on which any such statement is based. Nothing in these materials shall under any circumstances create an implication that there has been no change in the affairs of CSL since the date of these materials.

2

Agenda December 2011 R&D Briefing

8.30am: Sign in and coffee

  • Welcome

  • Introduction & Highlights

Mark Dehring Andrew Cuthbertson

  • Immunoglobulins

  • Specialty Bleeding Products

  • Clinical Development

Russell Basser

  • Commercial Opportunities

Ingolf Sieper

  • Q&A and Break

  • Coagulation/Haemophilia

  • New Product Development

Val Romberg

  • Commercial Opportunities

Ingolf Sieper

  • Licensing

Andrew Cuthbertson

  • Summary

  • Q&A

3

Noon: Finish

Introduction and Highlights

CSL R&D Strategy

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Breakthrough
Medicines
Specialty
Immunoglobulins
Products
Haemophilia
Products
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  • Maintain commitment to extracting maximum value from existing assets and supporting and improving current products

  • Develop new protein-based therapies for treating serious illnesses focusing on products that align with our technical and commercial capabilities

5

Immunoglobulins Strategy

Supporting and enhancing current portfolio

  • Patient convenience

  • Yield

  • Label

Immunoglobulins

  • Formulation science

6

Specialty Products Strategy

Expanding use of specialty plasma products through:

  • New markets

Specialty Products

  • Novel indications

  • Novel modes of administration

7

Haemophilia Strategy

Supporting and enhancing portfolio and developing new products

  • Plasma products

  • Recombinant analogs

  • Coagulation research

Haemophilia Products

8

Breakthrough Medicines Strategy

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Breakthrough
Medicines
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Developing new protein-based therapies

  • Significant unmet need

  • Multiple indications

9

Licensing Strategy

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Breakthrough
Medicines
Specialty
Immunoglobulins Products
Haemophilia
Products
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Optimise value of IP Portfolio and assets

  • Partner high opportunity products

  • Continue broad licensing strategy for ISCOMATRIX[®] adjuvant

10

Leveraging Global Capabilities

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11

R&D Investment

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12

  Global R&D Pipeline

December 2010

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Humate® P
Zemaira® US
Privigen®
Rhophylac® US
Afluria®
Fibrinogen Fibrinogen Privigen®CIDP EU Hizentra® EU Hizentra® US
New Indications Aortic Surgery
Zemaira® EU Beriplex® EU Berinert® US
PCC
New Indications Beriplex ® US Riastap® US
Biostate® EU Riastap® EU
Rec Coagulation CSL689 rVIIa-FP
Factors
CSL654 rIX-FP
Novel Plasma
Proteins
Vaccines– Merck Vaccines– Merck Vaccines– Merck Partnered Vaccine
Vaccines – Pfizer
Programs
Vaccines– Pfizer

Vaccines– Abbott
P gingivalis POD CSL425
CRC-OHS/Sanofi * 2009 H1N1 Flu
CSL112 CAM3001
CSL401
reconstituted HDL GM-CSFR - AZ

H5N1 Flu
CSL362 IL-3R
CSL324 G-CSFR
Discovery
Projects IL-13R
Core Capabilities Plasma Proteins Haemophilia Specialty Products Breakthrough Medicines Vaccines & IP
Partnered Projects
13
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Progress through Stage Gates in 2011

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Hizentra
rVIIa-FP Privigen CIDP
EU
Fibrinogen
G-CSF FXIII US
Aortic EU
Riastap
VEGFB
Biostate EU EU
rFVIII Berinert
Self Admin
CSL112
rvWF-FP
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14

 Global R&D Portfolio  December 2011

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Immunoglobulins
Haemophilia
Specialty Products
Influenza Vaccine
Fibrinogen Fibrinogen Privigen®CIDP EU Biostate® EU Hizentra® US
New Indications Aortic Surgery
Zemaira® EU Berinert ® Hizentra® EU
New Indications PCC Beriplex ® US Self Admin FXIII US
Riastap® US
Riastap® EU
Novel Plasma CSL689 rVIIa-FP
Proteins CSL654 rIX-FP
rvWF-FP CSL627 rFVIII
Rec Coagulation
Factors
Partnered Vaccine Partnered Vaccine Partnered Vaccine Partnered Vaccine
Programs Programs Programs Programs
P gingivalis POD CSL112 CAM3001
CRC-OHS/Sanofi * reconstituted HDL GM-CSFR - AZ
CSL362 IL-3R
CSL324 G-CSFR
VEGFB
Discovery
Projects IL-13R
Core Capabilities Immunoglobulins Haemophilia Specialty Products Breakthrough Medicines Vaccines & IP
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*Partnered Projects

LCM includes direct post marketing commitments as well as pathogen safety, capacity expansions, yield improvements, new packages and sizes for all registered products

15

Immunoglobulins

Immunoglobulins

Supporting and enhancing current portfolio

  • Patient convenience

  • Yield

  • Label

Immunoglobulins

  • Formulation science

Key Focus

  • Hizentra[®]

  • Privigen[®]

17

Hizentra[®]

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The first 20% high concentration low volume SCIG for convenient self administration providing steady-state Ig levels and an established long-term safety record with chronic administration

Global Introductions Continue

  • Launched in US since 2010

  • In 2011, broader approvals in EU and Canada

  • Japan Phase III licensing study complete

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Exploring Chronic Use of Hizentra in Immunomodulation

  • Pursuing SCIG for the treatment of CIDP

  • Anticipated study initiation in 2012

18

Privigen[®]

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The first and only 10% liquid intravenous immunoglobulin (IVIg) therapy that is proline stabilised with room temperature storage up to 36 months

Building Capacity to Address Patient Needs Globally

  • IgLab Module2 on-line increasing capacity

  • Privigen approved in US, Europe, South America with additional country registrations underway

Strengthening Presence in Neurology Market

  • Phase III study in CIDP conducted in Europe

  • LPLV Completed Nov 2011

  • Anticipate filing in EU in Q2 2012

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19

Specialty Products

Specialty Products

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Specialty
Products
21
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Expanding use of specialty plasma products e.g.

  • Berinert[®]

  • • Beriplex[®]

  • • Riastap[®]

  • • Zemaira[®]

  • Key Focus • Acquired bleeding • Perioperative bleeding

Correcting problems that lead to bleeding

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Acquired Bleeding Disorders

  • Coagulation factor deficiencies can occur because of drugs, surgery, trauma, liver disorders, other diseases

  • Current treatment options

  • Traditional blood products – platelets, fresh frozen plasma (FFP), cryoprecipitate

  • Specific factor concentrates such as those in CSL portfolio

  • Limitations with traditional approaches

  • Sensitivity reactions

  • Large volume

  • Time taken to administer

  • Storage not straightforward

  • Consume a lot of donated blood

  • Limited lifespan

23

Fibrinogen (Riastap / Haemocomplettan[®] ) for Complex Cardiac Surgery

Fibrinogen in cardiopulmonary bypass surgery

  • Coagulation factors are consumed bleeding

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25

Hannover proof-of-concept study in aortic repair

  • Fibrinogen reduced proportion of patients requiring transfusion

Administration of Proportion of subjects donated blood Fibrinogen Placebo products (N = 29) (N = 31) No 45% 0% Yes 55% 100% p<0.0001

26

Complex Cardiac Surgery

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27

Fibrinogen Development

  • Europe / Global

  • Peri-/post-operative control of coagulopathic bleeding

  • REPLACE Phase III study

    • 200 subjects – sites initiated December 2011

    • Aim to file label extension H2 2013

• US

  • Coagulopathic bleeding related to complex cardiac surgery

  • Dose-finding required by FDA

  • Considering options for broader indication

28

Beriplex[®] to Reverse Anti-coagulation

Challenges with anti-coagulation

  • Anti-coagulants used to prevent clotting for people who are at risk

  • Vitamin K antagonists (ie warfarin) - most commonly prescribed

  • New generation products now being approved around the world

    • Specific for FXa, FIIa
  • Potential problems

  • Bleeding can occur related to excessive anti-coagulation

  • Need to urgently reverse if trauma, surgery immediately required

  • ~3M people currently on warfarin in the US

    • ~100K patients in need of urgent reversal annually

30

What is Beriplex[®] ?

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  • Prothrombin Complex Concentrate = PCC

  • vitamin K-dependent coagulation factors (FII, FVII, FIX, FX)

  • 2 viral inactivation steps

  • Specific antidote to vitamin K antagonists

  • new anti-coagulants?

  • Used in Europe for >10 years with excellent safety record

  • Current program

  • Expand geographical usage

  • Evaluate potential for correcting bleeding due to new anti-

coags

31

Program to licence Beriplex[®] in US

  • Seeking approval for use of Beriplex[®] to reverse the effects of vitamin K antagonists for

  • Bleeding related to over-anticoagulation

  • Patients needing surgery

  • 2 large randomised, controlled clinical trials

  • Bleeding study completed

  • Surgical study due to be completed mid 2012

  • BLA submission planned for Q1 2012

32

Effects of Beriplex[®] on specific clotting factor levels in Bleeding Study

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Factor X Beriplex (n=98)
level in Plasma (n=104)
patients
Time
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33

Effects of Beriplex[®] on bleeding test in Bleeding Study

INR Beriplex (n=98) in patients Plasma (n=104) Time

34

Potential of Beriplex[®] for bleeding related to new anti-coagulants

Preclinical data – rat bleeding model

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35

Globalisation of Perioperative Bleeding (POB)

Surgical or Coagulopathic Bleeding?

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37

What is the Challenge?

BOF Syndrome!

38

BOF Syndrome

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BLOOD
ON
FLOOR
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39

Coagulation Cascade

Intrinsic System

Extrinsic System

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PL XII XI VII TTPL
VIII
IX
X
V
Stabilized through FXIII
II
Fibrinogen Fibrin
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40

Treatment Paradigm in Central Europe

  • Given the order of factor deficiency in coagulopathic bleeding

  • First : Fibrinogen deficiency

    • First line – RiaStap when confirmed fibrinogen deficiency
  • Second: Impaired thrombin generation

    • First line – Beriplex P/N after fibrinogen normalisation and

    • confirmation of impaired thrombin generation

  • Subsequently: Impairment of fibrinolysis post-

    • surgery

    • First line –Fibrogammin >12 – 24 hours post-surgery

41

Short-Term Strategy to Accelerate the Global Penetration of POB

  • Actively participate in ISICEM, WCA, EACTA, ESA

  • Post partum hemorrhage guideline roundtables

  • Grow in regions

  • Dedicated sales force

  • Education 100 roundtables

  • Expand web presence

  • ISICEM supported medical education

  • Allaboutbleeding website

42

Fibrinogen Registration Status 2011/12

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Acquired Indication Austria, Brazil, Bulgaria, Czech Republic, Germany, Hungary, Iran, Israel, Kuwait, Netherlands, Portugal, Romania,
Switzerland, Taiwan, Turkey
Congenital Indication Australia, Belgium, Denmark, Finland, France, Iceland, Ireland, Italy, Norway, Slovakia, Spain, Sweden, United Kingdom,
USA
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43

Target Fibrinogen Registration Status 2015/16

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Acquired Indication Argentina, Austria, Australia, Belgium, Brazil, Bulgaria, Canada, Czech Republic, Denmark, Finland, France, Germany,
Hungary, Iceland, Iran, Ireland, Israel, Italy, Kuwait, Netherlands, Norway, Portugal, Romania, Spain, Russia, Slovakia,
Sweden, Switzerland, Taiwan, Turkey,
Congenital Indication USA , Mexico
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44

Beriplex[®]

Main Indications for Beriplex[®] /PCC

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8% [6% 4%]
9%
50%
10%
13%
Source: CSLB CEU PCC Market Research 2009
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Anti-Coagulant Reversal (ACR) Bleeding caused by coagulopathy other than ACR Liver disease Postoperative bleeding Dilution coagulopathy (e.g. trauma) DIC Vit. K deficiency

46

Indications for Beriplex[®] US

  • Two indications

1. Bleeding

  • For the treatment of acute major bleeding resulting from an acquired deficiency of vitamin K-dependent coagulation factors and proteins C and S due to Vitamin K antagonist (warfarin) therapy

2. Surgery

  • For the replacement of vitamin K-dependent coagulation factors and proteins C and S in patients on Vitamin K antagonist (warfarin) requiring emergency surgery or invasive intervention

47

Primary Target Customer Segments

Need safe, cost effective treatments that rapidly ER Physicians, Nurses resolve acute bleeding episodes Need treatments that satisfy hospital physicians needs Transfusion Medicine while helping them effectively manage the utilisation of Blood Bankers / Hematologists blood products Need cost effective treatments to manage pharmacy Pharmacists budget while satisfying the needs of hospital physicians

48

Beriplex[®] Registration Status 2012

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registered/launched Argentina, Australia, Austria, Belgium, Brazil, Canada, Finland, France, Germany, Great Britain, Greece, Hong Kong,
Hungary, Italy, Luxembourg, Malaysia, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland, Taiwan,
United States
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49

Summary Commercial Opportunity POB

  • Perioperative Bleeding

Specialty Critical Care FY11 $367m

  • PCC: Beriplex[®]

  • Fibrinogen: Riastap[®] /Haemocomplettan[®]

  • FXIII: Fibrogammin[®] /Corifact[®]

Kybernin / Berinert

POB 60%

  • Treatment paradigm for POB has shifted in Central Europe

  • Rest of Europe has started to follow

  • In terms of registration we are 3+ years ahead

  • Growth Potential POB

  • ~20% per annum mid-term

50

Q&A

Break

Haemophilia Products

Haemophilia

Supporting and enhancing portfolio and developing new products

  • Plasma products

  • Recombinant analogs

  • Coagulation research

Key Focus

Haemophilia Products

  • Long acting rIX-FP

  • Long acting rVIIa-FP

  • rVIII-Single Chain

  • Research into long acting rvWF-FP

54

Coagulation Cascade

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Not all products are licensed in all countries
Beriate []
Helixate [] NexGen
CSL627 +
CSL689
Haemate [] P
Humate-P [] Beriplex [] P/N
Biostate Confidex
DDAVP
Berinin [] P
Factor X P Behring
Mononine []
CSL654
Haemocomplettan [] P
Riastap []
Fibrogammin [] P
Corifact []
55
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Innovations in Coagulation

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rIX-FP
rVIIa-FP
Me [++]
A1 A2 A3 C1 C2
rVIII-SingleChain
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56

Albumin Fusion Technology

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----- Start of picture text -----

Proof of
Concept for
complex
proteins
established
Long half-life
with
understood
clearance
mechanism
Albumin
Abundant,
fusion
natural
proteins
carrier, low
expressed as
immunog.
a single entity
potential
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57

Recombinant Albumin Fusion Proteins

  • rIX-FP (CSL654)

  • Recombinant fusion protein linking coagulation factor IX with

    • albumin
  • rVIIa-FP (CSL689)

  • Recombinant fusion protein linking coagulation factor VIIa with

    • albumin
  • Rational design to optimise efficacy

  • Designed to maintain molecular activity

  • Optimised to minimise immunogenicity

  • Demonstrated by in vitro / in vivo testing

58

Development of rIX-FP, CSL654

  • Completed discussions with EMA, PEI and FDA

  • Agreement for clinical program and criteria for licensure

  • Paediatric Investigational Plan agreed

  • Phase I PK study completed and results to be presented at GTH* in February

  • Phase I/II prophylaxis and on-demand study recruitment complete

  • Phase II/III study commencing early 2012

*German Society of Thrombosis and Haemostasis

59

rIX-FP has a half life ~3x longer than BeneFIX in haemophilia B dogs

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Mean values and fitted curves
1 CSL654 100 IU/kg (n=3)
0.50 BeneFIX® 100 IU/kg (n=2)
0.20
0.10
0.05
0.02
0.01
0.005
0 1 2 3 4 5 6 7 8
Days after administration
Faxtor IX antigen (IU/mL)
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60

rIX-FP Activity in Haemophilia B Patients

~~rIX-FP rFIX pdFIX~~

FIX activity

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Time
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61

rVIIa-FP is active and has a half life ~6 times longer than FVIIa

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100
10
1
rFVIIa rVIIa-FP
0.1
0 2 4 6 8 10 12 14 16 18 20 22 24
Time (hours)
% of initial dose
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Weimer et. al. rVIIa albumin fusion

 rVIIa-FP has an improved half-life in rat model

62

Recombinant Albumin Fusion Proteins Summary

  • Significant half-life extension demonstrated

  • Pre-clinical studies in rats, rabbits and monkeys

    • rIX-FP ~3 to 4-fold

    • rVIIa-FP ~8 to 10-fold

  • Both proteins designated Orphan Medicinal Products in Europe

  • Stage of development

  • rIX-FP: Phase I PK trial complete and data being evaluated Presentation of Phase I data at GTH* Congress Feb 2012 Phase I/II on-going

  • rVIIa-FP: Pharmacology and toxicology studies completed

  • rvWF-FP : Research program for long acting vWF initiated

*German Society of Thrombosis and Haemostasis

63

rVIII-SingleChain: approach for improved FVIII

  • FVIII’s physiological partner in plasma is von Willebrand factor (VWF)

  • The FVIII/VWF complex plays an important role in the physiological activity and clearance of FVIII

  • Aim: Improve binding to VWF

  • FVIII is an unstable molecule in the manufacturing environment

  • Potential for dissociation which leads to loss of procoagulant activity of FVIII ~~[[++]]~~

~~Me[[++]]~~ A1 A2 A3 C1 C2 rVIII-SingleChain

  • Aim: Improve molecular stability

  • Appropriate molecule originated by SK Chemicals

64

rVIII-SingleChain (CSL627)

  • Increased heavy/light chain stability

  • Covalent linkage between heavy and light chain

  • Expressed as a recombinant single-chain FVIII

  • Enhanced molecular integrity

  • Very strong affinity to von Willebrand factor (VWF)

  • Faster and more efficient binding to VWF

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Me [++]
A1 A2 A3 C1 C2
Covalent Bond
Wild Type FVIII rVIII-SingleChain
----- End of picture text -----

65

Short-term reconstituted stability at 25°C

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----- Start of picture text -----

110
100
90
pd FVIII
80
full-length rFVIII
single-chain rFVIII
70
0 1 2 3 4 5 6 7 8
66 time (days)
compared to t= 0 (%)
FVIII activity (CS method)
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rVIII-SingleChain: high affinity for vWF

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----- Start of picture text -----

Binding to plasma-derived (pd) VWF Comparison of VWF affinity constants
250
20
18
200
16
14
150
12
10
8
100
6
4
50
2
Single chain rFVIII (CSL627)
Full length rFVIII 0
rVIII-SingleChain Full length rFVIII
0
(CSL627)
0 500 1,000 1,500
Surface plasmon resonance (SPR) analysis Time (s)
CSL Behring. Data on file
Relative units
Affinity constant (1/(nm)
----- End of picture text -----

67

rVIII-SingleChain: PK properties in mice and rats

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----- Start of picture text -----

PK in haemophilia A mice PK in rats
5 6,000
5,000
4
4,000
3
100 IU/kg FVIII:C 3,000
2 n=5/timepoint
2,000
1 1,000
0 0
0 20 40 60 80 0 120 240 360 480
Minutes
Hours
rVIII-SingleChain (CSL627)
Full length rFVIII
CSL Behring. Data on file
FVIII:Ag (mIU/mL)
FVIII plasma level (IU/mL)
----- End of picture text -----

68

rVIII-SingleChain: PK parameters in cynomolgus monkeys

Single chain
rFVIII (CSL627)
(250 IU/kg)
Full length
rFVIII
(250 IU/kg)
AUC (h*IU/mL) 101.7 67.2
Cmax(IU/mL) 10.7 11.19
Clearance (mL/kg/h) 2.0 3.4
T½β (h) 9.7 6.8

CSL Behring. Data on file

69

Development of rVIII-SingleChain, CSL627

Progress to date

  • Completed discussions with EMA, PEI and FDA

  • Agreement for phase I/III clinical program and criteria for licensure

  • Paediatric Investigational Plan agreed

  • Toxicology completed

  • Phase I study sites initiated

  • Phase III component to commence within 15 months

70

rVIII-SingleChain: Summary

Novel single chain rFVIII molecule which demonstrates:

  • Very high binding affinity to VWF

  • Improved stability after reconstitution

  • Comparable haemostatic efficacy to full length rFVIII in FVIII deficient mice

Advanced status of development

  • Pharmacology and toxicology studies completed

  • Animal PK studies show promising results

  • • Phase I/III clinical trial sites initiated

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CSL Behring. Data on file

71

Commercial Opportunities and Activities

Haemophilia General Market Trends

  • Market growth

  • $7-8Bn market and growing

    • The rate of prophylaxis in adults and children is increasing

    • Weight gain across the population increases the weekly dose

    • Increased life expectancy of people with haemophilia leads to higher use in surgery and age related complications

    • Geographic expansion

  • Therapy type

  • Treatment categories remain “plasma derived” and “recombinant”

  • Within recombinant segment a category with improved PK parameters will establish itself. This opens an opportunity for differentiation

73

CSL Haemophilia Portfolio Overview

Haemophilia
A
Haemophilia
B
VWD FVIII/ FIX Inhibitors FVIII/ FIX Inhibitors
Bleed
Management
ITT
Plasma-derived Beriate®
Monoclate-P®
Mononine®
Berinin®
Biostate®
Haemate® P
Humate-P®
- Haemate® P
Biostate®
Recombinant Helixate®
Recombinant
Bio-Better
Recombinant
Half life
extended

74

CSL Haemophilia Portfolio Overview

Haemophilia
A
Haemophilia
B
VWD FVIII/ FIX Inhibitors FVIII/ FIX Inhibitors
Bleed
Management
ITT
Plasma-derived Beriate®
Monoclate-P®
Mononine®
Berinin®
Biostate®
Haemate® P
Humate-P®
- Haemate® P
Biostate®
Recombinant Helixate®
Recombinant
Bio-Better
CSL627
rVIII-SC
Recombinant
Half life
extended
CSL654
rIX-FP
Research
rvWF-FP
CSL689
rVIIa-FP

75

Status of Haemophilia A Products

  • Growing Market

Total market size in IU FVIII only (excl. VWD) 7.3BIU ($5.04B)

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  • CSL market leader in plasma derived products

  • Significant opportunity to grow our own rFVIII

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CSL Behring rec. FVIII CSL Behring pd. FVIII

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Status of Haemophilia B Products

Total market size in IU 1.1BIU ($0.84B)

  • Anticipated $1Bn market in next 4-5 years

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CSL Behring pd. FIX

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  • In longer term 2/3 of market likely to shift to half life extended products

  • CSL has the potential to be a major player

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Status of Haemophilia Inhibitor Bleeding: rFVIIa

  • Only bleeding management

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100%
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Total market size $1.05Bn

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rFVIIa Market

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  • Most of the market likely to shift to extended half life products

  • CSL is developing a potentially very competitive product

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Product Features

CSL654 (rIX-FP) Features

Attribute Ideal TPP* CSL654 (rIX-FP)
Range of vials Wide
Human protein in manufacturing/
formulation process?
No
Animal protein in purification process? No
Half life extension technology Low immunogenicity
PK: Half life extension > three fold 
PK: Recovery > 1.2 (IU/mL)/(IU/kg)
Cell line CHO
Reconstitution volume Low
Reconstitution device Simple, needle-free

*Target Product Profile

80

CSL689 (rVIIa-FP) Features

SL689 (rVIIa-FP) Features SL689 (rVIIa-FP) Features SL689 (rVIIa-FP) Features
Attribute Ideal TPP CSL689 (rVIIa-FP)
Range of vials Wide
Animal / Human protein in manufacturing/
formulation process?
No
Half life extension technology Low immunogenicity
PK: Half life extension > 6 fold 
Cell line CHO
Reconstitution volume Low
Reconstitution device Simple, needle-free

*Target Product Profile

81

CSL627 (rVIII-SingleChain) Features

SL627 (rVIII-SingleChain) Features SL627 (rVIII-SingleChain) Features SL627 (rVIII-SingleChain) Features
Attribute Ideal TPP CSL627
Range of vials Wide
Human protein in manuf. / formulation proc? No
Animal protein in purification proc? No
Chain One
Binding to VWF High affinity
BDD Yes (yield)
PK: Half life extension 3 fold extension Approx. 1.3 times
Cell line CHO
Immunogenicity risk Low
Reconstitution volume Low
Reconstitution device Simple, needle-free

*Target Product Profile

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Advantages of Albumin as a Fusion Partner

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Proof of
Concept for
complex
proteins
established
Long half-
life with
understood
clearance
Albumin
mechanism
Abundant, fusion
natural proteins
carrier, low expressed
immunog. as a single
potential entity
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CSL654 (rIX-FP) & CSL689 (rVIIa-FP)

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Scientific Edge
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Precise
rAlbumin as engineering
fusion of specially
platform designed
linker
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Improved half life, extended dosing interval

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Scientific Edge: rIX-FP Prophylactic Dosing Interval

• Standard dosing

2  3 x per week

MON TUE WED THU FRI SAT SUN MON TUE WED

• CSL654 dosing

1 x per 1  2 week

MON TUE WED THU FRI SAT SUN MON TUE WED

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Scientific Edge: rVIIa-FP Prophylactic Dosing Interval

• Standard dosing

MON TUE WED THU FRI SAT SUN MON TUE

• CSL689 dosing 2  3 x per week MON TUE WED THU FRI SAT SUN MON TUE

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CSL627 (rVIII-SingleChain)

~~Me[++]~~ A1 A2 A3 C1 C2

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Covalent bond
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Commercial
Scientific Edge
Edge
Improved Improved
High VWF
financial molecular
affinity
contribution stability
Opportunity for Extended
Dosing Interval
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Scientific Edge: rVIII Prophylactic Dosing Interval

• Standard dosing

MON TUE WED THU FRI SAT SUN MON TUE bleeding risk • Alternative dosing TUE FRI TUE morning evening morning

  • CSL627 will be tested in both dosing regimens

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Rec. Coag Portfolio Summary

2015

  • CSL654 (rIX-FP)

  • Recombinant fusion protein genetically linking coagulation factor IX with recombinant human albumin

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2016

  • CSL627 (rVIII-SingleChain)

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  • Recombinant single - chain factor VIII

  • 2017

  • CSL689 (rVIIa-FP)

  • Recombinant fusion protein genetically linking coagulation VIIa with recombinant human albumin

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Sharing our Results

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Summary Commercial Opportunities Haemophilia Products

  • $7-8Bn market and growing

  • Significant upside potential by entering new markets

  • New CSL product portfolio meets/exceeds the “ideal” TPP

  • “Albumin” technology provides a strong competitive edge

  • CSL has one of the most experienced commercial organisations in the coagulation business, with a proven track record in Haemophilia and other coagulation related disorders like POB

91

Licensing and Collaborations

Licensing

Optimise value of IP Portfolio and assets

Breakthrough Medicines Specialty Immunoglobulins Products

  • Partner high opportunity products

  • GARDASIL[®] IP

  • GM-CSFRa (Medi/AZ)

  • Periodontal disease (Sanofi)

  • Continue broad licensing strategy for ISCOMATRIX[®] adjuvant

Haemophilia Products

93

GARDASIL[®]

Impact of Australian HPV Vaccination Program

  • Significant reduction in genital warts and high grade abnormalities[1,2]

  • Long term protection

  • Studies indicate no break through disease 6 & 7 yrs post immunisation

  • Male clinical data

  • Efficacy against external genital lesions established

  • Efficacy against anal disease under review by the TGA (approved in US & Canada)

  • V503: 9-Valent HPV Vaccine

  • Pivotal efficacy study completed (N=14,000)

  • Anticipated global regulatory filings mid 2012

94

1 Donovan et al, Lancet Nov 2010 2. Brotherton et al, Lancet 2011

CAM3001 / Mavrilimumab

Rheumatoid arthritis

  • common chronic inflammatory disease of the joints

  • market opportunity – DMARD / biological DMARD

  • inadequate responders

CAM3001

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  • a

  • fully human mAb targeting the GM-CSFR

  • licensed to MedImmune / AstraZeneca

  • CSL to receive milestones and royalties

  • phase II study commenced in 2010

  • study results presented at ACR meeting, October 2011

95

Mavrilimumab Phase IIa Study

  • 3 mnth sequential ascending dose study, dosing every 2nd wk

Proportion of subjects achieving a change of 1.2 from baseline DAS28-CRP

  • 233 subjects with active RA

  • Mavrilimumab showed a rapid (< 2 wks) and significant clinical effect compared with placebo, especially in the higher (100 mg) dose cohort

  • Clinical activity maintained at 12 wks

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Weeks
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p<0.05; p<0.01
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  • Short-term safety profile to support further clinical development

96

ISCOMATRIX[®] Adjuvant Partnering Activities

  • Major partners continue to advance vaccine development programs using ISCOMATRIX[®] adjuvant

  • Merck

  • Additional field

  • into clinic

  • Pfizer

  • Program in GLP tox study

  • ~40 fields across all partners

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Value
Broad Exclusive
Licenses Manufacture
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97

NIH Multi-site CMV Trial

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  • CMV infection is the leading known cause of birth abnormalities in developed countries

  • 1-2% of pregnant women are infected with CMV

  • Total live births per year with CMV disease in US >6,000

  • Partnership with US National Institutes of Health (NIH) to determine efficacy of CMV immunoglobulin in preventing mother to baby transmission

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  • Large multi-site clinical trial involving >150,000 women commencing December 2011

  • CSL donating Cytogam[®] , the only registered CMV immunoglobulin in the US.

  • Primary analysis expected 2016

98

Summary

 Global R&D Portfolio  December 2011

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Immunoglobulins
Haemophilia
Specialty Products
Influenza Vaccine
Fibrinogen Fibrinogen Privigen®CIDP EU Biostate® EU Hizentra® US
New Indications Aortic Surgery
Zemaira® EU Berinert ® Hizentra® EU
New Indications PCC Beriplex ® US Self Admin FXIII US
Riastap® US
Riastap® EU
Novel Plasma CSL689 rVIIa-FP
Proteins CSL654 rIX-FP
rvWF-FP CSL627 rFVIII
Rec Coagulation
Factors
Partnered Vaccine Partnered Vaccine Partnered Vaccine Partnered Vaccine
Programs Programs Programs Programs
P gingivalis POD CSL112 CAM3001
CRC-OHS/Sanofi * reconstituted HDL GM-CSFR - AZ
CSL362 IL-3R
CSL324 G-CSFR
VEGFB
Discovery
Projects IL-13R
Core Capabilities Immunoglobulins Haemophilia Specialty Products Breakthrough Medicines Vaccines & IP
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*Partnered Projects

LCM includes direct post marketing commitments as well as pathogen safety, capacity expansions, yield improvements, new packages and sizes for all registered products

100

Expected Progress in next 12 Months

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Hizentra
rIX-FP
ROW
rVIIa-FP Hizentra
CIDP
CSL362
Privigen CIDP
Berinert Biostate
SC EU
Beriplex
CSL112
US
Hi
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101

 Short to Mid-term Target Launch Dates

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2016
2012 2013 2014 2015 2016
Biostate CSL654 CSL627
EU rIX-FP rFVIII
Beriplex® US Fibrinogen Zemaira® Berinert®
Bleeding Aortic Surgery EU SC
Berinert® Beriplex® US
Self Admin Surgical
Hizentra® Privigen®CIDP Hizentra®
EU EU CIDP
Core Capabilities Immunoglobulins Haemophilia Specialty Products Breakthrough Medicines Vaccines & IP
Partnered Projects
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*Calendar Years

102

Q&A