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DIMERIX LIMITED — Interim / Quarterly Report 2016
Oct 10, 2016
64804_rns_2016-10-10_1b858dbe-11ff-4bd8-9b40-f89f1a8a7a23.pdf
Interim / Quarterly Report
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A clinical-stage drug development company Corporate Update – Interim study update Wednesday 12 October 2016
Quick overview
Key Assets
Who we are: A clinical-stage drug development company focused on discovering and developing new therapeutic treatments identified using our proprietary drug discovery platform.
Lead Program: DMX-200 currently in Phase II clinical trial for Chronic Kidney Disease (CKD) and US Orphan Drug Designation for Focal Segmental Glomerulosclerosis (FSGS).
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Pre IND meeting with FDA held 29[th] June 2016
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Therapeutic use patent granted in USA 19[th] April 2016
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Positive interim Phase 2 safety data announced Oct 2016
Discovery Platform: Receptor-HIT technology to identify clinical opportunities from drug-receptor interactions, and potential revenue generation.
Leadership: Commercially focused and experienced board and management with a record of hitting milestones and creating significant shareholder value.
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Corporate Snapshot
| ASX Code: | DXB |
|---|---|
| Share Price (10 Oct): | $.011 |
| Market cap: | $16.5m |
| Cash (30 Jun 16): | $2.0m |
| Shares on issue: | 1,497m |
| Performance Shares: | 75m |
| Options: | 98.7m |
| Top Shareholders | % |
|---|---|
| Mr. Peter Meurs | 21.19 |
| Yodambao Pty Ltd | 4.71 |
| Mrs Wishney Sritharan Krishnarajah | 3.41 |
| J&L Peterson | 2.87 |
| White Family | 2.70 |
| SRV Custodians Pty Ltd | 2.53 |
| Pfleger Family | 2.08 |
| Jampaso Pty Ltd (Williams Family) | 1.85 |
| Yodambao Investment | 1.54 |
| JGC Super Pty Ltd | 1.43 |
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DMX-200 – Why kidneys?
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Dimerix identified DMX-200 using Receptor-HIT
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Irbesartan Propagermaniu
(Irb) m (PPG)
AT1R CCR2
Off-patent Available for use
blockbuster as an anti-
treatment of high inflammatory agent
blood pressure – CCR2 mediated
Both receptors expressed in the kidney
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Published pre-clinical data show significant reduction in proteinuria when both receptors are targeted
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Standard of care treatment for CKD is angiotensin receptor blocker (ARB) or ACE inhibitor (ACEi)
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DMX-200 is adjunct (NOT combination) therapy comprising Irbesartan + Propagermanium
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Dimerix lead program – Why kidneys?
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Chronic Kidney Disease (CKD) – the big opportunity
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A global unmet medical need leading to kidney failure, cardiovascular disease and premature death
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Estimated 26 million people in the US
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Estimated US$2.6 billion spent in the US each year, mainly on late stage therapies due to lack of early stage treatment options
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The Orphan Pathway
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Enables shorter trials with fewer patients and cost benefits
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Registration brings seven years of exclusivity in the US market
DMX-200 secured orphan drug designation for Focal Segmental Glomerulosclerosis (FSGS)
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Scarring of kidney (glomerulus)
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Leakage of blood and protein
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Serious and chronic disease leading to kidney failure
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Current therapy:
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Steroids – serious side effects, resistance and non-response is common
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Followed by a cocktail of off-label treatments
Source: kidneyfailurewe.com
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FSGS renal survival rates
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Cumulative percentage renal survival in primary FSGS Percent survival; From: Nephrol Dial Transplant (1999) 14 [Suppl. 3]: 68-73
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Non Nephrotic Proteinuria: 0.3–3 g protein/day (PCR – 30-300 mg/mmol) Nephrotic proteinuria: >[3-3.5] g protein/day (PCR > 300-350 mg/mmol) Massive proteinuria: >14 g protein/day (PCR >1,400 mg/mmol)
i.e. a reduction in proteinuria has a profound effect on renal survival
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DMX-200 Phase II (Part A) Interim Data
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Study is on schedule and recruiting across four sites
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A total 21 of 30 participants dosed at end of Q3 2016
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Interim data shows DMX-200 well tolerated with encouraging safety profile
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All participants on stable irbesartan dose prior to start of treatment
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Participants dose of propagermanium escalated from 30 mg per day to a maximum of 240 mg per day
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Proteinuria measurement used was protein creatinine ratio (PCR) in mg/mol
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Three out of 11 participants (27%) who reached mid point (90 mg) show a ~ 50% reduction or greater in proteinuria over and above standard of care
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One participant achieved a 66% reduction in proteinuria at 90 mg dose
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Total participant exposure at end Q3 2016 was 67 months (5.5 years)
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CKD/FSGS treatment comparables
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Phase II asset, sparsentan, for treating FSGS – a dual angiotensin endothelin receptor blocker
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Completed Phase II for CCX140 in diabetic nephropathy – a CCR2 antagonist
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Patients removed from Standard of Care treatment 2 weeks prior to dosing
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Top line positive data showing improved proteinuria compared with standard of care (irbesartan) at 8 weeks
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Standard of Care (irbesartan) reduced total protein urine excretion per day by 19% and sparsentan by 47.4%
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Significant improvement in proteinuria on background of standard of care (ACE Inhibitor or ARB)
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Measured urine albumin creatinine ratio (ACR) change from baseline by 16% over “placebo” (standard of care) at best dose (geometric mean reduction at 12 weeks of 24%)
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NASDAQ Listed: CCXI, Market Cap: ~US$215 million
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NASDAQ Listed: RTRX, Market cap : ~US$817 million
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DMX-200: Path to Registration for FSGS
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Australian Phase II study
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Part A: Interim: confirmed safety and signs of efficacy: Reporting mid 2017
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Part B: Efficacy of optimal dose(s): Commencing 2017
US Investigation New Drug (IND) application
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Initial pharmacokinetic (PK) study
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Comparison of current three times daily version with extended release formulation
Phase 3 Development for FSGS – FDA Pre-IND meeting outcomes
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Agreed development as an adjunct (not combination) therapy
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Primary endpoint discussions positive:
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“A substantial change in proteinuria in patients with marked proteinuria at
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baseline may be an acceptable endpoint for traditional or accelerated approval…”
Potential for a single Phase 3 pivotal study
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Outlook for next 12–18 months
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DMX-200 Program
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Complete recruitment for Phase 2 Part A – Q4 2016
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Complete extended release formulation for propagermanium - 1H 2017
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Report Phase 2 dose escalation trial - mid 2017
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Open IND for PK study – mid 2017
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Commence Phase 2 Part B – 2H 2017
DMX-250 Program
- Further pre-clinical studies for NASH program
Platform Technology
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Potential indications include diabetic retinopathy, cancer fatigue and multiple sclerosis
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Research collaborations and assay licensing opportunities
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Further Information
Kathy Harrison, General Manager +61 419 359 149 [email protected]
James Williams, Executive Chairman +61 409 050 519 [email protected]
Dimerix Limited ACN 001 285 230 www.dimerix.com
Experienced board and management
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Executive Chairman:
| Dr James Williams | • 15 years experience starting, funding, running and exiting biotechnology companies |
|---|---|
| BSc(Hons), PhD, MBA, | • Co-founder of Dimerix and iCeutica (acquired in 2011 and now with 3 FDA drug approvals) |
| GAICD | • Co-founder and Investment Director of Yuuwa Capital ($40M venture capital fund) |
| General Manager: | |
| Ms Kathy Harrison | • 20 years experience in Biotech: AMRAD, Cytopia Research Pty Ltd, Phosphagenics Limited |
| MSc, Cert.Gov.(Prac), FIPTA | • Registered Patent and Trademark Attorney |
| Director: | |
| Dr Sonia Poli | • Former Senior Management at Hoffman la Roche and Executive at Addex Therapeutics (Switzerland) |
| MSc, PhD | • 20 years international experience in small molecule drug design, optimization and clinical development |
| • Expertise encompassing multiple therapeutic areas |
Director:
- Dr Liz Jazwinska • 25 years experience in R&D management and drug portfolio business development PhD, MBA, GAICD • Led Asia Pacific Partnering Group at Johnson and Johnson Research • Director Industry Engagement at Institute of Medical Biology, A*STAR, Singapore
Director:
- Mr David Franklyn • Experienced Director of ASX-listed companies in a variety of sectors BEcon • Extensive experience in financial analysis, corporate advice, business management and IR • Managing Director of Village National Holdings Limited
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