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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).

  • Pre IND meeting with FDA held 29[th] June 2016

  • Therapeutic use patent granted in USA 19[th] April 2016

  • 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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----- Start of picture text -----

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
----- End of picture text -----

  • Published pre-clinical data show significant reduction in proteinuria when both receptors are targeted

  • Standard of care treatment for CKD is angiotensin receptor blocker (ARB) or ACE inhibitor (ACEi)

  • 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

  • A global unmet medical need leading to kidney failure, cardiovascular disease and premature death

  • Estimated 26 million people in the US

  • 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

  • Enables shorter trials with fewer patients and cost benefits

  • Registration brings seven years of exclusivity in the US market

DMX-200 secured orphan drug designation for Focal Segmental Glomerulosclerosis (FSGS)

  • Scarring of kidney (glomerulus)

  • Leakage of blood and protein

  • Serious and chronic disease leading to kidney failure

  • Current therapy:

  • Steroids – serious side effects, resistance and non-response is common

  • 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

  • A total 21 of 30 participants dosed at end of Q3 2016

  • Interim data shows DMX-200 well tolerated with encouraging safety profile

  • All participants on stable irbesartan dose prior to start of treatment

  • Participants dose of propagermanium escalated from 30 mg per day to a maximum of 240 mg per day

  • Proteinuria measurement used was protein creatinine ratio (PCR) in mg/mol

  • 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

  • One participant achieved a 66% reduction in proteinuria at 90 mg dose

  • 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

  • Completed Phase II for CCX140 in diabetic nephropathy – a CCR2 antagonist

  • Patients removed from Standard of Care treatment 2 weeks prior to dosing

  • Top line positive data showing improved proteinuria compared with standard of care (irbesartan) at 8 weeks

  • Standard of Care (irbesartan) reduced total protein urine excretion per day by 19% and sparsentan by 47.4%

  • Significant improvement in proteinuria on background of standard of care (ACE Inhibitor or ARB)

  • 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%)

  • NASDAQ Listed: CCXI, Market Cap: ~US$215 million

  • 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

  • Part A: Interim: confirmed safety and signs of efficacy: Reporting mid 2017

  • Part B: Efficacy of optimal dose(s): Commencing 2017

US Investigation New Drug (IND) application

  • Initial pharmacokinetic (PK) study

  • Comparison of current three times daily version with extended release formulation

Phase 3 Development for FSGS – FDA Pre-IND meeting outcomes

  • Agreed development as an adjunct (not combination) therapy

  • Primary endpoint discussions positive:

  • “A substantial change in proteinuria in patients with marked proteinuria at

  • 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

  • Complete recruitment for Phase 2 Part A – Q4 2016

  • Complete extended release formulation for propagermanium - 1H 2017

  • Report Phase 2 dose escalation trial - mid 2017

  • Open IND for PK study – mid 2017

  • Commence Phase 2 Part B – 2H 2017

DMX-250 Program

  • Further pre-clinical studies for NASH program

Platform Technology

  • Potential indications include diabetic retinopathy, cancer fatigue and multiple sclerosis

  • 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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