AI assistant
Immuron Ltd — Investor Presentation 2024
Jul 30, 2024
35121_rns_2024-07-30_651d8727-fe9f-4e42-aff7-98b402ad7789.pdf
Investor Presentation
Open in viewerOpens in your device viewer
==> picture [202 x 56] intentionally omitted <==
Immuron CEO, Steven Lydeamore to present at TechKnow Invest Roadshow
Melbourne, Australia, July 31, 2024: Immuron Limited (ASX: IMC; NASDAQ: IMRN), an Australian based and globally integrated biopharmaceutical company is pleased to advise our Chief Executive Officer, Steven Lydeamore will be presenting at TechKnow Invest Roadshow on Wednesday 31 July 2024, 12:30pm AEST at Rydges, Melbourne, Australia.
This event will be live-streamed. Free registration to watch online is available via this link: www.techknowinvestroadshow.com.au/livestreamingregistration. A copy of the presentation being made is included below.
This release has been authorised by the directors of Immuron Limited.
-
-
- END - - -
-
COMPANY CONTACT:
Steven Lydeamore Chief Executive Officer [email protected]
About Immuron
Immuron Limited (ASX: IMC, NASDAQ: IMRN), is an Australian biopharmaceutical company focused on developing and commercializing orally delivered targeted polyclonal antibodies for the treatment of infectious diseases.
About Travelan®
Travelan® is an orally administered passive immunotherapy that prophylactically reduces the likelihood of contracting travelers’ diarrhea, a digestive tract disorder that is commonly caused by pathogenic bacteria and the toxins they produce. Travelan® is a highly purified tabletized preparation of hyper immune bovine antibodies and other factors, which when taken with meals bind to diarrhea-causing bacteria and prevent colonization and the pathology associated with travelers’ diarrhea. In Australia, Travelan® is a listed medicine on the Australian Register for Therapeutic Goods (AUST L 106709) and is indicated to reduce the risk of Travelers’ Diarrhea, reduce the risk of minor gastro-intestinal disorders and is antimicrobial. In Canada, Travelan® is a licensed natural health product (NPN 80046016) and is indicated to reduce the risk of Travelers’ Diarrhea. In the U.S., Travelan® is sold as a dietary supplement for digestive tract protection.
Travelers’ diarrhea (TD)
TD is generally defined as the passage of ≥ 3 unformed stools per 24 hours plus at least one additional symptom (such as nausea, vomiting, abdominal cramps, fever, blood/mucus in the stools, or fecal urgency) that develop while abroad or within 10 days of returning from any resource-limited destinations (Leung et al., 2006). Diarrhea continues to be the most frequent health problem among travelers to destinations in lower- and middle-income regions (Steffen, 2017). Deployed US military personnel, essentially representing a long-term traveller population, are particularly affected given their population dynamics and the context in which they seek care and treatment (Connor et al., 2012). Diarrhea is the leading infectious disease threat to the overall health and preparedness of deployed US armed forces, with diarrheagenic E. coli, Campylobacter spp., and Shigella spp. among the most commonly reported etiologies (Riddle et al., 2006).
==> picture [567 x 64] intentionally omitted <==
==> picture [138 x 38] intentionally omitted <==
Immuron Platform Technology
Immuron’s proprietary technology is based on polyclonal immunoglobulins (IgG) derived from engineered hyper-immune bovine colostrum. Immuron has the capability of producing highly specific immunoglobulins to any enteric pathogen and our products are orally active. Bovine IgG can withstand the acidic environment of the stomach and is resistant to proteolysis by the digestive enzymes found in the Gastrointestinal (GI) tract. Bovine IgG also possesses this unique ability to remain active in the human GI tract delivering its full benefits directly to the bacteria found there. The underlying nature of Immuron’s platform technology enables the development of medicines across a large range of infectious diseases. The platform can be used to block viruses or bacteria at mucosal surfaces such as the Gastrointestinal tract and neutralize the toxins they produce.
IMM-124E (Travelan®)
IMM-124E was developed using Immuron’s platform technology. IMM-124E is produced from the colostrum of birthing cattle that have been immunised during pregnancy with a vaccine containing the outer antigens of multiple human derived ETEC. A total of 13 ETEC strains are used in the vaccine to produce high levels of antibodies against selected surface antigens from the most common strains of ETEC.
The resultant hyperimmune colostrum IMM-124E from ETEC vaccinated cows contains significant levels of polyclonal antibodies specific for ETEC antigens LPS, CFA-I and Flagellin (Sears et al., 2017).
The antibodies produced in IMM-124E have been found to have a stronger binding and neutralizing activity (than the antibodies of unvaccinated cattle) against a wide range of LPS antigens including both the variable O-polysaccharide region and the preserved oligosaccharide core ‘R’ region of LPS from the 13 serotypes used in the ETEC vaccine.
IMM-124E is manufactured into a tablet form referred to as Travelan®.
IMM-529
Immuron is developing IMM-529 as an adjunctive therapy in combination with standard of care antibiotics for the prevention and/or treatment of recurrent Clostridioides difficile infection (CDI). IMM-529 antibodies targeting Clostridioides difficile (C. diff) may help to clear CDI infection and promote a quicker re-establishment of normal gut flora, providing an attractive oral preventative for recurrent CDI.
Immuron is collaborating with Dr. Dena Lyras and her team at Monash University, Australia to develop vaccines to produce bovine colostrum-derived antibodies. Dairy cows were immunised to generate hyperimmune bovine colostrum (HBC) that contains antibodies targeting three essential C. diff virulence components. IMM-529 targets Toxin B (TcB), the spores and the surface layer proteins of the vegetative cells.
This unique 3-target approach has yielded promising results in pre-clinical infection and relapse models, including (1) Prevention of primary disease (80% P =0.0052); (2) Protection of disease recurrence (67%, P <0.01) and (3) Treatment of primary disease (78.6%, P<0.0001; TcB HBC). Importantly IMM-529 antibodies cross-react with whole cell lysates of many different human strains of C. diff including hypervirulent strains.
To our knowledge, IMM-529 is, to date, the only investigational drug that has shown therapeutic potential in all three phases of the disease (Hutton et al., 2017).
==> picture [567 x 65] intentionally omitted <==
==> picture [138 x 38] intentionally omitted <==
References
Connor P, Porter CK, Swierczewski B and Riddle MS. Diarrhea during military deployment: current concepts and future directions. Curr Opin Infect Dis. 25(5): 546-54; 2012.
Hutton, M.L., Cunningham, B.A., Mackin, K.E. et al. Bovine antibodies targeting primary and recurrent Clostridium difficile disease are a potent antibiotic alternative. Sci Rep 7, 3665 (2017). https://doi.org/10.1038/s41598-017-03982-5
Leung AK, Robson WL, Davies HD. Travelers’ diarrhea. Adv Ther. Jul-Aug; 23(4): 519-27; 2006
Otto W, Najnigier B, Stelmasiak T and Robins-Browne RM. Randomized control trials using a tablet formulation of hyperimmune bovine colostrum to prevent diarrhea caused by enterotoxigenic Escherichia coli in volunteers Scandinavian Journal of Gastroenterology 46: 862– 868; 2011.
Riddle MS, Sanders JW, Putnam SD, and Tribble DR. Incidence, etiology, and impact of diarrhea among long-term travelers’ (US military and similar populations): A systematic review. American Journal of Tropical Medicine and Hygiene. 74(5): 891-900; 2006.
Sears KT, Tennant SM, Reymann MK, Simon R, Konstantopolos N, Blackwelder WC, Barry EM and Pasetti MF. Bioactive Immune Components of Anti-Diarrheagenic Enterotoxigenic Escherichia coli Hyperimmune Bovine Colostrum products. Clinical and Vaccine Immunology. 24 (8) 1-14; 2017.
Steffen R. Epidemiology of travelers' diarrhea. J Travel Med. 24(suppl_1): S2-S5; 2017.
For more information visit: https://www.immuron.com.au/ and https://www.travelan.com
Subscribe for Immuron News: Here
FORWARD-LOOKING STATEMENTS:
This press release may contain “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, each as amended. Such statements include, but are not limited to, any statements relating to our growth strategy and product development programs and any other statements that are not historical facts. Forward-looking statements are based on management’s current expectations and are subject to risks and uncertainties that could negatively affect our business, operating results, financial condition, and stock value. Factors that could cause actual results to differ materially from those currently anticipated include: risks relating to our growth strategy; our ability to obtain, perform under and maintain financing and strategic agreements and relationships; risks relating to the results of research and development activities; risks relating to the timing of starting and completing clinical trials; uncertainties relating to preclinical and clinical testing; our dependence on third-party suppliers; our ability to attract, integrate and retain key personnel; the early stage of products under development; our need for substantial additional funds; government regulation; patent and intellectual property matters; competition; as well as other risks described in our SEC filings. We expressly disclaim any obligation or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in our expectations or any changes in events, conditions, or circumstances on which any such statement is based, except as required by law.
==> picture [567 x 65] intentionally omitted <==
NASDAQ: IMRN ASX: IMC
TechKnow Invest Roadshow
Steven Lydeamore Chief Executive Officer
31 JULY 2024
SAFE HARBOR STATEMENT
Certain statements made in this presentation are forward -looking statements and are based on Immuron’s current expectations, estimates and projections. Words such as “anticipates,” “expects,” “intends,” “plans,” “believes,” “seeks,” “estimates,” “guidance” and similar expressions are intended to identify forward -looking statements.
Although Immuron believes the forward-looking statements are based on reasonable assumptions, they are subject to certain risks and uncertainties, some of which are beyond Immuron’s control, including those risks or uncertainties inherent in the process of both developing and commercializing technology. As a result, actual results could materially differ from those expressed or forecasted in the forward-looking statements.
The forward-looking statements made in this presentation relate only to events as of the date on which the statements are made. Immuron will not undertake any obligation to release publicly any revisions or updates to these forward-looking statements to reflect events, circumstances or unanticipated events occurring after the date of this presentation except as required by law or by any appropriate regulatory authority.
YTD FY2024 results in this presentation are subject to audit review.
==> picture [143 x 35] intentionally omitted <==
Executive summary
Immuron Ltd (NASDAQ:IMRN) (ASX:IMC) is a globally integrated biopharmaceutical company focused on developing, and commercialising, oral immunotherapeutics for the treatment of gut mediated diseases
Company Overview
Financial Snapshot
Two commercially available oral immunotherapeutic products – Travelan® and Protectyn®
4 clinical programs: Travelan®(IMC: Phase 2 CHIM trial), Travelan®(USU: Phase 4 field study), CampETEC (NMRC: Phase 2 CHIM trial), IMM-529 (IMC: Protocol development phase, Phase 2 trial)
Business Update
Flagship product Travelan® growing strongly as overseas travel rebounds
recruited ~77% of target 866
CampETEC Phase 2 clinical trial completed inpatient phase
Travelan® (IMM-124E) Phase 2 CHIM trial topline results
Travelan® (IMM-124E) Travelan® Uniformed Services University (USU) P2TD IMM-124E field clinical trial
IMM-529 pre-IND filed with FDA
Results & Outlook
Sales 1 Jul 23 to 30 June 24 of A$4.9 million up 174% on pcp (unaudited)
Evaluating options to enter international markets
Evaluating options to add to marketed products portfolio
==> picture [257 x 117] intentionally omitted <==
----- Start of picture text -----
|||
|---|---|
|Shares on Issue|227,998,346|
|Total Options|15,078,839|
|Last Traded Price|IMC: A$0.092|
|52 week High/Low|IMC: A$0.17/0.065|
|IMRN: $5.96/1.48|
|Market Cap|IMC: A$21.0m|
|Cash & Cash Equivalents (as at 31|A$15.2m|
|Dec 23)|
----- End of picture text -----
Major Shareholders
==> picture [257 x 111] intentionally omitted <==
----- Start of picture text -----
||||
|---|---|---|
|Holder|Units|% of CSO|
|BNY Mellon Asset Management|78,622,184|34.5 %|
|Authentics Australia Pty. Ltd.|5,500,000|2.4 %|
|Grandlodge|3,846,712|1.7 %|
|Management & Board|1,954,070|0.9 %|
----- End of picture text -----
3
Technology platform
Immuron’s proprietary technology platform combines the natural human nutrition & health benefits of bovine colostrum with a novel class of specifically targeted oral polyclonal antibodies that offer delivery within the gastrointestinal (“GI”) tract and can be used to target viruses or bacteria and neutralize the toxins they produce at mucosal surfaces.
Bovine colostrum is the first milk of cows after calving. It is rich in immunoglobulins, lactoferrin, lysozyme, lactoperoxidase, growth factors and bioactive peptides. Colostrum has higher levels of protein, fat, vitamins, and minerals when compared to milk. This enables full development of the newborn calf in addition to immunity against several pathogens.*
==> picture [563 x 61] intentionally omitted <==
----- Start of picture text -----
Step 1 Step 2 Step 3 Final Product
Development of Highly Isolation of Hyperimmune Oral Antimicrobial therapeutic Toxin Neutralization +
Specific Vaccines antibody-rich bovine without drawbacks of Clearance of targeted gut
colostrum antibiotics pathogens
----- End of picture text -----
- Reduce occurrence and + Assists repair of reduce/relieve diarrhoea gastrointestinal/gut wall lining + Reduce/relieve abdominal cramping + Enhance/promote immune defence + Reduce/relieve gastrointestinal pain + Enhance/promote health liver function
Australian Permitted indications; these statements have not been evaluated by the Food and Drug Administration (FDA)
4
* Gomes et. al., NFS Journal, Volume 25, November 2021, pages 1-11, https://doi.org/10.1016/j.nfs.2021.10.001
Travelan® | Mechanism of action
Pre-Clinical Studies
Broad spectrum antimicrobial Protects against bacterial Binds to surface layer proteins Toxin neutralization and adhesion to host cell intestinal preventing bacterial clearance of targeted gut epithelia colonization and motility pathogens
Without Travelan® Bacteria attach to gut wall and infect
With Travelan[®] Bacteria neutralized by Travelan[® ] antibodies
==> picture [87 x 21] intentionally omitted <==
5
Addressable market & industry overview
Billion Dollar Market
Traveller’s diarrhoea treatment market is large and growing at a CAGR of ~7%
Industry tailwinds
Travel picking up significantly following COVID lockdowns
Frequent Symptom
30% - 70% of travelers experience traveller’s diarrhoea**
Chief Commercial Officer has
20+ year’s experience with local and global (Asia, UK) commercial leadership roles
with GSK and P&G
USA Market
FY24: launch on amazon.com
and Walmart.com Planning for increased market penetration in FY25
Evaluating options
for entry into international markets
to add marketed products to portfolio in FY25
$83m
Based on US annual travel numbers and a penetration rate of 15%, the market potential is estimated at
$83m*
$50m
Based on EU travel numbers and a penetration rate of 15%, the market potential is estimated at $50m*
$1.7b
Clostridioides difficile infections (CDIs) to grow to almost $1.7 billion by 2026, according to GlobalData
==> picture [87 x 21] intentionally omitted <==
6
* IMC Company Report - Travelan Market Analysis 2019 ** Centers for Disease Control and Prevention Yellow Book
Travelan® record sales
Global
-
- Full Year FY2024 AUD$4.9 million up 174% on (prior comparative period) pcp
-
- June 2024 Quarter AUD$1.3 million up 253% on pcp and 6% on last quarter
Australia
-
- Full Year 2024 AUD$3.7 million up 223% on pcp
-
- June 2024 Quarter AUD$1.0 million up 200% on pcp and 11% on last quarter
USA
-
- Record annual sales
-
- Full Year 2024 AUD$1.1 million up 74% on pcp
-
- June 2024 Quarter AUD$0.3 million up 546% on pcp; down 1% on last quarter
==> picture [338 x 540] intentionally omitted <==
7
Status of product portfolio and key milestones
Travelan®
MTEC 21-10-013 grant Phase 2
randomized clinical challenge study to examine a dosing regimen for Travelan® more suited to the militaryIMM-124E (Travelan®) IND 29087 FDA approval Dec 22
Top-line data 7 March 2024 Additional topline data – August 2024 Clinical Study Report – September 2024
Collaborative studies
Clostridioides difficile
IMM-529
Prevention of recurrent CDI infections Vaccine (spores, vegetative cells, and Toxin B)
600mg solid dose active formulation developed
Clinical protocol and trial preparation in progress pre-IND submission to FDA – 1 July 2024
Immuron’s Clinical Programs
Compound or brand name Indication Phase I Phase II Phase III Market IMM-124E Travelers’ Diarrhea Travelan® ETEC challenge Clostridioides difficile IMM-529 Infection & Recurrence
Travelan® P2TD
Field study Uniformed Services University
Phase 2 randomized clinical trial with Travelan® /Placebo to evaluate prophylactic effectiveness during deployment or travel to a high TD risk region Status ~77% of participants have been recruited (866 target) Anticipated topline results – 1Q 2025
CampETEC
NMRC Campylobacter and enterotoxigenic E. coli product
Manufactured by Immuron
Immuron sponsored GLP Toxicology study completed – Dec 2022 Phase 2 CHIM completion of inpatient phase – December 2023 6 month follow up completed – June 2024 Anticipated topline results – August 2024
Our Partners’ Clinical Programs
==> picture [436 x 150] intentionally omitted <==
----- Start of picture text -----
Compound or
brand name Partner Phase I Phase II Phase III Market
Uniformed Services University
Travelan®
Naval Medical Research
CampETEC Command
----- End of picture text -----
==> picture [87 x 21] intentionally omitted <==
8
==> picture [55 x 53] intentionally omitted <==
WORLD FIRST TRIPLE MECHANISM OF ACTION FOR CDI
| IMM-529:pre-IND filed with FDA July 2024 | IMM-529:pre-IND filed with FDA July 2024 |
|---|---|
| Indication / Target Population |
IMM-529 will be indicated for the treatment of recurrent_C. difficile_ infection |
| Product Description / Mechanism of Action |
• Novel antibody-containing therapeutic which neutralizes C.difficile but does not impact the microbiome • Targets not only toxin B but also spores and vegetative cells responsible for recurrence • Potential for use in combination with standard of care (e.g. vancomycin, metronidazole, fidaxomicin) • Targets many isolates |
| Dosage and ROA | • Oral administration, 3 x daily • Trial to test safety 7-day treatment course on top of standard of care (vancomycin, fidaxomicin) |
| Efficacy | 1. Prevention of primary disease (80% P =0.0052) 2. Protection of disease recurrence (67%, P <0.01) and 3. Treatment of primary disease (78.6%, P<0.0001; TcB HBC). |
| Safety / Tolerability | • To be evaluated in Phase I/IIA study • Equivalent or better than current standard of care |
==> picture [249 x 433] intentionally omitted <==
==> picture [143 x 35] intentionally omitted <==
IMM-124E Phase 3 strategy
Pre 2H 2024 1H 2025 2H 2025 Post Phase 1 clinical study Additional topline data FDA meeting – Phase 3 Initiate Phase 3 Trial duration ~ 2 years (Baltimore, 1996) analysis August 2024 clinical protocol End of Phase 3 FDA meeting Phase 2 clinical study Clinical Study Report (Poland, 2000) anticipated September 2024 BLA[3] submission FDA[1] IND[2] approval End of Phase 2 FDA meeting (December 2022) Phase 2 clinical study (Baltimore, 2024)
-
- The pivotal registration studies is anticipated to involve two
-
randomized, double-blind, parallel-group, placebo-controlled Phase 3 clinical studies (drug substance IMM-124E) to assess the efficacy and safety of Travelan® for prevention of traveler’s diarrhea (TD)
-
- Anticipated enrolment of approximately 1200 healthy adult subjects (600 subjects in two studies) traveling to regions with high TD risk.
-
- Subjects anticipated to be randomized 1:1 to receive Travelan® or placebo.
-
- Dosing anticipated to begin 3 days prior to arrival in country and for at least 14 days in country.
-
- The primary endpoint requested will be traveler’s diarrhea.
==> picture [87 x 21] intentionally omitted <==
10
- U.S. Food and Drug Administration; 2. Investigational New Drug; 3. Biologics License Application
Scientific references
Travelan® (IMM-124E)
Travelan® has been shown to reduce both the incidence and severity of ETECinduced diarrhea in up to 90% of volunteers
Clinical Evaluation of Travelan® an Oral Prophylactic for Prevention of Travelers’ Diarrhea in Active Duty Military Service Assigned Abroad.
Travelan as a broad Spectrum anti-bacterial
Travelan® demonstrates broad reactivity to Vibrio cholera strains from Southeast Asia indicating broad potential for prevention of traveler’s diarrhea
Travelan® prevented clinical shigellosis (bacillary dysentery) in 75% of Travelan® treated animals compared to placebo and demonstrated a significant clinical benefit
Travelan® able to bind and was reactive to 60 clinical isolates of each bacteria, Campylobacter, ETEC, and Shigella
Bioactivity and efficacy of a hyperimmune bovine colostrum product- Travelan, against shigellosis in a non-Human primate model (Macaca mulatta)
Bioactive Immune Components of Travelan®
Hyperimmune bovine colostrum containing lipopolysaccharide antibodies (IMM124E) has a non-detrimental effect on gut microbial communities in unchallenged mice
Administration of the Hyper-immune Bovine Colostrum Extract IMM-124E Ameliorates Experimental Murine Colitis
Scandinavian Journal of Gastroenterology, 46:7-8, 862-868, DOI: 10.3109/00365521.2011.574726 Military Health System Research Symposium 14-17 Aug 2023_Abstract 1 Immuron Limited, 29 April, 2011 US Department of Defense, Armed Forces Research Institute of Medical Sciences (AFRIM), 4 September, 2019
US Department of Defense, Armed Forces Research Institute of Medical Sciences (AFRIM), 5 September, 2018 US Department of Defense, Armed Forces Research Institute of Medical Sciences (AFRIM), 30 January, 2017 Islam D, Ruamsap N, Imerbsin R, Khanijou P, Gonwong S, Wegner MD, et al. (2023) Bioactivity and efficacy of a hyperimmune bovine colostrum product- Travelan, against shigellosis in a non-Human primate model (Macaca mulatta). PLoS ONE 18(12): e0294021.
Clin Vaccine Immunol 24:e00186-16. https://doi.org/10.1128/CVI.00186-16
Infect Immun. 2023 Nov; 91(11): e00097-23.
Journal of Crohn's and Colitis, Volume 13, Issue 6, June 2019, Pages 785–797, https://doi.org/10.1093/ecco-jcc/jjy213
IMM-529
Bovine antibodies targeting primary and recurrent Clostridium difficile disease are a potent antibiotic alternative
Sci Rep 7, 3665 (2017). https://doi.org/10.1038/s41598-017-03982-5
11
==> picture [419 x 419] intentionally omitted <==
==> picture [175 x 43] intentionally omitted <==
STEVEN LYDEAMORE CHIEF EXECUTIVE OFFICER IMMURON LIMITED CONTACT INFORMATION:
EMAIL: [email protected] PHONE: AUSTRALIA: +61 438 027 172
==> picture [55 x 53] intentionally omitted <==