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Immuron Ltd — Investor Presentation 2024
Apr 22, 2024
35121_rns_2024-04-22_3430beac-9c91-4004-ae1e-ba3a9eb42d75.pdf
Investor Presentation
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Immuron CEO, Steven Lydeamore to present at The Watchlist
Melbourne, Australia, April 23, 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 The Watchlist, to be held on Tuesday 23rd April 2024, 12:00pm AEST/ 10:00am AWST.
Chief Executive Officer, Steve Lydeamore will provide an update on Travelan® sales growth, clinical pipeline achievements and upcoming milestones.
Following the presentation, attendees will have the opportunity to ask questions directly to Mr. Lydeamore during a moderated Q & A session.
This webinar can be viewed live via zoom & you register via the link below.
Zoom: https://blog.the-pick.com.au/webinars/the-watchlist-webinar
A recorded copy of the webinar will be made available following the event.
A copy of the presentation is included below.
This release has been authorised by the directors of Immuron Limited.
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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.
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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).
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
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®.
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.
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
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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.
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THE WATCHLIST INVESTOR PRESENTATION 23 APRIL 2024 Steven Lydeamore - CEO NASDAQ: IMRN ASX: IMC
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.
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EXECUTIVE SUMMARY
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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
Financial Snapshot
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Two commercially available oral immunotherapeutic products – Travelan® and Protectyn®
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Company 4 clinical programs: Travelan®(IMC: Phase 2 CHIM trial), Travelan®(USU: Phase 4 field study), CampETEC (NMRC: Phase 2 CHIM trial), IMM-529 (IMC:
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Overview Protocol development phase, Phase 2 trial)
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• Flagship product Travelan® growing strongly as overseas travel rebounds • Travelan® (IMM-124E) Phase 2 CHIM trial topline results
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• Travelan® (IMM-124E) Travelan® Uniformed Health Services University
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Business (USU) P2TD IMM-124E field clinical trial recruited ~64% of target 866
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Update • CampETEC Phase 2 clinical trial completed inpatient phase
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• Sales 1 Jul 23 to 31 Mar 24 of A$3.6 million up 154% on pcp (unaudited)
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• Evaluating options to enter international markets through distributors
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Results & • Evaluating options to add to marketed products portfolio Outlook
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| Shares on Issue | 227,998,346 | 227,998,346 | |||
|---|---|---|---|---|---|
| Total Options Last Traded Price 52 week High/Low |
15,368,559 IMC: A$0.10 IMC: A$0.17/0.065 IMRN: $5.96/1.48 |
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| Market Cap | IMC: A$22.79m | ||||
| Cash & Cash Equivalents (as at 31 Dec 23) |
A$15.2m | ||||
| Major Shareholders | |||||
| Holder | Units | % of CSO | |||
| BNY Mellon Asset Management | 81,362,005 | 35.7 % | |||
| Management & Board Authentics Australia Pty. Ltd. |
6,904,554 5,500,000 |
3.0 % 2.4 % |
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| Grandlodge | 3,846,712 | 1.7 % | |||
| as of 19 April 2024 |
IMM-124E BILLION DOLLAR MARKET - HIGH UNMET NEED
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Billion Dollar Market
Traveller’s diarrhoea treatment market is large and growing at a CAGR of ~7%[1]
Industry tailwinds
Travel picking up significantly following COVID lockdowns
Frequent Symptoms
30% - 70% of travelers experience traveller’s diarrhoea[2]
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There are no current reliable vaccines for prevention of Travellers’ diarrhoea[2]
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Enterotoxigenic Escherichia coli (ETEC) is the leading cause of Travellers’ diarrhoea[2]
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Travelan® is a hyperimmune bovine colostrum produced by immunization of cows during gestation with a vaccine consisting of antigens derived from 13 different ETEC strains known to cause Travelers’ diarrhea
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Travelan® is broadly cross-reactive with other ETEC strains not included in the vaccine and other gram-negative bacteria ( Shigella, Vibrio cholera, Campylobacter spp .)[3,4]
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Diarrhea ranked 1[st] among 57 infectious disease threats by the 2019 Military Infectious Disease Research Program’s Infectious Disease Threat Prioritization Panel based on its impact to readiness[5]
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• 76% of Soldiers in OIF and OEF experienced traveler’s diarrhea early in their deployment[5]
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1 https://www.transparencymarketresearch.com/travelers-diarrhea-market.html;[2] Centers for Disease Control and Prevention CDC.gov 2024;[3] Sears et al., Clin. Vaccine Immunol. 2017 https://doi.org/10.1128/cvi.00186-16;[4] Islam et al., PLOS one 2023 https://doi.org/10.1371/journal.pone.0294021; ;[5] Olson et al. “Tropical Diseases, Travel Medicine and Vaccines, 2019, 51-15 Page 3; OIF (Operation Iraqi Freedom); OEF (Operation Enduring Freedom)
TECHNOLOGY PLATFORM
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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.[*]
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.
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STEP 1
Development of Highly Specific Vaccines
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STEP 2
STEP 3
Isolation of Hyperimmune Oral Antimicrobial antibody-rich therapeutics bovine colostrum without drawbacks of antibiotics
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FINAL PRODUCT
Toxin Neutralization +
Clearance of targeted gut pathogens
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Reduce occurrence and reduce/relieve diarrhoea
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Reduce/relieve abdominal cramping
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Reduce/relieve gastrointestinal pain
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Assists repair of gastrointestinal/gut wall lining
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Enhance/promote immune defence
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Enhance/promote health liver function
Australian Permitted indications; these statements have not been evaluated by the Food and Drug Administration (FDA)
* Gomes et. al., NFS Journal, Volume 25, November 2021, pages 1- 11, https://doi.org/10.1016/j.nfs.2021.10.001
TRAVELAN® SALES CONTINUE STRONG GROWTH
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| Global | • FYTD Mar 2024 AUD$3.6 million up 154% on (prior comparative period) pcp • Mar 2024 Quarter AUD$1.3 million up 51% on pcp and 75% on last quarter |
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| Australia | • FYTD Mar 2024 AUD$2.8 million up 234% on pcp • Mar 2024 Quarter AUD$0.9 million up 66% on pcp and 99% on last quarter |
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| USA | • FYTD Mar 2024 AUD$0.8 million up 35% on pcp • Mar 2024 Quarter AUD$0.3 million up 7% on pcp and 18% on last quarter • Sales commenced on Walmart.com |
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STATUS OF PRODUCT PORTFOLIO AND KEY MILESTONES
US Department of Defense grant of US$4.45 million to examine a dosing regimen for Travelan® more suited for use by the military
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Immuron’s Clinical Programs
Compound or Indication Phase Phase Phase Market
brand name I II III
Traveler’s
IMM-124E
Diarrhea ETEC
Travelan®
challenge
Clostridioides
difficile
IMM-529
Infection &
Recurrence
Our Partners’ Clinical Programs
Compound or Partner Phase Phase Phase Market
brand name I II III
Travelan® Uniformed Services University
CampETEC Naval Medical
Research Center
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Market evaluation by Lumanity confirms the Traveler’s Diarrhea market opportunity for IMM-124E (Travelan®)
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IMM-124E (Travelan®) Phase 2 CHIM trial topline results – 7 March 2024
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Anticipated clinical study report – June/July 2024
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Market evaluation by Lumanity confirms the Clostridioides difficile market opportunity for IMM-529
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600mg solid dose active formulation development completed
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Manufacture of cGMP IMM-529 –December 2023
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Anticipated pre-IND submission to the FDA – 30 June 2024
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Travelan® - Uniformed Services University has recruited ~64% of 866 participants in a randomized clinical trial with Travelan® to evaluate the effectiveness for prophylaxis during deployment or travel to a high traveler’s diarrhea risk region
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Anticipated completion of enrollment – July/August 2024
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Anticipated topline results – December 2024
Naval Medical Research Center Clinical Trials of CampETEC in campylobacter and enterotoxigenic E.coli (ETEC)
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Animal ethics approval for Toxicology study – November 2022
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Immuron sponsored Toxicology study completed - December 2022
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Phase 2 CHIM completion of inpatient phase – December 2023
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Anticipated topline results – June/July 2024
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*Further information on the clinical programs can be found on slide 8
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NEAR TERM MILESTONES ANTICIPATED TO DRIVE VALUE
2H 2022 1H 2023 2H 2023 1H 2024 2H 2024
• FDA IND [1] approved for • IRB Approval [4] • 100% of patients enrolled • Topline results for IMM- • Clinical Study Report
single daily dose IMM- • Initiated IMM-124E ETEC [2] • Completion of In-patient 124E ETEC2 clinical trial • End of Phase 2 FDA
Travelan® 124E ETEC [2] CHIM [3] clinical CHIM [3] clinical trial phase ETEC [2] CHIM [3] meeting
trial clinical trial
• Submitted Response • Toxicology Study Report • Institutional Review • Completion of In- • Topline results for
Letter to FDA Clinical Hold • FDA IND [1] approved Board approval of NMRC [5] patient phase CampETEC
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Immuron sponsored (Clinical Hold released) CampETEC CampETEC Campylobacter CHIM [3]
Toxicology study - Campylobacter CHIM [3] Campylobacter CHIM [3] clinical trial
CampETEC
completed clinical trial protocol clinical trial
• Initiated IMM-124E
Campylobacter CHIM [3]
clinical trial
• 600 mg solid dose active • IMM-529 cGMP • IMM-529 (CDI) [7] Pre- • FDA meeting
IMM-529
formulation development manufacture IND [1] submission
• USU [6] P2TD IMM-124E • ~64% of 868 participants • Completion of • Topline results
field clinical trial recruited enrollment
Travelan®
recruitment
commencement
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Completed; 1. Investigational New Drug; 2. Enterotoxigenic E.coli ; 3. controlled human infection model; 4. Institutional Review Board; 5. Naval Medical Research Command; 6. Uniformed Health Services University of the Health Sciences; 7. Clostridioides Difficile
IMMURON’S CLINICAL PROGRAMS – OPPORTUNITY ASSESSMENT
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› Infectious disease experts reacted favorably to the IMM-529 MOA, and its unique ability to target three elements of the rCDI infection – the spores, vegetative cells, and Toxin B
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› Non-microbiome approaches (such as IMM-529) are still appealing to experts, who noted that clinical trial efficacy (reduction in relapse rate) and cost/access will be the key drivers of clinical use in recurrent patients, not mechanism of action
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› Immuron’s development of IMM-124E (hyperimmune bovine colostrum) as a prescription medication has the potential to address this unmet need
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› Primary care physicians (PCP)s impressed with clinical efficacy endpoint targets demonstrating > 80% protection against the development of diarrhea.
› If base case efficacy targets are reached, IMM-124E would mostly be used by travelers going to the highest risk areas (e.g., rural Central America/Asia/Africa).
Based on the estimated market size, anticipated payer restrictions, pricing, and competition, base case yearly revenue in USA for IMM-529 is conservatively projected at US$93M for the target patient population (limited to 2nd recurrence and later based on trial design and payer coverage)
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› Based on the estimated market size and pricing, the base case yearly revenue in USA for IMM-124E is projected at US$102M .
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› Reaching higher efficacy goals could broaden use.
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- › Positioning IMM-529 earlier than second recurrence and/or efficacy targets could lead to higher uptake.
Compound or brand name
Indication
Phase I
Phase II
Phase III Market
IMM-124E - Travelan®
IMM-529
Traveler’s Diarrhea ETEC challenge
Clostridioides difficile Infection & Recurrence
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Lumanity, a leading lifescience consulting company: https://lumanity.com/company/our-story/
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IMM-124E PHASE 3 STRATEGY
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Pre 2H 2024 1H 2025 2H 2025 Post
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• • • • • Phase 1 clinical study Clinical Study Report Phase 3 FDA meeting Initiate Phase 3 Trial duration ~ 2 •
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(Baltimore, 1996) End of Phase 2 FDA years
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• • Phase 2 clinical study meeting End of Phase 3 FDA (Poland, 2000) meeting
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• FDA[1] IND[2] approval • BLA[3] submission (December 2022)
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Phase 2 clinical study (Baltimore, 2024)
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The pivotal registration studies will 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)
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The studies will enroll approximately 1200 healthy adult subjects (600 subjects in two studies) traveling to regions with high TD risk.
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Subjects will be randomized 1:1 to receive Travelan® or placebo.
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Dosing will begin 3 days prior to arrival in country and for at least 14 days in country.
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The primary endpoint will be the development of TD.
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- U.S. Food and Drug Administration; 2. Investigational New Drug; 3. Biologics License Application
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WORLD FIRST TRIPLE MECHANISM OF ACTION FOR CDI
| IMM-529 | IMM-529 |
|---|---|
| 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, metronidazole, fidaxomicin) |
| Efficacy | • Mouse data demonstrated ~80% survival rate (7/9) vs. ~10% survival rate in a control group (1/9) in a recurrent CDI mouse model |
| Safety / Tolerability | • To be evaluated in Phase I/IIA study • Equivalent or better than current standard of care |
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11
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STEVEN LYDEAMORE CHIEF EXECUTIVE OFFICER IMMURON LIMITED CONTACT INFORMATION:
EMAIL: [email protected] PHONE: AUSTRALIA: +61 438 027 172
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SCIENTIFIC REFERENCES
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Travelan® (IMM-124E)
Travelan® has been shown to reduce both the incidence and severity of ETEC-induced diarrhea in up to 90% of volunteers
Scandinavian Journal of Gastroenterology, 46:7-8, 862-868, DOI: 10.3109/00365521.2011.574726
Clinical Evaluation of Travelan® an Oral Prophylactic for Prevention of Travelers’ Diarrhea in Active Duty Military Service Assigned Abroad.
Military Health System Research Symposium 14-17 Aug 2023_Abstract 1
Travelan as a broad Spectrum anti-bacterial
Immuron Limited, 29 April, 2011
Travelan® demonstrates broad reactivity to Vibrio cholera strains from Southeast Asia indicating broad potential for prevention of traveler’s diarrhea
Travelan® demonstrates broad reactivity to Vibrio cholera strains from Southeast Asia indicating broad US Department of Defense, Armed Forces Research Institute of Medical Sciences potential for prevention of traveler’s diarrhea (AFRIM), 4 September, 2019 Travelan® prevented clinical shigellosis (bacillary dysentery) in 75% of Travelan® treated animals compared US Department of Defense, Armed Forces Research Institute of Medical Sciences to placebo and demonstrated a significant clinical benefit (AFRIM), 5 September, 2018 Travelan® able to bind and was reactive to 60 clinical isolates of each bacteria, Campylobacter, ETEC, and US Department of Defense, Armed Forces Research Institute of Medical Sciences Shigella (AFRIM), 30 January, 2017 Bioactivity and efficacy of a hyperimmune bovine colostrum product- Travelan, against shigellosis in a nonIslam D, Ruamsap N, Imerbsin R, Khanijou P, Gonwong S, Wegner MD, et al. (2023) Human primate model (Macaca mulatta) 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. Bioactive Immune Components of Travelan® Clin Vaccine Immunol 24:e00186-16. https://doi.org/10.1128/CVI.00186-16 Hyperimmune bovine colostrum containing lipopolysaccharide antibodies (IMM-124E) has a non-detrimental Infect Immun. 2023 Nov; 91(11): e00097-23.
Hyperimmune bovine colostrum containing lipopolysaccharide antibodies (IMM-124E) 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
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