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Opthea Ltd — Investor Presentation 2012
Nov 1, 2012
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Investor Presentation
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AUSBIOTECH INVESTMENT SHOWCASE
MELBOURNE NOVEMBER 2 2012
CIRCADIAN TECHNOLOGIES LIMITED ASX:CIR, OTCQX:CKDXY
Robert Klupacs, CEO & Managing Director
DISCLAIMER
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Investment in Circadian Technologies Limited (‘Circadian’) is subject to investment risk, including possible loss of income and capital invested. Neither Circadian nor any other member company of the Circadian Group guarantees any particular rate of return or performance, nor do they guarantee the repayment of capital.
This presentation is not an offer or invitation for subscription or purchase of or a recommendation of securities. It does not take into account the investment objectives, financial situation and particular needs of the investor. Before making any investment in Circadian, the investor or prospective investor should consider whether such an investment is appropriate to their particular investment needs, objectives and financial circumstances and consult an investment advisor if necessary.
This presentation may also contain forward-looking statements regarding the potential of the Company’s projects and interests and the development and therapeutic potential of the Company’s research and development. Any statement describing a goal, expectation, intention or belief of the Company is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties, particularly those inherent in the process of discovering, developing and commercialising drugs that are safe and effective for use as human therapeutics and the financing of such activities. There is no guarantee that the Company’s research and development projects and interests (where applicable) will receive regulatory approvals or prove to be commercially successful in the future. Actual results of further research could differ from those projected or detailed in this presentation. As a result, you are cautioned not to rely on forward-looking statements. Consideration should be given to these and other risks concerning research and development programs referred to in this presentation.
WHO WE ARE
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An Australian based emerging clinical stage company developing human therapeutic and diagnostic products from our extensive and worldwide dominant intellectual property platform in respect of VEGF-C, VEGF-D and VEGFR-3 and key relationships with leading cancer and eye research organisations.
OUR PRODUCTS
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• Developing antibody therapies to treat cancer and eye disease
-
» Based on unique ability to starve blood vessel and lymphatic vessel growth
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» Targeting significant unmet clinical needs in oncology & ophthalmology
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» Multi-billion dollar market opportunity
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» Shown in range of tumour models to significantly improve chemotherapy responses
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2 molecules currently in USA Phase 1 in cancer patients
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» VGX-100: Phase 2 to commence H1 2013 in brain cancer patients
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» IMC-3C5: Being developed by Eli Lilly under licence
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Clinical Trials in Eye diseases expected to commence H2 13
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» VGX-100 or VGX-300 in combination with Lucentis/Eylea for wet AMD
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» Topical VGX-100 or VGX-300 in Dry Eye Disease
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New generation cancer diagnostic – CUPGUIDE -developed in collaboration with Healthscope
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» Launched Q3 2012
OUR CORPORATE STRUCTURE
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Circadian
Technologies
Limited
100% 100% 100%
100% 100% 51.67% Listed
Ceres Precision PolyChip
Vegenics Pty Ltd Oncology Pty Ltd Opthea Pty Ltd Diagnostics Pty Ltd Pharmaceuticals Pty Ltd Syngene Limited investment in OIL
Rights to All rights Listed
IP Holding VGX-100 & Rights to Rights to to investment
Company for VEGF-C VGX-100 and VEGF Cancers in ANP. ASX Listed
all VEGF-C, antibodies in VGX-300 in reagents of 51.67% DiMitech investments
VEGF-D, cancer eye disease and Unknown Ownership Technology & Cash
VEGFr-3 IP therapy diagnostics Primary of Syngene
therapeutics
project Ltd
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OUR PRODUCTS ARE DESIGNED TO IMPROVE ON EXISTING ANTI-ANGIOGENIC THERAPIES WHICH TARGET VEGF-A
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OUR PRODUCTS ARE DESIGNED TO IMPROVE ON EXISTING ANTI-ANGIOGENIC THERAPIES WHICH TARGET VEGF-A
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Lucentis 2011 sales $US2.9B (wet AMD)
Source Roche
Avastin 2011 sales $US5.8B (cancer)
Source Roche
OUR APPROACH
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Combine a VEGF-C inhibitor (VGX-100/VGX300) with a VEGF-A inhibitor (Avastin, Lucentis or Eylea) (or small molecule drugs which also target VEGF-A) to improve and maintain inhibition of new blood and/or lymphatic vessel growth to treat cancers and various eye diseases .
IMPROVING ANTI-ANGIOGENESIS A MAJOR COMMERCIAL OPPORTUNITY
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-
Avastin[®] (a humanised VEGF-A Antibody):
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Effective but not in all patients
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Not all patients respond to therapy (30-50% response rate)
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25-50% of responders become “resistant” within 12 to 18 months
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Potential reasons:
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Tumour growth due to factors other than VEGF-A; and/or
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Other angiogenic factors being turned on when VEGF-A blocked
- (i.e. VEGF-C, VEGF-D)
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Acts only to “starve” tumours but does not target metastatic spread
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IMPROVING ANTI-ANGIOGENESIS A MAJOR COMMERCIAL OPPORTUNITY
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Lucentis[®] (a humanised VEGF-A Antibody):
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Approved for use in “wet” AMD (new blood vessel growth in retina causing leakage)
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Huge and Growing market due to aging
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Effective but not in all patients
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Not all patients respond to therapy (50-70% response rate)
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Potential reasons:
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Blood vessel growth due to factors other than VEGF-A; and/or
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Other angiogenic factors being turned on when VEGF-A
-
blocked
-
(i.e. VEGF-C, VEGF-D)
-
-
Possible role of lymphatics
-
U87MG GLIOBLASTOMA TUMOR XENOGRAFTS: VGX-100 EFFECTIVE IN COMBINATION WITH AVASTIN
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2600
Negative Isotype Control
2400
Avastin
2200
2000 VGX-100
1800
1600
1400
1200
1000
VGX-100 + Avastin
800
600
400
200
0
0 10 20 30 40
Days Post-Tumor Implant
Mean Tumor Burden (mg) +/- SE
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At Day 49, VGX-100 + Avastin reduces tumor burden by: • 42% compared to control IgG
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33% compared to single-agent Avastin.
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EYE DISEASE
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• Age related macular degeneration (AMD) – a major unmet clinical need with significant commercial potential
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Currently in the USA 1.75 million individuals are affected
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200,000 new cases are diagnosed each year.
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Lucentis $3B sales in 2011
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Our market estimates based on “niche” non-responder market of 30-50% of all patients
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VEGF-C IS REQUIRED FOR RETINAL VASCULAR DEVELOPMENT
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Retinas from P5 VEGF-C+/- mice have reduced vascularity.
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Tammela et al., Nature Cell Biology, 2011.
TARGET PATIENT POPULATION
Wet AMD Patients N=200,000/yr, increasing with aging pop. & ‘baby boomers’ Wet AMD Patients Lucentis Eligible N = 50,000/yr 90% maintained or improved VA 10% Non-Responders (ANCHOR/MARINA trials)
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~40% Improved VA ~50% Stable VA
(ANCHOR/MARINA trials)
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~20-40% CNV Leakage
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Target Patient Population: Subjects who qualify as
"sub-responders" to Lucentis (previously had 4-6 monthly IVT injections within 18 wks:
with ≤ 8 letters (ETDRS chart) gain under treatment) AND/OR (i) residual subretinal or intra retinal fluid observed on OCT,
(ii) leakage on FA and (iii) av central retinal thickness ≥ 250 µM)
CANCERS OF UNKNOWN PRIMARY DIAGNOSTICS – A SOURCE OF NEAR TERM REVENUE
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-
Development partnered with Healthscope
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CUP 7[th] largest cancer fatalities
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Healthscope (Aus,NZ, Singapore & Malaysia) Circadian retains ROW rights
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Product launched in Healthscope territories July 2012
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Market size in Healthscope territories up to 10,000 tests p.a
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Pricing at $>1000 Potential Royalty $>1M p.a from 4 countries
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Partnership discussions in US/Europe ongoing
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Market in USA/Europe/Japan estimated to be 150,000 tests p.a
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FINANCIALS – CASH FLOWS
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Current Cash - $14.0m (Unaudited)
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Value of Listed Holdings - $2.5M (Unaudited)
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Conservative Cash Burn 2012/13 and 2013/14 - $8-10M p.a
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Well positioned to achieve key value adding milestones
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Does not take into consideration:
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Increased R&D Tax Credit
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Royalties on Sales of Diagnostics
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Potential non-dilutive grant income (applications under review)
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Further partnership income
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Income from divestment of investments
KEY DEVELOPMENT MILESTONES
| Activity | Timeline |
|---|---|
| Proof of concept in “back of eye” disease | Q4 2012 |
| Expansion of Diagnostics portfolio | H1 2013 |
| VGX-100 Phase 1b oncology studies completed | Q1 2013 |
| IMC-3C5 Phase 1 trials reported | H1 2013 |
| VGX-100 Phase 1 oncology studies reported | H1 2013 |
| Phase II studies in cancer patients start (Multiple Indications) | H2 2013 |
| Phase I Trials in Eye disease commence | H2 2013 |
| Clinical proof-of-concept in first cancer indication | 2H 2014 |
| Clinical proof-of-concept in first eye disease indication | 2H 2014 |
| Partnering | 17 H1 2013 |
AN INVESTMENT WITH SIGNIFICANT UPSIDE
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Research Report from Edison Research March 14 2012
“….On a DCF basis to March 2012, Edison estimates a revised indicative value of A$100m (A$2.16 per share). We expect value to develop strongly as the pipeline develops and as new VGX-100 indications become clearer…” CIR current share price at October 31 is 36c
REASONS TO INVEST
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Clinical Stage Assets
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Increasing Reagents & Diagnostics Portfolio generating revenues
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A platform with major deal/partnering potential across a range of products over next 3-18 months
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Investments coming up to major re-rating events
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Capability to get to key value adding events
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Experienced and talented management & advisors
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THANK YOU!
www.circadian.com.au
COMBINATION THERAPY OF TARGETED AGENTS IS BECOMING THE NEW PARADIGM IN CANCER THERAPY
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ONCOLOGY
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- Phase 1 studies ongoing in USA under IND to complete Q4 12
• Initially targeting “niche” tumours then expanding into larger tumour types / markets after securing clinical proof.
Glioblastoma (“Brain cancer”) – First Indication
Ovarian cancers
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Pancreatic cancers
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Gastric cancers
Colorectal cancers (“Bowel”)
DRY EYE DISEASE
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Multifactorial, immune-mediated disorder of the ocular
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surface affecting vision.
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Affects ~5M people aged >50yrs in USA.
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Adverse environmental conditions significant cause of DED.
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Limited therapeutic options. Usually artificial tears.
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Now known to be lymphatic mediated. Lucentis/Avastin ineffective.
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Currently, the only approved treatment is “Restasis” – 2011
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sales >$1B
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VGX-100 very effective in mouse model
VGX-100-1001 PHASE I FIRST-IN-HUMAN STUDY
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100
1.0mg/kg
100
2.5mg/kg
100
Solid tumour 5mg/kg
(advanced or
100
metastatic)
10mg/kg
No further treatment 100
options 20mg/kg
2 US sites Est completion by end July 100 Progression, death,
30mg/kg toxicity or consent
“3+3” design withdrawn
28 day DLT window Safety follow-up visit
A 5mg/kg +
1o Safety
100 2.5mg/kg
2o PK, ADA,
Biomarkers, Efficacy A 10mg/kg +
100 2.5mg/kg
Imaging every 8
weeks Est completion by end June A 10mg/kg +
100 5mg/kg
A 10mg/kg +
100 10mg/kg
A 10mg/kg +
100 20mg/kg
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13 June 2012
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CIRCADIAN TECHNOLOGIES LIMITED
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100% 100% 100% 100% 51.7%
Excusive w/w licence to VGX-100 & SYNGENE
CERES
VEGF-C Abs as cancer therapies LIMITED
ONCOLOGY
PTY LTD
VEGENICS PTY LTD
VEGF Technology Excusive w/w licence to eye
IP Holding & disease theraputics OPTHEA PTY LTD
Management Co.
Excusive w/w licence to diagnostics PRECISION
& research reagents DIAGNOSTICS
PTY LTD
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GLIOBLASTOMA - A MAJOR UNMET CLINICAL NEED
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In the US in 2010[1]
-
Estimated diagnosed: 22,020
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Estimated fatalities: 13,140
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The most aggressive malignant primary brain tumor in adults
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Nearly always fatal
-
Possibility for fast track registration based on Phase 2b study.
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Phase 2a study aim to complete H2 ’14.
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Fast track approval possible by H1 ’17.
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Very strong interest from Key Opinion leaders worldwide
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Market estimate >$300M p.a in USA
1 Howlader N, Noone AM, Krapcho M, et al. SEER Cancer Statistics Review, 1975-2008 , National Cancer Institute. seer.cancer.gov/csr/1975_2008/ based on November 2010 SEER data submission, posted to the SEER web site, 2011.
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