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PCI Biotech Holding — Earnings Release 2016
Feb 28, 2017
3709_rns_2017-02-28_93a7c54a-5ca4-48f3-801d-d6202068e113.pdf
Earnings Release
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Q4 2016 PRESENTATION February 28, 2017 Per Walday, CEO Ronny Skuggedal, CFO
PCI BIOTECH
► Important notice and disclaimer
This presentation may contain certain forward-looking statements and forecasts based on uncertainty, since they relate to events and depend on circumstances that will occur in the future and which, by their nature, will have an impact on PCI Biotech's business, financial condition and results of operations. The terms "anticipates", "assumes", "believes", "can", "could", "estimates", "expects", "forecasts", "intends", "may", "might", "plans", "should", "projects", "programmes", "will", "would" or, in each case, their negative, or other variations or comparable terminology are used to identify forward-looking statement. There are a number of factors that could cause actual results and developments to differ materially from those expressed or implied in a forward-looking statement or affect the extent to which a particular projection is realised. Factors that could cause these differences include, but are not limited to, implementation of PCI Biotech's strategy and its ability to further grow, risks associated with the development and/or approval of PCI Biotech's products candidates, ongoing clinical trials and expected trial results, the ability to commercialise fimaporfin (Amphinex®), technology changes and new products in PC Biotech's potential market and industry, the ability to develop new products and enhance existing products, the impact of competition, changes in general economy and industry conditions and legislative, regulatory and political factors. No assurance can be given that such expectations will prove to have been correct. PCI Biotech disclaims any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.
The reservation is also made that inaccuracies or mistakes may occur in this information given about current status of the Company or its business. Any reliance on the information is at the risk of the reader, and PCI Biotech disclaims any and all liability in this respect.
HIGHLIGHTS
► 2016 and beyond
| fimaCHEM | Completed Phase I study in bile duct cancer, with promising early signs of efficacy Phase I results presented as late-breaking news at United European Gastroenterology Week Orphan designation of fimaporfin in bile duct cancer granted in EU Opened Investigational New Drug (IND) in the US First-in-man study published in Lancet Oncology, with independent commentary |
|---|---|
| fimaVACC | Initiated Phase I clinical validation in healthy volunteers Research agreement signed with Ultimovacs Awarded up to NOK 13.8 million for further development |
| fimaNAC | Research collaborations with BioNTech and eTheRNA signed Extension of the existing top 10 pharma agreement until end of 2Q 2017 |
| Corporate | Launched three well-defined strategic development areas Completion of a fully underwritten rights issue of NOK 70 million – oversubscribed >100% |
PCI BIOTECH AT A GLANCE
► Unlocking the potential of innovative medicines
- ► A listed (PCIB:NO) cancer-focused biotech company
- ► Photochemical internalisation ("PCI") technology, originating from the Norwegian Radium Hospital
- ► Clinical programmes
- fimaCHEM Phase I/II with fimaporfin (Amphinex®) for the orphan indication inoperable bile duct cancer
- fimaVACC Vaccination technology that provides strongly enhanced cellular immune responses, phase I initiated
- ► Pre-clinical programme
fimaNAC – Efficient intracellular delivery of nucleic acid therapeutics, with four active research collaborations
PCI – the solution to a key challenge for several modalities
CHEMOTHERAPEUTICS
► A cornerstone in current cancer therapy
- ► fimaCHEM may enable approved drugs to fulfil unmet local treatment needs
- ► First-in-man study published in Lancet Oncology*, with independent expert commentary
- ► Ready for Phase II in bile duct cancer with promising early signs of efficacy
- ► Opportunity for development in further niche indications
PCI TECHNOLOGY ► fimaCHEM – mode of action
chemotherapeutic
The intracellular trafficking of chemotherapeutics is not well characterised for many products, but it is known that endocytotic uptake and/or sequestering into endosomes can lead to high endosomal concentrations.
PCI can release biologically active chemotherapeutics that are trapped in endosomes, thereby enabling them to reach their target before being inactivated in lysosomes.
► Location and classification
- ► Often referred to as cholangiocarcinoma
- ► The cancer cells originates from the cells inside the bile duct (called cholangiocytes)
- ► Cholangiocarcinoma includes:
- Intrahepatic tumours (10%*)
- Perihilar tumours (60-70%*)
- Distal tumours (20-30%*)
- Different incidence, pathobiology and management
7
► Why target bile duct cancer
- ► Orphan indication, yearly incidence rate of 1-2 per 100,000 in the western world higher incidences in Asia
- ► Five-year survival rate of less than 5%, and almost 0% when inoperable average approx. 12 months survival
- ► Current management
- Surgery
- ‒ Only potentially curative treatment
- ‒ Less than ⅓ are resectable at presentation
- Stenting
- ‒ Endoscopic stenting for palliative biliary drainage
- Chemotherapy
- ‒ No approved chemotherapy
- ‒ Recommended chemotherapy: gemcitabine and cisplatin
Excellent technology fit with PCI
Targeted illumination is done using standard endoscopic procedure
The active chemotherapy gemcitabine is significantly enhanced by fimaCHEM
► A sizeable orphan market potential
► Immediate target market is as first line treatment
- Incidence is close to 15,000 across Europe and the US
- Immediate target is inoperable patients with local disease
- Approximately 3,000 assumed to be eligible for fimaCHEM
- Possible upside in distal and more advanced metastatic disease
- Higher incidences in Asia
► Attractive price potential for orphan drugs
- Lack of approved medicinal treatment options
- Diseases with <10,000 in US support annual pricing >\$100,0001
► Potential significant majority share of the market
- Anticipated benefits
- ‒ No competing marketable treatment alternatives
- ‒ Greater efficacy due to local chemotherapy boost
- ‒ Easy light access through established standard procedures
BILE DUCT CANCER – CLINICAL PHASE I/II STUDY
► Six month radiology data – central read confirms promising early tumour response
► Cohort III & IV – response at single lesion level
| Measurable lesions | Lesion shrinkage |
Stable lesion | ||
|---|---|---|---|---|
| 19 | 12 (lesion not detectable) |
1 (<20% reduction & <10% increase) |
1 (>10% mass increase) |
|
| (total number of targets selected across the two independent readers) |
17 | 5 (>20% mass reduction) |
► Cohort III & IV – RECIST classification of patients
| RECIST | PD | SD | PR | CR | NA* | PD: Progressive disease (>20% growth) |
|---|---|---|---|---|---|---|
| Central read | 2** | 1 | 2 | 2 | 2 | SD: Stable Disease PR: Partial Response (>30% shrinkage) |
| * Not measurable / Not radiologically evaluable |
CR: Complete Response |
** Progressive disease due to appearance of new lesions
(no visible tumour)
► The opportunity
High unmet medical need
- Overall survival of inoperable disease is ~12 months
- Five year survival of inoperable disease is 0%
- Tumour response may be more critical than for other cancers
- tumours tend to block the bile duct
- biliary drainage is key for patient treatment and survival
Promising early signs of efficacy
- Strikingly high (4/7) durable tumour response rate (CR+PR)
- Two CR among seven evaluable pts in highest dose cohorts
- RECIST evaluation confirmed by two independent experts
- Good overall safety and tolerability
fimaCHEM for bile duct cancer
Well-defined market
- First-line treatment in a rare disease with limited pipeline
- Approx 3,000 pts in US + Europe eligible for treatment
- Potential upside: metastatic disease & Asia (high incidence)
- Orphan Designation (OD) in EU; US submitted
- provides development & commercialisation benefits
- OD drugs have higher probability of success and price
Proven technology with excellent fit
- First-in-man Phase I study published in Lancet Oncology
- Easy light access through standard endoscopic procedure
- Significantly enhancing the active standard-of-care drug
- boosting effect where most needed inside the bile duct
- potential for local re-treatment
► Status and strategy going forward
► Phase I completed with good tolerability and very promising early signs of efficacy
- No serious unexpected safety findings and no apparent increase in adverse reactions with increasing doses
- Very promising early signs of efficacy significant tumour shrinkage observed radiologically
- Results verified at central evaluation by study-independent external radiological experts in RECIST
► Orphan designation
- Granted Orphan Drug Designation in EU
- US application submitted
► Regulatory interactions with EU and US authorities, to determine fastest way to market
- Promising signs of efficacy in a life threatening orphan indication without approved treatment alternatives
- May allow for marketing authorisation based on restricted data, e.g. a pivotal phase II study
► Initiated activities to engage US stakeholders
Sponsored and presented at the annual US Cholangiocarcinoma Foundation meeting in Salt Lake City
IMMUNOTHERAPY
► A new hope for millions of patients
- ► fimaVACC enhances cellular immune responses important for therapeutic effects
- ► Ready for clinical validation in healthy volunteers
- ► Aim is to out-license the technology on non-/semi-exclusive basis
- ► Opportunity to develop own therapeutic vaccination products
* Citi Research "Immunotherapy – the beginning of the end for cancer". Baum, May 2013 ** Clinicaltrials.gov. PCIB analysis, August 2016 1CPI: Checkpoint inhibitors
PCI TECHNOLOGY ► fimaVACC – mode of action
vaccine antigen
Vaccine antigens taken up by dendritic immune cells are released into the cytosol by fimaVACC treatment. Proteasomes in the cytosol process these to short peptides. The peptides bind to MHC class I proteins that are transported to the cell surface, leading to an enhanced MHC class I presentation of the administered vaccine antigen.
THE fimaVACC POTENTIAL
► Opportunity to play a key role in second generation immunotherapy
- ► Unique mode of action
- indication of CTL-induction by MHC class I antigen presentation in dendritic cells and macrophages
- ► Broad applicability
- peptide and protein antigens
- particulate antigen formulations
- prophylactic & therapeutic vaccination
- ► Excellent stability
- few logistical challenges (stable at room temperature in solution and can be autoclaved)
- ► Cost effective synthesis
- ► Important recent IP generation
INITIATED CLINICAL DEVELOPMENT
► Phase I study in healthy volunteers with read-out of results 1H 2017
- ► Covance selected as strategic partner for this clinical validation
- Phase I unit in Leeds, UK
- ► Objective:
- Determine the safety, tolerability and immune response of fimaVACC in healthy subjects
- ► Design:
- Open-label, antigen-adjuvant controlled study (up to total 80 subjects)
- ► Endpoints:
- Safety and immunological (induction of vaccine-specific immune responses)
- ► Timelines:
- First subject dosed September 2016; Read-out of results 1H 2017
Converting fimaVACC to a clinical asset – a major milestone towards commercialisation
NUCLEIC ACID THERAPEUTICS
► A treatment modality with huge potential
- ► fimaNAC may provide a delivery solution for many nucleic acid therapy applications
- ► Opportunistic collaborative approach
- ► Aim is to out-license the technology on non-/semi-exclusive basis
* Research and Markets "RNAi therapeutics market". Dec 2015
PCI TECHNOLOGY ► fimaNAC – mode of action
nucleic acid therapeutic
Nucleic acid therapeutics need to enter into the cell cytosol to exert their therapeutic effect. Being quite large molecules, they cannot readily pass the cell membrane, but are taken up by endocytosis. Treatment of target cells with fimaNAC enable release of nucleic acid therapeutics that are trapped in endosomes, allowing them to exert their effect.
RESEARCH COLLABORATIONS
► Five active collaborations within nucleic acid therapeutics and vaccination
| fimaNA C |
fimaV ACC |
||||
|---|---|---|---|---|---|
| BioNTech | RXi Pharmaceuticals |
EtheRNA | Top-10 large pharma | Ultimovacs | |
| • Initiated 3Q 2016 • German biotechnology company developing individualised cancer immunotherapies • Clinical programmes in melanoma, head & neck, breast, ovarian and pancreatic cancer |
• Initiated 2Q 2015 • Listed on Nasdaq • Innovative therapeutic siRNA • Clinical programs in dermatology and ophthalmology |
• Initiated 4Q 2016 • A global leader in mRNA-based immunotherapies • Evaluate synergistic effects between companies' technologies |
• Initiated 3Q 2015 • A global leader in nucleic acid therapeutics • Collaborative research funded by partner • Evaluate synergistic effects between companies' technologies |
• Initiated 1Q 2016 • Norwegian immunotherapy company • Therapeutic cancer vaccine against human telomerase • Clinical programs in prostate and lung cancer |
Research collaborations aim to evaluate synergies between the fima platform and partner technologies, with the potential for further partnerships
FINANCE
► Key financial figures Q4 and preliminary full year 2016
| (In NOK 1,000) | 2016 Q4 |
2016 FY |
2015 FY |
|---|---|---|---|
| Other Income | 3 226 | 10 475 | 10 467 |
| Operating costs | 10 129 | 43 502 | 43 096 |
| Operating results | -6 903 | -33 027 | -32 629 |
| Financial items | 301 | 843 | 707 |
| Comprehensive income | -6 602 | -32 184 | -31 922 |
| Cash & cash equivalents | 14 002 | 14 002 | 49 249 |
| Net cash flow from operating activities | -6 661 | -35 247 | -31 974 |
- ► More than NOK 10 million in annual non-dilutive funding last two years
- ► The fully underwritten rights issue gives a financial runway towards end of 2018, at current cost base
FINANCE
► Fully underwritten rights issue completed in January 2017
- ► Net proceeds of NOK 65 million
- ► More than 100% oversubscription
- ► Shareholder base doubled since year-end 2015 to approximately 2.900 shareholders
| Top 10 shareholders per 15 Feb 2017 | ||||
|---|---|---|---|---|
| Name | Number | % | ||
| FONDSAVANSE AS | 2 540 840 | 10,20 | ||
| RADIUMHOSPITALETS FORSKNINGSSTIFTELSE | 1 761 273 | 7,07 | ||
| MP PENSJON PK | 1 544 504 | 6,20 | ||
| NORDNET LIVSFORSIKRING | 759 372 | 3,05 | ||
| GRESSLIEN ODD ROAR | 540 000 | 2,17 | ||
| VICAMA AS | 500 000 | 2,01 | ||
| NORDNET BANK AB | 443 977 | 1,78 | ||
| SYVERTSEN SVEIN ERIK | 437 107 | 1,76 | ||
| MYRLID AS | 413 572 | 1,66 | ||
| VINTERSTUA AS | 400 000 | 1,61 | ||
| Total 10 largest shareholders | 9 340 645 | 37,51 | ||
| Total other shareholders | 15 559 745 | 62,49 | ||
| Total number of shares | 24 900 390 | 100,00 |
PCI BIOTECH
► Well positioned for attractive development opportunities
Main focus going forward:
► Progressing development of fimaCHEM in bile duct cancer
- Regulatory interactions to determine fastest way to market
- Prepare for Phase II study
- ► Clinical validation of fimaVACC immunotherapy results
- Expected to provide read-out of results 1H 2017
- ► Partnering and alliance progress for all programmes
PCI BIOTECH HOLDING ASA
► Enquiries
CEO Per Walday Cell phone: +47 917 93 429 Telephone: +47 67 11 54 00 E-mail: [email protected]
CFO Ronny Skuggedal Cell phone: +47 940 05 757 Telephone: +47 67 11 54 00 E-mail: [email protected]