ASCEND BIOPHARMACEUTICALS LIMITED
Ascend Biopharmaceuticals Limited
Corporate Overview
October 2016
Ascend Biopharmaceuticals Limited Corporate Overview October 2016 - - PowerPoint PPT Presentation
Ascend Biopharmaceuticals Limited Corporate Overview October 2016 ASCEND BIOPHARMACEUTICALS LIMITED Disclaimer This presentation is being provided for the sole purpose of providing the recipients with background information about Ascend
ASCEND BIOPHARMACEUTICALS LIMITED
Corporate Overview
October 2016
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This presentation is being provided for the sole purpose of providing the recipients with background information about Ascend Biopharmaceuticals Limited’s (“Ascend”) business. This presentation, including the information contained in this disclaimer, does not constitute an offer, invitation or recommendation to subscribe for or purchase any security, and neither the presentation, disclaimer nor anything contained in them forms the basis of any contract or commitment. This presentation does not purport to summarize all information that an investor should consider when making an investment decision. Before making an investment decision you should consider whether it is suitable for you in light of your own investment profile and objectives and financial circumstances and the merits and risk involved. No representation, express or implied, is made as to the fairness, accuracy, completeness or correctness of information, opinions and conclusions contained in this presentation, including the accuracy, likelihood of achievement or reasonableness of any forecasts, prospects, returns or statements in relation to future matters contained in the presentation (“forward-looking statements”). Such forward- looking statements are by their nature subject to significant uncertainties and contingencies and are based on a number of estimates and assumptions that are subject to change (and in many cases are outside the control of Ascend and its Directors) which may cause the actual results or performance of Ascend to be materially different from any future results or performance expressed or implied by such forward-looking statements. Forward-looking statements are provided as a general guide only and should not be relied upon as an indication or guarantee of future performance. To the maximum extent permitted by law, neither Ascend nor its related corporations, directors, employees or agents, nor any other person, accepts any liability, including, without limitation, any liability arising from fault or negligence, for any loss arising from the use of this presentation or its contents or otherwise arising in connection with it. You represent and confirm by attending and/or retaining this presentation, that you accept the above conditions. This presentation does not constitute an offer to sell or a solicitation of an offer to buy securities in the United States.
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Ascend is an immuno-oncology company targeting regulated cell death and immune pathways with:
nodular BCC patients considered to be poor candidates for surgery
good safety and clinical benefit results in 3 different skin cancers
data in November 2016 and final data in 1H, 2017
value follow-on indications in recurrent ovarian cancer and recurrent cutaneous squamous cell carcinoma
*Based on regulatory precedence for Aldara in Superficial BCC patients who were not good surgery candidates
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Dr Clement Leong, PhD, MBA CEO
private/public biotech and med. tech transactions
Non-executive Director
Mr George Tsiamis Non-executive Director
Chief Medical Officer
CMC Director
Dr Geoffrey Pietersz, PhD Director of Technology Development
drug conjugates) and inventor of the ASN-004 technology
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CBCL Cutaneous B cell lymphoma; BCC Basal Cell Carcinoma; H&N SCC Head and Neck Squamous Cell Carcinoma; RCD induction of multiple regulated cell death pathways; IT Immunotherapy; OC Ovarian Cancer; PC Peritoneal Cancer
Product Composition Indication
ASN-002 ASN-002 Monotherapy Cutaneous BCL
Completed
Bladder ASN-002 ASN-002 Monotherapy Nodular BCC
H1, 2017 complete
Cutaneo ASN-002/small molecule ASN-002 Chemo-immuno therapy Head & Neck SCC
H2 2017 start
ASN-002/small molecule ASN-002 Chemo-immuno therapy Recurrent OC
H2, 2017/2018 start
ASN-002/small molecule
Planned
ASN-002 Chemo-immuno therapy Nevoid BCC
H2, 2017/2018 start
ASN-006 Mannan-genetic adjuvant Peritoneal Cancer
H2, 2017
Breast ASN-008 Replicon vector - RCD genes* Refractory cancers
Replicon vector - Neoantigens Refractory cancers
Preclinical Phase 1 Phase 2 Phase 3
Addressing high-value clinical opportunities
* Preclinical work performed in collaboration with Fox Chase Cancer Centre in Philadelphia, USA
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worldwide arising in ~3 Million patients annually (~2 million with nodular BCC and ~1 million with superficial BCC)
significant morbidity/disfigurement
(over 500,000 patients annually) can be considered poor candidates for surgery A significant clinical and commercial opportunity in high-risk nBCC
Most nBCC lesions occur
neck, making excision and wound closure more difficult If untreated BCCs become locally invasive and can cause extensive disfigurement Excision margins of 2 to 5 mm (all around the whole of the
The risk of recurrence is determined by the patients age, immune status, and the location and subtype (histology) of the tumour
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Existing options have major disadvantages or are clinically inadequate
Telfer NR Br J Dermatol 2008 159(1) 35-48 Guidelines for the management of basal cell carcinoma; Arch Dermatol August 2012
Small Lesion Large Lesion Comments
Photodynamic Therapy Generally a poor choice Generally a poor choice Poor efficacy for High-risk nBCC 5-FU Poor choice Poor choice Poor efficacy for High-risk nBCC Radiotherapy Generally good clinical clearance Generally good clinical clearance Risk of radiation induced secondary cancers Aldara Generally a poor choice Should not be used Poor efficacy for High-risk nBCC Cryosurgery Generally fair choice Generally a poor choice Poor efficacy for High-risk nBCC Vismodegib/Sonidigib (Smoothened inhibitors) Not recommended Recommended for Locally advanced basal cell skin cancer patients with residual disease in whom surgery and radiation are contraindicated Major adverse effects (hair loss, muscle cramps, taste disturbance) Secondary resistance
High-risk nBCC
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Strong Biological Rationale for the use of Interferon in BCC:
Favorable pathway to registration
*Libby Edwards et al, J Am Acad Dermatol 1990;22:496-500; Stephen B. Tucker et al, J Am Acad Dermatol 2006;54:1033-8. ^Different target patient population to Vismodegib
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A proven and well understood mechanism of action
ASN-002 is an adenovirus (a type of cold-virus) engineered to produce Interferon-g
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CR PR Total Patients Patient Responses
16% 25% 32 41% 53% 32% 19 84% 23% 16% 13 39% Patients Evaluated 64 Advanced Melanoma Cutaneous T Cell Lymphoma Cutaneous B cell Lymphoma
Good safety and clinical outcome data in three types of skin cancers
*For the Advanced melanoma trial – ASN-002 was administered in combination with T cell therapy
*
Advanced cutaneous melanoma patient treated over 4 months
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Treatment Follow-up
week for three weeks – up to 6 patients
a week for three weeks – up to 6 patients
5 is only recruited if AEs found in Cohort 4)
17 weeks
Screening (Day
Week 1 Baseline Week 2 Week 3 Week 8 Week 4 Week 12 Week 17 (Exit visit)
Dosing: weekly injections for 3 weeks
Interim results expected in Q4, 2016
*In a protocol amendment, cohort 3 was superseded and replaced by cohort 4
Current 18 patient Phase 2 nodular BCC trial with approval for 36 patients
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Major clinical activities that are planned
advanced ovarian cancer (~24 patients)
Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2016 2017 2018 2019 2020 Phase 1/2a nBCC Phase 2b/3 BCCNS (~40-60 patients) Phase 1/2a H&N cSCC (~24 patients) Phase 1/2a Ovarian Cancer (~24 patients) Phase 2b nBCC (~64 patients) Phase 3 nBCC (~320-400 patients)
*Pre-IND Mtn FDA *Open IND
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Significant and high value clinical opportunity
Assumes pricing of $800 and $1600 for small and large lesions in Australia/Europe/ROW and *$1800 and $3000 for the US
High Risk nBCC 'difficult surgeries' Small lesion Large lesion Small lesion Large lesion
Australia
70,000 59,500 10,500 $47,600,000 $16,800,000
USA*
240,000 204,000 36,000 $367,200,000 $108,000,000
EU
200,000 170,000 30,000 $136,000,000 $48,000,000
RoW
15,000 12,750 2,250 $10,200,000 $3,600,000 525,000 446,250 78,750 $561,000,000 $176,400,000
Market Size AU$
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Transactions of comparable products Potential revenues
*The assumptions and models used to generate these revenue figures are available upon request
Company Candidate Value Date Completed Stage Indications
Biovex OncoVec US 425M in cash and US 575M in milestones Jan-11 Phase 3 on- going Metastatic melanoma Peplin PEP005 US 287.5M Sep-09 Phase 3 on- going Actinic Keratosis Ceptaris Therapeutics Valchlor US 25M and US 250M on approval Aug-12 Phase 3 completed Cutaneous T cell Lymphoma
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Neo-antigens Chemokine(s)recruiting cross-presenting dendritic cells
Immunogenic cell death
DAMPS
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DNA launched SRIPs (Single Round Infectious Particles)
SRIPs are viral vectors produced within the tumour microenvironment launched from a DNA plasmid
Delivery to stromal or neo-vasculature within the TME SRIPs can encode immuno-oncology genes SRIP DNA can be conjugated to various targeting moieties
ASN-008 is being developed to induce highly immunogenic cell death
ASCEND BIOPHARMACEUTICALS LIMITED
Level 1, 159 Dorcas St, South Melbourne VIC 3205, Australia ACN 106 265 098 Ph: +61 3 8606 3488 Fax: +61 3 9686 9866
Email: info@ascendbiopharma.com