adocia – corporate presentation actionaria event – palais des congrès paris, france –...
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ADOCIA – CORPORATE PRESENTATION
Actionaria event – Palais des Congrès
Paris, France – November 21-22, 2014
Property of ADOCIA 2
This document has been prepared by ADOCIA (the "Company") and is provided for information purposes only.
The information and opinions contained in this document are provided as of the date of this document only and may be updated, supplemented, revised, verified or amended, and thus such information may be subject to significant changes. The Company is not under any obligation to update the information or opinions contained herein which are subject to change without prior notice.
The information contained in this document has not been subject to independent verification. No representation, warranty or undertaking, express or implied, is made as to the accuracy, completeness or appropriateness of the information and opinions contained in this document. The Company, its subsidiaries, its advisors and representatives accept no responsibility for and shall not be held liable for any loss or damage that may arise from the use of this document or the information or opinions contained herein.
This document contains information on the Company’s markets and competitive position, and more specifically, on the size of its markets. This information has been drawn from various sources or from the Company’s own estimates. Investors should not base their investment decision on this information.
This document contains certain forward-looking statements. These statements are not guarantees of the Company's future performance. These forward-looking statements relate to the Company's future prospects, developments and marketing strategy and are based on analyses of earnings forecasts and estimates of amounts not yet determinable. Forward-looking statements are subject to a variety of risks and uncertainties as they relate to future events and are dependent on circumstances that may or may not materialize in the future. Forward-looking statements cannot, under any circumstance, be construed as a guarantee of the Company's future performance and the Company’s actual financial position, results and cash flow, as well as the trends in the sector in which the Company operates, may differ materially from those proposed or reflected in the forward-looking statements contained in this document. Even if the Company’s financial position, results, cash-flows and developments in the sector in which the Company operates were to conform to the forward-looking statements contained in this document, such results or developments cannot be construed as a reliable indication of the Company's future results or developments. The Company does not undertake any obligation to update or to confirm projections or estimates made by analysts or to make public any correction to any prospective information in order to reflect an event or circumstance that may occur after the date of this document.
This document does not constitute an offer to sell or subscribe or a solicitation to purchase or subscribe for securities in France, the United States or any other jurisdiction. Securities may not be offered or sold in the United States absent registration under the US Securities Act of 1933, as amended, or an exemption from registration thereunder. No public offering of securities will be conducted in France or abroad prior to the delivery by the French Autorité des Marchés Financiers (Financial Markets Authority) of a visa on a prospectus that complies with the provisions of Directive 2003/71/CE as amended. No public offering of securities is contemplated in France or any jurisdiction outside France.
The distribution of this document may be restricted by law and persons into whose possession this document comes should inform themselves about, and observe, any such restrictions.
Disclaimer
November 2014
Property of ADOCIA 3
ADOCIA - Management
Gérard Soula Olivier Soula Valérie Danaguezian Rémi Soula
President & CEO Deputy General Manager Chief Financial Officer Business Development R&D Director & Intellectual Property Director
November 2014
Property of ADOCIA 4
• Founded end of 2005 by Gérard, Olivier and Rémi Soula
Listed on Euronext Paris since February 2012 Experienced management and collaborators, including 30 Ph.Ds Cash position of €12.6M at end of September 2014
• Platform technologies
BioChaperone® platform: a major leap to improve protein performance (insulin, growth factors,
mAbs…) DriveIn® platform: nanotechnology for targeted drug delivery in oncology New technologies for mAb formulation
• 3 therapeutic areas
Diabetes: Unique portfolio of 3 insulin products in clinical development Wound healing, Diabetic Foot Ulcer treatment: BioChaperone PDGF-BB Oncology: DriveIn-Doxorubicin and DriveIn-Docetaxel, for the treatment of solid tumors
ADOCIA in brief
November 2014
Property of ADOCIA 5November 2014
ADOCIAA unique excellence center for innovative insulin formulation
Author unknown
ADOCIA is deeply rooted in more than 75 years of cumulated experience in insulin formulation:
More than 40 patents on insulin products
8 clinical trials with insulin products
60 R&D staff dedicated to insulin projects
6
Insulin: more than 90 years of progress towards a more physiological treatment
November 2014 Property of ADOCIA
BC LISPRO
BC COMBO
HINSBET
Property of ADOCIA 7
ADOCIA: a solid and diversified portfolio of products
November 2014
Property of ADOCIA 8November 2014
Evolution of the stock over 2014
Increase of the share price (€5.97 on 1st January - €30 on 29th October),associated with an increase of the shares average trading volume (6,200 in 2013 and > 50,000 in 2014)
ADR
Phase IIaUF LisproResults
Lispro 300U
Project
IPO: €15.88
ADAposters
Start ofPhase IIa UF Lispro
Phase II comboResults
Start of Phase IIaHinsbet
Start of Phase III
BC PDGF-BB
Start of Phase II
dose response UF Lispro
DFUPatent
Phase II dose response
UF Lispro Results
Property of ADOCIA 9
Technology
November 2014
Property of ADOCIA 10
• BioChaperone’s uniqueness for proteins formulation: Enhance protein solubility in physiological conditions Stabilize proteins against aggregation Protect proteins against enzymatic degradation
• Medical and economical advantages expected: Improved efficacy of existing treatments Improved observance (reduced administration frequency, new combinations…) Improved pharmaco-economics (higher efficacy/lower quantities of protein)
• Technology patented until 2033
BioChaperone®: A new concept based on molecular assembly
November 2014
Insulin,Growth factors,
mAbs…
Property of ADOCIA 11
1. Insulin therapy
2. Wound healing
3. Oncology
Products breakthrough
November 2014
Property of ADOCIA 12
Diabetes: a significant and growing pandemic
Adapted from International Diabetes Federation, Diabetes Atlas, 6th Edition, 2013
206 MDiagnosed
382 MDiabetics
2035
+55%
592 MDiabetics
2013
95 MTreated
November 2014
Property of ADOCIA 13
Insulin is the ultimate treatment for type 2 diabetes patients, and the only option for type 1 diabetes patients
Oral Antidiabetics
GLP-1
Insulin25% Treated
diabetics use Insulin
Disease progression
$23 B
Treatment intensification
November 2014
Two major types of insulin products
70
60
50
40
30
20
10
Insu
lin (µ
U/m
L)
6:00 10:00 14:00 18:00 22:00 2:00 6:00
Breakfast Lunch Dinner
Basal insulins(Lantus®, Levemir®, Tresiba®)
Prandial insulins(Humalog®, Novolog®, Humulin®…)
(1) Figures for 2013, based on data from Novo Nordisk, Full year 2013 presentation Feb 2014; Companies Financial reports 4Q13 & Sanofi’s Annual Report 2013.
November 2014 Property of ADOCIA 14
7 B$
10 B$
Our innovative portfolio meets the challenges raised by the new insulin landscape
Novolin
Levemir
Tresiba
Novolog
Novomix
Ryzodeg
Once-a-week
UltrafastFA ins aspart
GlargineLispro
Insugen
AspartGlargine
GlargineGlargine
Gansulin
Aspart
Wosulin
Glargine
HinsBet
BC Combo Glargine/Fast
Humalog
Humulin
Lispro
U200 Glargine
Humalog Mix
PEG Lispro
U200
Ultrafast
BC Lispro
U100
Lantus
Insuman
AspartLispro
Apidra
Afrezza
Glargine 300
November 2014 Property of ADOCIA 15
Human insulin market: $3.5 billion
Insulin analogs market: $19.4 billion
Insulin products: $22.9 billion(1), CAGR 15.7% (2008-2013)(1)
Our challenge: bring innovation to existing products which will soon be off-patent
Human Insulin Fast acting Analogs
Long acting Insulins Premixed Insulins Insulin Combos (long+fast-acting)
Novo Nordisk
Novolin N & R($2.0 B)
NovoLog® ($3,1 B)
2014*
Levemir® ($2,1B)2018*
Tresiba®
(Europe/Japan) 2024*
Novomix® ($1.8 B) Ryzodeg®
(Europe/Japan)
Eli Lilly Humulin family($1.3 B)
Humalog® ($1,95 B)
2013*
/ Humalogmix®
($0,65 B)/
Sanofi Insuman® ($0.2 B)Apidra® ($0.4 B)
2017*
Lantus® ($7.8 B)2015* / /
* Year product is off-patent
Sources: (1) Novo Nordisk, Full year 2013 presentation Feb 2014; All other figures: Companies Financial reports 4Q13, except Apidra and Insuman: Sanofi’s Annual Report 2013.Humalog/HumalogMix split by Adocia’s estimate
Property of ADOCIA 16November 2014
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BioChaperone for Prandial Insulins
November 2014
Medical need for ultra-fast insulins
November 2014 Property of ADOCIA 18
Improved medical benefit
Injection adapted to the actual meal
Ultra-fast insulins
Less hyper-glycemic eventsLess hypo-glycemic events
Property of ADOCIA 19November 2014
Patients needs will drive the development of a range of ultra-fast products
Children Pump users Severely insulin- resistant
40% American T1D
use pumps1
86% Overweight
T2D2
Mealtime dosing for better accuracy
Real-time dosing Smaller pumps for better QoL
High performance Smaller injected
volumes Less pain
ULTRA-FAST INSULIN
“Standard” U100
“Concentrated” U200
Sources: 1Medtronic, 2010 ; 2Daousi et al (2006) Postgrad Med J 2006;82:280-284.
Property of ADOCIA 20November 2014
New products in development to meet the trends
Tow
ard
s h
igh
er
con
cen
trati
on
Towards faster action
Humalog U200
EU approve
dCurrent insulin analog
s
FIAspPhase
3
Afrezza US
approved
BC Analog
Phase 2
Adocia develops a unique portfolio of “ultra-fast AND concentrated” insulins
Results of phase 2a trial on 36 Type 1 Diabetic patientsPharmacokinetics « faster-in » and « faster-out »
Mean Serum insulin level
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
Double–blind study, randomized, cross-over study on 36 Type 1 Diabetic patients under euglycemic clamp; BC Lispro (100 IU) vs. Humalog (100IU)
November 2014 Property of ADOCIA 21
69 min
These results were presented at conferences:
Phase 2a trial on 36 T1D patientsPharmacodynamics
Mean Glucose Infusion Rate
Double-blind, randomized, cross-over study on 36 Type 1 Diabetic patients under euglycemic clamp; BC Lispro vs. Humalog 100 IU
November 2014 Property of ADOCIA 22
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
These results were presented at conferences:
Property of ADOCIA 23November 2014
Dose-exposure results for BC Lispro U100 (PK)Second Phase IIa on 36 Type 1 diabetic patients
Across a standard therapeutic dose range BioChaperone Lispro U100 : Confirms Ultra-fast absorption profile Shows dose-exposure proportionality
(R²>0.95)
BC Lispro 0.4 U/kg
BC Lispro 0.2 U/kg
BC Lispro 0.1 U/kg
Normalized at 0.1 U/kg
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
Dose-response results for BC Lispro U100 (PD)Second Phase IIa on 36 Type 1 diabetic patients
BC222 Lispro 0.4 U/kg
BC222 Lispro 0.2 U/kg
BC222 Lispro 0.1 U/kg
November 2014 Property of ADOCIA 24
Across a standard therapeutic dose range, BioChaperone Lispro U100 shows: Ultra-fast metabolic effect Linear increase of early and total metabolic effects with dose (R²>0.98)
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
Property of ADOCIA 25
After being tested in 73 patients and 147 injections, BioChaperone Lispro:
Is significantly faster than Humalog®
Presents a clinically robust performance across two different studies
Shows a proportional dose exposure across a therapeutically relevant dose range
Is well tolerated in humans
Clinical trials with BioChaperone LisproConclusions
November 2014
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
Property of ADOCIA 26
BC Lispro U100Next key steps for the clinical development
Meal test study in type 1 diabetes using insulin pump to demonstrate medical benfit
Clinical trial planned in Q1 2015
Simplified development plan, following Novo Nordisk’s FIAsp’s (ultra-fast Novolog) plan
Preparation of meetings pre-IND (FDA) & Scientific Advice (EMA) to validate the development plan expected Q1 2015
Phase III clinical trials could start Q1 2016
November 2014
ADOCIA Ultra-fast insulinsUltra-fast BC Lispro U100
Property of ADOCIA 27
Innovation for everyone, everywhere
Source: International Diabetes Federation, Diabetes Atlas, 6th Edition, 2013
80% diabetics
live in developing countries
November 2014
Prandial insulinsHinsBet®
Property of ADOCIA 28
Emerging markets: similar needs, different constraints
Large populations to treat
Strong economic constraints
…But same medical needs
Better glycemic control
Prevention of long term complications
November 2014
Prandial insulinsHinsBet®
Human insulin is the best-selling insulin in developing countries
58%
of Novo’s insulin sales in China are
human insulin
Large human insulin manufacturing capabilities in Asia
RHI is more cost-effective than analogs
RHI is 100% reimbursed in China
BUT RHI action starts 15 min later than insulin analogs
HinsBet®: a human insulin as fast as an insulin analog
November 2014 Property of ADOCIA 29
Prandial insulinsHinsBet®
Property of ADOCIA 30
HinsBet, a fast-acting human insulin
HinsBet
NovoLog (aspart)
Actrapid (human insulin)
Results for Phase 2a study are expected Q1 2015
Mean PD results (pig model)
November 2014
Prandial insulinsHinsBet®
Property of ADOCIA 31
BioChaperone for Glargine-based Combo
November 2014
32
Many patients have difficulties with multi-daily insulin injections
Glasgow RE. et al. Diabetes spectrum 2001 ; Skinner TC & Hampson SE Diabetes Care 2001; Gherman A et al. Pract Diab Int 2011
Poor medical performancePoor compliance & self-management
HbA1c
• Obese & poor self-image• Not confident or not willing to handle
injections
Semi-compliant patients
• Elderly • Issues with multiple injections• Other issues: health literacy, cost…
Patients in need of simplicity
Basal/Bolus Users
Premix Users
November 2014 Property of ADOCIA
Premix market$2.4bn
Glargine market
$8bn
BioChaperone Combo
33November 2014 Property of ADOCIA
BioChaperone for Combo: Solubilizing Glargine for a real “2-in-1”
Doctors’ requirements
Fast prandial action
Once-a-day basal
Flexible dosage
Patients’ needsEasy handling
Simpler regimen
Fewer injections
Improved Compliance Improved HbA1c
Reconciling patients and physicians on treatment intensification
BioChaperone Combo
34
Phase 2a clinical trial in 20 Diabetics Type 1 (PD)Basal action >24h, ultra-fast prandial action
Mean Glucose Infusion Rate
Tonset -37% (p=0.002)
AUC GIR 0-2h +58% (p=0.001)
AUC GIR 12-30h +57% (p=0.025)
BioChaperone Combo
HumalogMix 25®
204 min
168 min p=0.01
Double –blind, randomized, cross-over study on 20 Type 1 Diabetics patients under euglycemic clamp; BC Combo (Glargine 300 IU/Lispro 100 IU) vs. HumalogMix 25
November 2014 Property of ADOCIA
BioChaperone Combo
Phase 2a clinical trial in 20 Diabetics Type 1 (PD)Basal action >24h
Mean blood glucoseBioChaperone Combo
HumalogMix 25®
Number of patients with duration ≥ 30h
17/19 for BC Combovs. 6/20 for Premix (p=0.001)
November 2014 Property of ADOCIA 35
Double –blind, randomized, cross-over study on 20 Type 1 Diabetics patients under euglycemic clamp; BC Combo (Glargine 300 IU/Lispro 100 IU) vs. HumalogMix 25
BioChaperone Combo
36
BioChaperone Glargine Lispro Combo may present unique advantages over Novo Nordisk’s Ryzodeg®
ADOCIA’s BioChaperone Combo advantages over Ryzodeg® (Novo Nordisk)
Insulin Glargine long safety and efficacy track-record (>15 years)
Potential faster prandial action (based on the results of Phase I/II of the two products)
Low cost of production
November 2014 Property of ADOCIA
Ryzodeg® (Novo Nordisk) medical benefits in clinical trials:
Improved fasted glucose control
Faster achievement of HbA1c target
Less insulin consumption
Lower rate of hypoglycemia
Source: Novo Nordisk, based on trial NN5401-3592 and NN5401-3597
BioChaperone Combo
Next steps for BioChaperone Combo
Phase IIa dose-response clinical study starting Q1 2015
• 36 Type 1 Diabetic patients • Dose-exposure relationship measurement
Simplified development plan relying on glargine/lispro existing results
Preparation of meetings pre-IND (FDA) & scientific advice (EMA) to validate the development plan
Phase III program could start in Q1 2016
November 2014 Property of ADOCIA 37
BioChaperone Combo
Simple
Short clinical trial
Safe and well tolerated
BioChaperone Insulin portfolio: ‘Best-in-class’ products
‘Gold-standard’ 1st Generation
‘Best-in-class’2nd Generation
Efficacy
Medical benefit
+ BioChaperone
Established safety and efficacy
Part of patients’ everyday life
InsulinBC-Insulin
November 2014 Property of ADOCIA 38
Next developments milestones in BioChaperone insulins
Product Event Expected timeline
HinsBetResults
Phase IIa on type 1 diabetics Q1 15
BC ComboLaunch
Dose-response Phase IIa on type 1 diabetics
Q1 15
BioChaperone Lispro U100Launch
Pump study, Phase IIa on type 1 diabetics
Q1 15
BioChaperone Lispro U200Start
Phase I/II on type 1 diabetics Q1 15
November 2014 Property of ADOCIA 39
Property of ADOCIA 40
1. Insulin therapy
2. Wound healing
3. Oncology
Product Breakthrough
November 2014
Property of ADOCIA 41
Diabetic Foot Ulcer (DFU): a life-threatening disease
1 Armstrong, D. G. et al Int Wound J 2007, 4 (4), 286-287
Chronic hyperglycemia
Neuropathy & Ischemia
Diabetic Foot Ulcer15% of
diabetic patients will develop a
DFU
60 % Neuroischemic
patients in Western countries
November 2014
Property of ADOCIA 42
Wound healing potential market
Organo-genesis
ADOCIASmith & Nephew,
DermaSciences
Urgo, Convatec, Mölnlycke, Systagenix….
-
+
Seve
rity
of d
isea
se
Cellular therapies~ $10,000, Complex management
Biologics~ $1,500Only approved product for DFU: Regranex® (PDGF-BB)
Dressings ~$200
November 2014
Property of ADOCIA 43
Advantages of BioChaperone PDGF-BB vs Regranex®
BioChaperone PDGF-BB spray meets the requirements for a first-line advanced wound care treatment
• Easy to use and convenient
Applied once every two days (vs. daily for Regranex®)
Ready-to-use spray
Sterile without preservatives
Multi-uses for 6 weeks
Stable up to 3 months at 30°C and 30 months at 5°C
• Cost effective
1/3 of PDGF dosage vs. Regranex® Reduced cost of treatment due to reduced frequency of application
November 2014
November 2014
BC PDGF-BB is non-inferior to Regranexat a third the dosage, applied half as often
Registered in clinical trials.gov under the #NCT01098357; 192 patients (both neuroischemic and neuropathic). Phase II multicenter, open-label, controlled, randomized trial. Property of ADOCIA 44
Once a day
Once every 2 days
Weekly dose divided by 3
66%
31/47
79%
38/48
Phase I/II study in 200 diabetic patients in India
Incidence of complete wound closure after 20 weeks
Property of ADOCIA 45
Clinical proof of concept established in Phase I/II on DFU (India)
BioChaperone PDGFTwo products for two markets
Phase III launched Aug. 2014 (India)
WHO-GMP PDGFEmerging markets
cGMP PDGFWestern markets
Next steps
EMA-validated shortened clinical development plan
Phase III results expected Q1 16
Pre-IND meeting planned Q2 15
European Phase III Q4 15
60-80% Neuropathic
60% Neuroischemic
November 2014
Property of ADOCIA 46
BioChaperone PDGF:Phase III clinical study launched in India
DCGI approval received August 22, 2014
Phase III clinical study
• 252 DFU patients– 25 to 30 investigators centers• Biochaperone PDGF-BB vs. placebo
Goal of the study: Confirm product effectiveness
• Principal criteria: Complete wound healing after max 20 weeks of treatment • Secondary criteria: Wound healing in 10 weeks & Recurrence rate (3 months after wound
closure) Support marketing approval in India and other emerging countries
Act as supportive data to a Phase III trial in Europe for EU registration
November 2014
Property of ADOCIA 47November 2014
“The committee was enthusiastic about BC PDGF-BB and the results obtained during Adocia’s first Indian trial and will support the development of BioChaperone PDGF‐BB in western as well as in emerging countries”.
Adocia’s BC PDGF-BB is supported by an international Medical Advisory Board
Jan Apelqvist MD, PhD
David ArmstrongDPM, PhD, MD
Terry TreadwellMD
Michaël EdmondsMD
Akita Sadanori MD, PhD
Jean-Charles Kerihuel MD
Sylvie Meaume MD, PhD
Stephan Morbach MD
Property of ADOCIA 48
1. Insulin therapy
2. Wound healing
3. Oncology
Products breakthrough
November 2014
ADOCIA in Oncology
Monoclonal Antibodies Formulation
Improve mAb solubility
Reduce viscosity in highly concentrated solution
Improve stability upon storage
2 ongoing partnerships with major pharmaceutical companies
DriveIn®
Targeted delivery for chemotherapy
Biomimetic hyaluronan-based Trojan horse
Phase 1 planned to start Q4 2015
November 2014 Property of ADOCIA 49
Property of ADOCIA 50
Financial Statements
November 2014
Property of ADOCIA 51
2014 half year results: brief statement of accounts
In € thousands (IFRS rules) 30/06/2014 30/06/2013 Variation
Revenue 0,2 0,9
Other income 1,7 1,8
Total income 1,9 2,7 -30%
Operating expenses (7,4) (7,4)
Profit/loss from operating activities
(5,6) (4,6) -21%
Net profit/loss after tax (5,5) (4,6) -20%
November 2014
Property of ADOCIA 52
• Turnover end of September: €0.2M (collaboration agreements on mAbs) versus €5.6M
in 2013 (depreciation balance on the initial payment from Lilly)
• Cash position end of September 2014: €12.6M
• Burn rate on the first three quarters in 2014: €6.8M
(€3.2M cash in June 2014 of the tax credit research on 2013 spending)
• Long term debt: €1.8M loan from BPI France
(refundable only in case of commercial and/or technical success)
Results end of September 2014 and balance sheet details
November 2014
Property of ADOCIA 53
• Listed on Euronext Paris since February 2012
• 6.2 million shares, with a float nearly 44% (*)
• Market capitalization (end of Oct 2014) = €190M
• ADR Program with BNY since May 2014 (ADOCY)
• Analysts:
Kepler Market (Lionel Labourdette)
Invest Securities (Daniel Anizon)
Life Sci Advisors (Andrew I. Mc Donald)
Shareholders as of September 30, 2014
Shareholders equity
(*) including, where appropriate, the shares held by existing investors of the company
November 2014
Property of ADOCIA 54
ADOCIA – Next steps
November 2014
Property of ADOCIA 55
ADOCIA – Next steps
Product / Technology Therapeutic area EventExpected timeline
HinsBet Diabetes Phase IIa study results Q1-2015
Biochaperone Combo Diabetes Phase IIa dose-response study launch Q1-2015
Biochaperone Lispro U100 Diabetes Phase II on type 1 diabetics , pump study, launch Q1-2015
Biochaperone Lispro U200 Diabetes Phase I/II study launch Q1-2015
mAbs technologies Depending on partner Ongoing collaborative developments -
DriveIn Oncology Phase I launch Q4-2015
BC PDGF-BB Diabetes Phase III – Europe study launch Q4-2015
BC PDGF-BB Diabetes Phase III – India n study Results Q1-2016
November 2014
Property of ADOCIA
Contact
SA au capital de 619.227,60 € - RCS Lyon 487 647 737 00021
Tél + 33 4 72 610 610115 avenue Lacassagne – 69003 Lyon
www.adocia.com
56
Thank you for your kind interest
Persons depicted in this document are models that are intended to enhance the presentation. They are not affected by any disease or treatments mentioned in this present document.
November 2014