ADOCIA – CORPORATE PRESENTATION
Actionaria event – Palais des Congrès
Paris, France – November 21-22, 2014
Disclaimer
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.
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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.
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November 2014 Property of ADOCIA 2
ADOCIA - Management
Gérard Soula
President & CEO
November 2014
Olivier Soula Valérie Danaguezian
Deputy General Manager
R&D Director
Chief Financial Officer
Property of ADOCIA
Rémi Soula
Business Development
& Intellectual Property Director
3
ADOCIA in brief
• 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: Drive In -Doxorubicin and Drive In -Docetaxel, for the treatment of solid tumors
November 2014 Property of ADOCIA 4
ADOCIA
A unique excellence center for innovative insulin formulation
November 2014
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
Property of ADOCIA
Author unknown
5
Insulin: more than 90 years of progress towards a more physiological treatment
November 2014
BC LISPRO
BC COMBO
HINSBET
Property of ADOCIA 6
ADOCIA: a solid and diversified portfolio of products
November 2014 Property of ADOCIA 7
Evolution of the stock over 2014
IPO: €15.88
DFU
Patent
Start of
Phase IIa
UF Lispro
Phase II combo
Results
Phase IIa
UF Lispro
Results
Start of
Phase II dose response
UF Lispro
Lispro
300U
Project
Start of
Phase IIa
Hinsbet
ADR
Phase II dose response
UF Lispro
Results
Start of
Phase III
BC PDGF-BB
ADA posters
Increase of the share price (€5.97 on 1 st January - €30 on 29 th October),
associated with an increase of the shares average trading volume (6,200 in 2013 and > 50,000 in 2014)
November 2014 Property of ADOCIA 8
Technology
November 2014 Property of ADOCIA 9
BioChaperone
®
: A new concept based on molecular assembly
Insulin,
Growth factors, mAbs…
• 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
November 2014 Property of ADOCIA 10
Products breakthrough
1.
Insulin therapy
2.
Wound healing
3.
Oncology
November 2014 Property of ADOCIA 11
Diabetes: a significant and growing pandemic
95 M
Treated
206 M
382 M
Diabetics
592 M
2013
November 2014 Property of ADOCIA
Adapted from International Diabetes Federation, Diabetes Atlas, 6 th Edition, 2013
12
Insulin is the ultimate treatment for type 2 diabetes patients, and the only option for type 1 diabetes patients
Treatment intensification
$23 B
25%
Treated diabetics use Insulin
Oral
Antidiabetics
GLP-1
Property of ADOCIA
Disease progression
13 November 2014
Two major types of insulin products
70
60
50
40
30
20
10
6:00
(Humalog ® , Novolog ® , Humulin®…)
7 B$
10:00 14:00 18:00 22:00
(Lantus ® , Levemir ® , Tresiba ® )
2:00 6:00
10 B$
Breakfast Lunch Dinner
November 2014 Property of ADOCIA
(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.
14
Our innovative portfolio meets the challenges raised by the new insulin landscape
Humalog
Oncea-week
HinsBet
BC Combo
Glargine/Fast
November 2014 Property of ADOCIA 15
Insulin products: $22.9 billion (1) , CAGR 15.7% (2008-2013) (1)
Human insulin market: $3.5 billion
Insulin analogs market: $19.4 billion
Novo
Nordisk
Human Insulin
Novolin N & R
($2.0 B)
Fast acting
Analogs
NovoLog
®
($3,1 B)
2014 *
Eli Lilly
Humulin family
($1.3 B)
Humalog
®
($1,95 B)
2013 *
Sanofi Insuman ® ($0.2 B) Apidra
®
($0.4 B)
2017 *
* Year product is off-patent
Long acting Insulins Premixed Insulins
Insulin Combos
(long+fast-acting)
Levemir
®
($2,1B)
2018*
Tresiba ®
(Europe/Japan)
2024 *
Novomix
®
($1.8 B)
Ryzodeg ®
(Europe/Japan)
/
Humalogmix ®
($0,65 B)
/
Lantus
®
($7.8 B)
2015 *
/ /
Our challenge: bring innovation to existing products which will soon be off-patent
November 2014 Property of ADOCIA 16
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
BioChaperone for Prandial Insulins
November 2014 Property of ADOCIA 17
Medical need for ultra-fast insulins
Ultra-fast insulins
Injection adapted to the actual meal
Improved medical benefit
Less hyper-glycemic events
Less hypo-glycemic events
November 2014 Property of ADOCIA 18
Patients needs will drive the development of a range of ultra-fast products
Children
ULTRA-FAST INSULIN
Pump users
40%
American T1D use pumps 1
Severely insulin- resistant
86%
Overweight
T2D 2
Mealtime dosing for better accuracy
Real-time dosing
Smaller pumps for better QoL
“Standard” U100
High performance
Smaller injected volumes
Less pain
November 2014
Sources: 1 Medtronic, 2010 ; 2 Daousi et al (2006) Postgrad Med J 2006;82:280-284.
“Concentrated” U200
Property of ADOCIA 19
New products in development to meet the trends
Adocia develops a unique portfolio of “ultra-fast AND concentrated” insulins
November 2014 Property of ADOCIA 20
Results of phase 2a trial on 36 Type 1 Diabetic patients
Pharmacokinetics « faster-in » and « faster-out »
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
Mean Serum insulin level
69 min
These results were presented at conferences:
November 2014 Property of ADOCIA
Double–blind study, randomized, cross-over study on 36 Type 1 Diabetic patients under euglycemic clamp; BC Lispro (100 IU) vs. Humalog (100IU)
21
Phase 2a trial on 36 T1D patients
Pharmacodynamics
Mean Glucose Infusion Rate
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
These results were presented at conferences:
November 2014 Property of ADOCIA
Double-blind, randomized, cross-over study on 36 Type 1 Diabetic patients under euglycemic clamp; BC Lispro vs. Humalog 100 IU
22
Dose-exposure results for BC Lispro U100 (PK)
Second Phase IIa on 36 Type 1 diabetic patients
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
BC Lispro 0.4 U/kg
Normalized at 0.1 U/kg
November 2014
BC Lispro 0.2 U/kg
BC Lispro 0.1 U/kg Across a standard therapeutic dose range BioChaperone Lispro U100 :
Confirms Ultra-fast absorption profile
Shows dose-exposure proportionality
(R²>0.95)
Property of ADOCIA 23
Dose-response results for BC Lispro U100 (PD)
Second Phase IIa on 36 Type 1 diabetic patients
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
BC222 Lispro 0.4 U/kg
BC222 Lispro 0.2 U/kg
BC222 Lispro 0.1 U/kg
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)
November 2014 Property of ADOCIA 24
Clinical trials with BioChaperone Lispro
Conclusions
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
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
November 2014 Property of ADOCIA 25
BC Lispro U100
Next key steps for the clinical development
ADOCIA Ultra-fast insulins
Ultra-fast BC Lispro U100
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 Property of ADOCIA 26
Innovation for everyone, everywhere
Prandial insulins
HinsBet ®
80% diabetics live in developing countries
November 2014
Source: International Diabetes Federation, Diabetes Atlas, 6 th Edition, 2013
Property of ADOCIA 27
Emerging markets: similar needs, different constraints
Large populations to treat
Strong economic constraints
November 2014
Prandial insulins
HinsBet ®
…But same medical needs
Better glycemic control
Prevention of long term complications
Property of ADOCIA 28
Human insulin is the best-selling insulin in developing countries
Prandial insulins
HinsBet ®
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
®
November 2014 Property of ADOCIA 29
HinsBet, a fast-acting human insulin
Mean PD results (pig model)
Prandial insulins
HinsBet ®
HinsBet
NovoLog (aspart)
Actrapid (human insulin)
November 2014
Results for Phase 2a study are expected Q1 2015
Property of ADOCIA 30
BioChaperone for Glargine-based Combo
November 2014 Property of ADOCIA 31
BioChaperone Combo
Many patients have difficulties with multi-daily insulin injections
Basal/Bolus Users
Semi-compliant patients
• Obese & poor self-image
• Not confident or not willing to handle injections
Poor compliance & self-management
Glargine market
$8bn
HbA1c
November 2014 Property of ADOCIA
Glasgow RE. et al. Diabetes spectrum 2001 ; Skinner TC & Hampson SE Diabetes Care 2001; Gherman A et al. Pract Diab Int 2011
Premix Users
Patients in need of simplicity
• Elderly
• Issues with multiple injections
• Other issues: health literacy, cost…
Poor medical performance
Premix market
$2.4bn
32
BioChaperone for Combo:
Solubilizing Glargine for a real “2-in-1”
BioChaperone Combo
Improved Compliance
Patients’ needs
Easy handling
Simpler regimen
Fewer injections
Improved HbA1c
Doctors’ requirements
Fast prandial action
Once-a-day basal
Flexible dosage
Reconciling patients and physicians on treatment intensification
November 2014 Property of ADOCIA 33
Phase 2a clinical trial in 20 Diabetics Type 1 (PD)
Basal action >24h, ultra-fast prandial action
BioChaperone Combo
Mean Glucose Infusion Rate
168 min
204 min p=0.01
BioChaperone Combo
HumalogMix 25
®
T onset
AUC
GIR 0-2h
AUC
GIR 12-30h
-37% (p=0.002)
+58% (p=0.001)
+57% (p=0.025)
November 2014 Property of ADOCIA
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
34
Phase 2a clinical trial in 20 Diabetics Type 1 (PD)
Basal action >24h
BioChaperone Combo
Mean blood glucose
Number of patients with duration ≥ 30h
17/19 for BC Combo vs. 6/20 for Premix (p=0.001)
BioChaperone Combo
HumalogMix 25
®
November 2014 Property of ADOCIA
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
35
BioChaperone Glargine Lispro Combo
BioChaperone Combo may present unique advantages over Novo Nordisk’s Ryzodeg ®
Ryzodeg
®
(Novo Nordisk) medical benefits in clinical trials:
Improved fasted glucose control
Faster achievement of HbA1c target
Less insulin consumption
Lower rate of hypoglycemia
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
Source: Novo Nordisk, based on trial NN5401-3592 and NN5401-3597
Property of ADOCIA 36
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 Insulin portfolio: ‘Best-in-class’ products
‘Gold-standard’
1 st Generation
Established safety and efficacy
Part of patients’ everyday life
November 2014
+
Simple
Short clinical trial
Safe and well tolerated
Property of ADOCIA
‘Best-in-class’
2 nd Generation
Efficacy
Medical benefit
38
Next developments milestones in BioChaperone insulins
HinsBet
BC Combo
Product
BioChaperone Lispro U100
BioChaperone Lispro U200
Event
Results
Phase IIa on type 1 diabetics
Launch
Dose-response Phase IIa on type 1 diabetics
Launch
Pump study, Phase IIa on type 1 diabetics
Start
Phase I/II on type 1 diabetics
Expected timeline
Q1 15
Q1 15
Q1 15
Q1 15
November 2014 Property of ADOCIA 39
Product Breakthrough
1.
Insulin therapy
2.
Wound healing
3.
Oncology
November 2014 Property of ADOCIA 40
Diabetic Foot Ulcer (DFU): a life-threatening disease
Chronic hyperglycemia
Neuropathy
& Ischemia
Diabetic Foot Ulcer
15% of diabetic patients will develop a
DFU
60 %
Neuroischemic patients in
Western countries
November 2014
1 Armstrong, D. G. et al Int Wound J 2007, 4 (4), 286-287
Property of ADOCIA 41
Wound healing potential market
+
Organogenesis
Smith & Nephew,
DermaSciences
Urgo, Convatec, Mölnlycke,
Systagenix….
Cellular therapies~ $10,000,
Complex management
Biologics~ $1,500
Only approved product for
DFU: Regranex ® (PDGF-BB)
Dressings ~$200
-
November 2014 Property of ADOCIA 42
Advantages of BioChaperone PDGF-BB vs Regranex ®
•
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
BioChaperone PDGF-BB spray meets the requirements for a first-line advanced wound care treatment
November 2014 Property of ADOCIA 43
BC PDGF-BB is non-inferior to Regranex at a third the dosage, applied half as often
Once a day
Phase I/II study in 200 diabetic patients in India
Incidence of complete wound closure after 20 weeks
79%
38/48
66%
31/47
Once every 2 days
Weekly dose divided by 3
November 2014 Property of ADOCIA
Registered in clinical trials.gov under the #NCT01098357; 192 patients (both neuroischemic and neuropathic). Phase II multicenter, open-label, controlled, randomized trial.
44
BioChaperone PDGF
Two products for two markets
Clinical proof of concept established in Phase I/II on DFU (India)
60-80%
Neuropathic
Emerging markets
WHO-GMP PDGF
Western markets cGMP PDGF
60%
Neuroischemic
EMA-validated shortened clinical development plan
Phase III launched Aug. 2014
(India)
Phase III results expected
Q1 16
Next steps
Pre-IND meeting planned Q2 15
European Phase III Q4 15
November 2014 Property of ADOCIA 45
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 46
Adocia’s BC PDGF-BB is supported by an international
Medical Advisory Board
“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”.
Jan Apelqvist MD, PhD
Michaël Edmonds
MD
Jean-Charles Kerihuel
Sylvie Meaume MD, PhD
Stephan Morbach MD
MD
David Armstrong
DPM, PhD, MD Akita Sadanori
MD, PhD
Terry Treadwell
MD
November 2014 Property of ADOCIA 47
Products breakthrough
1.
Insulin therapy
2.
Wound healing
3.
Oncology
November 2014 Property of ADOCIA 48
ADOCIA in Oncology
Monoclonal Antibodies
Formulation
DriveIn
®
Improve mAb solubility
Reduce viscosity in highly
concentrated solution
Improve stability upon storage
Targeted delivery for chemotherapy
Biomimetic hyaluronanbased Trojan horse
2 ongoing partnerships with major pharmaceutical companies
November 2014 Property of ADOCIA
Phase 1 planned to start Q4 2015
49
Financial Statements
November 2014 Property of ADOCIA 50
2014 half year results: brief statement of accounts
In € thousands (IFRS rules)
Revenue
Other income
Total income
Operating expenses
Profit/loss from operating activities
Net profit/loss after tax
30/06/2014
0,2
1,7
1,9
(7,4)
(5,6)
30/06/2013
0,9
1,8
2,7
(7,4)
(4,6)
Variation
-30%
-21%
(5,5) (4,6) -20%
November 2014 Property of ADOCIA 51
Results end of September 2014 and balance sheet details
•
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)
November 2014 Property of ADOCIA 52
Shareholders as of September 30, 2014
Shareholders equity
•
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)
(*) including, where appropriate, the shares held by existing investors of the company
November 2014 Property of ADOCIA 53
ADOCIA – Next steps
November 2014 Property of ADOCIA 54
ADOCIA – Next steps
Product / Technology
HinsBet
Biochaperone Combo
Biochaperone Lispro U100
Biochaperone Lispro U200 mAbs technologies
DriveIn
BC PDGF-BB
BC PDGF-BB
November 2014
Therapeutic area
Diabetes
Diabetes
Diabetes
Diabetes
Event
Expected timeline
Phase IIa study results
Phase IIa dose-response study launch
Phase II on type 1 diabetics , pump study, launch
Phase I/II study launch
Q1-2015
Q1-2015
Q1-2015
Q1-2015
Depending on partner Ongoing collaborative developments -
Q4-2015 Oncology
Diabetes
Phase I launch
Phase III – Europe study launch
Diabetes Phase III – India n study Results
Q4-2015
Q1-2016
Property of ADOCIA 55
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.
Contact
115 avenue Lacassagne – 69003 Lyon
Tél + 33 4 72 610 610 www.adocia.com
SA au capital de 619.227,60 € - RCS Lyon 487 647 737 00021
November 2014 Property of ADOCIA 56