Sobi: Update and Perspective Geoffrey McDonough, CEO JP Morgan Conference San Francisco January 2013 Forward Looking Statements In order to utilize the ‘Safe Harbor’ provisions of the United States Private Securities Litigation Reform Act of 1995, Swedish Orphan Biovitrum is providing the following cautionary statement. This presentation contains forward-looking statements with respect to the financial condition, results of operations and businesses of Swedish Orphan Biovitrum. By their nature, forward-looking statements and forecasts involve risk and uncertainty because they relate to events and depend on circumstances that will occur in the future. There are a number of factors that could cause actual results and developments to differ materially from that expressed or implied by these forward-looking statements. These factors include, among other things, the loss or expiration of patents, marketing exclusivity or trade marks; exchange rate fluctuations; the risk that R&D will not yield new products that achieve commercial success; the impact of competition, price controls and price reductions; taxation risks; the risk of substantial product liability claims; the impact of any failure by third parties to supply materials or services; the risk of delay to new product launches; the difficulties of obtaining and maintaining governmental approvals for products; the risk of failure to observe ongoing regulatory oversight; the risk that new products do not perform as we expect; and the risk of environmental liabilities. 2 Who We Are Sobi is an international specialty healthcare company dedicated to rare diseases. Our mission is to develop and deliver innovative therapies that improve the lives of patients. 3 Quick Facts • Listing: NASDAQ OMX (STO:SOBI) - Outstanding shares: 265.2 M - Sponsored ADR through BNY Mellon (SWTUY) • Market Cap: $1 508 M - Share price, close 2 January 2012: SEK 38.1 - 52-week range: SEK 11.40 – 45.50 • Net Revenues FY 2011: $285 M • EBITA1 FY 2011: $19 M • Net Debt, September 30 2012: $42 M • Employees: ~ 480 • Ownership Summary: 30 September 2012 % of capital Sweden 65 of which Investor AB 40 Rest of World 35 1 4 Before non-recurring items. Figures restated in US dollars @ SEK 6.7/dollar What We Do Our key therapeutic areas are Inflammation and Genetic diseases, with a growing focus on Hemophilia and Neonatology. We deliver products to specialist physicians and their patients through our integrated and focused team approach to sales and marketing, medical affairs and patient access. We leverage our world-class capabilities in protein biochemistry and biologics manufacturing to develop next generation biological products. 5 Last Year at JP Morgan 6 A Diverse Commercial Portfolio + Strong Pipeline… Development Programs Key Therapeutic Areas +12%2 at CER US$ 4 Billion Market Potential in Pipeline Neonatology Hemophilia Inflammation Genetics +10%2 at CER +8%2 at CER Base Business -4%2 Partner Products ReFacto AF® 1) 2011 figures in USD, excluding co-promotion revenues 2) YTD growth 2012 vs. 2011, adjusted for discontinued products and ReFacto/BeneFIX co-promotion 7 US$ 120M US$ 150M1 YTD Consolidated Revenues and Net Debt Merger with Swedish Orphan 300 250 USD M USD M 200 Biovitrum stand-alone 150 200 0,5 160 0,4 120 0,3 80 0,2 40 0,1 0 0,0 Revenues 8 EBITA before non-recurring items Net debt Net debt / Equity Q3-12 2012 YTD Sept Q2-12 2011 Q1-12 2010 Q4-11 2009 Q3-11 2008 Q2-11 2007 Q1-11 0 Q4-10 50 Q3-10 100 Outlook 2012 On Track Revenues Total revenues expected to be about SEK 100 M lower than 2011, reflecting the divestment of the co-promotion rights. Gross Margin Gross margin expected to be in line with 2011 margin of 54% after adjustment for the balance sheet write-downs and the divestment of co-promotion rights. Costs related to the transfer of Kineret production are estimated at SEK 60 M impacting gross margin primarily in the first half of the year. OPEX Operating expenses estimated at or below SEK 950 M. Milestone Payment Milestone payment to Amgen of USD 55 M expected in Q4 2012 or in Q1 2013. The outlook was first published in the Q4 report on 23 February 2012. 9 Calendar Highlights 2012 Event H1 2012 H2 2012 Orfadin Liquid Formulation PIP Response Kineret CAPS PIP Response Complete Tech Transfer Kineret Manufacturing Kineret NOMID Filing FDA Top-Line Data for rFIXFc Program (BIIB) Kineret CAPS Filing EMA Top-Line Data for rFVIIIFc Program (BIIB) Kiobrina Complete Phase 3 Enrollment Kineret NOMID Filing FDA Approval □ Management Team Additions Geoffrey McDonough, Chief Executive Officer Previous positions: Genzyme Corporation since 2002, latest as President of Europe, Middle East and Africa. Alan Raffensperger, Chief Operating Officer Previous positions: CEO of Benechill Inc.,USA, Executive Director, Head of Nephrology at Amgen 2008-2010, General Manager of the Nordic and Baltic region at Amgen 2005-2008, Sales and Marketing Director at Roche Pharmaceuticals, Sweden 1999-2004, Vice President, Global Marketing Diabetes Care, Roche Diagnostics 19961998, Business Director Europe, Diabetes Care at Boehringer Mannheim 1994-1996. He has also held leading positions within Pharmacia in Sweden and USA. Birgitte Volck , Chief Medical Officer Previous positions: Various senior positions within Amgen since 2007, latest as Executive Development Director, Bone, Neuroscience & Inflammation at Amgen Limited in Uxbridge, UK. Prior to Amgen she was Nordic Medical Director & Project Director at Genzyme A/S in Denmark 2004-2007, and Vice President, Clinical Development & Medical Affairs at Pharmexa A/S in Denmark 2001-2004. Wills Hughes-Wilson, Vice President, Chief Patient Access Officer Honors graduate in Law from University of Durham in the UK. Previous positions: Genzyme Corporation, now part of the French Sanofi Group, where she was Vice President Health/Market Access Policy, Europe. Prior to Genzyme she was Executive Director of Emerging Biopharmaceutical Enterprises (EBE), a specialized group of the European Federation of Pharmaceuticals Industries & Associations (EFPIA) representing the interest of biotechnology companies in Europe. 11 Twelve Months of Progress 12 Today’s Portfolio is a Platform… Development Programs Key Therapeutic Areas Base Business 13 Neonatology Hemophilia Inflammation Partner Products Genetics ReFacto AF® Near-Term Focus on Operating Businesses… Pre-clinical Development Programs Hemophilia Key Therapeutic Areas Neonatology Inflammation Partner Products Base Business 14 ReFacto Continued focus to maintain current momentum. Genetics Segment as near-term growth driver, evolution and streamlining of business model. Steady growth and leverage in key source of cash flow. 3 2 1 1 Quarterly revenues (SEK M) 150 600 100 400 50 200 Quarterly 15 Q3-12 Q1-12 Q3-11 Q1-11 Q3-10 0 Q1-10 0 4 quarters rolling 4 quarters rolling revenues (SEK M) Kineret® – Progress • Sales of Kineret in the third quarter were USD 17 M, an increase of 12% • No impact from currency y/y • Priority review by FDA for application for Kineret for NOMID indication has resulted in FDA approval in late December 2012 • Increased efficiency in the production following tech transfer will further improve gross margins going forward 1 Evolving Position of Kineret in IL-1 Diseases Identifying subsets of RA population Where Kineret’s short half life and safety profile uniquely suitable Entering the Pediatric inflammation segment Emerging evidence for role of IL-1 in disesases with unmet medical need • Gout and pseudogout High Rrisk Pts on Biologicals1 (200 000) • Post-myocardial infarction heart failure Dynamic Patients 2,3 (100 000) Prone to Infections Kineret Opportunity = 10.000 FYP4 16 • Skin disease (hidradenitis suppurativa, acne) Diabetes CV 1 Datamonitor 2010 2 IMS Health 2011 3 Opticom MR 2011 4 EU 27 and US (est) • Stroke • Filed for CAPS in EU in Q4, 2012 • Type 1 & 2 diabetes • Critical to allow support practice in children • Dry eye syndrome • Malignanacies Treating inflammation by blocking interleukin-1 in a broad spectrum of diseases Charles A. Dinarello, Anna Simon and Jos W. M. van der Meer, Nature Reviews, Aug, 2012 2 Partner Portfolio – Growing European Platform Offers small and midsized companies an integrated solution for commercialization of niche and specialty products: • Market leader in Nordics, Baltics, CEE Oncology Emergency Medicines & Antidotes • Expanding to all Europe model and Russia • Portfolio of more than 40 specialty pharmaceuticals, 30+ partners • High rates of capital return in this segment of the business with attractive growth risk profile Focused on renewed deal flow in line with this model 17 Other Specialty Areas Hematology & Hemophilia 3 250 1 000 200 800 150 600 100 400 50 200 ReFacto Manufacturing 4 quarters rolling 18 Q3-12 Q1-12 Q3-11 Q1-11 Q3-10 0 Q1-10 0 ReFacto Royalty 4 quarters rolling revenues (SEK M) Quarterly revenues (SEK M) Revenues from ReFacto • Solid volume growth in ReFacto manufacturing revenues • Adjusted for validation batches in 2011 (SEK 42 M), revenues increased 3% YTD • Higher utilization of production facility compared to last year • Scale-up of downstream production process will have a positive effect on gross margin going forward • ReFacto royalty revenues impacted by difference in timing between quarters … and Mid-Term Launch of Our Pipeline Development Programs Hemophilia Key Therapeutic Areas Base Business Neonatology Inflammation Partner Products ReFacto 19 Genetics Hemophilia Hemophilia A + B: A Combined USD $6B+ Market Global sales, 2010 ($ M) FIX BeneFIX (Pfizer) Plasma Derived Factor (Various) 1000 Source: Benefix - 2010 Pfizer Annual Report. Plasma Derived - Fall 2010 Citigroup projections. Global sales, 2010 ($ M) FVIII Kogenate FS (Bayer)* Advate/Recombinate (Baxter) 0 200 0 1000 Plasma Derived Helixate FS Xyntha/ (CSL Behring) Refacto AF Factor (Various) 400 0 2000 600 0 3000 Source: 2010 Annual reports for Bayer, Pfizer, Baxter. Internal estimates and secondary reports for remainder. *Excludes sales to CSL Behring 21 (Pfizer) 800 0 4000 100 00 120 00 5000 B-LONG only Factor Use Relatively High in Sobi Territory Per Capita consumption of FVIII (IU/Inhab.) ~55% of global factor sales are in the Sobi territory – an approx. ~$3.4 B market Sweden Germany Ireland Hungary France Italy USA Spain Norway Poland Switzerla… Russia Portugal Greece Czech Lithuania Bulgaria Turkey Romania 0 Source: WFH 2009 22 2 4 6 8 10 World Federation of Hemophilia Annual Global Survey Hemophilia Patient Segmentation ~100,000 Total Haemophilia Treated Patients Treated Patients (A&B) (A&B) 24% <18 years 1/3 pts 2/3 pts 76%> 18 years 10% Surgery Induction approx 0,3% Elective and Emergency 60% Prophylaxis 20 % Prophylaxis Per Treatment Per Surgery 100k$ /year/pt 300k$ /year/pt 600k$/year/pt 100k$/surgery/pt 40% On Demand 40k$/year/pt 80% On Demand 100k$ /year/pt Source: WFH Annual Global Survey 2010 UK Haemophilia Centre Doctors Organisation Data – Report 2010 Data varies by country and territory 23 2% Immune Tolerance Hemophilia Programs: Positive Top Line Data Factor 9: B-LONG Safety Summary • No inhibitors to rFIXFc were detected • No cases of anaphylaxis were reported 1. Prophylactic regimens resulted in lowsingle-digit annualized bleeding rates 2. Median dosing interval was 14 days in the individualized interval prophylaxis arm during last 6 months 3. Greater than 90% of bleeding episodes were controlled by a single injection of rFIXFc 24 • Most common adverse events (incidence of ≥5%) occurring outside of the perioperative management arm were nasopharyngitis, influenza, arthralgia (joint pain), upper respiratory infection, hypertension and headache • One serious adverse event was assessed to be possibly related to drug by the investigator. The patient experienced obstructive uropathy in the setting of hematuria; he continued rFIXFc treatment and the event resolved with medical management B-LONG Trial Summary Sequential PK* BeneFIX® rFIXFc Nonsequential PK rFIXFc MEDIAN ABR 2.95 Arm 1 Weekly prophylaxis regimen Arm 2 Individualized interval prophylaxis regimen Up to 52 weeks Optimize Dose Weekly Up to 52 weeks Optimize Interval N=63 MEDIAN ABR 1.38 N=29 MEDIAN ABR 17.69 Arm 3 Episodic treatment Arm 4 Perioperative management N=27 N=12 *PK subgroup (n=16) dosed with BeneFIX, then crossed over to rFIXFc. rFIXFc=recombinant factor IX Fc fusion protein; PK=pharmacokinetics. NCT01027364. Available at http://www.clinicaltrials.gov/ct2/show/NCT01027364?term=rFIXFc&rank=1. Accessed September 24, 2012. 25 Up to 52 weeks On-Demand Comparison 10 surgeries in ≥5 patients Hemophilia Programs: Positive Top Line Data Safety Summary • No inhibitors to rFVIIIFc were detected 1. Individualized and weekly prophylactic regimens resulted in low-single-digit annualized bleeding rates 2. Median dosing interval was 3.5 days in the individualized prophylaxis arm 3. 98% of bleeding episodes were controlled by one or two injections of rFVIIIFc 26 • No cases of anaphylaxis were reported • The most common adverse events (incidence of ≥5%) occurring outside of the perioperative management arm were nasopharyngitis, arthralgia, headache and upper respiratory tract infection • No serious adverse events were assessed to be related to drug by the investigator A-LONG Trial Summary Sequential PK (Advate® vs rFVIIIFc) MEDIAN ABR 1.6 Arm 1 Individualized prophylaxis Optimize ABR / Protection N=118 Surgery subgroup MEDIAN ABR 3.6 Screening Arm 2 Weekly prophylaxis Randomization N=24 Surgery subgroup MEDIAN ABR 33.6 Arm 3 Episodic treatment N=23 Surgery subgroup Advate (Baxter) is an antihemophilic factor (recombinant) plasma/albumin-free method. PK=pharmacokinetics; rFVIIIFc=recombinant factor VIII Fc fusion protein. NCT01181128. Available at http://clinicaltrial.gov/ct2/show/NCT01181128. Accessed September 24, 2012. 27 Offer Weekly Option for On-Demand What Does Shifting the Curve Mean? ILLUSTRATION ONLY – NOT DATA 2X per week 3X per week Relative Number Of Patients 1 2 Number of Infusions Per Week 28 3 4 Launch in Sobi Territories will follow US 2010 rFIXFc B-LONG 2011 2012 H1 2016 H2 Start of Pediatric studies H1 A-LONG Start of Phase III studies H1 Launch in Sobi Territory H2 Data Read Out Start of Pediatric studies H1 29 2014 Data Read Out Start of Phase III studies rFVIIIFc 2013 B-LONG only Kiobrina Kiobrina – Oral ERT for Premature Infants Kiobrina is a recombinant human lipase (BSSL) given together with formula or pasteurized milk to pre-term infants, in development: • To increase growth rate • To reduce length of stay in the NICU, • To improve long-term development outcomes. 31 Kiobrina – Physiology 1. Bile Salt Stimulated Lipase (BSSL) is needed in the infant GI tract to digest long chain fatty acids (LCFA) 2. BSSL naturally occurs in mother’s milk 3. Premature infants do not produce BSSL a. 4. Lack of BSSL is correlated with slower growth in neonatal period BSSL not present in pasteurized milk or formula Kiobrina aims to replace normal quantity and activity of native BSSL 32 Phase II: Potentially Significant Clinical Value Growth model for a 1kg pre-term infant to reach 1.8kg Growth Velocity ( g/kg/d) 18 16.9* 16 14 13.9 7 days * p<0.001 12 Placebo (Formula /pasteurized milk) Kiobrina + Formula/pasteurized milk The phase II Kiobrina program was designed as two parallel prospective randomized double-blind crossover studies where Kiobrina, or placebo, was administered in pasteurized milk, or preterm infant formula, during one week of treatment. All infants were born before week 32 of gestational age. 33 Source: Internal modeling; Sobi. Phase III Pivotal Trial Underway in Europe • Ongoing Phase III study primary endpoint is Growth Velocity after four weeks treatment • 12 months total observation period • A 24 month extension study has been initiated to capture longer term development outcomes * Design and timeline to be finalized. 34 Cross-Sectional Data: Growth Velocity & Risk of Impairment % Patients w/ Cerebral Palsy % Patients w/ Impaired Neurodevelopment 25 60 50 20 40 15 30 10 20 5 10 0 12 g*kgˉ¹*dˉ¹ 16 g*kgˉ¹*dˉ¹ 18 g*kgˉ¹*dˉ¹ 21 g*kgˉ¹*dˉ¹ Growth Velocity Ehrenkranz et al. Pediatrics, 2006; 117;1253 35 0 12 g*kgˉ¹*dˉ¹ 16 g*kgˉ¹*dˉ¹ 18 g*kgˉ¹*dˉ¹ Growth Velocity 21 g*kgˉ¹*dˉ¹ Kiobrina Could Help >275,000 Patients Globally* 86,000 Filing Based on EU Dossier 24,000 US Latin America* 178,000 Korea Australia MENA* China US Pivotal Study *Lat AM: Brazil, Mexico, Argentina, Venezuela *MENA: Saudi, Iran, Israel, Egypt, Turkey 36 Current Phase III Study Russia 20,000 EU Bridging Studies (based on EU File) Strategic Priorities 1. Near term focus on growth in key therapeutic areas, with sustainable positive cash flow from operations. 2. Medium-term investments to ensure successful commercialization of our late-stage pipeline. 3. Long-term growth will come organically and through acquisitions in key therapeutic areas. Q4 and Full Year Earnings: 21 February 2013 37 Reference 38 100 400 75 300 50 200 25 100 Quarterly 39 Q3-12 Q1-12 Q3-11 Q1-11 Q3-10 0 Q1-10 0 4 quarters rolling 4 quarters rolling revenues (SEK M) Quarterly revenues (SEK M) Orfadin® – On Track Year to Date • Sales of Orfadin in the third quarter were USD 12 M, an increase of 3% • Adjusted for currency: • Revenues increased by 6% y/y • Revenues increased by 10% YTD • North America and Central Eastern Europe contributing to growth • Development in EMENA affected by negative currency effects and purchasing pattern • Geographic expansion • Sobi Middle East established in Dubai • New orphan legislation in Russia in place Orfadin® – New Formulation Meets Market Need Rationale 1. Enables precise dosing 2. Expands compliance 3. IP Extension (orphan status EU 2017) Status • Manufacturing scale-up underway • Clinical program underway • EMA PIP approved March 2012 17
© Copyright 2024