bergenbio · bergenbio –first-in-class axl inhibitors for multiple aggressive cancers5 90% of...
TRANSCRIPT
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BerGenBioDeveloping first-in-class drugs to treat
aggressive cancer
DnB Hordaland På Børs
24th August 2017
Richard Godfrey, CEO
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Disclaimer
2
Certain statements contained in this presentation constitute forward-looking statements. Forward-looking statements
are statements that are not historical facts and they can be identified by the use of forward-looking terminology,
including the words "anticipate", "believe", "intend", "estimate", "expect", "will", "may", "should" and words of similar
meaning. By their nature, forward-looking statements involve a number of risks, uncertainties and assumptions that
could cause actual results or events to differ materially from those expressed or implied by the forward-looking
statements. Accordingly, no assurance is given that such forward-looking statements will prove to have been correct.
They speak only as at the date of the presentation and no representation or warranty, expressed or implied, is made
by BerGenBio ASA or its affiliates ("BerGenBio"), or by any of their respective members, directors, officers or
employees that any of these forward-looking statements or forecasts will come to pass or that any forecast result will
be achieved and you are cautioned not to place any undue influence on any forward-looking statement. BerGenBio is
making no representation or warranty, expressed or implied, as to the accuracy, reliability or completeness of this
presentation, and neither BerGenBio nor any of its directors, officers or employees will have any liability to you or any
other person resulting from the use of this presentation.
Copyright of all published material, including photographs, drawings and images in this presentation remain with
BerGenBio and relevant third parties, as appropriate. Consequently, no reproduction in any form of the presentation,
or parts thereof, is permitted without the prior written permission, and only with appropriate acknowledgements.
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BerGenBio Introduction
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Bergen, Norway
▪ Listed on Oslo Børs : ‘BGBIO’
▪ HQ and Administration
▪ Research
Oxford, UK
Clinical trial management
Drug discovery programs
BerGenBio “Scientific discovery is our revenue,
Data is our PROFIT”
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We are part of a big market and we can`t do it allWhere does Biotech fit into the food chain ?
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BerGenBio – First-in-class Axl inhibitors for multiple aggressive cancers
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90% of cancer deaths result from tumors spreading,
becoming immune evasive and drug resistant
Axl is a key mediator of these traits in most cancers
BerGenBio is a world-leader in Axl biology
and is developing an exciting pipeline of Axl inhibitors
BGB324 initially addressing an annual market potential of
USD 11 Billion
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Key events in BerGenBio history
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INTRODUCTION TO BERGENBIO
• UiB Spin- out
• Seed funding
• Patents filed
M D Anderson
• Phase II
• NOK 212m
capital raise
• Grant NOK
15m
Meteva
AS
2008 - 2010 2011 2012 2013 2014 2015 2016
• NOK 54m
equity issue
• In license
BGB324
• Grant NOK
12m
• Preclinical
• Phase I
• NOK 37m
equity issue
• Wellcome
Trust
investment
• Phase Ib
• NOK 165m
equity issue
• Grants
NOK24m
• Out-License
ADC
program
• Orphan
designation
• Grant NOK
13m
• UK office
Oxford
Key Partners
2017
• IPO NOK400m
• Merck
collaboration
• IFU Grant
NOK 24m
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84
90 9196
104107
148-178
20
40
60
80
100
120
140
160
180
2010 2011 2012 2013 2014 2015 2020E
US EU5 Japan Pharmerging Rest of World
Global cancer drugs sales forecasted to exceed USD ~150bn by 2020
7
MARKET POTENTIAL
Overall global oncology market development
1 Across the 7 major countries of the US, France, Germany, Italy, Spain, the UK and Japan
Source: IMS Institute, Global Oncology Trend Report: A Review of 2015 and Outlook to 2020, DCAT, GlobalData
USDb
Immuno-oncology market development1)
1.4
14
34
0
5
10
15
20
25
30
35
40
2014 2019E 2024E
”
The cost of oncology drugs will exceed $150
billion (…) especially immunotherapies –
will drive much of this growth”“
- IMS Institute, Global Oncology Trend Report
USDb
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4
8 7 7
13
19
15
34
0
10
20
30
40
2014 2015 2016 2017 2018 2019 2020 2021+
Combination treatments are driving clinical benefit & commercial opportunity
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MARKET POTENTIAL
Multiple examples of potentially high value partnerships;
trend particularly prominent within immune-oncology▪ Expected new combination regimen launches
Source: IMS Institute – Developments in Cancer Treatments, Market Dynamics, Patient Access and Value; Business Insights - The Cancer Market Outlook to 2016, Pfizer, AstraZeneca,
ChemistryWorld, BioPharma-Reporter
"Combination treatments are becoming the
treatment of choice" - Business Insights, The Cancer Market Outlook to 2016
Expected combination regimen
launches in oncology
“Breast and haematology
combos will predominate in
the early years”
“After 2018, combos targeting
solid tumours, especially lung
cancer and melanoma, will
increase dramatically”
✓Growth expected in indications targeted by BerGenBio
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BerGenBio is a world-leader in Axl biology and aggressive cancer
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Source: Gjerdrum, 2010
epithelial cell
tumour cell
mesenchymal tumour cell
fibroblast
immune cell
cancer drugs
Axl- Axl+
immune escape
EMT
hostile tumour microenvironment
metastasis
drug resistance
* Epithelial to Mesenchymal Transition drives cell invasiveness, survival, drug
resistance and immune evasion
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High Axl expression correlates with poor overall survival in most cancers
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▪ Strong Axl expression correlates with poor survival rate ▪ Companion diagnostic
1 Gjerdrum, 2010; 2 Ishikawa, 2012; 3 Ben-Battala, 2013; 4 Song, 2010
High Axl expression1
Low Axl expression1
Breast carcinoma1
Acute Myeloid Leukaemia3 Pancreatic ductal adenocarcinoma4
Overa
ll surv
ival (%
)
Time after diagnosis (years)
Lung adenocarcinoma (NSCLC)2
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BGB324 – First-in-class, highly selective oral Axl inhibitor
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Investigational Medicinal Product
Patients take medicines home, one-a-day dose
3yr shelf life
Cost effective treatment
▪ Drug substanceMode of Action
Highly selective and potent
Orally bioavailable
Well tolerated: suitable for long-term therapy
Suitable for combination with existing drugs
Licensed from Rigel Inc. 2011
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Strategic rationale for target indicationsMajor unmet need, strong scientific basis, block buster potential (~USD11Bn)
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1) SEER Program – National Cancer Institute (National Institute of Health) http://seer.cancer.gov/; 3) Cancer.net; 4) Figure for male and female breast cancer; 5) Excluding rectum; 6) Estimates by
Alacrita Consulting
Most common tumours express high Axl levels
Head &
neck
Thyroid
Lung
Breast
Pancreatic
Renal
cancer
Ovarian
Prostate
Colon
CML
AML
61,7603
56,870
222,500
255,1804
53,670
63,990
22,440
161,360
95,5205
8,950
21,380
New incidences
in 2017 (U.S.)1
Estimated annual global market opportunity per indication6
45% of
addressable
market
45% of
addressable
market
60% of
addressable
market
60% of
addressable
market
65% of
addressable
market
~0.6
~2.3
~4.7
~1.6
~2.0
~11
AML MDS NSCLCEGFR+ve
NSCLCfirst line
TNBC Total estimatedopportunity
USDbn
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Antibody programs
BGB149 –
Oncology
BGB601 –
Metastatic cancer (Partnered)
Discovery Pipeline – small molecule inhibitors
BGB002 – Oncology
BGB003 – Oncology
Discovery Preclinical Phase I Phase II Phase III
BGB324 – Axl kinase inhibitor
AML / MDS
NSCLC
(mutation driven)
NSCLC
(adenocarcinoma)
TNBC
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Phase Ib / II – Single agent / Combination
Phase Ib / II – Combination with TARCEVA® (erlotinib)
Phase II Combination with KEYTRUDA® (pembrolizumab)
Phase II Combination with KEYTRUDA® (pembrolizumab)
Anti-Axl mAb
ADC
Investigator-sponsored trials
NSCLC
Melanoma
Phase II BGB324 in combination with Docetaxel
Phase II BGB324 in combination with current standard therapies, incl. CPIs
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Strategic pipeline will drive value creation
Broad Phase II clinical trial program
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300Patients
>2 yrTreatment
duration
50hospitals
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Rationale for BGB324 in Lung Cancer
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Most patients are diagnosed at late stage (IV)
70% die within 12 months / 1% 5year survival
(1) As per ASCO guidelines 2017 (2) Wilson et al. Cancer Res (2014) (2) Wilson et al. Cancer Res (2014)
BGB324 enhances the effect of chemotherapy
in animal models
Vehicle (n=6)
BGB324 (n=6)
Docetaxel (n=6)
Docetaxel + BGB324 ( n = 8)
HeLa xenograft2
BGB324 + docetaxel is a potential new
treatment regime for patients in first and
second line setting
Lung Cancer treatment depends on the type of disease
No known causeKnown, actionable
driver mutation
PD-L1 expression
>50%
Targeted
therapyKEYTRUDA
Chemotherapy
progression progression
30%18%
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NSCLC Phase Ib: BGB324 monotherapy – clear clinical benefit
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Overview 1 year Progression Free Survival in 25% of patients
BL= Baseline measurement
SD= Stable Disease according to RECIST1-1
UNS= unscheduled scan on 19 Jan 2017 – patient confirmed as PD following in patient hospitalisation
Sex 57 year old
Female
EGFR mutation None
#of previous
treatments
Seven
Measurable disease
with multiple
metastases
Brain lung
bone and leg
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50
310-104
310-107
312-101
312-102
310-105
310-108
311-103
311-106
191 195
208203
195 196
183
172163
155
100
120
140
160
180
200
220
BL C2 C4 C6 C8 C10 C13 C14 C16 US
Duration of treatment (weeks)
SDSD
SD
SD
SDSD
SDSD
BGB324
mono-
therapy
Su
m o
f ca
nce
r m
ea
su
rem
en
ts
▪ 1 year PFS in 25%
patients
- 1 minor response
- 1 stable disease
▪ Two patients treated for
approximately 12 months
▪ Very well tolerated, patients
discontinued due to disease
progression
▪ Recommended Phase II Dose
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NSCLC Phase Ib: Combination with erlotinib – 50% clinical benefit rate
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Overview > 4 months Progression Free Survival in 50% of patients
Source: Byers, EORTC Nov 2016
Tumor diameter
Sex 68 Female
EGFR mutation Exon 19 deletion
# of pre-treatments Two including
progression on a
previous EGFR
inhibitor
Multiple
metastases
Stage IV
Bone and lung
Current status Ongoing, C18
25% reduction in size from baseline
BGB324
+
erlotinib
Su
m o
f ca
nce
r m
ea
su
rem
en
ts
▪ 50% CBR
- 3 SD > 4 months
- 1 minor response
▪ One patient ongoing > 15 months
▪ Very well tolerated
▪ Recommended Phase II Dose
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Investigator-sponsored study:
Phase I/II trial in NSCLC of BGB324 with docetaxel
Patients with previously treated
advanced non-small cell lung
cancer (NSCLC) – have
exhausted all treatment
options
Sponsor Investigator: Dr David Gerber, UTSW Dallas
‘’The vast majority of my lung cancer patients progress onto chemotherapy,
combining this with BGB324 may significantly improve the performance of the
chemo and could lead to meaningful disease modification in some patients.’’
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Patient population
Overview
One patient on treatment for 13
cycles
1 partial response (Recist 1.1)
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36
Category 1
Category 2
Category 3
Weeks
BGB324
+
docetaxel
Durable Partial response observed
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Hugo, 2016
Non-Responding Responding
Strong rationale for combining BGB324 with checkpoint inhibitors
Increased expression
of immune checkpoint
ligands & weakened
immune synapse
promotes immune
evasion and
resistance to CPIs
Axl expression is
upregulated in
response to
hostile tumour
microenvironment
AXL up-regulation is the greatest
change in non-responders
AXL
Inhibiting Axl
prevents and
reverses EMT,
restoring visibility
to immune system
and re-sensitises
tumours to CPIs
Drives
epithelial-
mesenchymal
transition
(EMT)
STABLE TUMOUR
AGGRESSIVE TUMOUR
Checkpoint inhibitors do not work for
all patients in all cancers
+HIGH - LOW
AXL drives immune evasion
1 2 3 4
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BGB324/KEYTRUDA Combination Trials
• NSCLC – Phase II multi-centre study in patients with previously treated unresectable adenocarcinoma of the lung
• TNBC – Phase II multi-centre study in patients with previously treated, locally advanced TNBC.
• Biomarker studies will be conducted in parallel to support the development of companion diagnostics
KEYTRUDATM (pembrolizumab)
KEYTRUDA is a therapeutic antibody that increases the ability
of the body’s immune system to detect and destroy tumor cells.
KEYTRUDA blocks the drug target PD-1 thereby activates T
lymphocytes (CTLs)
KEYTRUDA is approved in the US for the treatment of:
• first-line treatment of metastatic NSCLC - high PD-L1 expression
• metastatic NSCLC where the tumors express PD-L1
• unresectable or metastatic melanoma
• recurrent or metastatic head and neck squamous cell carcinoma
• Hodgkin’s lymphoma
Sales of KEYTRUDA were USD 1.4bn in 2016
strong scientific rationale for evaluating BGB324 with
KEYTRUDA
▪ complementary modes of action
BerGenBio is sponsoring two Phase II clinical trials
Data expected end of 2018
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The ONLY clinical trials globally with KEYTRUDA
addressing the fundamental mechanism behind
tumour resistance to CPIs
BIG PHARMA VALIDATION
Clinical collaboration with Merck & Co. (MSD) to evaluate BGB324 in
combination with KEYTRUDA
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Accelerated
Patients in
pivotal trial
Patients in
safety
assessment
Program
duration
(years)
Nivolumab (Hodgkin's Disease) 95 263 4
Venetoclax (CLL with 17p deletion) 106 240 5
Alectinib (ALK + NSCLC) 225 253 4
Traditional
Cabozantinib (RCC) 658 331 11
Elotuzumab (multiple myeloma) 646 318 7
Ramucirumab (gastric cancer) 355 568 8
Companion diagnostics reduce risk, add significant clinical
and regulatory advantage
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Source: American Association for Cancer Research, Alacrita Consulting
Potential benefits from a successful companion diagnostic
Increased
probability
of clinical
trial
success
Increased
likelihood of
accelerated
approval
with
enriched
smaller
trials
63%
28%
55%
83%
8%
76%
46%
76%
94%
26%
Ph I - Ph II Ph II - Ph III Ph III - NDA/BLA NDA/BLA -Approval
Ph I - Approval
Without biomarkers With selection biomarkers
Companion diagnostics are used to select patients that are expected to benefit from a particular drug
o Significantly increases the likelihood of a positive
response
Allows for smaller and faster clinical trials
o Significant value added to NPV calculations
Targeted therapies with patient selection diagnostic more likely to achieve a premium price
Multiple CDx development programmes ongoing
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Source: Abstract presentation at ASH, 2016
Prototype Companion Diagnostic
Predictive biomarker allows selection of patients that respond
Responders
Non-
responders
Patient #1 Patient #2 Patient #3
Pre-drug 21 days Pre-drug 21 days Pre-drug 21 days
Stable disease
> 4months
Stable disease
> 4months
Complete
remission
Activated Axl (pAxl) down after 21 days
Less activated downstream signalling
proteins
pAxl positive patients show
objective clinical response, as
determined by pre-treatment screen
of bone marrow
Patient #4 Patient #5
Pre-drug 21 days Pre-drug 21 days
Progressive
disease
Progressive
disease
Activated Axl (pAxl) absent pre-drug
More activated downstream signalling
proteins
Patient #6
Pre-drug 21 days
Progressive disease
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Parallel development of companion diagnostic
A high value product in its own
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✓✓ ✓
Axl +ve cell line Axl -ve cell line
Immunohistochemistry assay for Axl expression
H-score validation during phase II
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BGB324 – Set to become a highly attractive and valuable asset
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Late stage, first-in-class assets will be highly sought after
AA: Accelerated approval; BT: Breakthrough designation; PRIME: Priority Medicine status in EU
BerGenBio retains full strategic flexibility
Broad clinical application –alone and in combination
Axl inhibition: a game-changing
mechanism
Clear commercial-
isation strategy
Companion diagnostic
Axl+ tumours
Convenient administration, straight-forward manufacturing
First-in-class molecule
AA/BT/PRIME status
Clear Phase III strategy
Compelling Phase II data
BGB324
(2018)
Progress BGB324 into registration trials
Clear go to market opportunities
First-in-class drug with broad clinical
application potentially triggering interest
from bigger pharma
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Successful IPO and broadened shareholder base
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IPO and listing on OSE ▪ Share facts *
Completed 7 April 2017, ticker BGBIO
Raised NOK 400 million in gross proceeds
New and existing investors participated (approximately
2,000 shareholders)
Currency NOK
Market Oslo (NOK)
ISIN code NO0010650013
Ticker code BGBIO
Industry Biotechnology
Market Capitalization NOK 1.1 bn
Number of Shares 49,757,200
Number of shareholders 1,954
57 %
18 %
15 %
7 % 3 %
Long Only Family office Retail
HNW Hedge fund
▪ Shareholding by investor type in IPO
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Key financials Q2 and 1H 2017
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(NOK million) Q2 ‘17 Q2 ‘16 YTD ‘17 YTD ‘16 FY ‘16
Operating revenues - - - - -
Operating expenses 33.8 66.5 99.6 87.2 131.6
Operating profit (loss) (33.8) (66.5) (99.6) (87.2) (131.6)
Profit (loss) after tax (34.1) (66.2) (99.1) (86.5) (129.8)
Basic and diluted
earnings (loss) per
share (NOK)
(0.70) (225.83) (2.41) (307.27) (419.68)
Cash position end of
period440.3 105.2 440.3 105.2 161.8
Cash positionOperating loss
Cash flow
Operating expenses in Q1 2017 impacted by NOK 27.8 million (USD 3.3 million) Phase II milestone payment to Rigel Pharmaceuticals
Inc, and Q2 2016 impacted by the first instalment of the Phase II milestone
Net proceeds from the IPO approximately NOK 375 million – received in April
(70)
(60)
(50)
(40)
(30)
(20)
(10)
-Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2017
(100)
(50)
-
50
100
150
200
250
300
350
400
Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2017
-
50
100
150
200
250
300
350
400
450
500
Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2017
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Funded to deliver high value milestones
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2017 2018
Phase II
Companion
diagnostic Method validation validation and collection of reference data set
BGB324
AML and MDS – Single agent / Combination
NSCLC (mutation driven) – Combination with erlotinib
NSCLC (adenocarcinoma) – Combination with KEYTRUDA
TNBC – Combination with KEYTRUDA
Ongoing
Ongoing
Phase II Clinical Data
Validated CDx
BGB149 First-in-man trials
Phase I Clinical Data
Ongoing
Manufacture and IND enabling work
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Initiation of potential
Phase III studies
Multiple value-creating milestones 2017 – 20191
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2017 2018 2019
Initiation Interim data Clinical data Regulatory
H1 H2 H1
BGB149
Conference
Conferences
BGB324
Phase II Phase IIAML/MDS
erlotinib
combo
NSCLC
KEYTRUDA
combo
NSCLC
Phase II
KEYTRUDA
combo
TNBC
H1 H2
Phase II Phase II Phase II
Phase II Phase II
Phase IIPhase II
IND Phase I
ASCO
AACR
World
Lung
ASH
SABCS
ASCO
AACR
World
Lung
ASH
SABCS
ASCO
AACR
Phase I
1) Progression of ongoing and start-up of new clinical trials are subject to customary regulatory reviews and approvals
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Key progress and future milestones
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Lung cancer (NSCLC) study with BGB324 in combination with TARCEVA opened (first and second line cohorts)
IPO – NOK 400m to fund BGB324 Phase II clinical programme, Axl CDx and BGB149 into the clinic
Data presentations at AACR and ASCO
Investigator-sponsored Phase II trial opened, first NSCLC patients dosed with BGB324 in combination with docetaxel
Investigator-sponsored Phase II trial opened, first melanoma patients dosed with BGB324 in combination with
KEYTRUDA or targeted therapy
Phase II initiated in TNBC study with BGB324 in combination with KEYTRUDA
- Sites active and patient recruitment ongoing
Phase II initiated in NSCLC study with BGB324 in combination with KEYTRUDA
- First patient dosed2H 2017
Presentation of interim data from Phase II study of BGB324 in AML/MDS 2H 2017
Presentation of Interim data from Phase II study of BGB324 in EGFR+ NSCLC 2H 2017
Initiation of Phase I for BGB149 2H 2018
Phase II Clinical proof-of-concept data from BGB324 studies
2H 2018
- AML/MDS – single agent/combination
- NSCLC (EGFR+) – combination with TARCEVA
- NSCLC (adenocarcinoma) – combination with KEYTRUDA
- TNBC – combination with KEYTRUDA
✔
✔
✔
✔
✔
✔
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Summary and outlook
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Multiple Phase II programmes with BGB324 in significant cancer indications are open and recruiting
Clinical collaboration with Merck.
Recent IPO provides funding for clinical and pipeline development through high-value inflection points
Strong supportive shareholder base
First-in-class drugs targeting aggressive cancers with large unmet need
Universal mechanism of action confers broad clinical potential across many tumour types
$11bn addressable market from ongoing sponsored studies
Clear strategy to develop and commercialise assets
High value, first-in-class drug candidates are attractive targets for partnering and M&A
Go-to market possibilities in enriched patient populations
Strong news flow and multiple value driving inflection points though 2018
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Thank you.
For further information please visit
www.bergenbio.com
Developing first-in-class drugs to treat
aggressive cancer
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Glossary
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AA Accelerated approval
ADC Antibody drug conjugate
ALK Alkaline phosphatase
AML Acute myeloid leukemia
BLA Biologic license application
BT Breakthrough therapy
CAB Clinical advisory board
CBR Clinical benefit rate
CDx Companion diagnostic
CLIA Clinical Laboratory Improvement Amendments
CLL Chronic lymphocytic leukemia
CPI Checkpoint inhibitor
CR Complete response
CTL Cytotoxic T-lymphocytes
ECG Electrocardiogram
EGFR Epidermal growth factor receptor
ELISA Enzyme-linked immunosorbent assay
EMT Epithelial-to-mesenchymal transition
EU5 France, Germany, Italy, Spain, United Kingdom
FDA US Food and Drug Administration
GLP Good Laboratory Practice
IHC Immunohistochemistry
mAb Monoclonal antibody
MDS Myeloid dysplastic syndrome
NDA New drug application
NSCLC Non-small cell lung cancer
pAxl Phosphorylated Axl (activated Axl)
PD Progressive disease
PR Partial response
RCC Renal carcinoma
RP2D Recommended Phase II Dose
RTK Receptor tyrosine kinase
TAM Tyro, Axl, Mer (family of kinases)
TNBC Triple negative breast cancer
sAxl Soluble Axl
SD Stable disease
SoC Standard of Care
QTcF QT inverval, a measure of time in the heart’s electrical cycle