cbli- april 1 2010
TRANSCRIPT
-
8/9/2019 Cbli- April 1 2010
1/31
Investor PresentationApril 1, 2010
-
8/9/2019 Cbli- April 1 2010
2/31
This presentation includes forward-looking statements and predictions, including
statements about potential revenue-bearing transactions, the market potential of
CBLIs technologies and product candidates, and the potential value of pipelineproducts. These statements represent the Companys judgment as of the date of this
presentation and are subject to risks and uncertainties that could cause actual
results of events to differ materially from those expressed in such forward-looking
statements. In particular, CBLI faces risks and uncertainties that it may not be able
to sustain its business model, that revenues may be lower or expenses higher than
projected, that product sales may not increase, that development of product
candidates in the Companys pipeline may not succeed or that commercialtransactions may not go forward as planned.
Safe-Harbor
2
-
8/9/2019 Cbli- April 1 2010
3/31
3
CBLI is developing two families of drugs:
Protectans: selectively protect healthytissues from radiation damage
Curaxins: kill tumor cells
Mission
3
-
8/9/2019 Cbli- April 1 2010
4/31
4
CBLI Summary
IP
Cleveland Clinic (CCF) Roswell Park Cancer Institute (RPCI)
Partnerships
Money raised from capital market $56 million Federal grants and contracts >$50 million
Funding History
Incorporated in June 2003 Spin-off from the Cleveland Clinic HQ - Buffalo, NY 36 full time employees (majority PhDs & MDs)
~16 sets of patent applications filed First CBLB502 US & European patents granted
4
-
8/9/2019 Cbli- April 1 2010
5/31
CBLI Target Product Market Opportunities
CBLB502: Protection from Acute Radiation Syndrome(ARS) >$500 million + annually
CBLB502: Reduction of cancer treatment side effects~$20 billion market (70% of patients experience regimen-limiting
toxicity )
CBLB612: Stem cell induction, mitigation of cancertreatment side effects Potential to compete with G-CSF ($5+ billion drug from
Amgen)
Curaxins: Broad range anti-cancer drugs $50 billion growing market
5
-
8/9/2019 Cbli- April 1 2010
6/31
There is no approved drug which caneffectively protect from ARS
The Threat - Nuclear Attack
A nuclear event has beenidentified by US Congress asa number one securitythreat
A terrorist attack with a 10 KT
device will kill 400,000people in NYC (Institute ofMedicine Report, June 2009)
6
-
8/9/2019 Cbli- April 1 2010
7/31
CBLB502 Fits Desirable Countermeasure Profile
Highly efficacious- Increases survival of primates from 20% to >70%
Safe- Completed initial human Phase I safety trial
Easy to use in multiple real-life scenarios
Single intramuscular injection for self- or hospital administration
- Effective from 24 hr before to 72 hr after exposure to radiation
Easy to produce & store- Established high-yield cGMP manufacturing process
- Stable at room temperature7
-
8/9/2019 Cbli- April 1 2010
8/31
Recent Milestones CBLB502
Phase I ascending-dose safety trial successfullyconcluded June 2009
$32 million in development contracts from DoD andBARDA/HHS and NIAID/NIH received in 2008/2009(~$21 million left + proposals for ~$30 million inadditional funds pending)
DoD RFP published December 2009 for advanced
development and procurement of doses
8
-
8/9/2019 Cbli- April 1 2010
9/31
9
CBLB502: Mechanism of Action
CBLB502 protects from both gastrointestinaland hematopoietic components of radiation
death
NF-kBCBLB502 TLR5IAPs, Bcl-2SOD2, ferritinCytokines
Suppress apoptosisInactivate ROSPromote regeneration
9
CBLB502 mobilizes multiple mechanisms of
radiation defense, all stemming from TLR5activation
-
8/9/2019 Cbli- April 1 2010
10/31
A New Principle of Radioprotection
Published in Science -April 11,2008
Validates mechanisms of action ofthe drug and protective effect onmice & primates
First Science publication onradioprotection in more than 30years
Selected as one of top 10 science advances for researchfunded by NIAID in 2007- 2008
10
-
8/9/2019 Cbli- April 1 2010
11/31
TBI, Gy InjectionsN
total
N
survivors
% survivalP-value vs.
vehicle6.5 CBLB502, 0.04 mg/kg @+1h-+48h (pooled) 44 30 68.2% 0.002
6.5 Vehicle (PBS) @+1h, +25h (pooled) 18 4 22.2% -
Days after 6.5 Gy gamma-TBI0 10 20 30 40
%o
fsurviv
ors
0
20
40
60
80
100
vehicle (PBS), n=8CBLB502 @ +16h, n=12CBLB502 @ +25h, n=10CBLB502 @ +48h, n=12
CBLB502 Efficacy: Survival (Mitigation) after LD70 IR
Effective when injected up to 48 hours after radiation
Non-human primates
11
-
8/9/2019 Cbli- April 1 2010
12/31
CBLB502: Organ and tissue recovery of lethally
irradiated primates
Pathology data demonstrates protection of GI tract, blood,immune system and skin
50% subjects have no observed abnormalities on the day 40
12
-
8/9/2019 Cbli- April 1 2010
13/31
Animal Efficacy Rule Path to FDA licensure
Established FDA pathway to approve drugs whereefficacy is unethical to test in humans
Dramatically reduces development time and costs
Compliance with CMC requirements
Efficacy in two animal species including rhesus
macaques using survival as endpoint Safety in healthy humans
Well understood mechanism of action (to provide
biomarkers of efficacy)
13
-
8/9/2019 Cbli- April 1 2010
14/31
Cell Bank
Test ResidualsQC protocols, stability
Formulation
Bioassay
Manufacturing
Production Strain, DSP
Preclinical & ClinicalStudies
LaboratoryStrain
FermentationImprovement
MBF
CBLB502 ARS: CMC Effort
14
GMP process developedDrug released
-
8/9/2019 Cbli- April 1 2010
15/31
TBI Dose ParameterTime relative to TBI (if applicable)
-45' +1h +16h +25h +48h +72h
LD60-70
Survival benefit +40% +45% +45% +40%-60% +45% TBD
Thrombocytopenia reduction +++ +++ +++ +++ +++ +++
Neutropenia reduction + ++ ++ ++ + +
Improved BM, spleen, thymus +++ +++ +++ +++ +++ TBD
Improved GI mucosa ++ +++ Ongoing Ongoing Ongoing TBD
Cytokine release (G-CSF, IL-6, etc.) +++ +++ +++ +++ +++ TBD
Data on dose dependence of efficacy TBD Ongoing TBD TBD
LD10-20
Thrombocytopenia reduction +++ +++ +++ +++ +++ ++
Neutropenia reduction + ++ ++ ++ + +Cytokine release (G-CSF, IL-6, etc.) +++ +++ +++ +++ +++ ++
Data on dose dependence of efficacy Ongoing TBD TBD TBD TBD
No TBI
Increased platelet levels +++
Increased neutrophil levels ++
Cytokine release (G-CSF, IL-6, etc.) +++
Data on dose dependence of efficacy
+++: strong effect; ++: moderate effect; +: minor effect; : data collected
CBLB502 ARS: Summary of Primate Studies
15
19 studies with over 700primates tested dose-
dependence for the drug,efficacy time window and effectsof various radiation doses
-
8/9/2019 Cbli- April 1 2010
16/31
16
50 human volunteers in groups of 6 receivedascending doses of the drug
Trial completed; database locked mid-July Dose limiting toxicity (DLT) defined
Adverse event profile described; predictable and
related to the known pharmacology of CBLB502
Predicted safe dose in humans exceedsprotective dose in primates (based onbiomarkers)
All biomarkers project similar human dose
Summary of Phase I trial of CBLB502
-
8/9/2019 Cbli- April 1 2010
17/31
17
- - Currently concluding second human safety trial- Expect to complete all other remaining requirements
needed for FDA in 2010/2011
Manufacturing&
Clinical/Regulatory
Formulation
Non-ClinicalSafety
Non-ClinicalEfficacy
Manufacturing of Consistency Lots
Reprotox Studies inRabbits & Rats-Seg. II
Phase II Safety TrialPh IIA (100 subjects) & Ph IIB (~500 subjects)
Development & Stability Studiesof Lyophilized Formulation
Reprotox Studies inRats-Seg. I&III
GMP manufacturing(>100,000 doses)
INDFiled
Pivotal GLP Mouse& PrimateEfficacy Studies to support NDA filing
GLP AcuteMouse & Primate
Toxicology Studies
Processvalidation
Dose EscalationTrial - Phase Ia(50 volunteers)
10/092004 Q410
Efficacy in Mice,Rats and Primates
Completed
Start BLAFiling
Federal grant support fromDoD and HHS/BARDA
Stability Studies of the Final Product
GLP 2-weekMouse & Primate
Toxicology Studies
Mechanism of Action;Markers of Efficacy
17
Protectan CBLB502: Development Timeline
-
8/9/2019 Cbli- April 1 2010
18/31
CBLB502 - ARS Market Potential Back of the Envelope
DoD - 2 million potential doses for US military BARDA/HHS - 5-20 million potential doses for protection
of US civilians (Strategic National Stockpile)
Primary sales targets: Need understood, concepts of usedeveloped, high degree of financial commitment,relations with CBLI in place
Secondary sales targets: Serious public concern, policies
being developed
Projected addressable market ~$500 M/year (w/penetration)No competing products today
RFP from DoD indicates commitment to procurement
Israel, UK, Canada, India, China, Japan, S. Korea
18
-
8/9/2019 Cbli- April 1 2010
19/31
CBLB502: Protection from Local Irradiation
Strong mitigation of radiological damage of healthytissues shown in mouse model of head-and-neck
damage directly supports first medical trial
3x10 Gy daily with CBLB502 pretreatment
0 5 10 1560
70
80
90
100
110 10 Gy x3 (CBLB502 + 10 Gy) x3
Days
Bodywe
ight,%
3x10 Gy daily
19
-
8/9/2019 Cbli- April 1 2010
20/31
CBLB502: Phase I/II Head & Neck Human Trial
20
Open IND
Funded by $5.3 million stimulus grantreceived September 2009
Protocol submitted to IRB
Planned to start at Roswell Park Cancer
Institute 2010
-
8/9/2019 Cbli- April 1 2010
21/31
21
Protectan CBLB612Stem Cell Inducing Agent
21
-
8/9/2019 Cbli- April 1 2010
22/31
CBLB612: Potential Applications
Recovery from myelosuppression associated withchemotherapy (breast cancer, leukemia, lymphomas, etc.)
Donor treatment in bone marrow transplantation(improvement or replacement of aphaeresis)
All other clinical applications of G-CSF (e.g.,myelodysplasticsyndrome)
Opportunity for combination with or substitute forG-CSF
22
-
8/9/2019 Cbli- April 1 2010
23/31
Dramatic improvement of blood recovery duringCyclophosphamide treatment in mice
CBLB612: Supportive Care During Chemotherapy
WBC
0.00
5.00
10.00
15.00
20.00
25.00
30.00
10x3/ul
CBLB612 10.33 2.66 3.09 14.73
PBS 9.65 1.98 0.43 7.21
day -5 day7 day14 day22
White Blood Cells
23
-
8/9/2019 Cbli- April 1 2010
24/31
CBLB612 is 6x more efficacious than G-CSF andinduces both early and late progenitor cells.
Effects of CBLB612 and G- CSF are synergistic
CBLB612 Induces Propagation of HSCs
CBLB612 orG-CSFCBLB612 orG-CSF
24
-
8/9/2019 Cbli- April 1 2010
25/31
CBLB612: Product Development Strategy
6-month Phase I safety study in healthyvolunteers enables full assessment of
induction and mobilization of stem cells inperipheral blood, a direct predictor ofefficacy of the drug
Principle efficacy assessment in Phase I =potential partnering
25
Zhejiang Hisun Pharmaceutical license for Chinasigned Sept. 2009
($1.65M upfront development, 10% royalties)
-
8/9/2019 Cbli- April 1 2010
26/31
26
Curaxin Product LineAnti-cancer drugs
26
-
8/9/2019 Cbli- April 1 2010
27/31
Curaxins: Overview
First-in-class broad-spectrum anticancer drugs
Small molecules suitable for oral administration
Novel mechanism of action simultaneous targetingthree major pathways deregulated in cancer
Composition of matter patent applications
Efficacy in multiple animal models of major cancertypes including breast and prostate cancer
Proof of concept Phase II trial in prostate cancer
27
-
8/9/2019 Cbli- April 1 2010
28/31
28
28
INCURON JV for Curaxin Development
50/50 joint venture with BioprocessVentures, Moscow
~$18M to reach Phase II for newgeneration of Curaxins
CBLI to serve as subcontractor to overseemechanistic studies and clinical
development
-
8/9/2019 Cbli- April 1 2010
29/31
29
29
Financial Summary
Mcap (at 3/31/10): $96M
Shares Outstanding: 27M common
39M fully diluted
Remaining Govt. Grants & Contracts committed to supportCBLB502 for defense and medical applications (at 12/31/09):$16M
Pending proposals for additional grants and contracts to support all CBLIprograms: $46M
CBLI Cash & Rcvbles (at 12/31/09): $4.7M
Additional $4.5M net proceeds raised in Private Placement
Avg. Monthly Burn Rate (CBLI cash): $200,000
-
8/9/2019 Cbli- April 1 2010
30/31
Scientist and serial entrepreneur
Founder of Dia-M and The Fellowshipfor Interpretation of Genomes (FIG)
Founder and Former CEO of
Integrated Genomics, Inc. (97-03)
Michael Fonstein, PhDChief Executive Officer & President
SVP of Basic Science, RoswellPark Cancer Institute
Former Chair, Dept. MolecularBiology at Cleveland Clinic
30+ issued patents
150+ research publications
Andrei Gudkov, PhD, D.SciChief Scientific Officer
20 years of financial andaccounting experience
8 years as a corporatecontroller of a public company
Jack Marhofer, MBA, CMA, CFM
Chief Financial Officer
Former Director of BusinessDevelopment at IntegratedGenomics, Inc.
Expert in technical sales andcontract negotiations
Yakov Kogan, PhD, MBA
Chief Operating Officer
CBLI Management Team
25 years global oncology drugdevelopment experience
Senior positions in clinicaloperations at CROs
Led clinical development inseveral publicly traded biotechcompanies
Michael Kurman, MD
Chief Medical Officer
30 years of Pharma experience
Former Director of Drug Safetyat TAP Pharmaceuticals, Inc.
Farrel Fort, PhD, MBA, DABT
Vice President, Drug Development
30
-
8/9/2019 Cbli- April 1 2010
31/31