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VGEN PresentationTRANSCRIPT
VACCINOGEN -‐ A $5+ BILLION CANCER VACCINE OPPORTUNITY
First Quarter 2014
Q1 2014 1 Stock Symbol: VGEN
A cancer vaccine company in its final stages of clinical development with a patented phase III asset -‐ OncoVAX
Stock symbol is VGEN
Vaccinogen and OncoVAX®
Q1 2014 2 Stock Symbol: VGEN
• Cancer vaccine
• Designed to reduce the risk of recurrence of cancer aLer surgery
• Uses the paNent’s own tumor as vaccine source
OncoVAX®
Q1 2014 3 Stock Symbol: VGEN
Value ProposiDon
Q1 2014 4 Stock Symbol: VGEN
Late stage -‐ 5 clinical studies, including a staNsNcally significant phase 3 trial
$14 billion global market
$5 billion in US & Europe
Solid patent protecNon to 2025
RelaNvely simple logisNcs with few variables
Pursuing an untapped market with colon cancer
BeauNfully addresses “heterogeneity of cancer”
The results were published in the BriNsh Medical Journal The Lancet January 30, 1999; 353: 345-‐350
8701 Study -‐ Recurrence-‐Free Survival* in Stage II PaNents
OncoVAX® – Phase III(a) Clinical Results
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Treatment Control OncoVAX
0 1 2 3 4 5 6 7 8 9 10 11
Recurrence-Free Survival(No. of Recurrences or Deaths)
Population
All Patients
Stage II(Intent-to-Treat)
Stage II (Treatment Compliant)
49 (38.9%) N=126
29 (37.7%) N=77
29(37.7%) N=77
39 (30.5%) N=128
17 (21.3%)N=80
12 (19.4%) N=62
0.073
0.008
0.012
Control OncoVAX®5-yearp-value
This published, randomized Phase IIIa clinical trial was stratified by tumor stage so that a legitimate analysis by tumor stage could be calculated.These results are for Stage II colon cancer. Some benefit was seen in Stage III colon cancer however the results were not statistically significant.This study was accepted by the FDA as supportive data for the next Phase IIIb clinical trial to be conducted under an FDA granted SPA with fast track designation. The Disease-free Survival clinical endpoint will be used for the interim analysis, which is an accepted basis for FDA approval.
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OncoVAX® - Clinical Results 8701 Study - Recurrence-Free Survival* in Stage II Patients
Q1 2014 5 Stock Symbol: VGEN
Greatest difference between treated and control in RFI at 18 months post Vx
8701 Study -‐ Recurrence-‐Free Interval (RFI) in Stage II PaNents OncoVAX® – Phase III(a) Clinical Results
Greatest difference between treated and control in RFI at 18 months post Vx
Difference between treated and control 16.1%
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Treatment
Date run: 30NOV00
OncoVAX
0 1 2 3 4 5 6 7 8 9 10 11
Control
OncoVAX® - Clinical Results 8701 Study - Recurrence-Free Interval (RFI) in Stage II Patients
Q1 2014 6 Stock Symbol: VGEN
• 751 paNents treated over five studies
• Phase III trial showed 61% improvement of survival
• Non treated group – 1/3 of paNents recurred (as stage 4)
• OncoVAX treated group – only 1/10 recurred
Clinical history & foundaDon for OncoVAX®
Q1 2014 7 Stock Symbol: VGEN
310,000 total cases of stage II & III colon cancer in Western
world
Target market
Q1 2014 8 Stock Symbol: VGEN
IniDal targets Annual cases in Western markets
Stage II colon cancer 160,000
Stage III colon cancer 150,000
Key consideraDons
Item Key benefits
Acceptable price per vaccine $54,000 -‐ $70,000
Internal cost per vaccine $7,000 -‐ $8,000
US & Europe market -‐ stage 2 & stage 3 colon cancer
300,000 cases per year
Likely market penetraNon 30% to 55%
Asian colon cancer market potenNal 200,000 cases per year
Other potenNal targets Renal cancer, melanoma, ovarian cancer, non small-‐cell lung cancer
Scale? Yes – all process are the same across all indicaNons
Q1 2014 9 Stock Symbol: VGEN
Revenue scenarios on just colon cancer @ $55,000
Q1 2014 10 Stock Symbol: VGEN
PenetraDon (Western Market)
Vaccines sold Revenues
10% 31,000 $1.7 billion
20% 62,000 $3.4 billion
30% 93,000 $5.1 billion
40% 124,000 $6.8 billion
50% 155,000 $8.5 billion
60% 186,000 10.2 billion
Patent coverage
• Sterility Patent – covers the sterile manufacturing process – Expires 2025 – Approved in all major markets
• Two other patents being filed currently
Q1 2014 11 Stock Symbol: VGEN
Vaccine Manufacturing
On the 3rd and 4th injecNon, the immune system reacts!
3 part process After injection:
Immune responds by killing all leftover live tumor cells
Step 1
• 3 grams of live tumor cells removed at surgery and shipped to VGEN
Step 2 • VGEN makes cells into a sterile, “safe vaccine – OncoVAX”
Step 3
• 30-‐35 days later, VGEN ships OncoVAX back to the hospital for final compounding and injecNon
PaNent’s own tumor cells re-‐injected 4 Nmes in the skin
Q1 2014 12 Stock Symbol: VGEN
LogisDcs = How we “de-‐risk” this investment
Q1 2014 13 Stock Symbol: VGEN
Vaccine Material PaDent’s own tumor
Transport of Nssue to VGEN Via transplant courier
Hands on manufacturing Nme 6 hours
Transport of finished vaccine Frozen via Fed Ex
AdministraNon of vaccine Intradermal injecNon
Internal costs per vaccine $7,000 to $8,000
Colon Cancer today – sDll an untapped market
Stage II colon cancer
Stage III colon cancer
% of all colon cancers
40% 37%
Current treatment Surgery only Surgery + chemotherapy
Recurrence rate 1/3 1/2
Survival rate if cancer returns
<6% (now stage 4) <6% (now stage 4)
Q1 2014 14 Stock Symbol: VGEN
Heterogeneity within primary tumors
Yachida, et al., Nature 467: 114, 2010.!
Q1 2014 Stock Symbol: VGEN 15
Coming up -‐ Pivotal, Confirmatory Phase III (b)
• 550 paNent phase III trial – confirmatory
– SPA and Fast Track
• Parallel phase I/II study for stage III colon cancer
Q1 2014 16 Stock Symbol: VGEN
Management
Q1 2014 17 Stock Symbol: VGEN
Michael G. Hanna Jr., Ph.D. CEO, Chairman inventor
Andrew L. Tussing President COO
Debra Hoopes Chief Financial Adviser
John Powers OperaNons -‐ LogisNcs
Dinand Van der Linde Head of Europe
Herbert C. Hoover, MD Chief Medical Adviser
Medical Advisory Board Michael G. Hanna, Jr., Ph.D. Immunology Invent of OncoVAX® NaNonal
Cancer InsNtute, authored 225 publicaNons
John S. Macdonald, MD Specialist in GastrointesNnal Cancer
Harvard, B. Israel, Georgetown, New York Medical. College
Benjamin S. Carson, MD Neurosurgery Johns Hopkins, PresidenNal Medal of Freedom, authored 100+ publicaNons, 4 books
H.C. Hoover, MD Surgical Oncology Johns Hopkins, Harvard, inolved in all 5 OncoVAX studies
Jan Vermorken, MD, Ph.D. Oncology University of Antwerp, Vrije, principal invesNgator in previous 8701 phase III OncoVAX trial
Q1 2014 18 Stock Symbol: VGEN
Summary – De-‐risking aspects of this investment
Q1 2014 19
• Public company – fully reporNng • Phase III results in hand • LogisNcs – proven, stable and scalable • Clear path ahead in colon cancer • ShiLing standard of care from surgery alone
• 85% margins on a mulN-‐billion market
Stock Symbol: VGEN
Contact:
Q1 2014 20
• Andrew L. Tussing, President & COO • [email protected]
• (US) 301 668-‐8400
Stock Symbol: VGEN
Forward Looking Statements This presentaNon and related commentary may contain forward-‐looking statements within the meaning of the SecuriNes Act of 1933 (the “Securi(es Act”) and the SecuriNes Exchange Act of 1934 (the “Exchange Act”) and are subject to the safe harbor created by the Private SecuriNes LiNgaNon Reform Act of 1995. Vaccinogen has based these forward-‐looking statements largely on our expectaNons and projecNons about future events and financial trends affecNng the financial condiNon and/or operaNng results of its business. Forward-‐looking statements involve risks and uncertainNes; parNcularly those risks and uncertainNes inherent in the process of discovering, developing and commercializing drugs that are safe and effecNve for use as human therapeuNcs. There are important factors that could cause actual results to be substanNally different from the results expressed or implied by these forward-‐looking statements, including, among other things: • Vaccinogen’s ability to successfully manufacture OncoVAX® and other product candidates in necessary quanNNes with required quality; • Vaccinogen’s ability to successfully obtain regulatory approvals and commercialize its products that are under development and develop the infrastructure necessary to support commercializaNon if regulatory approvals are received; • Vaccinogen’sability to complete and achieve posiNve results in ongoing and new clinical trials; • Vaccinogen’s dependence on single-‐source vendors for some of the components used in its product candidates; • the extent to which the costs of any products that Vaccinogen is able to commercialize will be reimbursable by third-‐party payers; • the extent to which any products that we are able to commercialize will be accepted by the market; • Vaccinogen’s dependence on our intellectual property and ability to protect its proprietary rights and operate its business without conflicNng with the rights of others; • the effect that any intellectual property liNgaNon, or product liability claims may have on Vaccinogen’s business and operaNng and financial performance; • Vaccinogen’s expectaNons and esNmates concerning its future operaNng and financial performance; • the impact of compeNNon and regulatory requirements and technological change on Vaccinogen’sbusiness; • Vaccinogen’s ability to recruit and retain key personnel; • Vaccinogen’s ability to enter into future collaboraNon agreements; and • anNcipated trends in our business and the biotechnology industry generally\ In addiNon, in this presentaNon and related commentary, the words “believe,” “may,” “will,” “esNmate,” “conNnue,” “anNcipate,” “intend,” “plan,” “expect,” “potenNal,” or “opportunity,” the negaNve of these words or similar expressions, as they relate to Vaccinogen, its business, future financial or operaNng performance or Vaccinogen’s management, are intended to idenNfy forward-‐looking statements. Past financial or operaNng performance is not necessarily a reliable indicator of future performance and you should not use Vaccinogen’s historical performance to anNcipate results or future period trends. Because such statements involve risks and uncertainNes, many of which are outside of Vaccinogen’s control, Vaccinogen's actual results and performance may differ materially from the results expressed or implied by such forward-‐looking statements. Given these risks and uncertainNes, readers are cauNoned not to place undue reliance on such forward-‐looking statements. Other important risk factors that may affect Vaccinogen's business, results of operaNons and financial posiNon are discussed in its most recently filed RegistraNon Statement on Form 10 and in other SecuriNes and Exchange Commission filings. Unless otherwise required by law, Vaccinogen also disclaims any obligaNon to update its view of any such risks or uncertainNes or to announce publicly the result of any revisions to the forward-‐looking statements made here. However, readers should review carefully reports and documents that Vaccinogen files periodically with the SecuriNes and Exchange Commission.
Q1 2014 21 Stock Symbol: VGEN