ym biosciences corporate presentatoion
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1 YM Corporate Presentation | Calendar Q2/2012
BioFinance PresentationCalendar Q2 2012
2 YM Corporate Presentation | Calendar Q2/2012
Safe Harbor
This presentation may contain forward-looking statements, which reflect the Company's current
expectation regarding future events. These forward-looking statements involve risks and uncertainties that
may cause actual results, events or developments to be materially different from any future results, events
or developments expressed or implied by such forward-looking statements. Such factors include, but are
not limited to, changing market conditions, the successful and timely completion of clinical studies, the
establishment of corporate alliances, the impact of competitive products and pricing, new product
development, uncertainties related to the regulatory approval process or the ability to obtain drug product
in sufficient quantity or at standards acceptable to health regulatory authorities to complete clinical trials or
to meet commercial demand, and other risks detailed from time to time in the Company's ongoing
quarterly and annual reporting. Certain of the assumptions made in preparing forward-looking statements
include but are not limited to the following: that our JAK1/JAK2 inhibitor CYT387, nimotuzumab and our
VDA small molecule CYT997 will generate positive efficacy and safety data in future clinical trials, and that
YM and its various partners will complete their respective clinical trials within the timelines communicated.
Except as required by applicable securities laws, we undertake no obligation to publicly update or revise
any forward-looking statements, whether as a result of new information, future events or otherwise.
3 YM Corporate Presentation | Calendar Q2/2012
Corporate Information
Net Cash (Mar 31, 2012) $137.2mm
Cash used in last 12 months (Dec 31, 2011) $26.7mm
Market cap (May 8, 2012) $282mm
Volume (3-month average) ~1.1mm shares/day
Total shares outstanding (Mar 31, 2012) 157.4mm
Warrants @ $1.60 (to Mar 10, 2015) 7.4mm
Options1 (Mar 31, 2012) 8.2mm
No debt or preferred shares1 Weighted average exercise price $1.92
4 YM Corporate Presentation | Calendar Q2/2012
Analyst Coverage
Firm AnalystBank of America Merrill Lynch Rachel McMinnBloom Burton & Co. Philippa FlintByron Capital Markets Ltd. Doug LoeCanaccord Genuity Salveen RichterEdison Investment Research Jacob PliethGriffin Securities Chrystyna BedrijJMP Securities Liisa BaykoParadigm Capital Alan RidgewayPiper Jaffray M. Ian SomaiyaRodman & Renshaw Reni BenjaminROTH Capital Partners Joseph PantginisWells Fargo Securities Brian Abrahams
5 YM Corporate Presentation | Calendar Q2/2012
YM BioSciences
1 Weighted average exercise price $1.99
Product Preclinical Phase I Phase II Phase III
CYT387JAK1/JAK2 inhibitorPositive interim Phase I/II myelofibrosis data presented at ASH 2011
NimotuzumabEGFR targeting antibodyMultiple Phase II and Phase III trials
CYT997Tubulin inhibitorIV + oral formulation development
Kinase Inhibitor Library~4000 molecules including JAK RA candidates
6 YM Corporate Presentation | Calendar Q2/2012
Our Significant Expertise in JAK Research
YM acquired original intellectual assets in JAK field
– Lead product CYT387
– Wholly-owned and un-partnered
– First group to publish crystal structures of JAK2 and JAK1
– Medicinal chemistry and molecular modeling expertise
– Novartis collaboration for selective JAK3 inhibitors
Intellectual Property
CYT387 Composition of MatterUS: Pending, 2028 expiryEU: Pending, 2028 expiry
JAK2 Crystal StructureUS: Issued, 2025 expiryEU: Pending, 2026 expiry
JAK2 EnzymeUS: Issued, 2015 expiryEU: Issued, 2011 expiry
7 YM Corporate Presentation | Calendar Q2/2012
Target Markets for JAK Inhibitors
Cancer / Hematology
Autoimmune Diseases
– RheumatoidArthritis
– Psoriasis
– Graft vs. HostDisease
Myeloproliferative Neoplasms
– Myelofibrosis
– Polycythemia Vera
– Essential Thrombocythemia
– Leukemia and Lymphoa
– Solid Tumors
– Other Hematologic Disorders
Chronic Disorders Clinical Proof of Concept Acute Diseases
8 YM Corporate Presentation | Calendar Q2/2012
Industry Enthusiasm for JAK Inhibitors
Oncology / Hematology Inflammatory Diseases
Novartis / Incyte– Jakafi™ approved for myelofibrosis– Partnered (2009) for $150mm upfront ($1bn
total) for Ex-US rights
Pfizer– Tofacitinib in Phase III in rheumatoid
arthritis– Peak sales projection: $2-3B
Sanofi Aventis– SAR302503 starting Phase III in myelofibrosis– Acquired TargeGen 2010) for $75mm upfront
($560mm total)
Lilly / Incyte– INCB28050 in Phase III in rheumatoid
arthritis– Partnered (2009) for $90mm upfront
($665mm total) for Worldwide rights
S*BIO / Cell Therapeutics– Pancritinib starting Phase III in myelofibrosis– Partnered with Onyx (2009) (subsequently
returned) for $25mm upfront ($550mm total) for US, Europe rights
– Partnered with CTI (2012) for $30mm upfront
Abbott / Galapagos– GLPG0634 in Phase II in rheumatoid
arthritis– Partnered (2012) for $150mm upfront
($1.6bn total) for Worldwide rights
9 YM Corporate Presentation | Calendar Q2/2012
Myelofibrosis: Initial Indication for CYT387
– Decreased erythropoiesis or thrombopoiesis
– Proliferation of dysfunctional megakaryocytes
– Hypercellular bone marrow leading to fibrosis
– Extramedullary hematopoiesis
– Elevated cytokine levels
– Anemia – often requiring transfusions
– Thrombocytopenia
– Splenomegaly
– Constitutional symptomsFatigue, night sweats, pruritus, bone pain, weight loss, fever
10 YM Corporate Presentation | Calendar Q2/2012
Anemia Impacts Survival in Myelofibrosis
– ~70% of myelofibrosis patients are Intermediate-II or High risk †
– Estimated that 30-50% of all myelofibrosis patient are transfusion dependent‡, majority of which are Intermediate-II and High risk patients
† DIPSS-Plus; Gangat et al. JCO 2011; 29(4), 392‡ Elena et al. Haematologica 2011 96(1) 167
Anemia at any timeAnemia at diagnosis
11 YM Corporate Presentation | Calendar Q2/2012
CYT387: Target Product Profile
CYT387 is able to provide a clinically meaningful benefit to myelofibrosis patients by:
… while having a significantly lower risk of causing or worsening hematological adverse events such as thrombocytopenia, anemia and neutropenia.
1. Converting transfusion dependent patients to transfusion independent status
2. Reducing spleen volume in patients with enlarged spleens
3. Improving constitutional symptoms and quality of life
12 YM Corporate Presentation | Calendar Q2/2012
Current Study Status: ASH 2011
Initiated Nov 2009 Initiated Aug 2010 Initiated Dec 2010
100 mg QD (n=3)150 mg QD (n=3)200 mg QD (n=3)300 mg QD (n=6)400 mg QD (n=6)
150 mg QD (n=18)300 mg QD (n=21)
150 mg QD (n = 31)300 mg QD (n = 33)150 mg BID (n = 42)
DLT level: 400 mg QD MTD: 300 mg QD
Mayo Clinic (Rochester, Minnesota)Dana Farber Cancer Institute (Boston)Stanford Cancer Center (Stanford)Royal Melbourne Hospital (Melbourne)Princess Margaret Hospital (Toronto)Jewish General Hospital (Montreal)
Mayo Clinic Mayo Clinic
– Enrollment complete– Data collection and
analysis ongoing– 97% of patients
entered the Extension phase as at ASH 2011
Dose Escalation
Phase (n = 21)
Dose Confirmation
Phase (n = 39)
Dose Expansion
Phase (n = 106)
Dose Extension
Study (n = 104)
166 Patient Phase I/II Study
13 YM Corporate Presentation | Calendar Q2/2012
Maximum Duration of Transfusion-Free Period*
0 100 200 300 400 500
Time (days)
Res
pond
ers
* To date
Clinically relevant maintenance of transfusion independence period
14 YM Corporate Presentation | Calendar Q2/2012
Maximal Change in Palpable Spleen Size*
* Ongoing
-100%
-80%
-60%
-40%
-20%
0%
20%
40%
60%
80%
% C
hang
e Fr
om B
asel
ine
(Core Study; n=142)
≥ 25% decrease from baseline: 87%≥ 50% decrease from baseline: 49%≥ 75% decrease from baseline: 25%100% decrease from baseline: 16%
15 YM Corporate Presentation | Calendar Q2/2012
Constitutional Symptoms Response at Six Months
23% 22% 23%19%
11%
57%52%
44%
30%
89%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Night Sweats(n=62)
Pruritis(n=46)
Bone Pain(n=43)
Cough(n=27)
Fever(n=9)
Perc
enta
ge o
f Pat
ient
s
Complete Resolution
Marked Improvement
Complete resolution or marked improvement of common constitutional symptoms is achieved in the majority of subjects
16 YM Corporate Presentation | Calendar Q2/2012
Reported Adverse Events
Adverse Event (n=166) All Grades Grade 3 Grade 4
ThrombocytopeniaBaseline platelets > 100 x 109/LBaseline platelets > 200 x 109/L
33%26%12%
11%6%4%
6%2%0
Neutropenia 6% 1% 2%
Anemia 4% 1% 0
Leukopenia 2% <1% <1%
Leukocytosis 1% <1% 0
At least possibly related to study drugCommon Terminology Criteria for Adverse Events v3.0
Reported adverse effects include thrombocytopenia; transient, mild dizziness; mild peripheral neuropathy; and abnormalities in liver/pancreas-related laboratory tests
Treatment-emergent anemia and neutropenia are rare
17 YM Corporate Presentation | Calendar Q2/2012
Variable Diagnosis* >1 year* CYT387
Anemia 38% 64% Benefit
Transfusion dependency 25% 45% Benefit
Palpable spleen >10cm 21% 46% Benefit
Constitutional symptoms 29% 34% Benefit
CYT387 Well Suited for Myelofibrosis
CYT387 has a profile that addresses MF clinical needs and overarching risk factors
> Benefit on anemia and transfusion dependency> Activity for spleen and symptoms> Lower myelosuppression
CYT387 is well tolerated for dosing periods up to and exceeding two years
* Mayo Clin Proc 2012;87(1): 25-33
18 YM Corporate Presentation | Calendar Q2/2012
CYT387 Myelofibrosis Development Pathway
Dec 2010Interim data
at ASH
Q2 2011Interim data
at ASCO
Q3 2011Completedenrollment
Q4 2011Multicenter data at ASH
166-patient Phase I/II
Q3 2011Initiated enrollment
Q4 2012Report data
~60 patient Phase II BID
Q4 2012Report final core
study data & extension study
data
Pivotal program
H2 2012Initiate enrollment
Extension study
19 YM Corporate Presentation | Calendar Q2/2012
CYT387 Development and Commercial Opportunities
Myeloproliferative Neoplasms
Clinical proof-of-concept
Speed to market strategy
Expand hematological
indications/franchise
Hematological Disorders
Market expansion
Lifecycle management
Solid Tumors
– Myelodysplastic Syndromes (MDS)
– Multiple Myeloma
– Leukemias (AML, CML…)
– Lymphomas (NHL…)
– Myelofibrosis
– PV
– ET
– Orphan MPNs
– Prostate cancer
– Hepatocellular
– NSCLC
– Gastric
– Colorectal
– Etc.
20 YM Corporate Presentation | Calendar Q2/2012
CYT387 – Safe, Effective, Differentiated
– Focused on emerging JAK therapeutic class with broad market potential
– Potential ‘Best-in-Class’ profile
– Established safety and efficacy
– Wholly owned and un-partnered
– Well capitalized
21 YM Corporate Presentation | Calendar Q2/2012