CLÉMENT DUBOS JULIETTE PAILLARD MARÍA ALCÁZAR DUQUE SIHEM ALLOTI SOSSANE NOURESTANI BUSINESS MODEL ANALYSIS PRESENTATION MAP About the company Governance Pipeline Financial statement SWOT About The Company Features • Headquarter: Basel, Switzerland. • Innovative pharmaceutical products Bacterial infections, fungal infections, oncology. Resistance and nonresponse. • Founded in 2000 as spin-off of Roche. • Publicly traded since 2004 on the SIX Swiss Exchange. About The Company Basilea Pharmaceuticals ltd. Basilea Pharma SAS Basilea Pharmaceuticals iberia s.l. Basilea Pharmaceuticals A/S Basilea Pharmaceutica Deutschland gmbh Basilea Pharmaceutica China ltd. Basilea Pharmaceutica ltd. Basilea Pharmaceutica s.r.l. About The Company Research Center In China -Wholly-owned subsidiary of Basilea -Near Shangai, Jiangsu Province People’s Republic of China -Basilea’s key R&D projects ● Chemical synthesis ● Analytical development ● Process research and development -Awards: ● High-tech Enterprise ● “A” class for safety operation ● Best Safety Performance ● Development of the local R&D Governance Board of Directors Mr. Domenico Scala, Chairman Dr. Thomas M. Rinderknecht Dr. Martin Nicklasson Prof. Daniel Lew Mr. Steven D. Skolsky Dr. Thomas Werner Governance Management Committee Ronald Scott, CEO Dr. Günter Ditzinger Prof. Achim Kaufhold Dr. Laurenz Kellenberger Ms. Heldi McDaid Mr. Donato Spota Mr. David Veitch Pipeline - overview Pipeline - overview ANTIFUNGALS Medical Need ASPERGILLUS New Antifungal Market : USD 2.35 billion sales MUCORALES Mortality rates for invasive fungal infections COMMERCIAL POTENTIAL WW sales (mn standard units) CANDIDA Mechanism of action Acetyl CoA Weakening of fungal cell membrane structure & function Prodrug activation process Plasma esterase Squalene Lanosterol Lanosterol 14α-demethylase Ergosterol Fungi cell • Completed three phase 3 clinical trials: ACTIVE SECURE VITAL Cell membrane CANDIDA ASPERGILLUS MUCORALES DEVELOPMENT & REGULATORY STATUS Europe • Currently marketed by Basilea in Germany, Italy, the United Kingdom, Austria and France, Collaboration with Quintiles • Orphan Drug designation 10 years of market exclusivity the USA • Marketed by Basilea’s license partner : Astellas Pharma US • 2Q16 sales = USD 12 million • Orphan drug status + Qualified Infectious Disease Product designation 12 years of market exclusivity MENA Latin America • Distribution agreement with HIKMA • License agreement with GBT ANTIBIOTICS Medical Need Over the last 30 years, no major new types of antibiotics have been developed • Frequent Methicillinresistant Staphylococcus aureus (MRSA) is one of the most frequent causes of hospital-acquired bacterial pneumonia • Between 10-30% of patients with Staphylococcus aureus bacterieia will die from the infection MRSA HAP • HAP is the second most common nosocomial infection • Among the highest mortality rates (62 %) • Main causes of HAP: MRSA +++ (> 20 %) • CAP up to 60 % hospitalisations COMMERCIAL POTENTIAL Zevtera®/ Mabelio® Mechanism of action • • First broad-spectrum anti-MRSA cephalosporin authorized for HAP (excl. VAP) + CAP (Community Acquired Pneumonia) Single agent with broad-spectrum bactericidal activity that includes MRSA and Pseudomonas spp Prodrug activation Ceftobiprole Modecaril (sodium) Ceftobiprole Enzymatic cleavage (Plasmatique esterase) Synthesis of Peptidoglycane Ceftobiprole Bacterial Lysis Diacetyl DEVELOPMENT & REGULATORY STATUS Europe The USA • • • Currently marketed by Basilea in Germany, Italy, the United Kingdom , France , Austria, and Switzerland → Collaboration with Quintiles Marketed in the Nordic Countries sept 2016 → Collaboration with Unimedic Pharma Market access activities ongoing in Spain • Not approved yet → Two cross-supportive phase 3 trials (ABSSSI and Bacteriema) • Special Protocol Assessment’s agreement by the FDA on going → phase III development program H1 2017 Qualified Infectious Disease Product Designation (ABSSSI and CABP) → 10 years of market exclusivity • Latin America • Licence agreement with Biotoscana S.L • Fundings: Biomedical Advances Research and Development Authority (BARDA) under contract Intellectual Property EU MA 2014 MA 2015 Industrial property Industrial property PATENT EU ORPHAN ORPHAN 1 Commercial exclusivity Commercial exclusivity USA SPC PATENT QIDP PIP NCE QIDP ANTIBIOTICS Medical Need Infections caused by multidrug resistant Gram negative bacteria with newly acquired resistance mechanisms Chronic bacterial pulmonary infection: serious concern in patients with • cystic fibrosis • bronchiectasis Cystic Fibrosis prevalence 70,000 and 100,000 people worldwide COMMERCIAL POTENTIAL BAL30072 • Novel siderophore (iron-binding) sulfactam antibiotic potent bactericidal activity againts GN pathogens. • Stable towards many of the extendedspectrum beta lactamase enzymes and metalo-beta-lactamase. Mechanism of action Non Cinical data Potent antibacterian in vitro- in vivo activity against: • Enterobacter spp., • Klebsiella spp, • Acinetobacter spp. • Pseudomonas aeruginosa Synergy with Meropenem Clinical studies • • Development of IV formulations with the US BARDA Inhaled formulation : ND4BB Program 15 august 2016 • • Completed PH1 study Discontinuation of the inhaled formulation ONCOLOGY Global cancer burden 12.7 mn new cases in 2008, 21.4 mn by 2030 • 2/3 of all cancer diagnoses occurring in LMIC Some Unmet Medical Needs Growth sector • TNBC • NSCLC • Pancreatic cancer • Glioblastoma Balisea’s product targets markets such as the USD 3.5 bn taxane market COMMERCIAL POTENTIAL increasing need for new agents in taxane-resistant cancer patients. Some Unmet Medical Needs Growth sector • TNBC • NSCLC • Pancreatic cancer • Glioblastoma Balisea’s product targets markets such as the USD 3.5 bn taxane market COMMERCIAL POTENTIAL increasing need for new agents in taxane-resistant cancer patients. Some Unmet Medical Needs Growth sector • TNBC • NSCLC • Pancreatic cancer • Glioblastoma Balisea’s product targets markets such as the USD 3.5 bn taxane market COMMERCIAL POTENTIAL increasing need for new agents in taxane-resistant cancer patients. BAL101553 Tumor checkpoint controller Highly water-soluble lysine prodrug • No other approved oncology agent targets BAL27862’s binding site • Address the issue of resistance to (MTA’s) Highly water-soluble lysine prodrug • Non-clinical data : • Good oral bioavailability • Passes through the blood-brainbarrier • Potent activity in many tumor cell • Activity in treatment-refractory glioblastoma models. (AARC) BAL101553 lines Protease • BAL27862 Clinical trials : • IV : phase 2 : Potential colorectal, gastric, non-small cell lung, ovarian, pancreatic and triple- negative breast cancer • Oral : Phase 1/2a, patients with advanced solid tumor cancers + glioblastoma new arm by year-end biomarker strategy What’s next? • • • Optimize dose selection Identify cancer patient groups more likely to respond. Could trigger a lucrative partnering agreement with a major cancer player : phase III development broader range of phase IIb indications BubR1 EB1 • Forecast : Peak sales of CHF 500+ mn ONCOLOGY Medical Need BRAF mutant in 50% of the melanoma Estimated rates of deaths by melanoma worldwide (2012) BAL3833 Commercial potential Vemurafenib ROCHE Dabrafenib/Tram etinib NOVARTIS ● ● ● Launch Profit (2015) 2011 US, CA, EU CHF 214 millions 2014 US, EU CHF 453 millions Vemurafenib: inhibition of mutant BRAF Dafrabenib: inhibition of mutant BRAF Trametinib: inhibition of MEK1 and MEK2 Research: University of Manchester at The Institute of Cancer Research Fundings: Wellcome trust Cancer Research UK Cancer Institute Mechanism of action BAL3833: targets BRAF, CRAF and SRC. Orally active drug targeting kinase inhibitors Preclinical studies -Results presented at the AACR conference -Mutant BRAF cancers: melanoma, colorectal, ovarian ● Treatment of refractory melanoma ● Inhibition of mutant BRAF and cRAF/SRC -Potential in K-RAS driven cancers : pancreatic, colorectal, non-smallcell lung ● New therapeutic option ● Inhibition of panRAF/and SRC kinase Phase 1/2a study • • Currently ongoing for patients with advanced solid tumors Biomarker evaluation initiated : tumor type selection Commercial Strategies Funding partners & Academic institutions : DISARM iABC BARDA ADAPT SPA NCE QIDP BBND Action Plan against antimicrobial resistance Commercial Strategies Partnering and Licensing deals : Financial Statement (in CHF thousands) 2012 2013 2014 2015 Revenue 58 336 41 376 42 634 52 825 R&D (58 863) (53 350) (54 377) (60 075) 100.9% 128.9% 127.5% 113% Net profit (53 033) (33 019) (41 520) (61 520) Equity 105 502 70 874 57 931 14 856 Cash 223 956 118 898 156 125 313 064 Earning per share (5.53) (3.40) (4.17) (6.09) Burn rate (in years) 2.0 1.6 1.8 2.7 Financial Statement Financial Statement Evolution of stock price in 2016 : Financial Statement TOCTINO’s timeline License agreement with Stiefel (GSK), → Contract with 200 CHF million and subsequent milestones for FDA approval FDA denied the approval in 2016 GSK isn’t willing to developing Toctino Developped by Basilea in the early 2000’s continue Impacted the stock price of Basilea (-35%) Basilea is considering buying it back in order to find another partner in the future Bottom line : Even though it didn’t get the FDA’s approval, it still was a great help in Basilea’s development strategy Financial Statement Financial Statement • • • • • • • 2 products on the market 3 products in development Several therapeutic areas with high medical needs Numerous partners and license agreement Growth employment Communication force Cash increase • • • • • Commercialization • dependent on external partners • No dedicated sell force outside major • EU countries Loss of WW Cresemba license in 2027 • Toctino’s discontinuation Discontinuation of BAL30072 • Positive regulatory environment Unmet medical needs Incentives & encouraging initiatives across the globe BAL101553 : solid preclinical & early clinical data → could trigger major cancer player Implantation in China • • • • • Price and reimbursement policies reinforcement Antimicrobial stewardship Oncology R&D (solid tumors) : highest failure rate for NME, higher development costs Upcoming drugs M&A activity → Basilea becoming a potential target