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Introducing PADciclo™
- because tolerability matters
	
  
Ophthalmology Innovation Summit, October 16th 2014	
  
	
  PAD™	
  Technology	
  -­‐	
  releasing	
  the	
  full	
  poten1al	
  of	
  API’s	
  	
  
2014	
  
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MC2 Biotek Group at a glance
§  Privately	
  held	
  Danish	
  company	
  	
  
§  Major	
  investor	
  is	
  family	
  behind	
  Danfoss	
  Group	
  (USD	
  6	
  bn)	
  
§  Long	
  term	
  commitment	
  –	
  flexible	
  collabora1on	
  models	
  	
  
§  PAD™  Technology	
  –	
  releasing	
  full	
  poten;al	
  of	
  API’s	
  
§  Key	
  to	
  a	
  successful	
  drug	
  is	
  a	
  label	
  recognized	
  by	
  payers	
  and	
  clinicians	
  as	
  clinically	
  superior	
  
§  Focus:	
  Clinically	
  superior	
  PAD™	
  versions	
  of	
  high-­‐value	
  marketed	
  topical	
  drugs	
  	
  
§  PADciclo™	
  Dry	
  eye	
  (phase	
  II	
  star1ng	
  up)	
  
§  PADcombo™	
  Psoriasis	
  (phase	
  II	
  ongoing)	
  
§  Atopic	
  derma11s	
  (phase	
  I,	
  Q1	
  2015)	
  
§  Other	
  PAD™	
  topical	
  projects	
  in	
  pre-­‐clinical	
  development	
  
§  Operates	
  through	
  a	
  network	
  based	
  business	
  model	
  
§  Company	
  loca1ons	
  in	
  Copenhagen	
  and	
  London	
  
§  Project	
  teams	
  of	
  highly	
  reputed	
  experts	
  in	
  the	
  US	
  and	
  EU	
  
§  Strategic	
  collabora1ons	
  with	
  academia	
  and	
  hospitals
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PADciclo™- need for 2nd generation CsA eye drop
Ra;onale	
   Challenge	
   Solu;on	
  by	
  PADciclo™	
  
Restasis®	
  is	
  twice	
  daily,	
  it	
  
s1ngs	
  and	
  has	
  sub-­‐op1mal	
  
label	
  –	
  yet	
  a	
  blockbuster	
  
Need	
  for	
  improved	
  CsA	
  
product	
  in	
  the	
  US	
  
Need	
  for	
  approved	
  CsA	
  
products	
  in	
  EU	
  	
  
Reduce	
  s1nging	
  
(CsA	
  will	
  always	
  s1ng	
  in	
  some	
  pa1ents)	
  
§ Reduce	
  surfactant	
  level	
  ~30	
  fold	
  
§ Reduce	
  concentra1on	
  of	
  CsA	
  
Once	
  daily	
  dosing	
  
§ CsA	
  penetra1on	
  ~4	
  fold	
  be]er	
  
than	
  Restasis®	
  
Get	
  best	
  in	
  class	
  claim	
  for	
  
“treatment”	
  
§ Novel	
  clinical	
  strategy	
  
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PAD™ droplets are robust with low level of surfactants
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>1,000 patients treated with PADciclo™ 0.06% in the UK
Collabora;on	
  with	
  Moorfields	
  Pharmaceu;cals	
  (Moorfields	
  Eye	
  Hospital)	
  
§  Available	
  in	
  the	
  UK	
  since	
  April	
  2012	
  as	
  a	
  0.06%	
  preserva1ve	
  free	
  unlicensed	
  Special	
  
§  Repeated	
  sales	
  to	
  >300	
  hospitals,	
  clinics,	
  wholesalers	
  and	
  pharmacies	
  
§  More	
  than	
  1,000	
  pa1ents	
  have	
  been	
  treated	
  
	
  
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MEH analysis of 129 patient files is very encouraging
Safety:	
  
§  PADciclo™	
  0.06%	
  is	
  safe	
  
§  No	
  decrease	
  in	
  visual	
  acuity,	
  no	
  effect	
  on	
  intraocular	
  pressure	
  and	
  no	
  vital	
  signs	
  
Efficacy:	
  
§  Qualita1ve	
  data	
  reported	
  by	
  pa1ents	
  and	
  ophthalmologists	
  show	
  improvement	
  of	
  clinical	
  
status	
  of	
  dry	
  eye	
  pa1ents	
  (Be]er,	
  Stable,	
  Worse)	
  
	
  
Ophthalmologists	
   Pa;ents	
  
BePer	
   66%	
   69%	
  
Stable	
   34%	
   27%	
  
Worse	
   0%	
   4%	
  
Data	
  from	
  dry	
  eye	
  pa1ent	
  files	
  with	
  sufficient	
  data	
  
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PADciclo™ is preferred by patients at MEH
PADciclo	
  0.6%	
  CsA	
  survey	
  (n=23)	
  conducted	
  by	
  Moorfields	
  Eye	
  Hospital	
  (Feb-­‐April	
  2013)	
  
Author:	
  Kris1n	
  Chapman	
  (Formulary	
  &	
  An1bio1c	
  Pharmacist)	
  
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PADciclo™ is well tolerated and increases ocular delivery
Ocular	
  PK	
  data	
  support	
  once	
  daily	
  ins;lla;on	
  at	
  
strengths	
  of	
  0.03%	
  and	
  0.06%	
  w/w	
  CsA	
  
§  PK	
  studies	
  in	
  rabbits	
  show	
  superior	
  ocular	
  
exposure	
  of	
  PADciclo™	
  compared	
  to	
  Restasis®	
  
§  PADciclo™	
  once	
  daily	
  is	
  sufficient	
  for	
  saturated	
  
delivery	
  to	
  cornea	
  and	
  conjunc1va	
  
	
  
0	
  
1	
  
2	
  
3	
  
4	
  
5	
  
6	
  
PADciclo	
  
0.06%,	
  1x	
  
PADciclo	
  
0.06%,	
  2x	
  
PADciclo	
  
0.1%,	
  1x	
  
PADciclo	
  
0.1%,	
  2x	
  
0.05%	
  
Restasis	
  
Fold	
  Exposure	
  over	
  Restasis	
  (AUC0-­‐24h)	
  
Cornea	
  
Conjunc1va	
  
Ocular	
  Exposure	
  rela;ve	
  to	
  Restasis®	
  
PADciclo	
  is	
  safe	
  and	
  very	
  well	
  tolerated	
  up	
  to	
  6	
  months	
  
§  Rabbit	
  safety	
  and	
  tolerability	
  studies	
  conducted	
  at	
  0.1%	
  strength	
  with	
  2-­‐4	
  1mes	
  daily	
  dosing	
  
§  No	
  treatment	
  or	
  administra1on-­‐related	
  effects	
  
§  Systemic	
  exposure	
  of	
  ciclosporin	
  is	
  very	
  low	
  
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Large PADciclo™ phase II trial is starting up
PADciclo™	
  has	
  the	
  required	
  poten;al	
  
§  Excellent	
  pre-­‐clinical	
  data	
  
§  Large	
  scale	
  manufacture	
  in	
  unit	
  dose	
  secured	
  
§  Once	
  daily	
  dosing	
  and	
  high	
  tolerability	
  are	
  key	
  for	
  pa1ent	
  compliance	
  
§  Experience	
  from	
  >1,000	
  pa1ents	
  in	
  the	
  UK	
  and	
  129	
  pa1ent	
  files	
  
§  Outcome	
  of	
  Scien1fic	
  Advice	
  mee1ngs	
  support	
  our	
  clinical	
  strategy	
  
Fast	
  to	
  market	
  and	
  best	
  in	
  class	
  
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Opportuni;es	
  using	
  PAD™	
  vehicle:	
  
§  Reformulate	
  high	
  value	
  marketed	
  drugs	
  +	
  LCM	
  
§  Release	
  the	
  full	
  poten1al	
  of	
  API’s	
  from	
  first	
  formula1on	
  
PAD™ Technology - release the full potential of API’s
§  The	
  right	
  vehicle	
  can	
  provide	
  the	
  twist	
  that	
  makes	
  a	
  superior	
  product	
  
§  PAD™	
  Technology	
  does	
  not	
  impose	
  addi1onal	
  risk	
  -­‐	
  only	
  pharmacopeial	
  excipients	
  
§  Key	
  differen1a1ng	
  features	
  of	
  the	
  PAD™	
  Technology:	
  
Penetra1on	
  Solubility	
   Stability	
  
Compliance	
  Tolerability	
   Patented	
  
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Click to edit Master title styleWe welcome collaboration
Thank you for your attention

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MC2 Biotek

  • 1. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style Introducing PADciclo™ - because tolerability matters   Ophthalmology Innovation Summit, October 16th 2014    PAD™  Technology  -­‐  releasing  the  full  poten1al  of  API’s     2014  
  • 2. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style MC2 Biotek Group at a glance §  Privately  held  Danish  company     §  Major  investor  is  family  behind  Danfoss  Group  (USD  6  bn)   §  Long  term  commitment  –  flexible  collabora1on  models     §  PAD™  Technology  –  releasing  full  poten;al  of  API’s   §  Key  to  a  successful  drug  is  a  label  recognized  by  payers  and  clinicians  as  clinically  superior   §  Focus:  Clinically  superior  PAD™  versions  of  high-­‐value  marketed  topical  drugs     §  PADciclo™  Dry  eye  (phase  II  star1ng  up)   §  PADcombo™  Psoriasis  (phase  II  ongoing)   §  Atopic  derma11s  (phase  I,  Q1  2015)   §  Other  PAD™  topical  projects  in  pre-­‐clinical  development   §  Operates  through  a  network  based  business  model   §  Company  loca1ons  in  Copenhagen  and  London   §  Project  teams  of  highly  reputed  experts  in  the  US  and  EU   §  Strategic  collabora1ons  with  academia  and  hospitals
  • 3. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style PADciclo™- need for 2nd generation CsA eye drop Ra;onale   Challenge   Solu;on  by  PADciclo™   Restasis®  is  twice  daily,  it   s1ngs  and  has  sub-­‐op1mal   label  –  yet  a  blockbuster   Need  for  improved  CsA   product  in  the  US   Need  for  approved  CsA   products  in  EU     Reduce  s1nging   (CsA  will  always  s1ng  in  some  pa1ents)   § Reduce  surfactant  level  ~30  fold   § Reduce  concentra1on  of  CsA   Once  daily  dosing   § CsA  penetra1on  ~4  fold  be]er   than  Restasis®   Get  best  in  class  claim  for   “treatment”   § Novel  clinical  strategy  
  • 4. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style PAD™ droplets are robust with low level of surfactants
  • 5. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style >1,000 patients treated with PADciclo™ 0.06% in the UK Collabora;on  with  Moorfields  Pharmaceu;cals  (Moorfields  Eye  Hospital)   §  Available  in  the  UK  since  April  2012  as  a  0.06%  preserva1ve  free  unlicensed  Special   §  Repeated  sales  to  >300  hospitals,  clinics,  wholesalers  and  pharmacies   §  More  than  1,000  pa1ents  have  been  treated    
  • 6. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style MEH analysis of 129 patient files is very encouraging Safety:   §  PADciclo™  0.06%  is  safe   §  No  decrease  in  visual  acuity,  no  effect  on  intraocular  pressure  and  no  vital  signs   Efficacy:   §  Qualita1ve  data  reported  by  pa1ents  and  ophthalmologists  show  improvement  of  clinical   status  of  dry  eye  pa1ents  (Be]er,  Stable,  Worse)     Ophthalmologists   Pa;ents   BePer   66%   69%   Stable   34%   27%   Worse   0%   4%   Data  from  dry  eye  pa1ent  files  with  sufficient  data  
  • 7. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style PADciclo™ is preferred by patients at MEH PADciclo  0.6%  CsA  survey  (n=23)  conducted  by  Moorfields  Eye  Hospital  (Feb-­‐April  2013)   Author:  Kris1n  Chapman  (Formulary  &  An1bio1c  Pharmacist)  
  • 8. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style PADciclo™ is well tolerated and increases ocular delivery Ocular  PK  data  support  once  daily  ins;lla;on  at   strengths  of  0.03%  and  0.06%  w/w  CsA   §  PK  studies  in  rabbits  show  superior  ocular   exposure  of  PADciclo™  compared  to  Restasis®   §  PADciclo™  once  daily  is  sufficient  for  saturated   delivery  to  cornea  and  conjunc1va     0   1   2   3   4   5   6   PADciclo   0.06%,  1x   PADciclo   0.06%,  2x   PADciclo   0.1%,  1x   PADciclo   0.1%,  2x   0.05%   Restasis   Fold  Exposure  over  Restasis  (AUC0-­‐24h)   Cornea   Conjunc1va   Ocular  Exposure  rela;ve  to  Restasis®   PADciclo  is  safe  and  very  well  tolerated  up  to  6  months   §  Rabbit  safety  and  tolerability  studies  conducted  at  0.1%  strength  with  2-­‐4  1mes  daily  dosing   §  No  treatment  or  administra1on-­‐related  effects   §  Systemic  exposure  of  ciclosporin  is  very  low  
  • 9. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style Large PADciclo™ phase II trial is starting up PADciclo™  has  the  required  poten;al   §  Excellent  pre-­‐clinical  data   §  Large  scale  manufacture  in  unit  dose  secured   §  Once  daily  dosing  and  high  tolerability  are  key  for  pa1ent  compliance   §  Experience  from  >1,000  pa1ents  in  the  UK  and  129  pa1ent  files   §  Outcome  of  Scien1fic  Advice  mee1ngs  support  our  clinical  strategy   Fast  to  market  and  best  in  class  
  • 10. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title style Opportuni;es  using  PAD™  vehicle:   §  Reformulate  high  value  marketed  drugs  +  LCM   §  Release  the  full  poten1al  of  API’s  from  first  formula1on   PAD™ Technology - release the full potential of API’s §  The  right  vehicle  can  provide  the  twist  that  makes  a  superior  product   §  PAD™  Technology  does  not  impose  addi1onal  risk  -­‐  only  pharmacopeial  excipients   §  Key  differen1a1ng  features  of  the  PAD™  Technology:   Penetra1on  Solubility   Stability   Compliance  Tolerability   Patented  
  • 11. •  Click to edit Master text styles –  Second level •  Third level –  Fourth level »  Fifth level Click to edit Master title styleWe welcome collaboration Thank you for your attention