Title: Corporate Presentation
1Corporate Presentation
14 November 2006
2Important Disclaimer
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(Financial Promotion) Order 2001 (the Order) or
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reasonable care has been taken to ensure that the
facts stated in this presentation are accurate
and that the opinions expressed are fair and
reasonable, the contents of this presentation
have not been verified by Vernalis plc or any
other person. Accordingly no representation or
warranty, express or implied, is made as to the
fairness, accuracy, completeness or correctness
of the information and opinions contained in this
presentation and no reliance should be placed on
such information or opinions. None of Vernalis
plc or any of its respective members, directors,
officers or employees nor any other person
accepts any liability whatsoever for any loss
howsoever arising from any use of such
information or opinions or otherwise arising in
connection with this presentation. This
presentation does not form part of any offer of
securities, or constitute a solicitation of any
offer to purchase or subscribe for securities.
By participating in this presentation you agree
to be bound by the foregoing terms. - This presentation is not an offer of securities
for sale in the United States of America.
Securities may not be offered or sold in the
United States of America absent registration or
an exemption from registration. - Safe Harbour statement this presentation may
contain forward-looking statements that reflect
the Company's current views and expectations
regarding future events. In particular certain
statements with regard to managements strategic
vision, aims and objectives, the conduct of
clinical trials, the filing dates for product
licence applications including that of Frova for
menstrual migraine and the anticipated launch of
specified products in various markets, the
Companys ability to find partners for the
development and commercialisation of its products
as well as the terms for such partnerships,
anticipated levels of demand for existing
products and products in development, the effect
of competition, anticipated efficiencies, trends
in results of operations, margins, the overall
pharmaceutical market and exchange rates, are all
forward looking in nature. - Forward-looking statements involve risks and
uncertainties that could cause actual results to
differ materially from those expressed or implied
by the forward looking statements. Although not
exhaustive, the following factors could cause
actual results to differ materially from those
the Company expects difficulties inherent in
the discovery and development of new products and
the design and implementation of pre-clinical and
clinical studies, trials and investigations,
delays in and results from such studies, trials
and investigations that are inconsistent with
previous results and the Companys expectations,
the failure to obtain and maintain required
regulatory approvals, product and pricing
initiatives by the Companys competitors,
inability of the Company to market existing
products (including Apokyn and Frova) and new
products effectively and the failure of the
Company to agree beneficial terms with potential
partners for any of its products or the failure
of the Companys existing partners to perform
their obligations, the ability of the Company to
obtain additional financing for its operations
and the market conditions affecting the
availability and terms of such financing, the
successful integration of completed mergers and
acquisitions and achievement of expected
synergies from such transactions, and the ability
of the Company to identify and consummate
suitable strategic and business combination
transactions and the risks described in our most
recent annual report on Form 20-F filed with the
U.S. Securities and Exchange Commission (File No
0-20104).
3Vernalis
- Listed in London (LSEVER) and on Nasdaq (VNLS)
- Market capitalisation 191m (363m)
- To become a sustainable, self funded, RD driven
speciality bio-pharmaceutical company with a
focus in neurology - In place - research, development, outsourced
manufacture and a U.S. distribution and sales and
marketing team - Continuous revenue stream
- 34 person speciality sales force in place
marketing Apokyn and Frova - Franchises in Parkinsons disease and pain
management
Strategy
4Strong Cash Position to Drive Products Through
the Clinic
- One of the best funded biotech companies in the
UK - 50.9m (96m) cash in the bank
- Milestones expected from Endo
- 15m as part of original Frova agreement
received Sept 2006 - 40m on approval of Frova for MM expected mid
2007 - Milestone expected from Biogen Idec
- 3m on the start of V2006 Phase II expected H2
2006 - Strong cash position allowing Vernalis to execute
its strategy for growth - Objective to retain U.S. rights where appropriate
5Vernalis Key Products and Programmes
Marketing Rights
Indication
Product
Late Research
Pre- clinical
Phase I
Phase II
Phase III
Market
Pain franchise
US Co-promotion Endo (None EU - Menarini)
Frova
Acute migraine
US Co-promotion Endo (None EU - Menarini)
Frova
Menstrual migraine
Acute post-operative pain
Option US profit share Reckitt Benckiser
V1003
Acute neuropathic pain
V3381
World Wide
Neurology franchise
Parkinsons disease (advanced)
Apokyn
North American
Parkinsons disease (moderate/advanced)
V1512
World Wide (excl. Italy)
V10153
Ischaemic stroke
World Wide
Parkinsons disease (mild/moderate)
US Co-promotion Biogen Idec
V2006
Others
Inflammation
MMPI
None (Serono)
Obesity
V24343
World Wide
Hsp90 inhib.
Cancer
None (Novartis)
6Frova Overview
- 5HT1B/1D agonist for migraine
- Approved in US and EU for the acute treatment of
migraine - Licensed to Menarini in EU
- May 2004 North American rights reacquired from
Elan - July 2004 Re-licensed and co-promotion agreement
with Endo - Vernalis/Endo co-promotion
- Vernalis established US commercial organisation
- Became effective 1 January 2006
- Endo funds Vernalis on a cost per detail
- Distinctive characteristic long half-life of 26
hours - Lowest headache recurrence rates in triptan class
7Key point of differentiation
Long half-life - Low recurrence
50
40
recurrence
30
Frova
20
10
30
20
25
10
0
15
5
Plasma half-life (h)
Zolmitriptan 2.5mg
Frova 2.5mg
Eletriptan 80mg
Sumatriptan 6mg (sc)
Rizatriptan 10mg
Almotriptan 12.5mg
Sumatriptan 100mg
Naratriptan 2.5mg
8Frova for Prevention of Menstrual Migraine (MM)
- New indication short term prevention of MM
- No triptan currently approved
- 12 million women in the US suffer from MM
- MM is predictable, long-lasting and likely to
recur - Frova half-life is ideally suited to prevent MM
- Half-life at least 4 times longer than any other
triptan - Only once or twice daily dosing
- Reduce opportunity for breakthrough headache
9Clinical Trials completed for Frova for
Prevention of MM
- Phase III efficacy study in 550 MM patients
completed demonstrating highly significant
benefit for Frova - Phase III one year safety study in 525 MM
patients completed demonstrating long term safety
profile - Phase III second efficacy study in 427 MM
patients completed in May 2006 demonstrating
highly significant benefit for Frova - Both dose levels of Frova were highly effective
in difficult to treat patients in preventing MM - Both dose levels were highly effective on
secondary measures - Both doses significantly reduced need for rescue
medication - Both dose regimens were very well tolerated
- Safety profile similar to that previously
observed - No safety concerns arose from the repeated dosing
of Frova over 6 days
10Frova Re-launch with New Marketing Focus
11Frova for Prevention of MM Summary
- Completed the MM Clinical Trials
- sNDA filing accepted by FDA September 2006
- PDUFA date 19 May 2007
- 40m Milestone from Endo on MM approval
- Opportunity to grow Frova sales on MM approval
- Endo sales force increased to 590 reps
- Vernalis sales force fully operational
12V3381 Neuropathic Pain
- Dual-mechanism of action
- NMDA (N-methyl-D Aspartate) antagonist
- MAO-A (monoamine oxidase-A) inhibitor
- Existing therapies maybe unsatisfactory due to
- Non-response or low efficacy
- Side-effects
- Phase 1 clinical studies completed
- Safe and well tolerated up to 14 days
- Twice daily administration
- Phase II trial in diabetic neuropathic pain
initiated in August 2006 - Randomised, double-blind, crossover study in US
and Canada - Safety, pharmacokinetics and preliminary efficacy
of repeat dosing
13Parkinsons Disease
- Progressive neurological disease
- Loss of dopamine containing neurones in basal
ganglia - Affects approximately 1.5 million people in the
United States - Characterised by motor symptoms
- Tremor, bradykinesia, muscle rigidity, gait
dysfunction and postural instability - Standard of care Levodopa (L-dopa)
decarboxylase inhibitor - All drugs currently on the market offer
symptomatic treatment - Inadequate symptom control in later stages
- Motor complications develop progressively
- Significant side-effects from treatment
14Parkinson's - Disease Progression Treatment
Options
Early Symptoms
Severe PD 25 patients
Moderate-to-severe PD 65 patients
Mild PD 10 patients
Uncontrolled Symptoms/ Off Episodes
Uncontrolled Symptoms
Initiate Treatment
Uncontrolled Symptoms
End-of-Dose Wearing Off
Diagnosis
Disease Progression
Possibly AddSecond Agent
DBS Other Surgery
Typically MonotherapyWith a Dopamine Agonist or
Carbidopa-Levodopa
Continue Adjusting Meds orRescue With Apokyn
Adjust Doses or Add Other Meds
V1512
Apokyn
Apokyn Infusion
V2006
Nasal Apomorphine
15Apokyn Parkinsons Disease
- Apokyn (apomorphine hydrochloride injection)
non-ergoline dopamine agonist - Apokyn is the only therapy available in the
United States for the acute, intermittent
treatment of immobilising off episodes
associated with Parkinsons disease - Acquired from Mylan Pharmaceuticals Nov 2005
- - Cash payment of 23m
- Indicated for the acute use for motor
complications - Hypomobility
- Off episodes
- Delayed On and On/Off
16Apokyn Parkinsons Disease (contd)
- Approved by the FDA as an Orphan Drug in April
2004 and launched in the US in July 2004 - Orphan Drug exclusivity until April 2011
- Designated an Orphan Drug to treat approximately
112,000 Parkinsons disease patients
who experience the severe "on/off" motor
fluctuations unresponsive to other therapies - Vernalis estimates Apokyn sales in 2006 to be
around 6m - Potential line extensions through collaboration
with Britannia Pharmaceuticals - Infusion Marketed in EU
- Nasal powder Phase II
17The Apokyn Circle of Care
17
18V1512 Parkinsons Disease
- Patented formulation combining levodopa
methyl-ester and carbidopa - Marketed in Italy by Chiesi for rescue (fast
onset) in Parkinsons disease - Based on existing drug, therefore indicates a
reduced risk profile - Worldwide rights except for Italy (Chiesi)
- Phase II studies completed Phase III to start
2H 2006 - Improvement on standard therapy for patients with
moderate/severe Parkinsons disease - Increased water solubility
- Reliable absorption (Important in patients with
GI dysfunction) - Easier mode of administration (Effervescent in 3
tablespoons of water) - Faster acting (8.5 minutes faster activity per
dose(1)) - Longer lasting (15.4 minutes less off time per
dose(1)) - Safe well tolerated (Tested in 696 patients)
(1) Studied in 1x/day and 2x/day dosing. Patients
average 4 or more doses per day
19V2006 A2A antagonist for Parkinsons disease
- A selective adenosine A2A receptor antagonist
- Positive results from series of Phase I studies
- Therapeutic concentrations achieved at low doses
- Prolonged half-life consistent with once-daily
dosing - IND for Phase II filed Dec 2005
- Phase II safety and pharmacokinetic study to
initiate 2H 2006 - Collaboration with Biogen Idec signed in June
2004 - Biogen Idec funds all development
- Milestones and double digit royalties
- Option for Vernalis to co-promote in the US
20V10153 Clot dissolving agent for stroke
- Novel recombinant thrombolytic protein designed
to have significantly lower bleeding potential - Positive results in initial Phase II proof of
principal study in acute MI - Stroke identified as primary target
- Phase II study in approx 150 patients initiated
- Looking at 3-9 hour window of opportunity
- V10153 - Stroke
- Phase IIa recruitment expected to complete in 4Q
06 - Recruitment (as with other stroke trials) slower
than expected - Steps taken
- Revision of inclusion criteria
- 25 centres now opened in the US and Canada
21Vernalis Key Products and Programmes
Marketing Rights
Indication
Product
Late Research
Pre- clinical
Phase I
Phase II
Phase III
Market
Pain franchise
US Co-promotion Endo (None EU - Menarini)
Frova
Acute migraine
US Co-promotion Endo (None EU - Menarini)
Frova
Menstrual migraine
Acute post-operative pain
Option US profit share Reckitt Benckiser
V1003
Acute neuropathic pain
V3381
World Wide
Neurology franchise
Parkinsons disease (advanced)
Apokyn
North American
Parkinsons disease (moderate/advanced)
V1512
World Wide (excl. Italy)
V10153
Ischaemic stroke
World Wide
Parkinsons disease (mild/moderate)
US Co-promotion Biogen Idec
V2006
Others
Inflammation
MMPI
None (Serono)
Obesity
V24343
World Wide
Hsp90 inhib.
Cancer
None (Novartis)
22Expected Newsflow in 2H 2006
- V1512 Start of Phase III in Parkinsons
disease - V2006 Start of Phase II in Parkinsons disease
(Biogen) - V24343 Start of Phase I in obesity
- Hsp90 Start of Phase I (Novartis)
- V10153 Complete Recruitment in Phase IIa in
stroke
Milestone due to Vernalis
23Summary
- Financial
- Strong cash position 50.9 million
- Pipeline
- 2 products on the market Apokyn and Frova
- 1 product with sNDA filing Frova (MM)
- 1 product in or entering Phase III development
- 4 products in or entering Phase II development
- 1 other clinical programme
- Strong research base (90 people)
- Sales Force
- 34 strong sales force fully operational
- Established credibility through significant turn
around in new Apokyn prescriptions - Menstrual Migraine Phase III second efficacy
study completed - Both dose levels of Frova were highly effective
in difficult to treat patients in preventing MM - sNDA filed with FDA in July 2006 - PDUFA date 19
May 2007
24