Sun Pharma Advanced Research Company Limited has informed the Exchange about Investor Presentation
SPARC/Sec/SE/2023-24/078
January 07, 2024
National Stock Exchange of India Ltd., Exchange Plaza, 5th Floor, Plot No. C/1, G Block, Bandra Kurla Complex, Bandra (East), Mumbai – 400 051.
BSE Limited, Market Operations Dept. P. J. Towers, Dalal Street, Mumbai - 400 001.
Scrip Symbol: SPARC
Scrip Code: 532872
Dear Sir/Madam,
Sub: Investor Presentation
Pursuant to Regulation 30 of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015, we enclosed herewith the investor presentation which we will be delivering during 42nd Annual J. P. Morgan Healthcare Conference at San Francisco at 10.30 am pacific time on January 10, 2024 and shall be uploading on our website after sending this letter to you.
This is for your information and dissemination.
Yours faithfully,
For Sun Pharma Advanced Research Company Ltd.
Kajal Damania Company Secretary and Compliance Officer
JP Morgan 42nd Annual Healthcare Conference
Anil Raghavan Chief Executive Officer
January 2024
BSE:532872 NSE: SPARC BLOOMBERG: SPADV@IN REUTERS: SPRC.BO CIN:L73100GJ2006PLC047837
Forward-looking statements
This presentation and its contents should not be distributed, published or reproduced, in whole or part, or disclosed by recipients directly or indirectly to any other person. Any failure to comply with these restrictions may constitute a violation of applicable laws. Accordingly, any persons in possession of this presentation should inform themselves about and observe any such restrictions. This presentation may include statements which may constitute forward-looking statements. All statements that address expectations or projections about the future, including, but not limited to, statements about the strategy for growth, business development, market position, expenditures, and financial results, are forward looking statements. Peak sales forecast/potential in the presentation represent potential sales of the product/s for the commercialization partner. Forward looking statements are based on certain assumptions and expectations of future events. This presentation should not be relied upon as a recommendation or forecast by Sun Pharma Advanced Research Company Limited (“Company”). Please note that the past performance of the Company is not, and should not be considered as, indicative of future results. The Company cannot guarantee that these assumptions and expectations are accurate or will be realized. The actual results, performance or achievements, could thus differ materially from those projected in any such forward-looking statements. The Company does not undertake to revise any forward-looking statement that may be made from time to time by or on behalf of the Company. Given these risks, uncertainties and other factors, viewers of this presentation are cautioned not to place undue reliance on these forward looking statements.
The information contained in these materials has not been independently verified. None of the Company, its Directors, Promoters or affiliates, nor any of its or their respective employees, advisers or representatives or any other person accepts any responsibility or liability whatsoever, whether arising in tort, contract or otherwise, for any errors, omissions or inaccuracies in such information or opinions or for any loss, cost or damage suffered or incurred howsoever arising, directly or indirectly, from any use of this document or its contents or otherwise in connection with this document, and makes no representation or warranty, express or implied, for the contents of this document including its accuracy, fairness, completeness or verification or for any other statement made or purported to be made by any of them, or on behalf of them, and nothing in this presentation shall be relied upon as a promise or representation in this respect, whether as to the past or the future. The information and opinions contained in this presentation are current, and if not stated otherwise, as of the date of this presentation. The Company undertakes no obligation to update or revise any information or the opinions expressed in this presentation as a result of new information, future events or otherwise. Any opinions or information expressed in this presentation are subject to change without notice. This presentation does not constitute or form part of any offer or invitation or inducement to sell or issue, or any solicitation of any offer to purchase or subscribe for, any securities of the Company, nor shall it or any part of it or the fact of its distribution form the basis of, or be relied on in connection with, any contract or commitment therefor. This presentation document may contain certain UPSI (Unpublished Price Sensitive Information). You are advised to handle this information in a confidential manner and share it strictly on a need to know basis only. Anyone in possession of such UPSI should not trade/deal in the securities of the Company, either directly or indirectly. Pursuant to SEBI (Prohibition of Insider Trading) Regulations 2015, the Company maintains a Structural Digital Database wherein details of sharing this presentation with you are entered. No person is authorized to give any information or to make any representation not contained in or inconsistent with this presentation and if given or made, such information or representation must not be relied upon as having been authorized by any person. By participating in this presentation or by accepting any copy of the slides presented, you agree to be bound by the foregoing limitations. All brand names and trademarks are the property of respective owners.
2
SPARC © 2024Capital efficient translational engine Maturing operating model with global access to science
Unique origins
Strategic pivot
Operating model advantage
First listed R&D company out of India
Shift from 505(b)(2) assets
Captive capability – Bench to bedside
Founders still own 70% and continue
3 NCEs in clinical development
Plugged into global innovation
to invest
Initial focus – Drug delivery systems
10+ NCE/NBE programs in the R&D pipeline covering 3 TAs
ecosystem
Strategic relationships – A key
tenet of strategy
Low cost of failure offers more shots on goal
3 NDAs approved by USFDA and technology/product partnerships contributing significant ‘non-dilutive’ cash to support the portfolio build USD 308m non-dilutive capital out of a life-time spend of USD 582m*
* As on March 2023
3
SPARC © 2024Value drivers of the portfolio Led by a potentially transformational program in neurodegenerative diseases
Vodobatinib
Optionality
A selective, brain penetrant c-Abl kinase inhibitor moderating oxidative stress response
Potential disease modifying therapy with applications in several neurodegenerative diseases
1
Vodobatinib’s clinical PoC established in Chronic Mylogenous Leukaemia
3
SCD-153 pursuing a novel mechanism in Alopecia Areata
2
4
Vibozilimod, a third generation, S1P R1 agonist in clinical PoC studies for multiple derma autoimmune diseases
SBO-154 Antibody Drug Conjugate targeting a unique epitope of MUC-1
4
SPARC © 2024 Approaching important data events 2024 offers multiple clinical proof-of-concept readouts
Asset/Program
MoA
Indication
Discovery
Preclinical
Phase 1
Phase 2
Upcoming Catalysts
Vodobatinib (SCC-138)
c-ABL Inhibitor
Vodobatinib (SCO-088)
SBO-154
BCR-ABL Inhibitor Anti-MUC-1 ADC
Vibozilimod* (SCD-044)
Selective S1PR1 agonist
SCD-153
Undisclosed
Parkinson’s Disease Lewy Body Dementia1 Alzheimer’s Disease Refractory CML Solid Tumors
Psoriasis
Atopic Dermatitis Alopecia Areata
Preclinical Assets
10+ preclinical assets under development to ensure a robust pipeline for future growth
Neurology
Oncology
Immunology
1 Investigator Initiated Trial * Vibozilimod licensed to Sun Pharmaceutical Industries Limited (SPIL)
Interim analysis result in Q2 2024 Phase 2 data readout in Q3 2024
Phase 2 data readout in Q4 2024
IND filing in Q1 2025
Phase 2 Topline readout in Q4 2024 Phase 1 MAD study results in Q2 2025
5
SPARC © 2024Vodobatinib targets a disease driver Low promiscuity, Robust brain levels
Role of c-Abl in Parkinson’s Disease
c-Abl – Key driver of neurodegeneration cascade
c-Abl is activated in oxidative stress response
Triggers toxic degenerative cascade through
key substrates
Crucial role in protein aggregation and
compromisation of its clearance
Vodobatinib - An optimal agent to test the hypothesis
Sub-nanomolar potency against human c-Abl with high selectivity
Robust brain penetration
facilitating target engagement
Image adapted from c-Abl and Parkinson’s Disease: Mechanisms and Therapeutic Potential - J Parkinsons Dis. 2017; 7(4): 589–601
6
SPARC © 2024Neuroprotection in classic PD models Consistent validation in collaboration with global thought leaders
PFF-induced mouse model1
AAV mutant α-Synuclein (hA53T) rat model2
.
3 4 0 0 0 > = p
.
9 9 9 9 0 > = p
1 1 1 0 0 = p
.
p=>0.9999
20
15
) c e s (
10
e m
i t g n n r u T
i
5
0
1 2 1 - I T R I 5 2 1
l
a t a i r t S
c i f i c e p S
) e u s s i t g / i C n ( g n d n B
i
i
**
NS
L
R
L
**
L
R
R
*
L
NS
R
L
R
1.0
0.8
0.6
0.4
0.2
0.0
PBS+ Placebo
PBS+ Vodobatinib 45mg/kg
PFF+ Placebo
PFF+ Vodobatinib 15mg/kg
PFF+ Vodobatinib 45mg/kg
AAV EV
AAV hA53T α-synuclein
Vehicle
Vehicle
Vodobatinib 15mpk
Vodobatinib 30mpk
Vodobatinib 45mpk
In the PFF-induced mouse model, Vodobatinib shows
NS: p>0.05; *p<0.05; **p<0.001 versus the un-operated (contralateral) hemisphere. Two-way ANOVA with Fisher’s LSD post-hoc test
Functional improvement
Target engagement in the brain
Dopaminergic neuronal protection
In the AAV mutant α-Synuclein model, Vodobatinib treatment protects against dopaminergic neuronal loss and compensates the functional deficits
Study conducted at 1. Dr. Dawson’s lab, JHU
Study conducted at 2. Atuka Canada
PFF: Preformed fibril, AAV: Adeno-Associated Virus
7
SPARC © 2024 Early clinical studies support translation Vodobatinib confirmed target coverage in CSF at safe doses
Phase 1 completed in healthy subjects and PD subjects with doses up to 384mg per day
Overall well tolerated
CSF PK suggests adequate brain penetration over 24 hours
192mg and 384mg doses proposed for Phase 2 PoC study
Phase 2 PoC study (PROSEEK) initiated in 2019
PROSEEK: Phase 2 study in early Parkinson’s disease patients evaluating the safety and efficacy of Abl tyrosine kinase inhibition using K0706
8
SPARC © 2024 PROSEEK aims a reproducible PoC In L-Dopa naïve, DaT confirmed early PD patients
PROSEEK study design
Screening
Randomization
PART1 Weeks 0 To 40
Placebo (N=168)
Vodobatinib 384mg (N=168)
Vodobatinib 192mg (N=168)
Follow up
Follow up
PART 2 Long Term Extension Weeks 41 To 76
Vodobatinib 384mg
Vodobatinib 192mg
Primary endpoint Change in MDS-UPDRS Part 3
Key secondary endpoints Change in MDS-UPDRS Part 2+Part 3
Time to the start of symptomatic medication
Clinician global impression of severity
Exploratory endpoints DaT SPECT at beginning and at the end
Exploratory CSF markers
Skin biopsy for synuclein deposition at baseline and at week 36
Neurofilament light chain (NfL)
Smartphone based measure of motor performance
Key milestones Administrative interim analysis in April 2024
Topline data for the study in September 2024
9
SPARC © 2024PROSEEK achieved enrolment target Completed enrolment in October 2023
PROSEEK – Global patient distribution
221
Over 40% patients enrolled from the US
89
85
80
21
17
0
50
100
150
200
250
Number of patients randomized
Drug related SAEs reported in 1.2% patients
No significant cardiac events reported
GI and rash were the most common AEs reported
No changes in study protocol recommended by DSMB throughout the conduct of the study
10
SPARC © 2024 c-Abl inhibition promises broad impact Reduces toxic proteins implicated in multiple diseases
iPSC-Neurons
DMSO
Vodobatinib 10 nM
21 days
Analysis of cell lysate and culture supernatant
Vodobatinib 10 nM
150
150
100
50
50
15
37
37
p- cAbl (Tyr 412)
Tot cAbl
Lamp-1
phospho Tau (AT8)
Total Tau
a-Syn
Synaptophysin
Actin
ELISA detection of Aẞ40 and Aẞ42 in culture supernatant
Aẞ40 pg/ml
Aẞ42 pg/ml
Aẞ42/AB40
5.0
2.5
0.0
1.5
1.0
0.5
0.0
0.25
0.0
DMSO Vodobatinib
DMSO Vodobatinib
DMSO Vodobatinib
Augments autophagic flux and reduces levels of α-Synuclein (Parkinson’s disease), and Tau, phospho Tau and Aβ peptides (Alzheimer’s disease)
Study conducted at Brigham Women’s Hospital, Harvard Medical School
11
SPARC © 2024PROSEEK validates a key mechanism Vodobatinib as a backbone to SoC across the continuum of care
PRE-DIAGNOSIS
PARKINSON'S DISEASE DIAGNOSIS
EARLY STAGES
ADVANCED STAGES
Sensory symptoms and non-specific pain
PROSEEK target population
Vodobatinib future development
Dyskinesia On-Off
Psychosis, Hallucinations OCD
Tremor, Rigidity, Bradykinesia
Postural changes, Dysphagia, Freezing, Falls
n o i s s e r g o r p e s a e s i D
Gastrointestinal symptoms and constipation
Autonomic dysfunction: Orthostatic hypotension
Impaired olfaction
Visual abnormalities
Sleep disorders
Depression
Cognitive impairment
Pain in medial collateral ligament
Dysphagia, Urinary symptoms, Orthostatic hypotension, Dementia
-20
-10
0
10
20
Time from diagnosis (years)
Treatment Complications
Motor symptoms
Non-motor symptoms
Vodobatinib’s opportunity spectrum
Parkinson’s Disease – All stages
α synucleinopathies (Lewy Body Dementia & Multi System Atrophy)
Diseases driven by other proteins activated by c-Abl (AD, ALS)
70% of PD patients are DMT eligible at diagnosis to delay symptomatic treatment*
Physicians expect Vodobatinib to be used across all PD patients, including familial PD*
*Based on independent 3rd party research
12
SPARC © 2024 Vibozilimod: best-in-class S1PR1 agonist Safe oral alternative to JAK inhibitors in derma autoimmune disorders
S1P functional activity using GTPγS assay
S1PR1 agonists
Vibozilimod
Fingolimod
Ozanimod
Ponesimod
Etrasimod
S1PR1
0.2
0.4
1.9
~1
1.5
EC50 GTPγs (nM) S1PR3
>10,000
7.7
>10,000
NA
~1000
S1PR5
9
2.2
3.5
10.7
0.7
Highly-selective S1PR1 agonist over other S1P receptors
Established preclinical and early clinical validation
Potential synergy with other mechanisms in IBD – like IL-23 blockade
Developed in collaboration with a French biotech company, Bioprojet
SPARC in-licensed Bioprojet’s share of IP
Potential to lead the S1P R1 class in derma autoimmune diseases
13
SPARC © 2024PK-PD validation from early clinical studies Therapeutically relevant lymphopenia at safe doses
Heart rate & lymphocyte reduction following Multiple Doses
;
% p o r d C L A / ) p m b (
e s a e r c e D R H
100
80
60
40
20
0
-20
80
75
68
51
70
66
63
55
81
68
-11.6
1 mg
-11.4
2 mg
-12.7
2-4-6 mg
Dose in mg
-5.4
-12.1
0.3-0.6-1 mg
0.2-0.6-1 mg
~60% lymphopenia observed at 1mg titrated dose with max HR drop 5.4bpm
Lymphopenia at therapeutic dose compares favourably to competing programs
Max drop in Mean HR (bpm)
Trough Lymphopenia%
Nadir Lymphopenia%
bmp = beats per minute HR = Heart rate ALC = Absolute lymphocyte count
14
SPARC © 2024 Vibozilimod clinical PoC studies ongoing Therapeutically relevant lymphopenia at safe doses
A randomized, double-blind, placebo-controlled study to
assess the efficacy and safety of Vibozilimod in the treatment of moderate-to-severe Atopic Dermatitis [NCT04684485]
A randomized, double-blind, placebo-controlled study to
assess the efficacy and safety of Vibozilimod in the treatment of moderate-to-severe Plaque Psoriasis [NCT04566666]
240 patients in four arms, study open in 40 sites across US,
240 patients in four arms, study open in 40 sites across US,
Europe and Latin America
Europe and Latin America
Primary endpoint – Proportion of patients achieving EASI-75
Primary endpoint – Proportion of patients achieving PASI-75
response at week-16
response at week-16
15
SPARC © 2024Vibozilimod clinical PoC studies ongoing Program poised for significant data events in 2024
Recruitment completion expected in Q2, 2024
Primary endpoint topline in Q4, 2024
AD Phase 3 initiation in Q1, 2025
Vibozilimod is partnered with Sun Pharma with ~50% economics retained with SPARC
16
SPARC © 2024SCD-153 targeting novel pathway in AA Built on an endogenous immunosuppressive metabolite
SCD-153 blocks key inflammatory cytokines implicated in AA
Healthy
Alopecia Areata
Outer root sheath
Sebaceous gland
Hair shaft
Bulb
Immune-privileged bulb of hair follicle
Breakdown of immune-privilege, Infiltration of immune cells-“Swarm of bees”
SCD-153, novel pro-drug of a natural metabolite that restores immune privilege at hair follicle
Topical formulation targets to reduce systemic exposure and potential side effects
MHC Class I & Class II
CD4+ T cell
CD8+ T cell
Antigen Presenting cells
17
SPARC © 2024Promising preclinical data SCD-153 demonstrated robust hair growth in multiple AA models
Week#
Week 0 (Before treatment)
Week 16#
Vehicle thrice-a- week
SCD-153 at 3% thrice-a- week
n=7; 85-100% alopecia; >45 weeks age Spontaneous severe C3H/HeJ AA mouse model
n=4
#n=1 from each group has completed Week 14
Data are represented as mean + SD; two-way ANOVA followed by Bonferroni’s multiple comparisons test (*p<0.05 vs Vehicle)
SCD-153 demonstrates single agent activity at different doses/regimens
The drug-treated mice showed significant decrease in the cytotoxic CD8+ T cells in the diseased skin
Drug treatment also caused significant reduction in IFN signature gene expression (CXCL-9, -10 and -11, IFN-g, MX-1 and STAT-1)
Potential to use in combination with other agents
18
SPARC © 2024Portable to other epidermal diseases High cross over potential to diseases with similar pathophysiology
IFN induces CXCL9, CXCL10 & CXCL11 in vitiligous skin. These chemokines recruit pathogenic CD8+ T cells to the pigment-containing melanocyte in the epidermis
CD8+ T cells release cytokines that destroy the melanocytes causing depigmentation
In-vitro studies have shown that SCD-153 inhibits: Expression of CXCL9, 10 and 11 in stimulated human keratinocytes
IFN secretion from stimulated murine CD8+ T cells
SCD-153 early clinical studies started in November, 2023. MAD study results expected in 2025
19
SPARC © 2024 SBO-154 targeting novel epitope of MUC-1 First product from a platform leveraging the SEA domain of MUC-1
Licensed antibodies targeting MUC-1 SEA (α-β combinatorial epitope) developed at Tel-Aviv university
Circulating MUC-1α in plasma and in peritumoral space blocks meaningful tumor targeting by MUC1α-targeted therapies
Preclinical PoC established for anti-tumour efficacy of anti-MUC-1 SEA targeted ADC
Platform potential - Follow-up programs delivering immune activators, possibility to explore multi-specificity and bi-functional payload systems
α Subunit
R T N V
SEA domain
β Subunit
SEA: Sea urchin sperm protein, enterokinase and agrin
20
SPARC © 2024 Hypothesis validated in multiple models SBO-154 causes regression of large established tumors with high MUC-1 SEA expression
MUC-1 High Expression Cell Line
MUC-1 Intermediate Expression Cell Line
MUC-1 Low Expression Cell Line
Tumor Staging
) 3
m c (
l
e m u o V r o m u T
Tumor Staging
) 3
m c (
l
e m u o V r o m u T
Tumor Staging
) 3
m c (
l
e m u o V r o m u T
Days Post Cells Inoculation
Days Post Cells Inoculation
Days Post Cells Inoculation
Vehicle
Rituximab ADC
SBO-154
High cell surface expression of MUC-1 in NSCLC, HR+ BC, PDAC & Ovarian cancer
Very low circulating MUC-1 SEA in patient plasma samples
First product to enter clinic in Q1, 2025
21
SPARC © 2024 Preclinical programs 10+ discovery/pre-clinical programs promising pipeline enrichment
Key themes driving portfolio growth
1
2
3
4
Novel molecular pathways in neurodegeneration
Antibody mediated, multi-modal tumour targeting
Synthetic lethality
Novel pathways in unaddressed autoimmune disorders
22
SPARC © 2024SPARC value proposition summary
3 Clinical stage programs targeting areas of high unmet need Targeting unmet medical needs with USD20Bn+ combined peak sales potential in 6 indications
Discovery & development across validated & novel biology in order to balance the risk Multi-modal portfolio; 10+ preclinical programs including an Antibody Drug Conjugate program
Proven high quality R&D organization with capital-efficient global operations 350+ scientists across 4 research centers with USD 500Mn+ invested to date
3 USFDA approvals for internally developed assets
Flexible model to maximize shareholder value Partnerships to maximize large commercial potential and provide non-dilutive capital
Optionality to explore other commercial models for key assets preserved
Marquee founder, experienced management team and scientific advisory board with globally recongnized scientific leaders
23
SPARC © 2024SPARC upcoming catalysts NSE/BSE Mumbai India - SPARC
423.35 INR +212.40 (100.69%) past year 5 Jan, 3:21 pm IST.
1D
5D
1M
6M
YTD
1Y
5Y
Max
500
300
300
200
100
Upcoming catalysts
PROSEEK interim analysis – April 2024
PROSEEK topline – September 2024
Vodobatinib partnering
423.35 INR 5 Jan 2024
SOLARES-AD-01 interim analysis Q4 2024
SCD-153 MAD outcome – Q2 2025
SBO-154 IND – Q1 2025
Mar 2023
Jun 2023
Aug 2023
Oct 2023
Dec 2023
Raised ~USD150m in 2021-22 @INR 178/share
Cash runway covers currently projected milestones
Net cash burn - ~USD 30-35m annually
24
SPARC © 2024Balanced portfolio approaching value inflection
The SPARC Logo is a trademarks of Sun Pharma Advanced Research Company Ltd . In addition to Company data, data from market research agencies, Stock Exchanges and industry publications has been used for this presentation. This material is for use during an oral presentation; it is not a complete record of the discussion. This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole on or in part in any manner or form or in any media without the prior written consent. All product names and company names and logos mentioned herein are the trademarks or registered trademarks of respective owners.