Sun Pharma Advanced Research Company Limited has informed the Exchange about Investor Presentation
SPARC/Sec/SE/2021-22/079
December 28, 2021
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.
Ref: Scrip Code: NSE: SPARC; BSE: 532872
Dear Sir/Madam,
Sub: Investor Presentation
Pursuant to Regulation 30 of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015, we enclose herewith the presentation, which the Company will be using at the meeting(s) to be conducted with the investors from today i.e. December 28, 2021 onwards.
The said presentation will also be uploaded on the Company’s website, after sending this letter to you.
This is for your information and dissemination.
Yours faithfully,
For Sun Pharma Advanced Research Company Ltd.
Dinesh Lahoti Company Secretary and Compliance Officer ICSI Membership No. A22471
Encl: As above
Corporate Overview December 2021
©SPARC –For Discussion Purposes Only
Disclaimer
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. 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.
SPARC © 2021
2
SPARC timeline Built a robust R&D engine over 15 years
Integrated translation advancing standard of care in difficult-to-treat diseases
Incubated out of Sun Pharma, India’s largest pharmaceutical company Spun out in 2007 to an independent listed entity Focus on exploratory programs and capability development
Initial focus on Medicinal Chemistry and Formulations Success with Lipodox Multiple delivery systems innovations Substantial investments in discovery & translational development
US FDA Approvals of Xelpros and Elepsia NCEs enter clinical Development Focus on strategic partnering to access early science
Growing NCE pipeline 3 more NDA submissions Forays into ADCs & Immunofusions Poised to grow its multi- modality platform in CNS, Oncology & Immunology
2007-2010
2011-2014
2015-2019
2020 & beyond
$4
$2
Trading/Financial Summary
31.3%
$3.40
Share Price $ (as of 12/10/21) Premium / (Discount) to 52-Week High
Equity Value, T USD Mn
Less : Cash USD Mn
Plus : Debt USD Mn
Enterprise Value USD Mn
$3.40 (20%)
$892
(11)
20
$901
$0 Dec-20
Feb-21 Apr-21
Jun-21 Aug-21 Oct-21 Dec-21
SPARC © 2021
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Investment highlights
4 Clinical Stage Programs Targeting Areas of High Unmet Need
Targeting large addressable patient populations with USD 20Bn+ combined peak sales potential in 6 indications within Oncology, Neurology, and Immunology
Discovery & Development Across Validated & Novel Biology in Order to Balance the Risk
Multi-modal portfolio covering small and large molecules and conjugated entities 10+ preclinical programs including an ADC program expected to enter the clinic in 2023
Proven High Quality R&D Organization with Capital-Efficient Global Operations
350+ scientists across 4 research centers including USD 400Mn invested to date 2 USFDA approvals for internally developed assets 3 NDAs targeted for submission in 2022
Highly Flexible Model to Maximize Shareholder Value
Partnerships to maximize large commercial potential and provide non-dilutive capital Maximize multi-TA opportunity and preserve optionality for spin-offs
Experienced Management Team and Globally Recognized Scientific Advisory Board
ADC = Antibody Drug Conjugate | TA = Therapeutic Area | USFDA = United States Food and Drug Administration | NDA = New Drug Approval
SPARC © 2021
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Pipeline overview & key milestones
Asset / Program
MoA
Indication
Discovery
Preclinical
Phase 1
Phase 2
Phase 3/ Registration Study
Upcoming Catalyst
Partner
Vodobatinib (SCC-138)
c-ABL Inhibitor
Vodobatinib (SCO-088)
BCR-ABL Inhibitor
SCO-120
SERD
Vibozilimod (SCD-044)
Selective S1PR1 agonist
Undisclosed
TAA-1
Parkinson’s Disease
Lewy Body Dementia1
Alzheimer’s Disease
Refractory CML
Metastatic Breast Cancer
Psoriasis
Atopic Dermatitis
Alopecia Areata
Multiple Tumors
PoC data from PROSEEK study in 2023
PoC data in 2023
Pivotal data in 2024
Phase 1 data in 2023
Phase 2 data in 2023
Phase 2 data in 2023
IND Filing Targeted 2023
Preclinical Assets
10+ preclinical assets under development to ensure a robust pipeline for future growth
Neurology
Oncology
Immunology
1. Investigator Initiated Study | MoA = Mechanism of Action | PoC = Proof of Concept | CML = Chronic Myeloid Leukemia | SERD = Selective Estrogen Receptor Degrader S1PR1 = Sphingosine-1-Phosphate Receptor 1 | IND = Investigational New Drug | TAA-1 = Tumor Associated Antigen-1
SPARC © 2021
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Vodobatinib for Neurodegenerative Diseases (SCC-138) A potential first-in-class disease modifying therapy
Vodobatinib for neurodegenerative diseases Optimal agent to test the c-Abl hypothesis
Mechanism of Action of c-Abl inhibition
INACTIVE
LYN FYN
OXSTRESS
MITO DYNAMICS
PGC1α
PARIS
PARKIN
Vodobatinb is a potential first-in-class c-Abl inhibitor for Parkinson’s disease
Augments autophagic flux and prevents inactivation of Parkin-mediated mitochondrial quality control
Reduces α-synuclein inclusions
Sub-nanomolar potency against human c-Abl
Very limited off-target activity, leading to improved safety profile
ACTIVE
Robust brain penetration (Brain/ Plasma levels around 0.9)
α-SYNUCLEIN AGGREGATES
Selective Abl inhibition
ABL INHIBITORS
OTHER SUBSTRATES
Reduces neuronal toxicity caused by the aggregated neurotoxic proteins
Family
Abl
SFK
Kinases Abl (Abl-1) Arg (Abl-2)
IC50 (nm) 0.9 0.8
Src Fyn Hck Lck Lyn Yes PTK5
90.0 18.0 54.0 17.0 18.0 28.0 3.0
SPARC © 2021 SPARC © 2021
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Behavioral assessments in the PFF- induced mouse model
In the MPTP1 mouse model, Vodobatinib prevents neuronal degeneration in substantia nigra
In the PFF2 induced mouse model, vodobatinib shows target engagement, reduction in Serine 129 phosphorylation of α-Synuclein, preservation of dopaminergic neurons and clinical improvement in motor and cognitive functions
In the AAV3 driven rat A53T α-synuclein model, vodobatinib shows neuroprotection
Vodobatinib at 45 mg/kg improves PFF-induced movement disorder- related deficits in Turning Time and Descending Time in the Pole test
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PBS+ Vodobatinib Placebo
PBS+ Vodobatinib 45mg/kg
PFF+ Vodobatinib Placebo
PFF+ Vodobatinib 15mg/kg
PFF+ Vodobatinib 45mg/kg
PBS+ Vodobatinib Placebo
PBS+ Vodobatinib 45mg/kg
PFF+ Vodobatinib Placebo
PFF+ Vodobatinib 15mg/kg
PFF+ Vodobatinib 45mg/kg
Vodobatinib treatment improves PFF-induced deficits in Grip Strength
Grip Strength: Fore Limbs
Grip Strength: All Limbs
p = 0 . 3 5 4 8
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p = 0 . 0 1 8 4
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1. Data generated in-house | 2. Study conducted at the Ted Dawson Lab, Johns Hopkins University | 3. Study conducted by Atuka Inc. Unpublished data; not to be replicated or shared | PBS = Phosphate-buffered saline | PFF = Preformed fibril
PBS+ Vodobatinib Placebo
PBS+ Vodobatinib 45mg/kg
PFF+ Vodobatinib Placebo
PFF+ Vodobatinib 15mg/kg
PFF+ Vodobatinib 45mg/kg
PBS+ Vodobatinib Placebo
PBS+ Vodobatinib 45mg/kg
PFF+ Vodobatinib Placebo
PFF+ Vodobatinib 15mg/kg
PFF+ Vodobatinib 45mg/kg
SPARC © 2021
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Vodobatinib protects dopaminergic neurons in the AAV mutant α-synuclein (hA53T) rat model - dopamine transporter expression
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NS
L
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L
R
L
R
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L
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AAV EV
AAV hA53T α-synuclein
Vehicle
Vehicle
Vodobatinib 15mg/kg
Vodobatinib 30mg/kg
Vodobatinib 45mg/kg
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
Vodobatinib treatment protects against dopaminergic neuronal loss measured by radiolabeled 125I labeled RTI-121 binding in the striatum
• Comparison of un-operated left hemisphere (L) and operated right hemisphere (R, injected with & expressing the
AAV) shows that 45 mg/kg doses provides protection of dopaminergic neurons
Study conducted by Atuka Inc. | Unpublished data; not to be replicated or shared.
SPARC © 2021
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Vodobatinib met the brain exposure targets in early clinical studies Summary of completed toxicology, safety pharmacology and clinical studies
Preclinical toxicology update
Acute tox in mouse and rat by oral route, and in rat by ip route
Repeat dose oral tox in rat (upto 6 months) and beagle dog (upto 9 months)
Genotoxicity (In vitro Ames’ Test and In vivo mouse micronucleus study)
Repro toxicity
Safety Pharmacology, including CVS safety
Clinical summary
Phase 1 completed in healthy subjects, PD subjects up to 384mg
• Overall well tolerated
• PK suggests adequate brain penetration
over 24 hours
Trial
Population Status
Phase 1 MAD
PD any stage
Phase 1
Healthy men
Phase 1 Crossover study
18 Healthy subjects per cohort
cohorts of 8 subjects each on 14 days of Vodobatinib or placebo capsules (6:2 randomization) 6, 12, 24, 48, 96, 192, 384mg
48, 192mg, 384mg x7 days with 24 hours of CSF sampling on day 7. Study complete
192mg powder vs 192 mg capsule 384mg powder vs 192mg capsule 384mg powder fed vs fasting
Safety findings
Well tolerated
Mild AEs
No significant concerns
CVS = Cardiovascular System | PK = Pharmacokinetic | CSF = cerebrospinal fluid | AE = Adverse Events
SPARC © 2021
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Vodobatinib for Parkinson's Disease Recruitment on track to achieve Phase 2/PROSEEK enrollment target in 2022
Screening
Randomization
Placebo (N=168)
Vodobatinib 384mg (N=168)
Vodobatinib 192mg (N=168)
PART 1 Weeks 0 to 40
Follow up
Follow up
PROSEEK
84 sites across US, Europe and India functional; recruitment ongoing to complete enrollment in 2022
Over 40% patients randomized (N=218)
Phase 2 readout expected in 2023
Primary outcome
Change in MDS-UPDRS Part 2 + Part 3 from baseline to end of treatment
Secondary outcomes:
Time to start of symptomatic medication
CGIS - clinician global impression of severity
PART 2 Weeks 41 to 76
Vodobatinib 384mg
Vodobatinib 192mg
PK/PD correlations
Exploratory outcomes:
Patient continues into extension part of protocol
DaT SPECT at beginning (in all subjects for eligibility) and end
Skin biopsy for synuclein deposition at Baseline and Week 36
Smartphone-based measure of motor performance
Exploratory CSF markers
Data cut-off date: 26th Nov 2021 | A Phase 2 Study In Early Parkinson’s Disease Patients Evaluating The Safety And Efficacy Of Abl Tyrosine Kinase Inhibition Using K0706 K0706 = Vodobatinib PD (SCC-138) | NCT03655236
SPARC © 2021
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Opportunities beyond Parkinson’s Disease Dementia with Lewy Bodies offers an immediate next opportunity
DLB is a neurodegenerative condition with progressive cognitive impairment, hallucinations and parkinsonism
•
Estimated to affect about 1.4 million people in the USA*
• 2nd most common cause of dementia in the elderly
Strong overlap with Parkinson’s Disease
Synucleinopathies with Lewy Bodies seen on autopsy. Pathophysiology similar to PD suggesting potential efficacy in DLB
Investigator-initiated trial in collaboration with Georgetown University, Washington on-going in subjects with DLB
RANDOMIZATION
PLACEBO
(N=15)
VODOBATINIB
96mg (N=15)
VODOBATINIB
192mg (N=15)
*https://ghr.nlm.nih.gov/condition/dementia-with-lewy-bodies
SPARC © 2021
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Vibozilimod (SCD-044) - A Selective S1PR1 Agonist A safer alternative to JAK inhibitors
Vibozilimod (SCD-044) An opportunity to improve oral standard of care in dermatology
Vibozilimod is a Best-in-Class S1PR1 modulator with excellent safety
S1PR1 Modulator Landscape
Vibozilimod (SCD-044)
Fingolimod is the First-in-Class S1PR agonist approved, but being a non-selective modulator, is associated with serious cardiac side-effects
Multiple S1PR1 modulators are approved (siponimod and ozanimod) for non-dermatology indications; vibozilimod has opportunity to lead the field in dermatology
Recent safety concerns related to JAK inhibitors (including topical/locally delivered agents) increase the significance of S1PR1 agonists as a ‘class alternative’ in several autoimmune disorders, particularly in dermatology
Developed in collaboration with a French biotech company, Bioprojet – SPARC in-licensed Bioprojet’s share of IP in 2019
Highly-selective for S1PR1 over S1PR2 and S1PR3, which can be associated with serious side effects
Established preclinical and early clinical validation
Currently targeting atopic dermatitis, psoriasis and other autoimmune disorders
Potential synergy with other mechanisms in IBD – like IL-23 blockade
S1PR1 agonists
Vibozilimod1 Fingolimod1 Ozanimod1 Ponesimod1 Etrasimod1
S1PR1
0.2 0.4 1.9 ~1 1.5
EC50 S1PR3
>10,000 7.7 >10,000 NA ~1000
S1PR5
9 2.2 3.5 10.7 0.7
Vibozilimod licensed to Sun Pharma with around ~50% economics retention
IBD=Inflammatory Bowel Disease | Vibozilimod (SCD-044) licensed to Sun Pharmaceutical Industries Ltd | 1. Selectivity data generated in-house
SPARC © 2021
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Vibozilimod (SCD-044) Pharmacodynamics and safety established in Phase 1 study
Multi-part Phase 1 study completed in healthy volunteers
Single Ascending Dose
Six dose levels in males and one dose level in females
~55% lymphocyte count decrease following 1 mg dose
Multiple Ascending Dose
Four dose levels including two dose up-titration schemes in males and one dose up-titration scheme in females
~60% lymphocyte count reduction observed at 1 mg dose with asymptomatic bradycardia
Reduction in lymphocyte count confirms potential efficacy of vibozilimod
e n
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Lymphocyte count reduction1
PK profile1
Time (h)
1. Phase 1 part 1 SAD study, 1 mg dose. | Vibozilimod (SCD-044) licensed to Sun Pharmaceutical Industries Limited | PK = Pharmacokinetic
SPARC © 2021
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Vibozilimod (SCD-044) for psoriasis Clinical proof-of-concept by 2023
Screening 4 Weeks
Part I:16 Weeks
Part II:16-28 Weeks
Part III:28-52 Weeks
Follow-up Week 56
Placebo
Vibozilimod Intermediate Dose
Vibozilimod High Dose
Vibozilimod Low Dose
PASI50 response Continue to vibozilimod Low Dose
< PASI75 response at week 28
Discontinue
Vibozilimod Intermediate Dose
Vibozilimod High Dose
<PASI50 response Switch to vibozilimod High Dose
PASI75 response at week 28
Continue on existing regimen
Continue the assigned treatment
p u - w o
l l
o F
e e r f
t n e m t a e r T
Primary endpoint – Proportion of patients with PASI75 response at week 16
240 patients across three dose levels and placebo. Currently in early stage ramp-up
Study now enrolling in the US. Expected to accelerate expansion to Latin America and Europe to accelerate in the coming months
s t n e m
s s e s s A g n n e e r c S
i
PASI = Psoriasis Area Severity Index | NCT04566666 (SCD-044-19-14, Version 1, September 23, 2020) | Vibozilimod (SCD-044) licensed to Sun Pharmaceutical Industries Limited
SPARC © 2021
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Vibozilimod (SCD-044) for atopic dermatitis Clinical proof-of-concept by 2023
Screening 3 Weeks
Part I:16 Weeks
Part II:16-32 Weeks
Follow-up 4 Weeks
Placebo
Vibozilimod Intermediate Dose
Vibozilimod High Dose
Screening Assessments
Vibozilimod Low Dose
Vibozilimod Intermediate Dose
Vibozilimod High Dose
Treatment free Follow-up
Primary endpoint – Proportion of patients with EASI-75 response at week 16
240 patients across three dose levels and placebo. Currently in early stage ramp-up
Study now enrolling in the US. Expected to accelerate expansion to Latin America and Europe to accelerate in the coming months
EASI = Eczema Area Severity Index | POC = Proof of Concept | NCT04684485 (SCD-044-19-16, Version 1, November 9, 2020) | Vibozilimod (SCD-044) licensed to Sun Pharmaceutical Industries Limited
SPARC © 2021
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Anti TAA-1 Asset Targeting an antigen expressed in a wide spectrum of tumors
SPARC ADC binds and exerts cytotoxicity against target-expressing cells
Cytopathic assay in a pancreatic cancer cell line
SPARC ADC D-6A1
SPARC ADC D-6A2
aCD20 D-6A5
aCD20 D-6A6
l
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100
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1
10
100
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ADC against a novel tumor associated antigen as a target
Evidence of potent cytotoxicity of SPARC ADC against TAA-1 over-expressing pancreatic carcinoma cell line
100-fold greater potency over a nonbinding ADC of the same payload targeted to CD20
ADC = Antibody Drug Conjugate | TAA-1 = Tumor Associated Antigen-1 | CD20 = Cluster of differentiation 20
SPARC © 2021
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Antitumor efficacy of SPARC ADC Efficacy established in multiple xenograft models
Pancreatic carcinoma xenograft
Ovarian carcinoma xenograft
Vehicle CD20 ADC Toxic payload SPARC ADC low dose SPARC ADC mid dose SPARC ADC high dose Nab-PTX
3000
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Arrows denote dosing timepoints
Arrows denote dosing timepoints
Dose-dependent growth inhibition of xenografts of pancreatic and ovarian carcinomas using SPARC ADC
Control nonbinding anti-CD20 ADC as well as unconjugated cytotoxic agent were ineffective
ADC = Antibody Drug Conjugate | Nab-PTX = Nanoparticle albumin-bound Paclitaxel
SPARC © 2021
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SPARC ADC: next steps
Advance anti TAA-1 ADC through preclinical development with IND submission in 2023
Explore additional tumor-targeting specificities for creation of drug conjugates
In light of the broad expression of TAA-1 in cancer, create and preclinically evaluate a series of additional immune- fusions anchored on TAA-1 targeting
• TAA-1 targeted T-cell engager (TCE)
• Bispecific TAA-1 targeted immune-fusion with anti-angiogenesis activity of TCEs
• Bifunctional TAA –1 targeted immunocytokine(s) to enhance antitumor activity
• TAA-1 targeted nanoparticles for preferential tumor-focused delivery of other targeted agents
Potential for multiple biologic product INDs in the next five years
TAA-1 = Tumor Associated Antigen-1 | ADC = Antibody Drug Conjugate | IND = Investigational New Drug
SPARC © 2021
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Vodobatinib in CML (SCO-088) A safer, last-line option for heavily pre-treated patients
Vodobatinib for CML (SCO-088) Promising Last Line Therapy
CML Overview
Market Opportunity
Product Overview
Clinical Summary
CML is caused by a translocation of the abl gene that results in formation of Philadelphia Chromosome
Branded 2nd and 3rd generation TKIs retain high commercial value due to refractory nature of CML, despite genericization of 1st generation TKI
Targeting patients who are refractory and/or intolerant to other TKIs
Phase 1 completed in CML subjects
Prior to the discovery of BCR-ABL inhibitors, CML was a fatal disease with an 8-year survival rate of ~6%
Tyrosine kinase inhibitors have changed the prognosis of CML, but patients eventually can become resistant to drugs
Annual incidence of CML is likely to increase at a rate of 1–2 cases per 100,000 adults, est. 8,000 people in US in 20201
Large market opportunity – US drug sales of the CML TKIs over $3Bn2
Well tolerated with significant coverage of the mutational field
Favorable safety and tolerability
Unmet need for a potent and safe drug in patients with ≥ 3 lines of failure including failure of Ponatinib, given
Has shown promising activity in clinical trials
Registration study underway. Planned US NDA filing in 2024
• Almost half of patients will have
recurrence within 5 years of initial therapy
• One-third of 2nd line patients and est. 40% of 3rd line patients are refractory or relapse within a year of initiation of that line of therapy
Orphan Drug Designation and Accelerated Approval pathway agreed with USFDA
TKI = Tyrosine Kinase Inhibitor | 1. SEER database Cancer Stat Fact | 2. IQVIA 2021
SPARC © 2021
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Vodobatinib for CML (SCO-088) Durable long-term responses seen across cohorts
53 52 51 50 49 48 47 46 45 44 43 42 41 40 39 38 37 36 35 34 33 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1
Patients on study after:
•
•
1 year: 68%
2 years: 47%
Median duration on study (months) = 20.8 (range: 0.5 – 56 months)
Discontinued study drug
On treatment
0
3
6
9
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15
18
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30
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36
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42
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48
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Data cutoff 29th November 2021 | Unpublished data, not to be replicated | Number on Y-axis represents individual patients
Duration in months
SPARC © 2021
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Vodobatinib for CML (SCO-088) Clinical Development Plan
Pivotal (Part C) study ongoing
Clinical Development Plan
Part A
Part B
Part C
Single Ascending Dose study (SAD) in volunteers
Multiple Ascending Dose study (MAD) in patients
Pivotal efficacy study in refractory and/or intolerant patients to 3 prior TKIs
Orphan Drug Designation approved by USFDA and EMA • Market exclusivity in addition to IP coverage • User fee waiver
EOP1 discussion completed; agreement with USFDA reached on accelerated approval pathway based on Part C (pivotal study)
Efficacy
Safety and Tolerability
Cytogenetic Response
(% patients with MaCyR)
2020
2019
L M C - P C
0
20
40
60
90
100
CCyR Maintained
CCyR Archieved
PCyR Archieved
Major Cytogenetic response in 67% of the enrolled subjects Major Cytogenetic response in 54% of the enrolled subjects that meet pivotal study criteria
Generally well tolerated with slight excess of GI and hematological AEs
All Treatment Emergent AEs (Cases)
40
30
20
10
0
Total
Total Grade
Related AEs
3&4
EOP1 = End of Phase 1 | MaCyR = Major Cytogenetic Response | CP = Chronic Phase | CCyR = Complete Cytogenetic Response | PCyR= Partial Cytogenetic Response | AE = Adverse Event | GI = Gastro Intestinal SAD = Single Ascending Dose | MAD= Multiple Ascending Dose.
Planned US NDA filing in 2024
SPARC © 2021
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SCO-120 for HR+/HER2- MBC Potent oral SERD with preferential brain penetration
Oral SERD for Breast Cancer (SCO-120)
Breast Cancer Overview
Market Opportunity
Product Overview
Clinical Summary
Breast cancer is the second most common cancer diagnosed in women in the United States1
Annual incidence of ~2 million patients across the world1
~70% of the breast cancer is HR+/HER2-1
Hormonal therapy is SoC for ~70% of HR+/HER2- metastatic breast cancer patients1. ERα mutations develop in 20–50% of patients with metastatic disease
Treated mostly with SERMs, 20–50% patients experience mutations or become resistant
SERD can break down receptors and prevent cells from dividing. IM Fulvestrant is the only approved SERD but it is poorly active against mutations at therapeutic dose
SCO-120 is a novel orally-active SERD for the treatment of HR+/HER2- breast cancer
Active in vitro (nM to sub nM potency) and in vivo in xenograft models against WT ERa and its mutants Y537S and D538G
In vitro and in vivo studies have shown potential for combination with CDK4/6 inhibitors (palbociclib) in both the WT ERa and the mutation setting
Favorable Tox profile; No adverse effects seen in battery of in vivo safety pharmacology studies of central nervous system, cardiovascular system, and respiratory system
US IND filed in Jan 2020
SAD and MAD in healthy volunteers ongoing
50 – 1200 mg cohorts completed. Generally safe and well tolerated, no significant AEs
1. CancerMPact® Treatment Architecture U.S., Breast Cancer | HR = Hormone Receptor | HER2 = Human Epidermal Growth Factor Receptor 2 | ERα = Estrogen Receptor α | SOC = Standard of Care | IM = Intramuscular SERD = Selective Estrogen Receptor Degrader | AE = Adverse Event | SERM=Selective Estrogen Receptor Modulator | MAD=Multiple Ascending Dose
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In vivo efficacy of SCO-120 in combination with palbociclib Promising activity against resistant mutants alone and in combination with palbociclib
Tumor staging
Treatment duration and tumor monitoring
E2 Pellet# Cell injection
Day 1 Dosing initiation
Combination of palbociclib with SCO120 or fulvestrant:
SCO120, p.o., 25 mpk, daily for 4 weeks or fulvestrant (50 & 25mpk* or 100 mpk, 2x/week) ± palbociclib p.o., 45 mpk, daily for 4 weeks
Day 28 Dosing Completion
MCF7-WT
Vehicle
Palbociclib (45 mg/kg)
SCO-120 (25 mg/kg)
*
Fulvestrant (50 & 25 mg/kg)
SCO-120 (25 mg/kg) + Palbociclib (45 mg/kg)
Fulvestrant (50 & 25 mg/kg) + Palbociclib* (45 mg/kg)
MCF7-Y537S
Vehicle
Palbociclib (45 mg/kg)
SCO-120 (25 mg/kg)
*
Fulvestrant (50 & 25 mg/kg)
SCO-120 (25 mg/kg) + Palbociclib (45 mg/kg)
Fulvestrant (50 & 25 mg/kg) + Palbociclib (45 mg/kg)
MCF7-D538G
Vehicle
Palbociclib (45 mg/kg)
SCO-120 (25 mg/kg)
*
Fulvestrant (50 & 25 mg/kg)
SCO-120 (25 mg/kg) + Palbociclib (45 mg/kg)
Fulvestrant (50 & 25 mg/kg) + Palbociclib (45 mg/kg)
) 3
m m
(
e m u o v
l
r o m u T
2000
1500
1000
900
800
700
600
500
400
300
200
100
*
*
*
*
n.s.
****
**** ****
*
*
*
*
*
1
4
7
11
14
17
21
26
28
) 3
m m
(
e m u o v
l
r o m u T
1100
1000
900
800
700
600
500
400
300
200
100
) 3
m m
(
e m u o v
l
r o m u T
1100
1000
900
800
700
600
500
400
300
200
100
*
*
*
*
*
*
*
*
n.s.
*
**
****
**** ****
*
*
*
*
*
*
*
**** **** ****
****
*
*
1
4
7
11
14
17
21
26
28
1
3
7
11
14
17
21
26
28
Days post treatment initiation
Days post treatment initiation
Days post treatment initiation
*Fulvestrant group received 50 mg/kg as loading dose thrice- weekly for first week, followed by 25 mg/kg twice weekly for remaining 3 weeks | *p < 0.01 | ****p < 0.0001 as compared to vehicle treated group n.s.-non significant
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SCO-120 advantage in brain metastases Prolonged survival in preclinical brain-metastasis model expressing wild type ERα
100
90
80
70
60
50
40
30
20
10
l
a v i v r u s
t n e c r e P
Vehicle
SCO -120 (low dose)
SCO -120 (mid dose)
**
SCO -120 (high dose)
RAD-1901 (100 mpk)
Fulvestrant (50, 25 mpk)
***
8 week treatment
0
7
14
21
28
35
42
49
56
63
70
77
84
91
98
Days post cells inoculation (0.3 million cells/animals)
Effectively crosses blood–brain barrier with higher accumulation in brain and tumor compared to plasma
SCO-120 treated mice showed significant increased survival compared to RAD-1901 and fulvestrant
Potential to be an active treatment for HR+/HER2- breast cancer patients with brain metastases
Unpublished data; not to be replicated | ERα = Estrogen Receptor α
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SCO-120 enters patient trials in 2022 Clinical development plan and upcoming milestones
Study design
Sample size of the study
Key assumptions for endpoints
Part I - Dose escalation – Up to three cohorts
Part 2 – Efficacy exploration in a single cohort
Part 1 – Up to 15 patients
Part 2 – Up to 30 patients
Part 1 – PK, Safety
Part 2 – ESR1, Tumor Biopsy (Biomarker)
Part 1 and 2 – Tumor Response
PK = Pharmacokinetic | ESR1 = Estrogen receptor 1
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Concluding Remarks
Company highlights
Successful Track Record of Development and Commercialization along with a Robust Pipeline
Targeting High Value Opportunities
Through an Innovation- focused R&D Platform with an Efficient Cost Structure
2
USD 20Bn+
350+
USFDA approved drugs (XelprosTM, ElepsiaTM)
Combined peak sales potential for NCEs currently under clinical development
Scientists across 4 research centers. Growing presence in the US (Princeton, NJ)
6
Indications targeted through 4 NCEs under clinical development
6
6 Licensing partners1
10+
Preclinical programs in R&D pipeline covering 3 therapeutic areas
1. Licensing partners include Bioprojet, CMS, Sun Pharmaceutical Industries Ltd. (Sun Pharma), Tripoint Therapeutics, Biomodifying, and Visiox.
250+
Years of experience of management
8
Ongoing collaborations with universities / companies
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Highly experienced management team with global experience
7
27
7
36
7
25
Anil Raghavan Chief Executive Officer
Responsible for strategic prioritization and portfolio decisions Past experience:
Nitin Damle Chief Innovation Officer
Leads the development of Biologics Past experience:
Siu-Long Yao Head, Clinical Development & Operations
Oversees design & execution of clinical research globally Past experience:
4
31
22
32
14
31
Chetan Rajpara Chief Financial Officer
Nitin Dharmadhikari Head, Operational Excellence & COEs
Trinadha Rao Chitturi Head, Drug Discovery
Responsible for finance, accounts, taxation and legal & secretarial functions Past experience:
Responsible for New Initiatives, management of COEs and QA Past experience:
Oversees Medicinal Chemistry, In-Vitro Biology, Bio-informatics & Process Development Past experience:
Years with SPARC
Years of experience
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Highly experienced management team with global experience
3
25
13
22
14
22
Vikram Ramanathan Head, Translational Development
Shravanti Bhowmik Head, Program Management
Yashoraj Zala Head, Drug Delivery Systems
Responsible for Preclinical Pharmacology, Drug Metabolism & PK and Bioanalysis, and Regulatory Toxicology Past experience:
Oversees all aspects of the development / implementation of projects and programs Past experience:
Responsible for drug formulation and analytical development Past experience:
1
20
1
21
Rajesh Ranganathan Head, Partnerships and Portfolio Strategy
Shanta Gupta Chief Human Resource Officer
Oversees external partnerships and portfolio management Past experience:
Responsible for the organization’s human capital management Past experience:
Years with SPARC
Years of experience
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Scientific advisory board consisting of globally recognized experts
Phil Needleman, PhD Washington University in St. Louis
Rakesh Jain, PhD Massachusetts General Hospital Hospital
Robert Spiegel MD, FACP1 Weill Cornell Medical College, PTC Therapeutics
Mark Simon, MBA2 Torreya Partners, Citigroup, Robertson Stephens, Kidder Peabody
Alan Ashworth, PhD, FRS UCSF ICR London
Jorge Cortes, MD Medical College of Georgia MD Anderson
Adrian Ivinson, PhD DRI UK, Nature, Harvard Medical School
Charbel Moussa, MBBS, PhD Georgetown University
1. Member of the Board of Directors | 2. Board Advisor
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Established and supported by marquee industry leader
Shareholding (as on 30th Sep. 2021) Dilip Shanghvi 11%
Public 32%
Promoter group entities 57%
Providing continuous support and investments
Dilip Shanghvi Chairman
Founded Sun Pharma in 1983. (Current market cap of USD 24Bn+*)
Has 35+ years of industry experience
Awards and recognitions: Padma Shri (Fourth highest civilian award by Govt. of India) in 2016, Forbes Entrepreneur of the year – 2014, Economic Times Business Leader of the Year (2014), CNN IBN’s Indian of the Year (Business) (2011) and Ernst and Young’s World Entrepreneur of the Year (2011).
Rights issue 2: INR250cr/USD 38Mn
Preferential issue of convertible warrants 2: INR1112cr/USD 148Mn
25%
46%
75%
54%
2016
2021
2012
26%
74%
2017
7%
93%
Rights issue 1: INR198cr/USD 41Mn
Preferential issue of convertible warrants 1: INR500cr/USD 75Mn
Promoters’ share
Others
Completed preferential issue for INR 1112 Cr. (USD 148Mn) in July 2021
Well-capitalized for prosecuting the current clinical portfolio
*As of 13th December, 2021 | Percentage and figures rounded off to nearest number
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Thank You
The SPARC Logo is a trademark 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