clinuvel pharmaceuticals ltd ( cuv; xetra dax: ur9; … · presentation to international porphyria...

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Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel Pharmaceuticals Ltd (ASX: CUV; XETRADAX: UR9; ADR: CLVLY) presented to an international porphyria patient meeting, held in Rotterdam, the Netherlands, on February 6, 2016. The presentation and speaking notes are appended to this announcement. ‐ End ‐ About Clinuvel Pharmaceuticals Limited Clinuvel Pharmaceuticals Ltd (ASX: CUV; XETRA‐DAX: UR9; ADR: CLVLY) is a global biopharmaceutical company focused on developing drugs for the treatment of a range of severe disorders. With its unique expertise in understanding the interaction of light and human skin, the company has identified patient populations with a clinical need for photoprotection and for repigmentation. The worldwide prevalence of these patient groups range from 5,000 to 45 million. Clinuvel’s lead compound, SCENESSE® (afamelanotide 16mg), was approved by the European Commission in 2014 for the prevention of phototoxicity in adult patients with erythropoietic protoporphyria (EPP). Headquartered in Melbourne, Australia, Clinuvel has operations in Europe, Switzerland, the US and Singapore. For more information go to http://www.clinuvel.com. SCENESSE® is a registered trademark of Clinuvel Pharmaceuticals Ltd. Investor enquiries [email protected] ForwardLooking Statements This release to the Australian Securities Exchange and to press may contain forward‐looking statements, including statements regarding future results, performance or achievements. These statements involve known and unknown risks, uncertainties and other factors which may cause Clinuvel’s actual results, performance or achievements to be materially different from any future results, performances or achievements expressed or implied by the forward‐looking statements. These statements reflect our current views with respect to future events and are based on assumptions and subject to risks and uncertainties. Given these uncertainties, you should not place undue reliance on these forward‐ looking statements. Some of the factors that could affect the forward‐looking statements contained herein include: that the FDA may require additional studies beyond the studies planned for product candidates or may not provide regulatory clearances, including for SCENESSE®; that the FDA may not provide regulatory approval for any use of SCENESSE® or that the approval may be limited; that Clinuvel may never file an NDA for SCENESSE® regulatory approval in the US; that the Company may not be able to access adequate capital to advance its vitiligo programs; that the Company may not be able to retain its current pharmaceutical and biotechnology key personnel and knowhow for further development of its product candidates or may not reach favourable agreements with potential pricing and reimbursement agencies in Europe and the US. Level 5, 160 Queen Street T +61 3 9660 4900 www.clinuvel.com Melbourne, Victoria 3000 F +61 3 9660 4999 Australia For personal use only

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Page 1: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

PresentationtointernationalporphyriapatientgroupMelbourne,AustraliaandLeatherhead,UK,February8,2016

ClinuvelPharmaceuticalsLtd(ASX:CUV;XETRA‐DAX:UR9;ADR:CLVLY)presentedtoaninternationalporphyriapatientmeeting,heldinRotterdam,theNetherlands,onFebruary6,2016.Thepresentationandspeakingnotesareappendedtothisannouncement.‐End‐AboutClinuvelPharmaceuticalsLimitedClinuvelPharmaceuticalsLtd(ASX:CUV;XETRA‐DAX:UR9;ADR:CLVLY)isaglobalbiopharmaceuticalcompanyfocused on developing drugs for the treatment of a range of severe disorders. With its unique expertise inunderstandingtheinteractionoflightandhumanskin,thecompanyhasidentifiedpatientpopulationswithaclinicalneedforphotoprotectionandforrepigmentation.Theworldwideprevalenceofthesepatientgroupsrangefrom5,000to45million.Clinuvel’sleadcompound,SCENESSE®(afamelanotide16mg),wasapprovedbytheEuropeanCommissionin2014forthepreventionofphototoxicityinadultpatientswitherythropoieticprotoporphyria(EPP).HeadquarteredinMelbourne,Australia,ClinuvelhasoperationsinEurope,Switzerland,theUSandSingapore.Formoreinformationgotohttp://www.clinuvel.com.SCENESSE®isaregisteredtrademarkofClinuvelPharmaceuticalsLtd.InvestorenquiriesInvestorRelations@clinuvel.com

Forward‐LookingStatementsThis release to theAustralianSecuritiesExchangeand topressmaycontain forward‐lookingstatements, includingstatements regardingfutureresults,performanceorachievements.Thesestatementsinvolveknownandunknownrisks,uncertaintiesandotherfactorswhichmaycauseClinuvel’sactualresults,performanceorachievementstobemateriallydifferentfromanyfutureresults,performancesorachievementsexpressedorimpliedbytheforward‐lookingstatements.Thesestatementsreflectourcurrentviewswithrespecttofutureeventsandarebasedonassumptionsandsubjecttorisksanduncertainties.Giventheseuncertainties,youshouldnotplaceunduerelianceontheseforward‐lookingstatements.Someofthefactorsthatcouldaffecttheforward‐lookingstatementscontainedhereininclude:thattheFDAmayrequireadditionalstudiesbeyondthestudiesplannedforproductcandidatesormaynotprovideregulatoryclearances,includingforSCENESSE®;thattheFDAmaynotprovideregulatoryapprovalforanyuseofSCENESSE®orthattheapprovalmaybelimited;thatClinuvelmayneverfileanNDAforSCENESSE®regulatoryapprovalintheUS;thattheCompanymaynotbeabletoaccessadequatecapitaltoadvanceitsvitiligoprograms;thattheCompanymaynotbeabletoretainitscurrentpharmaceuticalandbiotechnologykeypersonnelandknowhowforfurtherdevelopmentofitsproductcandidatesormaynotreachfavourableagreementswithpotentialpricingandreimbursementagenciesinEuropeandtheUS.Level5,160QueenStreet T+61396604900 www.clinuvel.comMelbourne,Victoria3000 F+61396604999Australia

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Page 2: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

InlinewithEuropeanGuidelines onMedicalAdvertisingandUKAdvertisingStandardsforMedicinalProducts,ClinuvelwillnotdiscusstheprofileoftheproductSCENESSE®(afamelanotide16mg)duringthismeeting.Theproductisapprovedtopreventphototoxicityinadulterythropoieticprotoporphyria(EPP)patients.InformationontheproductcanbefoundonClinuvel’swebsiteatwww.Clinuvel.com.Today’sinvitationisappreciatedandisaheadof thelaunchofSCENESSE®inEurope.ThedistributionofSCENESSE®asafirst‐in‐classproduct.Thereareanumberofchallengesinyearstocome,oneoftheseistheperceptionthattheproductcouldbeusedoff‐label;Clinuvelwilldoitsutmosttoavoidthis.Regulatoryconcernscentrearoundthisaspect.

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Page 3: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thepossibleforwardlookingstatementsinthisdiscussionare notaimedatinvitingorsolicitinginterestinthecompany.

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Page 4: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Today’sdiscussionpointsarerelevant tophysicians,expertsinthetreatmentofthedisease,andEPPpatientsandtheirfamilies.

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Page 5: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thefirstdiscussionpoint isaimedatcharacterisationofthedisorder.

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Page 6: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thestigmaspatientshavereported toourteamsovertheyearsarefoundinanabundanceofletters,emailsandfromphoneconversations(left).Thelabellingofthediseasebybystanders,‘outsiders’,differsfromthedescriptionpatientsseemtogivethemselves(right).

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Page 7: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

In2005therewere anumberofkeyquestionsindevelopingadrugforEPP,howeverthehypothesisofSCENESSE®wasansweredafterthefirststudyin2006.Theresponsesfrompatientsandphysicianshasbeenstrongerthanexpected.

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Page 8: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

In generalonecannotfullyunderstandthesufferingofapatientuntiloneexperiencestheordeal,symptomsanddiseaseher/himself.Thiswillalwaysbethechasmbetweendrugcompaniesandpatients.Adiscussiononhuman’sdiscriminatorysensesandespeciallyEPP‐patients’abilitytodiscern“visiblelight”isled.

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Page 9: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

OvertheyearseightcharacteristicsofEPPhavebeenidentifiedbyourteamsandexperts,andallofthemmakethediseasecomplextoevaluate.Inaddition,astherearenoappropriatescientifictoolstomeasurethecharacteristicsymptoms,theClinuvelprogramledtooptimumsynthesisofamolecule,formulation,environmentandvariableclinicalprogram.

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Page 10: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Aspartoftheregulatorydiscussionsandfilings,thisdiagramwas developedandisdiscussedtoday.EPPpatientsareself‐limitingtheirabilitytoexposeduetothecharacteristicsofthedisorder.AnumberofbehaviouralcomponentsmakeEPPdifferentfromotherlightinduceddisorders,rarediseasesororphandiseases.

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Page 11: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thenexttopicisthepaediatric development.

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Page 12: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Theestimatedtime ofdevelopmentisapproximately36months,costingmillionsofEUROsincludingproductdevelopment,clinicaltrials,regulatoryfilings,followupofpatients.Theregulatoryviewswilllargelydeterminefurthertimelines.ThesuccessfulcompletionofthedevelopmentofthepaediatricproductdependsoncontinuedsafetyofSCENESSE®reportedinadultEPPpatients,capturedviatheEuropeanEPPDiseaseRegistry(EEDR).

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Page 13: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thethirdtopicisriskmanagement.

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Page 14: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Themaineightpointsarepartoftheprotocolised treatmentofEPPinEurope,alsoexpectedinotherpartsoftheworld.TheoverallcommitmentforanydeveloperofnoveldrugsistoemphasisePHARMACOVIGILANCE,theabilitytobeextravigilantforitspatientslongterm;Clinuvelundertakesthis.

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Page 15: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Clinuvel’sinitialroll‐outfocusisonthose countrieswithknownpatientpopulations.Thecompany’sdistributioncentreisLeatherhead,UK.

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Page 16: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

WithintheEUeachcountryisassessingtheproductonanumberofcriteria,including: benefit,costtosociety,numberofpatientsexpected and riskofoff‐labeluse.

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Page 17: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

UnderEuropeanmarketingauthorisation,Clinuvelis establishingandmaintaininganEPP‐specificDiseaseRegistry(EEDR).Theownershipofthemedicaldatawillremainwiththeindividualpatientsandresideineachmedicalcentre,howeverthepseudonymisedmedicaldatarelatedtoEPPwillbemade availabletothe EEDR,andClinuvelwill haveunrestrictedaccesstothesedataforanalyticalpurposestofulfilregulatoryrequirementsoflongtermfollowupofpatients.

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Page 18: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

SettimelineshavebeenestablishedbyEMAforClinuvelto reportdatafromitsEuropeanprogram.Thetimelinesgivenhereprovideasample12monthreportingrequirement.

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Page 19: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thedataflowestablished forpharmacovigilanceiscomplex.Ateachpointoftheseprocesses,thereare controlsinplaceandallthesecontrolsformpartofapharmacovigilancemanagementsystem.Each‘station’onthechartrequiresindependentauditingofprocesses,propermanagementandadequateprotectionofmedicaldata.Anumberofadvisorybodies,governanceboards(GovernanceBoard‐ GOB;DataSafetyMonitoringBoard‐ DSMB;MelanocyteSignallingExpertGroup‐ MSEG)andthirdpartyauditorsworkaroundtheclockaspartofpharmacovigilancewithSCENESSE®.Thiscomplexsystemiscompulsoryandaimstoprotectsafetyofpatientslongterm.

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Page 20: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Asummaryis provided.

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Page 21: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

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Page 22: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

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Page 23: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Intherenaissanceartistsweretryingtocapturelightinshadowson canvas.ClinuvelhopestoprovidelightforEPPpatientswhohaveledalifeonthefringeandindarkness.

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Page 24: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Clinuvel hasdevotedmorethanadecadetoonedruginonedisorder,theresponseofpatientsandphysicianshasmadethisjourneyworthwhile.

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Page 25: Clinuvel Pharmaceuticals Ltd ( CUV; XETRA DAX: UR9; … · Presentation to international porphyria patient group Melbourne, Australia and Leatherhead, UK, February 8, 2016 Clinuvel

Thankyou fortheinvitation.

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