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Investor update: Cynata November 2012
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Important information
This presentation has been prepared by EcoQuest Limited. (“EcoQuest” or the “Company”) based on information available to it as at the date of this presentation. The information in this presentation is provided in summary form and does not contain all information necessary to make an investment decision.
This presentation does not constitute an offer, invitation, solicitation or recommendation with respect to the purchase or sale of any security in EcoQuest, nor does it constitute financial product advice or take into account any individual’s investment objectives, taxation situation, financial situation or needs. An investor must not act on the basis of any matter contained in this presentation but must make its own assessment of EcoQuest and conduct its own investigations. Before making an investment decision, investors should consider the appropriateness of the information having regard to their own objectives, financial situation and needs, and seek legal, taxation and financial advice appropriate to their jurisdiction and circumstances. EcoQuest is not licensed to provide financial product advice in respect of its securities or any other financial products. Cooling off rights do not apply to the acquisition of EcoQuest securities.
Although 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, no representation or warranty, express or implied, is made as to the fairness, accuracy, completeness or correctness of the information, opinions and conclusions contained in this presentation. To the maximum extent permitted by law, none of EcoQuest, its officers, directors, employees and agents, nor any other person, accepts any responsibility and liability for the content of this presentation including, without limitation, any liability arising from fault or negligence, for any loss arising from the use of or reliance on any of the information contained in this presentation or otherwise arising in connection with it.
The information presented in this presentation is subject to change without notice and EcoQuest does not have any responsibility or obligation to inform you of any matter arising or coming to their notice, after the date of this presentation, which may affect any matter referred to in this presentation.
The distribution of this presentation may be restricted by law and you should observe any such restrictions.
Forward looking statements
This presentation contains certain forward looking statements that are based on the Company’s management’s beliefs, assumptions and expectations and on information currently available to management. Such forward looking statements involve known and unknown risks, uncertainties, and other factors which may cause the actual results or performance of EcoQuest to be materially different from the results or performance expressed or implied by such forward looking statements. Such forward looking statements are based on numerous assumptions regarding the Company’s present and future business strategies and the political and economic environment in which EcoQuest will operate in the future, which are subject to change without notice. Past performance is not necessarily a guide to future performance and no representation or warranty is made as to the likelihood of achievement or reasonableness of any forward looking statements or other forecast. To the full extent permitted by law, EcoQuest and its directors, officers, employees, advisers, agents and intermediaries disclaim any obligation or undertaking to release any updates or revisions to information to reflect any change in any of the information contained in this presentation (including, but not limited to, any assumptions or expectations set out in the presentation). F
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EcoQuest (ASX: ECQ)
Profile EcoQuest Limited is an environmental and life sciences technology business based in Perth, Western Australia.
Board Darren Olney-Fraser: Executive Chairman Howard Digby: Executive Director Peter Webse: Non Executive Director and Company Secretary
Capital Structure 505 million ordinary shares (ECQ) 290 million 1 cent options (ECQO)
Investments • 11% stake in US based stem cell company Cynata • Biodegradable technology investments.
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EcoQuest Transformation
• Restructured in March 2012 with the aim of expanding
biodegradable hygiene portfolio to other technology based assets
• Business expansion focus: biotechnology
• Existing operations around core biodegradable hygiene technology to focus on licensing IP to third parties
• Extension of IP portfolio by acquiring attractive life sciences assets
• 11% interest in Cynata Inc. announced September 2012
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The healthcare boom: all signs point to growth
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IBB IXIC XHJ XMM XAO
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Relative performance of major healthcare and resources indices
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IBB: Nasdaq Biotech Index IXIC: Nasdaq Composite XHJ: ASX Healthcare 200 XMM: ASX300 Metals and Mining XAO: ASX All Ordinaries
Market factors influencing the attractiveness of life sciences
Venture-oriented mining and resources finance is slowing Life Sciences has outperformed globally
Forecasts of resources boom peak in 2014 (e.g. Deloitte's latest Investment Monitor report)
Aging global population; greater focus on healthcare economics driving patient care
Productivity and cost issues, commodity prices, $A Signs of new biotech boom forming
Change in Chinese economy Developing countries have more healthcare spend
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Why biotech is a compelling sector
Three year NASDAQ Biotech Index: up 63%
• Addresses the issues resulting from rapidly aging populations globally
• Massive chronic disease burden on healthcare systems
• Big pharma is experiencing:
Major drugs going off patent
Narrowing internal pipelines
• Cashed up generic drug makers are looking to own their own IP
• Sector rotation - markets looking for opportunities outside of mining
• Rapidly maturing sector that contends with largely outdated investor perceptions
• Less dependant on global commodity prices For
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Major growth segment: regenerative medicine
• Biopharma product development involves considerable risk:
Biologicals represent lower risk than small molecule drugs
Stem cell technology is beginning to mature
Local and international examples of success rewarded by the market
2012 Nobel Prizes recognise the potential of Regenerative Medicine
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Cynata: EcoQuest has an 11% equity position
• Incorporated in the USA to commercialise unique and versatile platform stem cell technology coming out of the University of Wisconsin (UW) in Madison, USA.
• Stem cell technologies hold immense potential for regenerative therapies. Certain stem cells can be induced to become any type of cell in the body.
• Founders and key executives include;
Professor Igor Slukvin, pioneer of stem cell technology at UW (along with James Thomson with whom he co-founded Cellular Dynamics)
Dr Allen Bollands, former CEO of Genera Biosystems (GBI) and Repromed
Ian Dixon, Executive Director, experienced biotechnology executive, with particular interest in stem cells, director of Cell Therapies Pty Ltd and Trobio Pty Ltd
Dr Roger Aston, previous positions former CEO of Peptech Ltd (PTD), former Chairman and CEO of Mayne Pharma (MYX)
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• Complications of Diabetes ($3 billion market)
Tragically growing levels of diabetes leading to vascular complication
Critical Limb Ischaemia (CLI)
Diabetic ulceration
Peripheral neuropathy
• Other opportunities ($10 billion market)
Cardiovascular disease: heart failure, heart attack, stroke
Lung disease
Orthopedic applications
Cynata: A compelling market
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• Stem cell technology originates from the laboratory where stem cells were pioneered
• Platform technology with exciting early applications in diabetes
• Patent protection (USA) until 2028
• Ethically safe: stem cells are non-embryonic • Pilot animal studies in Critical Limb Ischaemia (CLI) under way
• Low development risk
• Access to world class FDA-approved laboratory in USA
Why Cynata? Investment highlights
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CONFIDENTIAL – NOT FOR ONWARD DISTRIBUTION
Stem Cells tor the treatment of Vascular Disease
Stem Cells for the treatment of Vascular Disease
Introduc)on to Cynata
Allen Bollands
Founder and Chief Execu5ve Officer For
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CONFIDENTIAL – NOT FOR ONWARD DISTRIBUTION
Stem Cells tor the treatment of Vascular Disease
The Vision
Build value by developing highly effec5ve and compe55ve, off-‐the-‐shelf, stem cell-‐based medica5ons, using our patented cell plaBorm technology
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CONFIDENTIAL – NOT FOR ONWARD DISTRIBUTION
Stem Cells tor the treatment of Vascular Disease
Key strategies
1. Build an experienced, high-‐performing team
2. DifferenMate the Cynata plaNorm from alternaMve technologies
3. Exploit outstanding benefits of Cynata technology: 1. MulMpotent, primiMve, pericyte-‐like cells 2. Pure and reproducible cellular product 3. Massive expansion capability 4. Safe
4. Pick low-‐hanging fruit
5. Leverage investor funds using non-‐diluMve means
6. PosiMon the company for public ownership or M&A 3
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CONFIDENTIAL – NOT FOR ONWARD DISTRIBUTION
Stem Cells tor the treatment of Vascular Disease
World’s first manufactured stem cell product approved
• Osiris TherapeuMcs Incorporated – Prochymal: adult bone marrow-‐derived mesenchymal stem cells – Indicated for paediatric Gra^ versus Host Disease (GvHD) – Approved in Canada (05/12) and New Zealand (06/12)
• GvHD – Bone marrow transplant recipients – Immune cells in gra^ aeack recipient as “foreign”
• FDA status – Granted orphan drug status in 2010 – Canadian submission based upon data-‐mining – FDA don’t accept this – Resubmission in 2013
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Business plan overview
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Stem Cells tor the treatment of Vascular Disease
Twelve month milestones
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• Human resources: – Chief ScienMfic Officer – RA Consultant
• Research and Development: – Comparison of compeMng cells – DiabeMc Ulcers and Gra^ versus Host Disease proof of concept – Preclinical design meeMng with FDA
• Manufacturing: – 30-‐50% through manufacturing development process
• Intellectual property: – Conclude agreement to access MCAs via Wisconsin – In-‐licenced iPSC rights
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Stem Cells tor the treatment of Vascular Disease
12-‐36 month milestones
• Corporate: – Adequate funding to take the company through Phase 2 human clinical
trials ($40m)
• Research and Development: – Finalised lead indicaMon – Completed preclinical programme – Submieed IND
• Manufacturing: – CGMP product available – Tech transfer to volume manufacturer underway
• Commercial: – At least 1 large non-‐diluMve grant – At least 1 major commercial partnership
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Stem Cells tor the treatment of Vascular Disease
RelaMve risk of development failure
0%
5%
10%
15%
20%
25%
30%
Biologics NMEs
8 Bethan Hughes, Nature Biotechnology, April 2011
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Stem Cells tor the treatment of Vascular Disease
Management team
• Allen Bollands, Managing Director – Highly experienced life science industry execuMve. Over 25 years in major pharmaceuMcal
companies (SmithKline Beecham and NovarMs) and biotech startups. – Former Chief ExecuMve Officer of Repromed Pty and ASX-‐listed Genera Biosystems
• Ian Dixon, ExecuMve Director – Experienced biotechnology execuMve, with parMcular interest in stem cells – Director of Cell Therapies Pty Ltd and Trobio Pty Ltd
• Roger Aston, Chairman – Highly experienced execuMve with thirty years in a range of biotechnology business around the
globe. – MulMple successful startups – Outstanding capital-‐raising connecMons
• Igor Sluvkin, Founder and MCA inventor – Professor, Dept. Pathology and Laboratory Medicine, University of Wisconsin – Founder of Wisconsin-‐based Cellular Dynamics – world’s largest producer of fully-‐funcMonal
human cells derived from iPSCs. – Author of almost 70 peer-‐reviewed papers.
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Stem Cells tor the treatment of Vascular Disease
CriMcal success factors
• IdenMficaMon and recruitment of appropriate experMse
• Maintenance of adequate funding via a relentless programme of investor relaMons
• Intensive investment on high quality science
• Enhance awareness of MCAs as a differenMated, versaMle and high value technology plaNorm
• Full and rapid exploitaMon of MCA technology, where possible using partners and non-‐diluMve funding sources
• Low-‐cost “virtual” model
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Stem Cells tor the treatment of Vascular Disease
Summary
• Cynata will develop MCAs into an allogeneic stem cell therapy to treat condiMons requiring revascularisaMon.
• MCAs are outstanding therapeuMc stem cell candidates. Risk of development failure is low.
• Strategic focus on building an experienced team, differenMaMng the plaNorm, and targeMng less challenging indicaMons
• Cynata will mature as stem cell interest is peaking
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CONFIDENTIAL – NOT FOR ONWARD DISTRIBUTION
Stem Cells tor the treatment of Vascular Disease
Stem Cells for the treatment of Vascular Disease
Allen Bollands [email protected]
+61 423 943 600
www.cynata.com
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Igor Slukvin MD, PhD Founder and Chief Scien�fic Advisor
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Human Embryonic Stem Cells
Embryonic Stem Cells are Pluripotent Stem Cells Self-renewal and large-scale expansion Differentiation into all types of cells found in human body
James Thomson (University of Wisconsin)
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Pluripotent Stem Cells
Red Blood Cells
Heart Cells
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Induced Pluripotent Stem Cells
Self-renewal and large-scale expansion Differentiation into all types of cells found in human body
hESCs
iPSCs
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Developmental Potential of Pluripotent Stem Cells
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Pluripotent Stem Cells
Mesoderm Progenitors/stem cells
Ectoderm Progenitors/stem cells
Endoderm Progenitors/stem cells
Brain
Eye
Skin
Lung
Pancreas
Liver
Gut
Hematopoietic Stem Cells
Mesenchymal Stem Cells
Endothelial Progenitors
Cardiac Stem Cells
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How Stem Cells Work
Regenerate diseased �ssues Deliver a range of therapeu�cally relevant molecules to promote �ssue repair and healing, protect damaged cells, reduce inflamma�on, and restore vasculariza�on
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Adult Stem Cells
Hematopoietic Stem Cells – Standard of care for otherwise non-curable blood diseases
such as blood cancer and genetic blood diseases In the early stages of clinical development
Mesenchymal Stem Cells – Cardiovascular diseases – Musculoskeletal diseases – Chronic inflammatory disease, transplant rejection
Endothelial progenitors – Cardiovascular disease
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Cynata Technology
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Pluripotent Stem Cells as a Source of Cells for Cardiovascular Diseases
Pluripotent stem cell
Ectoderm Skin, Neurons
Mesoderm Muscles, connective
tissue, blood etc
Endoderm Gut, respiratory system
Blood Lateral plate mesoderm
Intermediate mesoderm
Urogenital and
reproductive systems
Paraxial mesoderm
Skeletal muscle, bone,
cartilage
Heart Vasculature
Circulatory system develops from lateral plate mesoderm
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Cynata Patent Estate
MCAs provide building blocks for the forma�on of circulatory system
Logical cellular therapeu�c candidate to treat diseases requiring �ssue revascularisa�on
Lateral plate mesoderm
Principal IP is MCA cell: First Vascular Precursor
Mesenchymoangioblast (MCA)
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MCAs as Stem Cell Therapeutics MCAs – Ideal characteristics for therapeutic development
Source of critical building blocks for the circulatory system
Clonal expansion means uniform, pharmaceutical-grade product
Massive expansion potential: 1→ 1022 cells
Long patent life and strong “composition of matter” claims
Relatively low risk of development failure
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MCAs: Expansion and Differentiation Potentials
Vodyanik et al, 2010; Cell Stem Cell, 7, 717-729
Endothelial C
ells
MSCs
MCA
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Cynata’s Science Leadership Igor Slukvin, MD, PhD, Diplomate of ABP, Associate Professor of
Pathology, University of Wisconsin-Madison
– Expertise in hematopoietic differentiation and mesoderm development from human pluripotent stem cells
– First to isolate MCAs (mesenchymoangioblasts) – First to isolate lymphohematopoietic progenitors from human pluripotent
stem cells – First to derive transgene-free iPSCs from bone marrow and cord blood
cells – Collaborated with Dr. Thomson to create iPSCs – Scientific co-founder of CDI (Wall Street Journal's 2011 Technology
Innovation Award Company) – Inventor of more than 10 patents covering derivation of cells of
mesodermal lineages from human PSCs (blood, endothelial and mesenchymal progenitors)
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The use of MCAs in the Cardiovascular Diseases and Vascular
Complica�ons of Diabetes
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Cardiovascular Diseases Diseases that involve heart and blood vessels Biggest cause of death worldwide Each year kill more Americans than cancer Major complication of diabetes
– Peripheral arterial disease (8 million patients in the US) – Coronary artery disease (13 million patients in the US) – Stroke (15 million patients in the US) – Wound healing (10 million patients in the US)
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Critical Limb Ischemia Dangerously diminished tissue perfusion:
– Occluded arteries reduces blood flow to extremities.
– Compromised vasculature, tissue necrosis, ulceration, gangrene.
Poor prognosis. Within 1 year of CLI diagnosis:
– 40-50% patients undergo major amputation – 30-40% patients will die
3 million CLI cases in the USA - 60% are diabetics
– Annual cost of treatment $10-20 billion – Market opportunity $3 billion – Insurance: $30-40K – amputations
$25-75K – prosthetics $75K annually - rehabilitation
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Prevention and Treatment Options
Control of blood pressure, lipids (statins), weight and blood sugars (in diabetes patients)
Restoration of blood flow (balloon angioplasty with stent placement, coronary artery bypass surgery)
– Challenges Lost tissues and affected vasculature following vascular
accident can’t be replaced
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Therapeutic Neovascularization and Tissue Regeneration
Stimulation of new vessel formation using pro-angiogenic drugs/growth factors and gene therapy Transplantation tissue specific progenitors
(cardiac and neural stem cells) Introducing cells that provide support in
endothelial regeneration and participate in vessel formation
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Growth Factors and Gene Therapies for Critical Limb Inschemia
Growth factors: G-CSF, SDF, HGF, EPO Are yet to successfully progress beyond phase 2 Gene therapy using HGF plasmids is currently under study by Anges (Japan) and Viromed (South Korea)
Refirmenogene (Sanofi-Aventis) – FGF1-based gene therapy failed
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Cellular Therapies for Cardiovascular Diseases: Cell Sources
Bone Marrow – Mesenchymal Stem Cells (MSCs; multipotent) – Multipotent adult progenitor cells – Hematopoietic Stem Cells (HSCs, multipotent) – Endothelial Progenitors Cells (EPCs)
Adipose Tissue – MSCs – EPCs
Umbilical Cord Blood – EPCs – MSCs – HSCs
Tissue specific progenitors
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Clinical Trials
Demonstration of clinical efficacy of cell therapies in experimental studies led to rapid translation of this concept into the clinic
Clinical phase I and II studies initiated for MI and PAD/CLI
Indicate a favorable safety profile and improvement of function
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Major Limitations of Current Therapeutic Stem Cell Products
Most of them are based on Mesenchymal Stem Cells (MSCs) and or hematopoie�c stem/progenitor cells which have no endothelial poten�al
Stem cell popula�ons are poorly defined and o�en heterogenous
Have to be obtained from the donors Rela�vely limited expansion poten�al
High variability between individuals and batches Need extensive quality control for every batch of stem cell product
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MCA is Multipotential Progenitor with Vasculogenic Potential
Bone
Cartilage
Vasculature
Adipose PSC
Vodyanik et al, 2010: A Mesoderm-Derived Precursor for Mesenchymal Stem and Endothelial Cells. Cell Stem Cell, 7, 717-729
MCA Colony
APLNR+ Mesoderm
MSC
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Advantages of MCAs
We will use MCAs – Building blocks for new vessel formation – Superior expansion potential – Clonally derived – Can’t be obtained from adult tissues – Efficacy demonstrated in preclinical model
Our technology can provide unlimited supply of well-defined drug-like quality cellular products for therapies
Easy to develop continuous manufacturing and quality control procedures to meet FDA criteria
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Efficacy of MCA in Preclinical Model of CLI
Control (non-treated) animals with CLI
CLI animals treated with MCAs Non-ischemic leg Ischemic leg
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Efficacy of MCA in Preclinical Model of CLI
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Summary
Cynata will develop MCAs into an allogeneic stem cell therapy to treat condi�ons requiring revascularisa�on MCAs are outstanding therapeu�c stem cell candidates – Provide unlimited supply of well-defined drug-like
quality cellular products for therapies – Easy to develop continuous manufacturing and
quality control procedures to meet FDA criteria
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