kindex2011v11
TRANSCRIPT
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Certain statements made in this presentation are
forward-looking such as those, among others, relating
to the development, safety and efficacy of
therapeutic drugs and potential applications for
these products. The Company undertakes no
obligation to update the forward-looking statements
contained herein or to reflect events or
circumstances occurring after the date hereof.
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Company Highlights
Focus on pharmacophores with history of safe use
Target small molecules modulating key metabolic networks
Completing safety pharm/tox for IND in Type 2 Diabetes
Business Model: conduct Phase 1through 2a POC
clinical trials and seek a partner
Pre-clinical and clinical evidence supporting activity and safety
4Q2009: $20M Series A investment by partner, Alticor
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Background
Modified phytochemical extracts demonstrate selective protein kinase modulation
1st Generation Product : R200 (Tetrahydro-iso-acids)
Mixture of 3 chemically distinct analogs
Potent modulation of metabolic and inflammatory
pathways
KDT500: most potent analog
Large patent portfolio protecting our position
Initial development focus on T2D (Type 2 Diabetes)
Greater than 30 million doses administered
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R200: 1st Generation Product
R= Isobutyl
KDT500
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Global Prevalence of Diabetes
South East Asia
Europe
North America & Caribbean
Western Pacific
South & Central America
Africa
Middle East & North Africa
58.7
55.2
37.4
76.7
18.0
12.1
26.6
2030millions
2010millions
101.0
66.2
53.2
112.8
29.6
23.9
51.7 Source: International DiabetesFederation
IDF Atlas January 2010
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Years 20332009Years 20322008
Forecasted Diabetes in US
People (millions)
50
40
30
20
10
0
Established
Cases
Undiagnosed Newly
Diagnosed
Source: Huang et al.
Projecting the Future Diabetes Population Size and Related costs for the US Diabetes Care 32:2225-2229, 2009
Number of cases in US alone forecasted to
double from 24M in 200 to 44M in 2034
Spending on diabetes and related
complications projected to triple in the
same period
2007 $$ (Billions)
250
200
150
100
50
0
300
350
Note: This model does not account for utilization of novel
branded anti-diabetic agents in future.
Expressed in 2007 dollars.
Currently have Diabetes
Diagnosed 2009-2018
Diagnosed 2019-2028
Diagnosed: 2029-2033
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Extensive
experience.
Low Cost
High potency
No
Hypoglycemia
as monotherapy
Weight= neutral
Favorable on
lipids
Extensive
experience
Low Cost
High potency
Rapid Reduction of
post-prandial
hyperglycemia &
Potentially less risk of
hypoglycemia
High Potency
No
hypoglycemia
as
monotherapy.
Reduction in
triglycerides
and increase in
HDL.
Benefits
demonstrated
in large post-
marketing
studies
2-4%
weight loss.
Lack of
severe
hypogly-
cemia in
combina-
tion with
Metformin.
Potential
for -cell preservation
Once a day
oral & well
tolerated.
Weight=neutral
No risk of
hypoglycemia.
Potential for
beta cell
preservation
No risk of
hypoglycemia
Weight=neutral
Metformin Secretagogues
SFUs
Secretagogues
GlinidesTZDs GLP-1
AgonistDPP-IV
Inhibitors
-Glucosidase
inhibitors
Upper and/or
lower GI side
effects in10-15%
of pts. Contrain-
dicated in renal
patients. Rare
risk of lactic
acidosis
Significant concerns
regarding
hypoglycemia and
weight gain
Modest potency &
higher cost
compared to SFUs.
Risk of
hypoglycemia still
higher than other
OADs.
TID Dosing
Weight gain &
edema.
Increased risk
of congestive
heart failure.
Increased rick
of fractures in
women.
SC Inject.
Nausea in
significant
# of
patients.
Potential
safety
concerns:
pancreatitis
& cancer
Modest
efficacy.
Modest efficacy.
Potentially severe
GI tolerability issues
(bloating, diarrhea
& cramps)
Advantages
Disadvantages
Issues with Current Drug Classes for T2D Treatment
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R200 in animal safety
and efficacy models
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1st Generation Product Efficacy in Murine T2D Model
R200 Metformin
db/db Mouse Type 2
Diabetes model
Treatment:
100 mg/kg/ day
7 day treatment
Glucose Reductionmg/ml
Insulin Reductionng/ml
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R200 Safety
Cell free In Vitro Animal Human
Multi-target selective
modulator
Gini Coefficient
calculation
demonstrates high
kinase specificity
Cytochrome p450
Studies- IC50 (ug/ml)
-indicates CYP450
2C9 is the route of
metabolism
Extensive R200
Toxicology studies
in animal models
Bioavailable in humans (orally
absorbed within one hour &
persists in serum for over 8
hours)
Does not decrease
prostacyclin formation
indicating CV safety
No elevation of liver enzymes
No elevation of fecal
Calprotectin indicating
GI safety
Safe to GI system when orally
consumed at therapeutic
doses
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KDT500/501 in animal
efficacy studies
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KDT500 in High Fat Diet Mouse Obesity Model
C57BL/6J mice were 6 weeks old at the start of the
experiment and maintained on test diets for 12 weeks.
Treatment Groups:
Experimental groups were maintained on a high fat diet (HFD) in
which 45% of calories came from fat
Control mice (LFD) were maintained on a control 10% calories from fat
KDT500 was administered to deliver approximately 100 mg/kg in the diet
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KDT500 Reduces Weight Gain
p<.001
p<.05
% body fat (dexa)40
20
0
Diet
10 % fat
45 % fat +100 mpkKDT500
45 % fat
Mice Age (weeks)6 18
Body Weight (g)
32
28
24
20
C57BL/6J mice: high susceptibility to diet-induced obesity, type 2 diabetes
and atherosclerosis.
Jackson Laboratories
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KDT501 in ZDF Model of T2D
Zucker Diabetic Fatty Rats were 6 weeks old at the start
of the experiment with glucose levels of 175-300 mg/dL
Treatment Groups: Drugs administered orally 2x/day for 33 days
Vehicle Only (negative control)
4 Doses of KDT501: 25, 50, 100, & 200 mg/kg
Metformin 200mg/kg
Metformin 200mg/kg + KDT501 100 mg/kg
Pioglitazone 30mg/kg (positive control)
Sample Collection:
Blood samples collected by tail bleed 3 days prior to randomization, day 15
and day 29. Whole blood glucose evaluations and triglyceride levels were measured pre-glucose bolus and at 15, 30, 60, 90, and 120 minutes post-glucose bolus (2g dextrose/kg of body weight).
Body composition tested by qNMR on day 2 and 29.
Oral Glucose Tolerance Test (OGTT) performed on days 31 and 32.
On day 33, cardiac puncture was performed for PK analysis
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ZDF Rat Model: Whole Blood Glucose
Z D F R a t s : Type 2 Diabetes model, male
Covance Laboratories
600
500
400
300
200
100
0
Day1 15 29
Blood Glucose(mg/dL)
Vehicle
KDT501: 25 mg/mg
KDT501: 50 mg/kg
KDT501:100 mg/kg
Metformin: 200mg/kg
Metformin: 200mg/kg+
KDT501 (100mg/kg)
KDT501:200 mg/kg
Pioglitazone: 30mg/kg
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ZDF Rat Model: Body Weight
Body Weight (grams) 550
500
450
400
350
300
250
Day1 15 298 22
KDT501: 25 mg/mg
KDT501: 50 mg/kg
KDT501:100 mg/kg
Metformin: 200mg/kg
Metformin: 200mg/kg+
KDT501 (100mg/kg)
KDT501:200 mg/kg
Pioglitazone: 30mg/kg
Vehicle
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ZDF Rat model: Oral Glucose Tolerance Test
Blood Glucose(mg/dL)
600
500
400
300
200
100
0
Time (minutes)0 60 12015 9030
Effect of 4 weeks of Oral Dosing on Glucose Tolerance in MaleZDF Rats dosed 2g of Glucose/kg of body weight
following 16 hr. fast
KDT501: 25 mg/mg
KDT501: 50 mg/kg
KDT501:100 mg/kg
Metformin: 200mg/kg
Metformin: 200mg/kg+
KDT501 (100mg/kg)
KDT501:200 mg/kg
Pioglitazone: 30mg/kg
Vehicle
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ZDF Rat Model: Oral Glucose Tolerance Test
60000
3000
2000
1000
0
50000
40000
Vehicle KDT501(mg/kg)
25 50 100 200
Metformin200 mg/kg
Metformin
200 mg/kg
+ KDT501 (100mg/mg)
Pioglitazone30 mg/kg
Area Under the Curve (AUC) values calculated from Oral Glucose Tolerance test
p-Value= 0.0017 p-Value < 0.0001
p-Values: Compared to Vehicle Control using Dunnett’s Method
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ZDF Rat Model: AUC Insulin Values
6e5
4e5
2e5
0
10e5
8e5
VehicleKDT501(mg/kg)
25 50 100 200
Metformin200 mg/kg
Metformin
200 mg/kg
+ KDT501 (100mg/mg)
Pioglitazone30 mg/kg
Area Under the Curve (AUC) values calculated from Oral Glucose Tolerance test(one vehicle outlier removed)
p-Values: Compared to Vehicle Control using Dunnett’s Method
p-Value=
0.0292
p-Value=
0.0033
p-Value=
.0016
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ZDF Rat Model: Triglycerides
1500
1000
500
0
2500
2000
Triglycerides (mg/dL)
Vehicle KDT501(mg/kg)
25 50 100 200
Metformin200 mg/kg
Metformin
200 mg/kg
+ KDT501 (100mg/mg)
Pioglitazone30 mg/kg
Neg.Control
KDT501Doses
Pos.Control
Day 15
Day 29
-640 %
+380 %
-470%
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KDT501 Competitive Advantages
KDT501 Multiple actions
Decrease in whole blood glucose and fasting glucose levels in ZDF rat model; superior to Metformin in whole blood glucose
Significant impact on weight gain in both high fat diet mouse and ZDF rat models, unlike pioglitazone
Mixture has history of safe use in humans
No elevation of liver enzymes
No elevation of fecal calprotectin
Large improvement in lipid values; superior to pioglitazone by end of study
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Progress to KDT501 IND
CMC
Manufacture of 3cGMP batches of KDT501
Clinical Formulation
Metabolism
PK (rat, mouse, dog, monkey)
In vitro hepatocyte metabolism
Toxicology
Dose range finding studies in rats and dogs
Dose range finding studies in monkeys
28 day GLP tox
Safety
Gene toxicology (AMes, chromosomal aberration, rat in vivo micronucleus)
GLP respiratory safety pharmacology
CNS safety pharmacology
Cardiovascular (in vitro hERG and in vivo)
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Product Pipeline
Mid-shaded arrows illustrate pipeline through 1H2011
KDT 501 (Type 2 Diabetes)
KDT 501 (Inflammation)
KDT 600 (Obesity)
New Candidates
Pre-clinical
Development
Discovery &
Candidate SelectionIND Phase 1
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Experienced Management and Advisory Team
Jeffrey Bland, Ph.D.President and CEO
Metagenics, Healthcomm International
Linus Pauling Institute
Matthew Tripp, Ph.D.Sr. V.P. R&D
Neile Grayson, Ph.D.V.P. Drug Development
John Kozarich, Ph.D.SAB Member
Benjamin Cravatt, Ph.D.SAB Member
Paul Schimmel, Ph.DSenior Advisor and Board Member
Metagenics, Kellogg
Phillip Morris Biotechnology
Sonus Pharmaceuticals, NeoRx
Mallinckrodt, NIH
ActivX Biosciences, Merck Research
Labs, Scripps Research Institute,
Yale School of Medicine
Scripps Research Institute
Scripps Research
Institute, Sirtris, Alnylam, Repligen, Mo
menta, Cubist